Tobacco Institute
Statement of John Slade, M.D. Department of Medicine St. Peter Medical Center New Brunswick, New Jersey Before the Subcommittee on Health and the Environment House Energy and Commerce Committee FDA Jurisdiction Over Tobacco Products
Fields
Annotations
- 1. Subcommittee Health Environmen Recipient
- Affiliation:
Subcommittee Health Environment
- Affiliation:
- 2. House Energy Commerce Committe Recipient
- Affiliation:
House Energy Commerce Committee
- Affiliation:
- 3. Slade, J. Author
- Affiliation:
St Peters Medical Center
- Affiliation:
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March 25, 1994 Page 11
Becai.:se oE the large amount of tobacco leaves used in the
manufactLCe U cayarettes and the extreme var:ability in
nicotine content of the =eaves, it is not practically
possible Cor respondent [P. Lorilla,nci Colupany] , or ai:y of
the other manufacturers of leading brands of cigarettes, to
maintain a constancy of nicotine in the finiehed 4igaLeLte.
(Federal Trade Commission, 195C, page 6)
This is na longer the case. Innovations in materials
processing and cigarette design since the 1950a have made it
possible for cigarette manufacturers zo make products that are
uniform despite the variability inherent in their chief raw
material. The Appendix summarizes some patents _hat illustrate
major ways ciqarette manufacturers can use modern technology to
assure a uniform product, a product that performs as intended, as
a nicotine delivery device. The patents demonstrate a concern
with providiny predictable, controlled doses of nicotine to the
r..nnmummr, engineering that makes it easier for the consumer to
titrate his nrhAr nicotine Level. This overarching concern is
especially c1-ar in patent rn. 1,584,930 from Philip Morris.
Reconstituted toba.cao (paper sheets made fror Pt:Pma, finas
and trash) ha= an inherently lower nicotine level than does
tobacco loaf. fiimilarly, etems themselves, which are often
finely cut an.l rollcd ao that they can be incorporated into
c:igarette ble=tda, have a far lower nicotine- aonAnt than the
leafy pdrt Uf t1~ bvba~ce-ledf -(laat-inal.. ~hcr~c._de£icianaiee, as
well ae LtiG v4riabili.ty inherent in different batchec, can be
compenwa4ed Mr with the wide variety of techniques illustrated
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in the Appendi: ;.'
Nicotine i,s lost during processing, and it can be (and is;
readded at muli:iple steps. Unlike the cigare-.te of 1950, the
f ir.al result i~ s a product that is urifarr.t and consistent. The
custotr,e= is th-.reby assured o= ea predictable subjective efrect
f rom a ga.ven b~.-and atyle.
The added nicotine can be recycled within the factory or it
can be purchas=:d from outside suppliers. The Bureau of Alcohol,
Tobacco and Fi-rearms ®icenses Special Denatured.Alcohol Num:.er 4
(SDA 4) exclusLvely for use in the manufacture of tobacco
products. SDA 4 is 1 gallon of nicotine in 100 gallons of
ethanol. Toba--.co extracts, designed for specific applications
and with varyilq nicotine content, are available from 32
different suppLiers in 10 different countriea (Table 1).
Nineteen extract suppliers are either based in the U. S. or have
subsidiaries here. The existence of so many suppliers sugqests
that° there is a relatively substantial market for these
materials.
' LTR. Ta.duntria.Q, ,.a, subaidiary .of .,KimberLy., 0'1_ark, makae
reconstituted sheet with nicotine content that varies from 0.7 to
3.5 pereent.~; eiiberat®isa, 1985) An advert isement f_cr T,TR 'e
sheet tobacco emphasizes this property. Another advertisement
attempts to p-Arsuade cigarette manuFacturers to use AhPArt instead
of cut, rolled i stems. It offers to process stems from a factory
into sheet an,I so reduce the overhead required to npprarp R stem
processing fa,;ility. Copies of both ads are included with the
statament.
