Select Committee on Health Minutes of Evidence



Examination of witnesses (Questions 1320 - 1339)

WEDNESDAY 9 FEBRUARY 2000

RT HON ALAN MILBURN and MS YVETTE COOPER

John Austin

  1320. Cigarettes are neither food nor pharmaceutical products and therefore they are not subject to the same sort of stringent safety regulations, labelling, content information, et cetera. Nicotine replacement therapy, because it is a pharmaceutical product, goes through a whole series of stringent tests and regulations, whereas a cigarette—and the best description we have had of it is a nicotine delivery vehicle; a very effective one—does not. Does it not seem paradoxical that nicotine replacement therapy, which is aimed to wean people off cigarettes, is highly regulated, rightly so, but the product which, when used according to its manufacturers instructions, kills half the people who use it, is virtually free of regulation? It has been suggested to us that there may be a case for a Nicotine Regulation Authority, either free-standing or part of some other agency. How do you feel about that?
  (Mr Milburn) I think the first point you make is an extremely telling one. On the face of it, there is an enormous anomaly between nicotine replacement therapy being registered as a medicine and having to pass all the regulatory hurdles it has to go through in order to be made available to people, in this case over the counter rather than through prescription on the NHS, and cigarettes which, as you say, deliver nicotine pretty effectively and in the process transform lots of people into people who need to have their craving satisfied on a regular basis. That comes about as a consequence of history. We have had 500 years of tobacco consumption in this country and probably thousands of years of tobacco consumption across the world, so we are where we are. I think what is undoubtedly necessary in my view are two things; (1) better disclosure and (2) better regulation than we have at the moment. I do not think there is any doubt about that. I think the issue for debate is where best that should happen, whether it should be at the UK level or at a European Union level. Let me give you an example of what I mean. As you are probably aware, the previous Government in March 1997 entered into a voluntary agreement with the tobacco industry about the disclosure of the additives that went into tobacco. I think you are aware that there are around 600 additives that are added to tobacco. Incidently, Chairman, I do not think it is any coincidence that until very recently, it probably coincided with that Committee's inquiry into tobacco and cigarette consumption, the Department of Health was not given information about which particular additives were added to which particular brand of cigarettes. Indeed, we are still not given that information. We are now given information on a coded brand basis. That information under the provisions drawn up by the previous Government with the industry is made available to us on a confidential basis. So we now know for the first time what sort of additives are in certain products of cigarettes. We cannot identify which brand of cigarette it is. I thought I would give you a flavour of some of the additives that are going into an individual cigarette. I do not know which brand it is, I have no idea. These are some of the additives in one brand: sucrose and sucrose syrup, which as I understand it is a form of sugar, it sweetens it; propylene glycol, I have no idea what that is; glycerol; calcium carbonate; cocoa; cocoa shells and extract; cocoa distillate and butter, which again on the face of it is a sweetener; liquorice root fluid extract and powder, flavourings and then a whole host of things that I cannot even pronounce including ammonium hydroxide, diammonium hydrogen phosphate, citric acid, sorbic acid, sodium phosphate, 4-hydroxy benzoic acid and other forms of acid. We have that information and it is provided to the Department under the confidential arrangements drawn up by the previous Government. I think there is a very strong obligation now on the tobacco companies who have supplied that information to us to do three things. First of all, to supply the Department of Health with the details of the brands for each of these additives. Secondly, to supply this Committee with the brands for each of these additives and, thirdly, and most importantly of all, to inform consumers of the additives that go into the cigarettes that they are consuming. That does not seem to me to be unreasonable. People do have a right to decide whether or not to smoke, they can choose to do that, but they also have a right to know what it is that they are smoking. This points to the need for much greater disclosure in my view, first of all and it points to the need for much greater regulation in future than we have had hitherto. I know this is a long answer, but I do think the issue of what is happening at a European level is very important because, as you are aware, we are now negotiating for a brand new European Union directive on this. I can tell the Committee that we had our officials over in Brussels on Monday negotiating on this. I think we are about to see a very very important first step in Europe which will aid disclosure and which will aid regulation. The discussions that are taking place in Europe are about the new directive that will cover a host of issues, including in draft form reducing the maximum tar content of cigarettes, introducing a maximum nicotine level in cigarettes, introducing a maximum level of carbon monoxide in cigarettes, allowing Member States to require further tests of substances in tobacco, extending the space devoted to health warnings and these are the two key things, requiring tobacco manufacturers and importers to inform Member States of all the non-tobacco ingredients by brand together with relevant toxicological information demonstrating that the ingredients are safe and, finally, banning the use of terms such as "low tar", "mild", etcetera which have the effect of conveying the impression that a particular tobacco product is less harmful than others. That is the draft directive. I want to see it strengthened and I want to see it strengthened in two or three regards. First of all, I want to know that the public across the whole of Europe and particularly in this country know which additives are added to their cigarettes and why they are added because we do not know that right now. So my view is that there should be full public disclosure around this directive when it is implemented. Secondly, I think it is tremendously important that, although this would be a good first step in requiring disclosure and better regulation, we are able to review the directive so that as new scientific information comes on line about how we should regulate tobacco products we are able to amend the regulation. There is an argument about whether regulated low tar, for example, has any effect at all. The jury is out on that and at the moment we do not have in my view a viable alternative in terms of regulation, but we may have and therefore it is very important that we are able to amend the regulation in due course. Thirdly, I think there has to be at a European level an independent scientific committee that is able to monitor and assess the information that is received precisely in order to deal with some of these issues that are raised by these products. Until very, very, very recently indeed nobody knew about any of this except the tobacco companies themselves. We now know. I do not want to be the only person in the country other than the tobacco companies that knows about this.

