In the Fight to End Smoking, More Must Be Done
Summary
TLDRこのスクリプトは、タバコが時代遅れになり、代わりに低リスクのスモークフリー代替製品が普及する未来を想像し、実現への道を模索しています。フィリップモリス国際は、革新、科学、そして多額の投資を通じて提供されるより良い代替品にタバコを置き換えることで喫煙を減らすというミッションを掲げています。しかし、市場から撤退するにつれて反発も増しており、特定の利益団体は議論を封じ込もうとしています。スウェーデンや日本での成功例から、代替製品の普及が公衆衛生の改善につながると示唆しています。
Takeaways
- 🚭 将来の展望として、タバコが時代遅れになり、需要が枯渇すると述べています。
- 👍 一部の喫煙者はタバコをやめると、これは個人にとって最高の選択だと主張しています。
- 🛑 フィリップモリス国際は、タバコをより良い代替品に置き換えることで喫煙を減らすというミッションを持っています。
- 🤔 会社はタバコから撤退するほど速くなればなるほど、反発を受けると感じています。
- 🗣️ 特定の利益団体は、タバコの終焉を加速する取り組みを受け入れられないと感じています。
- 🚫 政府や組織は、喫煙を阻むために何でもすると誓い、しかし世界中で1億人以上の人々がまだ喫煙を続けています。
- 🔄 現状の喫煙率が高いことを示すのは、現在の喫煙を終わらせるアプローチが十分速くは働いていないことを証明しています。
- 🌐 科学的なデータは、世界中で販売されているタバコよりも有害性が低い可能性がある、より良いタバコの代替品が存在するという可能性を示しています。
- 🏛️ スウェーデンの公衆衛生データを参照すると、タバコの代わりに使用されるスナウスが、男性の死亡率を大幅に低減していることがわかります。
- 📉 イギリスのように、成人の喫煙者を助けるためのスモークフリー製品を採用した国では、喫煙率が急落しています。
- 💡 フィリップモリス国際は、スモークフリー製品を開発・マーケティングに10億5千万ドルを投資し、これらが会社の総純利益の3分の1以上を占めています。
- 🔍 多くの政府は、代替製品の可能性を遮断したり、無作為な不作為の姿勢をとり、科学的根拠に基づいて代替製品に関する意思決定をせずにいます。
Q & A
フィリップ・モリス国際はどのようなミッションを持っていますか?
-フィリップ・モリス国際はタバコをより良い代替品に置き換えることによって喫煙を減らすことを目指している。彼らは革新、科学、そして多くの投資を通じて利用可能なより良い代替品を提供している。
タバコを廃止するという目標を達成するために、どのような困難が言及されていますか?
-特定の利益団体がタバコの終焉を加速するための彼らの取り組みを受け入れられないと感じており、議論を封じ込もうとしている。彼らは彼らを排除し、他の人々を私たちと関わりをしないよう抑圧している。
タバコをやめるための現在のアプローチはなぜ効果がありませんか?
-世界中で1億人以上の人々がまだタバコを吸っているという高い喫煙率の継続は、現在のタバコ使用を終わらせるアプローチが十分速くは働いていないことを示している。
タバコの代替品が存在するという主張にはどのような科学的なデータがありますか?
-科学的なデータは、タバコの代わりに存在するより良い代替品が存在し、世界中で販売されているタバコよりも害が少ない可能性があることを示している。
タバコの代替品を促進するためには、どのような措置が求められますか?
-政府、公衆衛生コミュニティ、産業、市民社会など、さまざまな関係者が協力し、成人の喫煙者にこれらのより良い代替品を手に入れるよう努力する必要がある。
スウェーデンにおけるタバコ代替品の使用はどのような影響を及ぼしましたか?
-スウェーデンでは、タバコに代わる最も一般的な代替品であるスヌスが使用されており、男性の喫煙に起因する死亡率がEU諸国と比較してはるかに低くなっている。
タバコの代替品が存在するという事実に反して、なぜ多くの政府はこれらを妨害または不作為としていますか?
-多くの政府はタバコの代替品を妨害または不作為としている理由は、政治的なキャリアにとっては議論から完全に遠ざかる方が安全だと考えられているためである。
フィリップ・モリス国際はタバコを製造し続ける理由は何ですか?
-フィリップ・モリス国際が事業を停止しても、顧客はタバコを購入し続ける。彼らは他のブランドに変わるか、さらに悪い無法市場に回る可能性がある。
タバコの代替品が成人の喫煙者にとってどのような利点があると主張されていますか?
