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Banning menthol cigarettes and extra well being warnings are solely the beginning. Australia may look to NZ for how you can do tobacco management

December 1, 2022
in Health
Banning menthol cigarettes and extra well being warnings are solely the beginning. Australia may look to NZ for how you can do tobacco management

Pawel Czerwinski/Unsplash, CC BY-SA

This week’s announcement of a raft of latest tobacco management measures – together with banning menthol merchandise and proposing well being warnings on particular person cigarettes – are necessary and welcome.

We applaud Australian Health Minister Mark Butler’s purpose to re-establish Australia as a worldwide chief in tobacco management alongside fellow OECD nations, similar to New Zealand and Canada.

His announcement comes a decade after Australia carried out world-leading legal guidelines that required all tobacco merchandise to be bought in plain packs.

But there may be nonetheless scope for extra complete motion to cut back the burden smoking imposes on Australia and notably on Australia’s Indigenous peoples.


Read extra:
We can lower Indigenous smoking and save lives – this is how

We can look to New Zealand

Aotearoa-New Zealand affords a helpful comparability. The NZ parliament goals to go laws in mid-December that takes a distinct strategy to the measures Butler outlined this week.

The Aotearoa bundle of measures had been developed in shut session with Māori leaders. These embrace making cigarettes non-addictive, tremendously decreasing the variety of tobacco retailers, and making a smoke-free technology.

These insurance policies concentrate on basic drivers of smoking. The measures may even have an effect on everybody in the identical means, thus have nice potential to cut back pervasive inequities in smoking charges.

Let’s see how Australia’s plans examine with coverage reforms underneath means in New Zealand and Canada.


Read extra:
Forget tobacco trade arguments about alternative. Here’s what younger individuals take into consideration NZ’s smokefree technology coverage

New well being warnings

Graphic photos on packets of cigarettes had been launched in Australia 16 years in the past, and these warnings have inspired quitting. But they’ve misplaced their preliminary impression.

New and extra diversified warnings will refresh this present coverage as will introducing pack inserts offering “how you can give up” data, which have been utilized in Canada since 2012.

In 2023, Canada is about to grow to be the primary nation to require well being warnings to be printed instantly on the cigarette stick.

Butler proposes adopting this measure for Australia, however with the addition of constructing the cigarette paper an unattractive color, similar to slimy inexperienced or faecal yellow-brown.

Like plain packaging, this measure will cut back the attraction of smoking and current smoking as unambiguously dangerous and unattractive.

Tightening up advertising

Standardising pack measurement, filters, and banning phrases similar to “gentle” and “natural” in model names will additional restrict deceptive tobacco advertising.

Likewise, measures that eradicate gimmicks – similar to flavoured “crushballs” inserted in filters that launch a burst of flavour when crushed, or packs that embrace “bonus” cigarettes to supply a greater deal – will additional restrict how tobacco firms promote their merchandise.

Banning some flavouring components, notably menthol, will cut back the attraction of smoking for some shoppers.

When Canada banned menthol cigarettes federally in 2017, this measure elevated quitting amongst individuals who smoked menthol cigarettes.


Read extra:
The US FDA has moved to ban menthol cigarettes. Australia ought to do this and extra

More transparency

Tobacco firms might want to disclose tobacco gross sales volumes and pricing, as required in Aotearoa-New Zealand.

Companies may even have to disclose their promoting, promotion and sponsorship actions, in addition to product substances and emissions.

These strikes all reveal necessary tobacco firm actions that undermine public well being efforts.

They may even present key details about what’s in tobacco merchandise, as required by the World Health Organization’s Framework Convention on Tobacco Control.

Vaping advertisements to be banned

The ultimate measure will apply tobacco promoting bans to vaping merchandise. This coverage will cut back inappropriate promotion of those merchandise, together with to younger individuals.

This measure is along with, and separate from, the present assessment of Australia’s regulation of nicotine vaping merchandise. Addressing the rising drawback of vaping amongst younger individuals is a key concern and efforts to cut back youth use are urgently wanted.


Read extra:
We requested over 700 teenagers the place they purchased their vapes. Here’s what they stated

There’s extra to do

These advances in Australian tobacco management coverage align with measures carried out a decade in the past in Canada or which can be quickly to start out. We welcome such measures that make smoking much less interesting and encourage quitting.

However, greater jumps are required if Australia is to steer on eradicating the harms smoking causes. These preliminary measures introduced additionally shouldn’t have a transparent fairness focus, such because the measures being carried out in Aotearoa-New Zealand. These have a bolder ambition of quickly decreasing smoking amongst each Māori and non-Māori peoples to lower than 5% by 2025.

Aotearoa-New Zealand’s proposed regulation will essentially change tobacco merchandise by decreasing the nicotine content material to non-addictive ranges. The regulation additionally dramatically reduces tobacco availability by lowering the variety of tobacco retailers by at the least 90%, and can make it unlawful to promote tobacco to anybody born after December 31 2008.

Modelling signifies that Aotearoa-New Zealand’s bundle of measures are prone to obtain their purpose of quickly phasing out tobacco smoking.


Read extra:
New Zealand’s ‘tobacco endgame’ regulation can be a world first for well being – right here’s what the modelling exhibits us

These measures go far past these Butler proposes for Australia. In specific, eradicating the product’s addictiveness and decreasing availability means informal experimentation amongst younger individuals won’t result in habit, and quitting will grow to be a lot simpler for individuals who presently smoke.

The bundle of measures introduced this week will proceed declines in smoking following the “tried and examined” technique of incrementally ratcheting up restrictions on tobacco merchandise.

In distinction, the Aotearoa strategy is a “Tobacco Moonshot” that goals to complete the job of ending the tobacco smoking epidemic in Aotearoa-New Zealand.

The authors want to acknowledge Tony Blakely, University of Melbourne, and Andrew Waa, University of Otago, for useful feedback and ideas.

The Conversation

Coral Gartner receives funding from National Health and Medical Research Council and Australian Research Council. She is an editor for Tobacco Control, A BMJ journal.

Janet Hoek receives funding from the Health Research Council of New Zealand and the NZ Cancer Society. She has additionally obtained funding from the Royal Society Marsden Fund. She is a member of the Health Coalition Aotearoa's Smokefree Expert Advisory Group and sits on a number of different advisory teams whose work helps the NZ Aotearoa Government's purpose of realising a smokefree nation by 2025.

Richard Edwards receives funding from the Health Research Council of New Zealand, the NZ Cancer Society, and from the National Institute of Health (USA). He has additionally obtained funding from the Royal Society Marsden Fund. He is a member of the Health Coalition Aotearoa's Smokefree Expert Advisory Group and sits on a number of different advisory teams whose work helps the NZ Aotearoa Government's purpose of realising a smokefree nation by 2025.

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