Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 460 - 479)

THURSDAY 13 JANUARY 2000

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

Chairman

  460. Can I just say I am rather conscious that perhaps the next session would spend perhaps more time looking at the marketing and advertising side next week which is directly relevant to the area that you are asking about. I do not want to constrain these questions because they are very, very important questions but I wonder, if you are agreeable, if you would like to come back to this area in two weeks' time in much more detail. Any conclusions?
  (Mr Broughton) Chairman, there was another part of Mr Burn's question which also you may to prefer to address next time. I will take it whenever you want me to take it but he did talk about opening up markets in Asia.

  Chairman: I think we could perhaps come back to that in two weeks' time. It is a fundamental area. Both the areas he has raised are and clearly we need to look at that in more detail. Stephen?

Mr Hesford

  461. I want to continue from Mr Burns' questions to when the companies first knew of the dangers, that sort of area. I am sorry, Mr Davis, to pick on you again but could I focus on the question of privilege first. Privilege is documents arising out of a court case. That is what privilege attaches to, documents put together for internal purposes for legal advice. There are two issues there. If your company has produced documents simply for its own internal use so it can understand a situation outside a legal case there is absolutely no question of any privilege attaching to those documents. Certainly I was asking about that kind of documentation that would arise in the course of business. Secondly, even if there were documents that came into existence because of the court case once that court case is finished and there is no issue live in terms of that document and the court case, no privilege exists for that document either because the privilege as between the parties has ceased to exist, so it seems to me that you may be misinformed or ill-advised if you talk about privilege to this Committee. I am also advised, helpfully, by the Clerk in terms of this Committee, I think the point has already been made by Mrs Wise, that privilege in any normal sense of the term does not attach to this inquiry. I would ask you to be careful about that in responding to what was my earlier question. I am sure you would want to be more helpful than not.
  (Mr Gareth Davis) Yes, indeed. I do not think I can add much more to what I said. I think the best course open to us—and I thank for your helpful comments on privilege—but I am not a lawyer and I do not understand—is I can put our people in touch with you to see how we can best help you and I will take advice.

  462. Gentlemen, a generic question. There is a consensus that smoking causes, can cause illness and death in terms that you have already been asked about. Can I ask each of you in turn, does your company attach itself to that consensus?
  (Mr David Davies) Philip Morris has acknowledged the consensus.

  463. Do you accept the consensus?
  (Mr David Davies) It is our position that there has to be one single consistent public health message in relation to this issue. That has to be that smoking causes diseases. That is why we say there is no such thing as a safe cigarette. That is why we say if you smoke the only safe thing to do is to stop smoking and if you do not smoke do not begin to smoke.

  464. That is very helpful. Mr Broughton?
  (Mr Broughton) I think I am repeating what I said but for the sake of clarity the simple and most common understanding of causation is the one which Dr Brand has referred to, the one that you are talking about, and we accept it entirely. I think it is fair to say it is absolutely accurate, repeating what Mr Davies has just said, absolutely right for the public health authorities to take that position. We accept it and it has been our working hypothesis for a very long time, yes.

  465. Hypothesis?
  (Mr Broughton) We accept the definition of causation.

  466. I am talking about fact, a factual consensus about the causal relationship. Do you accept that?
  (Mr Broughton) We accept in the common and simple understanding, which I think is the right one for everyone to take, that the answer is yes.

  467. Mr Wilson?
  (Mr Wilson) I do not think I can add to what I have already said. We accept that smoking is a cause of illness. Yes, we accept the consensus is there.

  468. Thank you. Mr Davis?
  (Mr Gareth Davis) We accept certainly the public health authorities' conclusion and the consensus they put forward that most people in society believe that there is this consensus and, furthermore, we have never sought to challenge that consensus certainly that has been followed and messages put out by the public health bodies.

  469. Yes.
  (Dr Gietz) We are in no position nor of a mind to dispute or debate with the public health authorities who are very well qualified to interpret the scientific evidence available but again what we do is more important than what we say. We do try to translate that into a responsible development of products addressing this issue.

  470. Thank you. What would you say given that from the 1950s, if not before, that there was an awareness of some relationship between smoking and illness and/or death has been the aim from that realisation on behalf of your companies? What has been the aim of your research in terms of that realisation if you could encapsulate that from the 1950s onwards for the record ,each in turn please.
  (Mr David Davies) Philip Morris' aim has been to try to improve our products to address those issues. I referred earlier to our latest introduction into the test market of such a product. We have done so in various ways through product characteristics, design, modification of the compositions and that has been our consistent aim and remains so today.
  (Mr Broughton) The company's aim has been a product modification strategy to fundamentally seek a less risky cigarette. I think, as Mr Wilson said earlier, the early part of that aim was taking a rather simplistic position that there was some kind of magic bullet approach, some kind of constituent that as long as we found the biological mechanism, the cause, the specific constituent, it could be extracted, eliminated or at least reduced. That turned out to be a false avenue but the aim was the same to try and say what is causing it and so the aim has been product modification.

  471. I am fascinated by that, Mr Broughton. Do you say then that tar is not a recognised dangerous constituent of a cigarette?
  (Mr Broughton) That is not what I am saying at all.