-タバコの代替品は燃やすことなく、タバコに由来するほとんどの有害な成分を大幅に削減することができるため、喫煙に関連する死亡と病気を大幅に減らす可能性がある。
フィリップ・モリス国際はタバコの代替品にどれだけ投資していますか?
-2008年以降、フィリップ・モリス国際はタバコの代替品の開発と商業化に10億5000万ドル以上を投資しており、彼らの総純利益の3分の1以上を占めている。
タバコの代替品を採用することの潜在的な公衆衛生上の影響はどれくらいですか?
-WHOのデータと方法に基づく仮説モデルによると、タバコの代替品がタバコよりも80%もリスクが低いと仮定し、現在の喫煙者が完全にそれらに切り替えると、生涯において喫煙による死亡の10倍の減少が見込まれる。
Outlines
🚭 喫煙の終焉へ向けて
この段落では、喫煙が時代遅れのものになり、需要が枯渇する未来を想像しています。フィリプ・モリス国際は、科学、革新、そして多額の投資を通じて提供されるより良い代替品に菸草を置き換えることで喫煙を減らすことを目指しています。しかし、喫煙を加速させる反対勢力が存在し、議論を封じ込もうとしています。政府や組織はこれまでにも拘束的な規制、高価格、広告禁止、公衆衛生キャンペーンを通じて喫煙を防いできたにもかかわらず、世界中で1億人以上の人々がまだ喫煙を続けています。現在はより包含的で革新的なアプローチを試す時であり、科学的データに基づく代替製品が既に存在し、喫煙を続ける成人に提供される必要があります。しかし、多くの世界的な規制当局はこの代替製品への成人喫煙者のアクセスを促進する政策を実施する代わりに、無行動を選んでおり、反喫煙組織は産業を終わらせることに比べて喫煙自体を終わらせることにあまり関心を持っていないようです。
📊 公衆衛生へのポジティブな影響
この段落では、世界保健機関のデータや第三者データに基づいて、喫煙者たちが煙を吐かない製品に完全に移行する場合の潜在的な公衆衛生へのポジティブな影響を計算しています。仮説的なモデルでは、煙を吐かない製品がタバコよりも80%もリスクが低いと仮定した場合、喫煙者の生涯において、歴史的なタバコ制御措置だけで比べると、喫煙による死亡の10倍以上の減少が見込まれます。さらに、スウェーデンの公衆衛生データを見ると、喫煙率が5%に低く、Snusという煙を吐かない湿ったタバコ製品が一般的で、男性の喫煙による死亡率はEU諸国と比較して非常に低いです。一方、オーストラリアやトルコ、シンガポールなど、煙を吐かない製品を禁止または厳しく制限している国々では、喫煙率の減少が遅れ、時には増加していると報告されています。
🛑 喫煙の歴史的遺物化を目指して
最後の段落では、喫煙を過去の遺物にするために、煙を吐かない製品へのシフトを促進することが重要な公共政策として提唱されています。PMIは、より良い煙を吐かない製品に成人喫煙者を移行させることで、タバコの販売を段階的に減らしていき、最終的にはタバコの生産を完全に停止するまで持続していきます。2015年から0%だったこれらの製品は、現在では企業の総純利益の3分の1以上を占めており、タバコを完全に置き換える科学に基づく代替品を創造しています。政府や社会は、成人喫煙者にこれらの製品へのシフトを促進する政策を制定し、煙草を過去の時代遅れのものへと変えるべきです。
Mindmap
Keywords
💡タバコ
💡公衆衛生
💡代替品
💡科学
💡投資
💡イノベーション
💡WHO
💡スウェーデン
💡ニコチン
💡燃焼
💡政策
Highlights
Imagine a near future when cigarettes are obsolete and demand has dried up.
Philip Morris International's mission is to reduce smoking by replacing cigarettes with better alternatives.
The faster PMI moves out of cigarettes, the more pushback they receive from certain interest groups.
Policies to promote adult smokers' access to better alternatives are needed, but many global regulators default to inaction.
High smoking rates globally show the current approach to ending cigarette use is not working quickly enough.
Better alternatives to cigarettes now exist and scientific data shows they have the potential to be less harmful.
Smoke-free products could lead to a tenfold reduction in smoking-attributable deaths compared to historical tobacco control measures alone.
Sweden has one of the developed world's lowest smoking rates at around 5%, thanks to the use of Snus, a smoke-free alternative.
Japan saw an unprecedented decline in cigarette sales after introducing heated tobacco products in 2014.
In countries that ban or severely restrict smoke-free products, smoking rates decline more slowly or even increase.
Smoke-free products do not burn and can significantly reduce the harmful constituents that lead to smoking-related death and diseases.
PMI has invested over $10.5 billion in developing and commercializing smoke-free products since 2008.
