Last updated March 2006                                                   Printer friendly: www.endsmoking.org.nz/choicesbill10Mar06.pdf

Smokers’ Choices Bill: the new deal for smokers

The chance to continue with nicotine, without smoking’s risks

The Smokers’ Choices Bill will ensure smokers can quit smoking without quitting nicotine.

In 2004, 23% of adults, nearly three quarters of a million people, smoked. Of these one third are severely addicted. www.endsmoking.org.nz/lowernic.htm

The Smokers Choices Bill, once enacted, will make it easier for smokers to quit smoking, and the percentage who smoke is expected to decline more rapidly, speeding up the annual rate of decline from 0.3 percentage points to an estimated 1.2 percentage points. (Figure 1)

Smokers’ Choices Bill:

·        A bill to strengthen the Smoke-free Environments Act to phase out the sale of combustible tobacco products.

Consultation and recruitment of support for the concept among doctors and health professionals

2006

Target date for adoption as a private members’ bill:

2007

Target date for enactment

2008

The Smokers’ Choices Bill aims to make it easier for smokers to quit smoking, by breaking the virtual monopoly that cigarettes have in providing nicotine to those who addicted to nicotine for their pleasure. Retailers will be able to offer alternative nicotine lifestyle products to smokers. Smokers will be able, if they wish, to give up smoking without giving up nicotine.

Figure 1. The interaction of legislation and smoking prevalence reduction 2006-2021

Figure 1. The interaction of legislation and smoking prevalence reduction 2006-2021

From 2006 to say 2008 when the Smokers Choices Bill became law, the expected reduction in adults smoking prevalence is 0.3% per year.

Once the Bill makes quitting easier, a reduction of 1.2 % points per year is expected, resulting in smoking prevalence of 10% within 10 years, at which point the Cigarette Phase Out Bill should be enacted, with effect say one year to five years later.

 

Background

  • In net terms the proportion of adults who smoke (23%) is decreasing by 1 percent (0.3 percentage points) annually, implying it will take about a century for smoking to decline to under 5 percent smoking..
  • Current policies tell smokers to quit smoking, or keep smoking and die early.
  • Smokers need other choices. 99% of their nicotine and tobacco is from cigarettes, the most dangerous tobacco product available.
  • Cigarettes contain excess nicotine. www.endsmoking.org.nz/lowernic.htm

The Smokers’ Choices Bill aims to

·        Strengthen  the purpose of the Smoke-free Environments Act to make it easier to quit smoking.

·        Ensure smokers do not need to give up nicotine to quit smoking, breaking the virtual monopoly of smoking tobacco products in supplying nicotine to smokers.

·        Improve the product choices and the chances of those wishing to successfully quit smoking.

·        Tilt the balance of nicotine content, and excise in favour of non-smoking tobacco products, and make it legal to sell regulated nonsmoking oral tobacco products.

·        Tend to speed the decline in the popularity of tobacco smoking, and thus pave the way for the phase out of cigarette smoking once the proportion of adults who smoke is under 10%.

The Smokers’ Choices Bill will:

1.      Reduce addictive burden on smokers. Reduce the (excess) nicotine content of cigarettes and cigarette tobaccos steadily and gradually. www.endsmoking.org.nz/nrt.htm  at the rate of 12.5% a year.

  1. Rationalise tobacco tax rates in proportion to the death risk of the product. For example, highest tax on cigarettes, lower tax on other smoked tobaccos, minimal tax on oral tobacco, no tax on pure nicotine products. www.endsmoking.org.nz/taxandrisk.htm
  2. Regulation of all tobacco products to require compliance with toxicity standards, and nicotine also. www.endsmoking.org.nz/snuffregulations.htm  www.smokeless.org.nz/nicregs.htm
  3. Lift the ban on commercial oral tobacco products in Section 29 of the Smokefree Environments Act. www.endsmoking.org.nz/snus.htm  (possibly for a temporary period only, say until 5 years after the phase out of cigarette sales.)