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March 25, 1994 Page 13
Alternative Nicotine Delivery Devices
Table 2 lists many of the novel devices shat have been
patented which imitate the function of cigarettes. Figure 2 is
an i11u$tration taken from one of the patents for these devices
assigned to PLilip Morris. The provision of heat, from
electricity,'ns in the device illustrated in F'igure 2, or from
=hustion, a.i in Premier, (needed to volatilize
pharmaco].ogi rA11y effective doses of nicotine) is a common
feature_ The individual patents and the body of work taken as a
whole domonrat cata a core cor_r_exnn wi th delivering material to
aoneumers tha: is at least relatively free of most if not a11
toxins other rha.n nicotine. Some patents mention nicotine, some
"tobacco flav=,H and some only "flavor." The pair from B.A.T.
and Sror+rn & Williamson are noteworthy since the- Sritiah version
explicitly discusses nicotine, while thc very cimilar invention
pdt,eiil.ed by its U. S. subsidiary at the same time makos no
mention of nic:ol,ins or of tobacco. 2t only discusses "flavor. «
The 2mperial Wup patent explicitly mentions the inhalation
of nicotine as a goal auuyht by consumers of cigarettes.
tndustry RWArch on Nicotine
The CoL=_lcii t:orTobacco .k+tesearch, MOrris f and R. J.
Reynolds hav e each funded auksstantial programs of rawedruh on the
pharmacology ot nicotir.e. :n addition to a program K extramural
research, R. J. Reynolds has supported an intramural "icotine
laboratory since at least the early 1980s. Funded research Wa
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March 25, 1994 Page 14
encompassed th.: entire spectrum of subjects relevant to nicotine
pharmacology. Studies have ranged from basic work on nicotine
receptors and iiicotine analogues to human psychopharmacology
studi.es. The =:xistence of these research programs means that the
cigarette :ndu-;try is knowledgeable about all aspects of the
pharmacology o-: r.icotine.
While the~;e is a very large body of published research on
the pharmac®logy of nicotine, there is remarkably little on the
contribution nLcotine makes to the taste and flavor of tobacco
products. In .2act, apart from a few patents in which
experimental cLgarettes were assessed for flavor, taste,
harshness and :he like, I cannot recall a single published study
since the 1930-3 in which this aspect was a central focus of the
research.° -
Cigiretto am;k. SnhaistiQn is Intended by the Manu,factttrers.
Cigaretteo are designed to f.ar..i 1 i f°ai-P inhalation, and
nicotine from =igarettea can only be absorbed blr ' inhalati on .
This is doli.berat and intentional on the part of the
manuf acturers .
8 The e~La~tasc© . of Ncxt., . tha..deniao.tiniz.fad..c3.gar®t.t© . from
Philip Morris, suggests that substantial quantities of nicotine
are not necessary for the achievement of characteristic tobacco
taste and flavor. Philip Morris ofdered this product in three
&
di_ferent packaginga: aa Next, aa M®rit da-Nic and as Benson
Hedges de-Nic. it is inconceivable that a company as careful
about its prc~lucta aa Philip Morris would have done this unless
it knew from Lareful premarket testing that these products
provided the ta©te aeneatione of convontional cigarettes.
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March 25, 1994 Page 15
Both the R.J. Reynolds Tobacco Company and the American
Toba,.co Company referred to inhalation as part of the
smokLng process in their advertising in the 1930s (Tye,
1986). The text of a Lucky Strike ad from 1932
tAmerican Tobacco Co., 1932; read in part,
Do you inhale?
What's there to be afraid of?
7 out of 10 inhale knowingly ® the other 3 do so
unknowingly. ...
Do you inhale? Of course you inhale: Every
smoker breathes in some part ot the smoke re or
she drs.wa out of a cigarette.'
Until such claims were banned by the FTC in 1955,
cigarette advertising often featured claims of reduced
thrcat irritation. Table 3 provides an example of this
phe_r-om&non from each of the six major cigarette
marn_faaturers circa 1952. Throat irritation is only an
iagi.Q if the r.nnsumer inhales. If a puff of smoke is
tak--.n in and then Axpwlled from the mouth without
inh-Ll.ation, there is no ; mpAct on the throat.
The=,e£ore, claims of reduced irr; tAt_ion are the
equ.valent of claims for ea®s of inhe.Iat; nn _
e If nhalation were a misuse of the product, the
ab+l,idant evidencc of harm from inhalation should have
led tha.-aoutipan.i*a- to .tak.e, firat ste~+s ..to, .wa._rn its
cus:cmera against inhalation and to change ciga.r.Pt-te
dcaign to discourage the practice. Nothing of the anrt
I A copr of another ad from this series is included with
this sLatemenG. I
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March 25, 1994 Page 1,0
has h4ppened in f orty years.
