Tag Archives: CTFK

Press Release: FCTC demands governments, researchers avoid talking to automotive industry

FOR IMMEDIATE RELEASE

Geneva, Switzerland

1 April 2013

At the eighth meeting of the delegates to the World Health Organization’s (WHO’s) Framework Convention on Traffic Control (FCTC), delegates adopted Article 5.3, which forbids signatory governments from consultation and engagement with Big Auto and other parts of the automotive industry.  Governments are also to act to ensure that independent researchers are also prevented from such engagement, using such mechanisms as political imprisonment, press censorship, and blacklisting.

The FCTC is devoted to ridding the world of the use of passenger cars by 2050 as part of WHO’s Social Programming to Eliminate Non-communicable Disease initiative.  Automobiles are the leading cause of death in age groups from 4 to 50 years, and the second leading preventable cause of death in the world today.  They are also the leading cause of obesity, exposure to second-hand smoke, and death and injuries among pedestrians and cyclists.  In addition to their immediate health effects, automobiles are the leading contributor to global warming.

The automobile industry has a long-standing practice of influencing governments and manipulating consumers, including encouraging youth uptake, advertising in youth-targeted media such as television and magazines, selling vehicles that can achieve speeds far in excess of any legal speed limit, shutting down government-approved alternative transport, and covering up newly-discovered health threats.  Indeed, the influence of the industry is so pervasive that one corrupted government recently provided a 13.6 billion euro ($17.4 billion) bailout of its domestic industry, rather than letting it fail as it should have done.

Article 5.3 also requires that all future automotive research on such topics and safety engineering should be entirely controlled by governments and FCTC’s approved list of public health researchers.  Industry and those willing to constructively engage with them will be forbidden from conducting such research.  Only by excluding the world’s best automotive engineers from the research process, replacing them with second-rate sociologists and medics, can public health’s goals be achieved.

The new rules are urgently needed due to the industry’s initiatives to substitute new “reduced risk” products, an attempt to attract new customers that can only be explained by our successful denormalization of driving.  Recent attempts by automobile manufacturers to encourage “harm reduction” represent a blatant effort to make driving appear more acceptable.  Industry wants consumers to continue to be addicted to these new products, rather than sticking with government-approved driving cessation methods like buses, trains, and reclusion, which are clinically proven to be successful for almost 5% of the population.

Despite the industry’s marketing claims, no randomized clinical trials have demonstrated that their new products are lower risk.  Instead, these efforts recall the industry’s infamous “seat belt” fraud from the 1960s and 1970s, where they claimed that the installation of these features would reduce risk.  In fact, subsequent research found that deaths and injuries from automobiles continued to increase worldwide, and are now skyrocketing.  In recent testimony in Washington, former U.S. Surgeon General Richard Carmona reported, “No matter what you may hear today or read in press reports later, I cannot conclude that driving a new Subaru Forester, with all-wheel drive and computerized traction control, eight airbags, and a roll-cage-like reinforced chassis, is a safer alternative to a rusted-out 1971 Pinto.”

The new rule will bring all governments into alignment with FCTC policy.  FCTC has always had a policy of forbidding involvement by the industry or automotive consumers, having recognized that perfect policy can only be made if interference by all the real stakeholders is avoided.  Delegates are encouraged to never so much as converse with to anyone who considers motorized transport to be beneficial to people’s welfare, except in the context of clinical interventions.

FCTC recognizes that the industry will probably mobilize their front-groups to protest these rules, using their usual misleading language about “free choice” and “honest science”.  The industry has a long history of creating fake grassroots support to claim that people simply prefer to drive in spite of the risks.  But secret industry documents have revealed that every single person who expresses interest in cars is secretly in the pay of the industry.

Delegate, Michael Myers, CEO of the Campaign for Travel-Forbidden Kids, responded to these claims by industry-funded critics:  “Individuals are persuaded by paid industry shills like Bruce Springsteen to consider cars to be cool or a way to look grown up.  People who start driving as children become slaves to the industry.  Almost none of them ever again go without owning a car after they become addicted.  Motorized transport is far more addictive than heroin or even smoking.  The only way to keep people from driving is to stop the industry from enticing them to start.”

