<<

The University of Sydney Copyright in relation to this thesis· RARE BOOKS IJS. Under the Copyright Act 1968 (several provision of which are referred to below), this thesis must be used only under the normal conditions of scholarty fair dealing for the purposes of research, criticism or review. In particular no results or conclusions should be extracted from it, nor should it be copied or closely paraphrased in whole or in part without the written consent of the author. Proper written acknowledgement should be made for any assisunce obtained from thiS thesis.

Under Section 35(2) of the Copyright Act 1968 'the author of a literary. dramatic, musical or artistiC work is the owner of any copyright subSisting in the work'. By virtue of Section 32( I} copyright 'subsists in an original literary. dramatic. mUSical or artistic work that is unpublished' and of which the author was anAusu-aliiln citizen. an Australian protected person or a person resident in Australia.

The Act. by Section 36( I) provides; 'Subject to this Act. the copyright in a literary, dramatic. musical or artistic work is infringed by a person who. not being the owner of the copyright and Without the licence of the owner of the copyright. does In Australia. or authOrises the do 109 in Australia of, any act comprised In the copyright'.

Section 3 I (I )(a)(i) provides that copyright includes the exclusive right to'reproduce the work in a material '.Thus.copynght is infringed by it person who. not being the owner of the copyright. reproduces or authorises the reproduction of a work. or of more than a reasonable part of the work, in a material form. unless the reproduction is a 'fair dealing' with the work 'for the purpose of research or study' as further defined In Sections -40 and -41 of the Act.

Section 51 (2) provides that 'Where a manuscript. or it copy, of a theSIS or other similar literary work that hu not been published IS kept in a library of a university or other similar institution or in an archives. the copyright in the thesis or other work is not infringed by the making of a copy of the thesis or other work by or on behalf -of the officer in charge of the library or archives if the copy is supplied to a person who satisfies an authOrized officer of the library or archives that he requires the copy for the pu rpose of research or study',

·Thesis' includes 'treatise', disserution' and other simililr productions , TOBACCO INDUSTRY COMMUNICATION STRATEGIES An Australian analysis of internal tobacco industry documents and other sources

Stacy M Carter

University of Sydney 2005 TABLE OF CONTENTS

ABSTRACT ...... viii PREFACE ...... ix Sources of information ...... ix Ethics approval ...... ix Use made of the work of others and original work ...... ix Publication details ...... ix Acronyms ...... xi Acknowledgements ...... xii SECTION ONE: BACKGROUND AND CONTEXT CHAPTER ONE INTRODUCTION AND ORIENTATION ...... 1 THE AREA OF STUDY AND ITS RELEVANCE ...... 1 THE AUSTRALIAN TOBACCO MANUFACTURING AND MARKETING INDUSTRY ..... 4 The tobacco market in Australia ...... 4 Tobacco corporations in Australia ...... 4 STRUCTURE: THE SECTIONS OF THIS PHD AND HOW THEY FIT TOGETHER ...... 8 Section One ...... 8 Section Two ...... 8 Section Three ...... 10 Section Four...... 13 Section Five ...... 14 REFERENCES ...... 15 CHAPTER TWO TRANSNATIONAL CORPORATIONS, COMMUNICATION AND PUBLIC HEALTH ...... 18 BACKGROUND: UNDERSTANDING TRANSNATIONAL CORPORATIONS ...... 18 Defining the TNC ...... 18 Benefits of economic globalisation for TNCs ...... 19 Globalisation, TNCs and nation-states ...... 19 TN Cs, public health and ideology ...... 22 TNC COMMUNICATION AND PUBLIC HEALTH ...... 23 TNC marketing and public health ...... 23 TNC corporate affairs strategies and public health ...... 24 Campaigns overtly promoting TNC interests ...... 24 Campaigns covertly promoting TNC interests ...... 25 Third party strategy: speaking through other organisations ...... 25 Funding research to create favourable information ...... 25 Funding research to contribute to a corporations' brand ...... 27 Covert communication with regulators and governments ...... 27 DISCUSSION ...... 28 REFERENCES ...... 29 CHAPTER THREE METHODS USED IN THIS PHD ...... 38 CHAPTERS NOT BASED ON TOBACCO DOCUMENTS ...... 39 Chapter Two Corporations, globalization and public health ...... 39 Chapter 13 A review of tobacco document research reporting, with reflections on the practice of tobacco document research ...... 40 CHAPTERS BASED ON TOBACCO DOCUMENTS ONLy ...... 42 Overall sources ...... 42 Overall search strategies ...... 43 Overall analysis strategies ...... 45 Chapter Four Cooperation and control: the Tobacco Institute of Australia ...... 47 Chapter Five Smoking, disease and obdurate denial: the Australian tobacco industry in the 1980s ...... 47 Chapter Six The TIA's "active smoking media statement" ...... 48 Chapter Seven From legitimate consumers to public relations pawns: the tobacco industry and young Australians ...... 48 Chapter Eight Mongoven, Biscoe and Duchin: destroying tobacco control from the inside ...... 49 CHAPTERS COMBINING INDUSTRY DOCUMENTS WITH OTHER SOURCES ...... 49 Chapters Nine to Eleven ...... 49 LIMITATIONS ...... 53 REFERENCES ...... 54 SECTION TWO: TOBACCO CORPORATE AFFAIRS CHAPTER FOUR COOPERATION AND CONTROL: THE TOBACCO INSTITUTE OF AUSTRALIA ...... 56 INTRODUCTION ...... 56 RESUL TS ...... 57 Four seasons: an organizational history of the TIA ...... 58

ii Join hands for commercial freedom 1978 to 1983: five years ...... 58 Take no prisoners 1983 to 1989: six years ...... 59 Lick the wounds, send in the lawyers 1989 to 1994: five years ...... 60 Last days 1994 to 1997: three years ...... 61 The interconnectedness of the industry ...... 62 Links between local manufacturers ...... 62 People links ...... 64 INFOTAB and the USTI: the 1980s ...... 64 Legal control: the 1990s ...... 65 Information links ...... 67 DISCUSSION ...... 70 REFERENCES ...... 72 CHAPTER FIVE SMOKING, DISEASE AND OBDURATE DENIAL: THE AUSTRALIAN TOBACCO INDUSTRY IN THE 1980s ...... 83 INTRODUCTION ...... 83 RESUL TS ...... 84 The industry's private knowledge ...... 84 The context ...... 84 Research done by the tobacco industry ...... 85 Philip Morris research ...... 85 WD&HO Wills research ...... 86 The search for a "safer" and Project Rio ...... 86 Legal restructure of BAT research ...... 87 The Scientific Research Group to monitor external research ...... 87 WD&HO Wills' internal product research ...... 88 The BAT research program winds down ...... 88 The industry's communications ...... 89 Internal strategies on smoking and disease ...... 89 Internal conflict on smoking and disease ...... 90 Communications beyond the industry ...... 91 Attacks on accurate information ...... 93 Impact on public opinion ...... 94 DISCUSSION ...... 95 REFERENCES ...... 98

iii CHAPTER SIX THE TIA'S "ACTIVE SMOKING MEDIA STATEMENT" ...... 104 INTRODUCTION ...... 104 RESULTS ...... 104 The players ...... 104 Episode one: three incommensurable positions ...... 105 Episode two: the O&A tightrope ...... 107 Episode three: "the impressionable and unintelligent" ...... 109 Episode four: "the full sum and substance of our opinion" ...... 110 DISCUSSION ...... 111 REFERENCES ...... 114 CHAPTER SEVEN FROM LEGITIMATE CONSUMERS TO PUBLIC RELATIONS PAWNS: THE TOBACCO INDUSTRY AND YOUNG AUSTRALIANS ...... 116 INTRODUCTION ...... 116 RESULTS ...... 117 1950 to 1990: From legitimacy to battleground ...... 117 The agg ressive 1980s ...... 117 Regulatory battles in the 1980s ...... 119 Active industry targeting of young Australians in the 1970s and 1980s ...... 119 The 1990s to the present: from battleground to 'societal alignment" ...... 120 International codes of practice ...... 121 Access to in shops in the 1990s ...... 122 Youth school programs in the 1990s ...... 124 Late 1990s: 'new day", new cooperation? ...... 125 Shifting the blame ...... 126 DISCUSSION ...... 126 REFERENCES ...... 128 CHAPTER EIGHT MONGOVEN, BISCOE & DUCHIN: DESTROYING TOBACCO CONTROL ACTIVISM FROM THE INSIDE ...... 137 INTRODUCTION ...... 137 Background from the Centerfor Media and Democracy ...... ;.... 137 RESUL TS ...... 140 Indoor air, ETS and genetically modified organisms (GMOs) ...... 141 Monitoring and co-opting NGOs ...... 142 Working against the US Food and Drug Administration ...... 144

iv Providing damaging information about individual tobacco control figures ...... 145 Working against the globalization of tobacco control ...... 145 DISCUSSION ...... 150 REFERENCES ...... 153 SECTION THREE: 21 sT CENTURY MARKETING CHAPTER NINE THE AUSTRALIAN CIGARETTE BRAND AS PRODUCT, PERSON AND SYMBOL...... 157 INTRODUCTION ...... 157 The "brand" ...... 157 Brand image ...... 157 Brand positioning ...... 158 Brand equity ...... 158 Brand identity ...... 159 RESULTS ...... 160 Brand loyalty ...... 160 Regional variation ...... 160 Local branding ...... 161 Diversification within existing brand families ...... 161 Premium, mainstream, supervalue ...... 162 The premium segment ...... 164 The mainstream segment ...... 168 The supervalue segment ...... 172 Brand failure: in Australia ...... 175 DISCUSSION ...... 176 REFERENCES ...... 179 CHAPTER TEN GOING BELOW-THE-LlNE: CREATING TRANSPORTABLE BRANDS FOR AUSTRALIA'S DARK MARKET...... 186 INTRODUCTION ...... 186 Good marketing integrates above-the-line and below-the-line strategies ...... 187 The tobacco industry: a special kind of integrated marketing ...... 187 The new BTL: guerrilla marketing ...... 188 RESULTS ...... 188 Resilience, substance, transportability: keys to a dark market cigarette brand ...... 188 Transportable old brands instead of new brands ...... 189

v The strategy ...... 191 The strategy ...... ·... ··· .. ·· .. · 192 BTL (and ATL) activities after the TAP Act...... 192 International magazines ...... 193 Delivering novelty via the pack ...... 193 Sponsorships ...... 193 Brand stretching ...... 194 Event promotions ...... 194 Lifestyle premiums ...... 194 Corporate websites ...... ·.. ·.. 194 A detailed example: the resurrection of Peter Stuyvesant...... 195 DISCUSSION ...... 198 REFERENCES ...... 200 CHAPTER ELEVEN NEW FRONTIER, NEW POWER: THE RETAIL ENVIRONMENT IN AUSTRALIA'S DARK MARKET ...... 204 INTRODUCTION ...... 204 RESUL TS ...... 204 The rise of retail as marketing was restricted ...... 205 Responses to retail marketing restrictions ...... 206 The new power of retailers and the industry's response ...... 207 Trade promotional expenditure ...... 208 Display units and assistance with point-of-sale marketing ...... 208 Alliance building ...... 209 Brand advertising in trade publications ...... 212 e-Distribution: placing tobacco companies at the heart of retail business ...... 213 DISCUSSION ...... 214 REFERENCES ...... 216 SECTION FOUR: CONCLUSIONS CHAPTER TWELVE CONCLUSIONS ...... 220 MARKETING ...... 221 USING CORPORATE AFFAIRS STRATEGIES AGAINST THE TOBACCO INDUSTRY ...... 222 RESEARCH ...... 223 REGULATION ...... 225

vi Regulating marketing ...... 225 Regulating profits ...... 228 Legitimising regulation ...... 230 REFERENCES ...... 231 CHAPTER THIRTEEN A REVIEW OF TOBACCO DOCUMENT RESEARCH REPORTING, WITH REFLECTIONS ON THE PRACTICE OF TOBACCO DOCUMENT RESEARCH ...... 232 INTRODUCTION ...... 232 Purpose of this chapter ...... 233 RESULTS ...... 233 TOR publishing patterns ...... 234 Authors of TOR ...... 235 Purpose of TOR ...... 237 Data sources, searching, analysis and limitations reported in TDR ...... 237 Patterns in reporting ...... 237 Patterns of reporting in A-Papers ...... 237 Pattems of reporting in 8-Papers ...... 245 DiSCUSSiON ...... 246 Insights into the nature of TOR from its reporting traditions: my interpretations of the field ...... 246 Reporting traditions in TOR in relation to other research reporting traditions ...... 249 Possible applications of interpretive/constructivist approaches to tobacco industry documents ...... 249 Possible applications of positivist/post-positivist approaches to tobacco industry documents ...... 251 Possible lessons from historical research for the analysis of tobacco industry documents ...... 252 FUTURE DIRECTIONS FOR TOR REPORTING ...... 255 REFERENCES ...... 258 FOR SECTION FIVE SEE COMPACT DISK IN REAR POCKET

vii ABSTRACT

This PhD uses a variety of sources, particularly internal tobacco industry documents and magazines for tobacco retailers, to examine and interpret the Australian tobacco industry's communication strategies over the last fifty years. The results focus on two areas.

The first area is issues management or corporate affairs management, that is, research and communication programs designed to improve the business environment of a corporation. Three chapters discuss two key corporate affairs issues: smoking and disease and youth smoking. My analysis suggests that the tobacco industry's public statements on these two issues have been carefully constructed to contradict their private knowledge, with important changes across time. Two chapters focus on two organizations that have assisted the corporate affairs departments of the tobacco industry, the Tobacco Institute of Australia (TIA) and Mongoven Biscoe and Duchin (MBD). I build a case that the TIA's activities were the direct responsibility of the cigarette companies operating in Australia, and that the TIA connected these companies to one another and to the international industry. I also outline the strategy used by MBD to defeat activists, and present evidence that MBD worked for the tobacco industry against initiatives including the Framework Convention on Tobacco Control.

The second area of focus is below-the-line marketing, that is, marketing that does not use the mass media. I argue that marketing in Australia cannot be understood without understanding brands and brand categories, and then demonstrate that the industry continued to actively market cigarette brands after Australian regulatory restrictions were introduced. Activities that involve retailers are considered in particular detail.

Two sets of conclusions are presented: conclusions in response to the results reported in the previous chapters, and a reflective chapter that addresses the practice of research based on tobacco industry documents and the directions it might take in future.

viii PREFACE

Sources of information This PhD draws on the following sources, which will be further explained in Chapter Three: 1. the peer reviewed literature; 2. internal tobacco industry documents; 3. journals produced for retailers of tobacco products in Australia; and 4. opportunistic observation of marketing activities (such as pack alterations and retail displays).

Ethics approval Ethics approval was not required as there were no human participants.

Use made of the work of others and original work Fiona Byrne, information manager at the University of Sydney School of Public Health, provided invaluable assistance with managing accuracy of data about the documents and document referencing throughout the project, although the final responsibility for referencing remains mine. Fiona also created Table Three and Appendix Two. Simon Chapman contributed data for Chapter Five. The rest of that chapter is my own work. Chapter Two critically reviews and integrates published literature. The analysis and interpretation in this chapter are original, although based on the work of others, which is duly cited. Similarly, introductions to all chapters cite the work of others. The remainder of the work is wholly original.

Publication details This thesis contains mostly published work. The University of Sydney's Academic Board approved submission of published work as a thesis on August 14th 2002. The relevant policy is in Appendix One. Publication details are in Table One. Chapters Four and Five, and Seven to Eleven inclusive have been published in Tobacco Control, the leading journal

ix in the field of tobacco control with an impact factor of 3.164. a Chapter 13 has been revised and resubmilled to Tobacco Control.

TABLE ONE: PUBLICATION DETAILS

PUBLICATION DETAILS STATUS SECTION ONE: BACKGROUND AND CONTEXT Chapter One Introduction and Thesis only orientation Chapter Two Transnational corporations and public Thesis only health: tension in four domains Chapter Three Methods used Thesis only in this PhD SECTION TWO: TOBACCO CORPORATE AFFAIRS Chapter Four Cooperation Carter, SM. Cooperation and control: the and control: the Tobacco Published Tobacco Institute of Australia. Tobacco Institute of Australia Contro/2003;12:iii54-60. Chapter Five Smoking, Carter, SM., & Chapman, S. Smoking, disease and obdurate denial: disease and obdurate denial: the Published the Australian tobacco Australian tobacco industry in the 1980s. industry in the 1980s Tobacco Contro/2003;12:iii23-30. Chapter Six The TIA's "active Thesis only smoking media statement" Chapter Seven From Carter, SM. From legitimate consumers legitimate consumers to to public relations pawns: the tobacco public relations pawns: the Published industry and young Australians. tobacco industry and young Tobacco ControI2003;12:iii71-78. Australians Chapter Eight Mongoven, Carter, SM. Mongoven, Biscoe & Biscoe and Duchin: Duchin: destroying tobacco control Published destroying tobacco control activism from the inside. Tobacco from the inside Control 2002;11 :1-7

a Note that while my primary supervisor, Prof Simon Chapman, is the editor of Tobacco Control, he was excluded from all editorial meetings and decisions regarding my work by the journal's conflict of interest policy. In addition, the supplement in which many of these papers were published was independently guest edited by Prof Ruth Malone of the University of California.

x TABLE ONE: PUBLICATION DETAILS CONTINUED

PUBLICATION DETAILS STATUS SECTION THREE: 21ST CENTURY MARKETING Chapter Nine The Australian Carter, SM. The Australian cigarette cigarette brand as product, Published brand as product, person and symbol. person and symbol Tobacco Contro/2003;12:iii79-86. Chapter Ten Going below- Carter, SM. Going below-the-line: the-line: creating creating transportable brands for Published transportable brands for Australia's dark market. Tobacco , Australia's dark market Contro/2003; 12:iii87 -94. Chapter Eleven New frontier, Carter, SM. New frontier, new power: new power: the retail the retail environment in Australia's dark Published environment in Australia's market. Tobacco Contro/2003;12:iii95- dark market 101. SECTION FOUR: CONCLUSIONS Chapter Twelve Conclusions Thesis only Chapter 13 Tobacco Reviewed, document research reporting: revised and Tobacco Control a review resubmitted SECTION FIVE: APPENDICES Appendix One to Nine Thesis only

Acronyms AFCO Australian Federation of Consumer Organizations ATL Above-the-line BTL Below-the-line BAT A Australasia CEO Chief Executive Officer ETS Environmental Tobacco Smoke FCTC Framework Convention on Tobacco Control ITA Imperial Tobacco (Australia) Limited MBD Mongoven Biscoe Duchin NMA National Manufacturers' Organization PMI Philip Morris Intemational PML Philip Morris (Australia) Limited POS Point-of-sale (Point-of-purchase is used in some markets) TIA Tobacco Institute of Australia TOR Tobacco Document Research TNC Transnational Corporation USTI United States of America Tobacco Institute

xi Acknowledgements This PhD was supported by an Australian Postgraduate Award. Grants from the National Health and Medical Research Council (2001-2003 #153857) and the US National Institutes of Health (2001-2005 # R01 CA8711 0-01A 1) to Simon Chapman provided vital infrastructure.

Many colleagues assisted with this work. Simon Chapman, my primary supervisor, and Michelle Scollo, my associate supervisor, provided many helpful comments on acres of drafts despite having frantic lives. Simon had the original project concept and helped navigate. Michelle was particularly instrumental in assisting me to bring the published work together. Reviewers, anonymous and otherwise, helped me polish and sometimes completely transform papers for publication. Patient and generous colleagues, especially Claire Hooker, Mary Assunta, Fiona 8yrne and Jenny Knight, read, challenged, discussed and encouraged. Without Fiona managing the information systems and metadata for the project the team would have imploded. Many other friends in the School of Public Health and beyond supported, provided outlets, and cared enough to get it.

With love and gratitude this PhD is given to my family, Carson Andreas and Scout, although I'm not at all sure they want it.

xii lX31NO~ ON\1 ONnO~~}t~\18 :3NO NOI1~3S CHAPTER ONE INTRODUCTION AND ORIENTATION

THE AREA OF STUDY AND ITS RELEVANCE Smoking tobacco, particularly in the form of cigarettes, is widely acknowledged as one of the most serious causes of ill health. The World Health Organization estimates the current death toll to be approximately 5 million per annum, predicted to rise to 10 million by 2020. 1 Although the diseases creating this death toll, such as cancer, heart disease and chronic obstructive pulmonary disease, are non-communicable, tobacco-related illness has been analysed in the classic public health manner as a communicable disease, naming tobacco as a causative agent and the tobacco industry as its vector.2 It is widely recognised that comprehensive tobacco control, combining elements such as high taxation, encouragement and support for current smokers to quit, limitations on where people can smoke, and total restrictions on marketing, can reduce the personal and social costs of smoking.3lf the tobacco industry is considered a vector, advocacy against the industry becomes another important element of comprehensive tobacco control. Tobacco control advocacy has a long history, including in Australia, but for decades relied on careful observation, conjecture and leaks, a situation that changed dramatically a decade ago, with the release of tens of millions of pages of tobacco industry documents through US

litigation.4.5 The release of these documents provided evidence of the internal communications, plans, and in some instances actions of the tobacco industry, and spawned what could be seen as a new discipline, Tobacco Docurnent Research (TOR). Because of the transnational nature of the industry,6 many of these documents referred to or emanated from countries other than the USA, providing opportunities to gather information about international as well as American markets.

This PhD focuses on industry documents relevant to the Australian market. In some instances these documents are combined with other sources, and in some instances chapters have an international focus either to provide context or because an international issue is highly relevant to Australia. The focus is tobacco industry communication strategies. As detailed in later chapters, Australia is a highly restricted marketing environment for tobacco-what the tobacco industry refers to as a "dark market".1

Page 1 of 260 Prohibitions on brand-related communication began in 1976 and reached a watershed in the Federal Tobacco Advertising Prohibition Act (TAP Act) 1992.8 On a background of existing television, radio and cinema bans, the TAP Act prohibited print advertising, domestic sponsorships and advertising outdoors, with some notable exceptions, particularly "intemationally significant" sponsorships, which will cease in 2006. Although this may suggest that a study of Australian tobacco industry communications is a futile project, the reverse is true. Decades of constraint have stimulated Australian innovation in communication, making Australia a centre for the development of novel and creative responses to regulatory opposition and thus an important subject of study. To quote the former Marketing Director of British American Tobacco Australasia, David Crow, speaking here in a 2001 presentation to the company's Australian staff:

"Australia is one of the darkest markets in the world ... it probably is the darkest, I mean ourselves and fight every month for who's got the darkest conditions to do tobacco manufacturing and marketing. And one of the things we can offer the world is what we do best, which is how to work, maximize, proactively drive our market position in a market that's completely dark. Now that takes a different skillset ... a different type of leaming. We need to export that ... we know we have a lot of expatriates who come down to Australia for leaming ... they can come here and leam these techniques and take them back to Europe or Latin America or to the United States or to Africa ... But the other thing that is really good for us is that we are also a huge net exporter of Australian talent. .. [there are] about 30 or 40 people currently off-shore ... We do things really differently

here than most other BAT organizations. "9

Thus a study of Australia can provide both early waming of what is likely to come in other markets, and insights into the thinking of an industry under pressure. A current Australian study can also encourage thinking outside of traditional parameters of what constitutes tobacco industry communication. While past analyses have tended to focus on the obvious, that is, brand sponsorship of events and advertising in media such as TV, radio, print and billboards, known as above-the-line marketing,10 there is increasing recognition of the importance of other forms of communication: "below-the-line" marketing and the discipline variously referred to as "corporate affairs management", "issues management" or

Page 2 of 260 "public relations". "8elow-the-line" marketing aims to build brands and increase sales using methods other than mass media, which go far beyond sponsorship to shape retail, entertainment and other ordinary environments to subtly promote a particular brand, often seemingly by accident. 10 Corporate affairs management is defined by Philip Morris International (PMI) as follows:

"In the Corporate Affairs department, we promote and support PMI's business objectives by developing strategies that respond to, and shape, the most favourable political, regulatory and social environment for our future. We use analysis and research to better understand societal expectations and trends. We listen and respond to public expectations, speak out on issues which affect our company and products, engage in a dialogue with critics and allies alike, and build and maintain a distinct corporate image. We design and implement government and media relations and develop internal communications and public relations programmes."ll

The work collected here focuses on below-the-line marketing and corporate affairs management, providing direction for future international laws restricting tobacco industry communications, and evidence of loopholes that need to be closed in Australian regulation. There are sometimes similarities between these Australian findings and previous North American and European work, but many of the findings are unique to Australia. Australian research is important because local cigarette manufacturers and marketers tend to distance themselves from accusations made against the international industry.12-14 In addition, most northern hemisphere research has focused on domestic (rather than international) brands and strategies, and has often used the documents of companies with a negligible presence in Australia, such as Lorillard and RJ.Reynolds. Domestic northern hemisphere cigarette companies, operating in different legislative and constitutional environments, often have policies very different from those of their "International" subsidiaries or partners in other countries.

Page 3 of 260 THE AUSTRALIAN TOBACCO MANUFACTURING AND MARKETING INDUSTRY

The tobacco market in Australia As in most developed country markets, tobacco manufacturing and marketing has seen enormous commercial and political change in Australia since it commenced in NSW in 1818. By the late 1800s, tobacco was a boom industry serving a growing local market from two main Australian leaf-growing areas in the states of Queensland and Victoria. Australian-grown tobacco supplied 40% of the local market at the turn of the century, and 90% in the 1920s, by which time cigarettes had become fashionable. 15,16 Accordingly, the political climate was highly favourable to industry, particularly tobacco growing, In 1936 the Commonwealth established the first Local Leaf Content Scheme, permitting manufacturers to pay less duty on imports if they used a stipulated percentage of Australian leaf. By the 1950s, when Australia's political climate emphasised post-war development, the tobacco industry was seen as a source of growth and profit and was supported bilaterally by politicians, with Deputy Prime Ministers and Prime Ministers officially opening new cigarette manufacturing factories. 15,16In 1965 a Tobacco Industry Stabilization Plan was introduced, and marketing boards established in the three tobacco growing states, Queensland, New South Wales and Victoria, with quotas established for individual growers, and the following year a statutory requirement of 50% Australian leaf in both cigarettes and tobacco was established. 15 Australian leaf production peaked in 1969-70, and has been declining since, steeply in recent years due to changes including decreasing consumption, government schemes to buy out growers, removal of the local leaf content scheme and the Tobacco Industry Stabilization Plan, reduced local manufacturing, and the globalization of tobacco buying. Industry-government partnerships in tobacco research and development are also being wound down.17

Tobacco corporations in Australia The corporate history of tobacco in Australia is a complex web of local and international companies. Over the course of the 20 th Century, the Australian market has hosted greenfields foreign direct investment, mergers, acquisitions, and export and distribution partnerships involving several international tobacco groups. The Australian cigarette

Page 4 of 260 market has always been linked to UK and US companies, but recent trends have been towards greater transnational control of the local industry. Initially Australian-based public companies trading on the Australian Stock Exchange dominated the market, selling both local and international brands, holding joint venture agreements or affiliate status with UK and US-based companies. Over the decades these local companies have been acquired by intemational holding companies and have stopped trading in Australia, greatly diminishing their local reporting responsibilities. The transnational parents have diversified broadly whilst increasingly insulating non-tobacco interests from tobacco interests.

The history of the companies currently dominating the Australian market begins in 1901-2, when a number of important shifts occurred in the international tobacco market. In the UK, local tobacco firms were challenged by the aggressive entrepreneurialism of The American Tobacco Company. The company's managers arrived in London intending to take over UK tobacco businesses. In response UK companies formed The Imperial Tobacco Company (of Great Britain and Ireland), Ltd., a firm large enough to protect their interests in the UK market. It remained a domestic UK concem for decades, and does not figure in Australian tobacco history until its expansionist phase at the end of the twentieth century.18

Meanwhile British-American Tobacco Company Ltd., an export company, was formed in the UK in 1902 as a kind of truce between UK firms and The American Tobacco Company. It became an international giant, and has the longest history in Australia. Its partner for decades in the Australian market was WD&HO Wills, local affiliate of one of the UK companies involved in both of the mergers described above. In Australia, WD&HO Wills and two Scot companies merged, a holding company known as British Tobacco Company (Australia) was formed, and its manufacturing subsidiary, WD&HO Wills, began making cigarettes at Raleigh Park in Sydney.15In 1977, British Tobacco Company (Australia) became AMATIL Ltd., retaining WD&HO Wills as its tobacco manufacturing subsidiary and diversifying widely into areas such as packaging, food and beverages, including being the licensee for Coca Cola in Australia. 16

In 1954 Philip Morris (Australia) Ltd. was set up in Moorabbin, Victoria as the first major affiliate of the newly formed Philip Morris Overseas Division, renamed Philip Morris International in 1961. 15.19 Also in 1954, Rothmans Holdings Ltd., a subsidiary of Investments PLC (UK), formed a joint venture agreement with the US

Page 5 of 260 In 2001 British American Tobacco Australasia Ltd. stopped trading on the Australian Stock Exchange, following acquisition of all minority shares by subsidiaries of BAT PLC,16 which is listed on the London Stock Exchange,21 ending the era of tobacco companies with Australian interests trading on the Australian Stock Exchange. In 2003 Philip Morris Companies Inc. changed its name to Group Inc., remaining the parent for the group's widely diversified food, beverage and packaging interests.

The Australian market is now dominated by three companies: British American Tobacco Australasia Ltd. (BAT A) and Philip Morris (Australia) Ltd. (PML), both manufacturers, and Imperial Tobacco Australia Ltd. (ITA), which imports international brands and contracts BAT A for manufacturing. 17 BAT A is the market leader in the Asia-Pacific region. BAT A employs over 1,200 staff in Australia, where it has approximately a 44% market share. Its market share is even greater in nearby nations - approximating 80% in both New Zealand and the Pacific Islands. 16 BAT A reportedly manufactures 18,000 million cigarettes per year in the region. 16 Various companies originally from the Wills or Rothmans groups, now bearing variants of the British American Tobacco name, continue to be registered with the Australian Securities and Investments Commission (ASIC).22 Their head offices and manufacturing facilities are in Eastgardens, NSW. PML also remains an Australian Public Company registered with ASIC. It is a manufacturer, and its subsidiaries include Statewide Tobacco Services Ltd, a telesales/distribution company, Philip Morris Ltd. and Philip Morris (New Zealand) Ltd. Australia is also the base for information technology and systems support for PMI companies throughout the Asia-Pacific region. 11 PMI companies currently employ approximately 860 people in Australia, with head office and manufacturing in Moorabbin, Victoria. 11 ITA, having no manufacturing facilities, is an import, distribution and marketing company. ITA is registered with ASIC as an Australian public company. Detailed information about its performance is especially difficult to access because reporting is mostly aggregated into a "rest of the world" category that includes all non-Western­ European countries. la

Page 7 of 260 STRUCTURE: THE SECTIONS OF THIS PHD AND HOW THEY FIT TOGETHER

Section One This first section provides background and context, and was written last. In addition to this introductory chapter, it contains a chapter providing some general background to the issue of the communication strategies of transnational corporations (TNCs), and a description of my methods.

Chapter Two is entitled Transnational corporations, communication and public health. It defines TNCs and discusses their significance in relation to economic globalization and the role of nation-states. It then outlines some of the communication strategies that TNCs use: both overt campaigns, marketing products or arguing industries' interests, and covert strategies, such as funding research to create favourable information or build the corporate brand, communicating with regulators and other decision makers to influence the operating environment, and third party strategy, in which another apparenlly independent person or organization speaks on an industry's behalf. This material provides a context for the strategies discussed in later chapters.

Chapter Three describes my research process.

Section Two Section Two contains results pertaining to tobacco corporate affairs. It contains five chapters, all of which drew solely on tobacco documents. Papers on which these chapters are based have been cited in the Iiterature.4.23·27

Chapter Four focuses on the Tobacco Institute of Australia (TIA), an organization that managed corporate affairs for the Australian tobacco industry for three decades of the 20 th Century. The chapter examines the work of the TIA and the connections it facilitated: links between local manufacturers; links through individuals who played multiple roles; links to international tobacco organizations; legal links; and information links. The TIA was an important voice for the industry from the 1970s to the late 1990s, when the corporate

Page 8 of 260 affairs function was reabsorbed into the corporations themselves. The paper on which this chapter was based was the first to set out a case that the TIA's conduct was the responsibility of local and international companies and their counsel, an important finding which means that, in legal or regulatory decisions, the TIA's activities can be considered to be the activities of the manufacturers.

Chapter Five reports on corporate affairs programs around what the Australian industry referred to as the "primary issue', the relationship between smoking and disease. It focuses on the 1980s for two reasons: because by the 1980s the epidemiological evidence was considered incontrovertible, and because the 1980s were a particularly active and aggressive period in the corporate affairs history of the industry, led by the TIA. The historic conduct of the tobacco industry in seeking to mislead and reassure smokers about smoking and disease had been documented for the USA, Germany and the UK prior to the paper on which this chapter is based being published, but this paper was the first to explicitly make a case that the Australian tobacco industry understood the evidence on smoking and disease but deliberately misinformed Australians, describing internal research on smoking and disease, knowledge of external research, and misinformation supplied to employees, boards, decision makers and the general public, including Australian smokers. Smokers now aged approximately 25 and over would have been recipients of the campaigns described in this chapter.

Chapter Six builds on the history of the TIA in Chapter Four and the case made in Chapter Five that in the 1980s the industry was aware of the disease effects of smoking but chose to mislead consumers. This chapter explores in detail a specific problem facing Australian tobacco corporations in the early 1990s: the need for a coherent position on smoking and disease, acceptable to all the companies and consistent with their own positions, which could be used to respond to the media on the issue. Chapter Six presents the details of the struggle over this statement to illustrate the cooperative, legal and fastidious nature of managing corporate communication in the Australian tobacco industry.

Chapter Seven discusses another key corporate affairs issue: teen smoking. Youth smoking is important because most smokers start as teenagers and because of questions about the ability of teenagers to make informed choices. The paper on which this chapter was based was the first to outline the industry's Australian corporate affairs programs on

Page 9 of 260 the issue. The chapter proposes an evolution from unproblematic association of teenagers and smoking in the 1960s, through the industry's aggressive attacks and denials in the 1980s, to the 1990s, when industry became newly compliant with "societal expectations" and youth became a dominant bargaining issue in the industry's communication strategy. It also discusses the industry's current policy: to simultaneously blame others for underage smoking, frame the industry as socially responsible via voluntary marketing codes, youth access programs, and school education, and market actively to young adults, defined as 18 to 24 year olds. It argues the need to prohibit both marketing and youth smoking prevention funded by the industry, and reframe the youth issue in tobacco control debates.

Chapter Eight is the least "Australian" chapter in this PhD. It provides another detailed example, this time of an agency that specialised in managing corporate issues and worked for transnational tobacco corporations, including on one of the most significant global events in tobacco control, the Framework Convention on Tobacco Control (FCTC). It is relevant to Australia in that Australia has both participated in and ratified, and thus will be bound by, the FCTC, and in that there is evidence that the organization, Mongoven Biscoe and Duchin (MBD), has worked in this region. The paper on which this chapter is based was internationally important at the time of publication. The fourth Intergovernmental Negotiating Body meeting on the FCTC was held in Geneva from March 18th to 24th 2002. The paper was released online on Monday 18th March 2002, in time for the meeting, and thus attracted international attention. International press coverage, press releases and examples of its use by Non Government Organizations are included in Appendix Three E.

Section Three Section Three focuses on brand marketing activities in Australia. This section combined tobacco documents with other sources, particularly advertising and journalism from retail trade journals. Several of the papers on which these chapters are based were used in and appended to a 2003 formal joint submission from health Non Government Organizations, including Cancer Council Australia and the National Heart Foundation, to the Federal Government's review of the Tobacco Advertising Prohibition Act 1992. They have been used as source material by Australian journalists with an interest in marketing, cited in the peer-reviewed literature,28.31 and cited and quoted in the Australian National Tobacco

Page 10 of 260 Strategy 2004-2009, the instrument through which Australian jurisdictions have promised to eliminate remaining tobacco promotion.32

Chapter Nine focuses on Australian brands. Research about marketing can take one or both of two possible paths. The first path is to examine the activities used to communicate, such as sponsoring events, or designing packaging, or advertising on billboards. The second possible path is to focus on brand identity - that is, to examine the more abstract vision, purpose and meaning for a brand that should drive all executions promoting that brand. 33 Brand identity and marketing activities should of course be inextricable, but tobacco control research on cigarette marketing has tended to focus on marketing activities rather than brand identity. Research that does consider brand frequently reports important but thin information, such as brand awareness, preference, recall or campaign exposure in particular age groups, patterns of advertising buy for particular brands, or the marketing mix, that is, which strategies are used to promote a brand and in what combination. Only a few papers have considered cigarette brand identity in any depth (see for example 34-37).

The paper on which Chapter Nine is based was the first in tobacco control to draw on the professional brand management literature, particularly the work of David Aaker, contrasting brand elements such as brand identity (overriding brand vision), brand positioning (brand identity elements communicated to the consumer), brand image (consumers' brand perceptions) and brand equity (financial value).33 It was also the first to provide a typography of the brands operating across an entire market, how they differ, and the functions they serve. It concluded that the equity of competing cigarette brands is mutually reinforcing, and has been damaged by tobacco control, that the industry sees Australian smokers as less brand loyal than smokers in other markets, that the Australian market is strongly oriented to "Iow tar", that brand image and identity are frequently congruent, even when marketing is restricted, and that brand image is generally more positive for a smoker's own brand. The paper also detailed the three categories of Australian cigarette brand: premium, mainstream, and supervalue, and suggested that tobacco control messages may benefit from being tailored to the very different expectations and needs of the smokers of each brand category.

