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      The ‘filter fraud’ persists: the tobacco industry is still using filters to suggest lower health risks while destroying the environment

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          Abstract

          Filters and harm Despite being labelled the “deadliest fraud in the history of human civilisation”,1 filter tips now feature on almost every mass-produced cigarette smoked across the globe.2 After filters first appeared in the 1860s as an attempt to protect against tobacco flakes entering the mouth,3 the tobacco industry introduced modern cellulose acetate cigarette filters in the 1950s to alleviate public concerns about smoking-related lung cancer.4 Filters and innovations to filters have been consistently marketed as a means to reduce smoking-related health risks,5 with the very name ‘filter’ suggesting reduced harm.6 For instance, filter perforations introduced in the 1970s and 1980s to create ‘light’ and ‘mild’ cigarettes produced lower machine-tested yields of tar and nicotine. When smoking, however, the perforations are blocked by smokers’ fingers,7 8 serving to increase rather than decrease harm as smokers take more frequent and deeper puffs to satisfy nicotine cravings.9 The overwhelming majority of independent research shows that filters do not reduce the harms associated with smoking7–9—a fact understood by tobacco industry scientists in the 1960s.4 In fact, filters may increase the harms caused by smoking by enabling smokers to inhale smoke more deeply into their lungs.8 Furthermore, toxic fibres shed from the cut end of the filter are inhaled and ingested by smokers.3 A recent research letter reporting a study with contradictory findings10 has been criticised for a non-representative sample11 and failing to take into account confounding factors such as socioeconomic status.12 In addition, cigarette filters are an environmental hazard and are among the 10 most common plastics in the world’s oceans. Every year, an estimated 4.5 trillion cigarette filters are deposited into the environment. Discarded filters are commonly made of cellulose acetate, a plastic13 losing on average only 38% mass in two years of decomposition,14 and contain a number of toxic substances which may leach into the environment.15 16 In 2019, many single use plastics were banned in the EU. However, early proposals for Member States to reduce plastic waste from cigarettes by 50% by 2025 and 80% by 2030 were rejected in favour of weaker measures.17 Instead, tobacco companies must help raise public awareness of the plastic in their cigarette filters and contribute to the costs of clean-up, collection and waste treatment of disposed filters.18 Even these measures were resisted by the tobacco industry and its associates.19 Now tobacco companies are exploring the possibility of biodegradable filters. However, this should be regarded with caution. First, biodegradable filters would still leach harmful chemicals into the environment if discarded improperly16 and second, it is likely that the tobacco industry will use biodegradable filters as both a Corporate Social Responsibility and a marketing opportunity. The potential unintended consequences would be reputation rehabilitation and consumers and non-consumers alike believing that filtered cigarettes are less harmful without plastic in their filters. Given that we know that tobacco companies are already marketing their filter innovations to retailers in a way that connotates health benefits, biodegradable filters are likely to be no exception and the filter fraud will be enabled to adapt and persist once more. Exploiting regulatory loopholes To reduce misperceptions about the relative harm of tobacco products, EU and UK tobacco packaging and product legislation prohibits the use of words such as smooth (light and mild have been prohibited in the UK since 2002) or any descriptors of taste or health (eg, natural, organic) from cigarette packs and all characterising flavours are banned.20 21 However, filter designs and innovations have been largely omitted from the legislation (with the exception of flavour features such as capsules). The tobacco industry is exploiting these loopholes by further innovating cigarette filters in order to differentiate its products and promotes these strategies to investors (figure 1). Figure 1 Slide from BAT Investor Day 2015 presentation on marketing strategy.7 26 In the UK, legislation prohibiting all advertising, including pack branding,22 means that tobacco companies cannot use conventional marketing methods. Therefore, they promote tobacco products to retailers through adverts in the retail trade press. Many of these adverts include claims of improved filters. Tube or flow filters, for instance, have a hollowed or recessed section of filter at the mouth end which distances the discoloured end of the filter from the smoker’s lips.23 Firm filters are advertised as retaining their shape better than their conventional alternatives; mineral filters, often described only vaguely, are promoted in connection with taste improvements. Most recently, cigarettes with crush filters that mimic the now prohibited capsule filters have been introduced and are being marketed as the replacement cigarettes for former capsule smokers (figure 2).24 Figure 2 Example cigarette adverts promoting filters as an important feature. Left: Lucky Strike advert (British American Tobacco),31 middle: JPS Triple Flow advert (Imperial Tobacco Brands),32 right: Marlboro advert (Philip Morris International).33 Associated marketing slogans convey connotations of cleanliness and reduced risk by promising improved filtration25 and hygiene,26 ‘cleaner’ stubbing out, ‘less smoke smell’ and a smoother27 smoking experience (table 1). Tobacco company investor reports highlight filter innovations as ‘modern’28 and ‘progressive’29 features which improve brand popularity. Table 1 Examples of filter innovations in the past 5 years (2015–2020) Tobacco company Filter innovation Year first introduced Example brands* Filter description/marketing slogan† Philip Morris International Firm filter 2017 Chesterfield (Menthol, Silver, Red, Blue) “Chesterfield with new premium features: Round corner box, firm filter”34 Firm filter 2015 Marlboro (Red, Gold, Silver Blue, Ice Blast, White Menthol, Touch)35 Marlboro touch: “Quality blend, firm filter. Unbelievable but true”33 British American Tobacco Tube Filter 2020 Vogue Essence Bleue & Compact Bleue36 “tube filter”36 Tube & firm filter (‘Taste Plus Filter’) 2016 Pall Mall Blue & Silver Capsule37 “Improved Pall Mall range with taste plus filter”38 Imperial Tobacco Brands Crush filter 2020 L&B Blue, JPS Players “cool filter”; “For former Crushball smokers”24 Tube & firm filter 2019 L&B Blue39 “bright air filter”39 Firm filter 2018 JPS Real Blue40 “firm filter”40 Tube filter (‘flow channels’) 2018 JPS Silver Stream40 “smooth filter”40 Mineral & tube filter (‘easy draw channels’) 2015 JPS Triple Flow41 “Experience our ultimate smooth. Easy Draw channels, smooth tobacco blend, less smoke smell paper”42 Japan Tobacco International Tube filter 2020 Sovereign & Sterling New Dual43 “flow tech”43 *These are illustrative examples which are focused on the UK market and, as such, do not include all brands covered by the filter innovations listed. †Marketing slogans are included where a corresponding advert could be identified in UK trade press (2015–2017: The Grocer, Retail Newsagent, Wholesale News; 2018–2020: Retail Newsagent). Conclusions Filter innovations make cigarettes more appealing, in part by conveying a cleaner image. This is a disingenuous campaign led by the tobacco industry, considering that filters may serve to increase rather than decrease harm.8 Both EU and UK tobacco control legislation have failed to curtail the tobacco industry’s filter deception. Furthermore, marketing of cigarette filters in this manner is in stark contrast with the polluting effect disposed filters have on the environment. Although banning them would not only reduce plastic waste, removing ineffective cigarette filters also has the potential to support tobacco control efforts by making cigarettes less palatable, the EU’s Single Use Plastic Directive missed a crucial opportunity by excluding cigarette filters from its upcoming ban on some single-use plastics.17 In the UK, the tobacco industry’s new responsibility for smoking related litter clean-up has already been used as an opportunity to have in-person interaction with the government,30 thereby exploiting this as a loophole in the WHO FCTC treaty. Given the environmental devastation and the continued effort of the industry to use filter tips to ‘sanitise’ cigarettes for consumers, it is time for the public health and environmental health communities to unite to ban filters for the benefit of both people and planet.

