campaign for tobacco-free kids new products old tricks the problem victoria almquist director,...

Campaign for Tobacco-Free Kids www.tobaccofreekids.org

New ProductsOld Tricks

The Problem

Victoria AlmquistDirector, Outreach Campaign for Tobacco-Free [email protected]


What’s the Problem withNew Products?

• New tobacco products are designed to:– Draw in new and youth users– Keep smokers smoking

• These goals are achieved by:– Skirting marketing restrictions that are imposed on

cigarettes– Evading higher taxes


TOLL OF OTHER TOBACCO USE

Increased youth smokeless tobacco useHarms from other tobacco use


National Youth Smoking and Smokeless Tobacco Use1997 - 2011

1997 1999 2001 2003 2005 2007 2009 20110%

5%

10%

15%

20%

25%

30%

35%

40%

9.3%6.7%

8.9%7.7%

15.8%

11.0%

15.0%12.8%

36.4%

21.9%19.5%

18.1%

37.7%

21.8%

19.8% 19.9%

All High School Students Smokeless Tobacco UseHigh School Males Smokeless UseAll High School Students Cigarette SmokingHigh School Males Cigarette Smoking

Source: CDC, Youth Risk Behavior Surveillance Survey.

2003-2009: +32.8% 2003-2011: +14.9%

2003-2009: +36.4%2003-2011: +16.4%

2003-2009: -11.0%2003-2011: -17.4%

2003-2009: -9.2%2003-2011: -8.7%


5

2001 2003 2005 2007 2009 20110%

5%

10%

15%

20%

25%

30%

15.2% 14.8% 14.0%13.1%

8.5%9.4% 8.8%

8.0%

22.1%

19.9%18.6%

17.8%

28.5%

21.9%

19.5%18.1%

Total High School Students Cigar Smoking

High School Girls Cigar Smoking

High School Boys Cigar Smoking

All High School Students Cigarette Smoking

2003-2009: -5.4% 2003-2011: -11.5%

2003-2009: -11.0% 2003-2011: -17.4%

2003-2009: -6.5% 2003-2011: -10.6%

2003-2009: -6.4%2003-2011: -14.9%

National Youth Cigar and Cigarette Smoking2001-2011

Source: CDC, Youth Risk Behavior Surveillance Survey.


ATTRACTING NEW AND YOUTH USERS

Use of flavorsCircumventing cigarette regulationsNew smokeless, spit-less products


7

CAMEL AND MARLBORO FLAVOR CAPSULE CIGARETTES

CAMEL CRUSH

MARLBORO NXT


So-Called “Little Cigars”(not to be confused with legitimate little cigars)

CigarettesLegitimate Little Cigars

So-Called “Little Cigars”


$10.69 per carton = $1.07 per pack

Cheap Flavored “Little or Filtered Cigars”


Flavored Blunt Wraps

But what they’re really used for…


KEEPING SMOKERS SMOKING

New smokeless, spit-less products

“…the use of smokeless tobacco products is not a safe alternative to smoking, nor is there evidence to suggest that it is effective in helping smokers quit.”

-- U.S. Public Health Service Clinical Practice Guidelines, 2008


High School Student describing using Camel Snus:

“It’s easy, it’s super-discreet…and none of the teachers will ever know what I’m doing.”

Kansas City Star, October 31, 2007


Camel recently introduced 2 new flavors of Snus: Winterchill and Robust


Philip Morris USA’s Marlboro Snus

Redesigned Pack in early 2009 to fit “perfectly alongside your smokes” – to prevent smokers from quitting.


R.J. Reynolds’ Camel Dissolvables

Original packs test-marketed in Columbus, OH, Portland, OR, and Indianapolis, IN starting in January 2009.

Redesigned the pack to be LESS child-resistant and re-released products in

two new test markets, Denver and Charlotte, beginning March 2011.


19


New Forms of Smokeless, Spitless Tobacco Put Users and Children At Risk


Philip Morris USA’s Marlboro & Skoal Sticks

Resemblance to:

Four flavors being test-marketed in select Kansas stores since March 2011. Marlboro Sticks are being placed with cigarettes and Skoal Sticks are being placed with smokeless tobacco products.


