Reigniting tobacco control: returning Australia to the front of the pack
Becky Freeman A *A
Abstract
Australia has long been heralded as a leader in tobacco control, but more than 10 years have passed since the country implemented the world’s first tobacco plain packaging reforms. In late 2022, the Australian Federal Government announced it would be “reigniting the fight against tobacco addiction”. The forthcoming reforms package will help modernise and re-energise Australian tobacco control. The Government has signalled that preliminary reforms will include updating graphic health warnings, standardising tobacco pack sizes and filters, and banning menthol and flavours. The recently endorsed National Tobacco Strategy 2023–2030 also opens the door to further supply-side reforms. Ten years ago, when Australia fought multiple legal challenges from the tobacco industry and established plain packaging as a best practice standard, e-cigarette or vaping products were a fringe issue with little presence in Australia. Today, vaping product use by young Australians has dramatically and rapidly increased. Easy access and marketing of cheap, flavoured, disposable, nicotine-containing vaping products are driving use. Recognising that the current approach to e-cigarette regulation is not achieving its aim of preventing children and adolescents from accessing vaping products, the Australian Therapeutic Goods Administration (TGA) launched a consultation on possible reforms in late 2022. Currently, vaping importers and retailers are exploiting an exemption for non-nicotine products in regulations, and nicotine-containing products are masquerading as non-nicotine products. The ideal public health solution would see the elimination of all vaping product sales, nicotine and non-nicotine alike, that fall outside of the TGA prescription-only access pathway. After 10 years of minimal action, it is invigorating to have three key initiatives in play to fully “reignite” tobacco control – the tobacco legislation renewal and update, the imminent national strategy release, and the TGA consultation on vaping products. Re-establishing Australia as a tobacco control leader is welcome news for public health.References
2 Scollo M, Durkin S. Government picking up the reigns on tobacco control in Australia. BMJ Blog. Tobacco Control; Dec 2022 [cited 2023 Jan 18]. Available from: blogs.bmj.com/tc/2022/12/22/government-picking-up-the-reigns-on-tobacco-control-in-australia/
3 Dessaix A, Freeman B, Peters M. Making tobacco control a priority. Public Health Res Pract. 2020;30:e3032015. Crossref
4 Australian Institute of Health and Welfare. National drug strategy household survey 2019 Canberra: AIHW; 2020 [cited 2023 Jan 18]. Available from: www.aihw.gov.au/getmedia/77dbea6e-f071-495c-b71e-3a632237269d/aihw-phe-270.pdf.aspx?inline=true
5 Minister for Health and Aged Care, The Hon Mark Butler MP. Ten years of world-leading reforms and reigniting the fight against tobacco addiction. Canberra: Department of Health and Aged Care; 2022 [cited 2023 Jan 18]. Available from: www.health.gov.au/ministers/the-hon-mark-butler-mp/media/ten-years-of-world-leading-reforms-and-reigniting-the-fight-against-tobacco-addiction?language=en
8 Australian Government. Health Ministers Meeting Communique (24 February 2023). Canberra; Department of Health and Aged Care; 2023 [cited 2023 Feb 27]. Available from: www.health.gov.au/sites/default/files/2023-02/health-ministers-meeting-communique-24-february-2023.pdf
9 Australian Government, Department of Health and Aged Care. National tobacco strategy 2022–2030. Canberra: DHAC; 2022 [cited 2023 Jan 18]. Available from: consultations.health.gov.au/atodb/national-tobacco-strategy-2022-2030/
10 Associate Health Minister, Hon Dr Ayesha Verrall. Thousands of lives and billions of dollars to be saved with smokefree bill passing. Wellington: New Zealand Government; 2022 [cited 2023 Jan 18]. Available from: www.beehive.govt.nz/release/thousands-lives-and-billions-dollars-be-saved-smokefree-bill-passing
11 Diamond NJ. The final say on Australia’s plain packaging law at the WTO. Washington DC: Georgetown Law; 2020 [cited 2023 Jan 18]. Available from: oneill.law.georgetown.edu/the-final-say-on-australias-plain-packaging-law-at-the-wto/
12 NSW Government, HealthStats NSW. Electronic cigarette use and age (years). NSW Population Health Survey (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health. 2022 [cited 2023 Jan 18]. Available from: www.healthstats.nsw.gov.au/#/indicator?name=-beh-smo-ecig-phs&location=NSW&view=Trend&measure=prevalence&groups=Electronic-cigarette-use&compare=Electronic-cigarette-use&filter=Electronic-cigarette-use,Current-user,Ever-used
14 Australian Government, Department of Health and Aged Care, Therapeutic Goods Administration. Proposed reforms to the regulation of nicotine vaping products Canberra: TGA; 2022 [cited 2023 Jan 18]. Available from: consultations.tga.gov.au/medicines-regulation-division/proposed-reforms-to-the-regulation-of-nicotine-vap/
15 @thedailyaus. Australia’s doctors want a crackdown on flavoured-vape use. Instagram; 17 January 2023. Available from: www.instagram.com/p/CngWfbaLoAE/?igshid=MDJmNzVkMjY%3D
16 Cancer Council Australia. Urgent action needed to stop young people using e-cigarettes, Sydney; Cancer Council Tobacco Issues Committee; Oct 2022 [cited 2023 Jan 18]. Available from: www.cancer.org.au/assets/pdf/electronic-cigarettes-position-statement
17 World Health Organization. WHO Framework Convention on Tobacco Control. Geneva: WHO; 2003 [cited 2023 Feb 20]. Available from: fctc.who.int/who-fctc/overview