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Complete document (62 pages, PDF, 1,500 KB)
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Document Cover (2.01 MB)
Executive Summary (5 pages, PDF, 42 KB)
Resumen Ejecutivo (6 pages, PDF, 46 KB)
Sumário (5 pages, PDF, 44 KB)
Presentation of Dr. Stella Aguinaga Bialous (portuguese)
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The tobacco Industry Documents:
What do they tell us about the industry in Brazil?
Executive Summary
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This
report builds on a previously published Pan American
Health Organization report and presents preliminary
results of a multi-phase project to map out the roles
of the tobacco industry and the tobacco control
movement in Brazil.
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This
initial phase was developed to document the strategies
and operations of the tobacco industry in Brazil as
they can be determined from the tobacco industry
documents publicly available after the settlement of
legal cases of 46 states and territories of the United
States with US-based tobacco companies.
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Brazil
is an important tobacco market: its large, young,
population appeals to tobacco companies searching to
expand and the country has a large tobacco growing,
manufacturing and exporting business.
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Despite
the role of tobacco in the Brazilian economy, Brazil
has been a world leader in implementing a regulatory
framework in which the tobacco industry must operate.
Overall adult smoking prevalence seems to be in
decline, but youth smoking remains high in certain
areas of the country.
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The
main cigarette companies operating in the country are
Souza Cruz, a subsidiary of British American Tobacco,
with an approximately 75% share of market; and Philip
Morris Brazil, part of Philip Morris International,
with approximately 15% of the market.
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Preliminary results show a few themes that appear to be
of high level concern for tobacco companies:
regulation, litigation and public acceptance of
smoking. Tobacco companies always seem to anticipate
and prepare for tobacco control measures, using
arguments that are similar to those used by tobacco
companies worldwide: cigarettes are legal, adults have
a choice, smokers and non-smokers can share the same
environment.
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It is
apparent that the creation of the National Surveillance
Agency (known by its Brazilian acronym, Anvisa),
generated a high level of activity as tobacco companies
tried to developed the best strategies to operate in an
increasingly regulated environment.
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For
decades, the tobacco companies have been denying the
health risk of exposure to tobacco smoke, and funding
scientists and consultants to question the overwhelming
scientific evidence showing that second hand smoke is
toxic.
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In
addition to consultants and scientists, the tobacco
companies have engaged in a campaign to promote
“courtesy” and “harmony”, in partnership with
hospitality associations. The intent has been to
convince the public and policymakers that there is no
need to strengthen legislation promoting clean indoor
air, that these voluntary accommodation strategies,
which have no public health benefit, would suffice.
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Product
liability litigation developments in Brazil have seemed
to be a matter managed both locally and at
headquarters. Luminaries of the legal community were
often hired by the companies to assist in the
development of their defense. There are indications
that, in some cases, Souza Cruz and Philip Morris
developed joint strategies to ensure that litigation in
Brazil remained unsuccessful to the plaintiff. The
class action brought by Adesf (Association for the
Defense of Smokers’ Health) on behalf of smokers seems
to have been of particular concern to the companies.
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The
industry courted the media through the promotion of
special events and workshops in order to tell
journalists their side of the “controversy” (when no
controversy exists about the harmful effects of
tobacco).
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The
International Tobacco Growers’ Association in Brazil,
i.e. the Brazilian Tobacco Growers’ Association (Afubra),
seemed to be a significant partner in the tobacco
companies’ policy and legislative efforts. This was
particularly significant during discussions for the
ratification of the WHO Framework Convention on Tobacco
Control.
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Partly
in response to the increasingly restrictive regulatory
environment, tobacco companies engaged more and more in
“corporate social responsibility” efforts in order to
promote a positive public perception of the industry
and to avoid additional regulations.
Recommendations
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Develop and disseminate the additional phases of this
project, updating the searches of the industry
documents and triangulating the information with
archival data (both from media outlets and other
available sources) as well as conducting interviews
with key players. A final product will then offer an
overview of the multiple stakeholders in the tobacco
control movement in Brazil and offer suggestions for
future developments.
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Tobacco
control policy needs to continue to be based on
scientific evidence and focus particularly on the areas
that the companies see as the bigger threats to their
profits: regulation, marketing restrictions, and
smoke-free environments
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Within
the context of comprehensive tobacco control and
implementation of the WHO FCTC, Anvisa needs to
continue and strengthen its tobacco regulatory efforts
in order to maximize the translation of the benefits of
its actions into better health for the population.
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When
pursuing litigation, Brazilian lawyers need to be
educated and aware of the existing public tobacco
company internal documents, as well overseas judges’
opinions, in order to more effectively counter the
industry’s strategies in the denial of liability.
Adesf’s arguments and judgment, as well as the
industry’s reaction to the case, could be publicized
more widely.
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It is
essential that, in the debate to promote smoke free
environment, public, advocates and policy makers be
educated about the decades-long campaign the tobacco
companies have waged to thwart efforts to promote clean
indoor air policies. There is no controversy over the
scientific evidence affirming that exposure to tobacco
smoke is a serious and deadly health hazard.
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Further, policy makers, the public and advocates need
to be prepared to counter the claims of tobacco
companies and their front groups in the hospitality
industry, who all argue that accommodation of smokers
and non-smokers in the same environment is a safe
alternative. Tobacco smoke can not be safely removed
through existing ventilation technology. Furthermore,
it is important to be cognizant that experience has
shown that smoke-free environments are enforceable and
good for businesses.
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Last,
but not least, governmental and non-governmental
agencies, as well as academia, should refrain from
supporting or partnering with industry-sponsored
programs that are developed under the guise of
Corporate Social Responsibility. These educational and
philanthropic programs were creates with the ultimate
intent of preventing additional regulation of the
tobacco business.
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