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° • LOW TAR .~,,,<;,,o,, ~- H..,,. oo,:.-.,,,,, DANGER" H.M. Government Health Departments' WARNING" THINK FIRST-MOST DOCTORS DON'T SMOKE R- 3 ! i ! I i ! ! o ,i 0

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YI I .-? ._... °° -..- ...... Carhor, ~ox (lowest of all brands) ..... Cad'~or, $:A Pack-.. les; than 0.01 0.002 ..... 1- 0.1 3-~--_ CIdion 100'I I~':'_-..:-- "" 1"-.--= 0.1 ~+ ~ lO0'S Sol ~ less U~r~ I~'- - 0.5. ".-~.'- :. Jl(Ir~ ..._..~.. 11~--= 0.9 ' F41~ ir~;,-s '-." • " 14 .:'" 1.0 Idem $ 0.6 Menl 1.~'s 10 0.7 """;"~- ~ "- -" ~ ~ 0.8 ,1,~,,-~;~ %'v3's "-.','. ~ ! 2 0.9 ~-~o.~, l.J~.~ll~ --... 14 1.1 -: lh~.,~_.:-, L.z".L~IOO'I" 13 1.0 ii C "¢~ -'~ T'- ;' • " ,I - -. !i :-~'nr ~-~..~~ """ • . ~:.. • -'~" -i.i.i... .-;-. ~:....... . ..... 1 I i 0 °

i ! .I THOUGHT PROCESS BEHIND; !i ,=! : l~ ? : ilIi ' ti !'i BAT'TANCEON S~I~OKIN A~ID HEALTH I (3)_ i ............. '" + '!": •' +!~ i+l:' ;ll!l:i~ ++ .... + ++ + + + + ++ ++ l ' " ' i .... + !+ ::;;+!l:.= The very careful preparation of a new stance has involved the++' + i + + . + considerable efforts of our scientific, legal and public affairs, i..'~:,. !;: I l~ staff- over a period nearly two years. , " ; i!i~ : .+:;.! Y Preliminary evidence from discussions With doctorS, Members ~; ;i~.' of Parliament, and employees is that this stance will be"a+ :;" positive step in helping to restore:the I~lustry's credibility =': ': • ;~! : : • • ,,; ..:, = I i] It should e,lable Industry to mnl(e believable stotemn,ltS o=1 many issues, particularly those in connection with the social acceptability issue- which woUld 0therihim not be possible, i~,, :i+i ...: • .: :" , .. i " :! ;, .,+~ i. i; '.C ' " .... . " " : ." i+~ i+:: ":+;

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,t 0 I: ,, 'l! i:': :.i' "~i.~::ii: . ;:. ::,: . . THOUGHT PROCES£ ND BAT STANCE ON SMOKING AND HEALTH (1) ~ • : :~.!'.~";:i Tobacco companies started to .... tO= the ':;!;., ,~=,,=~;. ~: statistical evidence on smokin ~ ....... '= .... by expanding in-house! reSeai~Ch ~: ~ .... ~" ~: w -- by funding independent r:e~ar~, i: ;~ :~: ~i :i: Despite" some 30 years researc.~ He controversy continues. : • _ . . .11 .'~:!: ~.:'!iilhi:, :! , . ' -- with many people t~lievl~g,tha,tsmoklng.can cause ill-health, and that high ~l!Ve~i'Pr"bducts are more harmful than low delWer~ii~k~UCtS = • . ~i! ; i:~;!' :l.i:!.,q!i'| =: :!i . . -- but with some eminent id~epiJndent researchers disagreeing with the interp"'retati~ of the statistical evidmme. '--' products are now avai • . • . :~ • ....::..: .. .~ :~ .... i.i, ~!!i BAT,- and the industry generally", h'as .r.~l~..nded b.o:th to the,: ':":' medmal opinion, and to the mcre~e~t interest of consumers,. by developing products of lower • ,~ ~ : !.:;:.

