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Litvinenko, Polonium-210: tobacco products are toxic and should be “recalled”.

What if a product came onto the Australian market and was then found to contain carcinogens, irritants, pollutants and other disease-causing constituents? What if some people became sick from using the product and others died? You can be pretty sure this turn of events would prompt the company involved, with or without a nudge from the authorities, to issue a recall.

But there’s a notable exception to the corporate alarm that generally results from product harm. The idea of tobacco companies recalling cigarettes from the Australian market is so far fetched that the Cancer Council Victoria used it in a satirical video a few years ago.

Below, public health researcher Kathryn Barnsley discusses why a complete recall of tobacco products, far from being a laughable prospect, is well overdue.

[divide style=”dots” width=”medium”]

Kathryn Barnsley writes:

With the advent of gruesome warnings and plain packaging we have ensured that cigarette packets look bad, but what’s inside is worse. Tobacco is a toxic substance that, if it were a food or any other product in Australia, would be recalled.

Former KGB agent Alexander V. Litvinenko was killed by Polonium-210, a radioactive substance that is found in tobacco smoke. The industry has known this for many years and has covered it up. In 2008 researchers wrote in the American Journal of Public Health that cigarettes should be “labelled as radioactive”.

Safety concerns and recalls

Last year in Australia there was a media frenzy and health concerns around the issue of contaminated frozen berries. Australia has strict standards pertaining to food and medicines, with regular recalls of products when something goes wrong. In the case of frozen berries from China, suspected of causing Hepatitis A, there was an immediate recall of the product. This week it is lettuce.

In the past few weeks there has been more excitement about the recall of some hover boards and a steel dining chair. Oh – and some cinema cups.

In Australia in the past year there have been recalls of different brands of ice cream, bread, berries, yoghurt, party pies, chocolate Easter products, cheeses, beer, milk powder, coconut drinks, tonic water and cola.

Other products recalled include drugs such as Cabaser, Methoblastin, Halcion, Ponstan and Xanax which were sold without child-proof caps, and some soaps, shower gel and cosmetics. There have been boats, cars, and electrical items from blenders to heaters, to spas and an iPhone charger.

The many other categories of recalls go on for pages and pages on the ACCC Product Safety Recalls Australia website.

In rare cases, product recalls are prompted by a death. Tobacco kills over 20,000 Australians per year but, apart from those deemed a fire hazard, no cigarettes have been recalled. Funny that. But this is not a laughing matter.

Tobacco product regulation in Australia

Australia has only a voluntary agreement with the tobacco companies to disclose the contents of cigarettes, with no recall of products in the event of contamination occurring. There are no government officials who look at the quality of tobacco products coming into the country; there are no rules, no inspections, no testing, no analysis, no examination, and no scrutiny at all. As Bill King from the Cancer Council Victoria recently wrote in Tobacco Control, “The measures introduced within most jurisdictions have restricted how the tobacco industry may depict cigarettes in order to promote use but not restricted how it may engineer cigarettes to promote use.”

The Commonwealth Department of Health’s listing of tobacco ingredients is entirely voluntary, and is not checked. Some of the flavourings listed are Acetic Acid, Acetoin, Apple Juice/Concentrate, Carob Bean Extract, Cellulose Fibre, Cocoa Extract, Cocoa Powder, Cocoa Shell Extract, Coffee Extract, Dill Herb Extract, Ethyl Vanillin, Fenugreek Extract, Fenugreek Oleoresin, Glycerol, Guar Gum, Licorice Extract, Lovage Extract and Menthol.

Contamination and cover-ups

Apart from the dangers associated with the deliberate constituents of cigarettes, in the 1990s, there were at least six incidents of cigarette contaminations in Australia, which were covered up by the tobacco company involved. Some of the complainants received compensation but there were no recalls of tobacco products. These incidents were discovered in documents released in the USA, which can be found in the online Legacy Documents library at the University of San Francisco (available by logging in at https://industrydocuments.library.ucsf.edu/tobacco). How many more contaminations have there been since, that have gone unreported?

The incidents in Australia included:

  • A bullet in a “Benson and Hedges” Special filter 25s
  • An exploding cigarette (causing slight eye damage) – Stradbroke Ultimate 2 Menthol 40s
  • A darning needle found in a “Benson and Hedges” Special filter 25s
  • A hypodermic syringe in a packet of “Horizon Mild”
  • A fish hook in a tobacco pouch of “Champion Ruby”
  • A cigarette flared up (causing eyelid damage to the smoker) – Commodore Virginia

In February 1994 Mr S. purchased a 25 pack of Benson & Hedges cigarettes from a hotel bar in Kempsey NSW. While attempting to smoke the second cigarette from the pack, he found it contained a live .22 calibre bullet.

In May 1994 the wife of a truck driver in Western Australia found the hollow needle and green plastic screw-top end from a medical syringe in a pack of Horizon Mild.