® Racher than discourage inha®ation by product design and
by consumer warnings, the industry has conducted
elaborate animal studies cf tobacco smoke inhalation.
For instance, the Council for Tobacco Research, throug'rh
its Special Projects operation, funded a $10 millicn
moua° study under a contract titled "Smoke inhalation
studies in mice." (Henry and Kouri, 1984; Colby, 1992)
e Willjam L. Duain, Jr., of the Philip Morris Research
Centar, speaking at a C®RSSTA-TCRC sympcs'_um in 1972,
repe-.tedly referred to the fact that smokers inhale and
cons=;quently absorb nicotine. The thesis of his paper
is that absorption of nicotine produces effects that
the imoker has sought (Dur}n. 1972).
® Tt,w A. j. Reynolds Tobacco Company treats inhalatiorn as
a ma j mr feature of intended cigarette uee. When the
comp-.kny sougrt to show the scientific ccmmunity how
ciga:ette-like Premier was, it did not publish taste
teata. Ir.stead, it published a detailPri6 sttidy of the
phaa;=cokinetics of nicotin®, comparing nicotine
absorption from a cigarette with that from prototypes
of Prcmier.. W..A,aynolci.a. Tobacco Comg.art3r., 1.9:9.a)
An Imperial Croup Limited patent for a nov1 nicotine
delivery system notee, "Among the raasonra why most
peorle smoke convcntional cigarettes is that they wish
to inhale an aerosol cOnt3ining nicotine." (Imperial
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March 25, 1994 Page 17
Grottp Limited, 1982)
The inhalacion of mainstream cigarette smoke, with its
resultant obligatory absorption of nicotine, is an integral,
foreseen, and intended part or c:garette smoking.
8ome intendad Ph.rmaeologic Effects
During t'Ae segment about cigaretree on the February 28, 1994
broadcast of !)ay Oa.e on ABC, J. Donald deBethizy, Director of
Research and oevelopment for R. J. Reynolds, declared that peopr.e
smoke because they are "looking for a pleasing sensory experience
with mild pha rmacoloqy.'1 What is "mild pha: -acology?"
Advertising for Camel brand cigarettes in the 1930s
emphasized th: ability of smoking to give the customer a lift and
to calm the cuetomer down (Tye, ~986). Similarly, Lucky Strike
adverti.sing once included the claim,
Smoke a Lucky to feel yn»r IAva1 besti
Luckias, fine tobacco picksi you up when you're low...calmFa
you down when you're tense. (Walsh, 1952)
In a eourt filing, attorneys for Lorillard have noted the
benefits of dmoking as follows:
®
Lorillaz~d contends that smokers do derive benefits from
smoking cigarettos. Theae benefits presumably vary from
individ,_.al to individual, are personal, and cannot be put in
a univ^---sal or comprehens3ve.l~t. -Some -o.£ _t.he bene: ita
that ar=-i commonly reported by various smokers are:
enjoymei:t; pleaeure from tasto; Qme11; relaxationr relief of
anxiety and stress; reduction of boredom; increased
alertne-_is; improvement in concantrationj and enhancement of
social '.nteractions. (Reply to interrogatories, Covert v
Lo__r'i7.1 a ~~d)
SimilarLy, attorneys for R. J. Reynol-da hava dcacribed the
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March 25, 1994 page 1;
benefits of smoking for its customers in the =ollowing way:
Among the benefits cf cigarette smoking which have been
trequeant+y mentioned by amokera or which have beern noted in
the literature are the following: pleasing taste and aroma;
satisfac:G ton; stress reduction; relaxation; stimula=ion;
aided concentration; increased memory retention; alleviation
of boredo«, aiid fatigue; avoidance of loses of vigilance in
repetitivn or sustained tasks; and facilitation of social
interaction. (Reply tc .iiit.rsrrogatories, 4ilhov v R.-1,
RQVnol1)
The biobaiiaviora'_ research laboratory at R. J. Reyr.olds has
proven that sex,er,a1 of these effects are caused by nicotine
acting in the Orain. A paper by Dxs. Robinson, ?ritchard and
Davis (1992), copies of which have been provided to the
Subcommittee, show that cigarettes which do not deliver nicotine
(presumably Ne:ct brand cigarettes from Philip Morris) fail _o
change the EEG of smokers irn ways characteristic of the relaxing
and the atimulAtinq effects of smoking. Conventional cigarettes
do cause these EEG changes. The paper proves that it is the
nicotine in c'larette smoke, and the nicotine alone, which causes
theeP deaired affects of smoking. Throughout the article, the
authors emphasLze that these are important phar:nacolcgic effectg
of smoking and r.hat the achievement of these effectg are among
the reasons pe-aple Amnka cigarettes.