Chapter Ten and Eleven focus on marketing activities. Chapter Ten deals in detail with the industry's below-the-line marketing strategies, excluding retail. It concludes that although

Page 11 of 260 marketing restrictions reduced the industry's effectiveness and efficiency, Australian tobacco companies continued market their products, and planned carefully to circumvent regulation well in advance. In preparation for bans, they chose and strengthened existing brands to enable their continued success in a dark market and prepared the consumer for bans by increasing their spending on below-the-line activities. After bans new brand launches stopped: instead key existing brands were strengthened via alterations to the product, line extensions, and stretching loopholes in the legislation as far as possible. This work proposes that, consistent with the general trend towards integrated marketing in all sectors, several activities have been used in combination to promote cigarette brands, including guerrilla marketing, advertising in imported international magazines, altering the pack, sponsorships, brand stretching, event promotions, lifestyle premiums, and the development of corporate websites. Because Australian marketing was highly restricted well before many other major markets, the paper on which this chapter was based provided unique insights, from the companies' own documents, regarding their responses to marketing restrictions.

Chapter Eleven describes the importance of retail marketing in a restrictive environment. It demonstrates that the industry strove to make the retail environment the primary communication vehicle for building cigarette brands as other forms of marketing were restricted, conceding to limits only incrementally and under duress, and at times continuing to break the law. It describes allocation of money to support and motivate retailers, including financial and practical assistance with point of sale marketing and alliance building, building brands through advertising in retail magazines and competition between Philip Morris and British American Tobacco to control distribution of all products to retailers, placing themselves at the heart of retail business, particularly in the convenience sector. Although the paper on which this chapter is based was not the first to focus on retail marketing, which has attracted some international attention in the last decade, it is one of only a small number that have used the documents to understand retail marketing from the perspective of industry,36.39 and is the only one to have done so in such detail.

Page 12 of 260 Section Four Section Four contains two chapters, which present two kinds of conclusions.

Chapter Twelve draws conclusions from the results presented in the previous three sections.

Chapter 13 is a different kind of reflective chapter. It is methodological, reviewing existing TOR including my own, and discussing possible future forms for TOR. As described in Chapter 13, when this project commenced TOR was a young discipline. The first small body of documents was analysed in 1994, the main body of documents was not released until 1998, and it was not until 2000 that TOR papers began to be published regularly. My PhD commenced the following year. During the time that I completed my PhD, the existing body of TOR approached the documents in a straightforward way: researchers essentially found the documents and summarised what they said. Much of my work in this PhD, particularly my early work, duly followed that paradigm. However, after some years of reading in qualitative research, epistemology and sociology, my own retrospective reflexivity led me to analyse existing TOR to attempt to make some of its traditions transparent, both for my own learning and to suggest possible future trends for TOR.

Chapter 13 describes the various ways that tobacco documents were used in the peer reviewed health literature to the end of 2004. Papers with tobacco documents as the main focus varied enormously in their reporting of methods. I observed five kinds of information about methods in these papers: purpose, sources, searching, analysis and limitations. Details of these categories are summarised in Chapter 13 to provide a guide for other authors. I also propose the existence of a descriptive mainstream, which was initially typical but appeared to be decreasing across time, and suggest that TDR researchers positioned themselves on a continuum that I labelled from "researcher as conduit" to "researcher as constructor." Certain reporting practices, consistent with researcher as constructor, appeared to clump together and to be used particularly by experienced researchers in later years: more complex purposes, more diverse sources, and more detail of searching and analysis. Tobacco document researchers did not typically site themselves in a disciplinary context, although they used words from three major traditions­ interpretive, positivist and historical- to describe their analysis. To conclude Chapter 13

Page 13 of 260 and the thesis, I explore these three traditions to suggest possible disciplinary homes for tobacco document research, and finally present a model for planning and evaluating tobacco document research based on my review of others' work and my experience of writing this PhD.

Section Five Section Five contains nine appendices. Appendix One contains the policy mentioned above. Appendix Two provides information about search strings used and the number of documents returned. Appendix Three contains the published papers and copies of some of the press releases and media coverage relevant to the paper in Chapter Eight. Appendices Four to Nine form an audit trail. The audit trail concept is discussed in Chapter 13. The appendices are presented in tables containing my working notes on the raw data, comprising mostly summaries and descriptions, and thus are not of publication standard. For appendices containing notes on documents cited in the chapters, I have listed documents in the order in which they were cited. For supplementary material, I have listed documents in chronological order. Each table of document summaries provides: 1. a document number; 2. a document date in the format YYYYMMDD; and 3. document information, commencing with the title as given in the document metadata, and if relevant quotes or a summary.

Each page of a tobacco industry document has a unique BATES numbers assigned to it. Most are purely numerical, some have an alphabetical prefix. In the appendices, the working document numbers used in the University of Sydney Tobacco Document System are used to identify documents rather than citing documents in endnotes. These numbers consist of the BATES number, with an alphabetical prefix added to numbers without such a prefix, allowing easy identification of the document's source. The exception is documents found in secondary collections: for these documents a world wide web address is given. Prefixes and their meaning are in Table Two. The documents noted in the appendices are the original documents found during the research process - in some instances documents were traced to more stable sources for citation in the finished work. Square brackets in

Page 14 of 260 Appendices Four to Nine enclose my early interpretations. The same documents are repeated in some tables, to enable the reader to check all of the sources for one paper in order in one place.

TABLE TWO: ALPHABETICAL PREFIXES TO BATES NUMBERS

Prefix Original source PM htlp:llwww.pmdocs.com-bin/rsasearch.asp; BW http://www.bw.aalat!l.com/public.asp LOR htlp:llwww.lorillarddocs.com/cgi-bin/rsasearch.asp RJR http://www.rirtdocs.com/rirtdocs/index.wmt?tab-home ATC http://www.bw.aalatg.com/public.asp TIFL; TIMN; TI; TIDN; http://www.tobaccoinstitute.com/cgi- THKP bin/Rsasearch.asp CTR http://www.ctr-usa.org/ctr/index.wmt?tab=home

Actual documents can be retrieved from the University of Sydney collection40 or the University of California San Francisco Legacy Tobacco Documents Library collection 41 using BATES numbers.

REFERENCES 1. World Health Organization. Tobacco Free Initiative. World Health Organization 2004. Date Accessed: Dec 20 2004. URL: http://www.who.inVtobacco/en/ 2. California Department of Health Servioes Tobacco Control Section. A model for change: the California experience in tobacco control. California Department of Health Services 1998. URL: http://www.dhs.ca.gov/tobacco/documents/modelforchange.pdf 3. Robbins H: Krakow M, Warner D. Adult smoking intervention programmes in Massachusetts: a comprehensive approach with promising results. Tobacco Control 2002;11:4-7. 4. Bero L. Implications of the tobacco industry documents for public health and policy. Annual Review of Public Heaffh 2003;24:267-88. 5. Malone RE, Balbach EO. Tobacco industry documents: treasure trove or quagmire? Tobacco Control 2000;9:334-8. 6. Yach 0, Bettcher D. Globalization of tobacco industry influenoe and new global responses. Tobacco Control. 2000;9:206-16. 7. National tobacco legislation analysis: summary of existing legislation. Tobacco control supersite 2003. Date Accessed: 2 Sep 2003. URL: http://tobacco.health.usyd.edu.au/site/supersite/resouroes/pdfslaus_tobaccoJegislation.pdf 8. Commonwealth of Australia. Tobacco Advertising Prohibition Act. Commonwealth Consolidated Acts 1992. Date Accessed: July 14 2003. URL: http://www.austlii.edu.au/au/legis/cth/consoLacVtapaI992314/index.html

Page 15 of 260 9. British American Tobacco Australasia. The challenge of change [CD ROM for internal company use). Sydney: British American Tobacco Australasia; 2001. 10. Carter S. Going below the line: creating transportable brands for Australia's dark market. Tobacco ConfroI2003;12:iii87-94. 11. Philip Morris Intemational. Corporate website. 2004. Date Accessed: Dec 13 2004. URL: http://www.pmicareers.com/corporate/eng/default.asp 12. Harris T. US smokes not like ours. The Weekend Ausfralian (Sydney) 12 Jul, 1997, p. 7. 13. WO & HO Wills. W.D. & H.O Wills Holdings - Chairmans Address. Philip Morris. 199717 Apr. Bates No.: 207252752217525. URL: http://legacy.library.ucsf.edu/tidlvtc42cOO 14. Upari K. Rothmans warns on profit. Philip Morris. 1997 12 Jul. Bates No.: 2065329380. URL: http://legacy.library.ucsf.edu/tid/qdp63c00 15. Tyrrelll. Deadly enemies: tobacco and as opponenfs in Australia. Sydney: UNSW Press, 1999. 16. British American Tobacco Australasia. Company website. 2004. Last updated: July 19 2004. Date Accessed: Dec 6 2004. URL: http://www.bata.com.au 17. VicHealth Centre for Tobacco Control. Industry watch: the tobacco industry in Australia. 2004. Last updated: June 9,2004. Date Accessed: Dec 6 2004. URL: http://www.vctc.org.au/industry/markeUnformation.pdf 18. Imperial Tobacco Group. Imperial Tobacco Website. 2004. Last updated: November 29 2004. Date Accessed: Dec 132004. URL: http://www.imperial-tobacco.com 19. Philip Morris International. Philip Morris Intemational Website. Philip Morris Intemational 2002. 2002. 20. Australian Competition and Consumer Commission. ACCC accepts cigarettes divestiture [press release). ACCC website 1999. Last updated: 3rd June 1999. Date Accessed: Dec 13 2004. URL: http://www.accc.gov.au/contenUindex.phtmllitemld/322820/fromltemld/378008 21. London Stock Exchange. Detailed price report: BATS British American Tobacco PLC. London Stock Exchange 2004. Date Accessed: Dec 13 2004. URL: http://www.londonstockexchange.com/en­ gb/pricesnews/prices/system/detailedprices.htm?sym=GB0002875804GBGBXSET1 0287580BATS 22. Australian Securities and Investments Commission. Commission Website. 2004. Last updated: Dec 132004. Date Accessed: Dec 13 2004. URL: http://www.asic.gov.au 23. Tong E, Glantz S. ARTIST (Asian regional tobacco industry scientist team): Philip Morris' attempt to exert a scientific and regulatory agenda on Asia. Tobacco Control 2004;13:118-124. 24. Alechnowicz K, Chapman S. The Philippine tobacco industry: "the strongest tobacco lobby in Asia". Tobacco Control 2004;13:71-78. 25. Smith E, Malone R. Thinking the "unthinkable": why Philip Morris considered quitting. Tobacco Control 2003;12:208-213. 26. Chopra M, Galbraith S, Darnton-HiIIl. A global response to a global problem: the epidemic of overnutrition. Bulletin of the World Heaffh Organization 2002;80:952-958. 27. Szilagyi T. Studying the Hungarian anti-smoking movement. Tobacco Control 2002;11 (3)::280.

Page 16 of 260 28. Henriksen l, Feighery E, Schleicher N, et al. Reaching youth at the point of sale: cigarette marketing is more prevalent in stores where adolescents shop frequently. Tobacco Control 2004;13:315-318. 29. Knight J, Chapman S. "Asian yuppies ... are always looking for something new and different": creating a tobacco culture among young Asians. Tobacco Control 2004;13:22-29. 30. Dewhirst T. POP goes the power wall? Taking aim at tobacco promotional strategies utilised at retail. Tobacco Control 2004;13:209-210. 31. Chapman S. Half full or half empty? Tobacco control in Australia in 2004. Australian and New Zealand Journal of Public Heaffh 2004;28:309-311. 32. Ministerial Council on Drug Strategy. Australian National Tobacco Strategy, 2004-2009: The Strategy. Canberra: Department of Health and Ageing, 2004 November. 33. Aaker D, Joachimsthaler E. Brand leadership. London: Free Press Business/Simon & Schuster, 2000. 34. Pollay RW. Targeting youth and concemed smokers: evidence trom Canadian tobacco industry documents. Tobacco Control. 2000;9:136-47. 35. Wakefield M, Morley C, Horan JK, Cummings KM. The cigarette pack as image: new evidence from tobacco industry documents. Tobacco Control. 2002;11:173-80. 36. Balbach ED, Gasior RJ, Barbeau EM. R.J. Reynolds' targeting of African Americans: 1988-2000. American Journal of Public Heaffh. 2003;93:822-7. 37. Cook Bl, Wayne GF, Keithly l, Connolly G. One size does not fit all: how the tobacco industry has altered cigarette design to target consumer groups with specific psychological and psychosocial needs. Addiction 2003;98: 1547-61. 38. Anderson S, Hastings G, MacFadyen l. Strategic marketing in the UK tobacco industry. Lancet Oncology 2002;3:481-6. 39. Muggli ME, Pollay RW, lew R, Joseph AM. Targeting of Asian Americans and Pacific Islanders by the tobacco industry: results from the Minnesota Tobacco Document Depository. Tobacco Control 2002;11 :201-9. 40. Chapman S. Tobacco control supersite. University of Sydney 2004. Date Accessed: Jan 5 2004. URL: http://tobacco.health.usyd.edu.au/site/gateway/docs/search.htm 41. legacy Tobacco Documents Library. University of California San Francisco 2004. Date Accessed: Jan 5 2004. URl: http://www.legacy.library.ucsf.edu

Page 17 of 260 CHAPTER TWO TRANSNATIONAL CORPORATIONS, COMMUNICATION AND PUBLIC HEALTH

This chapter provides a broader context for the material presented in subsequent chapters. The tobacco industry is profoundly transnational, and is thus better understood in the context of other transnational corporations (TNCs) and their general relevance to public health. The chapter reviews literature about what TNCs are, why they are an important global force, and the way in which TNCs communicate and use information. It examines two kinds of communication. Firstly, TNC marketing practices. Secondly their corporate affairs practices, which attempt to influence the political process, regulation, litigation and public opinion by communicating both overtly and covertly.

BACKGROUND: UNDERSTANDING TRANSNATIONAL CORPORATIONS

Defining the TNC A TNC can be defined as "a firm that has the power to coordinate and control operations in more than one country, even if it does not own them."l Corporations have become increasingly transnational since the 1970s, due largely to foreign direct investment (FOI), that is, overseas investment made with the intention of gaining control of the investee, most often between high-income countries. 2 The most common forms of FDI are mergers and acquisitions, which are increasingly prevalent in health-related industries, including food and pharmaceuticals. 3-5 Many TNCs are also developing cooperative relationships with local companies in international markets, particularly in high-risk low-income-country markets.2 Through linkages and FOI, and enabled by technological development and deregulation, particularly in communications and transportation, TNCs have become hubs of networks that produce goods, services, information and persuasion, which sometimes means that industries traditionally considered benign by public health, such as drug and food manufacturers, and industries such as cigarette manufacturers work together within a

Page 18 of 260 network.6 Because these networks now dominate global production, TNCs are considered the "primary movers and shapers" and "Iynchpins" of the global economy.1.3.7.8

Benefits of economic globalisation for TNCs The rise of TNCs is closely related to globalisation, a vast and contested phenomenon with economic, political, military, migratory, cultural and ecological facets, which has been discussed in detail in general texts1.7 and in books focused on public health.3.9.1o The most important facet of globalisation for this chapter is the economic. Its closely entwined major players include the World Trade Organisation (WTO), which is dominated by G7/G8 countries, which are home to most TNCs.11 The legal foundation of the WTO is a set of multilateral trade agreements, which have been strongly influenced by TNCs and have benefited TNCs.1.5.7.8.12 These agreements can regulate many issues relevant to public health, including labeling, packaging, manufacturing standards, patents, brands, intellectual property arising from health research, quarantine, importation bans and service provision. 12.13

Although these agreements create substantial and intractable change, they are rarely evaluated in terms of their health impacts, positive or negative. 14 Trade concerns overwhelm health concerns in global policy because of the pre-eminent enforcement mechanisms of the WTO, the influence of powerful nation-states, and the shared values of the transnational managers at the helm of most global regulators, nation-states and TNCs.15.16 At the WTO dispute resolution is highly technical, legal, closed, and run by trade experts, providing little opportunity for a public health perspective to challenge the WTO's assumptions, and the US has actively opposed attempts to give the World Health Organisation (WHO) a role in monitoring international trade agreements.8.12.14.16.17 The WTO also fails to recognise fundamental tenets of public health such as the precautionary principle, making its own judgments based on current evidence. It is thus extremely difficult for a nation-state to control a practice that it suspects carries a future, but as yet unproven, risk.

Globalisation, TNCs and nation-states Much writing in public health assumes an idealised sovereign nation-state, governing within national borders. Within the literature on global policy, however, there is vigorous

Page 19 of 260 debate regarding the influence of globalisation on the role and power of the nation-state. Many contend that certain national governments are becoming less autonomous,1.18 as people, information and money flow increasingly freely over borders, international problems such as global warming and the illicit drug trade are shared by many nations, and actors including dominant states, international governance systems such as the WTO, and

TNCs become relatively more powerfuI. 19,2Q

These writers argue that smaller, less powerful nation-states are being constrained by the larger, more powerful nation-states that are home to most TNCs.11,18 TNCs and their home-states benefit from one another's power. TNCs generally concentrate their resources at home, and in turn home governments provide local protection and international intervention.1,5,7,13,18 The US government, for example, provides tariffs, subsidies, tax breaks and bail-outs for its TNCs at home, and simultaneously has forced the EU to accept hormone-treated beef,13 the U.N. to shrink its Center on Transnational Corporations, which monitored FDI in developing countries,21 and low and middle income countries to recognise drug patents well beyond what is required by international agreements.22 With regard to tobacco, the U.S. Trade Representative has investigated allegedly unfair tobacco trading practices in the Japanese, Thai, South Korean and Taiwanese markets under Section 301 of the US Trade Act of 1974, eventually forcing all four countries into bilateral trade agreements that introduced US cigarette brands into their markets. The Thai case went to GATT arbitration in 1990, where a GATT panel found that Thai import restrictions on cigarettes were contrary to provisions of the GATT. Although the Thai government was forced to allow imports, their right to ban all cigarette marketing was upheld, on the condition that it be applied equally to domestic and imported product.3.23-28

It is also argued that power is moving from some nation-states to international governance systems. When a nation-state signs a multilateral trade agreement for example, it voluntarily sacrifices some of its own sovereignty in exchange for the hope of increased trading prospects, giving the WTO the right to impose sanctions on it if it fails to adhere to the agreemenU,13,14,16,18,27 WTO bodies can thus constrain national regulation. This has again been played out with regard to tobacco trade, with other industry document research providing evidence of TNCs threatening governments with a WTO challenge to deter legislative action.24 Because WTO agreements are far-reaching,12,13 they have the potential

Page 20 of 260 to influence many aspects of cigarette trade and thus tobacco control, including the ability of governments to constrain imports and control packaging and labeling.

Nation-state power may be further eroded because of TNCs' financial power. TNCs benefited disproportionately from financial deregulation and the resulting mobility of capital. Being responsible for the majority of the world's exports, TNCs incorporate parts of national economies within their own firm boundaries, conducting up to 70% of trade intra­ firm. This enables transfer pricing, where transactions between TNC subsidiaries in different countries are priced so as to minimise their tax bill: high prices in low taxing nation-states, low prices in high taxing states.1.5.2B Traditionally industry-government relationships have been characterised by mutual need: governments needing firms to generate material wealth, jobs, technology and expertise, and firms needing governments to provide physical and social infrastructure. However in the current global climate, it is argued that this traditional state/firm relationship is becoming increasingly unbalanced, particularly in low and middle-income countries.1.1B

These patterns of global trade liberalisation have helped revitalise the long-term growth prospects of the tobacco industry. Markets that were previously monopolised have been made increasingly competitive with the entry of TNCs, reducing prices and increasing marketing activity. 26 Tobacco TNCs have established joint ventures with, or acquired, domestic companies (sometimes from states themselves during privatisation), have invested in or acquired production and distribution facilities, particularly in Central and Eastern Europe and Asia, and have expanded their business in Latin America and Africa. 26 Trade liberalisation has been shown to increase not only US TNC's market share, but overall consumption of cigarettes, particularly in low and middle income countries (LMICs).26.29.3o Empirical evidence on the impact of privatization of state run monopolies on tobacco control is mixed, with some informative case studies completed. In Poland, for example, pressure from the public health community led to greater regulation of the tobacco market when the Polish government extract itself from a monopoly position,26 while tobacco document research has revealed BAT's plans to acquire a monopoly position as the Moldavian market privatised, and to subsequently drive up consumption through marketing.3o

Page 21 of 260 TNCs, public health and ideology The tension between TNCs and public health is at least in part ideological. Ideology is inescapable when discussing TNCs: indeed some writers define the economic globalisation that has so benefited TNCs as an ideological force. 31 .32 The current unfettered form of economic globalisation is based on a belief that "open markets, nondiscrimination and competition in international trade are good for everyone,"16 linked to the ascendance of neo-liberal or neo-conservative ideology, summarised by George as follows: "individual freedom is the ultimate social ideal; governmental power, while necessary, must be limited and decentralised. Interventionism is baneful and dangerous. Economic freedom, that is, capitalism, is an indispensable condition for politicalliberty."32 The ethos of contemporary public health, that democratic governments have a responsibly to create environments that promote health and equity, does not sit comfortably with neo-liberal ideology. This tension is reflected in analyses of the equity effects of economic globalisation.

There are advocates of unfettered economic globalisation in the health literature, who broadly argue that "because gross national product per capita correlates so strongly with national health status, we can conclude that, in general, openness to trade improves national health status."33 Strongly neo-liberal commentators consider inequity to be un problematic or even desirable.34 Many more moderate commentators, including those within UN organisations and other groups that devise policy to promote global development, contend that inequity is inevitably temporary and justified by average benefit. 11 In contrast, critics contend that unfettered economic globalisation is creating complex and entrenched inequity in areas including health. They challenge the evidence of benefit as being too strongly aggregated to be informative. They demonstrate that winners and losers are emerging within and between countries, and that global economic policy is benefiting an already-privileged minority and either failing to improve or worsening the wealth and health of much of the world's population, to different degrees under different political regimes.1.3.9.1o.31.35.36 Tobacco is an excellent example of the health inequity engendered by TNCs, as smoking increasingly becomes a problem of the poor in developed countries, and of poor countries where regulation is weak and the industry is aggressively seeking markets. It would be false and simplistic to claim that TNCs were the sole cause of these inequities. However some research suggests that they are one of

Page 22 of 260 several causes,3? and many writers argue that TNCs and their corporate managers are the main beneficiaries of global change, and that their wins have occurred, in part, at the expense of the losers.8,31

The legal responsibility and prime concem of corporations is maximising profit to shareholders, a legitimate motivation that can have indirect social benefits. However when corporate networks are primarily motivated by profit, and where neo-liberalism is their core ideology, health outcomes often suffer. Many TNCs undermine health and equity to achieve their financial ends. For example, for-profit health maintenance organisations worldwide are reorienting previously public and universal health systems towards individual responsibility for health costs, assisted by global policy actors such as the US government, World Bank and WTO, as well as national governments, despite evidence that this shift disadvantages populations and increases inequity.38-40 In low-income countries, many TNCs engage in conduct that would be prohibited in their home states, expand their markets for health-damaging products, including tobacco, and use dangerous workplace practices.4,41,42

TNC COMMUNICATION AND PUBLIC HEALTH

On the background of this economic power and ideological position, the communication strategies used by TNCs are an important tool for maintaining and increasing profits by increasing sales and improving operating environments.

TNC marketing and public health

Health-related TNCs are producers of substantial and well-funded marketing campaigns designed to initiate, sustain and increase product sales. The budgets for TNC marketing campaigns are often well beyond the scope of what is available for communication by citizens, non-government organisations or most governments 43,44 This is relevant because TNC marketing is often in direct opposition to publicly funded health messages. The bulk of the global consumer marketing budget is spent on products such as soft drinks, processed foods, cigarettes and alcoholic beverages, in direct contravention of public health objectives,3 and corporate communications frequently contravene public health principles.

Page 23 of 260 Tobacco document research has described tobacco industry communication, product design and pricing strategies designed to maximize sales by targeting specific groups of consumers differentiated by age, ethnicity and gender, including teenagers. 45-S9 US-based transnational Health Maintenance Organisations have exaggerated their treatment outcomes and the quality of care they provide, while discouraging people with higher health care costs from joining,lo.71 Major food TNCs have violated the WHO's longstanding International Code of Marketing of Breastmilk Substitutes,l2.73 Soft drink, alcoholic beverage and fast food TNCs have aggressively targeted children, in some cases at schooI.4.74.75 Pharmaceutical TNCs, particularly when direct-to-consumer advertising is proscribed, nurture personal and organisational links with doctors - several recent criminal and civil lawsuits have led to convictions or settlements regarding these marketing activities. Doctors typically deny any influence, despite evidence demonstrating that physicians dependent on pharmaceutical industry information prescribe less appropriately.43.76.79 Despite all of this, tobacco, food, pharmaceutical, health care and health insurance TNCs repeatedly claim that their global marketing is valuable, ethical, factual and scrupulously compliant with voluntary codes of practice, that their industries are heavily regulated, and that criticism of their marketing practices is inaccurate, emotive and methodologically flawed. In fact food and beverage TNCs protect their advertising to children with rhetoric reminiscent of that used by tobacco TNCs in Australia in the 1970s and 1980s, protesting that there is "no proof' that advertising influences children, that parents are to blame, and freedom is at stake,l4.Bo

TNC corporate affairs strategies and public health

Campaigns overtly promoting TNC interests The tobacco industry's overt corporate affairs campaigns have been widely discussed. One of the best-known examples of the tobacco industry attempting to overtly influence public opinion is the 1954 "Frank Statement to Cigarette Smokers."B1 The "Frank Statement' advertisement was placed in 448 US newspapers in January 1954, and was jointly funded by Philip Morris, RJ Reynolds, Brown & Williamson, Lorillard, and American Tobacco. It suggested smoking did not cause cancer, stated that cigarettes were safe, and promised that the industry would finance research to investigate the allegations being made about the impact of smoking on health.B1 Similar campaigns have been jointly run by other groups

Page 24 of 260 of corporations: by pharmaceutical corporations to promote their products as money­ saving, a dubious contention 82 by the food industry to undermine long standing nutritional advice,74 by the lead industry to reassure consumers that lead was safe,83 by the plastics industry to suppress information about the health risks of polyvinyl chloride,83 and by the alcoholic beverage industry to undermine mainstream science about alcohol consumption. 84

Campaigns covertly promoting TNC interests

Third party strategy: speaking through other organisations One common strategy that TNCs use to communicate is known as "third party strategy".85 Third party strategy is a means of communicating indirectly to create the appearance of community support - corporations develop financial or other relationships with organisations that will subsequently promote their position to the public and decision makers. The tobacco industry has used third parties such as smokers groups, sporting associations, hotels associations and leadership groups in minority communities as spokespeople to improve the industry's image and business environment. 86 Pressure has been put on non-compliant groupS,8? and tobacco control groups infiltrated.88 Similarly food, agriculture and chemical TNCs have infiltrated activist groups to undermine their campaigns.4.85 Fast food TNCs fund sporting associations,4 and alcoholic beverage and pharmaceutical "Medical communications" is a growing transnational industry, creating unpaid advertising in the form of "medical news", often without the knowledge of reporters and producers,89 and promoting drugs via strategies such as ghostwriting journal articles to be published under the names of 'independent" academic experts. 89.90 Food, pharmaceutical and for-profit health care and insurance TNCs also influence the professional and general press through advertising expenditure, a longstanding tobacco industry strategy.43.?4.91 TNCs fund consumer advocacy groups that express opinions consistent with the TNCs' position while angrily denying any influence from their funders,?5.92.93

Funding research to create favourable information There is good evidence that research funded by any industry tends to draw conclusions favourable to that industry,94 despite the common protestations of industry-funded experts

Page 25 of 260 that they are not influenced in any way.95 In general these effects are not considered to be the product of deliberate bias or scientific fraud, but rather of a subtle shift in the framing and purpose of research. 96.97 Corporate funding is thought to move academic research away from its traditional idealised goals of "universalism, communalism, disinterestedness and organised skepticism" and towards research that defines, proscribes and studies problems in a manner consistent with TNCs' views and commercial imperatives.43.95.96 Much corporate-funded university-based research also involves corporate control of the resulting intellectual property to control potential effects on profits, enshrined via local contracts and in global law via the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS).

For decades the tobacco industry paid for research that provided information favourable to the industry. After some early unsuccessful attempts by industry researchers to promote the development of a safer cigarette, the tobacco industry engaged in extensive scientific research programs, intemally and through relationships with university-based scientists and physicians, producing results that could be used to ward off litigation. The resulting intellectual property was controlled by lawyers and suppressed by agreement between companies when unfavourable, the scientific literature was seeded with pro-tobacco information and opposing work was undermined.55.65.98-112 Corporations in other health­ related industries have similarly controlled potentially damaging information by threatening and silencing researchers and seriously impeding their careers, interrupting trials, insisting on membership of research committees, instructing universities to represent the corporation's interests to govemment, stealing and misrepresenting results, and delaying or blocking publication to secure patent rights or improve sales, sometimes assisted by the legal department of the researcher's university.95.97.113.114 This counters the traditional public health assumption that health knowledge belongs in the public domain, instead making the results of some basic science research and some information about risk the property of TNCs. This seriously influences what can be communicated to consumers and health care providers on important issues. 27 .43

Although some universities have rejected tobacco industry funding, the sobering evidence regarding the effects of corporate funding on research culture in general has produced few results. Corporate funding is framed as inevitable,115 conflicts of interest as manageable,116 and opposing researchers as non-compliant and troublesome.95.113

Page 26 of 260 Funding research to contribute to a corporations' brand Funding research in a very public manner can become an important part of a corporations' brand. In the 20 111 Century this was seen in the tobacco, asbestos, lead and vinyl industries, which all cooperatively promoted their "commitment" to research to maintain a positive image for their industries and productS.83.117 Although the pharmaceutical sector, unlike the tobacco, asbestos, lead and vinyl industries, has done much productive research and has created many useful products, pharmaceutical corporations similarly promote research as the essence of their corporate brands in a misleading manner. Pharmaceutical companies, alone or through their industry associations, overstate their expenditure on research, overstate the innovativeness of their research, use intellectual property law to protect profits to the detriment of population health, fail to adhere to usual research standards, and use research dollars inequitably.15.22.43.118-125 Despite these realities, "research innovation" is generally central to the corporate brands of pharmaceutical TNCs.

Covert communication with regulators and governments In the context of the global power shifts described earlier, it is increasingly easy for TNCs based in rich nations to influence govemments and regulators. Tobacco, pharmaceutical, oil, food, asbestos and biotechnology companies, strengthened by mergers and acquisitions, work globally to institute trade agreements, self-regulatory schemes and international standards that forestall or override punitive national legislation. They push open markets in LMICs supported by international trade law, often against the will of national governments. They also work at local levels to influence national governments and regu lators. 3·5.14.18.72.74.77.82.83.100.110.125-136

At national and intra-national level, regulators are dogged by conflicts of interest. A "revolving door" of personnel exists between many regulators and the corporations they regulate, and regulators internationally have become dependent on fees paid by corporations to "speed up" applications and are thus forced to work ever-faster. These challenges, along with corporate funding of "independent experts" and the threat of industry litigation, can bias regulatory decisions toward corporate interests. In Australia it is allegedly difficult for drug regulators to find experts independent of the pharmaceutical industry for their evaluation panels. In the US, the chemicals industry has been less stringently regulated at times when the incumbent head of the regulatory body had a

Page 27 of 260 personal relationship with the industry. Drugs have been approved by regulators, sometimes assisted by experts with undisclosed financial ties to the drug's manufacturer, and sometimes on the basis of data later demonstrated to have been biased. In some cases severe, even fatal side-effects have led to subsequent withdrawal of approval. 83.90.95.124.128.129.137 -139

One key regulatory issue is the pricing of essential goods and services. High prices worsen population health by limiting treatment to those people who can afford it, accentuating the distinction between profit motives and public health motives.126.140.141 Prices that most people can't afford can still be good for business, as a larger margin per unit can result in higher profits than selling more units at a lower price. 28 The health impacts of drug pricing policies can be of similar orders of magnitude to those caused by tobacco. While smoking causes approximately 5 million preventable deaths per year globally, mostly in later life, AIDS alone causes between 2.5 and 3.5 million deaths annually, 500,000 of them in children, mostly in low and middle income countries, and mostly preventable via existing drug therapy.142 TNCs' drug pricing targets are met through patent monopolies for branded drugs, preventing competition from cheaper generic equivalents. Using the courts, TRIPS and trade sanctions, the pharmaceutical industry and/or the US government have applied pressure to the governments of countries including , Argentina, the Philippines and Pakistan to keep prices high.17.28.143.144 Policies that ensure equitable access to treatment, in keeping with public health principles, set dangerous regulatory precedents for TNCs and their profits. For this reason, in countries with policies that control drug prices including Bangladesh and Australia, TRIPS, lobbying and legal action have been used to attack and weaken effective regulatory processes.145-148

DISCUSSION This review suggests that the tobacco industry is not alone in its use of overt and covert communication strategies to influence the public and decision makers: many TNCs appear to act similarly. TNCs, benefited by economic globalisation and the ideology they share with the governments of many wealthy countries, collaborate within their industries, and as a broader group when faced by a joint threat, to communicate in ways that promote their interests. What is unique about the tobacco industry is the degree to which researchers can access the corporate affairs strategies behind such communication. The intemal

Page 28 of 260 documents of tobacco TNCs, such as those that this PhD is based on, have provided a unique opportunity to better understand corporate communication, and to support those who wish to counter its impact. The following chapters provide some insights into the thinking, the effort and the intention behind the corporate communication of the tobacco industry. Given the parallels between tobacco and other TNCs suggested by the literature, subsequent chapters may also suggest fruitful areas for investigation of other industries.

REFERENCES 1. Dicken P. Global shift: transforming the world economy. London: Chapman, 2003. 2. Smith R. Foreign direct investment and trade in health services: A review of the literature. Social Science & Medicine 2004;59:2313-2323. 3. Lee K. Globalization and health: an introduction. Hampshire, UK and New York USA: Palgrave MacMillan, 2003. 4. Schlosser E. Fast food nation. Boston, New York: Houghton Mifflin Company, 2001. 5. Buse K, Wait G. Globalisation and multilateral public-private partnerships: issues for health policy. In: Lee K, Buse K, Fustukian S, ed. Heaffh policy in a globalising world. : Cambridge University Press, 2002. 6. Shamasunder B, Bero l. Financial ties and conflicts of interest between pharmaceutical and tobacco companies. Jama. 2002;288:738-44. 7. Held D, McGrew A, Goldblatt D, Perraton J. Global transformations: po/ftics, economics and culture. Cambridge: Polity Press, 1999. 8. Reich MR. Reshaping the state from above, from within, from below: implications for public health. Social Science & Medicine. 2002;54:1669-75. 9. Lee K, Buse K, Fustukian S, Ed. -Eds. Heaffh policy in a globalising world. Cambridge: Cambridge University Press, 2002 10. Lee K, Ed. -Eds. Heaffh impacts of globalization: towards global governance. Hampshire, UK and New York USA: Palgrave MacMillan, 2003 11. Labonte R, Schrecker T. Committed to health for all? How the G71G8 rate. Social Science & Medicine 2004;59:1661-1676. 12. Ranson MK, Beaglehole R, Correa CM, Mirza Z, Buse K, Drager N. The public health implications of multilateral trade agreements. In: Lee K, Buse K, Fustukian S, ed. Heaffh policy in a globalising world. Cambridge: Cambridge University Press, 2002. 13. Pollock AM, Price D. Rewriting the regulations: how the World Trade Organisation could accelerate privatisation in health-care systems.[comment]. Lancet. 2000;356:1995-2000. 14. Baris E, McLeod K. Globalization and international trade in the twenty-first century: opportunities for and threats to the health sector in the south. International Journal of Heaffh Services. 2000;30:187- 210.

