Many of the of the tobacco industry's underhanded strategies and tactics have been exposed, thanks to landmark legal cases and the hard work of public health advocates. But we are still uncovering the shocking lengths to which the industry has gone to protect itself from public health measures like smoking bans. Now we can thank the city of Pueblo, Colorado, for an opportunity to look a little bit deeper into how the industry managed the deadly deceptions around secondhand smoke.
A new study, now the ninth of its type and the most comprehensive one yet, has shown a major reduction in hospital admissions for heart attacks after a smoke-free law was put into effect.
On July 1, 2003, the relatively isolated city of Pueblo, Colorado enacted an ordinance that prohibited smoking in workplaces and indoor public areas, including bars and restaurants. For the study, researchers reviewed hospital admissions for heart attacks among area residents for one year prior to, and three years after the ban, and compared the data to two other nearby areas that didn't have bans (the part of Pueblo County outside city limits, and El Paso County, which includes Colorado Springs). Researchers found that during the three years after the ban, hospital admissions for heart attacks dropped 41 percent inside the city of Pueblo, but found no significant change in admissions for heart attacks in the other two control areas.
Eight studies done prior to this one in other locales used similar techniques and yielded similar results, but covered shorter periods of time -- usually about one year after the smoking ban went into effect. The results of this longer, more comprehensive study support the view that not only does secondhand smoke have a significant short-term impact on heart function, but that lives, and money, are probably being saved by new laws proliferating around the world in recent years that minimize public exposure to secondhand smoke.
Strategies to Deceive the Public
But Philip Morris did much worse than hide this crucial information from the public. Spurred by a 1993 EPARisk Assessment that declared secondhand smoke a known human carcinogen, and recognizing the danger the secondhand smoke issue held for the cigarette industry, Philip Morris masterminded a massive global effort to confuse and deceive the public about the health hazards of secondhand smoke and to delay laws restricting smoking in indoor public places.
A 1993 internal Philip Morris (PM) strategy paper titled "ETS (Environmental Tobacco Smoke) World Conference" shows PM organizing a wide range of strategies to shape public views on secondhand smoke and fight smoking restrictions worldwide. PM pursued tactics to "shift concern over ETS to slippery slope argumentation and/or tolerance"; liken secondhand smoke to perceived risks from other items of public concern, such as cellular phones and chlorinated water; "shift concern over ETS in the workplace from the health issue to one of annoyance;" "shift the concern over ETS in restaurants from bans to accommodation where bans are imminent;" "develop an 'ETS Task Force,' with global PM representation to develop strategies to combat smoking restrictions;" "... package comprehensive improvements inventilation to forestall tobacco specific bans and ... shift the debate from ETS to IAQ [indoor air quality]." Another strategy was the "development of a global coalition against "junk science" to complement a similar coalition PM was already forming in the United States.
At the same time, PM implemented Project Brass, a secret action plan conceived by the Leo Burnett Company, to create a "controversy" over secondhand smoke where there really was none. Project Brass strove to "forestall further public smoking restrictions/bans," "create a decided change in public opinion," and "develop an atmosphere more conducive to smokers" in the general public.
Project Brass was just the tip of the iceberg. The tobacco industry implemented many projects over the decades to shape public perception about secondhand smoke and to delay laws regulating it. Many of these projects are listed under TobaccoWiki's "Projects and Operations" page: Project Mayfly, the INFOTAB ETS Project, PM and British American Tobacco's Latin American ETS Consultants Program, PM's ETS (Environmental tobacco smoke) Media Strategy, Philip Morris' Science Action Plan, and PM's ICD-9 Project to impede the creation of a medical billing code that would indicate illnesses that are attributable to secondhand tobacco smoke exposure.
These are just some of the projects we've learned of by combing through industry documents. Any one of these projects taken individually would be stunning in scope and ambition in its own right, but all of them taken together -- and the as-yet undiscovered efforts -- probably constitute the single most coordinated, widespread, expensive, under-the-radar PR campaign ever waged.
These extensive, expensive and hidden deceptions significantly undermined public understanding of the hazards of secondhand smoke and killed thousands and thousands of non-smokers and smokers alike.