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"title": "Three tricks Big Tobacco uses to stop SA’s anti-smoking Bill from becoming law",
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"contents": "<span style=\"font-weight: 400;\">It seems South Africa’s long-awaited new anti-tobacco legislation is set to go nowhere slowly – again. </span>\r\n\r\n<span style=\"font-weight: 400;\">On Wednesday, Parliament’s newly appointed portfolio committee on health sat to discuss the proposed </span><a href=\"https://www.parliament.gov.za/storage/app/media/Bills/2022/B33_2022_Tobacco_Products_and_Electronic_Delivery_Systems_Control_Bill/B33_2022_Tobacco_Products_and_Electronic_Delivery_Systems_Control_Bill.pdf\"><span style=\"font-weight: 400;\">new Tobacco Bill</span></a><span style=\"font-weight: 400;\"> for the first time since South Africa’s </span><a href=\"https://cisp.cachefly.net/assets/articles/attachments/93080_gnu_statement_of_intent_and_modalities_14_june_2024.pdf\"><span style=\"font-weight: 400;\">post-election government was formed in Ju</span></a><span style=\"font-weight: 400;\">ne</span><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">The contentious </span><a href=\"https://pmg.org.za/bill/787/\"><span style=\"font-weight: 400;\">Tobacco Products and Electronic Delivery System Control Bill</span></a><span style=\"font-weight: 400;\"> has been in the making since </span><a href=\"https://www.gov.za/sites/default/files/gcis_document/201805/41617gon475re.pdf\"><span style=\"font-weight: 400;\">2018,</span></a><span style=\"font-weight: 400;\"> when then health minister Aaron Motsoaledi asked people to comment on proposed new laws that would ban vaping in public spaces and rule that tobacco products like cigarettes and vapes must be sold in plain-looking packaging, as will be decided by the minister. </span>\r\n\r\n<span style=\"font-weight: 400;\">But because of pushback </span><a href=\"https://www.parliament.gov.za/storage/app/media/Bills/2022/B33_2022_Tobacco_Products_and_Electronic_Delivery_Systems_Control_Bill/B33_2022_Tobacco_Products_and_Electronic_Delivery_Systems_Control_Bill.pdf\"><span style=\"font-weight: 400;\">the Bill</span></a><span style=\"font-weight: 400;\"> got to Parliament only in December 2022.</span>\r\n\r\n<span style=\"font-weight: 400;\">At Wednesday’s meeting, though, some committee members said they were worried about the “potential social and economic impacts” of the Bill, like causing people to lose their jobs, illegal sales and the government losing out on taxes. </span>\r\n\r\n<span style=\"font-weight: 400;\">Lekan Ayo-Yusuf, a public health expert from the University of Pretoria and a member of the </span><a href=\"https://www.who.int/activities/regulating-nicotine-and-tobacco-products/who-study-group-on-tobacco-product-regulation\"><span style=\"font-weight: 400;\">World Health Organization’s (WHO) study group on tobacco regulation</span></a><span style=\"font-weight: 400;\">, says that not only is there no evidence to back up such concerns from </span><a href=\"https://www.health.gov.za/wp-content/uploads/2023/07/Socio-Economic-Impact-Assessment-System-SEIAS-REVISED-2020-FINAL-IMPACT-ASSESSMENT-Phase-2.pdf\"><span style=\"font-weight: 400;\">impact assessment studies</span></a><span style=\"font-weight: 400;\"> but it could also be taken as calls for the whole public participation process to start from scratch. </span>\r\n\r\n<span style=\"font-weight: 400;\">If this were to happen, “it could take years for the Bill to pass”, says Ayo-Yusuf – and something that would play right into the hands of the tobacco industry. </span>\r\n<h4><b>Swapping smokes </b></h4>\r\n<span style=\"font-weight: 400;\">The reason South Africa has to get stricter on tobacco use is because the country has signed the WHO’s </span><a href=\"https://fctc.who.int/who-fctc/overview\"><span style=\"font-weight: 400;\">Framework Convention on Tobacco Control</span></a><span style=\"font-weight: 400;\">, an international contract in which signatories promise to put legislation in place to protect future generations from the </span><a href=\"https://www.ncbi.nlm.nih.gov/books/NBK537066/\"><span style=\"font-weight: 400;\">health problems linked to smoking</span></a><span style=\"font-weight: 400;\">, such as cancer and lung and heart diseases.