  472. It seemed to me implicit in what you were saying.
  (Mr Broughton) If that was what you thought was implicit let me rephrase it because that is not at all what was meant to be implicit. I was saying the simplistic view in the early days was maybe there is one magic bullet approach, eliminate the constituent. As time went on it became evident that that was a false line of inquiry, an unproductive line of inquiry and, as I think our submission shows, a much more productive line was a reduction of all of the possible constituents. Tar is clearly seen to be the key element that encapsulates the risky constituents but it would be simplistic to say tar is "the" constituent which causes all of the problem and therefore eliminate tar, so to speak, and that is the end of the discussion. So I think the whole product strategy has been, first of all, the research has been a product modification strategy seeking less risky cigarettes, how to get there has been modified over time and it is laid out in our submission. Working with government has been the route we have gone. I think in practice a general reduction, which is encapsulated through tar reduction (but bringing down tar tends to bring down nicotine, carbon monoxide and any other constituent in it) . It seems to be a very logical strategy to bring down tar whichever constituent may or may not be the cause of disease is likely to be coming down with it.
  (Mr Wilson) I have already discussed the earlier research and Mr Broughton has referred to it, which tried to identify out of the 3,500/4,000 elements in tobacco.

  473. It is the corporate direction I am concerned with.
  (Mr Wilson) The corporate direction we have pursued is very similar to that which Martin Broughton has described which is to try to find ways of reducing the risk. We have done that, encouraged by and working with the government and Independent Scientific Committee with a lot of emphasis on tar not to forget the substitute programme which we went through in the late 1960s and early 1970s which was a huge programme for us all but sadly that failed and following that the Chairman of the Independent Scientific Committee commented, and I would agree with this, that the failure of substitutes marked the end of radicalism in the search for better cigarettes and we must concentrate on the gradual reduction of tar. Let me make two further points. This has to be done gradually in order to take smokers with us. Over the years we have made immense strides forward. In the 1950s tar was not measured in the way it is measured today but probably the average tar yield of cigarettes in the 1950s was somewhere around 40 milligrams. Today it is around 10 or probably less than 10. Enormous strides have been made but it has to be done gradually. Many of the techniques that reduce tar are also techniques that reduce the whole smoke and whilst there is some evidence that this is a better cigarette, it seems to me basic fundamental common sense that if you are concerned about the smoke of a cigarette then let's produce less of it and things like ventilation and the porosity of the paper and the amount of tobacco we use, the use of expanded tobacco, all these techniques have the effect of delivering less smoke to smokers and that ,to me, has to be the right way forward.

Chairman

  474. Obviously I am interested in the slight difference between yourself and Mr Davies. The product we saw in the United States your new Accord cigarette was an interesting development that you explained to us. There is a significant distinction between Mr Wilson's approach and your approach in this area. You, Mr Wilson, talk about gradual reduction of the tar levels and that is obviously different to what Mr Davies' company is doing. If you are developing an allegedly safe cigarette, by implication all of the rest of the products that you are gradually reducing tar from are unsafe and it is apparent to the consumer that they are unsafe. Is that the reason you have got a different strategy from Mr Davies?
  (Mr Wilson) Let me hasten to say that whilst personally, and there is some evidence to suggest it, common sense would suggest that lower tar, lower yields, lower everything has to be right, I would never say and never have and would not want this Committee to be seen as the record of a public statement from me that these cigarettes are safer. We do not know that but common sense suggests that it has to be the right way forward. I am talking about a gradual reduction. I am not talking about radicalism. My view is that radicalism is a very hard thing to achieve. You have got to take smokers with you.

  475. You are saying that Mr Davies' company is radical or what they have done is radical?
  (Mr Wilson) I think I know the product.

  476. I think it is important. Obviously what they showed us in the States was of great interest to the Committee. And there is a clear distinction between the strategies of your two companies. I think it is important for us to explore that distinction in looking at the way we pursue this issue.
  (Mr Wilson) We are pursuing a policy of gradualism to constantly strive to make our product better. There was an interesting comment, which again I would support, by Dr Wynder in about 1980 was that a very safe cigarette smoked by one per cent of the population will have significantly less impact on overall public health than a slightly safer cigarette smoked by 80 per cent of the population. We are certainly adopting a policy of gradualism, trying constantly to reduce the yields of our product and at the same time, this is vitally important, ensure that the smoke or the product that is presented to the public is acceptable because if it is not then we are not achieving anything.

Dr Brand

  477. Can I pursue that slightly. If you are lessening the smoke, which is a nice phrase, but at the same time you are trying to keep the smoker satisfied, are you altering the way that the nicotine is being delivered even if a smaller amount is available? Is it more readily accessible?
  (Mr Wilson) No.

  478. So there has been no change in your use of additives, aldehydes and substances of that sort, during that particular period?
  (Mr Wilson) In the UK Virginia cigarette hardly any additives are used. You raise an interesting issue as to maybe we should. There is an issue, there has been for some time, we have explored it and there was an interesting paper in Tobacco Control contributed to by Mr Bates and Martin Jarvis recently on this whole question of the relationship between nicotine and tar. If tar is what is causing the damage and nicotine is making a significant contribution to what smokers want there could be a case for increasing the nicotine to tar ratio. We have not done that. We have looked at ways of doing that but we have not done it because if we did so our motives would be misconstrued and I really do not want to do that. It comes back to the importance of dialogue with government. We were encouraged by the Independent Scientific Committee to pursue this. They decided not to launch it and we decided not to launch it because we would be accused of manipulating the nicotine levels. This is the sort of area where dialogue with government would be extremely important, valuable and is probably the only way we can move forward on projects like that. I am not advocating that route. It is a route which to me is worthy of more work.

  Chairman: I would like to come back to you, Mr Wilson, on the compensatory smoking issue which arises directly out of what you have said. Stephen, I apologise for that.

Mr Hesford

  479. Can I ask how much each of the companies spend annually as a proportion of your annual turnover?
  (Mr Wilson) It varies.


 
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