v. 1. no. 5.           30 May 06   FULL PRINTABLE VERSION: ON FILE AT: www.endsmoking.org.nz/enewsryo30May06.pdf


At half the price, RYOs fatally postpone quitting: ban their sale


To ban sales of hand rolled cigarettes, requires

·        A member’s bill to amend the Smoke-free Environments, supported by:

·        A doubling of the tax on RYOs for a year before,

·        And, a national Quit campaign for the month before the sales ban.

The prosecution case for banning RYOs: guilty as charged:

·        Of keeping smokers inhaling toxic smoke when the price increases.

Hand rolled cigarettes rolled thin cost half the price of machine made cigarettes. This blunts tax increases.

RYO smokers continue to smoke. (see Table 1 www.endsmoking.org.nz/ryotax.htm  )

·        Of being more toxic than manufactured cigarettes.

(See below). They are mostly smoked without filter, and the filters used are ineffective against toxic gases.

·        Of killing about a third of all smokers, and one in six of all Maori deaths.

Smoking causes one third of all Maori deaths1 and as RYO and manufactured cigarettes are equally popular among Maori, at least half of all Maori smoking deaths, that is, one sixth of all Maori deaths, are thus probably due to smoking RYO cigarettes.

Q.         When RYOs are banned, won’t many RYO smokers simply revert to smoking manufactured cigarettes?

A.         Correct, but a national Roll-your-own Quit Month can be organized to get smokers to quit before RYO sales are banned.

             In this way thousands can be organized to quit.

To double the tax on RYOs to prepare the way for a ban on RYOs see www.endsmoking.org.nz/ryotax.htm

The cost of smoking is currently under $4 a day for RYO smokers. How can this be?

  • Smokers from Auckland registering to quit smoking this year smoked 18 cigarettes a day whether they smoked hand-rolled or machine made cigarettes. But the RYO smokers purchased half a much tobacco, and paid half as much for it. (Table 1).
  • The average RYO cigarette was rolled thin; average tobacco weight was 0.36 grams, half the tobacco weight in a machine made cigarette  (0.73 g). As both groups were equally addicted on the Fagerstrom scale, it means that RYO smokers probably extracted similar amounts of nicotine (and smoke) from their thin cigarettes. That is, they smoked them twice as intensively; more of the smoke was inhaled, and less was left to smoulder.
  • It follows that if tax should line up with the risk of each class of tobacco product, then the tax rate per gram for RYOs is half what it should be.
  • The tax rate on RYOs needs to double before tax can decrease smoking prevalence much.

·        Under the current flat tax per gram of tobacco, tax increases force switching to RYOs and enable smokers to keep smoking and save money. Continuing to smoke may be fatal.

 

  Table 1. Smokers wishing to quit, by type of cigarette smoked, 2006

 

Manufactured cigarette smokers

Hand rolled cigarette smokers

Smokers registered

92

37

Average cigarettes smoked per day

18.3

18.3

Time to first cigarette on waking

70% smoke within 30 minutes

69% within 30 minutes

Fagerstrom addiction score (10=max)

4.4

4.4

Tobacco per cigarette

0.73 g

0.36 g*

Tobacco smoked per day per smoker

13.4 g

6.6 g

Excise per gram of tobacco 2005

33 cents (35 cents in 2006)

33 cents (35 cents in 2006)

Excise per cigarette 2005

26 cents

11.9 cents

Price per cigarette* 2005

46 cents

20.2 cents

Excise tax per smoker per day, 2005

$4.76

$2.31

Price per smoker per day, 2005.

$8.42

$3.92

* http://www.ndp.govt.nz/tobacco/tobaccoreturns/2004/analysis/analysis-2004-tablesa-e.pdf

Source: Fraser T, McRobbie H et al. Evaluation of Smokestop an internet based smoking cessation programme. Auckland.

 

These are the first data published on the  tobacco weight of RYO cigarettes in NZ. Comparison of these data with national smoking prevalence and tax paid consumption data suggests that these data for RYO cigarettes are near to the population mean.

Why hand rolled cigarettes are on balance more harmful than manufactured cigarettes

In the absence of any emissions data we note that RYO cigarettes may be either just as hazardous or more hazardous

  • Because though rolled thin to contain less tobacco they may be smoked more intensively
  • As filters are optional, unlikely to be protective, short, short, of small diameter, and lacking charcoal.
  • The tar to nicotine ratio is reputed to be much higher than with manufactured cigarettes.
  • RYO cigarettes are cheap if rolled thin, blunting the effect of tax increases, and allowing price-conscious smokers to stay smoking, instead of quitting. (see below)

Table 2. Prevalence of smoking by type of cigarette smoked, in Maori and the total population, 2002.

 

As % of Maori males

As % of Maori females

As % of all Maori

Both sexes,

all ethnicities

As a percentage of the population

 

 

 

 

Smokers of any tobacco product

A

44.1

54.6

50.1

25.0

Smokers of any cigarette

B

42.6

54.6

49.5

24.5

Manufactured cigarette smoker, all

C

19.7

30.6

25.9

15.4

Hand rolled cigarette smoker all

D

31.0

34.6

33.1

13.1

Smokes both hand-rolled and manufactured cigarettes

E=

(d+c-b)

8.1

10.6

9.5

4.0

Any smoking of cigars

F

2.5

0.1

1.1

0.8

Any smoking of pipes

G

0.8

0

0.4

0.2

As a percentage of the smoking population

 

 

 

 

Manufactured cigarette exclusively

H=(c-e)/a

26.2

36.6

32.6

45.6

Some use of hand rolled

I= k-j

18.7

19.3

19.2

16.0

Hand rolled cigarettes exclusively

J=(d-e)/a

51.9

44.1

47.0

36.6

All  hand rolled cigarette smokers

K

70.6

63.4.

66.2

52.6

Source: ACNielsen national smoking survey calendar year 2002.

 

Table 2 shows that 66% of Maori smokers smoke RYOs all or some of the time, as opposed to 52.6% of all smokers; and nearly half (47%) of Maori smokers smoke only hand rolled cigarettes, as opposed to 36.6% of all smokers.2

As RYO smoking is more popular than in most other western countries, NZ research on RYOs is needed on:

·        The average amount of tobacco used per cigarette by hand rolled smokers, Maori or not. (but see Table 1)

·        The tar and nicotine emissions of hand rolled cigarettes. None has been published.

·        The toxicant emissions of hand rolled cigarettes. Health Canada has devised an official method for testing RYOs.

·        Whether filters as sold for use with hand-rolled cigarettes actually reduce the emissions.

·        Whether Maori smoke cigarettes more intensively, whatever the cigarette type.

___________________________________________________________________________________________

1 Laugesen M, Clements M. Cigarette Smoking Mortality among Māori 1954-2028. 1998. Wellington: Te Puni Kōkiri.

2 ACNielsen national smoking survey data, calendar year 2002. Wellington: Ministry of Health.

 Dr Murray Laugesen QSO chair; Prof Ross McCormick, Sir John Scott KBE, Trish Fraser MPH, Dr Marewa Glover, Trustees

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