Page 29 of 260 15. Lee K, Zwi A. A global political economy approach to AIDS: ideology, interests and implications. In: Lee K, ed. Heaffh impacts of globalization: towards global governance. Hampshire, UK and New York USA: Palgrave MacMillan, 2003. 16. Koivusalo M. Assessing the health policy implications of WTO trade and investment agreements. In: Lee K, ed. Heaffh impacts of globalization: towards global governance. Hampshire, UK and New York USA: Palgrave MacMillan, 2003. 17. Kumaranayake L, Lake S. Regulation in the context of global markets. In: Lee K, Buse K, Fustukian S, ed. Heaffh policy in a globalising world. Cambridge: Cambridge University Press, 2002. 18. Strange S. The retreat of the state: the diffusion of power in the world economy. Cambridge: Cambridge University Press, 1996. 19. Kickbusch I. The development of international health policies - accountability intact? Social Science & Medicine 2000;51 :979-989. 20. Lee K, Fustukian S, Buse K. An introduction to global health policy. In: Lee K, Buse K, Fustukian S, ed. Heaffh policy in a globalising world. Cambridge: Cambridge University Press, 2002. 21. Karliner J, Srivastava A, Bruno K. United Nations Development Program solicits funds from corporations. International Journal of Heafth Services. 1999;29:813-9. 22. Thomas C. Trade policy, the politics of access to drugs and global governance for health. In: Lee K, ed. Heafth impacts of globalization: towards global governance. Hampshire, UK and New York USA: Palgrave MacMillan, 2003. 23. Gruner H. The export of U.S. tobacco products to developing countries and previously closed markets. Law and Policy in International Business 1996;v28:217-254. 24. MacKenzie R, Collin J, Sriwongcharoen K, Muggli ME. 'If we can just 'stall' new unfriendly legislations, the scoreboard is already in our favour': transnational tobacco companies and ingredients disclosure in Thailand. Tobacco Control 2004;13:79-87. 25. Chantomvong S, McCargo D. Political economy of tobacco control in Thailand. Tobacco Control 2001;10:48-54. 26. Chaloupka FJ, Nair R. Intemational issues in the supply of tobacco: recent changes and implications for alcohol. Addiction 2000;95:S477-S489. 27. Faunce TA, Drahos P. Trade Related Aspects of Intellectual Property Rights (TRIPS) and the threat to patients: a plea for doctors to respond internationally. Medicine & Law. 1998;17:299-310. 28. Hartigan-Go K. The pharmaceutical situation in the Philippines. Australian Health Review. 2001 ;24:25-31. 29. Shaffer ER, Waitzkin H, Brenner J, Jasso-Aguilar R. Global trade and public health. American Journal of Public Heaffh 2005;95:23-34. 30. Gilmore AB, Radu-Loghin C, Zatushevski I, McKee M. Pushing up smoking incidence: plans for a privatised tobacco industry in Moldova. Lancet 2005;365:1354-1359. 31. Coburn D. Beyond the income inequality hypothesis: class,neo-liberalism, and health inequalities. Social Science & Medicine 2004;58:41-56. 32. George S. How to win the war of ideas. Dissent 1997;44:47-54. 33. Feachem RGA. Globalization is good for your health, mostly. BMJ 2001 ;323:504-6.

Page 30 of 260 34. Coburn D. Income inequality, social cohesion and the health status of populations: the role of neo­ liberalism. Social Science & Medicine 2000;51 :135-146. 35. World Health Organization. World Health Report 2003: shaping the future. World Health Organization 2003. Date Accessed: Oct 6 2004. URL: www.who.intlentitvlwhr/2003/en/overview en.pdf 36. Commission on Macroeconomics and Health of the World Health Organization. Investing in Health for Economic Development. WHO 2001. Date Accessed: Feb 27 2004. URL: http://www3.who.intlwhosis/cmh/cmh report/e/report.cfm?path=cmh,cmh reoort&language=english 37. Shandra J, Noblesb J, Londonc B, Williamsond J. Dependency, democracy, and infant mortality: a quantitative, cross-national analysis of less developed countries. Social Science & Medicine 2004;59:321-333. 38. Stone DA. The struggle for the soul of health insurance. Journal of Health Politics, Policy & Law. 1993;18:287-317. 39. Brugha R, Zwi A. Global approaches to private sector provision: where is the evidence? In: Lee K, Buse K, Fustukian 5, ed. Heaffh policy in a globalising world. Cambridge: Cambridge University Press, 2002. 40. Iriart C, Merhy EE, Waitzkin H. Managed care in Latin America: the new common sense in health policy reform. Social Science & Medicine. 2001;52:1243-53. 41. Castleman BI, Navarro V. International mobility of hazardous products, industries, and wastes. International Journal of Heaffh SeNices. 1987;17:617-33.

42. Fustukian S, Sethi D, Zwi A. Worke~s health and safety in a globalising world. In: Lee K, Buse K, Fustukian S, ed. Heaffh policy in a globalising world. Cambridge: Cambridge University Press, 2002. 43. Collier J, Iheanacho I. The pharmaceutical industry as an informant. Lancet. 2002;360:1405-1409. 44. Vanchieri C. Lessons from the tobacco wars edify nutrition war tactics. Journal of the National Cancer Institute. 1998;90:420-2. 45. Anderson S, Hastings G, MacFadyen L. Strategic marketing in the UK tobacco industry. Lancet Oncology. 2002;3:481-6. 46. Balbach ED, Gasior RJ, Barbeau EM. R.J. Reynolds' targeting of African Americans: 1988-2000. Arnerican Journal of Public Heaffh. 2003;93:822-7. 47. Chaloupka FJ, Cummings KM, Morley CP, Horan JK. Tax, price and cigarette smoking: evidence from the tobacco documents and implications for tobacco company marketing strategies. Tobacco . Control. 2002;11 :162-72. 48. Cummings KM, Morley CP, Horan JK, Steger C, Leavell NR. Marketing to America's youth: evidence from corporate documents.[comment[. Tobacco Control. 2002;11 :15-17. 49. Davis RM, Landman A. Lorillard's 'Candy Box' ad for Newport cigarettes: is she pregnant? Tobacco Control. 2000;9:1113-115. 50. Deland K, Lewis K, Taylor AL. Developing a public pclicy response to the tobacco industry's targeting of women and girls: the role of the WHO Framework Convention on Tobacco Control. Journal of the American Medical Womens Association. 2000;55:316-9, 321.

Page 31 of 260 51. Dewhirst T, Hunter A. Tobacco sponsorship of Formula One and CART auto racing: tobacco brand exposure and enhanced symbolic imagery through co-sponsors' third party advertising.[commentJ. Tobacco Control. 2002;11 :146-50. 52. Gilpin EA, Emery S, White MM, Pierce JP. Does tobacco industry marketing of 'light' cigarettes give smokers a rationale for postponing quilting? Nicotine & Tobacco Research. 2002;4:S147-55. 53. Hamilton WL, Turner-Bowker DM, Celebucki CC, Connolly GN. Cigarette advertising in magazines: the tobacco industry response to the Master Settlement Agreement and to public pressure. Tobacco Control. 2002;11 :ii54-8. 54. Katz SK, Lavack AM. Tobacco related bar promotions: insights from tobacco industry documents. Tobacco Control. 2002;11:192-101. 55. Kessler DA. Witt AM, Barnett PS, Zeller MR, Natanblut SL, Wilkenfeld JP, et al. The Food and Drug Administration's regulation of tobacco products.[comment). New England Journal of Medicine. 1996;335:988-94. 56. Ling PM, Glantz SA. Why and how the tobacco industry sells cigarettes to young adults: evidence from industry documents. American Journal of Public Heafth. 2002;92:908-16. 57. Ling PM, Glantz SA. Using tobacco-industry marketing research to design more effective tobacco­ control campaigns. Jama. 2002;287:2983-9. 58. Mekemson C, Glantz SA. How the tobacco industry built its relationship with Hollywood. Tobacco Control. 2002;11:181-91. 59. Muggli ME, Pollay RW, Lew R, Joseph AM. Targeting of Asian Americans and Pacific Islanders by the tobacco industry: results from the Minnesota Tobacco Document Depository. Tobacco Control. 2002;11 :201-9. 60. Perry CL. The tobacco industry and underage youth smoking: tobacco industry documents from the Minnesota litigation. Archives of Pediatrics & Adolescent Medicine. 1999;153:935-41. 61. Pollay RW. Targeting youth and concerned smokers: evidence from Canadian tobacco industry documents. Tobacco Control. 2000;9:136-47. 62. Pollay RW, Dewhirst T. The dark side of marketing seemingly "Lighr cigarettes: successful images and failed fact.[comment). Tobacco Control. 2002;11:118-31. 63. Rosenberg NJ, Slegel M. Use of corporate sponsorship as a tobacco marketing tool: a review of tobacco industry sponsorship in the USA, 1995-99. Tobacco Control. 2001;10:239-46. 64. Sepe E, Ling PM, Glantz SA. Smooth moves: bar and nightclub tobacco promotions that target young adults. American Journal of Public Heafth. 2002;92:414-9. 65. Slade J, Sero LA, Hanauer P, Barnes DE, Glantz SA. Nicotine and addiction. The Brown and Williamson documents. Jama. 1995;274:225-33. 66. Smith EA, Malone RE. The outing of Philip Morris: advertising tobacco to gay men. American Journal of Public Heafth. 2003;93:988-93. 67. Wakefield M, Morley C, Horan JK, Cummings KM. The cigarette pack as image: new evidence from tobacco industry documents. Tobacco Control. 2002;11:173-80. 68. Washington HA. Burning Love: big tobacco takes aim at LGBT youths. American Journal of Public Health. 2002;92:1086-95.

Page 32 of 260 69. Wayne GF, Connolly GN. How cigarette design can affect youth initiation into smoking: Camel cigarettes 1983-93. Tobacco Control. 2002;11:132-9. 70. IlIingworth P. Bluffing, puffing and spinning in managed-care organizations. Journal of Medicine & Philosophy. 2000;25:62-76. 71. Kuttner R. ColumbiafHCA and the resurgence of the for-profit hospital business. (1). New England Journal of Medicine. 1996;335:362-7. 72. Aguayo VM, Ross JS, Kanon S, Ouedraogo AN. Monitoring compliance with the International Code of Marketing of Breastmilk Substitutes in west Africa: multisite cross sectional survey in Togo and Burkina Faso.[comment]. Brni 2003;326:127. 73. Waterston T, Tumwine J. Monitoring the marketing of infant formula feeds. BMJ2003;326:113-114. 74. Nestle M. Food Politics: How the Food Industry Influences Nutrition and Heafth. Berkeley: University of California Press, 2002. 75. Edwards G. If the drinks industry does not clean up its act, pariah status is inevitable. Bmi 1998;317:336. 76. Kaiser J. Furor over company deal roils AMA. Science. 1997;278:26. 77. Studdert D, Mello M, Brennan T. Financial Conflicts of Interest in Physicians' Relationships with the Pharmaceutical Industry - Self-Regulation in the Shadow of Federal Prosecution. New England Journal of Medicine 2004;351 :1891-1900. 78. Blumenthal D. Doctors and Drug Companies. New England Journal of Medicine 2004;351 :1885-90. 79. Lexchin J. Interactions between physicians and the pharmaceutical industry: what does the literature say?[commentJ. CMAJ Canadian Medical Association Journal. 1993;149:1401-7. 80. Metherell M, Bradley M. Ministers shrug off doctors' call for ban on kids food ads. Sydney Morning Herald (Sydney) Nov 29-30, 2003, p. 9. 81. Cummings K, Morley C, Hyland A. Failed promises of the cigarette industry and its effect on consumer misperceptions about the health risks of smoking. Tobacco Control 2002;11:110-117. 82. Novack V. The other drug lords. International Journal of Heafth Services. 1993;23:263-273. 83. Markowitz GE, Rosner D. Deceit and denial: the deadly politics of industrial pollution. Berkleyand Los Angeles, CA: University of California Press, 2002. 84. McCreanorT, Casswell S, HiIIl. ICAP and the perils of partnership. Addiction 2000;95:179-185. 85. Stauber J, Rampton S. Toxic sludge is good for you! Lies, damn lies and the public relations industry. Monroe, Maine: Common Courage Press, 1995. 86. Verger VB, Malone RE. African American leadership groups: smoking with the enemy. Tobacco Control. 2002; 11 :336-45. 87. Landman A. Push or be punished: tobacco industry documents reveal aggression against businesses that discourage tobacco use. Tobacco Control. 2000;9:339-46. 88. Malone RE. Tobacco industry surveillance of public health groups: the case of STAT (Stop Teenage Addiction to Tobacco) and INFACT (Infant Formula Action Coalition). Arnerican Journal of Public Heafth. 2002;92:955-60. 89. Zuckerman D. Hype in health reporting: 'checkbook science' buys distortion of medical news. International Journal of Heafth Services. 2003;33:383-9.

Page 33 of 260 90. Moynihan R, Sweet M. Medicine, the media and monetary interests: the need for transparency and professionalism. Medical Journal of Australia. 2000;173:631-634. 91. Kuttner R. ColumbialHCA and the resurgence of the for-profit hospital business. (2). New England Journal of Medicine. 1996;335:362-7. 92. Rampton S, Stauber J. Research funding, conflicts of interest, and the meta-methodology of public relations. Public Heafth Reports. 2002;117:331-9. 93. Moynihan R, Heath I, Henry D, Gotzsche PC. Selling sickness: the pharmaceutical industry and disease mongering. BMJ 2002;324:886-891. 94. Bekelman J, Li Y, Gross C. Scope and impact of financial conflicts of interest in biomedical research. JAMA 2003;289:454-65. 95. Krimsky S. Science in the private interest: has the lure of proms corrupted biomedical research? Lanham, Boulder, NY, Oxford: Rowman & Litllefield Publishers Inc, 2003. 96. Lexchin J, Bero LA, Djulbegovic B, Clark O. Pharmaceutical industry sponsorship and research outcome and quality: systematic review. Bmj 2003;326:1167-70. 97. Schafer A. Biomedical conflicts of interest: a defence of the sequestration thesis--Ieaming from the cases of Nancy Olivieri and David Healy.(The Olivieri Sympcsium). Journal of Medical Ethics 2004;30:8-29. 98. Chapman S, Carter S, Peters M. "A Deep Fragrance of Academia': the Australian Tobacco Research Foundation. Tobacco ControI2003;12:iii38-44. 99. Carter S, Chapman S. Smoking, disease and obdurate denial: the Australian tobacco industry in the 1980s. Tobacco ControI2003;12:iii23-30. 100. Bero L. Implications of the tobacco industry documents for public health and policy. Annual Review of Public Heaffh. 2003;24:267-88. 101. Barnes DE, Hanauer P, Slade J, Bero LA, Glantz SA. Environmental tobaccc smoke. The Brown and Williamson documents.[comment]. Jama. 1995;274:248-53. 102. Barnes DE, Bero LA. Why review articles on the health effects of passive smoking reach different conclusions. JAMA 1998;279:1566-1570. 103. Bero L, Barnes DE, Hanauer P, Slade J, Glantz SA. Lawyer control of the tobaccc industry's external research program. The Brown and Williamson documents.[comment)[erratum appears in JAMA 1997 Mar 19;277(11):885]. Jama. 1995;274:241-7. 104. Drope J, Chapman S. Tobacco industry efforts at discrediting scientific knowledge of environmental tobacco smoke: a review of internal industry documents. Journal of Epidemiology & Community Heafth. 2001 ;55:588-94. 105. Francey N, Chapman S. "Operation Berkshire": the international tobaccc companies' conspiracy. BMJ 2000;321:371-4. 106. Hanauer P, Slade J, Barnes DE, Bero L, Glantz SA. Lawyer control of internal scientific research to protect against products liability lawsuits. The Brown and Williamson documents. Jama. 1995;274:234-40. 107. Hirschhorn N. Shameful science: four decades of the German tobacco industry's hidden research on smoking and health. Tobacco Control. 2000;9:242-8.

Page 34 of 260 108. Hurt RD, Robertson CR. Prying open the door to the tobacco industry's secrets about nicotine: the Minnesota Tobacco Trial. Jama. 1998;280:1173-81. 109. Muggli ME, Hurt RD, Blanke DD. Science for hire: a tobacco industry strategy to influence public opinion on secondhand smoke. Nicotine & Tobacco Research. 2003;5:303-14. 110. Ong EK, Glantz SA. Tobacco industry efforts subverting International Agency for Research on Cancer's second-hand smoke study.[comment[. Lancet. 2000;355:1253-9. 111. Ong EK, Glantz SA. Constructing "sound science" and "good epidemiology": tobacco, lawyers, and public relations firms.[commentJ. American Journal of Public Heafth. 2001 ;91:1749-57. 112. Yach D, Bialous SA. Junking science to promote tobacco.[comment]. American Journal of Public Heafth. 2001 ;91 :1745-8. 113. Greenberg DS. Conference deplores corporate influence on academic science. Speakers argue that corpcrate funds should be separated from science to prevent undue influence. Lancet. 2003;362:302-3. 114. Ferris L, Singer P, Naylor C. Better governance in academic health sciences centres: moving beyond the Olivieri/Apotex affair in Toronto.(The Olivieri Symposium). Journal of Medical Ethics 2004;30:25-30. 115. Resnik DB. Patents and the research exemption.[commentJ. Science. 2003;299:821-2. 116. Elliot C. Pharma Buys a Conscience. The American Prospect 2001;12(17)Sept 24 - Oct 8. 117. Kotelchuck D. Asbestos: the funeral dress of kings - and others. In: Rosner D, Markowitz GE, ed. Dying for worlc workers safety and heafth in twentieth centut}' America. Bloomington and Indianapolis: Indiana University Press, 1987. 118. Angell M. The truth about the drug companies: how they deceive us and what to do about it. New York: Random House, 2004. 119. Angell M. The Pharmaceutical Industry - To Whom Is It Accountable? New England Journal of Medicine. 2000;342:1902-1904. 120. Resnik DB. The distribution of biomedical research resources and international justice. Developing World Bioethics 2004;4:1471-8731. 121. D'Mello B. Transnational pharmaceutical corporations and neo-liberal business ethics in India. Journal of Business Ethics. 2002;36:165-85. 122. Henry D, Lexchin J. The pharmaceutical industry as a medicines provider. Lancet. 2002;360:1590- 1595. 123. Anonymous. Is GSK guilty of fraud? Lancet 2004;363:1919. 124. Anonymous. Depressing research. Lancet 2004;363:1335. 125. Relman AS, Angell M. America's other drug problem: how the drug industry distorts medicine and politics. New Republic. 2002;227:27-41. 126. Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002;360:1682-4. 127. Lee K, Patel P. Far from the maddening cows: the global dimensions of BSW and vCJD. In: Lee K, ed. Heafth impacts of globalization: towards global governance. Hampshire, UK and New York USA: Palgrave MacMillan, 2003. 128. Abraham J. The pharmaceutical industry as a pclitical player. Lancet. 2002;360:1498-1502.

Page 35 of 260 129. Nixon R. The corporate assault on the Food and Drug Administration. Intemational Joumal of Heafth Services. 1996;26:561-8. 130. Bates C, McNeill A, Jarvis M, Gray N. The future of tobacco product regulation and labelling in Europe: implications for the forthcoming European Union directive. Tobacco Control. 1999;8:225- 35. 131. Bialous SA, Yach D. Whose standard is it, anyway? How the tobacco industry determines the International Organization for Standardization (ISO) standards for tobacco and tobacco products.[comment]. Tobacco Control. 2001;10:96-104. 132. Carter SM. Mongoven, Biscoe & Duchin: destroying tobacco control activism from the inside.[comment]. Tobacco Control. 2002;11:112-8. 133. Saloojee Y, Hammond R. Fatal deception: the tobacco industry's "new" world standards for tobacco marketing. Pan American Joumal of Public Heafth. 2002;11 :119-27. 134. Yach D, Bettcher D. Globalisation of tobacco industry influence and new global responses. Tobacco Control. 2000;9:206-16. 135. Stebbins KR. Going like gangbusters: Iransnational tobacco companies "making a killing" in Scuth Arnerica. Medical Anthropology Quarterly. 2001;15:147-70. 136. Szilagyi T, Chapman S. Hungry for Hungary: examples of tobacco industry's expansionism. Central European Joumal of Public Health. 2003;11 :38-43. 137. Lenzer J. FDA's counsel accused of being too close to drug industry. BMJ 2004;329:189. 138. Abraham J. Transnational industrial power, the medical profession and the regulatory state: adverse drug reactions and the crisis over the safety of Halcion in the Netherlands and the UK. Social Science & Medicine 2002;55:1671-1690. 139. Whittington C, Kendall T, Fonagy P, Cottrell D, Cotgrove A, Boddington E. Selective serotonin reuptake inhibitors in childhood depression: systematic review of published versus unpublished data. Lancet 2004;363:1341-6. 140. Whiteis DG. Third world medicine in first world cities: capital accumulation, uneven development and public health. Social Science & Medicine. 1998;47:795-808. 141. Davidoff F. The heartbreak of drug pricing. Annals oflntemal Medicine. 2001 ;134:1068-71. 142. World Health Organization. AIDS Epidemic Update: December 2003. World Health Organization 2003. Date Accessed: Jan 22 2004. URL: http://www.who.inUhiv/pub/epidemiology/epi2003/en/ 143. OneWorld South Asia. Impcrt Ban Takes Drugs Beyond Pakistanis' Reach. OneWorld 2004. Date Accessed: Feb 04 2004. URL: http://www.oneworld.neUarticle/viewI75857/1/ 144. Palast G. The WTO's Response To Africa's Aids Crisis Is A Chilling Reminder Of Where Power Lies In The Global Economy. Manchester Guardian 2000. Date Accessed: Dec 1 2003. URL: http://www.commondreams.org/viewsI072300-101.htm 145. Oxfam. Make vital medicines available for poor people: Bangladesh. 2001. Date Accessed: Mar 1 2004. URL: http://www.oxfam.org.uklwhat we do/issues/health/downloads/bangladesh.pdf 146. Harvey R. And on the cover of the guide were two words in red--don't panic. Australian Heanh Review. 2001 ;24:15-20.

Page 36 of 260 147. Loft S, Cordner S. Australian government loosens its grip on the pharmaceutical industry. Lancet. 2001 ;357:453. 148. GlaxoSmithKline. GSK disappointed - but no appeal. GSK 2003. Last updated: JUI3. Date Accessed: November 24 2003. URL: http://www.gsk.com.au/gskinterneVpublishing.nsl/AttachmentsSyTitle/CourtDecisionRelease02070 3.pdl/$FILElCourtDecisionRelease020703.pdl

Page 37 01260 CHAPTER THREE METHODS USED IN THIS PHD

This chapter will explain the methods I used to find and analyse the material presented in this PhD. The chapters collected here are the product of my evolving research practice over the course of four years.

This work adopts the TOR tradition of analysing the documents from an implicit position of advocate for tobacco control, rather than using a theoretically informed analysis strategy as would be found in other disciplines such as sociology. As discussed in Chapter 13, TOR to date has taken a particular, pragmatic path that I have labelled the "descriptive mainstream", in which the task of the researcher is essentially to find as many documents as possible and then summarise what they say. Throughout this project I was working primarily in the descriptive mainstream, the mode most common in the journals publishing TOR. Particularly in my earlier work, and most strongly in its original published form, I was less epistemologically reflexive, speaking from an unexamined position of "spokesperson for truth and justice" commonly inhabited by advocates. This can be seen especially clearly in Chapters Eight and Four.

However over time I began to develop more of an understanding of the need for transparency. The first paper to reflect the need for readers to be able to evaluate the source material for themselves was the published paper on which Chapter Five is based, which was linked to the material now in Appendix Five, published on the Intemet. I have extended this strategy to all chapters of this PhD, putting supporting material in appendices. In later work I also began working more interpretively, and began combining sources, seen in the combination of industry documents with both journalism and advertisements from retailer magazines in Section Three.

Although this work did not adopt a formal analytic approach, I have explained below the practical strategies used for analysing the material gathered.

Page 38 of 260 CHAPTERS NOT BASED ON TOBACCO DOCUMENTS

Chapter Two Corporations, globalization and public health This chapter drew solely on the published literature to investigate what was known about the communication strategies of transnational corporations. I read more than 700 papers while writing it over the course of almost 12 months. Initial sources were identified by searching Medline for English language publications, using corporat$ (where $ is a wildcard); globalis$; and globaliz$ as non-indexed keywords, and by searching the index term "industry", and its sub-terms chemical industry, drug industry, food industry, health care sector and tobacco industry. The collection of material was greatly expanded by reading references listed in the papers returned by initial search and via recommendations by colleagues. Extensive notes were taken in Endnote, and records indexed by the non­ mutually-exclusive keywords in the list below, developed while reading the papers. 1. advocacy: public health advocacy activities 2. agriculture: agriculture industry 3. alcohol: alcohol industry 4. asbestos: asbestos industry 5. cars: car industry 6. chemical: chemical industry 7. conflict of interest: papers discussing any aspect of conflict of interest 8. corporations: papers focused on the economic and political aspects of transnational corporations 9. financing: information about global economy and pricing 10. food: food industry 11. guns: munitions industry 12. insurance: health insurance industry 13. law: legal aspects of transnational corporations 14. lead: lead industry 15. marketing: anything to do with marketing activities 16. medical devices: medical device industry 17. oil: oil industry 18. pharmaceuticals: pharmaceutical industry 19. PR: public relations campaigns, corporate affairs management

Page 39 of 260 20. regulation: regulatory responses to corporations 21. tobacco: tobacco industry

I was primarily interested in the way in which transnational corporations, including tobacco corporations, communicated. I kept any papers that addressed this question. The resulting material was integrated via an interpretive thematic analysis. 1 I organised material under themes that I observed in the readings, and iteratively summarised, integrated and interpreted the information until metathemes emerged, with the writing process and the analysis process being inextricably linked.

Chapter 13 A review of tobacco document research reporting, with reflections on the practice of tobacco document research In Chapter 13 I sought to answer several questions. First: what reporting traditions have been established in TOR published in the peer-reviewed health literature? Then: What can the reporting traditions of TOR tell us about the nature of TOR? How do they relate to other research reporting traditions? What directions do they suggest for the future? To answer the first question I searched Medline, most recently on February 1st 2005, from 19952 to December 2004. I used the MESH term "Tobacco Industry", introduced in 1997, to search years 1997 to 2004, and combined the MESH terms "industry" and "tobacco" with the "AND" operator for 1995 and 1996, limiting the search to English language papers. I kept reports, reviews and research papers that cited at least one industry document, excluding other formats and secondary citations, for example, to newspaper articles reporting on documents. The original Medline search produced 1766 papers; 173 met the selection criteria.

I imported the 173 papers into N*Vivo as separate documents. They were divided into two sets, which I will henceforth refer to as A-Papers and B-Papers. A-Papers were research papers that were primarily concerned with finding, analysing and reporting on tobacco industry documents. There were 110 A-Papers. B-Papers were papers that cited a small number of documents but were not primarily reports of tobacco document research. There were 63 B-Papers. B-Papers included, for example, analytic reviews of the literature and reports of survey research: what B-Papers had in common was that they cited a small number of tobacco documents (generally one or two). In most cases the distinction

Page 40 of 260 between A-Papers and B-Papers was straightforward. Marginal decisions were not based purely on the percentage of references that were tobacco documents: I also took into account whether documents were acknowledged as a source and how they were used.

A-Paper or B-Paper status, author details, publishing journal and publication year information was encoded using N*Vivo's attributes function. Authors were divided into groups according to the number of papers they had published. Four groups of authors were identified: those that has published only one or two TOR papers (1-2 paper authors); those that had published between three and six papers (3-B paper authors); those that had published between seven and eleven papers (7-11 paper authors) and a small group of authors who had published over 20 papers (20+ paper authors). No authors had published between 12 and 19 papers. Many authors of few TDR papers were widely published in their own fields, including in tobacco control. Papers were divided into groups according to the number of papers published by their most published author. This ascribed reporting responsibility to the most experienced TOR author on a paper, although this may not always be the case in practice.

Each paper was read repeatedly, a set of codes was developed from the five types of information about methods found in the papers, then these codes were organised under five metathemes: 1 1. the purpose of each study (when explicitly stated); 2. data sources; 3. search strategies (on line or in depositories); 4. analysis strategies;C and 5. limitations of the research.

All papers were re-coded iteratively as the coding system evolved.

c To be clear: search strategies were the ways in which authors found documents, analogous to the data collection or survey administration phase of epidemiological research; analysis strategies were the ways in which authors made sense of the documents, analogous to the statistical analysis or modelling phase of an epidemiological study.

Page 41 of 260 I took an interpretivist or constructivist approach - that is, I sought to make meaning from the content of the papers and thus form an understanding of TOR, recognising that I would do this differently from other researchers.3.12 To emphasise the interpretative nature of the work I used first person where possible, a common constructivist practice that acknowledges authors' active creation of research. 13 My coding was guided by my research questions, my own experience as one of the five most published TOR authors internationally, the experience gained from completing this PhD and my interest in epistemology, that is, the study of theories of knowledge or ways of knowing.

Within those influences I tried to keep the initial codes concrete and as close as possible to the raw data, using the terms that authors used.8 I used the enumeration and cross tabulation functions of N*Vivo extensively to cross-check completeness of coding, retrieve subsets of papers, compare prevalent research practices with marginal practices, test emergent interpretations and search for gaps and altemative explanations.1.4.8.14 I kept an audit trail during coding, a running record of my decision-making. Although I could have enhanced the transparency of this chapter by presenting sections of papers to illustrate, I avoided this because I did not wish to criticise particular authors.

CHAPTERS BASED ON TOBACCO DOCUMENTS ONLY

Overall sources All document data came from primary and secondary document sites on the World Wide Web arising from litigation in the USA.15.17 Other sources of documents exist, in particular, the warehoused BAT documents in Guildford Depository, but, as discussed in Chapter 13, this collection is highly inaccessible. Appointments must be made to view the documents in person on site, and intending researchers are obstructed in various ways.18-20 Given the high cost and risk of relying on these documents, we decided that it would be best for this project to focus on the documents available on the World Wide Web.

Documents from US manufacturers came from the primary sites of the manufacturers,21 the Council for Tobacco Research 22 and the US Tobacco Institute.23 Documents from British American Tobacco (BAT) came from the secondary sites of Tobacco Documents On line (Bliley, BC, Health Canada and Guildford Miscellaneous collections),24 the

Page 42 of 260 Canadian Council for Tobacco Control site,25 the British Columbia Ministry of Health Services site,26 and the Center for Disease Control and Prevention Guildford site.27 A collection of BAT documents from the Guildford archive has very recently become available at the University of California San Francisco's online Library and Center for Knowledge Management,26 but this occurred after the data-gathering phase of this project and was thus not used.

Overall search strategies Searching was greatly facilitated by a custom-built spidering and data storage software system at The University of Sydney. This allowed me to run a search string on an industry­ run website, automatically down load and save all the documents returned from that string in a batch together with the data about those documents, and then retrieve the batch as a group, within the structure of a database. The system linked each saved document to down loaded data about that document (the data recorded by the indexers from the original site such as document date, organization and author). This database allowed the documents returned to be opened directly as Acrobat Reader (pdfj files rather than being accessed through the cumbersome interfaces provided by the industry websites. The majority of the documents cited arose from a broad search strategy aiming to find all documents relevant to Australia, run through the spidering system. Variations on the search string 'pagewood or moorabbin or granville or australia or sydney or melboume or brisbane or hobart or adelaide or perth or canberra or amatil or wills' were used throughout the data-gathering process to identify documents relating to the Australian market. As problems with the string emerged (for example a person whose surname was Hobart, or previously unknown locations of industry offices) the string was modified to increase efficiency or breadth. This produced a highly redundant set of almost 60,000 documents, which was then sorted, as described in the section below on analysis.

Snowballing - essentially following leads that emerge within the documents themselves, or finding something interesting and pursuing it - is a fundamental aspect of searching tobacco documents,15 and led both to new topics of study and better understanding of the topics under study. The material on Mongoven, Biscoe and Duchin (MBD) reported in Chapter Eight, for example, arose from a document from MBD found during research around the issue of youth smoking. Fiona Byrne, the librarian and data manager working

Page 43 of 260 on the project, noticed that there were other documents available about MBD and suggested that they might be worth investigating. When I searched the names of the company's principals, and then pursued the leads arising from the documents that contained their names, sufficient material was discovered to write a paper. This organic cumulative process was applied to all of the areas of study. As I became more aware of the importance of context, and issue discussed at length in Chapter 13, I began searching extensively in files and areas to look for an organizational context for important documents. In addition to the documents that I identified alone, myself and other researchers working on the project regularly swapped documents.

The tobacco documents cited here date from 1950 to 2000 and are available because of the transnational communication that went on between local and international operations, as well as document discovery in Philip Morris' Australian offices. The largest number of documents, and the most accessible documents, came from the Philip Morris group, and these formed the bulk of the downloaded documents, as shown in Table Three. Because of the frequently collaborative nature of the industry, some documents found via the Philip Morris document website were from other companies. Snowballing included searching beyond the in-house spidering system, conducting focused searches to follow leads on the secondary sites containing BAT documents in particular; documents retrieved from the secondary sites were in addition to the documents enumerated in Table Three. Because documents on secondary sites had previously been selected by other researchers, they were often more informative and very important to the building of my arguments, particularly in the latter chapters on marketing. As discussed in Chapter Four, the Tobacco Institute of Australia was an important force in Australian communication about tobacco from the 1970s to the 1990s, and its documents were also communicated internationally, particularly to its affiliate, the US Tobacco Institute, which was included in US discovery. R.J.Reynolds was also included in US discovery, but there are only a small number of that company's documents available relevant to Australia, presumably because it was a smaller operation in Australia, working primarily through distribution. Conversely, the documents are relatively silent on Rothmans of Pall Mall, a major player in the Australian market before the 1999 merger, because it was not included in the US litigation. Rothmans may have engaged in many of the activities described here, but little evidence of this is available. Inclusion of documents retrieved from the filing cabinets of companies such as

Page 44 of 260 the American Tobacco Company and Lorillard demonstrate the deep interpenetration of the transnational tobacco industry.

TABLE THREE: BALANCE OF DOCUMENTS DOWNLOADED BY IN·HOUSE SPIDERING SYSTEM FROM INDUSTRY WEBSITESd

Total unique documents Percent of total unique Industry Site downloaded documents American Tobacco 281 0.5 Company Council for Tobacco 990 1.7 Research Tobacco Institute 1218 2.1 Lorillard 1613 2.8 Brown & Williamson 2200 3.8 R.J.Reynolds 2715 4.7 Philip Morris 49280 84.5 Total 58297 100.0

Overall analysis strategies An Excel spreadsheet system was used to organise information: as documents were found, their document number and YVYYMMDD date were copied into the spreadsheet and a document summary made. Originally this spreadsheet contained one worksheet for each of a set of 20 expected tobacco control issues such as youth, addiction, health, tax and advertising. However as the work progressed, and I concentrated increasingly on communication strategies and approached the documents more interpretively, these rapidly became insufficient, too large and too prescriptive and I created separate spread sheets for a range of topics that I observed in the documents themselves.

For the first two papers that I wrote, those on which Chapters Four, Six and Eight are based, each spreadsheet contained a simple running chronological list of all of the documents that had been found on the subject. The papers were written by copying the entire contents of the spreadsheet into a word processing document of many hundreds of

d Thanks to Fiona 8yrne for this data

Page 45 of 260 pages, then creating a meaningful commentary by cutting and pasting the text into interpretive thematic groupings, summarising, and selecting important quotes to feature. This method was inefficient and easily became overwhelming. For subsequent papers, each spreadsheet was divided into a master worksheet containing all documents in the collection to enable efficient searching, and sub-worksheets on specific sub-issues. This enabled subsets of material to be considered separately, making analysis less daunting. Document sorting happened during searching - as new threads in the documents emerged a new worksheet or spreadsheet would be set up, documents related to that thread would be identified and copied into it, and then new documents sought on that issue. I made running notes as I went to keep track of the issues, people and events emerging and provide reminders during writing.

One product of my increasing experience with the tobacco documents was abandonment of a ratings system that was originally developed for the project. Documents that myself and other researchers found and abstracted were originally rated as useless, duplicates, or on a scale: 3 stars for documents of outstanding importance, 2 stars for those of moderate importance, and 1 star for those of low importance. This was essentially an intuitive judgement based on the document's likely advocacy potential, that is, how scandalous it was from a political and tobacco control point of view. Over the first year it became clear to me that this was not a useful system for my own research. Frequently documents that were apparently without value would develop more meanings and importance in the context of other documents and other findings, and my interest, particularly later in the process, was in trying to understand how industry communications worked rather than simply collecting damning quotations. It became more meaningful to tag documents as being relevant to particular topics, and then to consider them in the light of all of the available evidence when analysing and writing.

When I reached my time limit for searching on a subject I began re-reading my summaries of the documents, filling in blanks where they had been left and often following up previously unidentified leads. I would organise and re-organise the documents into finer and finer non-mutually-exclusive categories, using these categories as the basis for sections of text in the paper or chapter under construction. I developed the text from my document summaries and other sources, frequently returning to check the original documents when the summaries were insufficient. Writing and analysis were inextricably

Page 46 of 260 linked, and were also entwined with data gathering. Analysis/writing would produce new questions or uncertainties, which would require more searching to try to make sense of, which would lead to more material which fed into the analysis/writing process.

Chapter Four Cooperation and control: the Tobacco Institute of Australia This chapter describes the history of the Tobacco Institute of Australia, and the way in which it facilitated interconnectedness within the Australian industry and between the Australian and international industries. After some months of using the broad "Australia" search and sorting the resulting documents into subject headings, it became apparent that the TIA were an important force in the history of the Australian industry and that a study of the industry would be incomplete without an understanding of the TIA. Chapters Four and Six both arose from this realisation, and thus began not with the broad "Australia" search, but from a specific name search, which occurred in two stages. The first search, of all industry document sites using the in-house spidering system, used the string: ("tobacco institute of australia"I"tia'I"ti of aus*'I"ti aus*"I"tob* inst* aus*Ttob* inst* of aus*") resulting in 2917 documents. Leads identified from these documents, particularly individuals, projects, files and master documents, led to further searches, resulting in a further 1624 documents. 869 documents were abstracted. Chapters Four and Six were both developed from these documents. A worksheet was developed to keep track of people, which is reproduced in Appendix Four, otherwise material was kept in a single long worksheet without subject headings. I think as a result of this analysis was strongly chronological for this Chapter - more so than for any other - and also relied heavily on exploring the activities of individuals to create a sense of order. This can be seen in the finished products - Chapters Four and Six are strongly oriented towards concrete "facts' - people, events and when things happened - more than themes.

