Thursday, 14 November 2013

We told you this would happen (episode 500)

Another one for the "I told you so" file...

The evidence that smoking causes lung cancer is definitive. It took a few decades, but cigarette packs now carry prominent health warnings to alert us to this risk. 

Actually, it took one and a half decades and—this being Australia—the packs are now nothing but health warnings. Still, cigarettes are a "unique product" right? 

Wrong.

When it comes to dietary patterns, convincing evidence collated by the World Cancer Research Fund also shows that regular consumption of some foods and drinks increases the risk for specific cancers.

It’s time to begin making consumers aware of the cancer risk associated with regular consumption of particular foods and drinks, through front-of-pack warning labels.

But cigarettes are the only legal product that kills "when used as intended by the manufacturer", right?

Wrong.

While the official recommendation is to limit alcoholic drinks to no more than two a day for men and one a day for women, when it comes to breast cancer risk there is no safe level of intake.

Fortunately I don't have breasts. No nannying for me, right?

For processed meat, there appears to be no completely safe level of intake

Aw, shucks. What if I don't eat meat?

The evidence indicates that salty and salt-preserved foods are probable causes of stomach cancer.

Doggonnit! Looks like it's a teetotal, salt-free, vegan life for me. Bring on the warnings. 

Then comes the graphic warnings, then the display bans, then the plain packaging...

...and on... and on... and on...


Eric Crampton has more to say about this, including a good suggestion for what labels should be put on alcohol.



Wednesday, 13 November 2013

E-cigarette summit

I spent an enjoyable day at London's E-cigarette Summit today (top marks to the E-Cigarette Forum for putting it together). I heard that the organisers struggled to find 'public health' people to appear on stage despite the fact that it was held at the Royal Society and was not in any way organised by the tobacco industry.

Apparently the fact that a handful of people in the audience—an audience of hundreds—work for Big Backy is now enough to dissuade true believers from entering the building. They make themselves look ridiculous with this cult-like behaviour and they increasingly find themselves left out of an important conversation.

Good. The dinosaurs of the public health racket are irrelevant and their extinction is long overdue. I'm delighted to see that the British public do not believe the lies of the British Medical Association.

ASH's Deborah Arnott was there, however, with a presentation that began with this quite brilliant explanation of free market economics...


Anyone who needs to check Wikipedia to find out how business works—and feels the need to explain it to a room full of grown ups—probably isn't the biggest fan of capitalism, and she went on to say that every industry is as bad as the tobacco industry.


In a way, this is true. I've said before that the notion that Big Sugar, for example, "uses Big Tobacco-style tactics" means nothing more than that they try to sell their product in a hostile environment in which fanatics think they should not be selling it. Those who know their history would say that there were times when Big Tobacco went far beyond merely "maximising profit" in the mid-20th century, but that's all coming out in the wash now. For the statists of public health, the pursuit of profit (as opposed to the pursuit of government grants) is always and everywhere a threat to health, while bans and heavy regulation are the cure.

This is abject bollocks, of course. The elephant in the room at this conference was snus—a product that was banned with the same spurious arguments that are being made against e-cigarettes today. It was claimed that snus would be a 'gateway' to smoking. It was said that it appealed to kids. There were fears about 'dual use'. Yap, yap, yap. Thirty years on, there is indisputable evidence from Sweden that snus was a gateway away from smoking and that its use amongst 'kids' prevented them from taking up cigarettes. If the snus companies had been allowed to "encourage uptake" in the 1980s, hundreds of thousands of lives would have been prolonged across Europe. The smoking rate is so much lower in Sweden (13%) than in the rest of the EU (28%) that it is ridiculous.

You might expect the public health cranks to have some humility in the face of this massive cock-up. It would not be unreasonable for them to be investigated and clapped in irons. But no. Instead, they stampede, blinded and cack-handed, into the well-functioning free market of e-cigarettes and demand yet more destructive regulation.

