Wednesday, 31 March 2021

Smokers told to cough up again

Apparently smokers still aren't paying enough tax. The government is looking into the idea of taxing tobacco companies to claw back the £40 million that cigarette litter supposedly costs to clean up each year.

This tax will inevitably be passed on to Britain's seven million smokers who already pay £11 billion a year in tobacco duty (including the VAT on the duty). Simple maths tells you that the average smoker is paying more than £1,500 a year in tobacco taxes alone. But it's never enough for the depraved fanatics at ASH who have suddenly become interested in littering.
 

The plans were welcomed by Action on Smoking and Health (Ash), the anti-smoking charity Deborah Arnott, its chief executive, said that the group was “delighted that ministers are working collaboratively to use environmental legislation to make tobacco manufacturers clear up the toxic waste caused by cigarette butts”.

 

Toxic waste, my foot. Arnott is only pretending to care about this because it gives her another excuse to extract money from some of the poorest people in the country.

The Times also asked me to comment...  

Christopher Snowdon, head of lifestyle economics at the Institute of Economic Affairs, the think tank, said: “This tax will inevitably be passed on to smokers who already give the government £11 billion a year. Britain has some of the highest tobacco taxes in the world and they fall disproportionately on those with the lowest incomes.”

He added: “If the government was serious about cigarette litter, it would provide appropriate street bins.”



Monday, 29 March 2021

A new dawn or Public Health England 2.0?

So Public Health England's nanny state functions will be passed to a new agency called the Office for Health Promotion. We don't know how much it will cost or who will be running it. Is there any hope that it will be anything other than Public Health England Mark II? Probably not, but let's not rush to condemn it just yet.

I've written about this for the Telegraph...
 

The Office for Health Promotion presents an opportunity for a fresh start. There is an appetite among the public for health improvement, but the activist-driven sledgehammer approach of taxes and bans favoured by Public Health England has run its course. By setting up an agency for health protection and a separate agency for health improvement, the government is acknowledging the difference between public health issues, such as Covid-19, and personal health issues, such as obesity. The former can justify a certain degree of coercion. The latter cannot.

The new agency needs some fresh faces and fresh thinking. The government has so far said nothing about how much it will cost or who will be running it, but the appointment of Dr Jenny Harries as Chief Executive of the National Institute for Health Protection – which has already been renamed the Health Security Agency – does not bode well. Formerly a regional director for PHE, Harries personifies the UK’s disastrous response to Covid-19. Every call she made in the crucial early months of the pandemic was wrong and yet she is being rewarded with a plum job. They take care of their own in public health.  

There is a chance that the Office for Health Promotion will abandon the failed policies of the past and rely on persuasion rather than force. There is a chance that it will cut out the dead wood and employ some smart people from a range of disciplines. There is a chance that it will become an effective and efficient operation rather than another self-serving, tax-sponging bureaucracy.  

It is all very unlikely, but it is not beyond the realms of possibility. The decisions made by government in the coming weeks will be crucial. Does it want an Office for Health Promotion or Public Health England Mark II?

 


Sunday, 28 March 2021

The future of UK tobacco harm reduction

I'm chairing a panel (online, natch) about the future of tobacco harm reduction on Monday at 6pm GMT. Martin Cullip, Clive Bates and Mark Pawsey MP are my guests so it should be lively.

Details here. You can watch it here or in the screen below.




Saturday, 27 March 2021

Victory (part two)

It's been a bit of a good news week. On Monday, AG Barr announced that its "limited edition" full sugar version of Irn-Bru would be on the shelves permanently, and now we're hearing that the online ban on tasty food advertising is being dropped.

An online junk-food ads ban is to be axed as it would have almost no effect on obesity.

The proposal would cut a child’s annual calorie intake by just 700 — equivalent to four packets of crisps.

 
Even that claim is extremely dodgy. It's based on experiments in which young children are put in a room with a television, no parental supervision and an unlimited quantity of free food. Half of them are shown adverts for the free food and the researchers see if they eat more of it. They do - marginally - and this is then somehow extrapolated to online advertising. It's junk science
 

Following a review, Whitehall insiders say ministers now accept that a boycott would be “disproportionate” as it would cost businesses tens of millions.