Dr Stoate

  1321. I would like to thank the Secretary of State for such a full and extremely reassuring answer. You gave a list of additives, but I could give you information about what they are doing in there from what we have been told as a Committee. Many of those are in fact innocuous substances, they are sugars, chocolate, flavourings and so on. On the face of it they only do relatively harmless things to people, but we have had evidence on this Committee that it is quite likely that what they do is they make the smoke less harsh, more palatable, nicer tasting and so can make smoking more acceptable to young people and make it easier to take up the habit. We have our severe doubts and reservations about what these additives do. We are concerned on two levels. One is the possible ill-effects of the additives themselves and, secondly, what the additives are doing in terms of increasing the palatability of smoking and therefore the likelihood that people will take it up and sustain the habit. Is the Government prepared to go further and actually take unilateral action on this? You are telling us that you have got confidential information at the Department about what the additives are. Would you be prepared to go further and demand that the brands be revealed both to you and to this Committee?
  (Mr Milburn) That is precisely what I want to do. Frankly, if the tobacco companies have got this information, which they have because they have supplied it to us, then they are under an obligation to supply it to the smokers who consume their products. I would hope the Committee would join with me in pressing the tobacco companies very, very hard indeed to reveal this information so that people who smoke cigarettes know exactly what it is that they are smoking, because it is not just the individual products in isolation, what we also need to know is what is the effect of the additives in combination. At the moment, as you are aware, under the existing arrangements, additives can be added for any reasonable purpose at all providing they are shown to be safe, and it is desirable but not compulsory for the manufacturers to detail the purpose of use, and I simply do not think that is good enough.

  1322. Having given that very reassuring answer, Secretary of State, are you now prepared to demand rather than express your wish that these companies will break their own code? What powers do you have to demand the breaking of this code? What powers do you have to ensure that that information is given on the packets and in literature available to patients?
  (Mr Milburn) I am advised of two things. One, this was an arrangement which was entered into not by me—

  1323. I accept that.
  (Mr Milburn)—not by me, for information which was provided in confidence.

  1324. What are you prepared to do now?
  (Mr Milburn) Secondly, I am advised there are doubts about the legal powers I have in order to make this sort of information available. I will clarify the legal powers I have. If I have the legal powers, it seems to me to be absolutely appropriate that as Secretary of State for Health I make available to the public what information I have been provided with and which the tobacco companies hold. If you want me to use the word "demand", I am quite happy to say "demand". Sure, I demand that, I do not know whether that has any effect at all. I think, more importantly, actually the tobacco companies are under an obligation. Let us make no bones about this, this information is not buried away anywhere, the tobacco companies have it, they have made it available to me. Some tobacco companies, as I understand it, have gone even further. In one or two cases under the confidential agreement—and I have not seen this—at least one company has now identified a brand and the particular additives. Well, if one company can do that, they can all do that, and if they have the information they should put it in the public domain. I ask nothing less. I do not think that is an unreasonable request. People who are consuming any product, whether it be food or whatever, have that right—when I go into a supermarket, like you, I look at the product, I see what is in it, and I make a decision—and I do not believe smokers should have any fewer rights than that.