This move by the FCTC follows on important anti-traffic efforts in several member states.  The proposed Traffic Products Directive in the European Union would prevent any personal vehicle (PV) from traveling at faster than 30 kph (equivalent to 18.6 mph or 4 mg/ml).  The US Department of Transportation requires that any automotive products either be “substantially equivalent” to technology that existed in 1980 and that any innovative products cannot be sold until 20 years of real-world data that proves their safety is accumulated.

The adoption of the new rule follows yesterday’s FCTC resolution to demand that governments devote all taxes collected on automobiles and gasoline, and other traffic-related taxes to anti-traffic efforts.  Only 0.000185% of such taxes are given to anti-traffic QUANGOs, which drastically reduces the potential income of FCTC delegates.  Indeed, the vast majority of the collections are devoted to maintaining roads and other actions that encourage driving, further evidence that governments are too heavily influenced by Big Auto.  A related proposal, to demand the elimination of all depictions of automobiles in movies and television, based on the claim that it causes 483,921.4 children to start driving each year, was rejected as being too wackadoodle for even the FCTC.

The FCTC is an international treaty, with 183 signatory countries (which include 22 who actively wanted to sign, in addition to those who were blackmailed into it with threats of losing WHO funding).  They are currently meeting in a 5-star resort hotel, thanks to revenue generated from a collection of extremely regressive taxes.

 Press Contact: FCTC Secretariat, fax (yes, we really still do have a fax machine): +41 22 791 5830, or for those living in this century:  fctcsecretariat@who.int

“Smoking” and “nicotine” are not synonyms

posted by Elaine Keller

The truthful statements in Justin Rohrlich’s story Smokeless Tobacco Advocate Rails Against ‘Frauds, Extremists, Liars’  were based on a two-hour-and-ten-minute phone interview with Smokefree Pennsylvania’s Bill Godshall. (How Rohrlich managed to gather so much information from Godshall in such a short phone call escapes me, but I digress.)

As a representative of one of the “Frauds, Extremists, Liars,” Danny McGoldrick, the Vice President of Research for the Campaign for Tobacco-Free Kids, was invited to comment, probably with the intention of bringing “balance” to the story.

To make any sense whatsoever of McGoldrick’s statements, you need the trANTZlator  that Carl recently introduced for the common Anti-Nicotine and Tobacco Zealot (ANTZ)  phrase, “smoking cessation.” Anyone who applies the common meanings of the words “smoking” and “cessation,” would think it is obvious that this phrase refers to the stopping (i.e. “cessation”) of the inhaling and exhaling of smoke.

*Gong* Wrong. When ANTZ people say “smoking cessation”, what they really mean is the act of stopping the use of any form of nicotine. Get it? Smoking = nicotine. Nicotine = smoking.

This is how Danny McGoldrick managed to testify at a legislative hearing on Tobacco Harm Reduction (THR) in Oklahoma with a straight face:

“…if the tobacco companies want to promote smokeless tobacco or anything else as a smoking cessation product, they can do this through the Food and Drug Administration like other cessation products by demonstrating with science that their products are a safe and effective way to quit smoking.”

“If the evidence is anywhere near what they claim, this should not present a problem for them,” he told the panel of lawmakers.

“There’s no evidence that people use smokeless tobacco to quit.”

There’s that bugaboo that Carl discussed in two previous posts: There is never no evidence (Part 1) and There is never no evidence (Part 2.) McGoldrick’s claim is nonsense from a scientific perspective.

If by “quit,” McGoldrick means “quit inhaling smoke,” it’s hard to believe that a man who holds the title of “Vice President of Research” was unable to track down any of the following articles, published in peer-reviewed scientific journals.

Effect of smokeless tobacco (snus) on smoking and public health in Sweden: “Snus availability in Sweden appears to have contributed to the unusually low rates of smoking among Swedish men by helping them transfer to a notably less harmful form of nicotine dependence.”

Is Swedish snus associated with smoking initiation or smoking cessation? “We investigated whether Swedish snus (snuff) use was associated with smoking cessation among males participating in a large population based twin study in Sweden. Snus use was associated with smoking cessation but not initiation.”