</span>\r\n\r\n<span style=\"font-weight: 400;\">In 2021, </span><a href=\"https://www.health.gov.za/wp-content/uploads/2024/06/2021-Global-Adult-Tobacco-Survey-South-Africa-Report-Launched-13-June-2024_compressed-1-1.pdf\"><span style=\"font-weight: 400;\">more than a quarter</span></a><span style=\"font-weight: 400;\"> of South Africans older than 15 used tobacco – a worrying figure because already back in 2016, </span><a href=\"https://pubmed.ncbi.nlm.nih.gov/32832993/\"><span style=\"font-weight: 400;\">26,000</span></a><span style=\"font-weight: 400;\"> people died from smoking-related diseases in the country, costing the government more than R42-billion in healthcare expenses and lost productivity. </span>\r\n\r\n<span style=\"font-weight: 400;\">However, the profits are as addictive as the tobacco that generates them, which means the tobacco industry </span><a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456773/\"><span style=\"font-weight: 400;\">needs to keep recruiting</span></a> <span style=\"font-weight: 400;\">a new generation of lifetime smokers to fill their pockets. </span>\r\n\r\n<span style=\"font-weight: 400;\">Over the past decade, the use of e-cigarettes among teens and young adults </span><a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183384/\"><span style=\"font-weight: 400;\">exploded</span></a><span style=\"font-weight: 400;\">. In 2011, about 1.5% of young Americans vaped; by 2018 the number was close to 21%. </span>\r\n\r\n<span style=\"font-weight: 400;\">Flavours, sleek designs and child-friendly packaging are all designed to make these products appeal to children, says a WHO </span><a href=\"https://iris.who.int/bitstream/handle/10665/376853/9789240094642-eng.pdf?sequence=1\"><span style=\"font-weight: 400;\">report</span></a><span style=\"font-weight: 400;\"> published in May. </span>\r\n\r\n<span style=\"font-weight: 400;\">Moreover, says the report, the tobacco industry promotes their so-called </span><a href=\"https://imperialbrandsscience.com/our-ngp-portfolio/#:~:text=to%20be%20expected.-,Vapes,toxicants%20compared%20to%20cigarette%20smoke.\"><span style=\"font-weight: 400;\">next-generation goods</span></a><span style=\"font-weight: 400;\"> (products that don’t need tobacco to be burnt to give you a kick) as “safer” than old-time cigarettes, even though they still contain nicotine – which makes them no less addictive than cigarettes and can be a </span><a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754186/\"><span style=\"font-weight: 400;\">gateway to smoking.</span></a>\r\n\r\n<span style=\"font-weight: 400;\">Because the </span><a href=\"https://www.gov.za/documents/constitution/constitution-republic-south-africa-1996-chapter-4-parliament-07-feb-1997#59\"><span style=\"font-weight: 400;\">Constitution says</span></a><span style=\"font-weight: 400;\"> every South African must have a chance to weigh in on how laws are made, public hearings on the Bill started in August 2023. By February, people from seven of the nine provinces had had a chance to air their views. </span>\r\n\r\n<span style=\"font-weight: 400;\">But the meetings then paused before the </span><a href=\"https://www.gov.za/blog/2024-elections\"><span style=\"font-weight: 400;\">elections</span></a><span style=\"font-weight: 400;\"> – without people from KwaZulu-Natal and the Northern Cape having had their say. </span>\r\n\r\n<span style=\"font-weight: 400;\">“I think we will proceed as we have in the past,” said the committee’s chairperson, Sibongiseni Dhlomo, on Wednesday, referring to picking up public hearings where they left off in February.</span>\r\n\r\n<span style=\"font-weight: 400;\">With Big Tobacco having a long history of trying to interfere with tobacco control policies, the industry watchdog </span><a href=\"https://exposetobacco.org/#:~:text=STOP%20is%20a%20global%20tobacco%20industry%20watchdog&text=Through%20robust%20monitoring%2C%20research%20and,address%20industry%20interference%20in%20policy.\"><span style=\"font-weight: 400;\">Stopping Tobacco Industries and Products</span></a><span style=\"font-weight: 400;\"> has set out a </span><a href=\"https://exposetobacco.org/wp-content/uploads/2019/09/Crooked-9-STOP.pdf\"><span style=\"font-weight: 400;\">list</span></a><span style=\"font-weight: 400;\"> to help governments and citizens see through their tricks.