Electronic cigarettes and heated tobacco products are not helping fight cancer, the WHO says, urging smokers and governments not to trust claims from cigarette firms about their latest products.
The seventh WHO Report on the Global Tobacco Epidemic 2019 said blocking the industry’s interference was critical to cutting the harm from tobacco use.
“The tobacco industry has a long history of systemic, aggressive, sustained and well-resourced opposition to tobacco control measures,” the report said.
“While some strategies are public and others more covert, all have the goal of weakening tobacco control.”
The report said tobacco giant Philip Morris International was trying to position itself as a responsible public health partner via its “Unsmoke” campaign, which encouraged people to “change to a better alternative”.
The WHO said the campaign aimed to ensure tobacco remained socially acceptable, while confusing people with terms such as “smoke-free products”, which might refer to products with toxic emissions and unknown short-term and long-term health effects.
Philip Morris spokesman Ryan Sparrow said the WHO’s message made it harder to provide safer options for people who could not quit smoking.
“There is no question that the best choice for smokers is to quit cigarettes and nicotine altogether. The reality is many people do not. We cannot turn our backs on them,” he said.
“Organisations like the WHO need to stop talking at smokers and start listening.”
The WHO report said the industry hoped to win respectability through manipulative messages such as claiming their products were part of a “harm reduction” strategy, even though cigarettes still accounted for 97% of the global tobacco market.
Vinayak Prasad, program manager of WHO’s tobacco control unit, said development of new products was solely intended to expand the markets of tobacco firms.
“There is no difference between cigarettes and heated tobacco products except that in terms of exposure: the exposure is less and the smoke is not visible.”
Electronic cigarettes containing nicotine but not tobacco were promoted as a way to quit smoking.
But there was no evidence to justify the claim, and evidence from the US showed they had increased the prevalence of young people smoking, he said.
“So it’s also a gateway for young people,” Mr Prasad said.
“The answer is it needs to be regulated. WHO has clear guidelines — to get electronic cigarettes regulated. And if you are banning it, fine, but if you aren’t banning it don’t let it [go] free in the market, because the young people are taking it up.