  1325. That is very reassuring but it raises two questions. One is, if you are prepared to go that far, are you prepared if necessary to seek legislation to force this? If you are told you have not got the powers, are you prepared to seek further legislative powers to do that? The second question, about additives in food in supermarkets, many people complain that although they have the list of ingredients, they have no idea what the ingredients are and what they are doing in there and whether they are good or bad. So are you prepared to go further and demand there should be far fuller information on exactly what those additives do and what they are doing in there?
  (Mr Milburn) I think that is where the European Directive is so important, because that is precisely what it does. I am not abdicating responsibility in any way at all, I just believe it is more sensible in this case for this to happen at European level rather than UK level, and that is for a very simple legal reason. That is that additives which are added in one member country automatically under reciprocal legal arrangements have to be added in this country. So if the Spanish authorities, the German or Greek authorities decide that additives are going to be added in their countries, then they can be legally added in this country. So the answer, it seems to me, is to get this sorted out at a European Union or European Commission level. We have the opportunity to do this through this new draft directive. There will be all sorts of toing and froing, as there always is in these negotiations, but our position is absolutely unequivocal on this, we are going to be arguing very, very hard indeed not only for the directive as it is drafted but also for full public disclosure, and I think that must be the right thing to do. The tobacco companies have an unhappy history of not making information available to the public. That was the very first question I was asked in here today. They have an opportunity to put that behind them actually, they have an opportunity to put that right and to do the decent thing and I believe they are under an obligation to do so.

Mr Hesford

  1326. Can I take up, what I consider to be one of the more vital areas we have discussed this afternoon, and I am grateful for what you have said so far, and can I link this to packaging? It became absolutely clear when we saw the five chief executives of the companies that one of the vital things they see as part of their marketing exercise is the packaging. The idea, if you do not mind me saying, that we should have to wait for European legislation fills me with dread because you have to go through a process—
  (Mr Milburn) As a point of information on that, and I understand that fear—I understand it all too well because I have to negotiate it—as I understand it, the Presidency held by the Portuguese at the moment are very, very keen on this directive happening. Obviously there has to be agreement between the Council, the Ministers and the European Parliament, but I am hopeful there would be such agreement. If all goes well, I am hopeful by May this year we can have made progress on this directive. So I do not want the Committee to feel that this has somehow been shunted into the long grass. I want both a tough directive and I want an early directive too.

  1327. Just on the directive and the effectiveness of the directive, it is not just a question of getting it on the European statute book, you have a lead time and if this does not come in until 2010—which is possible, we have seen it dozens and dozens of times with these things—it is hopeless. So I have to say that does sound like an abdication of responsibility, not by you personally, not by anyone in this room necessarily, but an abdication of governmental responsibility in what we have identified as being a crucial area. Could I ask ministers to consider that as a distinct possibility? I cannot understand at all why we cannot legislate ourselves on the question of packaging. There are three issues about packaging a cigarette—
  (Mr Milburn) You are now not talking about the additives?

  1328. I will link in the additives in a second. There are three parts to the question of packaging. One is the brand, and the advertisers are very keen on getting their brand over to the public—the Marlboro Man and that sort of thing. I think in certain states in Canada they have taken the brand off and we could legislate to do that, stop them having the brand on the packaging. That should not be on. You have already said, helpfully, that the implied health gain in light and low tar should not be on the package because it is misleading and it is wrong. That should come off. So that is what should not be on. The health warning, which has been touched on, should be bigger. These things are for regulation and legislation.
  (Mr Milburn) At the moment actually they are subject to voluntary agreement, it is not even regulation.

