{"id":3021,"date":"2020-10-23T09:51:36","date_gmt":"2020-10-23T08:51:36","guid":{"rendered":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/?p=3021"},"modified":"2020-12-14T13:12:08","modified_gmt":"2020-12-14T13:12:08","slug":"why-plain-packaging-for-cigarettes-does-not-increase-illicit-trade","status":"publish","type":"post","link":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/2020\/10\/23\/why-plain-packaging-for-cigarettes-does-not-increase-illicit-trade\/","title":{"rendered":"Why plain packaging for cigarettes does not increase illicit trade"},"content":{"rendered":"<figure id=\"attachment_3023\" aria-describedby=\"caption-attachment-3023\" style=\"width: 1181px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"1181\" height=\"660\" class=\"size-full wp-image-3023\" src=\"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/files\/2020\/10\/shutterstock_8523766.jpg\" alt=\"\" \/><figcaption id=\"caption-attachment-3023\" class=\"wp-caption-text\"><strong><span style=\"font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen-Sans, Ubuntu, Cantarell, 'Helvetica Neue', sans-serif;font-size: 16px\">Dr Anthony Laverty discusses new findings that quash the argument that plain cigarette packaging increases illicit tobacco trade.<\/span><\/strong><\/figcaption><\/figure>\n<hr \/>\n<p>Australia was the first country in the world to introduce standardised, or plain, packaging for cigarettes and tobacco. The move was the product of a long-running campaign from the public health community and meant that the packets are allowed no branding; just the product name in standard font, colour and size. Since Australia brought in these measures, the UK followed in 2017, as did Ireland and France, increasing the number of countries in the world which restrict one of the key avenues for the tobacco industry to advertise their products.<!--more--><\/p>\n<h2>Reduce smoking uptake among children<\/h2>\n<p>The key goal of standardised packaging is to reduce smoking uptake among kids. We know that 280 children take up smoking <a href=\"https:\/\/ash.org.uk\/media-and-news\/press-releases-media-and-news\/mentholban\/\" target=\"_blank\" rel=\"noopener noreferrer\">every day<\/a> and that smoking is responsible for approximately half of the life expectancy difference between <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0140673606689757?via%3Dihub\" target=\"_blank\" rel=\"noopener noreferrer\">rich and poor. <\/a>\u00a0We also know that the key determinants of children taking up smoking are whether their <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30442657\/\" target=\"_blank\" rel=\"noopener noreferrer\">parents and friends do<\/a>, so action to stop uptake can have dramatic effects. There are a wide range of things governments can do to protect children both from being exposed to second-hand smoke as well as from taking up smoking.<\/p>\n<p>We and others have shown wide-ranging benefits from banning smoking in public places for health among <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/nejmsa0706740\" target=\"_blank\" rel=\"noopener noreferrer\">adults<\/a> and <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23339216\/\" target=\"_blank\" rel=\"noopener noreferrer\">children<\/a>, as well as further benefits from expanding these laws to cover <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31988266\/\" target=\"_blank\" rel=\"noopener noreferrer\">banning smoking in cars<\/a> with children inside. We have also assessed the impacts of removing the display of tobacco from the point of sale in England, which in common with <a href=\"https:\/\/tobaccocontrol.bmj.com\/content\/20\/2\/137\" target=\"_blank\" rel=\"noopener noreferrer\">other research<\/a>, found that these measures can <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30237314\/\" target=\"_blank\" rel=\"noopener noreferrer\">reduce the exposure<\/a> of children to these advertising messages. \u00a0Standardised packaging is another step on this journey to reduce the amount of advertising which children are exposed to, and in turn reduce the appeal of tobacco and uptake among children.<\/p>\n<h2>Illicit tobacco trade<\/h2>\n<p>But one argument against standardised packs is illicit trade in tobacco. This refers to tobacco which is counterfeited, smuggled or has evaded due <a href=\"https:\/\/www.worldbank.org\/en\/topic\/tobacco\/publication\/confronting-illicit-tobacco-trade-a-global-review-of-country-experiences\" target=\"_blank\" rel=\"noopener noreferrer\">taxes<\/a>. Illicit trade in tobacco is a serious problem, being responsible for an estimated \u00a32.4billion in <a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/630217\/Towards_a_Smoke_free_Generation_-_A_Tobacco_Control_Plan_for_England_2017-2022__2_.