This Philip Morris (PM) 5-year plan describes actions PM took to address smoking and health issues around the world between 1980 and 1984. Several passages of the Plan indicate that poorer and lesser-developed countries provide more favorable markets for cigarettes for several reasons: Firstly, people who are more desperate for their survival tend to pay less attention to smoking and health, and the governments and medical establishments of these countries tend to follow suit:
[From Page 64]:
"Smoking and Health is not yet considered to be a crucial issue by the Egyptian Tobacco Industry...and Health is not an issue among the general Egyptian populace who are more concerned with day-to-day survival and consider smoking to be one of their few pleasures in life. The health question...is not considered to be a priority by the [Egyptian] medical profession."
The poorer economies of less-developed countries also help Philip Morris because the governments of these countries are more heavily dependent on tobacco taxes for income, and thus less apt to restrict tobacco marketing, use and advertising:
From Page 65-6:
"In general, little official governmental attention has been paid to smoking and health in Africa and the African Health Ministers, where they exist, have not taken a strong stand on this issue. This is in large part because most [African] governments are preoccupied by other priorities (economic and social development), and because cigarette advertising and tax revenues are important to the African economies. Therefore, governments are not inclined to impose restrictions which might jeopardize this income."
PM also understood that if religious leaders and doctors in Africa took a strong public health stand against tobacco use, it could affect cigarette consumption "because of the mentality of the Africans":
From Pg. 66:
"Smoking and health is of little concern to the African people and it seems not to be a popular issue among them. However, if an anti-smoking campaign supported by religious leaders and/or the medical profession is developed, this could seriously affect consumption because of the mentality of the Africans, and their faith in their religious leaders and doctors."
PM also recognized that a high rate of illiteracy means a populace will rely less on printed reports for health information, which benefits the tobacco companies. The following passage discusses the high rate of illiteracy in Nigeria and how health information from the "outside" was starting to affect "the upper class" (which presumably had higher literacy rates than the general population):
From Page 68:
"As not less than seventy percent of the Nigerian population is illiterate, Nigerians form their opinions on smoking and health almost exclusively on the basis of rumor and superstition. The population is becoming more aware of the allegations against smoking largely because of press coverage from outside reports. The prevalent attitude in model developed countries has some impact on the upper class..."
PM also found that increasing levels of wealth and education in underdeveloped countries tends to work against cigarette manufactuers:
"Future Developments and Their Effect on Philip Morris' Activity
As Nigeria's wealth becomes more evenly distributed among its population and a greater number of Nigerians become educated, the spill-over effect as regards smoking and health may become more evident..."