Chapter Five Smoking, disease and obdurate denial: the Australian tobacco industry in the 1980s This chapter explores the Australian industry's approach to the issue of smoking and disease in the 1980s. It was based on documents returned from the broad "Australia" search. In all, 320 documents were identified from the 1980s that related to the issue of

Page 47 of 260 smoking and disease. Documents were organised into worksheets with the following topic areas as headings, themes that I had observed in the documents: 1. the industry's own research; 2. industry providing information to the general public; 3. industry promoting its own research; 4. industry communicating with its own employees; 5. industry communicating with people in the mass media; 6. information about litigation; 7. industry opposing tobacco control; and 8. information about public opinion. As can be seen in Chapter Five, these were eventually combined into two metathemes: 1 corporate knowledge and corporate communication. The movement from thinking chronologically to a more thematic analysis is reflected in the finished product, which is less concemed with lists of people and events and more with patterns and interpretation.

Chapter Six The TIA's "active smoking media statement" Chapter Six describes in detail a single event identified during my searches for documents about the TIA. The event was a battle in the early 1990s over a cohesive public statement that the industry could make about smoking and disease. The 36 documents used for this chapter were a subset of the 869 documents abstracted for Chapter Four, and were written based on the older method of summarising and chronologically ordering the documents.

Chapter Seven From legitimate consumers to public relations pawns: the tobacco industry and young Australians This chapter examines in detail the approach of the Australian industry and its corporate parents to the issue of youth smoking. This chapter was also developed from the broad "Australia" search and was the first chapter to use a thematic as well as a chronological method of analysis. In all, 492 documents were abstracted while developing this chapter. This was the only chapter for which I used N*Vivo to conduct my thematic analysis. (I now understand that NUDIST would have been more appropriate: the time taken to import notes on the documents and analyse them, and the large number of small documents, did not allow N*Vivo to be used very effectively or efficiently.) The coding structure developed during the analysis is reproduced in Appendix Seven. The end product of the N*Vivo

Page 48 of 260 analysis was not of appreciably higher quality than the other analyses conducted using the Excel spreadsheet system described above. I think this was because of the highly fragmented nature of the data, which meant that my attempts to develop codes that were concrete and as close as possible to the raw data8•29 led to an enormous number of codes being developed. Subsequently N*Vivo was abandoned for the rest of the project, although I continue to find it invaluable for analysis of other kinds of data such as interview data.

Chapter Eight Mongoven, Biscoe and Duchin: destroying tobacco control from the inside As described above, this chapter developed from following a lead when researching Chapter Seven. The lead was followed by searching separately by name for Mongoven, Biscoe and Duchin and for the company name, and then via further snowball searching as documents were found. The paper was developed from a simple chronological ordering of all of the documents found.

CHAPTERS COMBINING INDUSTRY DOCUMENTS WITH OTHER SOURCES

Chapters Nine to Eleven These three chapters explore three aspects of the marketing of cigarettes in Australia: cigarette brands, below-the-line marketing (other than in the retail environment), and retail marketing. The tobacco documents used in these three chapters were found during the broad "Australia" search and via subsequent snowballing. A total of 692 documents were found that related to the development and marketing of cigarette brands in Australia. A subset of 172 of these related to the transportability of Australian brands and the importance of the retail environment, the subjects of Chapters Ten and Eleven respectively.

The documents for this section were all kept in a single spreadsheet. The worksheet titles in this spreadsheet were: 1. above-the-line: documents about mass media advertising; 2. below-the-line: documents about below-the-line marketing;

Page 49 of 260 3. users: information about the consumers brands were intended to appeal to; 4. brand strategies general: general information about cigarette brand development and maintenance; 5. premium: information about this brand category; 6. mainstream: information about this brand category; 7. supervalue: information about this brand category; 8. transportable: information about designing brands to be sustained after marketing restrictions; 9. brand image: information about consumers' perceptions of brands' identities; 10. international brands: details about marketing intemational brands in Australia; 11. Marlboro versus : details of the market struggle between the two brands; 12. brand-as-person: documents about the people used to promote specific brands; 13. Iow TPM: information about "Iow tar" brands; and 14. trademarks, brandshare data and licensing: information about the appearance, performance and disappearance of brands in the Australian market.

These chapters also drew heavily on retail trade publications. The three main trade journals Australian Retail Tobacconist, Retail World and Australian Service Station and Convenience Store News (pre-November 2001 )/Australian Convenience Store News (post­ November 2001) were searched by hand. Searching started from 1990 because the brand makeup of the Australian market changed enormously at that time and the aim of this chapter was to explore brands that were currently important in Australia. All articles and corporate advertisements that mentioned tobacco products or companies were copied. A particularly important source was the ACNielsen review of the top 100 brands in the Australian grocery market published annually in Retail World, which provides a brief description of brand positioning. My summaries of the information in these reviews are in Appendix Nine. Journalism and editorials from the retail magazines were treated in a similar way to the material sourced from tobacco documents. The aim was to interpret Australian cigarette marketing, trying to take the corporations' and retailers' points of view as far as was possible from the sources. All identified statements relevant to cigarette marketing were annotated verbatim and included in my working spreadsheet of tobacco industry documents.

Page 50 of 260 In addition, advertisements for ready-made cigarettes and corporate advertising in retail trade publications were examined. All brand advertisements placed by PML, BAT A or ITA for ready-made cigarettes from January 2001 to June 2003 were colour copied. One hundred instances of advertising, comprising 44 unique advertisements for only 13 brands were identified from the 30-month period of study. Advertisements were classified into the three brand categories discussed in Chapter Nine: premium (quality, mostly intemational brand cigarettes), mainstream (the "Aussie" brands Peter Jackson and Winfield), and supervalue (budget cigarettes). Another spreadsheet was developed to organise this information together with information from the retailer magazines about brand management and share. It contained worksheets on: 1. brand share: brand share data from a variety of sources; 2. brand ownership: tracking which company owned which brands following the merger; 3. agencies: tracking which agencies managed which accounts over time; 4. brand positioning information from retail world (reproduced in appendix nine); 5. premium advertisements: detailed observations on each unique premium advertisement; 6. mainstream advertisements: as above for the mainstream brand category; and 7. supervalue advertisements: as above for the supervalue brand category.

In worksheets five to seven above, for each unique advertisement, the following information was recorded: 1. brand name and whether advertisement was for whole family or specific varianUs; 2. each instance of use of the advertisement, including publication, date, whether the advertisement was used on a cover or covered more than one page; 3. whether something new was announced in the advertisement, and if so, which of the following: a. new variant: if the advertisement overtly promoted a new variant in the brand family as a new consumer benefit; b. new product changes: if the advertisement overtly promoted a change in existing prod uct (as opposed to a new variant); c. new pack design: overt promotion of new package design; d. new tar band: overt promotion of new tar banding; e. new pack size: overt promotion of new pack size;

Page 51 of 260 4. wide variant range: advertisement emphasised that the brand family offered a wide range of variants; 5. light/mild emphasised: if advertisement for a whole brand family featured a light or mild pack and/or descriptor - not advertisements where other variants were also featured, or a list of all variants given; 6. pack image used: advertisement contained image/s of packls; 7. pack heroed: the pack was interpreted as being "heroed" if it was the dominant image on the page, it was respected, validated, made the "star". If there was a small image of the pack, or the pack was not made to stand out from the images around it, or if it was there merely for identification, not given life, not in the spotlight, then it was not "heroed"; 8. brand imagery: advertisement contained added imagery which communicated the brand's identity, either providing context for the pack or carrying the advertisement; 9. retailer text: advertisement contained information about the business aspects of selling cigarettes such as profit and sales figures; 10. positioning statement: advertisement contained text that positioned the brand and communicated aspects of the brands' identity; 11. my own detailed description of the advertisement; and 12. my interpretation of the way in which the retailer was constructed by the advertisement: did the ad communicate with the retailer as though they were the manager of a business, or a smoker, or both?

This analysis of the content of the advertisements was interpretive, in line with my discussion of methodology in Chapter 13. These were my readings, and others would clearly respond differently to advertising depending on the resonances provided by their own life experiences. The resulting discussion is not an exhaustive explanation of brands in the Australian market, but my own condensed reflection of the information opportunistically available from industry and retail sources.

Analysis for these chapters was far more complex than for the preceding chapters because I had a stronger conceptual framework, Aaker's brand theory30 and the three brand categories nominated in the documents and the retail literature, to provide structure, and because I had a greater diversity of material to draw on. Tentative interpretations from one source could be compared against other sources and amended. Changes over time could

Page 52 of 260 be more readily observed because of access to a complete collection of retail magazines containing continuity of reporting. However the logistics of analysis were the same: ordering information available thematically, asking iterative questions of the sources, and analysing and writing simultaneously.

LIMITATIONS Both Chapters Two and 13 were dependent on Medline indexing. Chapter 13 should not be taken to be a study of TDR research practice: it is likely that many authors did not describe their research practices comprehensively in their papers, making it a study of research reporting. The model and discussions in Chapter 13 are not intended to be prescriptive, but to offer possibilities that other researchers can build on and modify. Chapter 13 discusses limitations on tobacco document research in detail: these observations apply to my own document research. In addition to the fact that the available documents are not representative of the complete population of documents in that way that a regular organizational archive would be, my sample of this already unrepresentative sample is undoubtedly incomplete. In all cases except Chapters Four, Six and Seven, I stopped searching because I had run out of time, not because there were no more documents. If I had time to read every document available I would no doubt find much material that I missed searching by keyword. While I made every attempt to include as many documents as possible, there are likely to be many that have gone unidentified either because my searching did not return them or because they have been loaded onto the sites since I stopped searching. I processed a massive volume of documents that were often long and redundant; I am bound to have missed some that were pertinent.

During my early research I did not understand the importance of including context external to the documents as well as I do now. If I had unlimited time my early chapters could have been enhanced by including other sources such as contemporary news media and litigation. I did originally plan to seek ex-employees of the industry and its marketing agencies to provide "insider" checks on my interpretation of the documents: my right to do this was denied by the University of Sydney on the grounds that it would expose the University to legal risk, closing off this potential source of information. There are also limitations, discussed in detail in Chapter 13, that apply to any work that attempts to make sense of past events from a limited set of sources.

Page 53 of 260 These are, in summation, my careful interpretations, from the perspective of tobacco control, of a set of sources that are incomplete windows on the past.

REFERENCES

1. Ryan GW, Bernard HR. Techniques to identify themes. Field Methods 2003;15:85-109. 2. Glantz S, Barnes D, Bero L, Hanauer P, Slade J. Looking through a keyhole at the tobacco industry. JAMA 1995;274:219-224. 3. Labonte R, Robertson A. Delivering the goods, showing our stuff: the case for a constructivist paradigm for health promotion research and practice. In: Thurston WE, Sieppert JD, Wiebe VJ, eds. Doing heaffh promotion research: The science of action. Calgary, Canada: Health Promotion Research Group, University of Calgary., 1998.{41-62. 4. Marshall C. Designing Qualitative Research. Thousand Oaks: SAGE publications, 1999. 5. Poland BD. Learning to "walk our talk": the implications of sociological theory for research methodologies in health promotion. canadian Journal of Public Heafth 1992;83:S31-46. 6. Guba EG, Lincoln VS. Competing paradigms in qualitative research. In: Denzin NK, Lincoln, VS, eds. Handbook of Qualitative Research. Thousand Oaks California: SAGE Publications, 1994. 7. Potter W. An analysis of thinking and research about qualitative methods. Mahwah New Jersey: Lawrence Erlbaum Associates Publishers, 1996. 8. Seale C. The qualffy of qualitative research. London: Sage, 1999. 9. Wakefield J. When an irrestistable epistemology meets an immovable ontology. Social Work Research 1995;19:9-23. 10. Denzin NK, Lincoln VS. Entering the field of qualitative research. In: Denzin NK, Lincoln VS, eds. Handbook of Qualitative Research. Thousand Oaks California: SAGE Publications, 1994. 11. Angen MJ. Evaluating interpretive inquiry: reviewing the validity debate and opening the dialogue. Qualffative Heaffh Research 2000;10:378-395. 12. Lacity MC, Janson MA. Understanding qualitative data: a framework of text analysis methods. Journal of Management Information Systems 1994; 11 :137-156. 13. Gilgun JF. "Grab" and good science: writing up the results of qualitative research. Qualffative Heafth Research 2005;15:256-262. 14. Silverman D. Doing qualffative research: a practical handbook. London: SAGE publications, 2000. 15. Malone RE, Balbach ED. Tobacco industry documents: treasure trove or quagmire? Tobacco Control 2000;9:334-338. 16. Cummings KM, Pollay RW. Exposing Mr Butts' tricks of the trade. Introduction. Tobacco Control. 2002;11:11-4. 17. Bero L. Implications of the tobacco industry documents for public health and policy. Annual Review of Public Heaffh. 2003;24:267-88. 18. Collin J, Lee K, Gilmore A. Unlocking the corporate documents of British American Tobacco: an invaluable global resource needs radically improved access. Lancet 2004;363: 1746-1747.

Page 54 of 260 19. Lee K. Through the smokescreen. New Scientist 2004;2478:42. 20. Muggli ME, LeGresley EM, Hurt RD. Big tobacco is watching: British American Tobacco's surveillance and information concealment at the Guildford depository. Lancet 2004;363:1812-9. 21. Tobacco manufacturers' document websites. Date Accessed: 13 Mar 2003. URL: http://www.pmdocs.com-bin/rsasearch.asp; http://www.bw.aalatg.com/public.asp; http://www.lorillarddocs.com/cgi-bin/rsasearch.asp; http://www.rjrtdocs.com/rjrtdocs/index.wmt?tab=home 22. Council for Tobacco Research document website. Date Accessed: 13 Mar 2003. URL: http://www.ctr-usa.org/ctr/index.wmt?tab=home 23. Tobacco Institute document website. Date Accessed: 13 Mar 2003. URL: http://www.tobaccoinstitute.com/cgi-bin/Rsasearch.asp 24. Tobacco Documents On line. Smokescreen Corporation. Date Accessed: 13 Mar 2003. URL: http://tobaccodocuments.org/ 25. Canadian Council for Tobacco Control tobacco documents site. Date Accessed: 13 Mar 2003. URL: http://www.ncth.caiGuildford.nsf 26. British Columbia Ministry of Health Services tobacco documents site. Date Accessed: 13 Mar 2003. URL: http://www.moh.hnet.bc.caicgi-bin/guildford_search.cgi 27. Center for Disease Control and Prevention Guildford tobaccc documents site. Date Accessed: 13 Mar 2003. URL: http://www.cdc.govltobaccofindustrydocs/index.htm 28. British American Tobacco Documents Archive. UCSF Library and Center for Knowledge Management 2004. Date Accessed: Jan 22005. 29. LeCompte M, Goetz JP. Problems of reliability and validity in ethnographic research. Review of Educational Research 1982;52.:31-60. 30. Aaker D, Joachimsthaler E. Brand leadership. London: Free Press Business/Simon & Schuster, 2000.

Page 55 of 260 S~I":I:I" 31~Od~O~ O~~"BOl :OMl NOI1~3S CHAPTER FOUR COOPERATION AND CONTROL: THE TOBACCO INSTITUTE OF AUSTRALIA

INTRODUCTION The purpose of this chapter is to describe the operations of the Tobacco Institute of Australia (TIA), the primary voice for tobacco in Australia from 1978 to 1997, and in particular to examine the TIA's relationship to Australian cigarette manufacturers and to the international tobacco industry.

Before the paper on which this chapter is based was published, there was little information about the TIA in the literature. The TIA was a National Manufacturers Association (NMA) - a group representing joint industry interests, creating a united front and lower public profile for individual manufacturers. The TIA co-existed with, predated, and was linked to many similar NMAs worldwide, thus an understanding of the TIA may inform understandings of the role and functions of other NMAs. As suggested in Chapter Two, it is common for corporations to be connected to one another through commercial participation in the TNC networks that are hubs of the world's economy. Industries also commonly have lobbyists, national associations and international associations representing their interests to decision makers and the public, and across industries TNCs are jointly represented by organizations such as the International Chamber of Commerce. However the interconnectedness of tobacco corporations takes on special significance in light of the harmfulness of their product to consumers, and the industry's concerted attempts to undermine the credibility of information provided to smokers by public health and medical professionals over the last half-century.

Interconnectedness is a key issue in Australia for two reasons. First, there is a tendency in Australian advocacy to conflate "the industry" rather than examining individual manufacturers, a valid focus only if the manufacturers were clearly working together. More significantly, the structure of the Australian industry makes interconnectedness an important issue. In the US the industry is domestic and has historical, financial, cultural and manufacturing roots deep in American soil. This is not the case in Australia, making it vitally important to understand the relationship between the Australian and international

Page 56 of 260 industries. As noted in Chapter One, tobacco companies operating in Australia have moved onto and more frequently off the Australian Stock Exchange as a result of mergers and acquisitions, and independent Australian tobacco companies have barely existed, most operators being part of international conglomerates. Corporate governance is not straightforward: control of basic functions such as marketing shift from global offices to local offices and back. When confronted with international legal findings, the local manufacturers have been known to claim that they are "completely different" to overseas operators, 1-3 a proposition largely untested in Australian courts as litigation here is in its infancy. All of these factors make it impossible to presume anything about the relationships between Australian tobacco manufacturers and other organizations. As evidence mounts from the tobacco industry documents, mostly regarding conduct in the USA, advocates, lawyers, politicians and others in Australia thus rightly ask: what possible relevance has this for us? The operation of the TIA is one piece in the puzzle of the relationships of the Australian tobacco manufacturers to one another and to their international parents and associates.

My interest in the TIA centred on questions relating to connectedness, cooperation and control within the international and local industry, in particular: 1. Did the TIA connect the international industry to the local industry and if so, how? 2. Did local cigarette manufacturers cooperate through the TIA to mislead Australian consumers?

An understanding of the relationships between local and international manufacturers is vital for advocacy, lobbying and interpretation of history. In addition, the Australian Trade Practices Act 1974 limits cooperation between industry competitors, and the Australian Competition and Consumer Commission has recently been given the power to criminally prosecute cartels,4 increasing the potential usefulness of this information in Australian litigation.

RESULTS In 1975, as publicity about the health effects of smoking accelerated following the introduction of health warnings, PML proposed that an Australian equivalent of the US Tobacco Institute was needed to "draw the line of fire away from the cigarette companies

Page 57 of 260 individually and collectively."5 The TIA was established in 1978, "in response to pressure ... for electronic advertising bans, an Industry Assistance Commission Inquiry and the pressing need for industry coordination in relation to non-competitive issues."6 Its objectives were: 1. "to defend the industry's right to market its products without unwarranted restrictions in Australia; 2. to promote a better understanding by decision makers and the various Australian publics of the tobacco industry and its place in the national economy; 3. wherever possible, to gain recognition for the beneficial aspects of smoking; and 4. to introduce a proper perspective on environmental hazards which have a detrimental effect on public health,''7

Between 1978 and 1997 it pursued these objectives via strategies including attacks on individuals and organizations making health claims; personal contact with politicians; using other groups as spokespeople for the tobacco industry; the production of films and publications; media liaison; paid advertising; litigation; nurturing industry-friendly scientists and consultants, and making submissions to govemment inquiries. The TIA had three founding members: PML, Rothmans, and WD&HO Wills. R.J.Reynolds was a member only from 1980 to 1991.6

Four seasons: an organizational history of the TIA The TIA's history can be divided into four chapters.

Join hands for commercial freedom 1978 to 1983: five years From 1978 to 1983, the TIA focused on networking, lobbying and publication, regarding advertising bans, environmental tobacco smoke (ETS), smoking and health, youth smoking, and the industry's economic contribution. Its inaugural director was Bryan Simpson, ex-Chairman of the Australian Media Council, Marketing Director of the newspaper group Herald and Weekly Times Ltd., and friend of the industry.8.9 He established the "TIA News Bulletin" to communicate industry positions; contacted politicians and bureaucrats; established a "tobacco action network"; and formed relationships with consultants.10-13 Although Nigel Gray, a tobacco control advocate from

Page 58 of 260 that time, remembers Simpson as less than incisive in public debate," PMI felt that "the ability of the TIA to respond to the media ... improved consistently" under his leadership,14 and he went on to an international career in the tobacco industry. Brian Gapes succeeded Simpson in October 1982. Gapes was another industry-friendly advertising man, with conservative political connections, and was former Chairman of the Tobacco Products Advertising Council, a self-regulatory body of the Advertising Federation of Australia.9 Gapes continued Simpson's relationship building and lobbying until his departure in 1983.

Take no prisoners 1983 to 1989: six years John Dollisson, TIA Chief Executive Officer (CEO) from 1983 to 1987, was a strong personality, strategist and media player with a dramatic flair, who claimed to have previously worked for govemment in a specialist statistical role. 15 He was noticed internationally by the industry in 1983 when he led successful opposition to a proposed ban on tobacco advertising in Western Australia. 16 Dollisson's aggressiveness and breadth of focus is exemplified by his "Casebook Approach" to communication on corporate affairs issues: a comprehensive collection of detailed, pre-emptive positions, developed in collaboration with the manufacturers during his appointment, which contained ideas, arguments, rationales, and means by which to attack proponents of tobacco control. 17 Under Dollisson the TIA rapidly became "highly competent and effective" in the eyes of the international industry.18 By 1984 he was on the international industry's speaking circuit,19 and by 1986, RJ.Reynolds was concerned about the continued effectiveness of the TIA when he moved on.20

Dollisson regularly and aggressively advanced the industry's arguments in public, arguing, for example, that active and passive smoking were not harmful, that nicotine was not addictive, and that advertising did not influence non-smokers, particularly children. Ironically, the TIA's Achilles' heel was Dollisson's aggressive advocacy. In July 1986 he placed an advertisement in the national press entitled "A message from those who dO ... to those who don't"21 in which he claimed "there is little evidence and nothing which proves scientifically that cigarette smoke causes disease in non-smokers."22 Early in 1987, Dollisson placed a "followup" ad for the TIA, as demanded by the Trade Practices Commission, which among other things stated that the TIA did not accept that their original e Gray N. Personal communication. 2002 Nov 29.

Page 59 of 260 advertisement was misleading.23 This action triggered a six-year legal war between TIA and the Australian Federation of Consumer Organizations (AFCO), at substantial cost to the TIA.24

When Dollisson moved to PMI in 1987 he was replaced by Blair Hunt. During Hunt's two­ year stay the TIA began a long decline in influence. A fight against the 1987 Victorian Tobacco Control Bill, in cooperation with Dollisson at PMI, and using many of the tactics from 1983 in Westem Australia, was spectacularly unsuccessful. In an industry newly preoccupied with legal liability, perceptions of Dollisson's strategies seem to have changed. In a key meeting between manufacturers, TIA and counsel in September 1987, the TIA was warned that it was becoming increasingly difficult to develop witnesses on the health issue, that hypocrisy on the industry's part could work against it in court and that new tactics were needed, concluding: "it is essential that the industry be right in everything it says ... Spokesmen for the industry must be cautious, correct and credible. They should ensure that what is said or done does not undercut product liability defence."25In 1989 a Brown and Williamson executive wrote: "I am extremely leery of any project on which John Dollisson is the PM representative ... since he is not well controlled by New York."26 Hunt left early in 1989, narrowly escaping the beginning of a troubled five years for the TIA.

Lick the wounds, send in the lawyers 1989 to 1994: five years Richard Mulcahy took over from Blair Hunt in 1989. Mulcahy was a former director of the Wrigley Gum Company with more than 15 years experience in management of corporate affairs for various organizations, including work for the US Embassy in Canberra and the Premier of Victoria, and as CEO of the Confectionary Manufacturers of Australia, the NMA for another controversial industry.27 Mulcahy disappears from industry documents in mid 1990, about the same time that he began a long career as National Executive Director of the Australian Hotels Association. Although there is no documentary evidence that this was a deliberate strategic move, ETS in hospitality settings was becoming a major preoccupation of the Australian tobacco industry, and the Australian Hotels Association supported the tobacco industry consistently on ETS issues. Mulcahy's replacement, John St Vincent Welch, and his deputy and successor Reinier Jessurun both fell quickly from favour with the manufacturers,28.30 and Jerome Mostyn, Jessurun's replacement and a

Page 60 of 260 long-time BAT man, appears to have been terminated after only six months following a political misdemeanour. 31

From 1989 to 1994 the TIA was active, with a $A19,508,687 budget between 1991 and 1994,6 but it was a difficult, disjointed and transitional period, during which Dollisson's headstrong, confident legacy was overturned by defeat and legal caution. In large part, this was due to AFCO vs. TIA. On February 7th 1991 Justice Morling decided that the TIA "had engaged in conduct that was misleading or deceptive" and banned the TIA from speaking publicly on ETS.32.33 On appeal the injunction was lifted, but the court granted a declaration that the advertisement was misleading and deceptive contrary to the Act and the TIA were ordered to pay a large proportion of AFCO's costs. The industry has consistently attempted to represent this as an overturning of Morling's decision, but it was not: the substance was unchallenged. Due largely to the case, the TIA's credibility within the industry hit an all-time low and control shifted to the local and international manufacturers and their counsel, as evidenced by a 1992 Philip Morris Companies (New York) directive that "any future statements by TIA on this subject will be carefully reviewed by the lawyers, so that the problems inherent in the 1986 ad can be avoided."34

Last days 1994 to 1997: three years Donna Staunton was the TIA's General Counsel from the early 1990s and before that was Senior Associate for the industry's Australian lawyers, Clayton Utz. By December 1993 she was made the TIA's CEO, and appointed a team of lawyers as staff, further strengthening the legal character and control of the organization. Instructed explicitly by the manufacturers' lawyers,35 she reintroduced dynamism to the TIA, undertaking consultations with local and international counsel, organising tours of legal experts, developing formal cleared position statements, undermining the National Health and Medical Research Council's report on ETS, and participating in a 1994 Industry Commission Inquiry. Under her guidance the TIA was, according to PML, in its 'best shape for years ... and operating effectively ... 12 months ago ignorance and distortion [in public affairs matters in Australia] were virtually universal. Amongst the chief causes of this appalling situation was the muzzling of our side of the debate and the virtual paralysis of the Tobacco Institute which followed the iniquitous Morling decision ... Following a reversal

Page 61 of 260 of Morling on appeal, the industry and a newly revitalised Tobacco Institute in particular are involved in a broad debate which is at least partly on our agenda."36

By January 1995 Staunton had moved to PML as Director of Corporate Affairs, and after only three months she was promoted to become head of PMI Corporate Affairs for the region. She was replaced by another experienced tobacco executive, Brendan Brady, but not for long. WD&HO Wills resigned from the TIA by mid 1996, and Brady not long afterwards, to be replaced briefly by his deputy and the TIA's General Counsel, Adrian Lucchese.37 The public face of the organization seems to have died a quiet death sometime in 1997,38 although it still exists on paper.f

The interconnectedness of the industry Industry documents suggest that the TIA facilitated several relevant forms of interconnectedness: links between local manufacturers, links formed by individuals, links to international tobacco organizations, legal links, and information links.

Links between local manufacturers The documents clearly show that the TIA linked local manufacturers from its inception, and that the level of cooperation between the manufacturers fluctuated over time. Cooperation was not new: the manufacturers had set up an "ad hoc committee" to manage communication on the "health question" in 1969,39 and according to Andrew Whist, Vice President of Corporate Affairs at PMI, "historically, the industry [was] better organized in Australia than just about anywhere else ... because of the three way market split, it [was] much easier to arrive at a consensus."40 Australian manufacturers made agreements on public positions and were expected to stick to them,41 and the TIA enhanced this cooperation throughout the 1980s, when "company support for the [TIA was] very strong, including the secondment of company personnel for lobbying representational activities,"42 "the [TIA was] dynamically led by the companies,"43 and PML, at least, saw itself as "directing" the TIA.44

f Special purpese director's repert and financial report lodged on June 3 2002 by British American Tobacco Australia, signed by Brendan Brady on 23 November 2001

Page 62 of 260 Cooperation was a hallmark of the 1980s, but contest for control is more evident in documents from the early 1990s. In the TIA's dark days, R.J.Reynolds left and the remaining members lost faith. WD&HO Wills thought the TIA's structure was "ineffective and unmanageable and therefore not serving WD&HO Wills' interests," that the organization typically failed to foresee coming disasters for the industry, and that replacement staff would need "a degree of maturity, which has not been evident at the TIA for some time ... given our recent lack of success with outsiders."45 In May 1993, a Philip Morris executive wrote: "we should question the assumption that there be an industry voice either collectively or through the TIA. While consistency and cooperation among [manufacturers] is essential, one of the challenges facing us is the negative baggage of TIA and the correct strategy for successfully co-opting our two competitors. I am presently inclined to the view that PM should fully develop its strategy and its implementation before we fully involve the other companies".46 Cooperation may have been hampered by individual manufacturers' desires to co-opt the TIA's agenda and to ensure industry consistency on their own terms, which may also have contributed to WD&HO Wills' departure from the TIA in 1996. A detailed example of tension between the manufacturers in the early 1990s is given in Chapter Six.

The manufacturers were undoubtedly divided by local price wars and responses to taxation policy,47-52 but my interpretation of the documents is that there was a more profound international power struggle going on, reflected at the TIA: PM was in power, and BAT was revolting against the implications of that hegemony. By 1990 PMI were acting as general counsel to the international tobacco organization INFOTAB53 and from Staunton's appointment onwards the TIA also appears to have been increasingly aligned with PML. PML explained WD&HO Wills' defection as consistent with British American Tobacco's increasing independence, resistance to being involved in 'PM dominated industry initiatives", and intention to be "in the same shape that Philip Morris is in currently - that is, to be aggressive, out in front, to be the industry leader."54

Despite the evident tension in the 1990s, manufacturers' counsel were all closely involved in the TIA's affairs, the TIA was active on the manufacturers' behalf, and the TIA's policy was that it 'should not and would not pursue any course of action without the support of the three [manufacturers]."55 Since the dissolution of the TIA, there have been a number of cooperative industry activities launched in Australia, notably on youth smoking as

Page 63 of 260 documented in Chapter Five, suggesting that, at least on some issues, the Corporate Affairs managers at the major manufacturers have been able to rediscover some common ground.

People links Individual staff linked the local and international manufacturers and local and intemational organizations as they moved from one position to the . Executives moved in and out of the TIA from advertising, politics, law firms acting for tobacco, and particularly the local and international manufacturers and tobacco lobby groups. Bryan Simpson was a consummate networker, linking the TIA to US manufacturers, the US Tobacco Institute (USTI), US consultants including Council for Tobacco Research stalwart Leonard Zahn in New York, and the international tobacco organisations ICOSI and INFOTAB, described below. After time overseas he brought his experience back to Australia, standing in as a temporary director or lobbyist when the TIA was under pressure into the mid 1990s. Mostyn and Brady brought experience of working for BAT and lobbying in the UK to the TIA; Ken Pimblett worked for both the TIA and R.J.Reynolds Australia; and John Gonsci worked for Rothmans Australia and acted as Chair of the TIA's Legal Committee. Donna Staunton, in addition to her knowledge from working for Clayton Utz, may have linked the TIA most strongly to Philip Morris: she met regularly with Henry Goldberg, the Managing Director of Philip Morris Australia, and sent reports to Goldberg which do not appear to have been copied to other directors as one would expect. 56.57 Greg Fowler from Shook Hardy and Bacon, US-based counsel to the international industry, worked on TIA business in Melbourne in the 1990s, reporting back to Shook Hardy and Bacon.

It is not unusual for executives to move between organizations within a field in the course of their career: the significance of these connections is as additional evidence that the TIA's business and corporate memory was entwined with that of the local and international industry.

INFOTAB and the USTI: the 19805 The TIA also linked the local companies to international tobacco organizations, although these relationships changed over time. In the 1980s both the old and established USTI and INFOTAB, an international NMA support organization, were strongly linked to the TIA. The

Page 64 of 260 International Committee on Smoking Issues {lCOSI) was established in the late 1970s and renamed INFOTAB in 1981. INFOTAB was a hub for tobacco companies, leaf dealers, and in particular about 30 NMAs like the TIA, many of which INFOTAB had actively "planted."58 The development of this network was a formal, international agreement by the industry to cooperate on non-competitive issues; a deliberate collusion against the best interests of the consumer to protect industry profits. INFOTAB and the TIA were in constant contact, keeping the TIA updated on issues, the industry and its opponents worldwide. Simpson had also negotiated a relationship of "direct contact" between the TIA and the USTI when the TIA was founded,59 and nurtured the link into the 1980s. New TIA directors routinely visited the USTI for orientation, and the institutes swapped tactics and information. Table Four provides details of the links between the TIA and ICOSIIINFOTAB.

Legal control: the 19905 In contrast to the cooperative 1980s, in the 1990s many TIA staff were lawyers, and the TIA was directed by a triumvirate: a committee of the in-house counsel of the manufacturers; Clayton Utz, the TIA's counsel; and most importantly, Shook Hardy and Bacon in Kansas. Legal involvement in the TIA was not new: Simpson corresponded regularly with Shook Hardy and Bacon in the early 1980s, and Oollisson had, ironically, been aware of nascent product liability threats in 1985, retaining a medical advisor, Or Allan Crawford, a barrister, Barry O'Keefe, and a legal firm, Clayton Utz, sending them all overseas to be briefed by the international industry and their counsel.60.61 In 1988 the TIA began a document management program to prepare for potential product liability claims.44

In 1990 a solicitor from Baker & McKenzie was appointed as staff Legal Manager, and the Tobacco Institute Legal Committee was established. 62 Importantly, this committee was comprised of senior management and counsel from the member manufacturers (along with TIA staff): Phil Francis and Judy Hargrave from PML; Martin Riordan and John Carroll from WO&HO Wills; and Peter Alexander, John Gonczi and Peter Malecki from Rothmans. 63 From this point on the manufacturers and their counsel monitored and cleared the TIA's work, and legal involvement intensified exponentially as AFCO brought the international industry and their lawyers deeper into the TIA's affairs. Tony Andrade, a senior London­ based PMllawyer, devoted substantial time to the AFCO case, witness development occurred overseas, and attorney's bills were covered by PML, Rothmans and R.J.Reynolds

Page 65 of 260 despite the fact that they were not under trial (only the TIA was sued).53In 1991 Clayton Utz re-negotiated existing retainers for local senior counsel Jeffrey Sher QC, Richard Stanley QC and Joseph Santamaria QC, an increasingly expensive proposition, but necessary in the face of the increased "threat" of litigation.64 It appears that TIA management were not always part of the decision making on this increased legal involvement. Early 1990s documents show direct correspondence between the manufacturers' counsel regarding TIA business, not always copied to TIA staff.65

This cumulating legal control reached a deciding point in April 1991 , when Chuck Wall (PM I) wrote two memos to Judy Hargrave, counsel to PML. In the first he made plain that PMI was to "keep a hands-on involvement with the AFCO case, including the approval of any briefs that are submitted, assuming we decide to appeal."66 In the second, which, importantly, was expressed as the joint view of all of the international tobacco companies, he essentially insisted that from that point on, clearance should be managed by the Legal Committee (that is, the manufacturers' counsel), not Clayton Utz alone; and that Bob Northrip from Shook Hardy and Bacon Kansas should take control. "We have a great deal of confidence in Bob Northrip on all issues relating to smoking and health. Therefore, we have asked Bob to work with the Institute, the committee and Clayton Utz, to see that there is coordination, and that proper action is taken."67 Northrip appears to have taken a leading role on vital issues from that point. He finalised the brief for the AFCO vs. TIA case with the member companies, he made visits to Australia, and Clayton Utz were required to respond to his advice.68.69

In 1992 another Shook Hardy and Bacon lawyer, Greg Fowler, also became involved, initially coordinating TIA smoking and health work (previously done in-house or at Clayton Utz) from Kansas,70 and then in January 1993 moving to Australia for approximately a year.71 Fowler seems to have been based at Philip Morris but to have worked substantially on TIA projects, and to have reported to Northrip at the Shook Hardy and Bacon Kansas home base,72 Despite the tensions, the TIA's actions certainly appear to have been controlled by the local and international manufacturers and their counsel in the 1990s.

Page 66 of 260 Information links This form of interconnectedness is particularly important in that it shows that the TIA was intimately informed of international developments in smoking and health research. There are no grounds for the Australian industry arguing that they were somehow unaware of the international research on smoking and health: its continuing public recalcitrance was not due to ignorance, but a deliberate attempt to protect industry interests. Information was supplied first by the USTI/INFOTAB links, and then by the legal links. INFOTAB and the USTI operated sUbstantial and constantly updated databases of information in the 1980s and early 1990s, providing the TIA with media monitoring; copies of published papers and reports; catalogues of NMA resources and programs for implementation; intelligence from NMAs and conSUltants on health conferences and organizations including the World Health Organization; reports of international legal activity; and coordinated responses to international public health activities.42,73

For at least five years in the 1980s, an Information Officer was employed by the TIA solely to manage the deluge of material. Because many NMAs had a similar officer, INFOTAB ran an "internal meeting for documentalists, librarians and information officers" in Brussels in 1985,74 at which Simpson declared: "like a competent army, the Tobacco Industry needs first class intelligence, and on a world wide basis INFOTAB is endeavouring to supply this vital need to its members, its associations, and lead companies ... we at INFOTAB carefully sift all the material available and include it in the resources available to you. We also encourage as much science as possible which offers a balanced view on the smoking issue."75 This highlights an important role performed by these information sources - actively seeking and making accessible the tiny subset of research which supported the industry's views, as illustrated by a TIA request to the USTI for "articles refuting SG report or UK Royal College of Physicians report."76 The exchange was bilateral: the TIA provided resources to INFOTAB, including personnel to present at global and regional meetings, and information for the extensive INFOTAB database, particularly during Dollisson's appointment.

