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The New Zealand Medical Journal

 Journal of the New Zealand Medical Association, 25-January-2008, Vol 121 No 1268

Recent changes in cigarette packaging in New Zealand may continue to mislead smokers
The New Zealand Commerce Commission is currently undertaking an enquiry into the terms “light” and “mild” on tobacco products. This is an important issue from a public health and a consumer rights perspective. However, we fear that focusing only on the descriptor as a potentially misleading method of communicating about the product to consumers is inadequate, and that the review should encompass other communication methods including pack colouring.
Epidemiological evidence suggests that the health outcomes from smoking light or mild cigarettes are as grave and as common as those from smoking other cigarettes.1 International research however, has shown that many smokers do not understand that light cigarettes are just as hazardous as regular cigarettes, and many believe that smoking “light” or “mild” cigarettes has a much lower health risk.2–6
In countries where these misleading descriptors have already been banned, the tobacco companies have side-stepped the legislation by using colour-coding to create different pack colours for different versions within the same brand family. This is apparent in Europe with “Lucky Strike Silver”, and in Australia with “Winfield Green”. Research we have conducted in New Zealand has shown that there is a strong relationship between the dominant colour of the pack and the brand labelling and type of cigarette. For example, red is associated with ‘regular’ cigarettes; white, silver, and blue with ‘light’ and ‘mild’ variants; and green with menthol cigarettes.7
In New Zealand, where misleading tobacco descriptors have been common,8 there are signs that tobacco companies are anticipating the banning of mild and light descriptors by the increasing use of such colour coding and removal of descriptors. We have conducted monthly surveillance of brands for sale in an on-line supermarket website and in other settings. In July 2007, British American Tobacco (BAT) introduced “Dunhill Fine Cut Navy” (in blue packaging) and “Dunhill Fine Cut White” (in white packaging). BAT also introduced “Kent Blue”, “Kent Silver”, and “Kent Gold” in August 2007; and in November 2007, BAT re-labelled all their “Holiday” brand variants from “Filter”, “Mild”, “Menthol”, and “Menthol Mild” to Holiday “Red”, “Blue”, “Dark Green”, and “Green” respectively.
Given that there is New Zealand evidence that cigarette pack colour communicates information about the cigarettes that may be misleading (such as implying they are lighter or milder7), then these recent changes in labelling are of concern.
In order to minimise potential deception, it is highly desirable that all aspects of pack design (including colour, shape, and wording) are considered when recommending legislation banning “mild” and “light” descriptors.

Jo Peace
Research Manager
(jo.peace@otago.ac.nz)
Nick Wilson
Senior Lecturer
George Thomson
Senior Research Fellow
Richard Edwards
Senior Lecturer
Department of Public Health
University of Otago, Wellington
Acknowledgements: This work was part of background work for the ITC Project (the International Tobacco Control Policy Evaluation Survey) which is supported by the Health Research Council of New Zealand and the NZ Ministry of Health. However, the views expressed here do not necessarily represent those of these agencies.
Competing interests: Three of the authors (NW, GT, RE) have previous undertaken work for the Ministry of Health or non-governmental agencies working to improve tobacco control.

References:
  1. National Cancer Institute. Risks Associated with Smoking Cigarettes with low Machine-Measured Yields of Tar and Nicotine. Bethesda, Maryland: National Cancer Institute, 2001.
  2. Borland R, Yong HH, King B, et al. Use of and beliefs about light cigarettes in four countries: findings from the International Tobacco Control Policy Evaluation Survey. Nicotine Tob Research. 2004;6(Suppl 3):S311–21.
  3. Health Education Authority. Consumers and the changing cigarette. London: Fair Print, 1999.
  4. Kropp RY, Halpern-Felsher BL. Adolescents' beliefs about the risks involved in smoking "light" cigarettes. Pediatrics. 2004;114:e445–51.
  5. Shiffman S, Pillitteri JL, Burton SL, et al. Effect of health messages about "Light" and "Ultra Light" cigarettes on beliefs and quitting intent. Tob Control. 2001;10(Suppl 1):i24–32.
  6. Shiffman S, Pillitteri JL, Burton SL, et al. Smokers' beliefs about "Light" and "Ultra Light" cigarettes. Tob Control. 2001;10(Suppl 1):i17–23.
  7. Peace J, Wilson N, Thomson G, Edwards R. Colouring of cigarette packs in New Zealand, does it mislead consumers? (HePPRU report-Peace et al). 2007. http://www.igloo.org/tobacco_labelling
  8. Wilson N, Peace J, Thomson G, Edwards R. The prevalence of misleading tobacco descriptors in the NZ tobacco market. N Z Med J. 2007;120(1252). http://www.nzma.org.nz/journal/120-1252/2497/
     
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