Nickname | FSFW |
---|---|
Established | 18 October 2017 |
Type | Nonprofit |
Legal status | 501(c)(3) organization |
Location | |
Region served | Worldwide |
Fields | Tobacco industry |
Key people | Cliff Douglas (CEO and president) Heidi Goldstein (COO and CLO) |
Funding | Philip Morris International |
Website | globalactiontoendsmoking www |
The Foundation for a Smoke-Free World is an organization focused on smoking harm reduction founded in 2017. In May 2024, it changed its name to Global Action to End Smoking. [1] [2] [3] The World Health Organization (WHO) urged not to collaborate with this front organization of the tobacco industry. [4] [5]
It is funded by the tobacco industry Philip Morris International (PMI), which initially planned to provide $80 million dollars in annual funding. [4] The pledge agreement from PMI to the Foundation, modified in September 2020, promised $35 million in funding to the Foundation from 2022 through 2029. [6] In 2023, the agreement was terminated, with a payment of $140 million. [7]
In its first year, the Foundation spent more on public relations than on scientific research, but had not yet spent most of its yearly budget. [8] Its president was Derek Yach, a former World Health Organization (and later PepsiCo) executive. [9] [10]
An investigation conducted by investigative journalists of Le Monde , The Investigative Desk (Netherlands), Follow the Money (Netherlands) and Knack , published in April 2021, suggested that the Foundation for a Smoke-Free World is a lobbying tool used by Philip Morris International to circumvent the WHO Framework Convention on Tobacco Control. [10] [11] According to internal documents from 2014, PMI's strategy consisted of dividing the tobacco control movement (schematically divided between "prohibitionists" and "pragmatists") and bending the WHO in order to promote alternative products (e-cigarettes, heated tobacco, etc.) to cigarettes. [10]
The Center of Excellence for the Acceleration of Harm Reduction (CoEHAR) at the University of Catania is funded by the Foundation (through an intermediate company named ECLAT SRL) and some of its researchers (such as Riccardo Polosa) published tobacco-related papers without declaring funds received from the Foundation nor conflicts of interest. [8] [12] [13] Advocacy groups directly or indirectly funded by the Foundation have stated that vaping with electronic cigarettes is a safer choice than smoking cigarettes, regarding the health effects of COVID-19. [14]
On 28 September 2022, the second edition of the Tobacco Transformation Index (an initiative of FSFW) was released at the Global Tobacco & Nicotine Forum (GTNF) detailing the results of research into the efforts made by the world’s 15 largest tobacco companies to reduce the harm caused by the consumption of their products. The 2022 Index noted that high-risk products made up about 95% of retail sales in 2021, with so-called reduced-risk products making up the remainder. It also noted that tobacco companies are failing to invest in harm reduction in low and middle-income countries, with sales of reduced-risk products concentrated in markets with a high disposable income. [15]
On 4 October 2022, it was reported that the Agricultural Transformation Initiative (ATI), a subsidiary of FSFW, supported Malawi-based scholars through the ATI Fellowship and Scholarship Fund. Fifteen postgraduate students shared information about their studies while speaking with experts and students at the North Carolina State University’s College of Agriculture and Life Sciences International Programs. The goal of the event was to use what the students learned to help diversify Malawi’s tobacco-reliant agricultural ecosystem. [16]
On 31 January 2023, The Australian reported that research conducted by FSFW was published in Nicotine & Tobacco Research , appearing in a paper about patterns of tobacco use over the pandemic. The original paper was cited in further papers, causing the research to eventually be cited in more than 6,700 papers. [17]
In October 2023, Cliff Douglas became the CEO and president of the organization. [2] In May 2024, the foundation changed its name to 'Global Action to End Smoking'. [2]
The creation of the Foundation for a Smoke-Free World was met with skepticism by the medical community. The World Health Organization, [4] [5] Union for International Cancer Control, [18] the American Cancer Society, [19] Vital Strategies [20] and other health organisations announced that they would not work with the Foundation, and encouraged governments and the public health community to follow their lead. [21] [22]
On 13 September 2017, tobacco company Philip Morris International (PMI) announced its support for the establishment of a new entity – the Foundation for a Smoke-Free World. [...] The UN General Assembly has recognized a “fundamental conflict of interest between the tobacco industry and public health.” [...] Strengthening implementation of the WHO FCTC for all tobacco products remains the most effective approach to tobacco control. [...] If PMI were truly committed to a smoke-free world, the company would support these policies. Instead, PMI opposes them. [...] When it comes to the Foundation for a Smoke-Free World, there are a number of clear conflicts of interest involved with a tobacco company funding a purported health foundation, particularly if it promotes sale of tobacco and other products found in that company’s brand portfolio. WHO will not partner with the Foundation. Governments should not partner with the Foundation and the public health community should follow this lead.