INFOTAB closed between 1990 and 1991, and as legal involvement increased across the 1990s, Shook Hardy and Bacon provided information and education to the TIA in place of INFOTAB, as well as reviewing and clearing TIA publications and advising Clayton Utz. By

Page 67 of 260 1994, Shook Hardy and Bacon appear to have been serving NMAs and non-PM companies worldwide, undertaking tasks such as preparing talking points,77 and running "smoking and health" seminars for BAT Co., attended by the TIM8 Table Four provides details of the links between the TIA and ICOSIIINFOTAB.

TABLE FOUR: RELATIONSHIP BETWEEN THE TIAAND ICOSI/INFOTAB

Date ranges are the range for which documents have been found, thus represent a minimum date range for the activity

INFOTAB WAS A RESOURCE FOR TlA TIA WAS A RESOURCE FOR INFOTAB

INFOTAB catalogued NMA resources, INFOT AB provided information including those devised by TIA Distribution of research papers or 1980 to reports, sometimes by industry Film on ETS described as "first 1979 1991 consultants, sometimes with class.''102.1o3 analysis by INFOTAB staff.79-101 1979 to Distribution of intelligence on Work on economics entitled 1981 1986 WHO and ICOU.1D4-110 "Australia's Golden Leaf."111.112 Monitoring international conferences and expert hearings, Paper by Simpson entitled "a 1983 to distribution of reports on general case for the continuation of the 1982 1987 and specific smoking and disease right of cigarette manufacturers research and behavioural to advertise their brands."129 research.113·128 TIA pamphlet "The smoking and health controversy ... why more 1985 Provided information about research is needed: a review of 1983 t01986 international court cases.130-133 recent medical and scientific evidence presented to U.S. Congressional Committees."134 Provision of materials to allow industry response to major public health events, including the 1986 US Surgeon Generals Report135 and World Conferences on Extensive dossier and writing by Smoking and Health five to Dollisson on the 1983 - 1984 1983 to seven. TIA helped monitor the 1984 Western Australian advertising 1990 Tokyo conference (six), and battle.16.142.143 worked extensively against the Perth conference (seven) including sUbstantial pre-emptive media work and hiring an Australian PR firm, International Public Relations.136-141

Page 68 of 260 TABLE FOUR CONTINUED: RELATIONSHIP BETWEEN THE TIA AND ICOSI/INFOTAB

INFOTAB catalogued NMA resources, including those devised bv TIA (contdl 1984 Videos on "Smoking and the non-smoker"; TVC from the Western Australian "Is it best for the west?" campaign; an introduction to the Tobacco Network; and slides on the TIA's response to a NSW Health anti- smoking campaiqn. 144 1987 ETS materials including TIA Women's Weekly inserts. 145 1988 TIA's position paper on health warnings, described by Antoinetta Corti as the best written so far internationally.146.147 1989 Youth programs in preparation for the next years' world no tobacco day, to be focused on children and smoking, and highlighting early retailer campaiqns. 148 TIA implemented programs devised by TIA made presentations at INFOT AB INFOTAB meetings 1980 to Pilot NMA for ICOSI's "Project 1979 to TIA routinely participated in 1983 Mayfly," a long-term 1989 annuallNFOTAB NMA communications project devised workshops. In 19821NFOTAB by overseas offices of Ogilvy and noted that at these workshops Mather and coordinated by their "inevitably, the larger and older local offices, paid for by the TIA, established NMAs (TI, Verband, designed to "influence ... public TAC, TIA, TINZ) [provide] the opinion to the industry, smokers majority of the input...'161 and smoking to create a more TIA contributed in: 1979 favourable climate however (Simpson on public smoking162); directly or indirectly by stimulating 1982 (Simpson on "building a NMAs to undertake a planned tobacco employee network" and programme of communications "social cost"; Gapes on on behalf of the industry in every marlketing agreementsl63.164); operating country and every 1983 - 1986 (Dollisson to many appropriate area of debate,"149 global and regional NMA using techniques including media worlkshopS165.174); 1987 (Hunt175. relations; political lobbying; third 178); 1989 (Mulcahy and party communications; Simpson179). communications with smokers and employees.102.150.160

Page 69 of 260 TABLE FOUR CONTINUED: RELATIONSHIP BETWEEN THE TIAAND ICOSI/INFOTAB

TIA implemented programs devised by TIA made presentations at INFOTAB INFOT AB (contd) meetinas (contd) 1980 Used ICOSI consultants on 1991 In 1991 Welch was invited to economics and advertising. 1S1 INFOTAB events but appears not to have contributed. 180,181 1982 TIA tax campaign, similar to a UK programme, drew on INFOTAB materials. 182 1984 - INFOTAB provided workshops to 1985 TIA. 1984 workshop was on "marketing freedoms'; TIA used INFOTAB material "to great effect" and promised to support South-East Asian NMAs on the subject. 18,183 1988 - Participated in the intemational 1989 Glen Smith study of youth smoking .184,185 1989 INFOTAB provided advice to TIA re: the possibility of the industry taking action against advertisements for Nicotine Chewinq Gum. 186

DISCUSSION The TIA, like any organization, was not static. Its perceived effectiveness, the personalities at the helm, its control base, and its culture changed substantially over its 19-year life. The TIA's early days established important networks and paved the way for its heyday in the early-mid 1980s, when it presented a united front and won battles, inspired local manufacturers to cooperate, and connected Australia to the admiring international tobacco family. As a direct result of the AFCO vs. TIA case, it sank into disrepute and disarray for five years. Takeover by the industry's lawyers and the elevation of Donna Staunton to CEO led to another active period in the early 1990s, when united industry positions were presented aggressively to decision makers and the public despite internal power struggles. Although the TIA still exists on paper, functionally it appears to have been replaced around 1997 by direct manufacturer cooperation on shared corporate affairs issues.

The focus of this chapter has been the issue of interconnectedness: between local manufacturers and between Australian and international industry bodies. Links between

Page 70 of 260 local manufacturers, links formed by individuals, links to international tobacco organizations, legal links, and information links have been explored. •

The TIA appears to have been comprehensively informed, first by INFOTAB and the U8TI, and then by the industry's international counsel, of developments in international research, advocacy, policy and litigation. The close involvement of the local manufacturers in the TIA, through individuals and through organizational structures, provided a conduit for this information to be distributed. The TIA also actively sought dissenting opinion, which it digested and made available to the manufacturers to assist them in perpetuating deception on active smoking and other issues, a task which mirrored and was supported by the efforts of their intemational informants. The local industry cannot claim ignorance of the science.

A case has also been made that the TIA linked the local to the international industry, in addition to specific links between local manufacturers and their parent companies. The local industry cannot therefore claim isolation from the international industry. In the 1990s, in particular, the local and intemational counsel of the industry appears to have been essentially running the TIA's affairs on all but the most routine matters.

Finally, it appears that the manufacturers intended to cooperate through the TIA, and that the objects of their cooperation were not in the best interests of Australian consumers. Nigel Gray, leading Australian tobacco control advocate, has noted that the TIA always presented a united front, and may have done its best work behind closed doors, in its lobbying of decision makers. 9 Internally, industry relationships appear to have been variably successful. Cooperation was apparently easier in the aggressive and confident 1980s, whereas post-AFCO, when legal involvement intensified and competitive issues were pressing, private dealings appear to have sometimes been fractious. However it seems that responsibility for the actions of the TIA, including its deceptive public statements, lies squarely with the manufacturers.

9 Gray N. Personal communicalion 2002 Nov 29.

Page 71 of 260 REFERENCES 1. Harris T. US smokes not like ours. The Weekend Australian (Sydney, NSW) 12 Jul, 1997, p. 7. 2. WD&HO Wills. WD&HO Wills Holdings· Chairman's Address. Philip Morris. 1997 17 Apr. Bates No.: 207252752217525. URL: http://legacy.library.ucsf.edu/tidlvtc42cOO 3. Lipari K. Rothmans warns on profit. Philip Morris. 1997 12 Jul. Bates No.: 2065329380. URL: http://legacy.library.ucsf.edu/tid/qdp63cOO 4. Cartels. Australian Competition and Consumer Commission 2005. Date Accessed: March 10 2005. URL: http://www.accc.gov.au/contenUindex.phtml/itemld/549116 5. Maxwell H. Philip Morris Limited five year management plan 1976·80, Part 11. Philip Morris. 1975 Mar. Bates No.: 2500012700/2880. URL: http://legacy.library.ucsf.edu/tid/cpi42eOO 6. Philip Morris. Industry issues. Philip Morris. 19962 Oct. Bates No.: 2504081924/2024. URL: http://legacy.library.ucsf.edu/tid/uwy45dOO 7. Covington M. Background information for visit of Mr. Bryan Simpson, Director Tobacco Institute of Australia. Philip Morris. 197821 Sep. Bates No.: 1000219634/9635. URL: hUp:lllegacy.library.ucsf.edu/tid/zsd84eOO 8. Whist A. [Letter to H. Maxwell). Philip Morris. 197520 Mar. Bates No.: 2024258541/8544. URL: http://legacy.library.ucsf.edu/tid/ufl98eOO 9. Whist A. Bryan Simpson and Brian Gapes. Philip Morris. 19826 Oct. Bates No.: 2023084848/4649. URL: http://legacy.library.ucsf.edu/tid/zya44eOO 10. Tobacco Institute of Australia. TIA news bulletin issue no. 2. Philip Morris. 1979 May. Bates No.: 2501159470/9473A. URL: http://legacy.library.ucsf.edu/tid/hwt22eOO 11. Tobacco Institute (US). The Tobacco Institute College of Tobacco Knowledge student profiles. Lorillard. 1980 Sep. Bates No.: 81514938/4950. URL: http://legacy.library.ucsf.edu/tid/uek13cOO 12. Simpson B. [Letter to L.S. Zahnj. The Council for Tobacco Research. 198111 Aug. Tobacco Institute of Australia. Bates No.: HK094705217052. URL: http:lnegacy.library.ucsf.edu/tid/cvp1aaOO 13. Carter S. From legitimate consumers to public relations pawns: the tobacco industry and young Australians. Tobacco Contro/2003;12:iii71·78. 14. Philip Morris International. 1981 Corporate Affairs status report. Philip Morris. 1981. Bates No.:

2025881685/1708. URL: http:/~egacy.library.ucsf.edu/tid/djd81 100 15. Dollisson J. Presentation by John Dollisson, Chief Executive Officer of the Tobacco Institute of Australia Limited, on advertising and health at the hearing meeting of the Broadcasting Review Board at urban council chambers, Hong Kong on 9 January 1985. Philip Morris. 19859 Jan. Tobacco Institute of Australia. Bates No.: 250406371213718. URL: hUp:lllegacy.library.ucsf.edu/tid/pzv1geOO 16. Corti A. Tobacco advertising: a public debate between government and industry. Brown & Williamson. 198419 Jan. INFOTAB. Bates No.: 699100966/0967. URL: http://legacy.library.ucsf.edu/tid/uho01100 17. Tobacco Institute of Australia. Casebook arguments. Philip Morris. 1986 May. Bates No.: 2501456347/6356. URL: http://legacy.library.ucsf.edu/tid/clu22eOO

Page 72 of 260 18. INFOTAB. INFOTAB Board of Directors Meeting, Phoenix, October 29, 1984. RJ. Reynolds. 1984 290ct. Bates No.: 503880524/0585. URL: http://legacy.library.ucsf.edu/tid/lkb71dOO 19. INFOTAB. INFOTAB/NMA Workshop, Brussels, October 8-11, 1984: list of participants. Philip Morris. 1984 Oct. Bates No.: 2023272783/2792. URL: http://legacy.library.ucsf.edu/tid/snt24eOO 20. Marcotullio R INFOTAB Board of Directors Meeting, Hamburg, November 4, 1986. RJ. Reynolds. 198610 Nov. Bates No.: 516650654/0656. URL: http:tnegacy.library.ucsf.edu/tid/sxu82dOO 21. Tobacco Institute of Australia. A message from those who do ... To those who don't. Philip Morris. 1986 Jul. Bates No.: 2024986472. URL: http://Iegacy.library.ucsf.edu/tid/ffy46eOO 22. Parrish S. Smoking and health litigation. Philip Morris. 199021 Aug. Bates No.: 2024946097/6106. URL: http://Iegacy.library.ucsf.edu/tid/qva77eOO 23. Dollisson J. A follow-up to A message from those who do ... to those who don't. Phi lip Morris. 1987 Jan. Bates No.: 2023582173. URL: http://Iegacy.library.ucsf.edu/tid/dsb98eOO 24. Dennis D. The Australian Federation of Consumer Organizations Inc. vs. The Tobacco Institute of Australia. Philip Morris. 199112 Feb. Bates No.: 250105082010829. URL: http:tnegacy.library.ucsf.edu/tid/qei4geOO 25. Tobacco Institute of Australia. Meeting between legal counsel representing TIA and representatives of the tobacco industry, Tuesday, 8th September 1987. RJ. Reynolds. 1987 15 Sep. Bates No.:

51577735317355. URL: http://tobaccodocuments.orglbliley-~r/515777353-7355.htrnl 26. Humber T. Asian ETS project. Brown & Williamson. 1989 23 Mar. Bates No.: 680709429. URL: http://Iegacy.library.ucsf.edu/tid/vfp33fOO 27. Chilcote S. Remarks Samuel D. Chilcote, Jr. INFOTAB Group Session, Wednesday, October 18, 1989, Hong Kong. Tobacco Institute. 198918 Oct. Bates No.: TlMN031721317239. URL: http://Iegacy.library.ucsf.edu/tid/cnu52fOO 28. Jessurun R [Memo to G. Watson, J. Devine, J. King]. Philip Morris. 19911 Jul. Tobacco Institute of Australia. Bates No.: 2504085777A. URL: http://Iegacy.library.ucsf.edu/tid/twi29eOO 29. Gonczi J. Prof. Richard Tweedie - Education Seminar 16-17 July 1991. Philip Morris. 1991 4 Jul. Rothmans Holdings Limited. Bates No.: 2504203132. URL: http://Iegacy.library.ucsf.edu/tid/xfn32eOO 30. Staunton-Mayne D. TIA AFCO redrafted Win scenario. Philip Morris. 19925 Aug. Tobacco Institute of Australia. Bates No.: 2504075726. URL: http://legacy.library.ucsf.edu/tid/dpk02aOO 31. Bacon D. [File note: Teleconference call with M. Riordan - Wills Australia re: developments on labelling issue]. British American Tobacco. 199325 Jun. Bates No.: 304030342. URL: http://tobaccodocuments.org/health_canada/01200282.html 32. Hargrave J, Crampton W. Tobacco Institute of Australia Limited ats Australian Federation of Consumer Organizations Inc. Philip Morris. 1991 7 Feb. Bates No.: 2021284752. URL: http://legacy.library.ucsf.edu/tid/ilh98e00 33. Chapman S. Australian court rules that passive smoking causes lung cancer, asthma attacks and respiratory disease. BMJ 1991 ;302:943-5. 34. Bring M. Litigation victory - Australian ETS case. Philip Morris. 199217 Dec. Bates No.: 202300532215324. URL: http://tobaccodocuments.org/bliley_pm/23955.htrnl

Page 73 of 260 35. Staunton-Mayne D. TIA vs. AFCO - experts. Philip Morris. 199223 Jul. Tobacco Institute of Australia. Bates No.: 2023241376. URL: http://Iegacy.library.ucsf.edu/tid/xjn87eOO 36. Goldberg H. 1994 second revised forecast presentation, June 1994, New York. Phi lip Morris. 1994 May. Bates No.: 2504204001/4063. URL: http://Iegacy.library.ucsf.edu/tid/ygn32eOO 37. Tobacco Institute of Australia. Court finds NHMRC acted improperly: media release. Philip Morris. 199620 Dec. Bates No.: 206383437714378. URL: http:tnegacy.library.ucsf.edu/tid/qtj32dOO 38. Sweet M. Tobacco companies try to sow seeds of doubt. Philip Morris. 19986 Feb. Sydney Morning Herald. Bates No.: 2063792860/2861. URL: http://Iegacy.library.ucsf.edu/tid/hdq87dOO 39. Philip Morris (Australia) Limited. Minutes of Philip Morris (Australia) Limited directors' meeting held on 1 August 1969. Philip Morris. 1969 1 Aug. Bates No.: 201504795917960. URL: http://Iegacy.library.ucsf.edu/tid/snq34eOO 40. Whist A. [Memo to R.W. MurrayJ. Philip Morris. 198417 Apr. Bates No.: 2023273119/3120. URL: http://Iegacy.library.ucsf.edu/tid/uot24eOO 41. Whist A. Reynolds activities in Australia. Philip Morris. 19823 Dec. Bates No.: 2023023931/3932. URL: http://legacy.library.ucsf.edu/tid/gix36eOO 42. INFOTAB. INFOTAB Board of Directors Meeting, Brussels. Philip Morris. 1984 4 Apr. Bates No.: 202497072010804. URL: http://legacy.library.ucsf.edu/tid/bds02aOO 43. Simpson B. Review of the issues and INFOTAB's activities Mr. Bryan Simpson Secretary General, INFOTAB African Regional Workshop Harare, July 22-24,1985. Tobacco Institute. 198522 Jul. INFOTAB. Bates No.: TIMN033362213841. URL: http://Iegacy.library.ucsf.edu/tid/kjq52f00 44. Dollisson J. 1988 Philip Morris sales conference 'Challenge of Change'. Philip Morris. 198823 Jan. Bates No.: 2504202605/2619. URL: http://Iegacy.library.ucsf.edu/tid/rlj29eOO 45. Bacon D. Australian visit. British American Tobacco. 19921 Jun. Bates No.: 500020128/0133. URL: http://tobaccodocuments.org/guildford_miscl500020128-0133.html 46. Philip Morris (Australia) Limited. 2RF presentation to W.H. Webb (elongated version - not presented). Philip Morris. 199327 May. Bates No.: 2504200049/0081. URL: http://legacy.library.ucsf.edu/tid/lfn32eOO 47. Non-Smokers' Movement of Australia Inc. Non smokers' update, Issue 13, July 1996. NSMA 1996. Date Accessed: 30 Jan 2003. URL: http://www.nsma.org.au/update13.htrn 48. Non-Smokers' Movement of Australia Inc. Non smokers' update, Issue 14, September 1996. NSMA 1996. Date Accessed: 30 Jan 2003. URL: http://www.nsma.org.au/update14.htm 49. Adams P. Australia [Memo to B. BramleyJ. British American Tobacco. 199525 May. Bates No.: 500028480/8483. URL: http://tobaccodocuments.org/guildford_miscl500028480-8483.htrnl 50. British American Tobacco. Asia Pacific Regional Conference strategy exercise data pack. British American Tobacco. 19965 Jan. Bates No.: 503909597/9846. URL: http://tobaccodocuments.org/guildford_miscl503909597-9649.html 51. Barbaerlilz T. Weekly highlights, July 8-15, 1996. Philip Morris. 199619 Jul. Bates No.: 2075808058/8062. URL: http://legacy.library.ucsf.edu/tid/pzv52cOO 52. Philip Morris (Australia) Limited. [Operating budget and market forecast]. Philip Morris. 1992. Bates No.: 2504204085/4119. URL: http://legacy.library.ucsf.edu/tid/ahn32eOO

Page 74 of 260 53. Newson J. May 24,1990 meeting in London. Philip Morris. 19906 Jun. Shook, Hardy & Bacon. Bates No.: 2023239673/9695. URL: http://Iegacy.library.ucsf.edu/tid/gnx45dOO 54. Windholz E. Industry co-operation - BAT. Philip Morris. 1996 11 Jun. Bates No.: 207636737717378. URL: http://Iegacy.library.ucsf.edu/tid/obg56cOO 55. Tobacco Institute of Australia. Draft project plan for ETS public smoking and credibility. Philip Morris. 199328 Jul. Bates No.: 2504079120/9125. URL: http:lnegacy.library.ucsf.edu/tidlipk02aOO 56. Staunton D. [Letter to H. Goldberg). Philip Morris. 199416 Mar. Tobacco Institute of Australia. Bates No.: 2504200226/0229. URL: http://Iegacy.library.ucsf.edu/tid/emj29eOO 57. Staunton D. Chief Executive Officer's report. Philip Morris. 1994 11 May. Tobacco Institute of Australia. Bates No.: 2504200222/0224. URL: http://Iegacy.library.ucsf.edu/tid/dmj29eOO 58. Simpson B. [INFOTAB 1985 Membership renewal letter to A.J. Stevens). Lorillard. 198525 Jan. INFOTAB. Bates No.: 80418771/8772. URL: http:lnegacy.library.ucsf.edu/tid/rbh74cOO 59. Covington M. Bryan Simpson's visit. Phi lip Morris. 197813 Sep. Bates No.: 2010052115. URL: hUp:lllegacy.library.ucsf.edu/tid/cjk68eOO 60. Dollisson J. [Brief summary of resume for Dr Allan Crawford). Tobacco Institute. 1985 20 Aug. Bates No.: T106390573/0574. URL: http:lnegacy.library.ucsf.edu/tidnay30cOO 61. Holtzman A. Product liability case in Australia. Philip Morris. 198614 Aug. Bates No.: 2023270179. URL: http:/negacy.library.ucsf.edu/tid/rev36eOO 62. Mulcahy R. Manager - Legal (TIA). Philip Morris. 1990 18 Jan. Tobacco Institute of Australia. Bates No.: 2024966007/6008. URL: http://Iegacy.library.ucsf.edu/tidlsbI87eOO 63. Hay K, Klotz S. TIA v AFCO - questions and answers. Philip Morris. 19922 Apr. Tobacco Institute of Australia. Bates No.: 2023241403. URL: http:lnegacy.library.ucsf.edultidJfkn87eOO 64. Travers R. Retainers of Melbourne counsel. Philip Morris. 1991 13 Aug. Clayton Utz. Bates No.: 202324916519167. URL: http://legacy.library.ucsf.edu/tidlidn87eOO 65. Gonczi J. [Fax to J. Hargrave). Philip Morris. 1992 9 Apr. Rothmans Holdings Limited. Bates No.: 2504085900. URL: http:lnegacy.library.ucsf.edu/tidldwi2geOO 66. Wall C. Lawyers for Philip Morris in Australia and the AFCO appeal. Philip Morris. 1991 1 Apr. Bates No.: 204772372213724. URL: http://legacy.library.ucsf.edu/tid/gui57dOO 67. Wall C. [Letter to J. Hargrave). Philip Morris. 1991 15 Apr. Bates No.: 2047723716/3717. URL: http://legacy .1 ibrary. ucsf. edu/tidlfu i57 dOO 68. Clayton Utz. TIA - workplace smoking brochure. Philip Morris. 1992 11 Dec. Bates No.: 2023241340. URL: http://Iegacy.library.ucsf.edultid/sjn87eOO 69. Northrip R. [AFCO case: proposed briefj. Philip Morris. 1991 23 Aug. Clayton Utz. Bates No.: 2072965365. URL: http://legacy.library.ucsf.edultid/kd095cOO 70. Fowler G. Dr. Brendan Nelson's press release. Philip Morris. 199224 Nov. Shook, Hardy & Bacon. Bates No.: 250408586115862. URL: http://Iegacy.library.ucsf.edultidnog48dOO 71. Whidden RG. Japan. Philip Morris. 199216 Dec. Bates No.: 250005364213643. URL: http:lnegacy.library.ucsf.edultidldna02aOO 72. Shook Hardy & Bacon. Work in progress - Greg Fowler. Philip Morris. 199318 Jun. Bates No.: 202324828218286. URL: http://tobaccodocuments.orgnbliley_pmI24213.html

Page 75 of 260 73. Tobacco Institute Information Center. Information Center [activities and usage report]. Tobacco Institute. 1990 Sep. Bates No.: Tl14580508/0510. URL: http://legacy.library.ucsf.edu/tid/bjj86dOO 74. INFOTAB. Co-operation in Documentation for the Tobacco Industry: an international meeting for documentalists, librarians and information officers, March 26-27,1985 and March 28-29, 1985: draft programme. British American Tobacco. 198525 Mar. Bates No.: 100504963/4976. URL: http://tobaccodocuments.org/bc_moh/12624.html 75. Simpson B. Dealing with controversy, how industry manages public issues: INFOTAB's role. Tobacco Institute. 198526 Mar. INFOTAB. Bates No.: TIMN0333570/3575. URL: http://Iegacy.library.ucsf.edu/tid/hjq52100 76. Deegan C. T.I. newsletter no. 346, 5.12.83. Tobacco Institute. 1983 14 Dec. Bates No.:

TIMN0149823. URL: http:/~egacy.library.ucsf.edu/tid/pyy82100 77. Winokur M. Talking points. Philip Morris. 19944 Mar. Bates No.: 2047316223/6224. URL: http://Iegacy.library.ucsf.edu/tid/swh8 7eOO 78. Clarke P. Smoking and Health Legal Training Session [BATITIA Seminar, January 17-19,1994]. British American Tobacco. 199321 Dec. Bates No.: 50310783517838. URL: http://tobaccodocuments.org/health_canadal02000389.html 79. International Committee on Smoking Issues. Danish article. Tobacco Institute. 198025 Mar. Bates No.: TlMN0128779. URL: http://Iegacy.library.ucsf.edu/tid/xpe92100 80. Corti A. Smoking at the workplace. Philip Morris. 1985 18 Jul. INFOTAB. Bates No.: 2024194028/4030. URL: http://Iegacy.library.ucsf.edu/tid/clb88eOO 81. Corti A. [Epidemiology and diagnosis]. Philip Morris. 19869 Dec. INFOTAB. Bates No.: 2024182254/2256. URL: http://legacy.library.ucsf.edu/tid/gzt34eOO 82. Maquet E. US OTA staff paper: passive smoking in the workplace: selected issues. Philip Morris. 198616 Jun. INFOTAB. Bates No.: 2024193285/3286. URL: http://Iegacy.library.ucsf.edu/tid/cbu22dOO 83. Corti A. Useful reference material. Tobacco Institute. 19875 Mar. INFOTAB. Bates No.: TI0255096210965. URL: http://legacy.library.ucsf.edu/tid/xzt30cOO 84. Corti A. Environmental tobacco smoke. Tobacco Institute. 198710 Mar. INFOTAB. Bates No.: TI0255095210954. URL: http://legacy.library.ucsf.edu/tid/aau30cOO 85. Corner R. ETS - 'Times' article. Tobacco Institute. 1987 13 Mar. INFOTAB. Bates No.: T112261174/1176. URL: http://Iegacy.library.ucsf.edu/tid/lx140cOO 86. Corti A. Environmental tobacco smoke. Tobacco Institute. 198716 Mar. INFOTAB. Bates No.: T102550959/0961. URL: http://Iegacy.library.ucsf.edu/tid/yzt30cOO 87. Tobacco Institute (US). [Telex to C. Deegan]. Tobacco Institute. 198719 Mar. Bates No.:

T106390580. URL: http://legacy.library.ucsf.edu/tid~ay30cOO 88. Corti A. Indoor air pollution - useful material. Tobacco Institute. 198723 Apr. INFOTAB. Bates No.:

TIDN0002941/2944. URL: http://Iegacy.library.ucsf.edu/tid~in91 100 89. Corti A. Information. Tobacco Institute. 198724 Apr. INFOTAB. Bates No.: T102550895/0897. 90. Maquet E. Lung cancer and air pollution. Tobacco Institute. 198714 May. INFOTAB. Bates No.:

TI12261 055/1 057. URL: http:/~egacy.library.ucsf.edu/tid/nxI40cOO

Page 76 of 260 91. Corti A. German journal article on 1986 ETS symposium held in Essen. Philip Morris. 1987 5 Jun. INFOTAB. Bates No.: 2021594346/4348. URL: http://legacy.library.ucsf.edu/tid/yqf44eOO 92. Maquet E. Article on 'Social costs' and government intervention by Wagstaff. Philip Morris. 1987 22 Jun. INFOTAB. Bates No.: 2025823817/3818. URL: http:lnegacy.library.ucsf.edu/tid/ofz83eOO 93. Corti A. Environmental tobacco smoke. Tobacco Institute. 198729 Jul. INFOTAB. Bates No.: TI1226004210043. URL: http://Iegacy.library.ucsf.edu/tid/hoI40cOO 94. Corti A. Environmental tobacco smoke. Tobacco Institute. 198717 Aug. INFOTAB. Bates No.: TI1226056210563. URL: http://Iegacy.library.ucsf.edu/tid/vyI40cOO 95. Corti A. Publications and articles. Tobacco Institute. 198717 Aug. INFOTAB. Bates No.:

T112260025/0026. URL: http:/~egacy.library.ucsf.edu/tid/joI40cOO 96. Corti A. Useful information [smoking bans). Tobacco Institute. 19877 Dec. INFOTAB. Bates No.: T11226087210875. URL: http:lnegacy.library.ucsf.edu/tid/zxI40cOO 97. Corti A. 'Why do juveniles start smoking?' -I.AA publication. Tobacco Institute. 198717 Dec. INFOTAB. Bates No.: TIMN0349650/9652. URL: http://legacy.library.ucsf.edu/tid/btg52fOO 98. Maquet E. 1987 IARC publication on 'passive' smoking: environmental carcinogens - methods of analysis and exposure measurement. Philip Morris. 1988 11 Jan. INFOTAB. Bates No.: 2021594148/4149. URL: http://legacy.library.ucsf.edu/tid/qqf44eOO 99. Tully R Reasor and Will paper. Philip Morris. 1991 29 Aug. INFOTAB. Bates No.: 2504100125.

URL: http:/~egacy.library.ucsf.edu/tid/sqk02aOO 100. Corti A. Lung cancer and passive smoking: association an artefact due to misciassification of smoking habits? Philip Morris. 19875 Mar. INFOTAB. Bates No.: 202418351213513. URL: http://Iegacy.library.ucsf.edu/tid/skg78eOO 101. Corti A. 'Fear itself: a legal and personnel analysis of drug testing, AIDS, secondary smoke, VDTs'. Philip Morris. 198712 Oct. INFOTAB. Bates No.: 2024193128/3129. URL: http://www.pmdocs.com/getallimg.asp?if=avpidx&DOCID=2024193128/3129 [not available from Legacy) 102. Mayfiy. Philip Morris. 198024 Nov. Bates No.: 2501023935. URL: http://Iegacy.library.ucsf.edu/tid/lyv32eOO 103. McClendon J. Minutes of the 9th ICOSI/SAWP held in Brussels, March 27-29, 1979. RJ. Reynolds. 1979 5 Apr. Intemational Committee on Smoking Issues Social Acceptability Working Party. Bates No.: 506206765/6780. URL: http://legacy.library.ucsf.edu/tid/abe84dOO 104. Doyle J. [Distribution of WHO report). Philip Morris. 1979 1 Jun. Intemational Committee on Smoking Issues. Bates No.: 2501015246/5247. URL: http://legacy.library.ucsf.edu/tid/lbx29eOO 105. Comer R ICOSI information mailing number 18: 33rd World Health Assembly, Geneva, Switzerland. Lorillard. 198030 May. International Committee on Smoking Issues. Bates No.: 03022450/2453. URL: http://Iegacy.library.ucsf.edu/tid/bw051eOO 106. Corti A. World Health Assembly, Geneva, May 7-21, 1984. Brown & Williamson. 1984 21 May. INFOTAB. Bates No.: 690155343/5345. URL: http://Iegacy.library.ucsf.edu/tid/ww093fOO 107. Corti A, Valdez G. International organizations. Philip Morris. 198525 Jan. INFOTAB. Bates No.: 202165540215403. URL: http:lnegacy.library.ucsf.edu/tid/gcj44eOO

Page 77 of 260 108. Corti A. World Health Assembly report. Phi lip Morris. 198513 Jun. INFOTAB. Bates No.: 250135732217323. URL: http://legacy.library.ucsf.edu/tid/rhw39eOO 109. Corti A. World Health Organization. Philip Morris. 198624 Mar. INFOTAB. Bates No.:

2024272805/2807. URL: http:/~egacy.library.ucsf.edu/tid/q~85e00 110. Corti A. IOCU (International Organization of Consumer Unions). Philip Morris. 1986 1 Aug. INFOTAB. Bates No.: 2501109720/9723. URL: http://legacy.library.ucsf.edu/tid/pcu39eOO 111. Corti A. Information release no. 4. R.J. Reynolds. 1981 Dec. INFOTAB. Bates No.: 505740927/0927. URL: http://legacy.library.ucsf.edu/tid/jhv05dOO 112. INFOTAB. Information release no. 4. Philip Morris. 1981 Dec. Bates No.: 2025048585/8587. URL: http://legacy.library.ucsf.edu/tid/eIl52dOO 113. Waite C. A meeting entitled 'New Etiologies in Lung Cancer' held at the University of Hawaii, March 21-23,1983: special report for Brian Simpson Director, INFOTAB. Lorillard. 198327 Mar. Tobacco Institute. Bates No.: 87779607/9616. URL: http:/negacy.library.ucsf.edu/tid/ydm21eOO 114. Corti A. The medical aspects of passive smoking': expert discussion, 9-12 April, 1984, Vienna, Austria. Phi lip Morris. 198415 May. INFOTAB. Bates No.: 202496709917100. URL: http://legacy.library.ucsf.edu/tid/utp46eOO 115. Maquet E. IARC document - N-nitroso compounds: occurrence, biological effects and relevance to human cancer. Philip Morris. 198626 May. INFOTAB. Bates No.: 2021594539/4540. URL: http://legacy.library.ucsf.edu/tid/qrf44eOO 116. Corti A. Expert hearings in the West German Bundestag on The dangers of smoking'. Philip Morris. 198513 Jun. INFOTAB. Bates No.: 2024970513/0514. URL: http://legacy.library.ucsf.edu/tid/gbw46eOO 117. Browne C. 'International Conference on Smoking and Reproductive Health'. Philip Morris. 198613 Feb. INFOTAB. Bates No.: 2021594744/4745. URL: http://legacy.library.ucsf.edu/tid/uic68eOO 118. Browne C. International Symposium on and Health: A Neurobiologic Approach. Philip Morris. 19863 Mar. INFOTAB. Bates No.: 2021594518/4519. URL: http://legacy.library.ucsf.edu/tid/hjc68eOO 119. Browne C. 15th Annual Meeting of the European Association for Behavioural Therapy August/September 1985, Munich, West Germany. Philip Morris. 19868 Apr. INFOTAB. Bates No.: 2021594501/4502. URL: http://legacy.library.ucsf.edu/tid/djc68eOO 120. Browne C. 'Passive smoking in the workplace - nuisance or risk' consensus conference held at Green College, Oxford, UK on March 21-22,1986. Philip Morris. 198623 Apr. INFOTAB. Bates No.: 2025818340/8341. URL: hUp:lllegacy.library.ucsf.edu/tid/oon14eOO 121. Browne C. International Meeting on N-Nitroso Compounds: Relevance to Human Cancer, Baden, Austria, September 1-5,1986. Philip Morris. 198711 Feb. INFOTAB. Bates No.: 2021594449/4450. URL: http://legacy.library.ucsf.edu/tidfljc68eOO 122. Browne C. 114th Annual Meeting of the American Public Health Association (Las Vegas, Nevada, September 28 - October 2,1986). Philip Morris. 19872 Mar. INFOTAB. Bates No.: 2021594359/4360. URL: http://legacy.library.ucsf.edu/tid/ujc68eOO

Page 78 of 260 123. Browne C. Reports on scientific meetings. Philip Morris. 1987 1 Apr. INFOTAB. Bates No.: 2021594432/4433. URL: http://legacy.library.ucsf.edu/tid/jjc68eOO 124. Browne C. The Toxicology Forum: 1987 Annual Winter Meeting February 16-18,1987, Washington, D.C. Phi lip Morris. 198713 Apr. INFOTAB. Bates No.: 2021594419/4420. URL: http://Iegacy.library.ucsf.edu/tid/mjc68eOO 125. Browne C. Reports on scientific meetings. Philip Morris. 198729 Jul. INFOTAB. Bates No.: 2021594138/4139. URL: http://legacy.library.ucsf.edu/tid/ekc68eOO 126. Corti A. Essen Conference. Philip Morris. 198720 Aug. INFOTAB. Bates No.: 2501443935/3936. URL: http://legacy.library.ucsf.edu/tid/gwr39eOO 127. McNamara F. Reports on scientific meetings. Philip Morris. 198723 Sep. INFOTAB. Bates No.: 2021594103/4104. URL: http://legacy.library.ucsf.edu/tid/gkc68eOO 128. McNamara F. Reports on scientific meetings. Philip Morris. 198728 Oct. INFOTAB. Bates No.: 2021594154/4155. URL: http://Iegacy.library.ucsf.edu/tid/dkc68eOO 129. Chilton N. INFOTAB meeting, December 14, 1982. Brown & Williamson. 1982 16 Dec. Brown & Williamson (Europe) SA. Bates No.: 680512443/2446. URL: http://legacy .1 ibrary. ucsf. edu/tid/ph mO 1cOO 130. Corti A. Dossier - Swedish court case on 'passive smoking'. Philip Morris. 198510 may. INFOTAB. Bates No.: 2025042910/2911. URL: http://legacy.library.ucsf.edu/tid/ihq25eOO 131. Corti A. Swedish court case on 'passive' smoking. Philip Morris. 1985 15 Oct. INFOTAB. Bates No.: 2047999268/9269. URL: http://Iegacy.library.ucsf.edu/tid/akt23eOO 132. Corti A. U.S. product liability cases. Philip Morris. 198616 Jan. INFOTAB. Bates No.: 202492704517047. URL: http://Iegacy.library.ucsf.edu/tid/unq78eOO 133. Corti A. US product liability. Lorillard. 198615 Apr. INFOTAB. Bates No.: 98249604/9607. URL: http://legacy.library.ucsf.edu/tid/uzz23cOO 134. INFOTAB. Health and Science - Research/Communication [excerpt from INFOTOPICS]. R.J. Reynolds. 198322 Aug. Bates No.: 504683039/3040. URL: hUp:/IIegacy.library.ucsf.edu/tid/fzp18cOO 135. Corti A. Forthcoming US Surgeon General report: dossier of materials. Philip Morris. 1985 22 Nov. INFOTAB. Bates No.: 2501444186/4187. URL: http://Iegacy.library.ucsf.edu/tid/ixt39eOO 136. Verkerk H. Fifth World Conference on Smoking and Health, Winnipeg - July 10 -15,1983. Tobacco Institute. 19839 Jun. INFOTAB. Bates No.: TIMN027022210224. URL: http://Iegacy.library.ucsf.edu/tid/cny62fOO 137. Verkerk H. Winnipeg papers. Tobacco Institute. 198323 Jun. INFOTAB. Bates No.: TIMN0270241/0242. URL: http://legacy.library.ucsf.edu/tidnny62fOO 138. Corti A. Sixth World Conference on Smoking and Health. Tobacco Institute. 1987 19 Feb. INFOTAB. Bates No.: Tl07562230/2231. URL: http://legacy.library.ucsf.edu/tid/vyy30cOO 139. INFOTAB. [Tokyo 6th World Conference on Smoking and Health]. Tobacco Institute. 1987 11 Nov. Bates No.: TIMN0283438/3441. URL: http://Iegacy.library.ucsf.edu/tid/qqs62fOO 140. Bloxcidge J. World Conference on Tobacco and Health, Perth 1-5 April, 1990. Philip Morris. 1989 11 Sep. INFOTAB. Bates No.: 2501014219. URL: http://Iegacy.library.ucsf.edu/tid/fns32eOO