As I've said from the outset, the policies in the obesity strategy came straight from the desks of nanny state fanatics and hadn't been thought through. It was left to bureaucrats in Whitehall to turn them into workable legislation. That proved largely impossible because the definition of 'junk food' is ludicrously broad and food companies need some way of communicating with their customers. Laws aimed at McDonald's were going to affect the bakery on the high street and the local wedding cake business.

The whole thing is now disintegrating on contact with reality. The policy of mandatory calorie counts in the out-of-home sector has been stripped back so it only affects large chains (as I said it would have to) and the round-the-clock digital advertising ban is going to be scrapped entirely. 

The next thing to be scrapped or watered down is going to have to be the ban on positioning so-called unhealthy food at the end of aisles, front of store and checkout. This is clearly impossible for smaller retailers and will be a big problem even for supermarkets. 
 
The watershed TV advertising ban should also go. It's going to cost broadcasters a fortune and leave us with wall-to-wall food adverts after 9pm. Let's just accept that teenagers can handle seeing adverts for ice cream.
 
If people want this kind of stuff they can vote Labour, Lib Dem or Green, but there needs to be at least one mainstream political party that doesn't want to launch an unprecedented and unevidenced assault on the food supply.

As the Sun says: 

What took the Government so long to scrap the ludicrous proposed ban on online ads for fast food?

The scientific evidence showed it would cut a child’s daily calories by about two . . . that’s a biscuit crumb.

All at a monstrous cost to businesses.

The Sun pointed this out last November. It shows the power of the nanny-state lobby that this mad idea wasn’t immediately laughed out of the room.

But we welcome No10 seeing the light now.

How about applying the same common sense to other failed measures?

Like the sugar tax, which won’t trim an ounce off anyone’s weight.

Then concentrate on the real solutions:

Better education on diet — and exercise.




Friday, 26 March 2021

"Well, well, if it isn't the consequences of my own actions"

It's been a while since we had a laugh at Simon Chapman on this blog. He used to bring us so much entertainment. Australia's leading vaping prohibitionist is still knocking about in his nursing home shouting at clouds. He's been recently complaining about a "tsunami" of black market e-cigarettes. This is not a problem we have in Britain for some reason.


Meanwhile, Australia's black market for real cigarettes continues to flourish. Industrial scale tobacco smuggling and vast illegal tobacco farms didn't exist Down Under until the government fell under the spell of Chapman and his buddies and made the legal product unaffordable and unattractive.
 
Here's a typical story from earlier this month.
 
Illicit tobacco crops worth more than $84m seized in raids near Murray River

Authorities say illicit tobacco crops seized and destroyed in raids on properties near the Murray River this month are among the biggest busts of their kind in Australia.

Officers from the multi-agency Illicit Tobacco Taskforce uncovered more than 40 hectares of the plant growing on properties either side of the Victoria-New South Wales border, near the regional centre of Swan Hill.

The tobacco's potential value was estimated at $84.3 million.

More than 183 tonnes of tobacco was found in the first of three raids on a property at Kyalite, in south-west NSW, which the Natural Resources Access Regulator also attended to investigate possible water theft.

 
183 tonnes!
 
And here's another from this month...
 

The Australian Border Force (ABF) led Illicit Tobacco Taskforce (ITTF) has disrupted the activities of two alleged organised crime syndicates involved in the importation and distribution of illicit tobacco throughout Victoria and Western Australia.

The first operation occurred on Wednesday and Thursday this week (10 & 11 March 2021) when ABF officers from the ITTF executed Customs Act 1901 search and seizure warrants at a number of residential and commercial properties in suburban Melbourne.

The targets allegedly belong to an organised crime syndicate that smuggles illicit molasses tobacco into Melbourne and distributes it throughout Victoria.

During the warrants approximately 1,000 kilograms of molasses tobacco was located and seized, along with jewellery and $100,000 in cash, alleged to be the proceeds of crime.

