Reports Archive - Foundation for a Smoke-Free World

Published Reports

Published by the Foundation
for a Smoke-Free World

India Country Report
2020 Agriculture and Livelihoods, HEALTH, SCIENCE, AND TECHNOLOGY, INDUSTRY TRANSFORMATION

India Country Report

The Foundation for a Smoke-Free World is committed to filling key knowledge gaps in our collective understanding of tobacco production and use, especially in the low- and middle-income countries where it is increasingly grown and consumed. In that vein, this report provides a glimpse of the tobacco landscape in India. As one of the world’s largest producers and consumers of tobacco, understanding this landscape and the opportunities to transform – both literally and figuratively – have never been more important. This report only scratches the surface of the forces shaping that landscape, but we hope that, in doing so, it encourages others to make even greater explorations of it.

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Watching Briefs: Hungary
2020 INDUSTRY TRANSFORMATION

Watching Briefs: Hungary

The Watching Brief series chronicles the most up-to-date data on smoking across the world. In the first of this series, Foundation economist Ayda Yurekli examines the current state of the Hungarian tobacco industry. From analyses of excise taxes to an investigation of illicit trade, this two-part Brief offers an illuminating look into the past, present, and future of smoking in Hungary.

Issue 1: In January of 2020, the Hungarian government significantly reduced its excise tax on e-cigarettes (ENDS), while it left heated tobacco product (HTP) excise taxes unchanged. We examine the potential impact of ENDS tax reduction on public health and government interests.

Issue 2: Hungary recently achieved a 9-percentage-point reduction in smoking prevalence – from 36% in 2005 to 27% and may set a target rate for being smoke-free in the near future.

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COVID-19 State of Smoking Poll
2020 HEALTH, SCIENCE, AND TECHNOLOGY

COVID-19 State of Smoking Poll

The Foundation for a Smoke-Free World commissioned a poll in five countries that explores the relationship between COVID-19 social distancing and health among 6,801 tobacco and nicotine users. More than two thirds of the respondents rely on tobacco and nicotine as their main tool to manage stress and anxiety. Nearly 40% of smokers increased use of these products in recent weeks, which could equate to elevated use by more than 50 million smokers in the five countries polled.
The havoc wreaked by the COVID-19 pandemic is twofold: in addition to suffering direct effects of the virus, the world is grappling with the challenge of social distancing. The mental and physical toll of this practice may be particularly profound for millions of smokers who, as a way to cope with stress, have increased their tobacco intake.
The “COVID-19 State of Smoking Poll” was conducted online by the Nielsen Company for the Foundation for a Smoke-Free World during the period starting April 4 and ending April 14, 2020. Survey respondents from the United Kingdom, Italy, South Africa, India, and the United States (New York and California) were between the ages of 18 and 69, and were regular smokers of combustible tobacco or users of nicotine vape products.

Link to COVID-19 State of Smoking Poll Summary Report
Global Perceptions of Tobacco and Nicotine Products
HEALTH, SCIENCE, AND TECHNOLOGY

Global Perceptions of Tobacco and Nicotine Products

The Foundation for a Smoke-Free World commissioned a survey in seven countries including Greece, India, Japan, Norway, South Africa, the UK, and the US. The survey captured participants’ demographic data, their habits and perceptions regarding tobacco and tobacco harm reduction (THR) products, as well as their experiences around quitting tobacco products. A total sample of 54,279 adults between 18-69 years of age who were current users of any tobacco or THR product (46,220) as well as quitters who quit within the past five years (8,047) participated in the survey. This is a follow-up poll to the Foundation’s 2017 survey to stay informed of global tobacco/nicotine use habits and perceptions, which was conducted in 13 countries.

Results of the poll have been analyzed and presented at scientific meetings, submitted as manuscripts for publication in peer-reviewed journals, and have been picked up by several international media outlets.

Posters presented at the annual Society for Research on Nicotine and Tobacco meeting in New Orleans, Louisiana (2020) are available here.  The first explores (current and former) product users’ perceptions regarding nicotine, and the second looks at the data from the six countries that were surveyed in both 2017 and 2019 (Greece, India, Japan, South Africa, UK, and US) on the perceptions of relative harm of e-cigarettes compared to traditional combusted cigarettes over time.

Perceptions of nicotine in current and former tobacco & tobacco harm reduction product users from seven countries.
Perceptions of relative risk of e-ciagrettes over time in six countries.
Insurer Perspectives on Smoking Risks
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2020 INDUSTRY TRANSFORMATION

Insurer Perspectives on Smoking Risks

It’s time for insurers to rethink how they quantify and reduce smoking risks. Smoking risks affect life and health insurers worldwide. Tobacco risks and regulations have an impact on underwriting, pricing, claims and reserves in all countries. Smokers account for a significant proportion (10–15 percent) of life and health insurers’ books of business, and insurers worldwide are exposed to the mortality and morbidity effects of tobacco. Smokers also number disproportionately among the uninsured, and insurers may be missing out on smoker segments that are insurable – relatively “good risks” within a spectrum – but currently priced out of the market.

The report reviews current insurer practices and challenges relating to how they detect policyholders’ smoking status, quantify smoking risks, and reduce risks through smoking cessation. It then recommends potential solutions leveraging emerging technologies, products, and processes to address these barriers. Solutions are illustrated with real-world case studies from organizations innovating at the frontier.

