Table Of Content

HOUSE OF COMMONS SESSION 1999-2000 HEALTH COMMITTEE Second Report THE TOBACCO INDUSTRY AND THE HEALTH RISKS OF SMOKING Volume I Report and Proceedings of the Committee © Ordered by The House of Commons fo be printed 5 June 2000 PUBLISHED BY AUTHORITY OF THE HOUSE OF COMMONS LONDON — THE STATIONERY OFFICE LIMITED £11-50 Fee pLaIreBe aRAsRa Y ee Sagas General Ce :i setia 23 ee 2 HOUSE OF COMMONS SESSION 1999-2000 HEALTH COMMITTEE | | | i aneen Second Report i THE TOBACCO INDUSTRY AND THE HEALTH RISKS OF SMOKING Volume I Report and Proceedings of the Committee Ordered by The House of Commons to be printed 5 June 2000 PUBLISHED BY AUTHORITY OF THE HOUSE OF COMMONS LONDON - THE STATIONERY OFFICE LIMITED £11-50 2nd il SECOND REPORT FROM The Health Committee is appointed to examine on behalf of the House of Commons the expenditure, administration and policy of the Department of Health (and any associated public bodies). Its constitution and powers are set out in House of Commons Standing Order No. 152. The Committee has a maximum of eleven members, of whom the quorum for any formal proceedings is three. The members of the Committee are appointed by the House and unless discharged remain on the Committee until the next dissolution of Parliament. The present membership of the Committee is as follows:! Mr David Amess MP (Conservative, Southend West) Mr John Austin MP (Labour, Erith and Thamesmead) Dr Peter Brand MP (Liberal Democrat, Isle of Wight) Mr Simon Burns MP (Conservative, Chelmsford West) Mrs Eileen Gordon MP (Labour, Romford)‘ Mr John Gunnell MP (Labour, Morley and Rothwell) Mr Stephen Hesford MP (labour, Wirral West)? Mr David Hinchliffe MP (Labour, Wakefield) Dr Howard Stoate MP (Labour, Dartford) Mr Robert Syms MP (Conservative, Poole) Audrey Wise MP (Labour, Preston) On 17 July 1997, the Committee elected Mr David Hinchliffe as its Chairman. The Committee has the power to require the submission of written evidence and documents, to send for and examine witnesses, and to make Reports to the House. In the footnotes of this Report, references to oral evidence are indicated by ‘Q’ followed by the question number, references to the written evidence are indicated by ‘Ev’ followed by a page number. The Committee may meet at any time (except when Parliament is prorogued or dissolved) and at any place within the United Kingdom. The Committee may meet concurrently with other committees or sub-committees established under Standing Order No. 152 and with the House’s European Scrutiny Committee (or any of its sub-committees) for the purpose of deliberating, taking evidence or considering draft reports. The Committee may exchange documents and evidence with any of these committees, as well as with the House’s Public Accounts, Deregulation and Environmental Audit committees. The Reports and evidence of the Committee are published by The Stationery Office by Order of the House. All publications of the Committee (including press notices) are on the internet at Wwww.parliament.uk/commons/hsecom/htm A list of Reports of the Committee in the present Parliament is at the end of this volume. All correspondence should be addressed to The Clerk of the Health Committee, Committee Office, House of Commons, London SW1A OAA. The