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          Most cited references41

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          The National Lung Screening Trial: overview and study design.

          The National Lung Screening Trial (NLST) is a randomized multicenter study comparing low-dose helical computed tomography (CT) with chest radiography in the screening of older current and former heavy smokers for early detection of lung cancer, which is the leading cause of cancer-related death in the United States. Five-year survival rates approach 70% with surgical resection of stage IA disease; however, more than 75% of individuals have incurable locally advanced or metastatic disease, the latter having a 5-year survival of less than 5%. It is plausible that treatment should be more effective and the likelihood of death decreased if asymptomatic lung cancer is detected through screening early enough in its preclinical phase. For these reasons, there is intense interest and intuitive appeal in lung cancer screening with low-dose CT. The use of survival as the determinant of screening effectiveness is, however, confounded by the well-described biases of lead time, length, and overdiagnosis. Despite previous attempts, no test has been shown to reduce lung cancer mortality, an endpoint that circumvents screening biases and provides a definitive measure of benefit when assessed in a randomized controlled trial that enables comparison of mortality rates between screened individuals and a control group that does not undergo the screening intervention of interest. The NLST is such a trial. The rationale for and design of the NLST are presented. © RSNA, 2010
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            Toxicity of cigarette butts, and their chemical components, to marine and freshwater fish