Who are these people and why should anyone listen to them? How do careerist barkers like Deborah Arnott, Linda Bauld and Anna Gilmore get a high seat at the table while ordinary vapers have to spend their own time and money begging for a hearing? What has any of it got to do with them?

The star of the show was Jeremy Mean of the MHRA. He constantly reminded me of Ronald Reagan's maxim that the nine most terrifying words in the English language are "I'm from the government and I'm here to help". He was as eager as a puppy dog to start regulating e-cigarettes as medicines and when he showed you his photos of the Athlete's Foot cream and skin lotions that are his usual stock-in-trade you could see why. Finally, he was going to get a chance to regulate something that isn't a medicine.

E-cigarettes are so obviously not medicines that I was impressed by Mean's ability to keep a straight face while claiming the contrary. He and Arnott are confident that the heavy hand of government regulation is just what is needed to bring innovation, excellence and efficiency to the e-cigarette industry. I am sceptical about this claim to say the least, but it is a proposition that can be tested if, in five years time, medically regulated e-cigarettes have dominated the market at the expense of un-(medically)-regulated products.

The only way to carry out this test is to do what I see as the obvious solution: make companies go through medical regulation if they want to make medicinal claims (eg. "this is a proven smoking-cessation aid") and leave companies alone if they want to market their products as recreational devices.

This is a solution that should please everyone. It's what the consumers want (see Mean's slide below). It's what the e-cigarette industry wants. It's even what the European parliament wants. But the bureaucrats and the public health racket will keep pushing for total medical regulation because—as I have argued before—medical regulation of e-cigarettes is not about health, it is a power grab.



Monday, 11 November 2013

Lobbying on the BBC. Heaven forfend!

David Nutt has got himself in hot water for what appears to be a sales pitch on BBC news.

The BBC made an "outrageous" decision by letting a controversial academic appeal for investment in a new drug which could prove addictive on Radio 4, according to critics.

Professor David Nutt's discussion on the Today programme of a drug he has helped develop which mimics the effects of alcohol was "lobbying which got disguised as a science item", one critic claimed.

A leading drugs charity rebutted Nutt's call for the Government to give an "explicit recommendation" in support of the drug, urging caution and warning that the invention could simply swap "one addictive substance for another".

The criticism follows Nutt's appearance on the BBC's flagship current affairs programme on Monday morning in which he discussed a drug which creates the intoxicating effects of alcohol without the negative health implications such as memory loss.

Repeated references were made during the segment to the fact that Nutt is seeking investment in his drug, which remains in the development stage.

Let's leave aside the point that "swapping one addictive substance for another" is what harm reduction is all about. I didn't hear the item and I am very sceptical about Professor Nutt's invention, but this sudden outrage about BBC news items being used for lobbying is hilarious. News items are constantly being used for lobbying, especially those related to health and science. Do you think that surveys asking teenagers what they think of cigarette packs are reported because they are of urgent scientific importance? Do you think that the UK Centre for Tobacco and Alcohol Control Studies conducts research to advance human understanding? Does the British Medical Journal publish studies that estimate the effect of a fizzy drink tax because they appeal to the intellectual curiosity of its readers?

Of course not. It's lobbying disguised as science all day long. And even when the news story isn't directly about the policy, the campaigners find a way to crowbar it in. A case in point is this very story about David Nutt...


Emily Robinson, deputy chief executive of the charity Alcohol Concern, rebuffed Nutt's call for the Coalition to throw its weight behind the new drug.

"We would urge caution on this. We agree that alcohol is a serious burden to the country. But what we would urge the Government to do is invest in policies that we know work to counter the problems of alcohol like minimum unit pricing and advertising restrictions," she said.

See what she did there?

David Nutt's crime appears to have been exploiting a news story in a way that could benefit him personally rather than impoverish everybody generally.



Wednesday, 6 November 2013

More drivel from Bath University

Is it me or are kids getting older?