telephone number for general inquiries is: 020 7219 5466; the Committee’s e-mail address is [email protected]. ' Rt Hon Peter Brooke MP (Conservative, Cities of London and Westminster), was appointed on 14 July 1997 and discharged on 21 July 1997; Mr Andrew Lansley MP (Conservative, Cambridgeshire South), was appointed on 14 July 1997 and discharged on 20 July 1998; Ann Keen MP (Labour, Brentford and Isleworth), was appointed on 14 July 1997 and discharged on | February 1999; Mr Robert Walter MP (Conservative, Dorset North), was appointed on 14 July 1997 and discharged on 5 July 1999; Julia Drown MP (Labour, Swindon South), was appointed on 14 July 1997 and discharged on 30 November 1999; Mr Ivan Lewis MP (Labour, Bury South), was appointed on | February 1999 and discharged on 13 December 1999. * Appointed 20 July 1998. > Appointed 5 July 1999. , Appointed 30 November 1999. > Appointed 13 December 1999. THE HEALTH COMMITTEE ili TABLE OF CONTENTS Page REPORT ce flee SpTb RADIT S gada e le!a es a dO Rl Sa aah ale aL ee aR iv LIST OF MEMORANDA INCLUDED IN THE MINUTES OF EVIDENCE ........... Vii Pe Ora reENUDICES TO THE MINUTES OF HVIDENCE «ooo r. Sorceee sme os rk LIST OF MEMORANDA REPORTED TO THE HOUSE BUT NOT PRINTED ........ xi MTEL HN teh ate, ay a ans es Wie Fhe iwtat Genea salw aly a's 4 y's gb biale oles Xili RE ae ee aay dee is g's casi ae s inn ie a ee Sk eae ees Xili SEV OR he ST Rig lig ace hh tet al aS Xvi nae ee ea aI MEANEN TISKS OF SINOKINO a nw ene wlasses ee e seine XX NG TY Nl dad dalle laura dt trols ucsie a nies eng llaain ata Aad ERA eA x ee ee Ce ee er ee a A te ee emt te Nese «TREES od NE CITCEC N Ce cee fe a a een Ga 5 pr eeu ag cries wales +b 3)¥ ble b= 9 a¢ XX1 The response of the tobacco companies to evidence of the health risks of SES plid ee WR TRIAS AGES CED SS CAC ae i A ea RR RC ARB Sead XXil1 fimciviAvand the Harrogate Research TACUY 2.h.e .ee da eh ews XXX REN Se te Ries seed ny, Me ete a hn ala Sin.« ¥ oben Od RON ie!«4 XXXil er eS ANS TS VIN ie ccna elope Gib d oo ve ee XXXII ParOguctiON. 2.25... ... Ai pile stea ape heath ea phi iaegatenct ws cits eed felte lie dil hie See aaa RF XXXIi Nicasures 0 prevent sales to children ee ketene tas ikl pags XXXIV SESE ULCER Oe ale hine ae sB a XXXVII BeeaTNNI e ATIC ATIC SPYONISKIE SEL, Ga a terre pees MRR cna eee ln wih a 0 wearin wo:Oa xlili Measures against environmental tobacco smoke ......0..0.0. c.c ec.e .ee.e n ee xlvi RENE TITIOTOVENOTOUUCT Ra ae i sree e'sl ee xl vill BRO MEAL OLOOTATIO eter le Une ee ace cee eee eho alCk elev ale 5 xviii biel 9 vaPy RTCS p sha A A ela A a on pe hana nt marth athens tenth RNS rece Ns) a ew ee ne cd gos eS) les a FiGiena le @ ele li Pemericesitcs 10 TEGUCE and Geter CONSUMNNION sy ee ce ee ce eee liv Ee eck na ase ri ee ye Meare ccc ae sale Seva s seer bien liv Pie aigt ANG I OFM atOl LO;CODSUICNE eonsn wlss le sale va ea we > lvi Nicotine Replacement Therapy and other treatments .....................4. Ivii Meee TINE ADDICTION AND. REGULATION oii cpa cee cs tec cere nee ne wes lix CCU ALOT VTA MeIOIRU tare tere teres ee ice o's, 2 dw wis,« 4 e losb al ws pavigiene Ix PeeeS OI NG INTO.NEW, MARKET So vo ensraprn semua ose gee ere eens Ixiii TES palo 2 ie raza Me tar oxo cular tsl egate aioe ered) ane ce Ixili EATEN