31 May 2007                                                                   Printable version www.endsmoking.org.nz/faqMay06.pdf          

Why phase out cigarette sales?


With three-quarters of a million smokers, and half a million addicted to nicotine, aren’t you asking for civil war to stop cigarette sales?

No. The ban will be supported by other policies to prepare for the sales ban. For the five years before any sales ban comes into effect, smokers will be able to buy a nicotine fix without smoking. People smoke for the nicotine but die from the smoke. Without the smoke, tobacco is far less dangerous.

Aren’t you just a bunch of killjoys interfering with smokers’ pleasure?

Smokeless New Zealand’s approach is designed with smokers’ pleasure in mind. For addicts, smokers’ pleasure, or taste, or full flavour, means nicotine.

Assuring addicts they can still get their nicotine hit is the easiest way for them to quit smoking. The smoker begins to switch from all cigarettes one day, replacing the cigarettes gradually over a period of a week or two, until the switch to nicotine is complete. Nicotine addicts who quit smoking survive to face their addiction as a separate issue, when they are ready.

Smokers when asked, “If you had your time over again, would you start smoking?” over 80% say ‘No.’       National Statistics Omnibus survey for ASH. Oct,. Nov 2001. London: National Statistics 2002.

Isn’t this prohibition?

·        Will it be an offence for cigarette makers and retailers to make and sell cigarettes? Yes.

·        Will you penalize smokers from smoking, possessing, or growing tobacco for personal use? No.

Smoking and tobacco use will not be prohibited, only the sale of smoking tobacco products. Smokers will still be able to smoke as now, and to carry and possess cigarettes, and grow their own tobacco. The law is designed only to stop the lethal drug trade in smoking tobacco products. To be effective, the ban would also include internet and mail order sales.

Prohibiting has two different meanings.

We do not want a marijuana type law. We do not want any law to ban possession, smoking, or growing for personal use. We oppose penalizing smokers in this way.

The other meaning is prohibiting the sale of cigarettes. We agree with such a ban on sales, provided that smokers can buy a nicotine fix from smokeless products.

 

Aren’t there enough anti-smoking groups around? Why do we need another?

EndSmoking NZ speaks to smokers not currently reached by anti-smoking groups

·        EndSmoking NZ aims to reduce the death risks for smokers who don’t want to quit or phone the Quitline today or ever.

·      EndSmoking NZ knows these smokers’ lives can mostly be saved if they can take their nicotine without smoking.

SmokeLess policies are new and have not yet adopted by all anti-smoking groups.

·                    EndSmoking NZ supports a smorgasboard of policy options designed to speed up the reduction of smoking.

·                    EndSmoking NZ acts on the basis that tobacco products contain nicotine but vary in risk.

·                    EndSmoking NZ will consider using both pure nicotine and smokeless tobacco products to provide nicotine options for smokers.

·                    EndSmoking NZ advocates gradually reducing cigarette nicotine to help smokers break free and quit smoking.

·                    EndSmoking NZ plans to put cigarettes out of the reach of children, by eventually banning their sale to adults.

·                    EndSmoking NZ advocates the use of tobacco harm reduction policies, in addition to the existing tobacco control policies and programmes.

Why ask now for a sales ban now, when 21% of adult smoke? Why not wait and ask for it when only 5% of adults are smokers?

·                    On present trends, waiting until only 5% of adults smoke, means waiting 60 to 100 years.

·                    We aim to speed up the reduction in smoking, by making it easier for smokers to quit smoking, by

Providing alternative nicotine for smokers to switch to over a five year period, at less cost than smoking.

Making cigarettes more pricy and less addictive.

By the time any sales ban is in place ten years from now, we expect far fewer people will be smoking

A ban on all sales is needed to put cigarettes out of the reach of children.

A ban is justified because cigarettes have killed 200,000 New Zealanders since 1950, and cigarettes continue to kill New Zealanders at the rate of one every two hours.

A cigarette sales ban can save more lives, more rapidly, than any other known health policy.

Lives will be saved rapidly because the sales ban does not require all smokers to agree beforehand. 

The effect in saving lives will become permanent. Once enacted the sales ban will stay, as smokers notice health benefits within weeks.

Public opinion can change – from 28% in favour of no smoking in bars in 2000 to 67% in 2005.

On sales-ban day, media and community support, and no doubt free nicotine, will be on hand to assist smokers to break away from smoking. Thereafter any smokers remaining will have to grow their own.

In case Parliament decides to permit the sale of oral snuff (smokeless) as in Sweden, as an aid for smokers to quit smoking, then the same law could lock in a sunset clause to ban the sale of smokeless also, some 10 to 20 years after ending the sale of cigarettes and other smoked tobacco.

Nicotine gum and patches are all very well to help those wanting to quit smoking, but they are no substitute for a cigarette. What else can you offer a smoker?

Safe addictive pure nicotine products should be here by 2008. www.endsmoking.org.nz/fastnic.htm

Nasal tobacco snuff is available from tobacconists and can provide a nicotine hit.  www.endsmoking.org.nz/nasalsnuff.htm

Moist oral tobacco snuff currently can only be imported for personal use. www.endsmoking.org.nz/oral snuff.