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Global Trends in Tobacco Production and Trade
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2019 Agriculture and Livelihoods

Global Trends in Tobacco Production and Trade

Over the past two decades, global patterns in tobacco production and trade have shifted dramatically. While research by tobacco control groups and public health organizations has focused on tobacco production and elucidated several key trends driving these shifts, considerably less is known about patterns of tobacco trade. Understanding the global tobacco economy—and the major players in it—depends on developing a more complete knowledge of all stages of the tobacco supply chain, including production of tobacco, trade of unmanufactured tobacco leaf, processing of tobacco leaf into various tobacco products, and trade and consumption of manufactured tobacco products. As with many other commodities, tobacco has its own unique and evolving supply chain. This report focuses on understanding patterns in production and trade of unmanufactured tobacco leaf.

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Business Transformation:
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2018 INDUSTRY TRANSFORMATION

Business Transformation:

An analysis of case studies relevant to achieving a smoke-free world

The Foundation for a Smoke-Free World aims to foster discussion on the transformational possibilities of achieving a smoke-free world in this generation. Tobacco companies have an opportunity to adopt business models that will lead to a world without combustible cigarettes. There are more than a billion smokers in the world today. Smoking prevalence is declining, but at a rate far too slow to achieve the Foundation’s objectives for smoking cessation and tobacco harm reduction. Furthermore, in accomplishing this transition successfully, we must ensure that vulnerable populations, including smallholder tobacco farmers, are supported to find sustainable alternative activities and livelihoods.

This report contributes to the discussion by presenting six case studies of companies that undertook significant business transformations. The six cases demonstrate varying motivations, and, as business transformation is not without risk, some of the companies performed better than others.

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Global Trends in Nicotine
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2018 INDUSTRY TRANSFORMATION

Global Trends in Nicotine

The Global Trends in Nicotine reports contribute to laying the groundwork for the Foundation’s work in the area of industry transformation, and represents an important step in the Foundation’s research program. Specifically, the reports identify the major players in nicotine delivery, outline their product organization and geographic focus, and quantify their output. Building upon this work, the Tobacco Transformation Index will over time evaluate 15 of the largest nicotine delivery companies in the world.

Highlights from the 2019 update include:

  • In 2018 more than $800 billion in retail value was generated through the sale of an estimated 6.1 trillion retail cigarette stick equivalents globally. Yet, signs of change led by product innovation and consumer demand are evident in certain markets.
  • E-cigarette sales increased more than 30% in 2018, and heated tobacco product volumes more than doubled. Both product categories constituted less than 2% each of the global nicotine ecosystem by retail value but have far surpassed sales of nicotine replacement therapy (NRT) products during the past several years.
  • Cigarettes constituted more than 87% of global retail value associated with the nicotine ecosystem in 2018, which was down from 89% in our last report for 2017. Overall nicotine demand, estimated by our cigarette stick equivalent model, remained stable compared to prior years, implying product substitution by consumers.
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Click To Access 2019 UPDATE
“No Fire, No Smoke”
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2018 HEALTH, SCIENCE, AND TECHNOLOGY

“No Fire, No Smoke”

The Global State of Tobacco Harm Reduction 2018

The GSTHR report maps for the first time the global, regional and national availability and use of safer nicotine products, the regulatory responses to these products, and the public health potential of tobacco harm reduction.

Every six seconds someone dies from a smoking-related disease and the problem is likely to worsen; the steep smoking declines in richer countries are slowing while in poorer countries smoking is set to rise. Existing forms of tobacco control are proving insufficient. While many people give up smoking, on their own or with medicinal products, many fail. ‘Quit or die’ is no longer the only option for those who cannot give up. Safer nicotine products offer another way. There is substantial international, independent evidence that these products are demonstrably safer than cigarettes. These potential lifesaving products could lead to a global revolution in public health.

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Cessation Landscape Report
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2018 HEALTH, SCIENCE, AND TECHNOLOGY

Cessation Landscape Report

EY-Parthenon (EY-P) conducted a landscape analysis in July 2018 to identify and characterize smoking cessation products and services

  • The objective was to provide a comprehensive overview across products and services segments which are currently on the market and those currently in development for smoking cessation
  • The scope of the assessment focused on solutions that are specifically developed or approved for smoking cessation, rather than products that provide smokers with a (less harmful) alternative to smoking
  • Each intervention has been characterized along multiple dimensions, including the cessation method it uses and, where available, the provider/developer, mechanism of action, its efficacy and further relevant details 
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Global Poll 2017
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2017 HEALTH, SCIENCE, AND TECHNOLOGY

Global Poll 2017

In late 2017, the Foundation commissioned a poll that served as a baseline assessment of a continuous effort to evaluate and monitor the global state of smoking and tobacco harm-reduction efforts. The Foundation engaged Kantar Public, an integrated consulting and research agency, to conduct this poll. The purpose of the survey was to gain a clear understanding of smokers’ experiences and challenges, their habits and perceptions of risk regarding tobacco products and alternative nicotine delivery systems (ANDS), and the influence of these risk perceptions on their choices of products used, among adults across the world. The survey included a quantitative questionnaire, completed by more than 17,000 adult participants in 13 countries. A qualitative part of the survey, made up of focus group discussions in major cities in seven countries, provided additional context and insights.

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