Page 79 of 260 141. King T. World Conference on Tobacco and Health Perth, Western Australia, 1st to 5th April 1990. Tobacco Institute. 1990 12 Mar. INFOTAB. Bates No.: TIMN0340834/0839. URL: hUp:/IIegacy.library.ucsf.edu/tid/mfq52fOO 142. INFOTAB. Communication - tobacco industry [excerpt from INFOTAB publication]. Brown & Williamson. 1984 Mar. Bates No.: 690155421. URL: http://Iegacy.library.ucsf.edu/tid/yx093fOO 143. Dollisson J. Tobacco industry fights marketing clamps. Brown & Williamson. 1984 Mar. National Australia Bank monthly summary. Bates No.: 69015548215484. URL: http://Iegacy.library.ucsf.edu/tid/bsI02dOO 144. INFOTAB. Catalogue of audiovisual material. Brown & Williamson. 1984 Jul. INFOTAB. Bates No.: 690154821/4838. URL: http:tnegacy.library.ucsf.edu/tid/rhI02dOO 145. INFOTAB. [INFOTAB document on environmental tobacco smoke (ETS) labelled confidential]. Philip Morris. 1987 Sep. Bates No.: 2021592453/2463. URL: http:tnegacy.library.ucsf.edu/tid/occ68eOO 146. Corti A. Labelling. Philip Morris. 198821 Apr. INFOTAB. Bates No.: 2500009157. URL: http://legacy.library.ucsf.edu/tid/hsi42eOO 147. Tobacco Institute of Australia. The tobacco industry's pcsition on proposed new rotating health warnings on tobacco products and advertising. Philip Morris. 19857 Jun. Bates No.: 2500009158/9187. URL: http:tnegacy.library.ucsf.edu/tid/isi42eOO 148. INFOTAB. Children and smoking. Philip Morris. 1989 Nov. Bates No.: 2501126450/8455. URL: http://Iegacy.library.ucsf.edu/tid/ezs32eOO 149. INFOTAB Social Acceptability Working Party. Report to the Board of Directors of INFOTAB: activities of the Social Acceptability Working Party (SAWP). Philip Monris. 1981 23 Sep. Bates No.: 2025048089/8097. URL: http:tnegacy.library.ucsf.edu/tid/hhr25eOO 150. Ogilvy & Mather. Extension to Mayfly 2: situation report, 27 September 1982. Brown & Williamson. 198227 Sep. Bates No.: 690813817/3821. URL: http://Iegacy.library.ucsf.edu/tid/gpk02dOO 151. International Committee on Smoking Issues Working Party on Social Acceptability of Smoking. Report of the Social Acceptability Working Party to the Board of Directors of ICOSI. Philip Morris. 19807 Oct. Bates No.: 250101734517366. URL: http:tnegacy.library.ucsf.edu/tid/tvi22eOO 152. International Committee on Smoking Issues. ICOSI meetings & action planning. Phi lip Morris. 1980 Nov. Bates No.: 2501023926/3927. URL: http:tnegacy.library.ucsf.edu/tid/hyv32eOO 153. International Committee on Smoking Issues. Study of an information service: phase I. Philip Morris. 1980 Nov. Bates No.: 2501290301/0376. URL: http://Iegacy.library.ucsf.edu/tid/rpe71fOO 154. International Committee on Smoking Issues Social Acceptability Working Party. ICOSI/SAWP long­ term communications plan (Mayfly). R.J. Reynolds. 198023 Dec. Bates No.: 50212063010631. URL: http://legacy.library.ucsf.edu/tid/gwb29dOO 155. Ogilvy & Mather. Operation Mayfly: progress report to SAWP January 14th 1981. R.J. Reynolds. 198116 Jan. Bates No.: 50212062010627. URL: http://Iegacy.library.ucsf.edu/tid/fwb29dOO 156. King T. [Letter to S. Alexander]. Philip Morris. 1981 23 Jan. Imperial Tobacco. Bates No.:

202501715017152. URL: http://legacy.library. ucsf.edu/tid~rb35eOO

Page 80 of 260 157. Ogilvy & Mather. Operation Mayfly: 1st draft script. RJ. Reynolds. 198115 Apr. Bates No.: 502120575/0597. URL: http://legacy.library.ucsf.edu/tid/gwI18cOO 158. INFOTAB. INFOTAB Meeting of the Board of Directors, London, March 30, 1981: draft minutes. Philip Morris. 1981 22 Apr. Bates No.: 202504796517984. URL: http://legacy.library.ucsf.edu/tid/oxn04eOO 159. INFOTAB. Preparing for communication: industry guide 1. Lorillard. 1983. Bates No.: 03644178/4229. URL: http://legacy.library.ucsf.edu/tid/aek13cOO 160. Worster A. [ICOSI SAWP]. Philip Morris. 199021 Nov. Ogilvy & Mather. Bates No.: 2501023925. URL: http://legacy.library.ucsf.edu/tid/gyv32eOO 161. INFOTAB. INFOTAB Workshop Brussels, October 1982. Philip Morris. 1982 15 Nov. Bates No.: 2501021226/1228. URL: http://legacy.library.ucsf.edu/tid/trv32eOO 162. International Committee on Smoking Issues. Joint Meeting National Associations - ICOSI Zurich, 20-23 May 1979: agenda. Philip Morris. 197918 May. Bates No.: 2015048961/8964. URL: http:megacy.library.ucsf.edu/tid/qj078eOO 163. INFOTAB. INFOTAB 1982 Workshop, Brussels 18-20 October, 1982: programme. RJ. Reynolds. 198218 Oct. Bates No.: 503944736/4742. URL: http:megacy.library.ucsf.edu/tid/kxp75dOO 164. INFOTAB. INFOTAB Workshop: draft programme. Brown & Williamson. 198218 Oct. Bates No.: 680002368/2370. URL: http://legacy.library.ucsf.edu/tid/cfd24fOO 165. INFOTAB. INFOTAB Workshop for National Manufacturers' Associations, Washington DC, September 19-22 ,1983: programme. Tobacco Institute. 1983 Sep. Bates No.: T113161263/1266. URL: hltp:lllegacy.library.ucsf.edu/tid/kr040c00 166. Dollisson J. Protecting marketing freedoms - coordinated action in Australia: INFOTAB/NMA Workshop, Washington, 19-22 September 1983 session of marketing freedoms. Philip Morris. 1983 19 Sep. Tobacco Institute of Australia. Bates No.: 2501021514/1519. URL: http://legacy.library.ucsf.edu/tid/vex19eOO 167. INFOTAB. Asian Workshop Hilton Hotel, Hong Kong, May 21-23,1984: programme. Brown & Williamson. 198421 May. Bates No.: 690155529/5533. URL: http://legacy.library.ucsf.edu/tid/prI02dOO 168. Dollisson J. The politicization of the child - a tool of the anti's. RJ. Reynolds. 1984 11 Oct. Tobacco Institute of Australia. Bates No.: 50388759517604. URL: http://legacy.library.ucsf.edu/tid/ixu75d00 169. Pottorff M. INFOTAB workshop, Brussels, October 8-11, 1984. Philip Morris. 1984 18 Oct. Philip Morris. Bates No.: 2023272778/2780. URL: http:megacy.library.ucsf.edu/tidnzv36eOO 170. Dollisson J. Smoking and health: the scientific controversy, and, Smoking and health: causal allegations [presentation to the INFOTAB Asian Regional Workshop]. Philip Morris. 198514 May. Tobacco Institute of Australia. Bates No.: 2501115446/5485. URL: hltp:lllegacy.library.ucsf.edu/tid/kpd2geOO 171. INFOTAB. INFOTAB 1985 Workshop, Copenhagen, 7-10 October 1985: programme. Tobacco Institute. 19857 Oct. Bates No.: TI12263349/3356. URL: http://legacy.library.ucsf.edu/tid/ptI40cOO

Page 81 of 260 172. INFOTAB. INFOTAB/NMA Workshop, Washington, September 19-23, 1983: list of participants. Tobacco Institute. 198619 Sep. Bates No.: T113161196/1202. URL: http:tnegacy.library.ucsf.edu/tid/nr040cOO 173. INFOTAB. 1986 Workshop, Brussels, 13-16 October, 1986: programme. Tobacco Institute. 1986 13 Oct. Bates No.: TI06391954/1959. URL: http://Iegacy.library.ucsf.edu/tid/qxx30cOO 174. INFOTAB. INFOTAB Intemational Workshop, Brussels, Belgium, October 13-16, 1986. Philip Morris. 198616 Oct. Bates No.: 250144663617080. URL: http:tnegacy.library.ucsf.edu/tid/alr02aOO 175. INFOTAB. INFOTAB International Workshop October 12-15,1987: draft programme. Tobacco Institute. 198715 Oct. Bates No.: T112261601/1604. URL: http://legacy .1 ibrary. ucsf. edu/tid/dwl40cOO 176. INFOTAB. 1987 Workshop October 12-15, 1987: programme. Tobacco Institute. 198712 Oct. Bates No.: TI12263443/3448. URL: http://Iegacy.library.ucsf.edu/tid/dfm40cOO 177. INFOTAB. INFOTAB International Workshop, October 12-15,1987: [proceedings]. Tobacco Institute. 198712 Oct. Bates No.: T112261611/1987. URL: http://Iegacy.library.ucsf.edu/tidlbwI40cOO 178. INFOTAB. INFOTAB International Workshop October 12-15,1987: [select papers]. Philip Morris. 198713 Oct. Bates No.: 2500082180/2201. URL: http://Iegacy.library.ucsf.edu/tid/eod42eOO 179. INFOTAB. INFOTAB International Conference, Hong Kong, October 16-19,1989: list of delegates. Philip Morris. 1989 Oct. Bates No.: 2021594088/4096. URL: http://legacy.library.ucsf.edu/tid/oto02aOO 180. King T, Madden C. [Workshop in Hamburg]. Tobacco Institute. 199117 Jun. INFOTAB. Bates No.: T111480903/0904. URL: http://Iegacy.library.ucsf.edu/tid/lej40cOO 181. Bloxcidge J. [Letter to D. Bacon and Memo to NMA Directors]. British American Tobacco. 1991 9 Sep. INFOTAB. Bates No.: 30402100211005. URL: http://tobaccodocuments.org/health_canadal30402099.html 182. INFOTAB. Item 3 Report from the Secretary General. Phi lip Morris. 1982 Nov. Bates No.: 202504786717874. URL: http:tnegacy.library.ucsf.edu/tid/gir25eOO 183. Marcotullio R INFOTAB Board of Directors (BOO) meeting, London, July 17/18, 1985. RJ. Reynolds. 198522 Jul. RJ. Reynolds Tobacco Intemational, Inc. Bates No.: 504936518/6523. URL: http:tnegacy.library.ucsf.edu/tid/iwt35dOO 184. Smith G. [Letter to Or B. Hunt]. Philip Morris. 1988 16 Sep. Children's Research Unit. Bates No.: 2501040067. URL: http://legacy.library.ucsf.edu/tid/lvy32eOO 185. King T. CRU/IAA study 'Juvenile smoking initiation and advertising'. RJ. Reynolds. 1989 18 Apr. INFOTAB. Bates No.: 507785908/5912. URL: http:tnegacy.library.ucsf.edu/tid/ygpI4dOO 186. Browne C. [Letter to J. Little]. Tobacco Institute. 1989 11 Jul. INFOTAB. Bates No.: TIMN0314258/4260. URL: http:tnegacy.library.ucsf.edu/tid/syw52fOO

Page 82 of 260 CHAPTER FIVE SMOKING, DISEASE AND OBDURATE DENIAL: THE AUSTRALIAN TOBACCO INDUSTRY IN THE 19805

INTRODUCTION The purpose of this chapter is to describe the Australian tobacco industry's private knowledge and public communication about the disease effects of smoking in the 1980s.

The tobacco industry's responsibility to inform its current and future customers about the diseases caused by tobacco use is the most fundamental ethico-Iegal issue in tobacco control, central to questions of legal liability for sick smokers, and a vital underpinning for regulation of advertising, product labeling and other industry communications. Previous industry document research has concluded that tobacco companies deliberately denied what they knew about links between smoking and disease for fifty years, and engaged in a globally cooperative "smoker reassurance program."1 Publications supporting this conclusion focus on the US,2.3 German,4 and British2.5 tobacco industries.

Because of the transnational relationships of the local tobacco industry, the published international literature provides a relevant context for Australian document research. UK­ focused document research has argued that BAT agreed privately from the late 1970s that smoking caused disease and that epidemiology was the appropriate discipline to investigate this relationship, in stark contrast to its public denials on both counts.2 Project Rio, a controversial BAT initiative "designed to organise the company's research on cigarettes having reduced biological activity"2 was reportedly active throughout the 1980s in the BAT laboratories in Hamburg, Montreal, and Southampton.2 Rio examined the mutagenicity of smoke, but produced more questions than answers, as well as legal anxiety about the potential US liability surrounding the scientific work of the larger BAT group.2

The US environment was very different. Document research focused on the US has argued that although there was private industry agreement from the 1950s that smoking

Page 83 of 260 caused disease,3littie biological research was done, by agreement, because of the risk that findings would assist plaintiffs in Iitigation.3 Previous research suggests that in 1970, R.J.Reynolds was forced by other US tobacco companies to close its biological research program, which was demonstrating that smoking caused disease.3 Philip Morris International employed an alternative strategy, outsourcing much of its controversial research to offshore laboratories, to prevent legal discovery and allow rapid termination of projects showing dangerous results.3

This chapter will review documents from the Australian tobacco industry related to questions of smoking and disease in the 1980s, a decade in which the Australian industry's communication strategies were particularly aggressive. The findings will be most relevant to smokers who were old enough to absorb media messages during the 1980s and early 1990s: smokers aged approximately 25 and over in 2005. My analysis of the material I found on this issue has been organised into two broad metathemes. The first is what the Australian industry knew, particularly from its own research programs; the second is how the Australian industry communicated on the issue to various audiences. Conflict between the industry's internal knowledge and external statements has the potential to be both legally and ethically significant.

RESULTS

The industry's private knowledge The context In March 1978, the global BAT group held its research and development conference in Sydney, Australia. The first paragraph of the minutes read:

"there has been no change in the scientific basis for the case against smoking. Additional evidence of smoke-dose related incidence of some diseases associated with smoking has been published. But generally this has long ceased to be an area for scientific controversy."6

By the 1980s authoritative public health pronouncements on smoking and lung cancer were more than two decades old, and the documents suggest that the Australian industry

Page 84 of 260 was aware of the international consensus. The previous chapter demonstrated that information was distributed to the local industry by the TIA, and by INFOTAB, the international tobacco industry's information management organization. Shook Hardy and Bacon, the industry's outside legal counsel in Kansas, and BAT Co. had "data banks ". capable of keeping the industry abreast of developments on smoking issues," which the Australian industry could access.? Australian manufacturers also attended joint industry activities such as CORESTA meetings.6Appendix Five presents detailed document summaries in support of the claim that the local Australian industry was cognisant of the 1980s literature on smoking and disease.

Research done by the tobacco industry The manufacturers did not rely solely on external research. R.J.Reynolds developed bioassays for testing the tumourigenicity of its products,9 produced critiques of unfavourable research,10 commissioned reviews of the published literature11 and cultivated links to university departments. 12 It is highly likely that this work was communicated to R.J.Reynolds in Australia, but no "smoking gun" to prove this has been found in the documents. There is, however, evidence linking PML and WD&HO Wills to the disease research undertaken by their parent companies.

Philip Morris research In the 1980s, the Philip Morris Corporation's in-house research facilities employed eight staff to critique published research and 80 in animal laboratories and cutting-edge cellular­ level research facilities in Richmond (USA), Cologne (Germany) and Neuchatel (Switzerland).13 Applied product development was emphasised, including work towards low biological activity products. Richmond and Neuchatel provided research support to global companies such as PML. Basic research information from external sources such as the published literature, universities and biotech companies was organised by PM USA in a confidential database, and the PMI Corporate Affairs Department collected "up-to-date smoking and health related information" and circulated it to offices including PML in Australia. 14.16 PML undertook product development research in its Australian headquarters at Moorabbin,17.16 liaised with PM's overseas research units and received copies of their reports, including reports on biological testing,19.20 and key staff made visits to the central research facility in Richmond. 21

Page 85 of 260 WD&HO Wills research WD&HO Wills' managers labelled all corporate affairs reports "Smoking and Health," whether these addressed taxation, advertising, or social acceptability issues,22 suggesting that the disease effects of smoking were foremost in their minds. The BAT Group was connected by a GR&DC (Group Research and Development Centre) team, an intemational network of researchers which exchanged information via a program of regular meetings, correspondence, and visits. 23-28 Although WD&HO Wills appears to have been a relatively small player in the group, with a local focus,29 Australia was considered one of BAT's six "Major R&D Centres."29 WD&HO Wills was also a "CAC company," that is, one of the companies that sent representatives to the BAT Chairman's Advisory Conference, and thus an active participant in decision-making.

The search for a "safer" cigarette and Project Rio In 1980, BAT executives still hoped that the company's problems could be solved by the production of a "safer" cigarette. To this end, BAT was engaged in a million-pound a year biological research program. This program had two arms. The first was concerned with developing tests of mutagenicity, biochemistry and inhalation that would yield rapid results. 3o The second was the much larger abovementioned Project Rio. Rio investigated the biological effects of smoke, and aimed to produce an "acceptable" cigarette that could be demonstrated to lower cancer risk and thus give BAT an advantage in marketing. 31 .32 WD&HO Wills contributed to Rio but seemingly also understood its potential dangers, recommending to the BAT GR&DC in 1983:

"A program has to be developed to handle Project Rio ... This general area is an important one for the long term survival of the industry and as such we support it. About 12% of the research effort goes into this area. (It is the second largest area.) We would feel this effort is large but reasonable."33

The same year CAC companies including WD&HO Wills were instructed to concentrate on applied product and process research rather than basic research. 34 WD&HO Wills' responsibilities within Rio were reduced to the testing of local commercially successful cigarette brands for their "relative mutagenicity."31.34 WD&HO Wills evaluated Hallmark,

Page 86 of 260 Marlboro, Benson&Hedges and Winfield, and found that a WD&HO Wills "Iow tar" brand, Hallmark, was the cigarette with the highest mutagenic activity - an unfortunately common finding which was discussed at BAT Group meetings and in reports.24.31.35

Legal restructure of BAT research Understandably, the group became anxious to distance itself from "dubious past research," leading to a major restructure of Rio and direct lawyer involvement in "every step" of BAT's smoking and disease activities. 34•36 By 1985, the "commercial aspects" of Project Rio were pronounced complete, and reports prepared for individual participating CAC companies such as WD&HO Wills. 35.37 Southampton used Rio data to draw conclusions about correlates of mutagenicity in BAT cigarette designs worldwide, concluding that features such as filter ventilation, still common in "light" Australian cigarettes, increased mutagenicity across BAT brands. 34.37.36

For legal reasons, the drive to restructure BAT research intensified throughout 1985. The CAC laboratories were considered too "independent" and "inconsistent," and WD&HO Wills was instructed to clear any BAT Co. documents "dealing with scientific and other potentially controversial issues" through the groups' lawyers before release.29.3942 In 1985 a new group-wide "research rationale" distinguished "product research (to be done internally) [from] smoking and health research (to be done externally) in future." Basic research was further de-emphasised.29,43

The Scientific Research Group to monitor external research "External" work to "determine the health consequences, if any, of smoking to the smoker," was monitored by a new Scientific Research Group (SRG).43 The SRG was established in April 1986, with representatives from CAC companies, to advise BAT companies on the product development and policy implications of external research work. 43.44 WD&HO Wills contributed tens of thousands of pounds to SRG-monitored work, although WD&HO Wills' managers objected to paying an equal share of the costs of SRG activities relative to other

CAC companies. WD&HO Wills also attended some SRG meetings.44•45

SRG members (including WD&HO Wills) appear to have been conscious of their responsibilities. In 1986 they noted that "current [legal] opinion indicates a clear duty to be aware of relevant scientific literature on smoke and health issues, and, if necessary, to

Page 87 of 260 carry out appropriate research on the product and/or its effects on the smoker."44 The SRG reviewed the literature, identified gaps, commissioned and monitored extemal research, directed group companies on R&D issues, and met to hear presentations of the results of commissioned research. Presentations were generally on topics favourable to the industry such as the benefits of nicotine, and thus provided the SRG with "good news."46.47

WD&HO Wills' internal product research From 1985 intemal product research, focusing on potential regulatory challenges such as measuring smoke toxicology, was reviewed to increase international coordination, quality and reporting. 43,48,49 Southampton "maintain[ed] a knowledge base on factors influencing specific constituents" and "provide[d] background on the opportunities for removing specific constituents." The role of operating companies such as WD&HO Wills was to "develop products with reductions in specific constituents" to capture health-concerned smokers in a shrinking markel.49

It seems that WD&HO Wills remained a relatively minor player in the global research team SO but continued to study Australian smokers under the internal research program. In 1986 "a relationship was established" between WD&HO Wills and the Southampton GR&DC, "in which equipment for monitoring human smoking patterns was supplied [to WD&HO Wills] to support the research programme on smoke quality, Data collected [were] transferred instantaneously to R&D [Southampton, from Sydney] for duplication of smoking behaviour and determination of smoke component deliveries,"48 WD&HO Wills also contributed financially to the centralised GR&DC research program, although their contribution was smaller due to their relatively lower volume of cigarette sales,51,52

The BAT research program winds down As the 1980s wound down so did the BAT research effort: in 1989 the Southampton laboratory staff was slashed from 500 to 15012 and in 1987 BAT's lawyers reviewed BAT's central R&D files containing decades of work, a confidential exercise intended to be protected by legal professional privilege and not disclosed to third parties by R&D staff. 52 Allegations that BAT engaged in systematic document destruction in Australia to protect itself from legal action have been made both in the courts and by whistleblowers in the media. 53,54

Page 88 of 260 The industry's communications

Internal strategies on smoking and disease According to Mary Covington of INFOTAB, the early 1980s was a time of "definite change in the attitudes of the [international] industry, [from] ... a generally passive stance to an active approach on smoking issues."55 This appears to have been prompted by a realisation that two decades of relative silence on smoking and disease were eroding industry credibility.56.57It seems that Australian manufacturers were no exception to this change. PML's corporate affairs department set out to "minimise the impact of unfavourable events arising from the smoking and health ... controversy" via a range of strategies including the use of political, advertising and joumalism contacts. 14 WD&HO Wills characterised the Australian industry as having a "policy," as follows:

"advocat[ing] strongly its right to do business in the market place, that the question of whether people smoke or not is a function of individual adult choice from a range of lifestyle options (of which smoking is merely one) and that further research is needed to help resolve the unresolved questions surrounding smoking and its possible relationship to human health."22

The 1980s through to the early 1990s appears to have been a period of intense, aggressive, obdurate denial, in the face of the industry's aforementioned private agreement that smoking caused illness.

There are many examples of intemal communications defending smoking, suggesting that in the 1980s Australian industry employees and affiliates at all levels were indoctrinated with an official policy: that disease causation was still an unresolved question. 58.59 A 1985 document from PML Legal Department files dismissed specific disease claims as unscientific. 6o At a 1986 Annual General Meeting PML exhorted shareholders:

"the company does not accept that there is overwhelming scientific and medical evidence indicting cigarette smoking as the largest cause of preventable death and disease in Australia ... a significant body of eminent

Page 89 of 260 medical and scientific opinion does not hold that view ... the true causes of the illnesses remain unknown ... the tobacco industry in Australia has, through the Australian Tobacco Research Foundation, supported over 100 independently conducted medical research projects in Australian universities and teaching hospitals."61

At a 1984 meeting of the board of BAT Industries, major shareholder in WD&HO Wills' parent company AMATIL, directors were instructed:

"[this year] more anomalies have come to light to support the controversy on causation ... despite 30 years of intensive research, no compound or group of compounds in cigarette smoke have been identified as having a causal link ... As in the past, the only recourse for the industry is to undertake or support more research ... possibly during the next five years and almost certainly within 15 years ... smoking and health issues will be resolved, one way or the other."62

Into the late 1980s, BAT's meetings of its regional and national managers featured scientific presentations that denigrated statistics, highlighted apparent epidemiological anomalies, and rehearsed analogies that undermined the evidence against smoking.63-65 BAT's publications for staff, distributed to WD&HO Wills, included a booklet promoting low tar cigarettes and the company's research investment, a massive "Issues Guide" for corporate affairs management, and the detailed "Compendium of Epidemiological Studies," a three-volume work for scientists highlighting the "controversy."65-69

Internal conflict on smoking and disease There is extensive documentation of turmoil within the BAT group on the nature of its public stance. In 1980 LCF Blackman, BAT's head of research in the UK, felt that

"other companies or industry associations ... are ... tending to over-state the 'causation is not proven' argument which we believe will not convince any audience - and will probably further reduce rather than raise the credibility of the Industry. "70.71

Page 90 of 260 BAT's corporate affairs, legal and research personnel worked for a whole year to find "ways of breaking out of the dilemma without prejudicing the legal position [of the industry]."7o This resulted in a proposal for a "new approach of open communication." The proposal was that BAT should "acknowledge (but...not accept) the strong body of opinion that smoking is associated with risk" and should promote its development of reduced risk products,7o

However the presence of an American company (Brown & Williamson) in the BAT group raised the spectre of US legal liability and Blackman's advice appears to have been quashed,70.72 WD&HO Wills opposed Blackman's position, at last in part because "parts of Dr Blackman's paper would appear to conflict with the propositions Widdup [Managing Director and Chairman of AMATIL] put to the Senate Committee [Inquiry into tobacco] five years [before]."73 Questions of product liability were not to become a serious threat in Australia until the end of the decade,74

Communications beyond the industry The documents suggest that Australian manufacturers, individually and through the TIA, implemented their policy of misleading the Australian public on smoking and disease. This was done via publicly distributed newsletters, advertising and interviews in news media, self-published books and pamphlets, medical conferences, and sympathetic publications such as the Australian Retail Tobacconist. The misrepresentation of the state of medical research appears to have been deliberate. As noted in Chapter Four, the TIA, in its information-management role, sought out the tiny body of work that dissented from medical authority75 and then concentrated these ideas in user-friendly form to promote to the public.

The Australian industry seems to have had scant regard for science when formulating these publications: in fact, twice during the 1980s even BAT was outraged by the inaccuracy of the Australians' claims. The TIA's 1983 pamphlet "The smoking and health controversy ... why more research is needed," sent to parliamentarians, libraries and tobacco employees,76.77 was strongly criticised by BAT's researchers in Southampton. They called it unbalanced, simplistic, superficial and unconvincing, noting that it conflated evidence and opinion and ignored the published literature,78

Page 91 of 260 In 1985, the BAT Group was concerned about a WD&HO Wills position paper which proposed that "people dying from smoking-associated disease do so at a later average age than those from non-smoking-associated diseases."79.8o Their statistical consultant reviewed the paper and advised: "I am afraid that this paper is very naive statistically and the conclusions and implicit inferences to be drawn from them are in many cases unsound."81 He called it "deliberately antagonistic," and noted that the writer did not seem to understand the points that he or she was making.81

There are many examples of the Australian industry publicly contradicting the scientific consensus. The TIA published a press advertisement in the Australian Financial Review entitled "Smoking. Let's be sensible about it"82 which insisted that tobacco control advocates were "imply[ing] scientific certainty where none exist[ed] ... [and] simplistically ... blam[ing] cigarette smoking for various diseases and deaths. "83 The "Casebook Arguments" that John Dollisson wrote as CEO of the TIA in 1986 stated:

"It is misleading to attribute even one death to smoking ... You are talking about poorly constructed studies conducted in America 20 odd years ago. They have been extensively criticised by scientists the world over as not being representative of America at the time. How could they possibly accurately represent Australia today? The smoking and health controversy should stay with the scientific community until resolved one way or another. The only appropriate role for the Government is to inform people of the medical and scientific facts. "59

Geoff Bible, then Managing Director of PML, promoted the policy in a speech to journalists where he encouraged smokers in the room to "take heart [because] your lungs are as pink and pretty as those of the non-smoker sitting next to you." Bible claimed that "thirty years ago, even twenty years, it was possible for an honest man to believe that smoking was the cause of all the ills that flesh is heir to." However, he argued, after spending $100m on research, the tobacco industry had not been able to find the "one ingredient" to blame that could be removed.B4

The documents also suggest that AMATIL (WD&HO Wills) were not only true to the policy of claiming more research was needed in the 1980s: their representatives were prepared

Page 92 of 260 to publicly concede that the industry had jointly agreed to that position. Duncan Fairweather, who managed Corporate Affairs at AMATIL and was also sometime spokesperson for the TIA in the 1980s, argued on Australian radio in 1984:

"our position on health is quite clear ... we think there are some questions to be raised about the statements that are made by the medical authorities, in the meantime there's a lot more research needed. That's a standard position that the industry has adopted and everyone is well aware of it. "85

Many other examples of the Australian industry's consistent and aggressive support of the policy are presented in Appendix Five.

Attacks on accurate information In addition to actively misleading Australians on disease, there are many examples of the industry opposing what it termed "anti-smoking propaganda."86 The industry instituted a "policy of vigilance against attacks by its opponents, whilst taking further constructive initiatives to place them on the defensive."87 Generally the industry's attacks demanded that messages be removed or demanded statistical or clinical sUbstantiation of claims.

Health authorities, advocates, researchers and editors were targets of these attacks. They were conducted by the TIA or its lawyers, Clayton Utz, were sometimes supported by Don Hoel of Shook Hardy and Bacon or by PML, and sometimes were conducted via advertising industry contacts. Objections were made to public statements by individuals as well as government health promotion campaigns, directly and through regulatory bodies including the Advertising Standards Council, Federation of Australian Commercial Television Stations, Media Council of Australia and the Australian equivalent of the US Federal Trade Commission, the Trade Practices Commission, which received a series of complaints alleging that consumers were being mislead by statements on smoking and disease.

In some instances the industry's objectives were achieved: the offending messages were withdrawn by the self-regulatory agency in question.as The industry even considered taking

Page 93 of 260 action against advertisements for nicotine chewing gum89 and in 1987 attacked the Medical Joumal of Australia regarding the content of published research articles,90 a paradox considering the industry's continuing protestations about the need for continuing medical research. Further evidence of industry's monitoring and attacking of tobacco control is presented in Appendix Five.

Impact on public opinion Throughout the 1980s the TIA continually monitored changes in public opinion about smoking. 91 A longitudinal study commissioned by the TIA and conducted by the Roy Morgan Research Centre suggested that despite the industry's efforts, opinion from 1983 to 1990 changed in a way that was unfavourable to the industry. The report from the study suggested the following changes in agreement to statements provided by the researcher: 1. "smoking is bad for you even if you smoke only a few a day": increase in agreement from 75% to 83%; 2. "the medical profession is correct in everything it says about smoking being a cause of lung cancer, heart disease and other health problems": increase in agreement from 75% to 80%; 3. "the medical profession has exaggerated the risks of smoking": decrease in agreement from 28% to 21 %; 4. "smoking helps some people handle situations in which they experience stress": decrease in agreement from 72% to 63%; 5. 'people are sufficiently aware of health concerns and further government sponsored anti-smoking and health advertising would be a waste of public money": increase in agreement from 40 to 45%; 6. "people should be constantly reminded that smoking is harmful": consistent agreement around 80%.

Interpretation of such results is complex. It is difficult to judge how closely people's opinions correlate to their agreement with statements that are given to them, and such a research method is highly constraining, permitting participants only to agree or disagree, not to have a nuanced or changing opinion. Nonetheless, the industry certainly took these results to mean that their aggressive public communications strategies were not having the

Page 94 of 260 desired effect.91 It is of interest that a diminishing minority of Australians agreed with the industry position on most issues, a minority which may in fact have consisted of smokers.

DISCUSSION The documents strongly suggest that, in the 1980s, Australian cigarette manufacturers were continuously made aware of the international consensus on smoking and disease via both the TIA and their parent companies. Australian executives attended meetings where the diseases caused by tobacco were openly discussed, and had the research literature digested and delivered to them. PML was informed on PM's international biological research program and visited PM's Richmond research facility. WD&HO Wills helped fund and manage the BAT biological research program, tested the mutagenicity of Australian cigarettes before such activity stopped in 1985, and continued to study human smoking patterns and smoke component deliveries in Australian smokers beyond 1985.

Despite this knowledge, the Australian manufacturers' policy throughout the 1980s was to argue that the question of a relationship between smoking and disease was unresolved and to advocate their right to do business and smokers' right to smoke. Internal and external communications conformed to this policy. Considerable resources were devoted to cataloguing the research literature, which overwhelmingly implicated tobacco as disease-causing. Further resources were then committed to designing formal responses that sought to deny the case that had built against tobacco. So eager was the Australian industry to deny the disease effects of tobacco that at times BAT contended that it did not understand the science of its product. The industry also attacked public health advocates making statements on the relationship between smoking and disease.

Such conduct seems inconsistent with community standards, or even the standards of the business community. The Australian Chamber of Commerce and Industry (ACCI) is the peak council of Australian business associations, and the conservative voice of business in Australia. The industry's actions clearly defy the ACCI policy on consumer protection, which states that "consumers ... have the right to expect ... safety standards from goods and services purchased [and] protection from misleading and deceiving practices ... "92 Given the apparent extent and deliberateness of the industry's activities, it seems appropriate that the executives, the directors and the lawyers employed by WD&HO Wills

Page 95 of 260 and PML from the 1980s and early 1990s should be investigated with respect to their possible liability under Australian law.

It may be that the industry's efforts were not highly effective in the general community. Nigel Gray, Australia's leading tobacco control advocate in the 1980s, has characterised the industry as largely ineffectual in public debates,h and the lacklustre results of the industry's public opinion polls support his views. Newspaper editorials advocating for continued tobacco advertising at the time frequently qualified their arguments by stating that smoking certainly caused disease. The Advertising Age editorialised in 1983 that 'the industry's credibility began its nose dive when Phil Scanlon, a spokesman for the major Australian tobacco company AMATIL Ltd., said on national TV that the tobacco industry believed smoking did not constitute a health risk," and noted that "the reaction against the ad [Smoking Lets be sensible about it] was enormous. Federal and State health ministers condemned the industry's attempts to deny that 16,000 Australian die every year due to smoking-related diseases and questioned the misleading presentation ."93 According to an advertising industry spokesperson "Smoking: Lets be sensible about it" was a "poorly conceived and executed non-event" which did the industry more harm than good. 93

However, when the TIA's Brian Gapes defended the production of the "Let's be sensible about it" advertisement, he claimed 'a lot of smokers applauded our action."93In 1984, Andrew Whist of PMI wrote with regard to Australia that "antismoking propaganda" was starting to persuade "even smokers" that it was an "undesirable habit."94 This is an important distinction, particularly given that the industry knew that committed smokers were more likely to support them on crucial policy issues. John Dollisson argued in 1986 at an international workshop: "Smokers and non-smokers are not homogeneous groups when responding to industry issues. The stronger the smoker's commitment to smoking the stronger their support on issues."95

It is possible that the main objective of the industry's aggressive communication on smoking and disease was to maintain the trust of smokers already predisposed towards the industry's position, providing them with reasons to doubt the "anti-smoking

h Gray N. Personal communication. 2002 November 29.

Page 96 of 260

f''hWc propaganda." Other quantitative studies, conducted by Australian public health researchers, have suggested that smokers are more likely than non-smokers to agree with statements like "the medical evidence that smoking causes cancer is not convincing" or

"many people who smoke live to a ripe old age, so smoking is not all that bad for YOU,"96.97 positions constantly reiterated by the industry throughout the 1980s. The industry's opinion poll data suggested that a slowly decreasing minority continued to agree with their views in a decade when Australian smoking prevalence was also steadily decreasing.