New more effective treatment products to help smokers quit will soon be available.

Meantime, many health workers are now advising smokers to use higher doses of nicotine by patch, or gum, or in combination.

Isn’t all tobacco bad for you?

The danger varies by product. If you have never used tobacco, tobacco increases your risk of disease and addiction, so why start. If you are already addicted to smoking, smokeless products would reduce your risk greatly. On the other hand quitting would reduce it most of all.

Smoking cigarettes past age 35 eventually kills one in two users. Inhaling the smoke of others cigarettes is about 8% as dangerous as smoking, and slightly more than the risk of using snuff (5%). Smoking cigars but not inhaling is of similar risk - about 5% as dangerous as cigarettes. Smokeless snuff is about 5% as dangerous as smoking cigarettes.

Do you really think the law can be changed within 5 years?

Yes. For example, the 1990 advertising ban took 5 years to become law. The ban on smoking in bars took five years for public opinion to completely change and for the law to be passed. After the sales ban bill is enacted, another year or more could be allowed before it takes effect.

Many shops depend on cigarettes for their profit. Won’t a ban on cigarette sales put them out of business?

In the years before the sales ban goes into effect, and after, retailers will have the chance to sell clean (smokeless) nicotine products and/or smokeless tobacco products, and build a steady business that way, without killing their customers with lung cancer or emphysema.

Won’t there be a black market in tobacco leaf?

Smokers can grow their own tobacco, dampening the demand for black market tobacco.

Black markets mean higher prices; smokeless if available dampens the demand from addicts for cigarettes.

If smokeless is sold, smoking tobacco will no longer have the monopoly of the supply of nicotine.

Smokeless alternatives to smoking will satisfy smokers’ craving for nicotine, and will be cheaper than cigarettes are now.

Won’t there be a black market in manufactured cigarettes?

Manufactured cigarettes require easily-detected factories for their manufacture; this implies smuggling from abroad.

Customs already detects smuggled cigarettes and tobacco in shipped goods. Dogs can also be trained to sniff for tobacco. New Zealand technology is available now for electronically sniffing containers at port of entry for tobacco.

In the case of small parcels, the recipients will want them all for their personal use.

Incoming tourists would be allowed only to import enough for personal use.

Won’t smokers order their cigarettes by mail order from overseas via the internet?

Some may be doing so already, to avoid paying high New Zealand tobacco excise rates.  If necessary Customs can detect tobacco odors in the mail rooms where customs inspection of inbound mail takes place. It is thus possible to monitor cigarette imports. It would be necessary to ban import for personal use in advance of any law passed to lower cigarette nicotine content or ban cigarette sales in New Zealand. Otherwise full-flavour cigarettes could be mail-ordered from overseas and sold for high prices.

Isn’t nicotine bad for you in its own right?

No. Nicotine by itself as found in nicotine chewing gum has been tested on thousands of smokers for five years with zero risk, even though some of them kept smoking. Nicotine in cigarette smoke, however, is part of a dangerous cocktail including smoke gases such as carbon monoxide and hydrogen cyanide, and poisons such as arsenic.

Nicotine in any shape or form is just another addictive product. Do we need it?

Many smokers have found if they stop smoking then take nicotine for a few weeks it helps them to quit with more success. In the same way, nicotine for longer and in bigger doses may help more smokers to quit without relapsing.

Tobacco snuff is just another addictive nicotine product. Do we need it?

Tobacco snuff is tobacco and virtually the same as the tobacco in cigarettes. Highly addicted smokers need it, or something like it. Such smokers may not consider quitting smoking until they can switch to a satisfying alternative such as snuff (or fast acting nicotine). Snuff gives a more effective hit than nicotine gum or patches. Tobacco snuff is addictive but is 95% less hazardous than cigarettes.

What about tourists who wish to smoke in New Zealand.

Adult tourists age 18 and over would be permitted to bring in the duty-free allowance of 200 cigarettes, and to obtain a similar amount after ten days from a duty free shop.

Table 1. Comparison of nicotine gum and patch versus low risk oral tobacco snuff

 

Nicotine gum and patch

Low risk oral snuff in Sweden

Length of use

Sold in pharmacies widely for 25 years

1 million daily use snuff. Been used many times a day for a lifetime by many Swedes.

Safety

Safe on follow-up of 5 years. No known extra risks

Estimated to have 5% of the risk of cigarette smoking.

Pregnancy

Recommended if necessary to prevent smoking.

May be best avoided. Little known of any extra effects beyond its nicotine content.

Cancer of mouth

Unknown

Rare

Addictive potential and satisfaction

Low risk of addiction. Could increase if fast acting nicotine was obtained.

Addictive. Fast acting.

Legal status

General sale permitted.

Nasal, not oral snuff can be sold in NZ.

 

For additional information see www.endsmoking.org.nz 

 

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

Making it easier to quit smoking for good © 2009 End Smoking NZ