22

“As the state’s health agency, KDHE is particularly concerned about the potential appeal of these new tobacco sticks to youth,” KDHE Secretary Dr. Robert Moser said. “The packages are so small that they could easily be concealed in a shirt or pants pocket and youth could use tobacco sticks in front of parents or teachers while appearing to have a simple toothpick in their mouth. We are also concerned about the risk of young children accidentally ingesting these products.”


23

Altria’s Newest Smokeless Product: VERVE

Announced in May 2012 and will be test-marketed in select Sheetz stores in Virginia.


Cigarette marketing expenditures declined between 2005 and 2008, but smokeless tobacco

marketing expenditures more than doubled between 2005 and 2008.

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008$0

$100,000,000

$200,000,000

$300,000,000

$400,000,000

$500,000,000

$600,000,000

$145,486,899.0$170,213,761.0

$224,582,757.0$236,676,917.0$234,645,000.0$242,514,000.0$231,084,000.0$250,792,000.0

$354,123,000.0

$411,239,067.0

$547,873,100.0

These data are based on the most recent official data available from the federal government. The most recent available marketing data for smokeless tobacco is for 2008 and comes from the FTC’s Smokeless Tobacco Report for 2007 and 2008.

118.5% increase since 2005


HOW INDUSTRY ACHIEVES THE GOAL

Price Differences


Why Keep Prices Lower?

• Lower prices are more accessible, affordable, and appealing to youth– Draws them in to a lifetime of addiction– Can lead to smoking, the big money-maker for the

tobacco industry• Promotes dual use and hinders quit attempts– Smokers can buy fewer cigarettes by using other

products sometimes– Why quit because cigarettes are more expensive

when you can temporarily substitute with OTPs?26


Pushing Weight-Based Taxes

What they claim:• Losing market share to competitors with

cheaper products that pay less tax.• It’s a fair tax for all smokeless products.

What Weight-Based really means:• New light-weight products (i.e., snus,

dissolvables, and sticks) will pay pennies, if that, in tax.• Premium products, which are most popular

with youth, would get a tax break, while cheap products would get a tax increase (thus it’s unfair for cheaper products).• Over time, states will lose revenue as the

value of the tax erodes with inflation and product price increases.


What is a Hookah?

Figure courtesy Dr. Alan Shihadeh, American University of Beirut

A waterpipe


• 2010 MTF survey found that 17% of 12th graders had smoked a hookah in the past month. Studies of college students have found rates as high as 20% for past month and 48% for lifetime usage. • Hookah pipes used in hookah bars and cafes may not be cleaned properly, risking the spread of infectious diseases. In 2008, Colorado State University reported an outbreak of Herpes among hookah users, and hookah use was suspected in the spread of TB in Egypt. • There is a common misconception that smoking through a hookah and being exposed to secondhand hookah smoke is not as dangerous as smoking cigarettes or being exposed to SHS from cigarettes.

• According to researchers at the Mayo clinic, hookah smokers are exposed to more carbon monoxide and smoke than are cigarette smokers. Hookah smoking sessions typically last an hour.

• A study conducted by UCSF and published on 4-18-13 showed that while hookah users had half the amount of nicotine in their systems, they had 2.5 times the amount of carbon monoxide (breath test) and 2 times the amount of benzene (metabolite test).

SOME INFO ABOUT HOOKAH USE


Policy changes that would help address hookah use

• Close loopholes that exempt hookah bars from clean indoor air laws.

• State laws should include hookahs in the definition of smoking. This would help eliminate exemptions in clean indoor air laws.

• FDA should assert authority over hookah tobacco.

• Federal, state and local laws can be used to prohibit the use of flavorings in hookah tobacco.

• Close loopholes in laws and enforce existing laws about sales of hookah tobacco and paraphernalia to minors.

• States and localities can use zoning and licensure rules to limit or eliminate hookah lounges.


Questions?

Victoria AlmquistDirector, Outreach

Campaign for Tobacco-Free [email protected]

campaign for tobacco-free kids new products old tricks the problem victoria almquist director,...

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