Scop cbat eb edlA lle Wl lai 9 el lhl tae tial oho Alea il aL AL Aah Aie i AE a laa Ixili itera) etmO COls CNG mene aCe et dea cl a alas agai fh ee ei Ixiv me CAlOns FepardiNng Isr ar ality SINUUSHING Ye cgterete aS Nc sic cies bic eueld sla e me Ixiv Serine MNATK CIS IT GeCVELODING COUMITICS 0 -... cs cress taht st thee et bet ee Ixvill SOA OGTR CISVi r Se mri te tute pane tat seek eas sence eos ee oe Mok weed al Ix1x AW od cyu ndetoh cet elbatean Deliges headend date tatekn ice fh tte RA el AG ai Re CARA Ee ware Ixx WOS LLLr aaT atR tearg Le SMTA Nay aries E02 i tyU S a a Ixxil SUMMARY OF CONCLUSIONS AND RECOMMENDATIONS ................ IXxiv MINUTES OF PROCEEDINGS RELATING TO THE REPORT ................. IXxxil LIST OF REPORTS OF THE HEALTH COMMITTEE PUBLISHED DURING THE PRESENT eA Me Ree heat rl hts ieee eM a sen eee Mien eos elei ev binahs. i nies ay Oow el asa Ixxxili iV SECOND REPORT FROM LIST OF WITNESSES [Volume IT] Thursday 18 November 1999 DEPARTMENT OF HEALTH Professor L Donaldson, Dr D Milner and Mr T Baxter .......0.0.. c.c e.ce .e.eee s 36 HEALTH EDUCATION AUTHORITY Mr P.Lincoln: i408 42 Caneerep es ernie POY. oc oss 2 36 Thursday 25 November 1999 ACTION ON SMOKING AND HEALTH Thursday 9 December 1999 WORLD HEALTH ORGANISATION Dir DD Vachs enced tee sa oe CON ee ie a a ae ots ext ieee 98 ROYAL COLLEGE OF PHYSICIANS Professor J Britton and. Dr J:Mindell > sss eden. w.ciseS palae 36... ce eee eee 116 BRITISH MEDICAL ASSOCIATION Sir Alexander Macara and Dr B.O’Neillwss.. a. oc. ac. weld. Joe: k eae a eee 116 Thursday 13 January 2000 BRITISH AMERICAN TOBACCO Mr M,. Broughton iy @as.ac.rate Moki. 60 Peis wishes maces sien /elalel acdc hae nen 238 GALLAHER GROUP PLC Mr P. Wilson... oes. Lowden SWAY AA. The gieekoe sero eee 238 IMPERIAL TOBACCO GROUP PLC Mir.G: Davis’ s igs cS eats is re Nh aaa ai a 2 238 PHILIP MORRIS EUROPE S.A. Mr. Di Davies: oo. cel eck be eee See ee Nal a cs a 238 THE HEALTH COMMITTEE Thursday 20 January 2000 FOREST Mr § Clark .... Magen sha ane sn opiCmeniaq iY MROMAOTANGA, FRIESE... ca TOBACCO MANUFACTURERS’ ASSOCIATION RMU ATIFATCE VIE OC) CIQUEN fy. e slo ai egs ciate ha eek apes as hed BIS Sank y wow 4 M&C SAATCHI Ramer ee Peay eee «ch ed PO ORL Oe OT INE Se bs oe Sfeatrtenn CDP | Be SEES oh ULI Ree Pare ee ge reer MUSTOE MERRIMAN HERRING & LEVY Si I ee ee a ee aa ae Oo 2 TBWA GCT SIMONS PALMER LIMITED ETE P TOES STEP a cg cle peg aM AOI A ee eee en FORMULA ONE MANAGEMENT LIMITED eR STE a 0 oh SAE ho 2s ghy ORME Gayn s: a #44 05 aS oleae oe FEDERATION INTERNATIONALE DE L’ AUTOMOBILE a SS Le Se oe Thursday 27 January 2000 BRITISH AMERICAN TOBACCO RE COLI CES Ri Ws C's a koe REC Rae GS obra ARRON RS A WM MER TRA RESIN GALLAHER GROUP PLC MRR RAN Pas eg ares fay Aa Maco gy Boe Ue IRS ari 'g,S an no's fode'a) sad alain lot wo har IMPERIAL TOBACCO GROUP PLC ee SPOOF ERNE SALE, LATA a ARG ae Rn a Reha ER ete Se Relea eS PHILIP MORRIS EUROPE S.A. ST BE AIRS) Ait tian ga oO rd PU a RJ REYNOLDS TOBACCO (UK) LIMITED TE NGS ME Ay. None REEA G's Phe mud siwsie vdx eb Beas vie We aw ise owe eee Thursday 4 February 2000 LEIGH, DAY AND CO. SOLICITORS ND Ge oo gi Ae cai oa oN Wednesday 9 February 2000 DEPARTMENT OF HEALTH eons our Vvirvand Ms. Gooper: MP oo 5...0 566 ce eae eee oe nie keels ee ee vi SECOND REPORT FROM Wednesday 16 February 2000 BRITISH AMERICAN TOBACCO Mr. M Broughton and Rt. Hon: K ClarkeUVMigteeetes 2). eS. oa ss ee os ce 453 ACTION ON SMOKING AND HEALTH Mr C Bates .... . UMP ORY RRS AN Serer 2 ot eee Gee Se 453 Mr:D Campbell : 2352 22 0). 