Smoke-free products now account for more than a third of PMI's total net revenues, up from 0% in 2015.
PMI is committed to becoming a majority smoke-free company.
Skepticism towards the tobacco industry is expected, but outdated biases should not impede a better future for smokers and public health.
A significant majority of citizens worldwide would support policies encouraging adult smokers to switch to better alternatives.
It's time for more countries to follow the lead of Sweden, Japan, the UK, and the US in promoting smoke-free alternatives.
Not taking an evidence-based decision on smoke-free products today has real-world consequences and wastes time.
Transcripts
Imagine a future, a near future
when cigarettes are obsolete.
Demand for cigarettes will have dried up.
Some smokers will have quit.
The best choice anyone can make.
Others will have switched to a far less harmful
smoke-free alternative to their benefit and the benefit of public health.
This future is more than a possibility.
It's within reach. And my company
is helping to achieve it.
Our mission at Philip Morris International
is to reduce smoking by replacing cigarettes
with the better alternatives that innovation, science -
and a lot of investment- have made available.
Remarkably however, the faster
I move out of cigarettes, the more pushback I get.
To give an example of what I mean by this:
The reason why I'm presenting to you on
this platform is because my company has been cancelled this week from a long-
standing planned speech on the sidelines of the United Nations General Assembly.
It seems that certain interest groups
cannot accept us working to accelerate the end of cigarettes.
Even worse, they do everything in their power
to silence any debate about how to get to this future faster.
But by excluding us and bullying others
from engaging with us, they are effectively delaying progress
for the men and women who smoke today.
For decades,
governments and organizations have rightly done
everything they could think of to discourage people from smoking
and to encourage those who do smoke, to quit.
Restrictive regulations.
Steep prices. Marketing bans.
Public health campaigns.
And yet, despite the known health risks… worldwide,
more than 1 billion people still smoke today.
We can change that.
The persistence of high smoking rates globally is evidence
that the current approach to ending cigarette use is not working quickly enough.
The most common response to the problem
can no longer be more of the same.
It's time to try something else.
To try a more inclusive and innovate approach;
one that has been put into practice in several countries around the world
and has the potential to significantly accelerate an end to cigarettes.
Better alternatives to cigarettes now exist.
And scientific data shows the potential
to be less harmful than continuing to smoke the cigarettes sold worldwide.
What's needed now is for the various stakeholders -
the governments, the public health community, industry, and civil society -
to do their part to get these better alternatives in the hands
of adult smokers who do not quit.
But here comes the problem.
Not everyone is doing all they can do.
Instead of
implementing policies to promote adult smokers’ access to this better
products, many global regulators are defaulting to inaction.
Some public health commentators blindly dismiss the potential
these products represent for smokers without objectively
assessing the science.
And anti-tobacco organizations?
Many of them appear far more focused on
ending the industry than on ending cigarettes.
Today's environment and rhetoric make it easier
for governments and regulators to do nothing on smoke-free alternatives.
It's perceived as safer for political careers
to abstain from the debate completely
rather than be seen as siding with us.
But in the end,
this is just prolonging the life of cigarettes
and risks shortening the lives of those who use them.
For smokers today,
inaction is not a neutral position.
It is a choice with real-world outcomes.
We are entering what Winston Churchill called
“A period of consequences.”
It is no longer a case of if smoke-free
alternatives are better than cigarette smoking;
It is a case of by how much.
Using the World Health Organization's data,
estimates, and methods, along with other third-party data,
we’ve calculated the potential positive public health impact of the world's
smokers switching from cigarettes to less harmful, smoke-free products.
The results are really eye-opening.
Our hypothetical model shows that if smoke-free products,
are assumed to be 80% less risky than cigarettes-
and if people who currently smoke, were to switch to them completely -
then over their lifetime, there’s a potential
for a tenfold reduction in smoking-attributable deaths
compared with historical tobacco control measures alone.
Well, let me repeat that:
Based on the W.H.O’s
own data, we see the real potential
for a tenfold reduction in smoking-attributable deaths.
If smokers fully switch to smoke-free products.
And this positive impact could be even greater when combined
with traditional measures to discourage people from starting smoking
and which encourage those who do, to quit.
While there are limitations to this kind of hypothetical analysis,
this estimate begins to show the real impact of inaction. The human impact.
But this is not just the hypothetical situation.
Look at the public health data in Sweden, a country that today boasts
one of the developed world’s lowest smoking rates,
at around 5%.
There, Snus -
a non-combustible form of moist tobacco that is placed between
the lip and gums - is the most commonly used alternative to cigarettes.
