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Plain packaging for tobacco products

Editorial and opinion
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David Currow, Chief Cancer Officer, and Anita Dessaix, head of prevention, shared their views on how minimising the emotional attachments to a cigarette brand can help smokers quit in the British Medical Journal recently.

Plain packaging for tobacco products

On 7 April 2011, the minister for health and ageing, Nicola Roxon, introduced legislation into the Australian parliament to mandate plain packaging for all tobacco products in Australia. Australia is the first jurisdiction to introduce such legislation, and-in keeping with previous initiatives-the programme will be evaluated prospectively to assess the contribution it makes to the community's smoking rates.

Smoking rates in Australia have declined over the past three decades as a result of progressively stronger tobacco control measures and a concomitant change in behavioural norms (see box below).

Plain packaging will enhance existing tobacco control policies and programmes by further reducing the appeal of tobacco products to smokers and increasing the effectiveness of pictorial health warnings.

Cigarette packs are an important marketing vehicle because they connect personal characteristics, social identity, and aspirations to tobacco brands. Anything that can be done to minimise the emotional attachment to a cigarette brand could help smokers to quit their addictive habit.

Ultimately, the successful reduction of smoking across the community will rely on people making informed decisions before they start smoking alongside mechanisms that actively encourage smokers to quit. Prohibition will not work, but changing cultural and behavioural norms to smoking by changing its acceptability has achieved outcomes that were thought impossible even 20 years ago. Plain packaging is another logical step in reducing the appeal of tobacco.

This is a summary of the article published in the British Medical Journal.

 

Previous initiatives to prevent smoking

  • Ban on advertising (1973; television and radio) and phasing out of tobacco sporting sponsorship (from 1988)
  • Introduction of written (1973) and pictorial health warnings (2006)
  • Excise increases above the rate of inflation, which have resulted in an estimated 3-6% reduction in demand for tobacco for every 10% price increase.
  • Public education campaigns (from the 1980s)
  • Increase in the numbers of smoke-free environments (indoor and outdoor), smoke-free public transport (from mid-1970s), and ban on smoking in cars carrying anyone under 16 years of age (from 2007)
  • Enforcement of the prohibition of sales to minors (from 1990s)
  • Removal of tobacco products from sight in retail outlets (from 2010)
  • Introduction of subsidised nicotine replacement treatment for all smokers (2011)
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