— World Health Organization, WHO Statement on Philip Morris funded Foundation for a Smoke-Free World [4]
The independence of the Foundation for a Smoke-Free World has been challenged. [1] [9] [23] [24] The Foundation has been criticized by the Campaign for Tobacco-Free Kids, [25] Action on Smoking and Health (ASH), Corporate Accountability International and others for taking funding from Philip Morris International. [9]
WHO maintains its firm position that it will not partner with this organization and strongly recommends that governments and the public health community do the same. Our concerns remain: Global Action to End Smoking operates using funds from Philip Morris International. Its activities support a broader tobacco industry strategy to mislead the public about the dangers of tobacco and nicotine product use. WHO is particularly concerned about potential efforts to target children and young people, creating a new generation of tobacco and nicotine users.
— World Health Organization, Alert on Philip Morris-funded Foundation name change to Global Action to End Smoking [5]
The tobacco industry comprises those persons and companies who are engaged in the growth, preparation for sale, shipment, advertisement, and distribution of tobacco and tobacco-related products. It is a global industry; tobacco can grow in any warm, moist environment, which means it can be farmed on all continents except Antarctica.
Passive smoking is the inhalation of tobacco smoke, called passive smoke, secondhand smoke (SHS) or environmental tobacco smoke (ETS), by individuals other than the active smoker. It occurs when tobacco smoke diffuses into the surrounding atmosphere as an aerosol pollutant, which leads to its inhalation by nearby bystanders within the same environment. Exposure to secondhand tobacco smoke causes many of the same diseases caused by active smoking, although to a lower prevalence due to the reduced concentration of smoke that enters the airway.
Nicotine marketing is the marketing of nicotine-containing products or use. Traditionally, the tobacco industry markets cigarette smoking, but it is increasingly marketing other products, such as electronic cigarettes and heated tobacco products. Products are marketed through social media, stealth marketing, mass media, and sponsorship. Expenditures on nicotine marketing are in the tens of billions a year; in the US alone, spending was over US$1 million per hour in 2016; in 2003, per-capita marketing spending was $290 per adult smoker, or $45 per inhabitant. Nicotine marketing is increasingly regulated; some forms of nicotine advertising are banned in many countries. The World Health Organization recommends a complete tobacco advertising ban.
Philip Morris International Inc. (PMI) is an American multinational tobacco company, with products sold in over 180 countries. The most recognized and best selling product of the company is Marlboro. Philip Morris International is often referred to as one of the companies comprising Big Tobacco.
Tobacco harm reduction (THR) is a public health strategy to lower the health risks to individuals and wider society associated with using tobacco products. It is an example of the concept of harm reduction, a strategy for dealing with the use of drugs. Tobacco smoking is widely acknowledged as a leading cause of illness and death, and reducing smoking is vital to public health.
An electronic cigarette (e-cigarette) or vape is a device that simulates tobacco smoking. It consists of an atomizer, a power source such as a battery, and a container such as a cartridge or tank. Instead of smoke, the user inhales vapor. As such, using an e-cigarette is often called "vaping". The atomizer is a heating element that vaporizes a liquid solution called e-liquid, which quickly cools into an aerosol of tiny droplets, vapor and air. The vapor mainly comprises propylene glycol and/or glycerin, usually with nicotine and flavoring. Its exact composition varies, and depends on several things including user behavior.
Ventilated cigarettes are considered to have a milder flavor than regular cigarettes. These cigarette brands may be listed as having lower levels of tar ("low-tar"), nicotine, or other chemicals as "inhaled" by a "smoking machine". However, the scientific evidence is that switching from regular to light or low-tar cigarettes does not reduce the health risks of smoking or lower the smoker's exposure to the nicotine, tar, and carcinogens present in cigarette smoke.
Tobacco politics refers to the politics surrounding the use and distribution of tobacco.
