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Evaluating tobacco industry ‘transformation’: a proposed rubric and analysis
  1. Richard Edwards1,
  2. Janet Hoek1,
  3. Nancy Karreman2,
  4. Anna Gilmore3
  1. 1Department of Public Health, University of Otago, Wellington, New Zealand
  2. 2MRC Epidemiology Unit, Cambridge University School of Clinical Medicine, Cambridge, UK
  3. 3Tobacco Control Research Group, University of Bath, Bath, UK
  1. Correspondence to Prof Richard Edwards, Department of Public Health, University of Otago, Newtown, Wellington, 6021, New Zealand; richard.edwards{at}otago.ac.nz

Abstract

Some tobacco companies claim they are ‘transforming’ by adopting harm reduction goals or even seeking to achieve a ‘smokefree’ world. What characterises transformation and whether companies can or are transforming is unclear. Nevertheless, such claims are gaining traction. We critically investigated tobacco industry transformation by exploring the definition and criteria for evaluating transformation, and assessed whether transformation is occurring and feasible.

Companies’ transformation claims centre on increasing sales of new tobacco and nicotine products like e-cigarettes (‘new products’) with little attention to reducing sales of more hazardous smoked and oral products (‘conventional products’).

We define a transforming tobacco company as one demonstrating substantial, rapid and verifiable progress towards eliminating the production and sale of conventional tobacco products within 5 years in all markets where it operates.

We found no evidence any tobacco company is meeting the three essential criteria of rapidly progressing towards eliminating conventional products, ceasing to obstruct effective tobacco control measures and taking action to minimise smoking uptake and disparities. While some companies are developing new product portfolios, their actions are more consistent with profit maximisation than eliminating conventional product use. This approach is best described as ‘pseudo-transformation’, designed to delay implementation of effective tobacco control policies. In addition, our analysis suggests replacing conventional products with new nicotine products is unlikely to be a viable long-term business model.

Public health practitioners should not rely on tobacco industry claims but should lead the transformation debate, establish credible definitions and criteria, and monitor and assess whether transformation is occurring.

  • end game
  • tobacco industry
  • global health
  • electronic nicotine delivery devices

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Footnotes

  • Contributors RE, NK and AG conceived the idea for the paper. RE prepared the first and subsequent drafts. JH, NK and AG provided extensive comments and editing on drafts.

  • Funding AG and NK acknowledge the support of Bloomberg Philanthropies’ Stopping Tobacco Organizations and Products funding (https://www.bloomberg.org/).

  • Disclaimer The funders had no role in the study design, data collection and analysis, decision to publish or preparation of the manuscript.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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