Teenage binge drinkers are being encouraged and targeted by the new ways alcohol giants are advertising on social media like Facebook and Twitter – and tighter regulations are needed, a West health expert has warned.

Who are these youngsters?

The Bath University professor teamed up with colleagues in New Zealand to research how 18 to 25 year olds responded to online marketing of drinks brands, and said the online marketing “encourages a culture of intoxication – or extreme drinking” among young adults.

So the "teenage binge drinkers" are adult men and women who are legally allowed to buy and consume alcohol. They are perfectly legitimate targets for advertising and this research is therefore irrelevant. There is nothing to see here.

Mention of Bath University should arouse the spider sense of regular readers. Sure enough, the erstwhile UK Centre for Tobacco Control Studies is behind it. In a flashing neon light example of the slippery slope in action, the UK Centre for Tobacco Control Studies has renamed itself the UK Centre for Tobacco and Alcohol Studies. See how it works yet?

This particular piece of policy-based evidence is not available online but Bath University's Policy Brief (a telling name) gives a flavour...

Alcohol marketing is pervasive across social media, taking a variety of forms, such as branded smartphone apps that indicate how to “reach a state of pure inebriation” with the least calories or the lowest cost.

I've never heard of that app and I doubt many people have. Nor have I ever noticed that alcohol marketing is pervasive on social media, despite me actively following a few booze companies on Twitter. By contrast, I have noticed that spurious, politically motivated research designed to curtail our freedoms and pick our pockets is absolutely endemic.

As with anything on the internet, if you look for alcohol companies and pubs online, you'll find them and if you express an interest in them on Facebook - as this researcher obviously has - they will find you because of targetted marketing, but that does not make it "pervasive". But even if it was pervasive, we are - let's say it again - dealing with grown adults so who cares?

The regulation of alcohol marketing should include new media and digital marketing


Er, it does. See the Advertising Standards Authority...

The UK advertising rules for alcohol are amongst the strictest in the world. The rules are based upon evidence that points to a link between alcohol advertising and people’s awareness and attitudes to drinking. Accordingly the rules, independently enforced by the ASA, were significantly tightened in 2005 and were again re-evaluated and subject to full public consultation in 2009.

The stringent rules, which apply across all media and are mandatory, place a particular emphasis on protecting young people; alcohol ads must not be directed at people under 18 or contain anything that is likely to appeal to them by reflecting youth culture or by linking alcohol with irresponsible behaviour, social success or sexual attractiveness.


See also the Portman Group's code of conduct (PDF). Maybe do a bit of homework next time, eh?

However, it seems that the temperance lobby's concerns about Facebook go beyond mere marketing to adults...

Young people routinely tell and re-tell drinking stories online, share images depicting drinking, and are exposed to often intensive and novel forms of alcohol marketing.


If twenty-somethings want to tell drinking stories and put up photos of themselves having fun in a nightclub then that is none of your damn business. Judging by the only two excerpts from the research featured in the 'policy briefing', that is exactly what these wowsers want to stamp out...

Krystal: oh yeah, if you don’t really remember what happened the night before, like you will see a photo and it will trigger your memory and then you will remember what happened. Maori group; 2 males, 2 females

Lo: It's memories as well and all your friends are out together on the piss and you do have fun. So you take photos and some of them will be funny photos, and you'll just look at them and crack up and go oh my gosh, do you remember when you were that wasted? [laughing] European group; 4 females


Yeah. And. So. What?

These sites reinforce the idea that drinking is about fun, pleasure, socialising and bonding.


It is.

Overall, the research finds that online alcohol marketing contributes to pro-alcohol environments and encourages drinking amongst young adults, operating as what have been termed ‘intoxigenic digital spaces’.


Look, Facebook was founded in 2004 when alcohol consumption in the UK was at a 90 year high. It's been falling ever since amongst every age group and particularly amongst young people so take your "intoxigenic digital spaces" and never darken my doorstep with your prurient nonsense again.