A diminishing cohort of committed smokers may have been responsible for the diminishing 20 to 30% of agreement with the industry in their population-based opinion polls. Industry advocacy may have allayed smoker's latent concerns, provided seemingly plausible rationalizing life rafts, and ultimately, reassured them in their decisions to keep smoking. Today's sick and dying smokers, without any advanced epidemiological knowledge or skills in the critical appraisal of evidence, who now say "I heard lots of doctors and professors on the radio saying that there was actually no proof that smoking caused cancer" cannot be considered simply ignorant or ill-informed. Smokers who were the recipients of the industry's policy of obdurate denial deserve to know both about the disease effects of smoking, but about the efforts of the industry to deny these effects in the 1980s, ideally via a mass media public information campaign.

As discussed in the next chapter, in the 1990s, as product liability litigation in Australia became a serious cause for concern, some elements of the industry stopped arguing that there was no proof that smokers were at risk, and instead advised smokers that they should have listened to the public health authorities, and the responsibility for their illness was theirs. The industry's conduct suggests that its primary motivation in Australia in the 1980s, as with most corporations in most contexts, was its own financial survival. Despite privately accepting that the case for smoking causing disease had long been established, the industry vigorously denied this via its corporate affairs activities. This is important evidence for litigation by smokers exposed to such industry campaigns, and for advocacy against the industry.

Page 97 of 260 REFERENCES 1. Francey N, Chapman S. "Operation Berkshire": the international tobacco companies' conspiracy. BMJ 2000;321 :371-374. 2. Glantz SA, Slade J, Bero LA, Hanauer P, Barnes DE, eds. The Cigarette Papers. Berkeley: University of California Press, 1996. 3. Ciresi MV, Walburn RB, Sulton TD. Decades of deceit: document discovery in the Minnesota tobacco litigation. William Mitchel/ Law Review 1999;25:477-566. 4. Hirschhorn N. Shameful science: four decades of the German tobacco industry's hidden research on smoking and health. Tobacco Control 2000;9:242-247. 5. Action on Smoking and Health UK. ASH UK website. Date Accessed: 29 Apr 2003. URL: http://www.ash.org.uk/ 6. Green SJ. Notes on Group Research & Development Conference Sydney, March 1978. Philip Morris. 19786 Apr. Bates No.: 205098744917455. URL: http://legacy.library.ucsf.edu/tid/oac62eOO 7. Blackman LCF. Smoking and health data bank. British American Tobacco. 1981 20 Nov. Bates No.: 100431064/1166. URL: http://tobaccodocuments.org/health_canadaJ2195.html 8. COREST A. CORESTA technology group list of altendance. Philip Morris. 1986 27 Oct. Bates No.: 202845903119033. URL: hltp:lllegacy.library.ucsf.edu/Ud/qda24eOO 9. Scot! JK. Metabolic cooperation and tumour promotion. RJ. Reynolds. 1983 14 Jan. Bates No.: 506312927/2959. URL: http://legacy.library.ucsf.edu/tid/izp74dOO 10. Colby FG. RJR Weekly highlights. RJ. Reynolds. 19823 Nov. Bates No.: 510750114/0116. URL: http://legacy.library.ucsf.edu/tid/hnv53dOO 11. Johnson JD, Houchens DP, Kluwe WM, Craig OK, Fisher GI, Battelle Memorial Institute. The effects of mainstream and sidestream tobacco smoke on the immune system in animals and humans [RJR funded research review]. RJ. Reynolds. 1989. Bates No.: 507053133/3234. URL: hUp:lllegacy.library.ucsf.edu/tid/qi034dOO 12. Philip Morris USA R&D Department. Strategic plan, 1989-1993. Philip Morris. 19891 Feb. Bates No.: 2021556671/6874. URL: http:tnegacy.library.ucsf.edu/tid/aiI71fOO 13. Colby FG, Rodgman A. Biological 1consumer preference research conducted by Philip Morris. Lorillard. 1983 Mar. Bates No.: 98288733/8781. URL: hltp:lllegacy.library.ucsf.edu/tid/jdy54cOO 14. Philip Morris International. 1980 corporate affairs [annual report]. Philip Morris. 1980. Bates No.: 2048129267/9296. URL: http:/negacy.library.ucsf.edu/tidlrbr42dOO 15. Bockman RH. Smoking issues 'Quick reference guide' second edition. Philip Morris. 1980 11 Aug. Bates No.: 2025011016/1017. URL: http:/negacy.library.ucsf.edu/tid/vsz46eOO 16. Philip Morris USA. [Confidential database of published biological research]. Philip Morris. 1989. Bates No.: 205080001210092. URL: http://legacy.library.ucsf.edu/tidlbjp45eOO 17. Tobacco International, CORESTA, RJ Reynolds Tobacco Co., RJ Reynolds Tobacco International. CORESTA 1982 Symposium Program. Philip Morris. 1982. Bates No.: 2050213189/3291. URL: http://legacy.library.ucsf.edu/tidlkh026eOO 18. Philip Morris Corporation. [Research and development: organizational charts]. Philip Morris. 19881 Jan. Bates No.: 2050971301/1324. URL: http://legacy.library.ucsf.edu/tid/pyy45eOO

Page 98 of 260 19. Philip Morris Europe R&D Neuchatel. Final Report Project Slow 177·C1 Chemical and Biological Testing of Prototype Cigarettes nC1 and 77·C1. Philip Morris. 1986 10 Jan. Bates No.: 250407718017204. URL: http://Iegacy.library.ucsf.edultidljpi29eOO 20. Philip Morris (Australia) Limited. [List of PML R&D plans]. Philip Morris. 1985 Feb. Bates No.: 2504077214. URL: http:lnegacy.library.ucsf.edultidlkzn32eOO 21. Harmsma O. [Memo to PM USA Richmond staff re: visit of Messrs Courtnay Ansley, Sean O'Flynn and Henry Goldberg.]. Philip Morris. 19832 Nov. Bates No.: 207486779717799. URL: http:tnegacy.library.ucsf.edultidlnnv17dOO 22. Wills D. Smoking and Health Report Australia, June 1980· September 1981. Brown & Williamson. 1981 Sep. Bates No.: 69083884218851. URL: http://Iegacy.library.ucsf.edultidlvg090fOO 23. Blackman LCF. Research Conference 1981· Pichlarn, Austria. British American Tobacco. 1981 27 Jul. Bates No.: 40109907519076. URL: http://tobaccodocuments.orglhealth_canadal40109907.html 24. Joint R&Dlmarketing conference. British American Tobacco. 198411 Apr. Bates No.: 10057136311425. URL: http://tobaccodocuments.orglhealth_canadal10057136.htrnl 25. Gaisch H. Monthly report June: highlights June 1984. Philip Morris. 198429 Jun. Bates No.: 250548579115794. URL: http://Iegacy.library.ucsf.edultidlfnb05cOO 26. Heard AL. [Letter re: group research programme and conference]. British American Tobacco. 1985 29 Apr. Bates No.: 109882400. URL: http://tobaccodocuments.orglbc_mohI12824.htrnl 27. Felton DG. [Group Research and Development Centre memo]. British American Tobacco. 198028 Mar. Bates No.: 103482628. URL: http://tobaccodocuments.orgibc_mohI31158.html 28. Thornton RE. [Letter to RG. Nicholls]. British American Tobacco. 198518 Dec. Bates No.: 107334943. URL: http://tobaccodocuments.orglhealth_canadalR1525_49.htrnl 29. British American Tobacco Co. Ltd. Marketing management programme: strategic product aspects. British American Tobacco. 1986 1 Dec. Bates No.: 40362478914964. URL: http://tobaccodocuments.org/health_canadalR1679.htrnl 30. British American Tobacco Co. Ltd. Research and Development Department. GR&DC Research Program and Resource Allocation. British American Tobacco. 1984 1 Nov. Bates No.: 10050720317333. URL: http://tobaccodocuments.orglbaCcdcl25804.html 31. British American Tobacco Co. Ltd. Biological Conference Southampton 9·11th April 1984. British American Tobacco. 1984. Bates No.: 10045348013688. URL: http://tobaccodocuments.orglbc_mohI11729.html 32. British American Tobacco Co. Ltd. [Notes from 1981 research conference]. British American Tobacco. 1981. Bates No.: 11008216712217. URL: http://tobaccodocuments.orgibc_mohI13108.html 33. Hardwick MJ. Comments by CAC Countries on GR&DC Work Programme Work Area 01: Biological. British American Tobacco. 19836 Jul. Bates No.: 10747116511166. URL: http://tobaccodocuments.org/health_canadal03700695.html 34. Blackman LCF. Research Conference Rio de Janeiro 22·26 August 1983. British American Tobacco. 198326 Aug. Bates No.: 10988243512458. URL: http://tobaccodocuments.orgibc_mohI12830.html

Page 99 of 260 35. British American Tobacco Co. Ltd. GR&DC Research Programme status review notes covering the period November 1984 - April 1985. British American Tobacco. 1985 Apr. Bates No.: 10997380213877. URL: http://tobaccodocuments.orgibc_moh/13075.html 36. Wells JKI. File note: conference with BAT legal on US products liability litigation. British American Tobacco. 1984 12 Jun. Bates No.: 521015673/5675. URL: http://tobaccodocuments.org/ness/90.pdf 37. Massey ED. Project Rio - Comparison of commercial cigarettes: influence of design features in mutagenicity as measured by the Ames Test - A Summary Repert. British American Tobacco. 1987 26 Jan. Bates No.: 400909754/9756. URL: http://tobaccodocuments.orgibc_moh/10815.html 38. British American Tobacco Co. Ltd. [Presentation: Project RIO. Part of Biological Conference Southampton 9-11th April 1984). British American Tobacco. 1984. Bates No.: 100132177/2220. URL: http://tobaccodocuments.org/bc_moh/30107.html 39. Heard AL. Group Tobacco Research and Development: Notes on a CAC R&D Meeting. British American Tobacco. 19856 Sep. Bates No.: 107442665/2675. URL: http://tobaccodocuments.org/health_canadal10744266.html 40. British American Tobacco Co. Ltd. Restricted B.A.T. (UK and export) Limited Research and Development Centre 1987 Work Programme. British American Tobacco. 1987. Bates No.: 400260056/0178. URL: http://tobaccodocuments.orglhealth_canadal40026005.html 41. Heard AL. Technical Aspects of Smoking and Health (memo). British American Tobacco. 19856 Jun. Bates No.: 107356412. URL: http://tobaccodocuments.org/bc_moh/12420.html 42. Smith PB. [Memo to Pascal Ricketts, BAT Industries]. British American Tobacco. 198514 Feb. Bates No.: 503113615. URL: http://tobaccodocuments.orglhealth_canadalR1675_61.html 43. Heard AL. Group R&D Conference held in Rio de Janeiro 12-15 November 1985. British American Tobacco. 19853 Dec. Bates No.: 10987791017921. URL: http://tobaccodocuments.orgibc_moh/12791.html 44. British American Tobacco Co. Ltd. Scientific Research Group. Research policy group meeting: 4-5 September 1986. British American Tobacco. 19865 Sep. Bates No.: 107356311/6315. URL: http://tobaccodocuments.orgibc_moh/12413.html 45. Thomton RE. [Memo to Mr C Borloz). British American Tobacco. 198815 Jun. Bates No.: 401035726/5727. URL: http://tobaccodocuments.org/bc_moh/10633.html 46. British American Tobacco Co. Ltd. Scientific Research Group. 2nd meeting of Scientific Research Group Montreal, August 6th-8th, 1986. British American Tobacco. 19868 Aug. Bates No.: 107356294/6295. URL: http://tobaccodocuments.orgibc_moh/12411.html 47. BAT (U.K. & Expert) Ltd. Research & Development Centre Southampton. Status review notes: period ending December 1989. British American Tobacco. 1989 Dec. Bates No.: 40045914119202. URL: http://tobaccodocuments.orglhealth_canadal40045914.html 48. British American Tobacco Co. Ltd. Work area 702: applied research and development: general (research work plan). British American Tobacco. 1986. Bates No.: 102393663/3688. URL: http://tobaccodocuments.orgibc_moh/12322.html

Page 100 of 260 49. Heard AL. Research conference, Sydney. British American Tobacco. 19865 Sep. Bates No.: 107356297/6310. URL: http://tobaccodocuments.org/bc_moh/12412.html 50. Heard AL. Research policy group· briefing notes. British American Tobacco. 198715 Sep. Bates No.: 401034583/4613. URL: http://tobaccodocuments.org/health_canadal40103461.html 51. Salter R Tobacco strategy review team. British American Tobacco. 198623 Oct. Bates No.: 502378855/8859. URL: http://tobaccodocuments.org/bc_moh/11474.html 52. Heard AL. Document Review. British American Tobacco. 19875 Nov. Bates No.: 401034506/4507. URL: http://tobaccodocuments.org/health_canadal40103453.html 53. Chapman S. Tobacco Control Super Site: Law resources. The University of Sydney 2003. Date Accessed: April 29 2003. URL: http://tobacco.health.usyd.edu.au/site/supersite/resourcesldocsJreferenceJaw.htm 54. Birnbauer W. The smoking gun, the insider, and the ghost of Rolah McCabe. The Age (Melbourne) 19 Jul, 2003, p. 1. 55. Covington M. Report on INFOTAB progress and plans. RJ. Reynolds. 1981 4 Nov. Bates No.: 504331013/1025. URL: http://Iegacy.library.ucsf.edu/tid/ysg58dOO 56. INFOTAB. Draft report to the board of INFOTAB on credibility. British American Tobacco. 19836 Jul. Bates No.: 301124369/4375. URL: http://tobaccodocuments.orglbc_moh/12123.html 57. Philip Morris International. The perspective of PM International on smoking and health issues. Philip Morris. 198529 Mar. Bates No.: 2023268329/8337. URL: http://Iegacy.library.ucsf.edu/tid/nky74eOO 58. The Tobacco Network. Smoking and health. RJ. Reynolds. 1981. Bates No.: 506642455/2459. URL: http:/negacy.library.ucsf.edu/tid/xw44dOO 59. Tobacco Institute of Australia. Casebook arguments. Philip Morris. 1986 May. Bates No.: 2501456347/6356. URL: http://Iegacy.library.ucsf.edu/tid/clu22eOO 60. Philip Morris (Australia) Limited Legal Department [inferred]. "Smoking causes lung cancer". Philip Morris. 1985 May. Bates No.: 2504100405/0417. URL: http://legacy.library.ucsf.edu/tid/esi29eOO 61. Philip Morris (Australia) Limited. [Response to question at AGM]. Philip Morris. 1986 Feb. Bates No.: 2504100560. URL: http://Iegacy.library.ucsf.edu/tid/ytn32eOO 62. British American Tobacco Co. Ltd. Tobacco Strategy Review Team. Talk on smoking and health to the BAT Industries Board. British Arnerican Tobacco. 1984 6 Mar. Bates No.: 30112755017561. URL: http://tobaccodocuments.org/guildford_miscl301127550·7571.html 63. British American Tobacco Co. Ltd. Scientific Research Group. Hamburg May 25-271987: minutes of SRG meeting. British American Tobacco. 198727 May. Bates No.: 401024587/4592. URL: http://tobaccodocuments.orglbc_moh/10636.html 64. British American Tobacco Co. Ltd. Group Conference on Smoking Issues. British Arnerican Tobacco. 198829 Mar. Bates No.: 401048516/8557. URL: http://tobaccodocuments.org/health_canadal1934_001.html 65. Ely RLO, Thornton RE. Group Conference on Smoking Issues: 29th March 1988. British American Tobacco. 198826 Jul. Bates No.: 401048605/8607. URL: http://tobaccodocuments.org/health_canada/1934_002.html

Page 101 of 260 66. BAT Group. Smoking and health: a BAT bookletfor staff. Bri~sh American Tobacco. 1980. Bates No.: 301118389/8402. URL: http://tobaccodocuments.org/bc_moh/11976.html 67. Thomton RE. Compendium of Epidemiological Studies. British American Tobacco. 1984 Nov. Bates No.: 202202749/3002. URL: http://tobaccodocuments.org/bc_moh/31805.html 68. British American Tobacco Co. Ltd. Note for Ihe Tobacco Strategy Review Team Meeting. British American Tobacco. 19892 Nov. Bates No.: 502621186. URL: http://tobaccodocuments.org/bc_moh/11405.html 69. British American Tobacco Co. Ltd. Smoking issues: claims and responses. British American Tobacco. 1989. Bates No.: 50310288213097. URL: http://tobaccodocuments.org/bc_moh/11511.html

70. Blackman LCF. Stance on smoking and health: note for informa~on and discussion. British American Tobacco. 1980 18 Dec. Bates No.: 109881275/1278. URL: http://tobaccodocuments.org/bc_moh/31371.html 71. Blackman LCF. The credibility of the industry stance. Tobacco Institute. 1980 22 May. British American Tobacco. Bates No.: TlOK0034611/4616. URL:

http:/Aegacy.library. ucsf. edu/~d/wh u91 100 72. British American Tobacco Co. Ltd. Restricted British American Tobacco Co. Ltd. Management Board meeting. British American Tobacco. 198018 Dec. Bates No.: 300053346/3351. URL: http://tobaccodocuments.org/bc_moh/12179.html 73. Baxter KP. [Letter to A. Holtzman]. Philip Morris. 198221 Jan. Bates No.: 2024954710/4711. URL:

http:megacy.library.ucsf.edu/~d/efc46eOO 74. Johnson A. Product liability litigation: briefing seminar in New Zealand. British American Tobacco. 198823 Dec. Bates No.: 301165268/5269. URL: http://tobaccodocuments.org/guildford_miscJ301165262-5271.html

75. Deegan C. T.I. newsletter no. 346, 5.12.83. Tobacco Ins~tute. 1983 14 Dec. Tobacco Institute of Australia. Bates No.: TIMN0149823. URL: http://legacy.library.ucsf.edu/tid/pyy82100 76. Tobacco Institute of Australia. The smoking and heallh controversy ... why more research is needed: a review of recent medical and scientific evidence presented to U.S. Congressional Committees. R.J. Reynolds. 1983 May. Bates No.: 503111915/1924. URL: http://legacy.library.ucsf.edu/tid/xkk68dOO 77. INFOTAB. Health and Science - Research/Communication [excerpt from INFOTOPICS]. R.J. Reynolds. 1983 22 Aug. Bates No.: 504683039/3040. URL: http://Iegacy.library.ucsf.edu/tid/fzp18cOO 78. BAT Group Research & Development Centre. Smoking issues literature review. Brown & Williamson. 1983 Oct. Bates No.: 650371856/1889. URL: http:/Aegacy.library.ucsf.edu/tid/sqv14100 79. AMATIL. Smoking and heallh. British American Tobacco. 1985 16 Jan. Bates No.: 503113506/3519. URL: http://tobaccodocuments.orglheallh_canadalR1675_50.html 80. Thornton RE. [Letter to Peter Lee]. British American Tobacco. 1985 7 Aug. Bates No.: 107334676. URL: http://tobaccodocuments.org/guildford_miscJ107334676.html

Page 102 of 260 81. Lee PN. "Smoking and health": some oomments on the draft paper prepared by AMATIL. British American Tobacco. 198521 Aug. Bates No.: 107334659/4663. URL: http://tobacoodocuments.org/guildford_miscl107334659-4663.html 82. Tobacoo Institute of Australia. Smoking: let's be sensible about it. Philip Morris. 1983. Bates No.: 2023084612. URL: http://legacy.library.ucsf.edu/tid/idn68eOO 83. Advertising Standards Council smoking and health oomplaints. Philip Morris. 1983 10 Apr. Bates No.: 2024272377. URL: http:megacy.library.ucsf.edu/tidIfk185e00 84. Bible G. The Freedom to Advertise. Philip Morris. 1983 27 Oct. Bates No.: 2024272360/2372. URL: http://legacy.library.ucsf.edu/tid/kkI85eOO 85. Interview between Howard Sattler, Peter Taylor & Duncan Fairweather, Perth, 16 August 1984. Brown & Williamson. 198416 Aug. Channel 7 State Affair program. Bates No.: 690154616/4618. URL: http://legacy.library.ucsf.edu/tid/yhI02dOO 86. WD&HO Wills Corporate Affairs. Smoking and Health. Brown & Williamson. 1983 Apr. Bates No.: 517001018/1022. URL: http://legacy.library.ucsf.edu/tid/jfb90fOO 87. Rule E. Smoking and health report, Australia, January· March 1982. Brown & Williamson. 19823 May. Bates No.: 690838785/8791. URL: http://legacy.library.ucsf.edu/tid/fg090fOO 88. McGrath M. [Telex to D. Hoel]. Philip Morris. 19793 Aug. Bates No.: 2024978344. URL: http://legacy.library.ucsf.edu/tid/zlx46eOO 89. Browne C. [Letter to J. Little]. Tobacoo Institute. 198911 Jul. INFOTAB. Bates No.: TIMN0314258/4260. URL: http://legacy.library.ucsf.edu/tid/syw52fOO 90. Wilson B. Tobacco Institute of Australia Limited· Australian Medical Association and Australasian Medical Publishing Company Limited. Philip Morris. 19876 May. Clayton Utz. Bates No.: 2504085941/5942. URL: http:megacy.library.ucsf.edu/tid/lm32eOO 91. ACIL Economics and Policy Pty Ltd. The TIA smoking survey: summary of results, critique and options. Philip Morris. 1993 Jun. Bates No.: 250407931919354. URL: http://legacy.library.ucsf.edu/tid/wev43eOO 92. Australian Chamber of Commerce and Industry. Index to policies. 2003. Date Accessed: 3 Sep 2003. URL: http://www.accLasn.auflndex_policypapers.htm 93. Powell R. Pressures are mounting to curb cigaret advertising down under. Brown & Williamson. 198312 Sep. Bates No.: 690108374/8375. URL: http://legacy.library.ucsf.edu/tid/thq01cOO 94. Whist A. [Memo to R.W. Murray]. Philip Morris. 198417 Apr. Bates No.: 2023273119/3120. URL: http://legacy.library.ucsf.edu/tid/uot24eOO 95. INFOTAB. INFOTAB International Workshop, Brussels, Belgium, October 13·16,1986. Philip Morris. 1986 16 Oct. Bates No.: 250144663617080. URL: http://legacy.library.ucsf.edu/tid/alr02aOO 96. Chapman S, Wong WL, Smith W. Self·exempting beliefs about smoking and health: differences between smokers and ex·smokers. Am J Public Heaffh 1993;83:215·219. 97. Oakes W, Chapman S, Borland R, Bamford J, Trotter L. Bulletproof skeptics in life's jungle: which self·exempting beliefs about smoking most predict lack of intention to quit? Preventive Medicine 2004;39:776·782.

Page 103 of 260 CHAPTER SIX THE TIA'S "ACTIVE SMOKING MEDIA STATEMENT"

INTRODUCTION This chapter explores in detail a specific problem in corporate affairs from the early 1990s: the Australian tobacco industry's desire to develop a joint statement on the disease effects of smoking.

This chapter builds on the history of the TIA in Chapter Four and the case made in Chapter Five that in the 1980s the industry was aware of the disease effects of smoking but chose to mislead consumers. In the early 1990s, the TIA needed to develop a coherent position on smoking and disease, acceptable to all the companies and consistent with their own positions, which would form the basis of its public statements. This problem led to a periodic struggle stretching from September 1991 to October 1993, arising from differing degrees of evolution in the companies' corporate affairs policy on the issue of smoking and disease. The struggle illustrates the degree of control, particularly legal control, which tobacco companies and organizations exercised over corporate affairs strategies in the 1990s. It also shows the tenacity of some industry players in insisting that the industry continue to publicly deny, overtly or implicitly, the medical consensus.

RESULTS

The players This episode involved many players from the manufacturing and marketing companies, the TIA, and various legal counsel. The main participants for whom evidence is available were, in alphabetical order:

1. Glen Eggleton, Clayton UIz counsel who began working for the TIA in the late 1980s; 2. Greg Fowler, counsel with Shook Hardy and Bacon Kansas, who came to Australia to work for PML and the TIA for a short period in the early 1990s; 3. John Gonzci, Rothmans Holdings Australia counsel, Chair of the TIA Legal Committee;

Page 104 of 260 4. Stephen Klolz, TIA Counsel in the early 1990s who went on join law firm Dunhill Madden Butler working on matters including tobacco; 5. Maria McCrossin, from Clayton UIz Sydney, the TIA's external counsel; 6. Jerome Mostyn, transnational employee of the BAT Group in various markets from the 1970s, who was briefly at the helm of the TIA around 1992 and 1993; 7. Bob Northrip, Shook Hardy and Bacon, Kansas; 8. Ken Pimblett, who held multiple roles, including TIA Board and Legal Committee member, TIA Executive Project Officer, and R.J.Reynolds Australia staff member from the 1980s to early 1990s; 9. Donna Staunton, who moved from Clay10n UIz to head the TIA and then on to the Philip Morris Group; 10. Chuck Wall, Vice President and Associate General Counsel Philip Morris Companies New York who had close involvement with the affairs of PMI; and 11. Mary Weir, Company Solicitor for WD&HO Wills.

Detailed notes including reference to sources for information about these people are in Appendix Four.

Episode one: three incommensurable positions In 1991, Ken Pimblett, Executive Officer Special Projects at the TIA, wrote to WD&HO Wills, PML and Rothmans, asking for their official positions on the relationship between smoking and disease. The intention was to use these to develop a coherent TIA statement concordant with all manufacturers' positions. Pimblett's request produced three disparate statements. These suggest two things: First that by the early 1990s, such positions were closely controlled by the ultimate parent companies; secondly, that the three organizations were approaching corporate affairs very differently in the new decade.

From WD&HO Wills, a position "approved by BAT Co.", which appears essentially unchanged from the 1970s:

"In our opinion, science has not established that smoking causes disease and it is our view that further scientific research is necessary to address a number of inconsistencies in the statistical and biological evidence."1

Page 105 of 260 From Rothmans, a statement which did not hark back to its previous calls for more research, but which specifically denied cause and emphasised that the association was "only statistical":

"Cigarette smoking together with other conditions and behaviours such as diet, genetic makeup, age, occupation and place of residence has been statistically associated with some kinds of lung cancer. Statistical association between a factor and a disease does not however mean that a cause and effect relationship between the two has been established, and current evidence has not established scientifically that there is a causal relationship between smoking and lung cancer."2

From PML, the worldwide Philip Morris Companies position, and the most thoroughly modernised of the three, which acknowledged risk but not cause, and framed the decision to smoke as being entirely the responsibility of informed adults:

"The relationship between smoking and health is ... controversial. We have acknowledged that smoking is a risk factor in the development of lung cancer and certain other human diseases, because a statistical relationship exists between smoking and the occurrence of those diseases. Accordingly, we insist that the decision to smoke, like many other life-style decisions, should be made by informed adults. We believe that smokers around the world are well aware of the potential risks associated with tobacco use, and have the knowledge necessary to make

an informed decision." 3

Understandably, Pimblett wrote to the manufacturers in October 1991:

"it is not conceivable that we could develop a uniform position [from the above]. Stephen Klotz [TIA Counsel] has discussed this issue with each of your legal officers who have no doubt reviewed with you. However, based on our current position we need to consider: 1. Do we still want to pursue a singular position that the TIA and industry can adopt? 2. If so, what

Page 106 of 260 should it be? May I suggest we place this on the agenda for the next Executive Committee Meeting and discuss."4

There is no record of a resolution in 1991.

Episode two: the Q&A tightrope It was not until December 1992 that a position was apparently "settled" between Maria McCrossin, Jerome Mostyn, Glen Eggleton, and Bob Northrip, and was forwarded to the local and international offices of the manufacturers. 5,6 It was formatted as questions and answers, and given Northrip's involvement, and his rising control of the TIA as documented in Chapter Four, it seems unsurprising that it reflected the Philip Morris group's position strongly.

Q: "Does smoking cause lung cancer?" A: 'There is an increased incidence of lung cancer among smokers compared to non-smokers - this statistical association is widely reported and well known."

Q: "But does that mean smoking causes lung cancer - as it says on the packet?" A: "It is a matter of scientific judgement as to whether or not a statistical association viewed with other research data should be classified as 'causal'. Currently the government favours that interpretation. That is why the cigarette packet carries that warning."

Q: "Does the tobacco industry concede that smoking causes lung cancer?" A: "We don't make that concession. However, we regard it as important that the community is aware of the reported health risks. It is a question of informed choice - an adult decision. That is why we are against juvenile smoking."

Page 107 of 260 Q: "Why has the tobacco industry taken so long to acknowledge that there is a risk? A: For years the industry has denied that smoking causes cancer. Is has said there is a 'controversy'." "For many years scientists vigorously debated and questioned the association between smoking and lung cancer. Over time the scientific community has grappled with a number of anomalies and other issues and now the government favours a causal interpretation. Even today the mechanism of cancer is unknown - the Nobel Prize is up for grabs for that one."

Q: "How big is the health risk?" A: "You can't generalise - the health of every person differs. There is still much to learn about the many risks we encounter in our daily lives ... every day we make choices that can affect our life and our health .. ."

Q: "But 20,000 people die each year from smoking cigarette products." A: "It is not an actual figure but a prediction from statistics."

Q: "So do you agree that people who smoke will die younger?" A: "I do not believe that smoking can be isolated as the sole reason for premature death."

Q: "But how can you work for an industry which kills 20,000 people a year?" A: "If I thought smokers didn't know there was a risk, I would be unhappy. But you don't give the public enough credit, they are well aware of the risks - there has been anti-smoking education in schools in Australia since the mid-1950s. People who smoke know the reported risks and are free to make an informed choice as to whether they wish to enjoy smoking or not."6

Page 108 of 260 Episode three: "the impressionable and unintelligent" The resolution only held for three months. By March 1993, the position was apparently "unsettled" again. Donna Staunton, who seems not to have been involved in the first episode, started correspondence with Eggleton over the content of the statement.7 Eggleton's concerns for the TIA were twofold. First "to ensure that any statement TIA makes does not breach Section 52 of the Trade Practices Act", which prevents conduct in trade or commerce that is likely to mislead or deceive. Secondly to ensure "that the TIA does not concede that disease causation has been established."B Given that public health opinion had settled on a causal relationship between smoking and disease some decades before, this challenge required semantic acrobatics of the first order. Eggleton's memo sets out a range of changes, exercising caution with regard to "the impressionable and un intelligent."

"Alternative drafts were considered and abandoned in preference for the attached draft. For example, if the TIA chose to amend the draft so the third sentence read: "currently the govemment is in favour of a causal interpretation", it could be argued that the TIA may create a false impression in the minds of an audience which includes the impressionable and un intelligent. Some members of the audience may be led to believe that only the govemment favours that interpretation, and not the majority of the medical community. By not mentioning the prevailing view of the medical community, the audience could be said to have been misled. Silence and/or omissions, can constitute misleading conduct [under the act]."B

By Mid-April, following further input from Northrip and Chuck Wall,9 Greg Fowler sent Staunton a statement revised into a Q&A format, apparently to be used by the TIA, that acknowledged "reported risks", emphasised that the community was well informed about the "predominant view of the medical community", but also suggested that the medical community had not proven cause. 10.11 In May/June 1993, Staunton attempted to mediate in a stalemate between Fowler and Mary Weir at WD&HO Wills over the semantics of acknowledging or denying risk. 12•17 A resulting "approved" statement in late July acknowledged that smoking was a risk factor for "lung cancer and certain other diseases"

Page 109 of 260 according to the "predominant opinion of the medical community", but not the opinion of the TIA, and emphasised that informed adults made their own choices. 12,18,19 Fowler sent it to Wall, noting "although timid by standards of what PM and Rothmans would have approved, it is a positive triumph in that Wills at last approve of the 'risk factor' language."2o

Episode four: "the full sum and substance of our opinion" The final chapter in the saga began three months later, when Clayton Utz advised Staunton that the "approved" statement was in fact written by Gonczi as chair of the TIA's legal committee and was not cleared as stated. Clayton Utz again expressed concerns with regard to Trade Practices law, advised against making a statement about disease generally rather than about a specific disease, and worried about the TIA's apprehension of the literature and even their honesty, raising the spectre of another AFCO:

"We believe it is incorrect and therefore inappropriate to concede that the predominant opinion of the medical community is that a causal relationship has been shown in respect of all diseases associated with smoking ... The final sentence of the first paragraph which states 'The Institute does not share this view' may be argued to constitute a misrepresentation, In our view the sentence represents that: the Institute has an opinion concerning the question of whether smoking is causally related to a range of diseases including lung cancer; the Institute's opinions in respect of all of these diseases differs from the predominant view of the medical community; the Institute's opinions are rationally based upon all of the information available; ... the Institute honestly holds these differing opinions. We believe that the Institute would wish to avoid such an argument being raised against it by an opponent such as AFCO."21

It is not clear whether the TIA ever agreed on a final position. The last document found appears to be a memo from Greg Fowler at PML in response to Clayton Utz's recommendations. 12,22-24 Fowler's "proposed" statement removes references to diseases other than lung cancer, and does not speak for 'medical opinion' as the original statement

Page 110 of 260 did, but it continues to simultaneously hide behind and undermine the "opinion of many in the medical community', and squarely lays the blame on informed smokers:

"We acknowledge that smoking is a risk factor for lung cancer. This is because of the epidemiological studies which suggest a statistical association between smoking and lung cancer. Because statistics alone do not prove cause and effect, we believe that there is still room to debate whether smoking has been proven to cause lung cancer. The causes of origins of lung cancer are complex and there remain numerous unresolved scientific questions including identification of the mechanism by which lung cancer occurs. We believe the public is well aware of the reported risks associated with smoking, This awareness is due, in part, to the widely publicised opinion of many in the medical community, government health warnings on cigarette packages and so forth. Smoking is and should be an adult custom. Adults are able to make an informed decision whether or not they wish to smoke. As I have said, we acknowledge that smoking is a risk factor and that is the full sum and substance of our opinion concerning the reported relationship between smoking and lung cancer.'24

DISCUSSION The industry's positions on the "primary issue" have evolved further since these events. As noted in Chapter One, Rothmans no longer has an interest in the Australian market. The contemporary differences between PML and BAT A are not dissimilar to the differences that made trouble for the TIA more than a decade ago. As discussed below, the Philip Morris position now concedes causation and encourages people to quit, while the BAT A site concedes only risk, and continues to include information that obscures the health evidence.

PML no longer has its own Intemet presence. The "Australia" pages on the PMI website are devoted to staff recruitment only. Corporate affairs issues have been completely centralised in the PMI main site, which presents a range of differing views from external sources on "smoking and health'. Its summary, however, is distinctly different from the policy a decade ago:

Page 111 01260 "Cigarette smoking is addictive. It can be very difficult to quit but, if you are a smoker, this shouldn't stop you from trying to do so. Cigarette smoking causes lung cancer, heart disease, emphysema and other serious diseases in smokers. Smokers are far more likely than non-smokers to develop diseases such as lung cancer. There is no such thing as a "safe" cigarette."25

British American Tobacco Australia has its own website. The look and feel, and most of the content is very similar to that of its parent BAT PLC. BAT A's site also contains links to public health resources, along with the following summary statement:

"At British American Tobacco Australia, we believe that with smoking comes real risks of serious disease ... We strongly believe that smoking should only be for adults who are aware of the risks. We agree with the public health community that the health impact of smoking should be reduced, and as a responsible company, we are committed to working with others to try to do that. Our views on the health risks are largely driven by the epidemiological studies. Epidemiology is a statistically based science, dealing with risks among large groups of people, rather than with individuals ... Over many years, epidemiological studies have reported a higher incidence of certain diseases among smokers compared with non­ smokers ... laboratory investigations over the years have proved more problematic, and science has not to date been able to identify biological mechanisms which can explain with certainty the statistical findings linking smoking and certain diseases, despite many years of effort. Science is still unable to determine which smokers will get a smoking related disease and which will not. Nor can science tell whether any individual became ill solely because they smoked. This is, in part, because all of the diseases that have been associated with smoking also occur in life-long non-smokers. The lack of complete understanding at a biological level does not throw doubt on the statistics, which are strong. It does, though, provide uncertainty to efforts to design less risky cigarettes. Since the initial epidemiological studies were published in the 1950s and 60s, the working hypothesis of much of the research conducted within the British American

Page 112 of 260 Tobacco Group, has been that there is a link between smoking and certain diseases, and such scientific research has focused on attempts to assess and make potentially less hazardous products. Given that these statistics show the greatest risk in groups that smoke heavily for many years, a sensible hypothesis has been that the less smoke that someone takes over a lifetime, the less the risk. In our view this, in cigarette design terms, suggests that lower tar cigarettes should be seriously considered as having a role in reducing risks."26

All of the above text is also on the website of BAT PLC. Curiously, however, the Australian site is missing one crucial paragraph that is placed prominently on the BAT PLC. site:

"Put simply, smoking is a cause of certain diseases. This has been the working hypothesis of much of our product modification research, has been believed by smokers for decades and is the most appropriate viewpoint for consumers and public health authorities."27

There are a number of lessons to be drawn from this account. First, it is an excellent illustration of the Australian industry's continued intention to cooperate on corporate affairs matters. Secondly it shows that the intention to cooperate does not always produce cooperation. Thirdly it suggests that tobacco companies do not behave identically. Whatever its motivations, and whether or not it actually reaches smokers, PML in particular has been and remains ahead of its competitors in making frank and transparent statements. Fourthly this chapter underscores the complexities of the transnational nature of the Australian industry. Certainly during the episode examined here, responsibility for serious, legally delicate matters was referred to ultimate parent companies rather than being exercised at a local level, and the bulk of the text used to position the companies continues to come from lawyers at international head offices. I would propose, however, that BATA's current rejection of its parent's cause clause cannot possibly be accidental, suggesting a certain level of variation is tolerated even on important matters in some contexts. It seems possible that the fact that BAT has been in court over active smoking in Australia recently may have informed this omission. Finally, the detailed to-ing and fro-ing between the players in this story suggest that the industry's motivation in the early 1990s was a desire to avoid legal liability rather than genuine concern for its customers. The

Page 113 of 260 medical community's position had been clear for many decades. Industry executives' continued legal hair-splitting on an issue that was epidemiologically plain is consistent with the overriding motivation of most TNCs, as suggested in Chapter Two, to protect profits for shareholders in a shrinking market, whether by sustaining customer loyalty or preventing catastrophic litigation payouts.