According to this data,
male mortality rates due to tobacco use in
Sweden are much, much lower than the EU countries
where Snus is banned.
The Swedish Snus commission,
estimates that more than 350,000
Smoking-attributable deaths among men
could have been avoided each year
if the other EU countries had matched
Sweden's tobacco-related mortality rate.
We can also look at Japan,
where just five years after heated tobacco
products were introduced in 2014, independent studies
showed an unprecedented decline
in cigarette sales in the country.
The UK, which has adopted smoke-free products to help adults
abandon cigarettes, has also seen smoking rates plunge.
Meanwhile, in countries
that ban or severely restrict smoke-free products,
such as Australia, Turkey, Singapore and others,
smoking rates have been declining at a much slower pace,
and worse- in some cases - have been increasing instead.
Despite mounting evidence regarding the potential benefits
of alternative products like nicotine pouches, heated tobacco or vapes,
too many governments have adopted a policy of obstruction or inaction.
Inexplicably, there are countries
where smokers can easily access cigarettes - the most harmful
forms of nicotine consumption - but not smoke-free alternatives.
It's time to get real.
In whatever field, innovations become advancements
when they address existing issues and offer improvements.
Smoke-free products are no different.
Decades ago, our industry was challenged
to make cigarettes less harmful.
We’ve gone one better - creating science-based alternatives
that could eliminate cigarettes completely as they remove from the equation
the most harmful aspect of smoking:
combustion.
Smoke-free products do not burn.
It’s in their name.
And so, compared to cigarettes, they can significantly
reduce the vast majority of the harmful constituents
that lead to smoking-related death and diseases.
Of course, they contain nicotine, which is addictive,
and they’re not risk-free.
But wouldn't it be better to offer adults who don't quit the choice
to switch to these innovative products rather than continuing to smoke?
This is an amazing Innovation - and a potentially huge
public health breakthrough.
Isn't that what everyone wanted?
To put an end to cigarettes?
It’s certainly what I want.
A future in which cigarettes - like pocket watches, videocassettes, paper maps -
are relegated to museums. Out-of-fashion, outdated…
artifacts of our past.
Naturally, I am sure some of you are thinking:
if this man is so strongly opposed to cigarettes,
why doesn't he just stop making them?
If PMI were to cease operations tomorrow,
our most ardent critics would rejoice. No doubt about that.
But how would this resolve the issue
of smoking?
Would our customers
simply stop purchasing cigarettes?
Of course not.
They would switch to other brands - or worse, turn to the illegal market.
And any leverage we have with adult smokers -
any ability to persuade them to switch to better products - would be lost.
And so, we are staying the course:
helping adults who would otherwise continue to smoke, switch to better,
smoke-free products, while simultaneously
reducing cigarette sales - until the day when the last cigarette production
line is shut down.
But let me tell you,
that the day is coming sooner than you may think.
Since 2008, we have invested more than ten and a half billion dollars
in developing and commercializing smoke-free products.
Already, they account for more than a third of our total net revenues.
That's up from 0% in 2015.
We are committed to becoming a majority
smoke-free company sooner rather than later.
While some amount of skepticism toward
our industry is to be expected,
we cannot allow falsehoods and outdated biases
to impede a better future for smokers and public health.
We cannot allow those who shout for more of the same
to distract us from the experts who call for a new approach
to end smoking faster, based on innovation and science.
We have an opportunity to
make cigarettes obsolete in our lifetime.
We cannot afford to forestall progress any longer.
Smokers, least of all. Their voices, needs, and aspirations, must be central
to the strategies and policies we craft to create a better future.
Society expects nothing less.
In fact,
a significant majority of citizens around the world - more than seven in ten,
according to an independently conducted survey we commissioned -
would support their government enacting policies
that encourage adult smokers to switch to better alternatives.
So my question is: Will the governments that banned these products
or treat them like cigarettes take responsibility for the consequences?
Will society stand up and call out
the organizations that are blocking progress?
Or will this insanity persist, leaving us
with more of the same and millions of people needlessly continuing to smoke?
It is time for more countries to follow the lead of Sweden, Japan,
and other countries such as the UK and the US.
It's time for anti-tobacco
organizations to stop fighting against us
and start fighting for adults who smoke.
Just imagine the impact of a potential tenfold further reduction
if all current adult smokers were to fully switch for the remainder
of their lives to smoke-free products compared with historical measures alone.
It's time to work toward the common goal of delivering effective policies
that make cigarettes a historical artifact,
a museum piece collecting dust
behind the glass cases.
We need to remember that
not taking an evidence-based decision on smoke-free products
today is a decision with consequences.
Too much time has been wasted.
Let's get this done.
Thank you.
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