Tuesday, 5 November 2013

Rise of the fake brands

A KPMG report published yesterday showed how the black market for tobacco in Australia has changed since plain packaging came in. At a basic level, the key point is that the illicit market has increased in size since 2012 and the Aussie government is said to be losing $1 billion in tobacco duty. It also estimates that there has been no decline (or rise) in tobacco consumption in 2013. None of this is actually big news. Previous research has found an increase in the illicit trade and it stands to reason that the government loses tax revenue whenever the shadow economy gets larger.

The more interesting aspect of the report is the way in which the black market is changing. Traditionally, the antipodean illicit tobacco trade revolves around smuggled cigarettes and 'chop chop' - bags of loose tobacco for hand-rolling. According to KPMG, sales of chop chop declined by 40 per cent in 2013, but this was more than compensated by a rise of 154 per cent in the sale of manufactured 'illicit whites' - ie. ready-rolled cigarettes that either imitate existing brands (counterfeit) or are completely fake brands.

For example, there is now a brand called Manchester in Australia that has a 1.4 per cent market share. Not bad for a brand that is illegal and competely fake. There has never been a legitimate brand called Manchester.

This raises the question of why counterfeiters are creating fake brands rather than imitating existing brands. Perhaps it is because smokers do not like the plain packs - no one denies that they are unattractive - and prefer to have something that is more old school. Perhaps there is some kudos is buying a brand that is patently illegal. Perhaps smokers are sticking two fingers up to the public health zealots.

Whatever the reason, the decline of chop chop and the rise of the fake brands suggest that the illicit trade is changing in ways that cannot be explained by high taxes alone (although the report notes that the price of contraband tobacco has risen by 29 per cent since March 2010, thereby giving further incentives to smugglers and counterfeiters). The Manchester brand wasn't entirely unknown before plain packaging came in - it had a 0.3 per cent share in 2012 - but it has grown at an uncanny pace since.

The report received a fair amount of coverage in Australia, but the only newspaper to cover it in Britain was The Guardian who effectively dismissed all its findings on the basis that the tobacco industry had commissioned it. The obvious implication is that KPMG are liars and fraudsters who make up numbers to suit their clients. If that is what they believe, they should have the cojones to say so. If not, they should accept the findings or show us where the flaws lie.

Coffin-dodging sociologist Simon Chapman had another senior moment as he attempted to do the latter. Amongst the research methods used by KPMG was collecting discarded cigarette packs to see how many were illicit.

Simon Chapman, a professor of public health at Sydney University, says the methodology the report has used for this finding is flawed. “There would be hundreds of thousands of tourists who would come to Australia every year who smoke and it’s only been in recent months that there have been restrictions on the number of cigarettes you can bring in duty free.

“So the idea that any cigarette that you found discarded which wasn't a plain package could have been brought in by large numbers is an obvious flaw.”

Where to begin with this drivel?

Firstly, empty pack surveys are a gold standard test for those tracking trends in illicit tobacco. They have used for many years by industry and government. They are more reliable than surveys which essentially ask people to admit to breaking the law.

Secondly, the number of tourists who bring cartons of their own cigarettes to Australia is surely very small indeed. As a proportion of smokers in this country of twenty million souls, they must make up a negligible proportion at any given time.

Thirdly, even if they didn't make up a negligible proportion, there is no reason to think that their numbers would change dramatically from year to year.

Fourthly, and most importantly, Chapman mentions that the law allows tourists to bring in no more than 50 cigarettes each. This change to the law has not taken place "in recent months" as Simple Simon disingenuously clams, but took place in September 2012 - three months before plain packaging came in. We are interested in what happened in 2013 and throughout 2013 this petty restriction was in place. Even if Chapman was right about the increased prevalence of illicit packs being the result of foreign litterbugs, limiting tourists to 50 cigarettes each would reduce - not increase - the number of packs. (For other classic Chapmanisms, see here and here.)