</span>\r\n\r\n<span style=\"font-weight: 400;\">Here are three tactics Big Tobacco uses to stall the Bill’s approval. </span>\r\n<h4><b>Tactic 1: Twisting the science</b></h4>\r\n<span style=\"font-weight: 400;\">The tobacco industry has been called out before for manipulating science. Even though </span><a href=\"https://www.industrydocuments.ucsf.edu/tobacco/docs/#id=ymch0045\"><span style=\"font-weight: 400;\">research</span></a><span style=\"font-weight: 400;\"> started linking smoking to cancer in the 1950s, tobacco companies </span><a href=\"https://escholarship.org/content/qt9fp6566b/qt9fp6566b_noSplash_cf5479bcb22b38bca6c5db7a3ffb9dfe.pdf\"><span style=\"font-weight: 400;\">denied</span></a><span style=\"font-weight: 400;\"> it. Philip Morris International (PMI), for instance, tried to cause doubt and dissuade the public from quitting in the 1960s, saying that “we don’t accept the idea that there are harmful agents in tobacco”. </span>\r\n\r\n<span style=\"font-weight: 400;\">And still they won’t quit. </span>\r\n\r\n<span style=\"font-weight: 400;\">Punting their so-called next-generation products like vapes and nicotine pouches as </span><a href=\"https://exposetobacco.org/wp-content/uploads/Tobacco-Industry-Captures-Young-Consumers.pdf\"><span style=\"font-weight: 400;\">safer than cigarettes</span><span style=\"font-weight: 400;\">,</span></a><span style=\"font-weight: 400;\"> they’re using the idea of </span><a href=\"https://tobaccocontrol.bmj.com/content/30/e1/e1\"><span style=\"font-weight: 400;\">harm reduction</span></a><span style=\"font-weight: 400;\"> – an evidence-based way to help reduce effects an addiction has on someone’s health – to simply hook new clients, </span><a href=\"https://exposetobacco.org/wp-content/uploads/STOP_Report_Addiction-At-Any-Cost.pdf\"><span style=\"font-weight: 400;\">experts say</span></a><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">One way to do this is to fund other research organisations to spread their message.</span>\r\n\r\n<span style=\"font-weight: 400;\">In 2017, the </span><a href=\"https://web.archive.org/web/20180529113727/https:/www.smokefreeworld.org/about-us/frequently-asked-questions\"><span style=\"font-weight: 400;\">Foundation for a Smoke-Free World</span></a><span style=\"font-weight: 400;\"> was set up, a nonprofit and seemingly independent organisation that supported harm reduction research, despite being funded by PMI. </span>\r\n\r\n<span style=\"font-weight: 400;\">In 2020, the foundation claimed that findings from a study among teens in the US which showed that fruity, chocolate or mint flavours rank third in the list of reasons for kids enjoying vaping, as evidence that flavours are not what get people hooked. </span>\r\n\r\n<span style=\"font-weight: 400;\">In an analysis of how Big Brand companies skew science to fit their goals, public health policy experts </span><a href=\"https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0253272\"><span style=\"font-weight: 400;\">found that attacking research</span></a><span style=\"font-weight: 400;\"> that paints these corporations in a bad light is a typical strategy. For example, a </span><a href=\"https://web.archive.org/web/20210812154321/https://filtermag.org/dismantling-ny-mags-disgraceful-hit-job-on-vaping/\"><span style=\"font-weight: 400;\">2020 article</span> </a><span style=\"font-weight: 400;\">in the tobacco-funded </span><a href=\"https://filtermag.org/\"><span style=\"font-weight: 400;\">Filter</span></a><span style=\"font-weight: 400;\"> magazine called health concerns about e-cigarettes “a fear-driven crusade” of “lies and junk science”. </span>\r\n\r\n<span style=\"font-weight: 400;\">Statements like these can influence the public and policymakers’ decisions, when given airtime by seemingly impartial groups, such as the organisation that owns the magazine and who says their “mission is to advocate through journalism for rational and compassionate approaches to drug use, drug policy and human rights”. </span>\r\n\r\n<span style=\"font-weight: 400;\">People who participated in the public hearings </span><a href=\"https://pmg.org.za/files/240327pchealthreport1.pdf\"><span style=\"font-weight: 400;\">said</span> </a><span style=\"font-weight: 400;\">that since vapes and cigarettes are different, they shouldn’t be regulated in the same way, and on Wednesday, some of the members of the portfolio committee asked for “comprehensive data” to compare the health problems that could come from vaping with those linked to traditional smoking. </span>\r\n<h4><b>Tactic 2: Skewing public opinion surveys </b></h4>\r\n<span style=\"font-weight: 400;\">In 