  1329. My point is that it can be done through the process of regulation and legislation and it would remove Marlboro Man from the packet and then there is lots of space on the packet to put on the health warning. There is one packet, I think in Canada again, where they have put damaged lungs on the packet, which sounds gross in terms of our present cultural thinking on cigarettes, but it is an important question if you are seriously trying to address the issue of youngsters picking up a packet of cigarettes and thinking it is cool to smoke. The tar yield is appearing on the packaging and is almost a meaningless concept, nobody knows what it is, and more should be done on that and health people have already touched on that point. The last point is the ingredients or additives. I could list the top ten either additives or ingredients, and you have helpfully listed some before, but why can we not legislate to have those on the packets? I know it will not necessarily tell people what they are, but if they knew that cyanide was part of a cigarette, I think that might be a fairly useful piece of information; if they knew that lead was part of a cigarette, that would also be helpful; likewise, carbon monoxide. The Health Education Council furnished us with that information which no doubt you have seen and have well in mind. Apart from nicotine, tar and carbon monoxide to some extent, consumers have no idea there is any other ingredient in a cigarette, good or bad. What I am saying is that whilst I can understand a European-wide approach, I am not sure the Committee would be able to see either any reason why we cannot do some of this, if not all of this, today in our own country. You have already said voluntary agreements do not work and clearly they do not work. One of the criticisms of Government since the 1940s and 1950s is that there has been a too pally-pally relationship with the tobacco companies which only served one part of the partnership and that was the tobacco companies, it did not serve the Government or those that they represent. Why can we not just crack on with these issues?
  (Yvette Cooper) In a Single Market there are restrictions on some of the things that we can do, especially on things like packaging, labelling and things like that. As I understand it, because there are European Directives which cover issues like labelling and packaging already that constrains our ability to do things independently. In all of these fields there are things that we can do independently on health grounds, but a Single Market product is clearly something which is sold right across Europe and we have a directive on the table at the moment and we have huge scope for making progress on this directive at the moment and so this is clearly the right place for us to be having this argument right now. One of the things is expanding the size of the warning, certainly. The point about the Canadian warnings is very interesting and we will have to look at the impact of that. Obviously the purpose of the tobacco education campaign that we have run so far has been very much about supporting smokers to give up and so it has been a case of telling people not to give up giving up and that has been helping people. We have not used the quite gory images that have been used in the Canadian campaign and we will obviously keep an eye on that and monitor how that goes down and what impact that has. The Canadian thing is not necessarily portable. As to whether you should remove everything from the packaging altogether and just have plain packets. I think one of the most important things when they talk about the branding and the importance of the packaging in terms of communicating the message or the ethos or the aspirational thing about the cigarettes is the link between the packaging and the advertising. So it is not simply what the packet looks like, it is the link between the packet and the advertising, the way in which the brand is communicated to the audience and sold as part of your aspiration, i.e. this is the kind of person you want to be. By bringing in a tobacco advertising ban you break that link. If we were to go further and try and take the label off the front of the packet and make the packet generic, we are advised that there would be huge legal problems with doing that kind of thing because there are all kinds of intellectual property rights around owning the brand and so on. I understand there are a lot of legal complications on this. The broader point you make is absolutely right, which is that we will have to get more information out and we will have to get more information out through things like the packaging, through things like expanding the warnings and get it out to people in a form that they will understand it and read as well. I think the idea that we can just put a few little ingredients tucked at the bottom of a packet is not going to communicate to people the huge risks that they are taking and also quite what some of these additives involve.
  (Mr Milburn) I think members of the Committee are aware that there are around 600 additives that go into cigarettes. Members of the Committee are probably not aware of what those 600 are. We can supply that information to you. More importantly, it is our intention to put it on the Department of Health's web site before too long so that not only Members of Parliament can get access to it, smokers and non-smokers alike, but members of the public can.

  Chairman: I am conscious that we still have a number of areas we want to explore. Can I appeal to Members to be brief with their questions and to the witnesses to be brief with their answers.