Tobacco control is a field of international public health science, policy and practice dedicated to addressing tobacco use and thereby reducing the morbidity and mortality it causes. Since most cigarettes and cigars and hookahs contain/use tobacco, tobacco control also concerns these. E-cigarettes do not contain tobacco itself, but (often) do contain nicotine. Tobacco control is a priority area for the World Health Organization (WHO), through the Framework Convention on Tobacco Control. References to a tobacco control movement may have either positive or negative connotations, depending upon the commentator.
The use of electronic cigarettes (vaping) carries health risks. The risk depends on the fluid and varies according to design and user behavior. In the United Kingdom, vaping is considered by some to be around 95% less harmful than tobacco after a controversial landmark review by Public Health England.
The scientific community in the United States and Europe are primarily concerned with the possible effect of electronic cigarette use on public health. There is concern among public health experts that e-cigarettes could renormalize smoking, weaken measures to control tobacco, and serve as a gateway for smoking among youth. The public health community is divided over whether to support e-cigarettes, because their safety and efficacy for quitting smoking is unclear. Many in the public health community acknowledge the potential for their quitting smoking and decreasing harm benefits, but there remains a concern over their long-term safety and potential for a new era of users to get addicted to nicotine and then tobacco. There is concern among tobacco control academics and advocates that prevalent universal vaping "will bring its own distinct but as yet unknown health risks in the same way tobacco smoking did, as a result of chronic exposure", among other things.
A heated tobacco product (HTP) is a tobacco product that heats the tobacco at a lower temperature than conventional cigarettes. These products contain nicotine, which is a highly addictive chemical. The heat generates an aerosol or smoke to be inhaled from the tobacco, which contains nicotine and other chemicals. HTPs may also contain additives not found in tobacco, including flavoring chemicals. HTPs generally heat tobacco to temperatures under 600 °C (1100 °F), a lower temperature than conventional cigarettes.
Gerry Stimson is a British public health social scientist, emeritus professor at Imperial College London from 2004, and an honorary professor at the London School of Hygiene and Tropical Medicine from 2017. Stimson has over 220 scientific publications mainly on social and health aspects of illicit drug use, including HIV infection. He has sat on numerous editorial boards including AIDS, Addiction, and European Addiction Research, and with Tim Rhodes he was the co-editor-in-chief of the International Journal of Drug Policy from 2000 to 2016. He is one of the global leaders for research on and later advocacy for harm reduction.
Iqos is a line of heated tobacco and electronic cigarettes manufactured by Philip Morris International (PMI). It was first introduced in November 2014 in Japan and Italy. Most of the IQOS products are devices that heat tobacco without burning it.
The composition of the emissions generated from heated tobacco products are generally lower than that found in cigarette smoke. This is due to the comparatively low temperatures, the filter systems, and physical design. The composition of what is produced is complex. The main toxicants found in the emissions of cigarette smoke are also found in the emissions of these products in varying concentrations. The aerosol generated contains levels of nicotine and cancer-causing chemicals that are comparable to regular cigarettes. The emissions contained 84% of the nicotine found in regular cigarettes.
Electronic cigarettes are marketed to smoking and non-smoking men, women, and children as being safer than cigarettes. In the 2010s, large tobacco businesses accelerated their marketing spending on vape products, similar to the strategies traditional cigarette companies used in the 1950s and 1960s.
Nicotine pouches are white pouches usually made from plant fibers containing nicotine among other ingredients. They do not include tobacco leaf, dust, or stem. The nicotine may either be derived from tobacco plants or may be synthetic. Nicotine pouches are described as either similar to or a tobacco-free version of snus.
The Vaporized Nicotine and Non-Nicotine Products Regulation Act, officially recorded as Republic Act No. 11900, is a law in the Philippines which aims to regulate the "importation, sale, packaging, distribution, use and communication of vaporized nicotine and non-nicotine products and novel tobacco products", such as electronic cigarettes and heated tobacco products. It lapsed into law on July 25, 2022. As a proposed measure, the law was known as the Vape Regulation Bill.
Zyn is a brand of nicotine pouches originating in Sweden. Zyn pouches are designed to be placed between the gum and upper lip and are available in several variants with different nicotine strengths and flavors. Unlike traditional snus, these pouches contain no tobacco. They are, however, still referred to as "Snus" in Sweden.
Veev is a brand of electronic cigarettes manufactured by Philip Morris International (PMI).