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The New Zealand Medical Journal

 Journal of the New Zealand Medical Association, 28-November-2008, Vol 121 No 1286

Most New Zealand smokers support having fire-safe cigarettes: National survey data
A recent New Zealand study on cigarette fires and burns among New Zealand smokers,1 has highlighted again yet another adverse consequence of nicotine addiction. The obvious long-term solution to this problem is to lower smoking prevalence by advancing comprehensive tobacco control measures (as previously advocated by injury researchers in New Zealand2). However, a more direct and supplementary option is for governments to mandate for fire-safe (or “reduced ignition propensity”) cigarettes as per Canada and various US states (including New York and California).3,4
The potential techniques include preventing the use of fire accelerants in cigarette paper, and requiring ‘speed bumps’ or other means to stop cigarettes burning when not being used. There is evidence that such products can have consumer acceptability5 and do not increase the intensity of how cigarettes are smoked by users.6 There is also no evidence for tobacco industry assertions that fire-safe cigarettes might increase smoker carelessness,7 having any validity.
ESR scientists (for the Ministry of Health) and other New Zealand researchers have previously studied and made recommendations on this issue.8,9 Also, a member of parliament (and former fire-fighter) has promoted fire-safe cigarettes as a private members bill.10 Nevertheless, the issue seems to have lost momentum and we know of no recent developments within government agencies to advance this issue.
Between March 2007 and February 2008 we surveyed a national sample of 1376 New Zealand adult (18+ years) smokers. We asked if they knew whether the cigarettes they smoked were designed to reduce the risk of fires. Another question asked about attitudes towards such cigarettes: “Research has shown that fire-safe cigarettes are less likely to cause house fires than other cigarettes. Would you support a law for all factory-made cigarettes to be fire-safe?” Further detail on the survey methods is available elsewhere.11
The results, weighted to reflect the national population of smokers in New Zealand, showed that a quarter of smokers (25.2%) thought they already smoked fire-safe cigarettes (with 54.8% saying “no” to this question and 19.4% indicating “can’t say”). A large majority of all the smokers surveyed (78.2%; 95% confidence interval=75.3% to 81.0%) support having a law for factory-made cigarettes to be fire-safe (with 18.4% saying “no”). These results are higher than for a previous New Zealand survey in 2003 that found that 67% of smokers and 68% of non-smokers support requirements for tailor-made cigarettes “to go out quickly when they are not being puffed”.9
Adoption of such a law is likely to reduce cigarette-related burns and deaths, as well as prevent fires that damage property and forests. It may also pave the way for other tobacco product regulation (e.g. for the removal of tobacco additives such as honey, and even the reduction of nicotine levels as part of a phase-out strategy). These are all options that the New Zealand Government and the governments of other nations need to consider more seriously if they are to better protect their citizens from tobacco-related harm. Another private member’s bill might be a good place for New Zealand to reactivate this issue.
Alternatively, the new Minister of Health could use powers under the Smoke-free Environments Act (s.31) to require fire accelerants be removed from cigarette paper.
Nick Wilson*, George Thomson, Richard Edwards, Deepa Weerasekera
Department of Public Health, University of Otago, Wellington, New Zealand
* nick.wilson@otago.ac.nz
Murray Laugesen
Health New Zealand, Christchurch, New Zealand
Acknowledgements: The ITC Project New Zealand team thank: the interviewees who kindly contributed their time; the Health Research Council of New Zealand which has provided the core funding for this Project; and our other project partners (see: http://www.wnmeds.ac.nz/itcproject.html).
Competing interests: The first three authors have previously undertaken work for health sector agencies involved in tobacco control.
References:
  1. Smith J, Bullen C, Laugesen M, et al. Cigarette fires and burns in a population of New Zealand smokers. Tob Control 2008; Published Online First: 30 September 2008. doi:10.1136/tc.2008.026450.
  2. Duncanson M, Woodward A, Langley J, et al. Domestic fire injuries treated in New Zealand hospitals 1988-1995. N Z Med J. 2000;113:245–7.
  3. Stanwick R. Canada gets its house in order. Inj Prev. 2005;11:259–60.
  4. McGuire A. To burn or not to burn: an advocate's report from the field. Inj Prev. 2005;11:264–6.
  5. O'Connor RJ, Giovino GA, Fix BV, et al. Smokers' reactions to reduced ignition propensity cigarettes. Tob Control. 2006;15:45–9.
  6. Hammond D, O’Connor R, Giovino G, et al. The impact of Canada’s lowered ignition propensity regulations on smoking behaviour and consumer perceptions. Madison, WI: Society for Research on Nicotine and Tobacco, Proceedings of 13th Annual Meeting 21-24 February 2007, Austin TX. . POS1-126 p67, 2007.
  7. British American Tobacco New Zealand. Our views on "fire-safe" cigarettes. Auckland: BATNZ (Accessed 12 November 2008). http://www.batnz.com/OneWeb/sites/BAT_5LPJ9K.nsf/vwPagesWebLive/C1256D8E004E2B70C1256F70001B5BCA?opendocument&DTC=&SID
  8. Turnbull F, Fowles J. The health implications of fire-safe cigarettes in New Zealand. Porirua: ESR; 2001.
  9. Laugesen M, Duncanson M, Fraser T, et al. Hand rolling cigarette papers as the reference point for regulating cigarette fire safety. Tob Control. 2003;12:406–10.
  10. Laugesen M. Proposed Cigarette Fire Safety Policy. Christchurch: Health New Zealand; 2006. http://www.healthnz.co.nz/firesaferMay06.pdf
  11. Wilson N. Methods report for the New Zealand arm of the International Tobacco Control Policy Evaluation Survey (ITC Project). Wellington: University of Otago, Wellington; 2008. http://www.wnmeds.ac.nz/academic/dph/research/HIRP/Tobacco/Methods%20Report%20for%20NZ%20ITC%20Project.doc
     
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