John Austin

  1330. Could I raise one other issue about this word "addiction" because it seems to me that when the tobacco industry have come to see us they have tried to down-play that and refer to it as a habit rather like the Internet and shopping or doughnuts or whatever, whereas the evidence we have had is that nicotine is a very powerful addictive drug. I think Professor Donaldson in his evidence said that to use the word habit is to downgrade the seriousness of the addiction. Do you think there is some merit in making the public more aware of the addictive nature of nicotine either by labelling or some other method?
  (Mr Milburn) I think the evidence is pretty compelling. You will be aware that the Royal College of Physicians just yesterday produced their report which I am told makes out a very good case for precisely the argument that nicotine is deeply addictive and that modern cigarettes deliver nicotine in a very effective form indeed. I think that is right and I think that is why the European Union draft directive is important, because it raises not just the issues that we have known about and, frankly, have concentrated on, low tar and carbon monoxide as issues of real health concern but also the level of nicotine in the product as well. They have tried to set some bench marks for that. Yes, I think we do need to get that message across more cogently to the public.

  1331. The other issue I wanted to pursue was this question of advertising. It seems from the evidence we have seen from the advertising agencies employed by the tobacco companies that they are already looking at all sorts of ingenious ways of getting round an advertising ban and of using images and logos in other advertisements and other promotions which are associated in the public's eye with cigarettes. We also had evidence that particular groups were being targeted, for example, at Spanish airports, British holiday makers, advertisements in English language tabloids, in Spanish holiday resorts, etcetera. Do you think there are some measures that you can take beyond those already taken to undermine those sort of efforts?
  (Yvette Cooper) Obviously what we have to do is monitor the ban as it is implemented and as we see what happens. I think the evidence that you have taken on this was extremely interesting. There are provisions in the directive for things like brand sharing and things like using the brand. Camel Boots is one that is often used. After a certain period, I think it is 2001, Camel Boots will have to be a distinctive brand from Camel cigarettes, for example, so they will not be able to use that kind of brand sharing as a way round the advertising ban. If there are ingenious ways in which the industry gets round the ban we will just have to look at it again. It is hard for us to anticipate now when the ban is not yet in place exactly what things they may come up with. We have gone to a lot of lengths to try and anticipate any possible problems like that and to try and make sure we avoid that, but I think this is going to be an argument for monitoring it very closely if it goes on.

Mr Gunnell

  1332. Secretary of State, you have already mentioned your concern about environmental tobacco smoking and passive smoking. In the White Paper Smoking Kills you state that the Government does "not think a universal ban on smoking in all public places is justified while we can make fast and substantial progress in partnership with industry". It will not surprise you at all to know that the tobacco industry people who talked to us on this same matter said that it was important and we could proceed by voluntary agreements. We found that in the United States they proceed much faster without voluntary agreements. Do you think that voluntary agreements with the hospitality industry or with smoking people in general are really delivering smoke-free environments for non-smokers? Are non-smokers sufficiently protected in the workplace? What do you think about the views put forward by FOREST that smokers' rights and freedoms are under siege? What we found in Washington was that there were smoke-free environments because they were policed and because they had a very effective system and so when smoking occurred in what should have been a non-smoking eating place they made sure they put a fine on the proprietor of that eating place. The second time they are caught with smoking going on in the same place, the fine is doubled, and that happens every time, so that before long the establishment knows they cannot afford another fine at double the previous one. They therefore police it very effectively themselves. That is a much tougher way of dealing with that and I wonder if you think it is time we decided we were not getting far enough with voluntary agreements?
  (Mr Milburn) I do not, in all frankness. I think banning smoking in public places has been a pretty mixed bag, frankly. You say it works in Washington, well, it certainly has not been particularly effective in Paris. The French authorities have found the French public have not necessarily reacted as positively as perhaps the American public have to the idea of having their choice restricted in that way. The important thing here is that we are not dealing with the tobacco industry, we are dealing with the hospitality industry, which is a quite different industry, and it is one I am prepared to give the benefit of the doubt to. I think the hospitality industry wants to work in partnership with us in making these voluntary agreements work. As I said earlier, I think in response to the Chairman, I think it is in their interests to do so and in their commercial interests to do so, to make this choice more widely available to people. Some people will want to go down the pub and will want to smoke and non-smokers will want to join them and will be happy to do so, and that seems to me to be perfectly reasonable. Equally, there will be people who do not want to smoke and who do not want to be bothered by smoky atmospheres. What we have to do is make sure that we have the appropriate safeguards and mechanisms in place to ensure that that happens. I think that is far more preferable, for all sorts of reasons. To tell you the truth, I do not really want the police and the other organisations who are already under pressure in terms of their workload to do yet another big policing and monitoring exercise. We talked earlier about the lack of enforcement around vending machines, for example, and point of sale, and the difficulties we already have there, and I do not want to create yet another barrage of activity which has to be monitored and policed. I would far rather this worked on the basis of agreement. As I say, I think it is in both our interests on public health grounds and in the industry's interests on commercial grounds to make this happen. We have made good progress. I can tell the Committee that before long—I think next month—my officials are meeting with representatives of the pubs sector to talk about a definitive setting of targets around some of these areas for making more non-smoking areas available in pubs. If we can get that right in pubs, then we can roll it out elsewhere, in restaurants and so on.