Cigarette companies often aay 1'hay design and market their
products in .reapoziee .to.,.cr~asumex.,dema~d~..,au~. t:h.~.. ~xpl,ieit eff.ects
mentioned by cigarette companies and di.ar..unnAd in this section
are among the effects amokers expect frnm r{garettes. eince
cigarette cnan~-?.facturers are market driven r.nmpaniee, they intend
that their proaucta provide these effects.
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March 25, 1994 Page 19
Cther effects many customers expect are relief from
withdrawal sy-,,ptcma and help with weight control.
The next two sections explore two particular industry terms
in more detail,. These terms, "satisfaction" and "physiologic
activity," su~~gest relief of nicotine withdrawal and maintenance
of nicotine a~_ldiction more than they suggest the relaxation and
stimulation ei`fects so emphasized by Robinson, Pritchard and
Davis.10
CiQaratte Man+tfacturQre Intend to Provide Tohaaco Satisfaction
Tobacco -iatiafaction is a technical term in the tobacco
trade that de-lotes a quality separate and apart from taste and
flavor. Ite uaage indicates that the term describes certain
pha.r.maanlogic effects of nicotine.
Table 4 iixta a$ew examples of the term
in advertisementse
that clearly 3iatinguiah tho r_nncept of "satisfaction'f from that
of "tamte."
The introduction of Premier in 1987-88 wau acanmpanied by a
variety of descriptions of the product in ternns of
and similar sounding terma.
- -----prom a patent application :
- 8rn_king-articlee .of the .iavention.. . ..are cap.ablv of
pr<<viding the user with the sensal'-ions and benerits of
lo Dr. cleaethi$y'a term, "mild pharmecology," can readily
include nico,-ine addiction since the R. J. Reynolds team has
tried to mak--, ouch a strong diotinetion between nicotine and
other addicti.ng drugs based on the fact that nicotine in usual
doses does n~~t cause intoxication (Robinoon and Pritchard, 1992).
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Marcki 25, 1994 Page 20
c-iaax,ette smokina. (emphasis added) (Clearmar et al,
1988)
hrom a cc-LUpany prese rclcaac :
The :igarette ie based on t%ew tecr.azalogy that heats
racr::r thann burns tobacco to provide smokers with
~~Y~g~:c~ ta te and aat_~~~ctic~. (e;nphad8ia added) (R. u.
Reynolds, 1987)
F'rom the tlonograph, Chem'_cal and Biolggical S9udiee... c
- R.J. Reynolds' Product Development Objectives for
deve.oping the NEW CIOARETTE were as follows t
'1'o provide the tobacco taste and smoking p1ea_sure
of other cigarettes, as demanded by smokers... ,
(emphasie added) (x.~. xeynolds, 1~88a, page 35)
The ~W CIGARETTE is based on a concept that allows a
smok-3r to receive the tobacco ta te. sensations and
e_nio en of cigarettes without burning tobacco.
(empaaeis added) (R.J. Reynolds, 1988a, page 43)
From a magazine ad in a test market area:
- 3moks that satisfies, yet dissipates almost the moment
you exhale. (emphasis added)lI (R.J. Reynolds, 1988b)
In none of these five descriptions does "taste" or
"sensation" stand alone as a sufficient description of the
benefit R. J. Reynolds promises consumers from smoking Premier.
Additional promises are made for "benefits of cigarette smoking,"
"tobacco aatiafaction," "smoking pleasure," and "tobacco
enjoyment."
Additidn.-.l illuminatiorn of the meaning of the term
"satisfaction.. can be found in two patents, copies of which have
been submitte~l to the Subcomatittee.
li One must have first inhaled the smoke in order to be
able to cxhal=i it.
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