Plain packaging works: Australia shows fastest decline in smoking rates in over 20 years

Opinion: Ireland needs similar result if the Government’s policy to make the country tobacco free by 2025 is to be achieved

‘The tobacco industry are opposed to this legislation. They argue it is a waste of time and will make no difference to smoking prevalence.’ Photograph: Getty Images

‘The tobacco industry are opposed to this legislation. They argue it is a waste of time and will make no difference to smoking prevalence.’ Photograph: Getty Images

Fri, Aug 15, 2014, 00:01

Latest research results from Australia on its standardised packaging of tobacco products are very encouraging. Official data from its latest national survey show the fastest decline in smoking rates in over 20 years with an 11 per cent relative reduction in the prevalence of smoking.

Customs and excise data in the same survey show a fall of 3.4 per cent in tobacco sales by volume in the first year of the legislation. This led to a Financial Times report in June declaring “Australians are consuming less tobacco than at any time since records began in 1959”. Ireland needs similar headlines year-on-year if the Government’s policy to make Ireland tobacco free by 2025 is to be achieved.

This will not be easy. But Ireland has been taking the right steps. The interventions scientifically shown to be effective in reducing tobacco use are well established and enshrined in the legally binding Framework Convention for Tobacco Control treaty which Ireland and 145 other countries have ratified. Ireland has proven to be a champion for the treaty and it has also been incorporated into the Government’s tobacco-free Ireland plan. While price increases through taxation are regarded as most significant, there are many other viable interventions aimed at reducing demand for tobacco. These include smoke-free laws, advertising bans, restriction of access to cigarettes for, and advertising aimed at, children, the banning of advertising at point of sale and smoking cessation services.

Ireland has taken the lead in a number of these initiatives – most notably smoke-free legislation banning smoking in the workplace including pubs, clubs, and restaurants. This intervention, introduced by Micheál Martin as minister for health, marked its 10th anniversary last March and has forever changed the culture of smoking in Ireland.

The landmark legislation has been replicated all over the world, reducing heart attacks, strokes and respiratory disease by limiting the public’s exposure to secondhand smoke. It has also resulted in some 1,250 fewer deaths annually in Ireland from heart disease, stroke and COPD every year since it was introduced.

Mortality

Our research at the TobaccoFree Research Institute has shown the smoke-free law also reduced inequalities in health which very few other interventions except price increases have succeeded in doing. Among the many tobacco control interventions, it alone has been shown to reduce inequalities in mortality from these diseases between the well-off and the more disadvantaged in Ireland. This is a remarkable finding, particularly during the recession.

Ireland is taking a fresh and highly significant leadership role in deciding to introduce standardised tobacco packaging. It is the first country in the northern hemisphere to do this, although other countries (most notably Britain) are also considering its introduction. It also supports the EU Tobacco Products Directive which must be incorporated into Irish law by 2016. The Government and former minister for health James Reilly are to be congratulated on this bold and hugely important initiative which will play an enormous part in reducing tobacco addiction and consequent illness, disability and death.

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