SUMMARY OF BAT'S APPROACH TO SMOKING AND SMOKING ISSUES o BAT recognlses the desire of certain people to eliminate smoking, but be,eves that despite the various anti-smoking movements, a substanUal proportion of adults worldwide will continue to smoke. Studies have reported a statistical association between smoking and certain diseases. Many independent scientists and government bodies have said that the association should be considered causal. However, other Independent scientists dispute the causal hypothesis and offer alternative explanations. The question of cause continues, therefore, to be a controversy. Within the framework of the controversy about cause, there are pub,shed scientific conclusions that cigarettes of low tar content give rise to a lower Incidence of certain diseases than the higher "delivery" products which formed the basis of n~ost epidemlological studies to date. Despite the fact that some sclenUsts take the opposite view, certain Government and health authorities have publicly advised consumers to smoke cigarettes with lower smoke deliveries. For this, and perhaps for other reasons, there has been a growing demand worldwide for low delivery products. The tobacco Industry has responded quickly to this changing demand, and to published government advice, by marketing an expanding range of cigarette products - so that each consumer can make his own informed choice of product. J ~" ~ ~" C ~7 ~ rl r January 1985

....... . , s ! ..................... -..-. ,,-., ....--.,,, ........ ,..~,,., .-,., ,,,~h,,...h,,T",T,~" ,' " *.'-1. m I ~ .11~.. , ~l~llt!ltip,~rlqillli,.l|lt~tl|ll.ql~.|:|~ :*~p;: ' , "'..., ' ." '. : ' ; ', i ;" "~.F~I."~'': i ,i: + .... I' ~!!' ": '~ + , ..'... • :':" "" " " .:' :; ~'! i~ " :~:L' ~++: "i~! i~:~: ~+.~ ": • '1~."!~ ; iJ."i .;:~ii!!il:'~;.r ":. + + ":lilili!!: ":::." .... i .... i .... . ........... ~+ .'+;,!:';':'.:P;'; ,"::!'!h.'+'*':"r:; ..... :~';;:"! ;I +ilql!!!';; : : t • '" i' . ., ' , :: ,,.: '-~. , :; i!'~ • ::; ::'..':i:.' !.:: ! !! " !lIt:':'::;' ': COMMUNICATIONS RE SMOKING.. + ANDHEALTH:...:: '. ~: : : ~ :;~;:~,.1 :~='F~; + ~ !.!!!~:~ . , ;:i;, .~ " "" ' :::::1 "! ' '::~;: : • " . " " :! !:ii" "i ,:1.: "':.. , FACTS • +: :. .. :,:, :I ; . ~ .:; ; ;'.'; ~;j i , 1. THE PRODUCT OF TODAY IS' St, ~.I=EREN T.,FR~IM ~'I'HE"; -.. !:.!: !~:l;lJliil!ilJ iii~ !: ::.. PRODUCT ON WHICH ALL THE ADVER~EI:~PIDEMi0LOGYIII~Ii i ii!!iiii*.!!!!!. ~. WAS BASED. ! i . ' ....; :';j ' ':.+": ' . .i::: i:i:~li!!ii!:i!!i.!"; '., • + . • ' ' • : ;~.I~ ",i.",!.: ;:i 2. A NUMBER OF SCIENTISTS ANDMEDICAL RESEARCHERS .ll:iiii: !:i" • . ,I WHO DEPLORE CIGARETTES I~IEVERTHELESS SAY THAT :' .ll.i::,iiiiilJ i::~ THEY ARE FINDING THAT A LOW-YIELD PRODUCT IS : "I ~ii;iiiii;ii! ~ :~ SAFER. ; .i, :.':. i. =.'. ' " : -!li:': !: :~ "i~: :i WHAT WE CAN SAY ! , ~!:::"=~ ~: : ; ': .::;: :'q:,~ii!li:!:iii~; IF MEDICAL AUTHORITIES (EG U,.SSU~GE0:NGENERAE) :,|=':,i~h;i" .. tl TALK ABOUT LOWER DELIVERY:PRODUCTS PERHAPS ' . I : !i :i ~( !~ BEING LESS HAZARDOUS, THE I',~DUSi~R~I WITH " :| =?i;i!il':. SUITABLE RESTRAINT CAN CAI~E~!ATTENTION TO.SUCH - :~ :: ., II..:.Ji:~; ' • VIEWS. ::!~ ?:. ;,:;:. i ..":~:;~,k h:;i : .;: .: i '.. i'. .:,:i: WE CANNOT SAY THAT CIGARETTES HAVE BEEN .i|~ ! SCIENTIFICALLY ESTABLISHEDIAS GOOD.OR BAD -- BUT ..i:.:;. !i:- , WE CAN NOTE THE VIEWS oF INDEPENDENT.. SCIENTISTS . I. : ...: !J AND MEDICAL RESEARCHERS. !iI!~ .+! ;":~i'+ii!.~.' : =~=: " :+ Iiiii!!ii~ i: i:j WE MUSTATALLTIMES, BECAREF;,U,L, NOTII~,OBESEEN : : :i !1' !ii:.;~i:;i,, iiiii TO BE ADOPTING THESE VIEWS $!OU, R O ,WN. ~ ;:.+il. i:;!i: :!:~: -i ,qiji j!: ;'=' !: ' " "" " ' II!'i i • it ~ ': II' " " i l' " I il;l++lJ ........ ,, .... • . I ,tt=,~,~,.lll II!I~ I,'I,. hi !+'" t'l'!;il,.:~~=;` : ~ .. ::: " . ..... :.+: ,+ ::~ J, : ~'+I :I +i +~.+i ~i++~ !;:i +- +ilJllilJ~iiJll'+;'""!'!" l;'illl=:'''t j'll~jjjj'~j ~+ ..... i,t'.:+, I: ,+ • :+:..+;t.;+.,,,, .... ,.. ;+; .... +J...:+ ........... +. '+ + P+§bO01