Randomized, placebo-controlled, double-blind trial of Swedish snus for smoking reduction and cessation: “Swedish snus could promote smoking cessation among smokers in Serbia, that is, in a cultural setting without traditional use of oral, smokeless tobacco.”

The association of snus and smoking behaviour: a cohort analysis of Swedish males in the 1990s: “We found clear associations between the two habits. For the younger cohort (age 16-44 years), snus use contributed to approximately six smoking quitters per smoking starter attributable to snus. For the older cohort (age 45-84) there were slightly more than two quitters per starter.”

These are far from the only published scientific evidence that snus can be used for smoking cessation. If what McGoldrick really meant was that it is unlikely or unknown whether snus can be used for nicotine cessation, that’s another story. But what he said was “smoking cessation.” So either he is lying about there not being any evidence, or he is extremely incompetent at his job.

Even respected government agencies are guilty of using “smoking” and “nicotine” interchangeably, and therefore misleading the public. All FDA-approved “smoking cessation” products are aimed at a goal of nicotine cessation. There are three problems with this approach: 1) It doesn’t work for over 90% of smokers that try to quit, 2) It isn’t necessary to become abstinent from nicotine to achieve smoking abstinence, and 3) Smokers who switch to a low-risk alternative enjoy the same health improvements as those that used nicotine abstinence to stop smoking.

There are many published scientific reports on the beneficial health effects of switching to smokeless tobacco.

Smokeless tobacco: a gateway to smoking or a way away from smoking: “Sweden has low rates of smoking and a lower rate of respiratory diseases and lung cancers by comparison to other developed countries.”

Health risks of smoking compared to Swedish snus: “Although few in number, these seven studies do provide quantitative evidence that, for certain health outcomes, the health risks associated with snus are lower than those associated with smoking. Specifically, this is true for lung cancer (based on one study), for oral cancer (based on one study), for gastric cancer (based on one study), for cardiovascular disease (based on three of four studies), and for all-cause mortality (based on one study).”

Lung cancer mortality: comparing Sweden with other countries in the European Union: “There were 172,000 lung cancer deaths among men in the EU in 2002. If all EU countries had the LCMR of men in Sweden, there would have been 92,000 (54%) fewer deaths.”

Summary of the epidemiological evidence relating snus to health: “After smoking adjustment, snus is unassociated with cancer of the oropharynx (meta-analysis RR 0.97, 95% CI 0.68-1.37), oesophagus (1.10, 0.92-1.33), stomach (0.98, 0.82-1.17), pancreas (1.20, 0.66-2.20), lung (0.71, 0.66-0.76) or other sites, or with heart disease (1.01, 0.91-1.12) or stroke (1.05, 0.95-1.15). No clear associations are evident in never smokers, any possible risk from snus being much less than from smoking. “Snuff-dipper’s lesion” does not predict oral cancer. Snus users have increased weight, but diabetes and chronic hypertension seem unaffected. Notwithstanding unconfirmed reports of associations with reduced birthweight, and some other conditions, the evidence provides scant support for any major adverse health effect of snus.”

Again, the above are just examples. Anyone can access PubMed’s search system and find many more studies.

Rohrlich’s story states, “Danny McGoldrick just can’t wrap his head around the idea of Big Tobacco’s collective conscience telling it to guide people to smokeless for their health.”

Actually, what McGoldrick can’t wrap his head around is the concept of how Tobacco Harm Reduction works. Or perhaps he just doesn’t want to.

CDC on cigars – a great example of liar’s citations

posted by Carl V Phillips

I will come back to FDA in a few days, but we want to cover a few other things first.  One is to point out that the behavior of the FDA — in terms of both being anti-THR and junk science about tobacco/nicotine — does not represent either new or exceptional action by the US government.  The CASAA leadership just happened to be discussing this document from the US Centers for Disease Control and Prevention (CDC).  It is about cigars, which is related to THR, though not a core part of THR efforts.