But never mind facts and logic, a "professor of public health" has put some words together to form a sentence and that's good enough for The Guardian (a newspaper that happily and uncritically covered a KPMG report about the living wage on Saturday). And never mind the Australian newspaper that sent a journalist out on a highly successful shopping trip for illicit smokes a few days earlier. And never mind the incredible seizure of 80 million cigarettes and 70 tonnes of rolling tobacco that took place only a couple of weeks ago.

All figments of the tobacco industry's imagination, apparently. Go back to sleep, Australia, public health professionals have got everything under control.


Monday, 4 November 2013

The 'next logical step' for minimum pricing

Well now, this is interesting. There is still a very long way to go before the Scottish government can introduce minimum pricing for alcohol, but MSPs - indeed, 'Liberal' MSPs - are already switching their attention to "the next logical step".

Question S4W-18008: Jim Hume, South Scotland, Scottish Liberal Democrats, Date Lodged: 30/10/2013

To ask the Scottish Government what discussions the (a) Cabinet Secretary for Health and Wellbeing and (b) Minister for Public Health has had with other cabinet secretaries and ministers regarding price controls in order to protect public health.

Current Status: Expected Answer date 13/11/2013



Question S4W-18007: Jim Hume, South Scotland, Scottish Liberal Democrats, Date Lodged: 30/10/2013

To ask the Scottish Government what discussions it has had with (a) the food and drink sector, (b) health organisations and (c) other stakeholders regarding price controls in order to protect public health.

Current Status: Expected Answer date 13/11/2013



Question S4W-18006: Jim Hume, South Scotland, Scottish Liberal Democrats, Date Lodged: 30/10/2013

To ask the Scottish Government what discussions it has had with other governments that have introduced price controls for (a) alcohol and (b) other products in order to protect public health.

Current Status: Expected Answer date 13/11/2013



Question S4W-18005: Jim Hume, South Scotland, Scottish Liberal Democrats, Date Lodged: 30/10/2013

To ask the Scottish Government, in light of the introduction of minimum unit pricing of alcohol, what its position is on introducing other price controls in order to protect public health.

Current Status: Expected Answer date 13/11/2013


Price controls have a woeful track record, but at least the old socialists were trying to keep prices down. Our current mob won't be happy until we're priced out of everything except water and rye bread.

Friday, 1 November 2013

The economics of a fizzy drink tax

It's worth briefly addressing the economic argument made in favour of a tax on sugary drinks. Campaigners will say that the cost to the taxpayer of dealing with obesity-related conditions demands higher taxation. The highest estimate I've seen of what these costs are in the UK is £5.1 billion. As usual with these estimates, it does not include savings from premature mortality nor does it account for the cost of the diseases the obese would otherwise die of. Neverthless, let's take the £5.1 billion as read.

The study in this week's BMJ estimated that a 20 per cent tax on sugary drinks would cost the British people £267 million per annum. If, as I suspect, the tax would reduce consumption by less than they anticipate, the cost would be higher, but let's go with the £267 million.

The study also estimated that the tax would reduce obesity by 1.3 per cent. The cost to the NHS of treating obesity related diseases would therefore also be reduced by approximately 1.3 per cent. 1.3 per cent of £5.1 billion is £66 million.

So we have a tax that costs £267 million achieving savings of £66 million. The intervention is clearly economically inefficient. Taxpayers will be left with a bill of £201 million (people who drink sugary drinks are, of course, taxpayers, and they are the overwhelming majority of the population).

Anyone who says that they want a tax on fizzy drinks because they are concerned about the cost to the public is either disingenuous or ignorant. It will place a further tax burden on the public that far outweighs any plausible savings.

Also remember that we already have a 20 per cent tax on fizzy drinks. It's caled VAT and it isn't levied on fruit juice, milk or water.