On December 15 1999, investigative journalist Mark Ragg reported in Sydney Morning Herald, “For 12 months, [an Australian tobacco company] sold cigarettes it believed to be contaminated without telling the public, health authorities, consumer affairs departments or shareholders. “

When told about the document, the CEO [of the company] admitted that there were “some isolated incidents, a handful of isolated incidents” over a 12-month period in which needles and other metallic objects were found in a variety of cigarettes, including Stradbroke.

“The company did not withdraw any stocks of cigarettes, and no information was provided to shareholders or to government authorities, he said. Neither the Health Department nor the Department of Consumer Affairs was informed, he agreed.”

The tobacco company prepared a media release to blame anti-tobacco activists in case the media ever found out about the contamination. It did not recall any products.

The toxic legacy continues

The ACCC found in 2005 that the major Australian tobacco companies were likely to have engaged in misleading and deceptive conduct in relation to so-called “light” cigarettes, and they agreed to pay for an advertising campaign to tell the public that these cigarettes were just as dangerous as other cigarettes. But the ACCC does not regulate the content of cigarettes.

We know that cigarettes are radioactive. We have known since the 1970s that some cigarettes contain pesticides such as Dieldrin, as well as DDT, polyurethane, maleic hydrazide, and other organochlorines. We know that ammonia has been added to cigarettes to increase their addictiveness.

In 2012 the US Food and Drug Administration (FDA) published a list of 93 chemicals and chemical compounds as harmful constituents of tobacco products, including benzene, acetone (nail polish remover), cadmium, coumarin (rat poison), mercury, naphthalene (moth killer), toluene, and Uranium-235 and 238.

In 2016 the tobacco industry and the civil libertarians are happy. Tobacco companies are as free as a bird to continue contaminating, unconstrained and making big profits – $2.2 billion in 2013 according to the Australian Financial Review, killing up to two thirds of their customers, while our publicly funded hospitals struggle.

Grounds for a recall

We should support the tobacco free generation proposal that would phase out the sale of tobacco products born to anyone after the year 2000 as recommended by Professor Jon Berrick, and currently being considered in Tasmania, proposed by courageous independent MP Ivan Dean.

Furthermore, we should regulate the contents of cigarettes, as suggested by Bill King from the Cancer Council, Victoria.

Or we could require tobacco manufacturers to recall all their products that cannot pass a “safety” test. That would be all of them.

As American historian, Professor Robert Proctor says, “The cigarette is the deadliest artefact in the history of human civilisation”.

 

Kathryn Barnsley is from the Centre of Research Excellence for Chronic Respiratory Disease
School of Medicine, University of Tasmania.

Acknowledgements: The Australian tobacco product contamination story was originally discovered in the 1990s by Dr Martin Bicevskis, a retired medical officer, but was never published.

“The bullet in the Benson and Hedges” photograph is not the actual contamination. The photograph demonstrates the relative sizes of the 1990’s packet, cigarette and bullet involved. Photo: Copyright S. Abel

 

 

Comments 2

  1. jaja says:

    That’s an easy question – since the tobacco companies have so much money and power, and their products drive so much money back to the state (taxes, health problems which nurture a whole industry) – why should it be taken away?

    and what about alcohol? same story here.

  2. Barnsley’s fear mongering rhetoric is similar to that of Wayne Wheeler (who campaigned to ban the sale of alcohol in the US a century ago), Harry Anslinger (who campaigned to ban the sale of marijuana in the US 80 years ago), and religious zealots (who campaigned to ban condoms and other forms of birth control during the past century).

    But Barnsley fails to address any of the many disastrous ramifications of her (and other’s) puritanical proposal to create a black market for untaxed and unregulated cigarettes in Australia.

    Here in America, we have lots of experience ginning up public panics to lobby for counterproductive prohibition laws that have created more crime, violence, criminals, police, prosecutors, judges, juries, jails, probation officers, broken families, unemployed ex-convicts, racial disparities and public fear.

    The best way to further reduce cigarette smoking in Australia is to legalize nicotine vapor products and smokeless tobacco products (which are 99% less harmful than cigarettes, and have helped several million smokers quit smoking), and truthfully inform smokers that those products are far less harmful alternatives than cigarettes.

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Federal Budget 2021-22
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
flooding 2011
global health
NHS
NZ Election 2017
WHO
health
Health workers
Healthcare and health reform
abortion
adverse events
aged care
allied health care
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
chronic diseases
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
health reform
health regulation
health workforce
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
nurses and nursing
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
primary health care
Primary Health Networks
private health insurance
quality and safety of health care
rural and remote health
screening
sexual health
social media and healthcare
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
PIJ Commissions 2021
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
public health
public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
discrimination
education
housing
justice
Justice Reinvestment
NBN
Newstart
poverty
racism
social policy
Summer reading 2020-2021
Tasmanian election 2021
Testing Croakey News category 1
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016