There is good evidence that cigar smoking in traditional cigar style — puffing into the mouth with minimal inhalation into the lungs — is much less harmful than cigarette smoking.  Of course, the same method can be used with cigarettes too.  However, the interest in such substitution is limited and switching to smoke-free alternatives is far healthier, so there has been little interest in pursuing this.  (In addition, a lot of cigar consumption lately has been for products that are basically cigarettes and are smoked like cigarettes, as a way to avoid the punishing cigarette taxes.  That is understandable motivation, but it is not meaningful harm reduction.)

Still, that document says a lot about CDC’s approach to tobacco.  About half of the content is cited to three sources (links appear in the original if you really want to see them):

1. Campaign for Tobacco-Free Kids. The Rise of Cigars and Cigar-Smoking Harms . Washington: Campaign for Tobacco-Free Kids, 2009.

2. National Cancer Institute. Cigars: Health Effects and Trends. Smoking and Tobacco Control Monograph No. 9 . Smoking and Tobacco Control Monograph No. 9. Bethesda (MD): National Institutes of Health, National Cancer Institute, 1998.

3. American Cancer Society. Cigar Smoking . Atlanta: American Cancer Society, 2010.

This is a great example of lying with citations — putting in little footnotes that imply that the information presented is based on the best possible evidence, when actually the sources are rather useless.

You probably noticed that the first is to an anti-tobacco extremist organization, which, among other things, opposes harm reduction.  Moreover, it is not research by that organization, or even a review paper, but is just a two-page broadside.  The third reference is similar:  While ACS is thought of as a scientific organization, when it comes to this topic, they are also an extremist activist organization with little regard for honest science.  The cited webpages have a bit more content than the CTFK broadside, but not much, and do not even cite evidence for their claims.

So basically, we have an agency of the US government sourcing its scientific claims and consumer advice about a tobacco product to activist organizations whose mission is to say anything they can think of that is negative about tobacco products.  Their job description is to be biased, and that often means dishonest.  There is no possibility that CDC does not know this.  Could you imagine the State Department citing information in its travel advisories to the Middle East to anti-Islamic activists or the Department of Agriculture citing nutrition advice to anti-GMO activists?  This is similar in terms of credibility.

[You probably could, however, imagine agencies of the government deferring to other, more powerful, players for information in their areas of interest.  That observation -- and its relation to the present topic -- will be the subject of this week's Background post in a couple of days.]

At least source #2 is a real scientific review.  The problem is that it is from 1998 — very old history in a field like this.  But, funny thing: the CTFK document cites that 1998 report extensively.  So what CDC is really doing, by citing CTFK, is trying to hide the fact that all their information traces to 1998 by citing a more recent document that cites the original.  A common sneaky trick used in undergraduate term papers, brought to you by an authoritative voice of our government.

It gets worse.  The first statements that are cited to those three sources are:

A cigar is defined as a roll of tobacco wrapped in leaf tobacco or in a substance that contains tobacco….[1][2]

The three major types of cigars sold in the United States are large cigars, cigarillos, and little cigars.[1][2][3]

There is nothing wrong with the information, of course.  What is baffling is why CDC felt a need to provide a citation for it.  What is even more baffling is that citation #1 does not even provide a definition for cigar; citation #2 probably does, but I am not going to hunt for it.  Interesting, #3 does provide a clear definition — based on tax law — but is not even cited for the first sentence.  There is also clearly no need to cite that second sentence, but if you are going to, it should be to something relevant (like the official tax or regulatory definitions).  Here is a hint for those of you who want to cite a definition:  try a dictionary.

That is mostly just amusing, but it shows a general lack of seriousness.  More serious, and equally lacking in seriousness, are the series of health and other claims that are also cited to these three sources.  And lest you think I am cherry-picking, there are no other cited sources that provide any health information.  I am not going to go into detail about the claims because, for the reasons noted above, their role in THR is limited.  Suffice it to say that there is a lot of doubt now about the conventional wisdom about the risks that existed in 1998 (that probably sounds a bit familiar for those who know the science about smokeless tobacco).

So, basically, the official word of our government is: “(a) as far as we know, nothing has been learned since 1998; (b) just go read these activists’ position statements because we just defer to them anyway.”