i: J UICC - i : ~ ~ "" ~: "~i. : .. INTERNATIONAL UNION AGAINST CANCER • lllJll~ i, , ~ • 'olh.,:l: i;!'. = ":1= I :; ,ll ":(t : ' il i;~ , I .:.~. V • :'~ !. : i':: ....... i:i:i., :::; s: ! GUIDELINES FOR SMOKING;CONTROL ' ; .... ":" ~, " ~:' . :. :~i 'ii;~".~ • ' ' ' ,, !:i;;;;.=.::il;;~'. !i: !:i' " ome (mainly e US-based ( 0,.,~:.,, ..~=,,:, ..,..~:~...,::,,. ,mpanues)ii.stull fend :~ cigarette promotmn on the.=si i that cigarettes are not~ '!1 :i" ' ~!i:: .. ~i: ~'~i i'i~:~'.i =:• :i!~! " .: • h~:;- .: proven health hazards." . 'Ii~:., .::~ ; :: ::T,.~ :.:.: ::,~;...:, :~: .: :,:,~ ~ :~: • li; ".; " i ::~. ;i:!;: ;;:' ii'~i:'!:: :':.': !.;-!ii~:~ ",..,, this refusal to admit can~li~ily to.~e health hazaids of its products may be. cited as proof of .the tobacco., ; ,,:~ industry's lack of cred'bility ' ~"°n~;'all t°p'cs':" ' '.~."" ~.:~:." ..~:~:" i:,.i iii ili ii):: :: ,i ii:!~; iiil i': ! . ,i!,-i~i : .... i!~b l; :!!;. ~ ;. !.i h, ~,,,r:.,, ..,..,~. ,,: o:.,. ,, .,: ~ III1 I!~!1!'.::';'.:, '"*i~!:'~ .!111t,. ,.li,'ttll,,',,,l::i!,,:,.~=';~.,, i,l!.,,il! 1,1 I

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l(. L¢"~ Lf'~ MAIN TALKS DURING 1980182 ON THE BAT APPROACH TO ISSUES OF SMOKING &HEALTH BAT ORGANISATIONS CAC Conference 1980 & 1981 BAT Legal Conferences R&D Senior Staff Management Communications Group ~illbank Staff Council Millbank Staff Induction Course for new staff UK & E Staff Central & South Americas Public Affairs Conferences Central & South Americas No l's Conference Marketing Conference - Low Delivery Finland Product Knowledge Seminar European Product Knowledge Seminar BAT (Sulsse) Staff BAT Belglum Staff BAT Holland Staff i Souza Cruz Staff MDP & MTC Courses LOCATION Mexico & Austria Geneva & London GR & DC Mlllbank Millban, k .... Millbank Millbank Woking Costa Rica. Brazil & Panama New Orleans London Helsinki Boumemouth Geneva Brussels Amsterdam Braz!! Chelwood

I MAIN TALKS DURING 1980/82 ON'THE BAT APPROACH TO ISSUES OF SMOKING & HEALTH NON-BAT ORGANISATIONS •, ~ mmmmlmmlmmmJ~le~....: ,... =,'." °too BMA - Board of Science & Education Royal Society of General Practitioners Dept. of Industry - Under Sec. DHSS - Senior Staff re Smoking Middle East Health Ministers Finnish State Authorities WHO INFOTAB Directors NMA Workshop LOCATION GR & DC London & Crawley GR & DC GR & DC GR&DC Helsinki Geneva Brussels Brussels