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">lost revenue<\/a> in 2015\/16. Apart from these lost revenues, the availability of cheaper tobacco can <a href=\"https:\/\/tobaccocontrol.bmj.com\/content\/early\/2020\/05\/06\/tobaccocontrol-2019-055299\" target=\"_blank\" rel=\"noopener noreferrer\">blunt the effectiveness<\/a> of price and tax increases in reducing the attractiveness of smoking. We know that tax and price increases are the most effective method to reduce smoking and the damage it causes, and contrary to some claims we have found that increased prices of cigarettes are <a href=\"https:\/\/academic.oup.com\/ntr\/advance-article-abstract\/doi\/10.1093\/ntr\/ntaa004\/5698263\" target=\"_blank\" rel=\"noopener noreferrer\">not linked to<\/a> more illicit trade.<\/p>\n<p>The tobacco industry and its allies are keen to present the argument that bringing in standardised packaging for tobacco will lead to increases in illicit trade. In fact, since implementation in Australia, there has been <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25650186\/\" target=\"_blank\" rel=\"noopener noreferrer\">other dubious research<\/a> to cast aspersions on the policy. Although evidence from Australia<a href=\"https:\/\/tobaccocontrol.bmj.com\/content\/24\/Suppl_2\/ii76\" target=\"_blank\" rel=\"noopener noreferrer\"> found no suggestion<\/a> that this was the case, the argument is used to convince governments not to introduce this policy which will affect the bottom line of the tobacco industry.<\/p>\n<p>Until now there has been no assessment of whether there was any change in the availability of illicit tobacco in the three countries in Europe which brought the measure into force. Our <a href=\"https:\/\/thorax.bmj.com\/content\/early\/2020\/10\/22\/thoraxjnl-2020-215708.info\" target=\"_blank\" rel=\"noopener noreferrer\">latest analysis<\/a> looked at data from over 50,000 people across all 28 nation-states in Europe before and after these changes to the law. We found that levels of people reporting being offered illicit cigarettes fell in countries which implemented standardised packaging and those that didn\u2019t. There was no difference between these to suggest that standardised packaging was linked to illicit tobacco levels at all.<\/p>\n<p>These findings should reassure policymakers that arguments about increases in illicit trade after implementing standardised packaging are false. The World Trade Organization has decided that standardised packaging is <a href=\"https:\/\/www.wto.org\/english\/tratop_e\/dispu_e\/cases_e\/ds435_e.htm\" target=\"_blank\" rel=\"noopener noreferrer\">consistent with international law<\/a> and the <a href=\"https:\/\/www.cochrane.org\/news\/new-evidence-finds-standardized-cigarette-packaging-may-reduce-number-people-who-smoke\" target=\"_blank\" rel=\"noopener noreferrer\">accumulating evidence<\/a> is clear that it would protect the health of children.<\/p>\n<p><a href=\"https:\/\/www.imperial.ac.uk\/people\/a.laverty\"><strong>Dr Anthony Laverty<\/strong><\/a><strong> is a\u00a0Lecturer in the Public Health Policy Evaluation Unit in the\u00a0Department of Primary Care &amp; Public Health.<\/strong><\/p>\n<p><a href=\"https:\/\/thorax.bmj.com\/content\/early\/2020\/10\/22\/thoraxjnl-2020-215708.info\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Read the full paper published in Thorax.<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Australia was the first country in the world to introduce standardised, or plain, packaging for cigarettes and tobacco. The move was the product of a long-running campaign from the public health community and meant that the packets are allowed no branding; just the product name in standard font, colour and size. Since Australia brought in [&hellip;]<\/p>\n","protected":false},"author":1512,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[152,226],"tags":[211,81,218524],"class_list":["post-3021","post","type-post","status-publish","format-standard","hentry","category-nhli","category-school-of-public-health","tag-public-health","tag-research","tag-smoking"],"_links":{"self":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/wp-json\/wp\/v2\/posts\/3021","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/wp-json\/wp\/v2\/users\/1512"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/wp-json\/wp\/v2\/comments?post=3021"}],"version-history":[{"count":7,"href":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/wp-json\/wp\/v2\/posts\/3021\/revisions"}],"predecessor-version":[{"id":3079,"href":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/wp-json\/wp\/v2\/posts\/3021\/revisions\/3079"}],"wp:attachment":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/wp-json\/wp\/v2\/media?parent=3021"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/wp-json\/wp\/v2\/categories?post=3021"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/imperial-medicine\/wp-json\/wp\/v2\/tags?post=3021"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}