The estimated value of evaded duty for this amount of tobacco is more than $1.5 million dollars.

 
Somewhere there's an organised crime boss commissioning a gold statue of Simon Chapman. Where would they be without him?


Vaccine passports

No thanks
 
The government is running a public consultation on 'COVID-Status Certification' - vaccine passports to you and me. If it was hoping to grab the public's attention, it has succeeded. People have been talking about little else for the last two days.
 
It began with Boris Johnson rightly suggesting that pubs should be free to serve whoever they want, but the idea of the government banning people from going to the pub unless they can prove they haven't got the virus soon took hold. 
 
It's difficult to tell whether the government is seriously entertaining this or if it is media spin. Johnson's comments have been pretty vague so far and both Johnson and several ministers have previously ruled out the idea. On the other hand, the government is not exactly going out of its way to squash these rumours and we know from the last twelve months that the 'public health' zealots advising the government never miss an opportunity to stick the boot into the licensed trade.
 
It has been suggested that people prove they don't have the virus in one of three ways:
 
- An antibody test (for those who have previously had COVID-19)
- A certificate of vaccination
- A negative lateral flow test
 
Weirdly, it has been suggested that this won't happen in the short term, but will be ready for Christmas.
 
 
The arguments in favour of this idea are that a spike in cases is plausible once we reopen, particularly among the under-50s who have mostly not been vaccinated. 
 
Israel is pretty much back to normal but requires vaccine passports for various events (although not, I think, for merely going to a bar). 
 
Other countries are almost certainly going to require a vaccine passport if you want to go on holiday so you might as well get one. 
 
The vast majority of the British public look set to have the vaccine, so the people who lose out will be mostly anti-vax idiots and assorted smileys, and they can still take the lateral flow test. 
 
From the perspective of the pub trade, it's less costly to administer a status certification system than to mess around with social distancing measure.

The arguments against - which I find more compelling - are that the vaccines are remarkably effective and any spike in cases is going to have a low mortality impact and is not worth the cost and the blow to civil liberties. I haven't seen any cost estimates yet, but it is likely to be very expensive and time consuming.

It involves the government handling data and creating an app so it will almost certainly be a technological fiasco.

The system won't be up and running by 17 May when pubs are due to reopen. If there's going to be a 'third wave', it will probably happen in summer when large numbers of people are still not vaccinated. By Christmas, the whole thing should be over and COVID-19 should have an infection fatality rate equivalent to flu. So what's the point?

There is still very little evidence that pubs are significant venues of infection. There was no spike in cases when they reopened last July. Admittedly, this doesn't apply to nightclubs and other venues that could be required to demand certification.
 
Antibodies don't usually last very long in people who have had Covid-19. After a few months they get protection from T-cells which can be tested for but it is quite expensive. 
 
Antibody testing involves a blood test which seems a bit extreme when all you want to do is have a pint. The government has a record of all the people who have tested positive for Covid. That should suffice.

Although you are likely to need 'status certification' to go on holiday abroad, you only do that once a year. Taking a test every time you want to go to the pub is rather more onerous.

Putting up these barriers, even if only to a minority of customers, is going to deter people from going out. That is bad for them and for the businesses that rely on them. For all the talk about pubs this week, you'd think it was the 1930s when people went to the pub every day because they had nothing else to do. The reality is that pubs have been in decline for decades. Thousands of them close every year. Most of them are virtually empty until the evening. They are an expensive luxury, not a mainstay, for most people. Part of the reason for this is that people have nice homes to live in and get their friends round for a drink - which is exactly what they will do if the government literally treats them like lepers. This is economically and epidemiologically sub-optimal.
 
There is no obvious endpoint to it. The government and the public health establishment can't be trusted to relinquish its control. Quite a few of them have always liked the idea of identity cards and this is a step towards them.