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~: ~-.~ ;y..,..-;. ;. ;~- [ ,~-. .... ;li.~;q'm r:~-,---,.~l.,,-,,V,l;p:~.lVV,lVml~#!i,~qqll~llmill,~ UV.lmV,V,vt1,vmvv.l.lpVllVV,,,w;,,v ml Ii,llUllll 'ill 'll'il~v~-r ,r,llY,~.~!.'ldP-q'q",- ..... ' .,J !L. ... t I,. v .... tllllli.r i ........... ":"::'~ !:t : '" :: :: "~ flY' i: " :" • , :~ ~: 'til!ll*li:i": ::: ~ • "" ". : ~" " • : '! :':..'ll i ,.: "~{.:; :lii::; " • :' " " ' ,.! , i I':~ ;11 ; ~" " .: ; • L::~, .... :':;!L*8!. i:'""';:~!*'"!!;':~ ' ' :: ~. "~'~:~i'.:~**:~!:,:! .: L~.. ,:. , :~ :; -,,,. CARBON ~O~OX'iDE ; : :::; : 1 P. Cole: St. Bartholomew's Hospital, London ~: ' "" "Smoking and Arterial Disease" 1981 P.~4-831 : :.~. Mean COHb levels: : :!i! ili. :: ': ;~;;: ::!:iI ii i:! ;: (a) 100 active smokers in a city office .... ~: ~ ;- ;i~*: ~ :.i! !. (b) 100 non-smokers working alongsidi) active smokers in '::- " the same city office ' " ~: (c) 100 non-smoker out-patients close to Higq! Holborn (d) 78 non-smokers in Island of Sark 1~0 cars).. ~' .~ :: " i I ' "J.A.McM Turner, K.P,! Ball and R.W, Sillett~ ~i~i"~ :~ Central MlddlesexHo;Pltal, L~don ' ,, "Smoking and Arterial Disease" 1981 P 60-63 :i ':!i : .. :" Mean COHb levels: : :::~. (a) 12 life-time non-smokers : : 1~.:i': % !. 1.12%; 0.97% 0.68% ' 'i. ii:::!['~" ' (b) 86 current smokers ! i ~.. . .. : .... : :.- : •5,6..% :. " " i N.J. Wald et al. I'.C.R.F. Unit, Oxford University: i~ ..... :, .... Alan Bailey, BUPA, London H. van Vunakis, Dept. Biochemistry, Brandeis University, USA ".. • rl .... ' ~ ' ' " :" ":'!'" ' I "Lancet" 10th Octobeil981 P 775-7. *:i: ~:. . . • :~1~~. ! . ' ' " : . : " ~" ". ~'" I~ Mean COHb levels: i • • :: :~ ~ ~:' ~' ;.I': (a) 150 cigarette only smokers !i : ; i:;ili::::: ::4.7.% ~¢i-I:. (b) 70 cigar only 'i.~. :. :~ .i~: . ::. ~!ii:! i .i2.9:~% .,! ,ii (c) 56 pipe only • .~, ,i~ ~i~ ~i,. .~: ,i:h :Iv: .i :: ..... ~!fii::~ ~;.i;;i.ll 2,2 .;.%::~':i~ !~l :!:! i' :"/:~,i:~'•:*:::';"./ :~; •: :~i¢i:~::'~:i Y" ..... ii!~':"!:ii~'?i i!il (d) 28 non-smokers .~ :,;. Ililill~l !ll it" ii ~ • iif i ;i :~ ~,~,.~,~,il!;! IIIII " II III II "' 'I ........ I I ........ llilr ........ lill I!: 'i::,qi ' ; !I ,v, ll ~' • ,il • t:; ' I: 'I: "I!I it-ii I:iv "i';!lilP Vll~'li:'l "iii'l~ilV!'illlllll]lllllUl : • ' , I.., .... I ~~ ,I I, If,.,: , I.I: ,,:::,,, ,,.,, ,. , .... .. '1~:!. ', ,~:'. . ,:" .,," ~ ,' , • ,v~ "::'i:' :., .... :"'""" '." 1 .... '.!.l`: ' ! if:, I'!II "' "~!:1: • • ~!~%11 i i t !. i- t il ", ! i .! ':. i!ii hill

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