2019, Japan Tobacco International (JTI) published a </span><a href=\"https://www.handsoffmychoices.co.za/src/downloads/South_Africa_Final_Plain_Packaging_Omnibus_Report_Write_Up_19th_March_2019.pdf\"><span style=\"font-weight: 400;\">report</span></a><span style=\"font-weight: 400;\"> based on “a nationally representative survey” that asked people how they felt about plain packaging of tobacco products. </span>\r\n\r\n<span style=\"font-weight: 400;\">Although JTI said the research was conducted independently, critics from the </span><span style=\"font-weight: 400;\">Research Unit on the Economics of Excisable Products</span><span style=\"font-weight: 400;\"> (Reep) at the University of Cape Town </span><a href=\"https://www.dailymaverick.co.za/article/2019-08-04-sifting-out-facts-in-the-tactics-used-by-the-tobacco-industry-against-plain-packaging/\"><span style=\"font-weight: 400;\">said the study was flawed</span></a><span style=\"font-weight: 400;\">. For starters, </span><a href=\"https://www.dailymaverick.co.za/article/2019-08-04-sifting-out-facts-in-the-tactics-used-by-the-tobacco-industry-against-plain-packaging/\"><span style=\"font-weight: 400;\">the fact that JTI funded the survey made it biased by definition, they said, and with obtaining views from only 1,014 people it could not be considered representative of the country’s more than </span></a><a href=\"https://www.statssa.gov.za/publications/P0302/P03022019.pdf\"><span style=\"font-weight: 400;\">32 million adults</span></a><span style=\"font-weight: 400;\"> at the time</span><a href=\"https://www.dailymaverick.co.za/article/2019-08-04-sifting-out-facts-in-the-tactics-used-by-the-tobacco-industry-against-plain-packaging/\"><span style=\"font-weight: 400;\">. On top of that Reep called them out for using leading questions, which, simply in the way they were phrased, could show an opinion that would fit their narrative. </span></a>\r\n\r\n<a href=\"https://www.dailymaverick.co.za/article/2019-08-04-sifting-out-facts-in-the-tactics-used-by-the-tobacco-industry-against-plain-packaging/\"><span style=\"font-weight: 400;\">Apart from the questionable research method, the </span></a><span style=\"font-weight: 400;\">report also looked </span><a href=\"https://web.archive.org/web/20180521085637/https:/www.jti.com/sites/default/files/gl[%E2%80%A6]ional-public-opinion-survey-perception-plain-packaging-UK.pdf\"><span style=\"font-weight: 400;\">strikingly similar to one</span></a><span style=\"font-weight: 400;\"> JTI had funded on public opinion about plain packaging in the UK. </span>\r\n\r\n<span style=\"font-weight: 400;\">Plain packaging is a touchy subject. With advertising rules having become tighter over the years, for example, tobacco advertising </span><a href=\"https://www.who.int/europe/health-topics/tobacco/banning-tobacco-advertising-sponsorship-and-promotion#tab=tab_1\"><span style=\"font-weight: 400;\">not being allowed in films, on TV or in magazines</span></a><span style=\"font-weight: 400;\"> in many countries, Big Tobacco has had to rely on packaging as a </span><a href=\"https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-737\"><span style=\"font-weight: 400;\">marketing tool</span></a><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">Pictures, colours or even certain words used on cigarette packaging can make the products look attractive or falsely reassure consumers about possible dangers, </span><a href=\"https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-737\"><span style=\"font-weight: 400;\">research</span></a><span style=\"font-weight: 400;\"> says. For example, brands targeted at young people are </span><a href=\"https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2004.061200\"><span style=\"font-weight: 400;\">marketed</span></a><span style=\"font-weight: 400;\"> as less harsh and include descriptions of appealing flavours like “mint” or “strawberry”.</span>\r\n\r\n<span style=\"font-weight: 400;\">Instead, </span><a href=\"https://www.jahonline.org/article/S1054-139X(09)00341-3/abstract\"><span style=\"font-weight: 400;\">research</span></a><span style=\"font-weight: 400;\"> shows that plain packaging will create negative expectations about the taste of cigarettes and will cut down on its cool factor.