It looks like young people won't get their first dose of the vaccine for at least a couple of months. The system is therefore inherently discriminatory against the young. Vaccine coverage among the under-40s would be nice to have, but the fatality rate among this age group is so low that it shouldn't unduly concern them or us whether they get a jab or not. Yes, they could possibly pass the virus on to older people, but the older people have been given a vaccine that gives them approximately 100 per cent protection against hospitalisation. Let's remember what Matt Hancock said only two months ago.
 

When Covid hospital cases fall and pressure on the NHS is lifted, he says, ‘That is the point at which we can look to lift the restrictions.’ So what about herd immunity, vaccinating so many people that the virus dies out? ‘The goal is not to ensure that we vaccinate the whole population before that point, it is to vaccinate those who are vulnerable. Then that’s the moment at which we can carefully start to lift the restrictions.’ But at that point the majority would remain unprotected. Would he — as Health Secretary — still say it’s time to abolish the restrictions? ‘Cry freedom,’ he replies.


Whatever you think of these arguments, they are all better than what the government seems to be thinking.
 
 
The Guardian confirms this:
 

A UK government source said: “If the argument on health grounds doesn’t really wash because young people think they’re going to be fine and their grandparents and parents have all taken it, the strongest nudge is: ‘You’re not going to be able to be as free as you’d like.’ Not being allowed into pubs may focus minds.”

 
If only people who talk about 'nudging' would read Nudge. The whole point of nudging is that it doesn't make people less free. A nudge would be telling people that 90% of their age group is going to get the vaccine, or perhaps warning them of the dangers of long Covid. Banning people from going out unless they have an injection is, quite obviously, a form of coercion.

The consultation ends of Monday. It's straight forward. You just e-mail with a comment. Keep it clean.


Thursday, 25 March 2021

Chris Whitty - back to the day job

Chris Whitty had barely got his feet under the desk at the Chief Medical Officer's office when COVID-19 came calling. This week he gave an online lecture to remind us what his day job is when he doesn't have a real public health issue to deal with. 
 
The subject was obesity and he took up where Sally Davies left off. He doesn't seem quite ready to call for a ban on people eating on trains, but he stuck to orthodox 'public health' line about the food 'environment' being the problem and the government being the answer. 
 
Have a read of his slides.
 

Chris Whitty is not a member of the public. He is a highly paid member of a state bureaucracy. The public 'engages with the food industry' by buying the food they like from a range of products unparalleled in human history. Chris Whitty and his cohorts engage with the food industry by threatening them, telling them how to make their products, raising prices and restricting what they can say to the public. 
 
Whitty et al. are part of a special interest group that knows woefully little about food production, human behaviour or economics. They seem to think there is a market failure, but cannot explain why. Their sledgehammer approach is going to create lots of problems and solve nothing.

I can't see exactly what is shown in the photo of Whitty's supermarket. Presumably it is the confectionery aisle (are those Easter eggs?). If this is how the CMO is portraying the food environment in Britain, it is frankly dishonest. 

Next slide please.


How can we emulate the success of Ethiopia and Bangladesh? That's the big question in 'public health' today. 

Incidentally, calorie availability - which is what this scatter plot actually shows - is not a great measure. According to the source data, the 'daily supply of calories' is higher in Norway than in the UK and it is above 3,400 in both countries. Even in Africa, it exceeds the 2,500 calories recommended for an adult male. I don't know about Norway but the average person in Britain consumes a lot less than 3,400 calories a day, and the amount has declined over the decades, even if you make big adjustments for under-reporting.

Next slide please.


This is just a list of everything the 'public health' lobby has been demanding in the last few years. Nearly all of it has been done or is in the process of becoming law under Boris Johnson's spineless government. 

Whenever Chris Whitty says that something is a "political question" or a "matter for politicians", all I hear is "we are going conjure up so much junk science and produce so many dodgy models that it will become politically impossible for the government to take anything other than the most authoritarian course of action." Regular readers will be familiar with this approach from 'public health', but more people have seen how it works in the past year.

Speaking of junk science...


Aside from the flimsiness of the correlation and the bizarre way the categories have been split up, anyone who says there is an association between the proximity of fast food outlets and obesity has not bothered to look at the evidence.
 
Next slide please.