Revised April 2010.                                                                        

Six principles to achieve a tobacco-sales-free New Zealand by 2020

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Maori have a special interest in this issue, but all New Zealanders will benefit

Health inequalities will be lessened by ending tobacco sales.

Combustible tobacco products: not fit for sale.

 

Cigarettes are lethal, and cannot be made safer.

Reduction of supply is necessary and feasible

Reducing the number of cigarettes sold is the surest way to reduce cigarette deaths.

Ending commercial sales requires a cap on sales and a sinking lid on sales quotas to zero by 2020.

Tax tobacco content

Tax on tobacco raises price and reduces demand

Tax nicotine content to reduce addictive potential

Cigarettes are highly addictive, reducible with a nicotine tax, making quitting easier, and reducing demand.

Permit nicotine substitutes

Cigarette smoking is a habit and a sensory experience. Permitting sale of nicotine substitutes which simulate smoking, permits smokers not yet ready to abstain from nicotine to continue to enjoy their nicotine habit while avoiding the health harms of inhaling smoke.

The cigarette smoking mortality epidemic

Figure 1. Annual cigarette deaths, New Zealand, 1955-2000

Source: Peto et al. Mortality from smoking in developed countries 1950-2000.  www.ctsu.ox.ac.uk

The necessary legislation to control this epidemic can be passed in one amendment bill.

Suggested Target dates

Consultation and recruitment of support for the concept among health professionals

2010

Adoption of  the Smokefree Environments Amendment Bill as a private members’ bill:

2010

Enactment of the bill

2012

Implementation of the SFE Amendment Bill ending the sale of cigarettes and smoking tobacco

2012 to 2020

·        Bills provoke public debate. Laws shape society, and educate the public along the way.

·        Historically, the purpose of public health law in New Zealand is to control epidemics. The Smokefree Environments Act 1990 needs reshaping to end the tobacco mortality epidemic.

·        Laws can be used to reduce health harm from addictions – eg methadone instead of heroin.

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The tobacco deaths epidemic is a problem too big for the health system alone to fix.

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

Promoting a tobacco sales-free New Zealand © 2010 End Smoking NZ