 

 

 

 

 

 

 

 

 

The Smokers Choices Bill

Proposed revision of the purposes of the Smoke-free Environments Act

Table 1. Revisions needed to the purposes of the Smoke-free Environments Act 1990.

 

Current wording

Proposed wording

Purpose (a)

To reduce the exposure of people who do not themselves smoke to any detrimental effect on their health caused by smoking by others: and

No change.

Purpose (b)

To regulate the marketing, advertising, and promotion of tobacco products etc

No change.

Purpose (b1)

(New purpose)

To reduce premature death and disease due to smoking by making it easier for smokers to quit smoking by decreasing the nicotine in cigarettes and increasing the availability of nicotine in non-smoking products

Purpose (c)

To monitor and regulate the presence of harmful constituents in tobacco products and tobacco smoke

No change.

Purpose (d)

To establish a Health Sponsorship Council

No change.

 

Suggested revisions of the text of part 2 of the Smoke-free Environments Act to increase the availability of nicotine in non-smoking oral tobacco products.

 

Section 29 Tobacco product not to be advertised or labeled as suitable for chewing, etc.*

Section

Current wording

Proposed wording

29

(1) No person shall publish an advertisement for a tobacco product that directly or indirectly states or suggests that the product is suitable for chewing or for any other oral use (other than smoking)

(2) No person shall import for sale, sell, pack, or distribute any tobacco product labeled or otherwise described as suitable for chewing, or for any other oral use (other than smoking.)

Retain.

 

 

 

Delete

Rationale for lifting the ban on oral snuff

·        Addiction to smokeless tobacco (or to pure nicotine products) replaces addiction to cigarettes, and thus save lives.

·        The evidence from Sweden is that snuff assists about 4 times as many people to avoid smoking, for every one that becomes a smoker after using snuff. Today, Swedish males have the lowest smoking rate in the Western world. www.endsmoking.org.nz/snus.htm

·        Addiction to smokeless tobacco would not be an economic burden on the poor, once the tobacco tax rate is made proportional to the risk of the product.www.endsmoking.org.nz/taxandrisk.htm

·        Nicotine in the blood, whether from smokeless or smoking tobacco products, latches on to the same nicotine receptor cells in the brain. If the dose and speed are right, a former smoker is satisfied by nicotine from smokeless tobacco. Once smokeless provides them with enough of the nicotine they crave, and fast enough, cigarettes are no longer needed.

·        Smokeless tobacco is addictive, but seldom kills. (Only smoking causes lung cancer and emphysema).

 

Section 31. Limits on Harmful Constituents

Section

Current wording

Proposed wording

31.

“No manufacturer or importer may offer for sale or export any tobacco product or herbal smoking product that-

(a) contains or generates in its smoke, a harmful constituent prohibited by regulations made under this Part, or

(b) contains, or generates in its smoke, harmful constituents in excess of the limits prescribed by regulations made under this Part, as determined in accordance with any tests so prescribed.”

Retain.

 

Retain

 

Retain

 

(c) New clause needed.

 

(c) Reduction of nicotine content

i)Nicotine in smoke or the tobacco of a smoking product is defined as a harmful constituent under clauses (a) and (b)

(ii) Nicotine content in cigarettes, whether manufactured or hand rolled, and the nicotine concentration of cigarette tobacco products sold shall be reduced by 6% per year, taking 1.9% of dry tobacco weight as the start point, or 13 mg per manufactured cigarette. This process would continue until such time as all cigarette sales were banned.

(iii) After this date, the import of smoking tobacco products for personal use would only be permitted if the products were of proven low nicotine content.

 

Rationale for reducing nicotine content of cigarettes. See www.endsmoking.org.nz/lowernic.htm

 

For Snuff regulations  See www.endsmoking.org.nz/snuffregulations.htm

      Nicotine regulations. www.endsmoking.org.nz/nicregs.htm

  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