</span>\r\n<h4><b>Tactic 3: Causing confusion about illicit trade</b></h4>\r\n<span style=\"font-weight: 400;\">One of the </span><a href=\"https://static.pmg.org.za/240327pchealthreport1.pdf\"><span style=\"font-weight: 400;\">main arguments</span></a><span style=\"font-weight: 400;\"> against the new Tobacco Bill is that it could cost South Africa billions in tax revenue. That’s because plain packaging and bans on till displays in shops will encourage smugglers to sell counterfeit products, </span><a href=\"https://www.batsa.co.za/attachments/BATSA-New_tobacco_bill_will_entrench_illicit_trade_in_SA.pdf\"><span style=\"font-weight: 400;\">big names</span></a><span style=\"font-weight: 400;\"> in the tobacco industry say. </span>\r\n\r\n<span style=\"font-weight: 400;\">When cigarettes are produced illegally with fake trademarks or sold to customers before taxes are paid on the goods, it is seen as illicit trade.</span>\r\n\r\n<span style=\"font-weight: 400;\">But </span><a href=\"https://www.opensaldru.uct.ac.za/handle/11090/694\"><span style=\"font-weight: 400;\">research</span></a><span style=\"font-weight: 400;\"> shows that tobacco companies have been exaggerating the size of the illicit market for many years for their own gain. </span>\r\n\r\n<span style=\"font-weight: 400;\">In 2023, for example, British American Tobacco South Africa </span><a href=\"https://www.batsa.co.za/attachments/BATSA___confirms_retrenchment_process.pdf\"><span style=\"font-weight: 400;\">claimed</span></a><span style=\"font-weight: 400;\"> they had to lay off 200 people because of how much the illicit market had grown during the </span><a href=\"https://www.gov.za/documents/disaster-management-act-regulations-address-prevent-and-combat-spread-coronavirus-covid-19\"><span style=\"font-weight: 400;\">2020 tobacco ban</span></a><span style=\"font-weight: 400;\">, which they said made up 70% of the country’s tobacco business. </span>\r\n\r\n<span style=\"font-weight: 400;\">The 70% estimate comes from a survey that the tobacco giant paid the market research firm Ipsos to do – except the Ipsos paper </span><i><span style=\"font-weight: 400;\">doesn’t</span></i><span style=\"font-weight: 400;\"> come to this conclusion. That figure refers only to the proportion of shops that sold illegal cigarettes in one province, while for the country overall, the number of stores that sold illicit cigarettes actually dropped from 47% in 2021 to 34% in 2022. In fact, the real share of the tobacco market owned by illicit trade is likely to be closer to </span><a href=\"https://www.news.uct.ac.za/article/-2022-09-20-batsas-70-illicit-cigarette-trade-estimate-is-wrong-uct-study#:~:text=BATSA's%20estimate%20is%20wrong%20for,proportion%20of%20illicit%20cigarettes%20consumed.%22\"><span style=\"font-weight: 400;\">54%</span></a><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">There’s likely more to Big Tobacco’s concern than meets the eye, </span><a href=\"https://bhekisisa.org/article/2023-01-26-whats-behind-the-big-tobacco-job-cuts-a-guide-to-sas-illegal-tobacco-trade-after-covid/\"><span style=\"font-weight: 400;\">experts told Bhekisisa previously</span></a><span style=\"font-weight: 400;\">. What looks like a company trying to be a good corporate citizen, they said, is more likely to be a new approach to an old goal: to protect its bottom line. </span><b>DM</b>\r\n\r\n<i><span style=\"font-weight: 400;\">This story was produced by the</span></i><a href=\"http://bhekisisa.org./\"> <i><span style=\"font-weight: 400;\">Bhekisisa Centre for Health Journalism</span></i></a><i><span style=\"font-weight: 400;\">. Sign up for the</span></i><a href=\"http://bit.ly/BhekisisaSubscribe\"> <i><span style=\"font-weight: 400;\">newsletter</span></i></a><i><span style=\"font-weight: 400;\">.</span></i>\r\n\r\n \r\n\r\n<img loading=\"lazy\" class=\"size-full wp-image-2331820\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/2024/08/Copy-of-BHEKIS1.jpg\" alt=\"\" width=\"2076\" height=\"463\" />\r\n<img loading=\"lazy\" src=\"https://syndicate.app/st.php\" />\r\n<script async=\"true\" src=\"https://syndicate.app/st.js\" type=\"text/javascript\"></script>",
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"summary": "On Wednesday, Parliament’s newly appointed portfolio committee on health sat to discuss the proposed new Tobacco Bill for the first time since the government of national unity was formed. In 2021, more than a quarter of South Africans older than 15 used tobacco. We break down three tactics Big Tobacco uses to stall the Bill’s approval. ",
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