Mrs Gordon

  1333. I think one of the most chilling things I have heard recently about the effects of passive smoking is from the recent report into the Confidential Enquiry into Stillbirths and Deaths in Infancy, which indicated that Sudden Infant Death Syndrome was substantially more prevalent in houses where an infant was exposed to tobacco smoke. Indeed, "the more hours the infant was exposed to smoke the greater the risk." That is a really frightening thing. I would like to ask what steps you are taking following this evidence and, in particular, how you are going to get this information out to parents and pregnant women?
  (Mr Milburn) You are right, this is an extremely disturbing finding indeed, and it is one we have got to try to act on. We are working with various organisations, including the Foundation for the Study of Infant Deaths, to target publicity at expectant mums, and there is a big effort going in there, as the White Paper says, to persuade women who are pregnant not to smoke during their pregnancy because of the adverse effects that has not just on themselves but on the babies. But also we know that particularly in the light of this cot death study there is much more we need to do. This is a leaflet I have brought along which we are producing with the Foundation about reducing the risk of cot death. It is due to be published very shortly, sometime later this month. It does warn mums and dads about the risks associated with smoking, particularly when there is a very young child in the room. That will be made widely available. We will also look to see what we can do in the context of our advertising campaign to make sure that parents are fully aware of these facts. It seems to me extremely important that we do that.

Audrey Wise

  1334. A different tack altogether. In Brussels we discussed the issue of subsidising in the EU tobacco growing, and we were told the current tobacco subsidy amounts to 1 billion euros, which is approximately £613 million at current exchange rates. This was presented to us as, "It is not as bad as it sounds because it is only 7 per cent of the CAP total subsidy." We did not look at the "only 7 per cent", we looked at the £613 million and thought, "This is part of our taxes." What is your view about that subsidy?
  (Mr Milburn) My view, the Government's view, is that we strongly disapprove of the CAP regime as it applies to tobacco growing. We disapprove of it both on financial grounds, the cost of it, which as you say is substantial, and on health grounds too. We have achieved some minor but significant steps particularly in the 1998 agreement around the reform of the Common Agricultural Policy. To be fair to the previous Government, they tried to make some inroads into this in 1992. We have made some improvements but there is a long way to go. So, for example, we are in a better position now to buy out producers who no longer want to produce tobacco, we are in a better position to recycle some of the money which goes into tobacco growing into the Community Tobacco Fund which, amongst other things, provides precisely the sort of information and education we have been talking about in the UK context across the European Union. The whole thing will be reassessed in 2002 when the Commission are due to come back and report to us on further changes which might be necessary in the regime. But as it stands, it is completely and utterly unacceptable.

  1335. I would be grateful, and I think the Committee would, if you could have set down on paper for us the improvements which you feel have happened during the last few years.
  (Mr Milburn) I would gladly do that.

