Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 420 - 439)

THURSDAY 13 JANUARY 2000

MR MARTIN BROUGHTON, MR PETER WILSON, MR GARETH DAVIS, MR DAVID DAVIES AND DR AXEL GIETZ

Dr Stoate

  420. I would just like to pick up very briefly on the point you made, Mr Davies. You presumably accept Mrs Wise's figures that smokers are much less likely to reach 85 than non-smokers. Do you accept that that evidence exists?
  (Mr Gareth Davis) I think I have said already that we accept that smokers are more likely to develop those diseases and that is why I would not seek to challenge Mrs Wise's figures.

  421. Presumably your company, as a responsible company, employs scientists and doctors to help advise you?
  (Mr Gareth Davis) We have some scientists.

  422. So what have those doctors and scientists concluded from the evidence such as that Mrs Wise has set out? If it can be shown categorically that those who smoke seem to die younger than those who do not, and you are saying there is no such evidence, how are your experts interpreting that data?
  (Mr Gareth Davis) Our people within the company have obviously reviewed the vast body of literature and studies that have taken place. They have sought expert advice from outside the company also. The judgment—and it is a judgment—that they have come to, and that I endorse, is we do not agree that smoking has been shown. We accept that smokers are more likely to develop diseases but we do not believe that it has been shown.

  423. So the other companies are happy to accept that smoking has been shown to cause disease but your company stands alone and says "no, it has not been shown to cause disease".
  (Mr Gareth Davis) I am really not qualified to speak for the other companies, only for my own company.

  424. I must say I find that surprising. Can I also say that we accept there are certain risk taking behaviours in society. You said in your earlier statements that it is a risky business, that there are risks in society and everyone accepts there are risks. Is that fair, would you all agree that there are risks in society in many things that we do?
  (Mr Gareth Davis) Yes.
  (Mr Wilson) Yes.

  425. Would you also all accept that the magnitude of the risk does have some bearing on whether that is a sensible behaviour or not? I want to pick up on something which Mr Wilson said which was as we do not know which smokers are going to get which diseases then somehow it does not seem to be quite so important. I do not want to misquote you, Mr Wilson, but my understanding is you said that it is impossible to say which smokers will develop disease and, therefore, you have to argue with some of the statistics. Is that a fair statement of your position?
  (Mr Wilson) No, that is not what I was trying to say. I was saying as a matter of fact that it is impossible to know which smokers will contract disease. To me the important thing is to recognise that smoking is risky, is dangerous. We market our product on the clear premise, as Mr Broughton as already said, that everyone who chooses to smoke is aware of the risks. That is extremely important. I would not want to underestimate or undermine the risks and if I gave that impression I would like that to be corrected. I do believe that the degree of publicity going back over the last 50 years is such that there cannot be an adult smoker or an adult in this country today who is not aware of the risks. People will choose to smoke having informed themselves of the risk, being aware of the risks.

  426. Clearly as policy makers and as people who seek to inform policy makers the management of risk is of great importance to us. Would you agree or disagree with Professor Richard Peto that one in two long-term smokers die prematurely of smoking related disease and that one in four die before the age of 70? Would you accept or refute those figures? I know it is epidemiological research but he is a very well respected person in his field.
  (Mr Wilson) I am just not in a position to argue with those figures, they are probably right, but what has caused those deaths is what we do not know. Just become someone is a smoker does not necessarily mean that smoking has caused their death. It may well have done but it may not have done, we do not know the actual causal mechanism.

  427. No, but clearly the excess number of deaths is an acceptable scientific method of measuring whether smoking is related to those deaths.
  (Mr Wilson) I have accepted that, yes.

  428. So you accept at least the principle that there is a vast excess of deaths of smokers over non-smokers?
  (Mr Wilson) I accept that smoking is damaging to health, yes.

  429. I think it is important for the record that we do bring these figures up. The Government's contention in the White Paper is that there are 120,000 premature smoking related deaths every year in this country which actually equates, according to my figures, to one every four minutes which actually means that during the length of this session something like 30 people will have died in this country from smoking related diseases. Do those figures accord with your view or are they totally wrong?
  (Mr Wilson) I am not in a position to comment on this. I am aware of the figures and I have said what I have said, that smoking can cause serious damage to health, I acknowledge that, but I do not know how many. The important thing to me is the choice that an individual will make. Being aware of the risks an individual will decide whether he or she wishes to smoke.

  430. Just one final question to any of the witnesses really. If we cannot agree on the numbers, is it acceptable to say that if there were no tobacco smoking in this country there would actually be fewer deaths from cancer, from heart disease, from lung disease? If there was no smoking hypothetically, would there be fewer deaths?
  (Mr Wilson) That is probably the corollary of what you have said.

  431. Would that be an acceptable thing to say, that there would be fewer premature deaths if there was no smoking?
  (Mr David Davies) I think it is highly likely, yes.

  432. Would you say yes?
  (Mr Broughton) Yes.
  (Mr Gareth Davis) I think the majority of people in society would conclude that. The straight answer at the end of the day is we do not know.

  433. So even though you are not accepting the cause between smoking, you are saying that you would not accept there would be fewer deaths if people did not smoke?
  (Mr Gareth Davis) What I am saying is I do not know, I could not say yes or no to that.
  (Dr Gietz) That is an hypothetical question. Public health authorities have decided that smoking causes these diseases and it is not for us to dispute or debate that, there are other contributing factors to these diseases maybe so you would need to eliminate other lifestyle choices in order to reduce it further.

  434. If we eliminate smoking would we reduce the number of premature deaths?
  (Dr Gietz) A number but I cannot say how many.

  435. The number would go down?
  (Dr Gietz) Based on the evidence available from the health authorities, yes.

Mr Hesford

  436. This is my first question as a new Member of the Health Committee and I hope it is helpful. Mr Gareth Davis, if I may, would you be prepared to send to the Committee your internal document or documents from your scientists, your doctors, which review the field that the Committee has been asking you about in the last five or ten minutes which leads you and the company to have the conclusions that you have been giving to us today?
  (Mr Gareth Davis) We have received a letter from the Clerk of the Committee requesting documents and we have responded to that request and we have supplied details of the indices of our documents in the organised form they are in at this moment in time. There are very many documents.

  437. With respect, Mr Davis, that is not an answer to my question. Will you be prepared to give this Committee the specific document which is prepared by your scientists which enables you to come out with your conclusion that they have reviewed the evidence in terms of smoking and smoking related illnesses so that we can form a judgment on what it is that you are basing your evidence on today?
  (Mr Gareth Davis) Although I am not massively familiar with our archive I am certainly willing to provide you with copies of our non-privileged documents for the purposes of assisting you with your inquiries.

  438. Is the answer yes or no?
  (Mr Gareth Davis) The answer is the one I have just given. We are prepared to provide you with copies of our non-privileged documents for the purposes of assisting you.

Audrey Wise

  439. I am following on from Mr Stephen Hesford because there is a list in your written evidence on page nine, paragraph 17, "Consultation with external independent scientists". You say that you have consulted and taken advice and then you provide a list of distinguished people there, about eight of them. We have no means of knowing what advice you were given. The implication of including these names is that somehow or other they concur with the conclusions that you have come to or they have guided you in coming to those conclusions. I wondered whether you would make available to us any written interchange between yourselves and these distinguished scientists. You have used their names so surely you would be prepared to follow that up with what the result of the consultation was?
  (Mr Gareth Davis) As I say, I am not totally familiar with all that is in the archives and the way it is classified and categorised. Certainly we are willing to provide you with copies of all non-privileged documents that would assist you. If they are in that category, yes.


 
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