            Background Cigarette butts are the most common form of litter, as an estimated 4.5 trillion cigarette butts are thrown away every year worldwide. Many chemical products are used during the course of growing tobacco and manufacturing cigarettes, the residues of which may be found in cigarettes prepared for consumption. Additionally, over 4000 chemicals may also be introduced to the environment via cigarette particulate matter (tar) and mainstream smoke. Methods Using US Environmental Protection Agency standard acute fish bioassays, cigarette butt-derived leachate was analysed for aquatic toxicity. Survival was the single endpoint and data were analysed using Comprehensive Environmental Toxicity Information System to identify the LC50 of cigarette butt leachate to fish. Results The LC50 for leachate from smoked cigarette butts (smoked filter + tobacco) was approximately one cigarette butt/l for both the marine topsmelt (Atherinops affinis) and the freshwater fathead minnow (Pimephales promelas). Leachate from smoked cigarette filters (no tobacco), was less toxic, with LC50 values of 1.8 and 4.3 cigarette butts/l, respectively for both fish species. Unsmoked cigarette filters (no tobacco) were also found to be toxic, with LC50 values of 5.1 and 13.5 cigarette butts/l, respectively, for both fish species. Conclusion Toxicity of cigarette butt leachate was found to increase from unsmoked cigarette filters (no tobacco) to smoked cigarette filters (no tobacco) to smoked cigarette butts (smoked filter + tobacco). This study represents the first in the literature to investigate and affirm the toxicity of cigarette butts to fish, and will assist in assessing the potential ecological risks of cigarette butts to the aquatic environment.
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              Tobacco Product Waste: An Environmental Approach to Reduce Tobacco Consumption

              Cigarette butts and other tobacco product wastes (TPW) are the most common items picked up in urban and beach cleanups worldwide. TPW contains all the toxins, nicotine, and carcinogens found in tobacco products, along with the plastic nonbiodegradable filter attached to almost all cigarettes sold in the United States and in most countries worldwide. Toxicity studies suggest that compounds leached from cigarette butts in salt and fresh water are toxic to aquatic micro-organisms and test fish. Toxic chemicals have also been identified in roadside TPW. With as much as two-thirds of all smoked cigarettes (numbering in the trillions globally) being discarded into the environment each year, it is critical to consider the potential toxicity and remediation of these waste products. This article reviews reports on the toxicity of TPW and recommends several policy approaches to mitigation of this ubiquitous environmental blight.
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                Author and article information

                Journal
                Tob Control
                Tob Control
                tobaccocontrol
                tc
                Tobacco Control
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                0964-4563
                1468-3318
                August 2022
                26 April 2021
                : 31
                : e1
                : e80-e82
                Affiliations
                [1] departmentDepartment for Health , University of Bath , Bath, Somerset, UK
                Author notes
                [Correspondence to ] Kathrin Lauber, Department for Health, University of Bath, Bath BA2 7AY, UK; kl580@ 123456bath.ac.uk
                Author information
                http://orcid.org/0000-0002-3257-416X
                http://orcid.org/0000-0003-0073-3004
                http://orcid.org/0000-0001-9741-9083
                Article
                tobaccocontrol-2020-056245
                10.1136/tobaccocontrol-2020-056245
                9340047
                33903277
                3d461400-b806-4bc8-a85a-7477f91ce886
                © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 17 September 2020
                : 01 February 2021
                : 05 February 2021
                Funding
                Funded by: Bloomberg Philanthropies;
                Award ID: Stopping Tobacco Organizations and Products (STOP)
                Categories
                Industry Watch
                1506
                Custom metadata
                unlocked

                Public health
                tobacco industry,public policy,environment,packaging and labelling
                Public health
                tobacco industry, public policy, environment, packaging and labelling

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