  1336. I noticed that Baroness Hayman in an answer in the Lords not only listed the countries involved, the receiving countries, but also said that tobacco "still attracts the highest premiums per hectare under the CAP regime." So not only are they subsidised but they are subsidised at a higher rate than the people producing useful products. We have also had evidence that in any case tobacco is a valuable crop, so a valuable crop is being subsidised at a higher rate than less valuable crops. It has been put to us elsewhere that this makes it actually harder for people to switch from tobacco growing to something else because that is going to be a lower value crop and they are going to lose their subsidy. Can you make absolutely sure that this is also tackled because that could be a half way house? A reduction per hectare is not good enough for me but it would at least be an advance. Do you favour that as a possible gradualist approach?
  (Mr Milburn) That is possible. I certainly do not want to leave the Committee in any doubt about the Government's resolve and determination in this area. We know it is a hopeless and unacceptable regime and it is costing a pretty penny and has adverse health consequences. So we will continue to argue very, very strongly for very, very radical reform not just of this particular element of the Common Agricultural Policy but of the CAP in general, but as Committee members are aware, we are slightly up against it because there are eight countries which are tobacco producers and it is just possible they may take a very different view from ours. We have got to hammer these things out, but I do think we will have another opportunity in two years' time to look again at what the Commission proposes, but undoubtedly we have got to make further progress in this area.

  Audrey Wise: It completely undermines the argument. Apart from the practicality of £613 million going, there is the very simple argument, "Well, if it is as bad as you say, why is it allowed? If it is as bad as we say why do our taxes go to subsidise it?" If I were the tobacco companies I would be making hay with that argument and I am quite sure they will at some stage.

Mr Amess

  1337. Can you tell us what the latest position is regarding the European Union advertising ban or are there problems with Mr Eccleston?
  (Mr Milburn) Not that I am aware of. In terms of the advertising ban, I think the Committee is aware that we are in pretty protracted legal territory here. We initially lost the case in the High Court against the tobacco companies. We won it in the Court of Appeal and subsequently the industry then appealed that decision and they were successful in their appeal to the House of Lords. As I understand it, the earliest date for a hearing of the appeal in the Lords is likely to be towards the back end of May this year and that means that we would not get a judgment probably until June and that realistically in term means that, allowing Parliamentary time and so on for regulation, we could not get these introduced until July, which is extremely disappointing indeed. Of course, the industry has the right to fight this in the courts if it wants to, but it ought to understand two things in my view. One is that the public and smokers themselves, from all the evidence we have seen, support the Government's position on the ban on tobacco advertising and, secondly, there is a manifesto commitment and come what may we are going to deliver it.

  1338. Why does the draft directive stipulate a European Union maximum tar yield of ten mg given the current scientific consensus that compensatory smoking undermines any potential health benefits of lowered tar? And was thought given to setting a maximum nicotine level lower than the proposed one mg cigarette which merely matches current yields?
  (Mr Milburn) I referred to this earlier. You are now talking about the new draft directive?

  1339. Yes.
  (Mr Milburn) I think the Royal College of Physicians' report also argues that for 20 or 30 years we may well have been chasing the wrong target with low tar and persuading people to give up smoking and if they cannot to give up, to switch from high tar to low tar brands. That might not necessarily have produced the dividends that we had hoped for in terms of health improvements because the evidence seems to me pretty compelling and you have heard it in the Committee, the fact that smokers compensate for low tar in the way that they smoke the cigarette. However, as I understand it we have got to take the evidence from the scientists on this and from the medical community. At the moment we do not have an alternative means of assessing what the correct bench marks are for assessing tobacco. I think Liam Donaldson, the Chief Medical Officer, was quite right when he came here and urged some degree of caution around the idea that there can never be such a thing as a safe cigarette. I think that is something that people have been chasing for very many years indeed and it has proved to be erroneous. The difficulty is the obvious one here and that is, even if we came up with a better measurement of the way that cigarettes are impacting on people, in truth we probably would not know for several decades whether that was right or wrong and that is our problem around this. In terms of the directive, we think that the reduction in the tar content may not be the best thing, but in the absence of any alternative measures the view that I have expressed strongly to officials who are negotiating this at the moment on our behalf is that we should go with it because I do not want to hold the directive up.

  Mr Hesford: The issue of smuggling has been highlighted recently in the press. When we questioned the tobacco bosses there seemed to be some support for the evidence in what I would call their evasive answers around these issues. Gallaher and BAT certainly seemed to be implicated. What is the Government's view of this and what is on offer to try and get at them for whatever they may be doing? Ken Clarke, on behalf of BAT, calls it doing everything they legally can in order to join what is in effect an illegal market and to me that is a contradiction in terms. What can the Government do and what is the Government doing?


 
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