0) 0S PT ESIS hale a Ds ORE LAPSE Se ees See 453 THE HEALTH COMMITTEE vii LIST OF MEMORANDA INCLUDED IN THE MINUTES OF EVIDENCE [Volume IT] Memoranda and supplementary memoranda submitted by: Me psimabeTir Ue COIU ALAR alli ie EBTR eh oe sive j=) pwsnlcyel. simetied esa bra!d ames nA «oa,w he ejace bx os et Health Education Authority [TB 12] .......... sa ga a ti gel ARE a eC ty ae 12 Action on Smoking and Health and the Royal College of Nursing [TB 18] ............ 59 Mr Martyn Day [TB 35] ice rraria OL ee WEN 5! cre oct ink hb. idle pe Bde Sy ecw So 80 OE SGD GPE TVET 09 SS 0) a a eer 97 Perret reieal ssOcintion, [iby OUP TER. EEL... snes ec ccc ere este edb e tees 108 British American Tobacco [TB 28] ................ SR RG eee ee rane Mea itya ang 127 Dem RECN ML PO BE 8g eia es a o)'sps ven a syngd bas nape ie sok 4d blade tls gialabece eae 169 Pepemorneco. Group Ple (1 Bri13).t gsahoninu ¢ y.oedinnine ade des Pond-emb Tran 204 CeO COU PICT TE TIA] cai ys... 6. Suing es 33 see ais bis 6 Mle Wet os aa2 eure OMT OUD PIC: |1,D LSE ey pute. <-> oes bus eee uh iad cass dv ne we die Mluwe « 226 REMIREE UTODEG Ss PEs 4 aint ere... a ete ea Riedel alas ie bao Ase eie cocehemyte 22) R J Reynolds Tobacco (UK) Limited [TB 31] ......... Seve 3 Ps aid.c. ye Tree Sve ihea 233 perp CEL My Mere fe kL nafs matey 2 (cso) sooty ean Wids Upe in a 8 cis-adegdtapee Malet re atet s 265 Peeenevianuracturers Association (TB 23)... ck ie cas oon on bels Maw daisln es es 268 EXTRACTS FROM ADVERTISING AGENCIES’ DOCUMENTS: SNM eee SITIO MSR ATKET | ANTICCC [1 5)S d ia) e's) he oeih o'o cg iw ahe lte spe ee s pea a wk ce ewes 293 See victriman, Herring & Levy [TB 38] 2... 2 in bie eae ee eb eee oe 298 MES carck. Vetere i Rae pgs hw aes eis! ch takai mA aly inne: ShiaiS So 5 W says 301 RE AC RICHER AU) Liner ta eden ee ty We Nie a Say Wye iS hS Pahoa wlarcince ate wid oan! 308 - Peerenon intemationale de 1’A utomobile [TB'36] ........0..0.0 0560-5005 ce eee 325 Poa One Management Limited {1B 36A] ....00o0s c0e.a 6ee e.cw es folebten 335 heaeraton Intemational del’ Automobile [TB 36B] .. 2... ...666 2.002. ee eke ewe en 335 einemeeanerican lobacco [TB 28C] i... eck naa dice os hE Ae OER NETNS a3 Bete mielican)! ObACCO 11. 257 aNd LD 28D i gies 5.5.69 sot sale es on weiss oe en ale 339 RetO rtm yd Ea ey lice rete itesc ra)y ee stare cis nck ahold a) 0i% GIR ay> Wali wie xe we ihR MS 349 peRS U NS Gre stite oyf ey) MF Sere TsE d 2 AP 9 AR an Aen Ssed, ea aCe ae ae 330 viii SECOND REPORT FROM Imperial Tobacco Group Pic [TBiM@@). we. Sette Rs ee nee ee 358 RJ Reynolds Tobacco (UK) Limited TE SiAt RNa Aes ee ee 359 Philip Morris.Europe;SiA 4613 SOAT an RP ee so hn ke ea ee a 359 Philip Morris Europe S.A.[ PBi9OB )w i aA Ay MALT ee ee 360 Action on Smoking'and Health (TB 18B)¢% 222 0.) coe ee 429 Mr Duncan Campbell. [TB S12} s: cea ieate seaaeetanen ere 3 eal ke ena te 445 Action on Smoking and Health [TB 18€] .\. 0... 2.0. 2.02 ee ee 483 Mr Duncan Campbell [TB:SiA] . 22). 4. soe) ee ite ts ope cis otc e 485