REFERENCES 1. Symmes G. Primary smoking position. Philip Morris. 1991 20 Sep. WD&HO Wills (Australia) Limited. Bates No.: 2504079075. URL: http://legacy.library.ucsf.edu/tid/izi29eOO 2. Alexander P. Primary smoking: Rothmans position. Philip Morris. 1991 6 Sep. Rothmans of Pall Mall (Australia) Limited. Bates No.: 2504079076. URL: http:Jnegacy.library.ucsf.edu/tid/jzi2geOO 3. Philip Morris International. Philip Morris Companies Inc. annual report 1990 [excerpt). Philip Morris. 1990. Bates No.: 2504079077. URL: http://legacy.library.ucsf.edu/tid/kzi29eOO 4. Pimblett K. Primary smoking. Philip Morris. 1991 1 Oct. Tobacoo Institute of Australia. Bates No.: 2504079074. URL: http://legacy.library.ucsf.edu/tid/hzi29eOO 5. Eggleton G. TIA - AFCO matter no. 725190: media Q & As - active smoking. Philip Morris. 199214 Dec. Clayton Utz. Bates No.: 250408774617747. URL: http://legacy.library.ucsf.edu/tidfjwu87dOO 6. Clayton Utz. Media Q & As - active smoking. Philip Morris. 1992 Dec. Bates No.: 250408774817749. URL: http://legacy.library.ucsf.edu/tid/mog48dOO 7. Staunton D. TIA: smoking & health. Philip Morris. 1993 11 Mar. Tobacoo Institute of Australia. Bates No.: 2504087731. URL: http:Jnegacy.library.ucsf.edu/tid/fui2geOO 8. Eggleton G. TlA - smoking and health (114/678277). Philip Morris. 19939 Mar. Clayton Utz. Bates No.: 250408773317734. URL: http://legacy.library.ucsf.edu/tid/tbw88dOO 9. Wall C. Active smoking/lung cancer: draft. Philip Morris. 199324 Mar. Bates No.: 2023248337. URL: http://legacy.library.ucsf.edu/tid/pbI12aOO 10. Fowler G. Seton K. Active smoking statement. Philip Morris. 199313 Apr. Philip Morris (Australia)

Limited. Bates No.: 2504087726. URL: http:/~egacy.library.ucsf.edu/tid/wge87eOO 11. Tobacco Institute of Australia. Active smoking/lung cancer: Q&A format. Philip Morris. 1993 Apr. Bates No.: 2504087727. URL: http://legacy.library.ucsf.edu/tid/xge87eOO 12. Tobacoo Institute of Australia. Proposed TIA media statement. Philip Morris. 199326 Oct. Bates No.: 2504087702. URL: http://legacy.library.ucsf.edu/tidfjge87eOO 13. Tobacoo Institute of Australia. Active smoking Ilung cancer: revised draft. Philip Morris. 1993 May. Bates No.: 2504087712E. URL: http://legacy.library.ucsf.edu/tid/qge87eOO 14. Staunton D. Wills media statement. Philip Morris. 199325 May. Tobacco Institute of Australia. Bates No.: 2504087717. URL: http:Jnegacy.library.ucsf.edu/tid/tge87eOO 15. Weir M. TIA media position. Philip Morris. 199325 May. WD&HO Wills (Australia) Limited. Bates No.: 2504087718. URL: http:Jnegacy.library.ucsf.edu/tid/uge87eOO 16. Fowler G. Proposed TIA active smoking statement. Philip Morris. 1993 28 May. Bates No.: 250408771317714. URL: http://tobacoodocuments.org/bliley_pm/27533.html

Page 114 of 260 17. Weir M. Proposed TIA active smoking statement. Philip Morris. 19933 Jun. WD&HQ Wills (Australia) Limited. Bates No.: 2504087711. URL: http://tobaccodocuments.org/bliley_pm/27528.html 18. Tobacco Institute 01 Australia. Approved TIA media statement. Philip Morris. 1993. Bates No.: 2504079073. URL: http://Iegacy.library.ucsl.edu/tid/kle87eOO 19. Gonczi J. TIA media response - active smoking. Philip Morris. 199329 JuL Tobacco Institute 01

Australia. Bates No.: 2504087707. URL: http://Iegacy.library.ucsl.edu/tid~ge87eOO 20. Fowler G. Active smoking: TIA responsive media statement. Philip Morris. 1993 30 JuL Philip Morris (Australia) Limited. Bates No.: 2504087706. URL: http:tnegacy.library.ucsl.edu/tid/kge87eOO 21. Clayton Utz. Active smoking media statement. Philip Morris. 199322 Qct. Bates No.:

250408770317705. URL: http:/~egacy.library.ucsf.edu/tid~bw88dOO 22. Staunton D. Active smoking media statement. Philip Morris. 199326 Oct. Tobacco Institute 01 Australia. Bates No.: 2504087701. URL: http://Iegacy.library.ucsf.edu/tidflge87eOO 23. Fowler G. Active smoking media response. Philip Morris. 1993 29 Oct. Philip Morris (Australia)

Limited. Bates No.: 2504087699. URL: http:/~egacy.library.ucsl.edu/tid/gge87eOO 24. Tobacco Institute 01 Australia. Proposed TIA media points active smoking. Philip Morris. 1993 Qct. Bates No.: 2504087700. URL: http://legacy.library.ucsl.edu/tid/hge87eOO 25. Smoking and health. Philip Morris International 2004. Date Accessed: Jan 16 2004. URL: http://www.philipmorrisinternationaLcom/pages/eng/smoking/S_and_H.asp 26. Health risks. British American Tobacco Australia 2004. Date Accessed: Jan 162004. URL: http://www.bata.com.au/oneweb/sites/BAT _53RF5W.nsl/vwPagesWebLive/80256AED003D81 CC8 0256ABE005B229A?opendocument&SID=28289DC4A61D76CCFFE651C29C83CF5A&DTC=200 50116 27. About smoking. British American Tobacco PLC. 2004. Date Accessed: Jan 162004. URL: http://www.bat.com/QneWeb/sites/uk_3mnlen.nsl/vwPagesWebLive/AA581 B53BE07773C80256 BF40003319B?opendocument&SID= 13222F941125F7A521 FC676F989A45B6&DTC=20050116

Page 115 of 260 CHAPTER SEVEN FROM LEGITIMATE CONSUMERS TO PUBLIC RELATIONS PAWNS: THE TOBACCO INDUSTRY AND YOUNG AUSTRALIANS

INTRODUCTION The purpose of this chapter is to describe the efforts of the corporate affairs departments of the Australian tobacco industry and their international parent companies on the issue of youth smoking.

Youth smoking is the focus of extensive research nationally and internationally, driven by a fundamental tenet of tobacco control: that most smokers become addicted as teenagers, before they are able to consent, and that the tobacco industry has worked to ensure that this continues. Recent research has concluded that the most likely age for transition to regular smoking in Australia is 14,1 and that smoking by Australians aged under 18 supplies $AUD18.7 million in sales to the tobacco industry, $AUD18.7 million to retailers and $AUD87 million to the Australian government in taxation every year.2 International research has recorded the tobacco industry's explicit targeting of young people with market research, product design, and marketing strategies including advertising and pricing.3.o In response to the problem, both tobacco control and the tobacco industry have created "youth smoking prevention" campaigns of varying effectiveness. The literature particularly criticises industry-funded programs,7·12

The traditional emphasis on youth in tobacco control policy has been challenged of late, authors suggesting that it plays into the industry's hands and diverts resources from more effective adult programs. 13,14 Programs intended to prevent young people from buying cigarettes in shops and school-based education have been most criticised. It has been suggested that programs limiting access to cigarettes in shops, which set legislated age limits for tobacco purchase and penalise retailers who do not comply, may be more likely to influence teen purchase rather than to reduce smoking prevalence, 15-17 and there is also limited support for school-based programs in the Iiterature. 15,18-22

Page 116 of 260 This chapter will explore two aspects of the tobacco industry's relationships to young Australians, First, marketing to young people, and secondly strategies from corporate affairs departments about young people. These two inter-dependent aspects of the industry's youth programs are presented together in a chronology to argue that Australian legislation and rhetoric on youth and tobacco has changed dramatically over the course of the last fifty years. The industry engaged in an un problematic association of teenagers and smoking in the 1960s, aggressively attacked and denied in the 1980s, and then in the 1990s became newly compliant with "societal expectations" and began using the youth issue as a dominant bargaining chip in its corporate affairs management strategy.

RESULTS

1950 to 1990: From legitimacy to battleground In the 1950s and 1960s, cigarettes were advertised during children's television programs23 and in teen magazines,24 and the industry openly encouraged tobacco retailers to pursue young smokers as a valuable future market. 25 It was only in the 1970s, when Australian tobacco advertising was threatened by its perceived influence on children's uptake of smoking, that the industry began to attempt to dissociate tobacco advertising from children, consistently arguing that "all known research" showed that cigarette advertising had no influence. 26 An Australian study published by the NHMRC in 1969 was used as evidence for this proposition for 20 years, despite the fact that it was not designed to examine any relationship between smoking and advertising.27

The aggressive 1980s Chapters Four and Five illustrated the particularly aggressive nature of the Australian tobacco industry's communications in the 1980s. In this decade new arguments on youth also emerged. The NHMRC study, which did show that peers and parents were important in children's smoking behaviour, was used to justify a shift towards blaming others for youth smoking, including parents, peers, siblings, retailers, government, tobacco control and youth themselves. 28 In addition, the industry began to claim that youth smoking was

Page 117 of 260 merely "experimentation", that youth shouldn't smoke, and that smoking was a "mature" pastime appropriate only for adults 29

Chapter Four argued that in the 1980s the Tobacco Institute of Australia (TIA) had a respected and central position in the worldwide tobacco family. In closed industry meetings the TIA argued dismissively that 'children are the most over-protected of all consumers ... [they] are being used as a major weapon in the anti-tobacco groups' fight to remove tobacco advertising and make smoking socially unacceptable - their aim is a smoke-free generation by 2000, or to put you and your companies out of business,"3o a position which informed and was informed by the rhetoric of Philip Morris International (PMI),31 and INFOTAB.32

A key promoter of these arguments was Glen Smith, ex-patriate Australian and director of the "Children's Research Unit" in London, who had been recruited to the industry by Bryan Simpson, the TIA's inaugural director. Smith appears to have supplied two ironically conflicting services to the TIA and its international counterpart INFOTAB. The first was "criticism on demand" of tobacco control research. Smith's standard accusations were that public health studies had "methodological deficiencies reminiscent of a Swiss cheese"33 and were hopelessly na'ive in their approach to children. 34•35 Secondly, as documented elsewhere, Smith conducted a large, ongoing study for the industry explicitly designed to show that advertising did not influence children's smoking. 36.37 The study led to peer reviewed publications, monographs, and international presentations. The Australian segment of the "study" was completed in 1983 and 1984, fronted by a third party to cloak the industry's involvemenl. 3840

Smith was named as an "invaluable" witness and lobbyist in Australia in a report on an INFOTAB meeting41 and by his own report promoted his study to parliamentarians and the Australian media at a costto the industry of UK £1000 a day.42In 1988 Smith attempted to convince the TIA of the value of repeating the 1983 and 1984 work, assuring them that it would provide the results, and thus the publicity, that they wanted,43 but it seems he was unsuccessful in meeting the TIA's precondition for funding: that he acquire the endorsement and preferably financial support of state governments. 4447 After the apparent end of his financial relationship with the industry, they continued to quote his work until the

Page 118 of 260 late 1990s. Smith has continued his career as a youth research specialist servicing controversial industries.

Regulatory battles in the 1980s The confrontalional1980s produced both wins and losses for the industry. Paul Hogan, iconic Australian actor, was removed from advertising for a major Australian youth brand, Winfield, through advocacY,48 and in the State of Victoria most tobacco marketing activities were banned by a far-reaching bill achieved through meticulous tobacco controllobbying,i despite the industry's counter-efforts.49 However, the industry was more successful in other states, particularly Western Australia where extensive lobbying by the TIA and the manufacturers produced results50 including a major defeat of a bill which proposed banning tobacco advertising to protect children. This victory was considered important enough to be studied by tobacco companies in overseas markets: the local industry attributed their success to a late and convincing performance by Smith in the Western Australian ,51 political factors, and the focus and discipline of their campaign relative to that of the opposition.52

Active industry targeting of young Australians in the 1970s and 1980s Consistent with activities overseas, and in contrast to its public position, many documents from the 1970s and 1980s support the contention that the tobacco industry took an active commercial interest in Australian teens and young adults. WD&HO Wills and PML both studied 13 to 17 year old Australians in the 1970s for the purposes of increasing sales. 53·55 Documents from the 1980s also contain explicit statements that young people are "the recruitment market," and research focused on these "starters."56.o0 In the 1980s PMI also defined 18 to 25 year olds the world over as the company's "Key Target Group,"61 commissioning research to better understand differences between young adults from different countries. 62

An important event illustrating PM's worldwide targeting of young people is the unprecedented failure of Marlboro, PM's global flagship brand, in the Australian market. Marlboro's failure was explicitly defined as a failure to market successfully to new smokers:

i Gray N. Personal communication. 2002 Nov 29.

Page 119 of 260

,",,,,,-,{,',,. Winfield, an "Aussie" brand, had attracted the bulk of Australian starters away from Marlboro from the mid 1970s, Chapter Nine explores the failure of Marlboro in more detail, interpreting it not only in terms of Marlboro's poor fit with the distinct Australian brand categories operating at the time, but suggesting that during the difficult economic times of the 1980s, Winfield's egalitarian, value-for-money, "Aussie" branding was more attractive to Australian youth than the premium-priced American cultural imperialism of the Marlboro Cowboy, This inability to attract Australian youth meant that Marlboro's 31% share of new smokers in 1972 had fallen to 1,5% by 1986, in contrast to Winfield's 45% share,59

The crisis was such that, for ten years, PMI and Leo Bumett USA participated in and often controlled the attempts to find a solution, and the resulting memos speak clearly of the need to target Australian teenagers, It was agreed that "the key problem" was Marlboro's "lack of appeal to younger smokers, "63 and "rejection", by first time smokers,"64 As Leo Bumett USA noted, nearly half of Australia's population was under 25 years old, 23% under 15, and "given [their] predisposition to try/adopt new brands, this segment represents significant market opportunitY,"65 PMI worried that attempts since 1976 to "reintroduce vitality to the Marlboro brand among new smokers" had been so unsuccessful that Marlboro had "virtually no new smokers," Marlboro's branding did not "appeal to non­ smokers with a future disposition to smoke when they are forming brand preferences.'64 The proposed solution was to develop "advertising concepts that are capable of competing with Winfield during the critical [two to four] year period where brand selection is made by people who are disposed to smoke later."64 Much tobacco control research suggests that this two to four year period occurs in adolescence. 1

The 1990s to the present: from battleground to "societal alignment" In the 1990s, as in other developed countries, the Australian industry's youth strategy appears to have changed substantially. Instead of fighting, manufacturers began to seek "a license to operate"66 by achieving "societal alignment",67 that is, by cooperating with perceived community standards, Youth programs were the first pillar of the industry's new emphasis on reframing themselves as responsible, both globally and in Australian society.33,6B.69 As elsewhere, voluntary codes, retail access programs, and school education programs have been used to achieve this reframing. These have occurred in

Page 120 of 260 parallel with continuing targeting of "young adults" in marketing, as demonstrated in Chapter Ten, despite the manufacturers and the TIA insisting throughout the 1990s that youth should not smoke and that marketing was not targeted to and did not influence youth. The majority of the relevant Australian documents available from the 1990s are from PML or its parent companies, and this is reflected in the following discussion.

International codes of practice In 1991 the Philip Morris group began ongoing work on a PMI marketing code of practice. This involved PMl's presidents and vice presidents, senior counsel, regional presidents, field marketing staff, and senior management at PM Corporation. The code was intended to be used, particularly in lobbying, to gain a corporate affairs advantage by promoting PMI as responsible towards youth, and to simultaneously protect PMI's ability to be "competitive and creative" in its marketing,7o.73 After many redrafts the code was distributed, including to PML, with memos insisting that it be implemented,74,75

Initially PMI planned to keep silent about the code's existence, storing it up as ammunition in case of a regulatory threaU6,77 This softened over time, such that PMI shared it with other companies to encourage them to develop similar codes,lB,79 and allowed PMI staff to refer to it in a general sense. Staff were not, however, to release it in full to other parties, as this would "[encourage] the outsider to police our activities and interpret the code when these responsibilities belong with the company itself."Bo The public version of PMI's youth policy was instead encapsulated in a brochure, entitled "A global commitment to responsible marketing", for "legislators, journalists and decision makers from around the world," intended to show that advertising did not cause youth smoking, and that PMI, with their marketing code, were the industry leaders on the issue and did not need to be regulated further. B1 ,82

Simultaneously, in Australia, PML was developing a corporate affairs management plan intended to regain PML's control of its operating environment in the face of massively declining social acceptability and wide opposition. This strategy was formulated by Matt Winokur, long time PM executive who at the time was Director of Corporate Affairs for PMI and was also chief architect of the PMI voluntary marketing code. Along with more sordid lobbying activities, such as undermining the Australian Ministerial Council on Drug Strategy

Page 121 of 260 by convincing State Premiers that the Council was usurping them, and creating "political capital" by getting inside Australia's "political machinery", PML's reputation was to be reconstructed in part by a "[program] against youth smoking which goes beyond what is required."69.83.84 This was in response to research showing the potential value of the youth issue for the industry's public image.85.86

The primary objective of the Australian industry's youth campaign appears to have been the creation of "political capital" with politicians and third parties to enable the industry to counter political challenges. The youth issue has provided an excuse to approach the media, decision makers and interest groups with "good news," as in the July 1998 self­ congratulatory "Report to Federal and State Politicians: Philip Morris Addressing Underage Smoking in Australia."87 The industry's policy platform on youth also provides an immediate alternative to offer when challenged with more prohibitive regulation.88

Access to cigarettes in shops in the 1990s Files from PM's Worldwide Regulatory Affairs offices contain notes on conferences where programs designed to stop young people buying cigarettes were criticised as counterproductive. 89 It thus seems reasonable to conclude that some staff within PM understood the weaknesses of these programs.

However a large number of documents exist detailing continued efforts from PM to sustain these programs internationally. In response to US regulatory pressure in the mid 1990s, PM USA formed an 'access taskforce" which created the US Action Against Access (AAA) program.90 It simultaneously created a problem for PMI executives around the world, who were keen to avoid similar measures. Repeated shareholder efforts to force PM Corporation to implement AAA in developing country markets appear to have been deflected through the efforts of PM executives, mainly wielding the PMI marketing code.75.77.91-96 PML's assessment was that "it is only a matter of time before the Australian anti-smoking movement calls upon Philip Morris Australia to adopt all the measures of the AAA program ... it will not be easy for us to distinguish ourselves from Philip Morris USA's adoption of the AAA program on the basis of difference in market, culture and practices." PML suggested that, if pressed, only voluntary codes would be entered in to, as it was too

Page 122 of 260 easy in "the hostile Australian environment" to "lose control over the progress and content" of legislation.97

A PMI Access Taskforce, including Australian representation, was formed in 1995, and along with Burson Marstellar and its parent Young & Rubicam, wrote a "strategy" which aimed to position PMI as an international leader by building the issue of youth access to cigarettes in shops as an international "brand", like a "global cigarette brand." It noted "[this is] a key global program that is central to ensuring the long term growth of the company."98 The strategy used many of the techniques commonly used by corporate affairs departments, including development of arguments and allies, monitoring the opposition, and lobbying,98 all based on the fundamental principle that "PM I cannot be held reasonably responsible for ensuring that no minor smokes."99

The Australian industry had access programs in place from the successful 1983 battle against Western Australian advertising bans onwards. 31 These early rudimentary signage systems evolved incrementally into the 1993 program It's the Law. Similar to access programs elsewhere, it was promoted by PML sales representatives and supported by an associated lobbying and media campaign. 10o Since then it has been regularly relaunched and subtly re-badged, promoted to tens of thousands of retailers, used to forge links with third parties such as retailer associations, promoted to politicians, and via the general news media, publications for retailers and publications for specific cultural minorities, and has been expanded into helplines, campaign kits and training videosP In its current incarnation, it includes point-of-sale signage and billboards, jointly funded by the three manufacturers, providing a rare opportunity for "Australian Tobacco Companies" to raise their profile with the public in a highly restricted marketing environment.101·103

It's the Law also provides the industry with additional bargaining power with the group that a senior PM executive described as its "natural constituency", that is, their retail and wholesale customers. 104 Chapter Eleven demonstrates the heightened power and importance of the retailer in Australia's dark marketing environment. The industry has, on occasion, remonstrated with retailers over their role in underage cigarette sales. 105 However it has more often expressed concern about policies regarding sales to youth intruding on retailers everyday business. distanced itself from any policing role, and

Page 123 of 260 reassured that because the industry understands that retailers are responsible, it has provided It's the Law to assist them. 97.106

Youth school programs in the 1990s The Australian industry's ongoing youth program also features school-based education, as in other markets. In Australia it has been spearheaded by a conservative "educationalist," Or Kevin Oonnelly. He has strong connections to the conservative Liberal Party and to the private school sector, and frequently editorialises on educational policy as an "independent consultant." His consulting group, Education Strategies, developed an Australian schools program based on a South American program Yo-Tengo, which translates as I Have. "Intensive [Australian] research among practicing teachers, and actual classroom application" resulted in an amended program, launched in 1998, entitled "I've Got the Power."107 It was designed for secondary schools in Australia and New Zealand, and subsequently expanded to an Indigenous and a primary school program. As with other similar programs, tobacco was not prominent, and was presented in the context of decision making, not health: in Oonna Staunton's words, the program "assist[ed] children to make responsible lifestyle choices with regard to a range of things that adults believe children should not do. "107

In the printed version of "I've Got the Power" PML's funding was not formally acknowledged, and many of the available documents on the issue are correspondence between PML and PMI negotiating the conditions under which this could happen. Although PMI policy was to always attribute PM's backing of such initiatives, PML wamed that in the hostile Australian environment, this would result in widespread rejection of the "I've Got the Power".107·110 The appropriate response was decided by Worldwide Regulatory Affairs. First, PML should "get a letter from the government along the following lines: We are aware that PM is supporting Education Strategies in the developrnent of the "I've Got the Power" program, and we applaud your efforts to help underwrite an education program to help youth make smart choices avoid peer pressure etc. We do not believe it would be effective for a program such as "I've Got the Power" to be used for public relations or corporate identification purposes and we would therefore ask that you refrain from putting PM's name on the materials."lll "Government officials" should then be advised of PML's investment, via a letter drafted by Worldwide Regulatory Affairs and the aforementioned lobbying

Page 124 of 260 document "Philip Morris Addressing Underage Smoking in Australia."112-116 Then the kits could be printed without PML's funding being attributed. It is not clear from the documents whether this strategy was implemented in full.

Although Donnelly's association with PML continues, attempts to garner publicity for the program in Australia are consistently dogged by controversy, to which he consistently responds that "I've Got the Power" is not about smoking and was developed independent of Philip Morris.117.122

Late 1990s: "new day", new cooperation? In February 1998, Geoft Bible's made a speech before the US Senate Commerce Committee, referred to as the "new day" speech. In it Bible made a commitment on behalf of PM companies to minimum age laws, youth access programs, anti-smoking education programs, product labels against underage usage, and limits on cigarette marketing.123.124 The speech initiated a new phase of activity at PMI on the issue of smoking and young people.125.126 This activity again took the basic position that marketing freedoms must be protected. PMI personnel argued, "we must be seen to be acting responsibly and not [be seen to be] to blame [for the fact] that kids do smoke. We do not have a role in why kids smoke, and we cannot control kids from doing SO."126.127 A new "Global Commitment in Support of Youth Smoking Prevention" and new processes, guidelines and meetings resulted, making "youth smoking prevention" (YSP) an ongoing international project which included Australia.67.128-133

These activities created a problem of which PMI personnel were keenly aware: that the company could create rules for itself more stringent than those of its competitors, particularly given that these personnel apparently believed that "BAT and local competitors are not going to play this game: they do not see the wortd this way".129.134.135In 1998 PMI went into negotiations with R.J.Reynolds Tobacco International and BAT, after which the PM I team were "hopeful that we will be able to implement a greatly expanded joint international industry youth access and marketing code to which all major industry participants will voluntarily adhere."136 PMI staft created two lists of possible concessions in preparation for the meeting: those PMI would make unilaterally versus those which would only be made if forced or mutual, that is, those which they considered potentially damaging

Page 125 of 260 to their competitiveness. 137 The result was a set of "International Tobacco Products Marketing Standards" signed by the parents of both PML and British American Tobacco Australia, along with other companies. 138

On its corporate websites, PMI presents these standards as a necessary control of their competitors; BAT presents them as exciting progress in the area of YSP. In contrast, Credit Suisse Equity Research/First Boston advised on the release of the standards, "we ... believe that the multinationals' strategy is proactive and is a way to improve their image ... [possibly to] counter a number of proposals that the WHO has been working on ... in many countries the existing laws or industry codes are already more restrictive than [these] standards ... we believe the [modest savings resulting from changed marketing practices] will be redirected into other types of marketing promotions i.e. point-of-sale activity."139 The Altria and BAT groups continue to promote their responsible investment in YSP in their social reporting and at annual general meetings.140-142

Shifting the blame Some documents suggest that. in parallel with these cooperative social programs, the industry is simultaneously blaming others for youth smoking where possible. When Philip Morris Corporate Affairs discussed "Youth: a corporate strategy that applies to food, tobacco and beer" at a 1995 world conference, it noted "Key issue: individual responsibility. Put the onus on kids, parents, teachers, retailers, legislators/regulators."143 Many documents from the 1990s, as in the 1980s, blame "parents and peers" for youth smoking, and this appears to be a central strategy for Altria. In 2002, Geoff Bible, then CEO of PM Corporation, told shareholders that "most young people don't buy cigarettes, they get them from loose packs left lying around by adults," urging adults to be "more careful",l44 and new mass media YSP programs were planned to focus on parents' responsibilities. 145 Young smokers themselves have also been blamed, as evidenced by PML's 1998 proposal to Australian government that they work with industry to "investigate the feasibility of making it an offence for underage youth to purchase tobacco."87

DISCUSSION This chapter has discussed the development of youth strategy within the tobacco industry in Australia and in the parent companies of Australian manufacturers. It has proposed a

Page 126 of 260 changing relationship between the Australian tobacco industry's above-the-line marketing and corporate affairs programs over the decades. It is useful to think of this change as a simple switch: from the 1950s when above-the-line marketing to children was un problematic and thus corporate affairs management was not needed on the issue, through to the 1990s when above-the-line marketing to children was no longer socially acceptable, so complex and extensive corporate affairs management programs were needed to control the potential threat to business and profit. The industry's continuing active engagement in the development of voluntary codes, It's the Law and "I've got the power", along with its "social reporting" suggests that the companies intend to continue constructing themselves as responsible towards teenagers, particularly when communicating with government and retailers. The manufacturer's intemal documents suggest a parallel intention to shift the blame for youth smoking onto alternative scapegoats, particularly young people and their smoking parents, while distancing the industry from responsibility.

There is no doubt that Australian cigarette manufacturers have marketed deliberately to teenagers in the past. However, as the pressure to maintain a good corporate image on the issue has grown, overt evidence of the industry marketing to youth under 18 has faded. Instead, as seen earlier from PMl's 1989 meeting, the 18 to 24 age group has been defined as the industry's "key target group." Chapter Ten details some of the strategies used to target this all important consumer group. It is of interest that in BAT A's 2002 Social Report, an ostensibly responsive exercise based on research in which stakeholder defined youth as "people under the age of 25', the company committed only to "reducing the supply of tobacco products to people under 18 years of age.'142

John Dollisson claimed that "children [were] being used as a major weapon in the anti­ tobacco groups' fight to remove tobacco advertising and make smoking socially unacceptable,"3o and it appears that the companies may have leamed from the strategies of tobacco control, using children as a symbol in their fight to protect the tobacco market and sustain the social acceptability of smoking. Tobacco control has in some senses played into the companies' hands, allowing them to argue, as Bible did in 1995, that "we stand ready to work with anyone who truly wants to address this issue,"96 the subtext being that anyone who is caring, responsible and serious about youth smoking, like Altria, will cooperate with the company's agenda. In the age of Corporate Social Responsibility

Page 127 of 260 programs this is a potential upper hand. Traditional accusations that the industry markets to children are less powerful now, particularly in the Australian market where any form of promotion is illegal. Based on this analysis, I would propose that the key frame through which tobacco control can target tobacco corporations on the issue of youth smoking is now not their marketing programs, but their corporate affairs management programs, in particular their efforts to reframe the debates in their own favour while laying the blame elsewhere.

REFERENCES 1. White V, Scollo M. How many children take up smoking each year in Australia? Aust N Z J Public Heaffh 2003;27:359-360. 2. White V, Scollo M. What are underage smokers worth to Australian tobaccc companies? Aust N Z J Public Heaffh 2003;27:360-361. 3. ASH UK. Danger! PR in the playground. London: ASH UK and the Cancer Research Campaign. 2000. Date Accessed: 22 Jul 2003. URL: http://www.ash.org.uklhtml/advspo/htmllprmenu.html 4. Cummings KM, Morley CP, Horan JK. Steger C, Leavell N-R. Marketing to America's youth: evidence from corporate documents. Tobacco Control 2002;11 (SuppI1):i5-i17. 5. Pollay RW. Targeting youth and concemed smokers: evidence from Canadian tobacco industry documents. Tobacco Control 2000;9:136-47. 6. Perry CL. The tobacco industry and underage youth smoking: tobacco industry documents from the Minnesota litigation. Arch Ped/atr Adolesc Med 1999;153:935-41. 7. Farrelly MC, Healton CG. Davis KC, Messeri P, Hersey JC, Haviland ML. Getting to the truth: evaluating national tobacco countermarketing campaigns. Am J Public Heaffh 2002;92:901-7. 8. Biener L. Anti-tobacco advertisements by Massachusetts and Philip Morris: what teenagers think. Tobacco Control 2002;11 :ii43-6. 9. Sly DF, Heald GR, Ray S. The Florida "truth" anti-tobacco media evaluation: design. first year results, and implications for planning future state media evaluations. Tobacco Control 2001 ;10:9- 15. 10. Zucker D. Hopkins RS, Sly DF, Urich J. Kershaw JM, Solari S. Florida's "truth" campaign: a counter-marketing, anti-tobaccc media campaign. Joumal of Public Heaffh Management & Practice 2000;6:1-6. 11. Riester T, Unton M. DeSigning an effective counteradvertising campaign--Arizona. Cancer. 1998;83:2746-51. 12. Miller A. Designing an effective counteradvertising campaign--Massachusetts. Cancer. 1998;83:2742-5. 13. Bayer R, Kiesig V. Is child-centered tobacco prevention a trap? Am J Public Heaffh 2003;93:369- 70. 14. Hill D. Why we should tackle adult smoking first. Tobacco Control 1999:333-335.

Page 128 of 260 15. Landman A, Ling PM, Glantz SA. Tobacco industry youth smoking prevention programs: protecting the industry and hurting tobacco control. Am J Public Heaffh 2002;92:917-930. 16. Ling PM, Landman A, Glantz SA. It is time to abandon youth access programs. Tobacco Control 2001 ;11 :2-6. 17. Stead LF, Lancaster T. Interventions lor preventing tobacco sales to minors. Cochrane Database Syst Rev 2002:Accessed via Qvid/Cochrane Database Syst Rev. 22 Jul 2003. 18. US Department 01 Health and Human Services. Reducing tobacco use: a report of the surgeon general. Atlanta, Georgia: US Department 01 Health and Human Services, Centers lor Disease Control and Prevention, National Center lor Chronic Disease Control and Prevention, Office on Smoking and Health, 2000. 19. Peterson JA, Kealey K, Mann S, Marek P, Sarason I. Hutchison smoking prevention project: long term randomised trial in school based tobacco use prevention - results on smoking. J Nat! Cancer Inst 2000;92:1979-1991. 20. Jha P, Chaloupka FJ. Curbing the epidemic: governments and the economics 01 tobacco control. Washington, DC: World Bank, 1999. Date Accessed: 27 Sep 2001. URL: http://www.globalink.org/tobacco/wb/ 21. Charlton A, Blair V. Absence Irom school related to children's and parental smoking habits. BMJ 1989;298:90-2. 22. Nutbeam D, Macaskill P, Smith C, Simpson JM, Catford J. Evaluation 01 two school smoking education programmes under normal classroom conditions. BMJ 1993;306:102-7. 23. US Public Health Service. Smoking and health programs around the world. R.J. Reynolds. 1970 Jun. Bates No.: 500891895/1910. URL: http:tnegacy.library.ucsl.edu/tid/snw59dOO 24. How important is the teenage market? Tobacco Joumal (Victoria) 1964;33(5/6):21. 25. Ways to encourage the young smoker. Tobacco Trade Joumal (Queensland) 1954;13(5):11,24. 26. Philip Morris. Some comments on a report by the Senate Standing Committee on Sccial Wellare "Drug problems in Australia". Philip Morris. 1978 Feb. Bates No.: 2015016980/6997. URL:

http:/~egacy.library.ucsl.edu/tid/xib44eOO 27. National Health and Medical Research Council. Report of a survey into the smoking habits and attitudes of Australian schoolchildren by the adhoc smoking survey sub-committee. Canberra: National Health and Medical Research Council, 1969. 28. Tobacco Institute 01 Australia. Casebook arguments. Philip Morris. 1986 May. Bates No.:

2501456347/6356. URL: http://legacy.~brary.ucsl.edu/tid/clu22eOO 29. Tobacco Institute 01 Australia. The tobacco industry and juvenile smoking. Philip Morris. 1983 Qct. Bates No.: 2504203705/3717. URL: htlp:lllegacy.library.ucsl.edu/tidlvkj2geOO 30. Dollisson J. The politicization 01 the child - a tool 01 the anti's. R.J. Reynolds. 1984 11 Oct. Bates No.: 50388759517604. URL: http://Iegacy.library.ucsl.edu/tid/ixu75dOO 31. Whist A. Tobacco issue briefs. Philip Morris. 1985 Apr. Bates No.: 2501444256/4272. URL: htip :/IIegacy .Iibrary. ucsf. ed u/tid/gor22eOO

Page 129 01 260 32. INFOTAB. Cigarette advertising and consumption of cigarettes by children: is there really evidence of a causal relationship? R.J. Reynolds. 1990 Mar. Bates No.: 511992397/2403. URL: http://legacy.library.ucsf.edu/tid/ysi43dOO 33. INFOTAB. INFOTAB International Workshop, Brussels, Belgium, October 13-16, 1986. Philip

Morris. 198616 Qct. Bates No.: 250144663617080. URL: http:/~egacy.library.ucsf.edu/tid/alr02aOO 34. Smith G. Advertising and children: a paper given to the European group of coordinators, Brussels, 1st February 1984. R.J. Reynolds. 19841 Feb. Bates No.: 50248747917491. URL: http://legacy.library.ucsf.edu/tid/mgd88dOO 35. Smith G, Sweeney E. Children and television: an overview. Tobacco Institute. 1984. Bates No.:

TIMN0321287/1337. URL: http:/~egacy.library.ucsf.edu/tid/edt52fOO 36. Hirschhorn N. Tobacco industry documents in the Minnesota Depository: implications for global tobacco control. Briefing paper number one: tobacco industry campaign against advertising bans in the 1980s. Globalink 1998. Last updated: Qct. Date Accessed: 1 Jul 2002. URL: www.globalink.orgltobacco/docs/secretdocs/minnesota.shtml 37. Hirschhorn N. Tobacco industry documents in the Minnesota Depository: implications for global tobacco control. Briefing paper number two: scientific review of data sponsored by the tobacco industry,campaign against advertising bans in the 1980s. Globalink 1998. Last updated: Sep. Date Accessed: 1 Jul 2002. URL: www.globalink.orgltobacco/docs/secretdocs/minnesota.shtml 38. Duflin AH. Proposed Glen Smith research. Tobacco Institute. 1985 11 Dec. Bates No.: TIMN0312842. URL: http://legacy.library.ucsf.edu/tid/gxm62fOO 39. INFOTAB. INFOTAB Board of Directors Meeting, Brussels. Philip Morris. 19844 Apr. Bates No.: 202497072010804. URL: http:lnegacy.library.ucsf.edu/tid/bds02aOO 40. Batten K. PMA weekly highlights. Philip Morris. 198416 Mar. Bates No.: 2023265799/5802. URL: http://legacy.library.ucsf.edu/tid/yku24eOO 41. Pottorff M. INFOTAB workshop, Brussels, October 8-11, 1984. Philip Morris. 1984 18 Oct. Bates

No.: 2023272778/2780. URL: http:/~egacy.library.ucsf.edu/tid/lzv36eOO 42. Children's Research Unit. Case for international results merchandising. Philip Morris. 1989. Bates

No.: 2501457079/7080. URL: http:/~egacy.library.ucsf.edu/tid/oai22eOO 43. Smith G. [Letter to Dr Blair Hunt, Chief Executive of the Tobacco Institute of Australia). Philip Morris. 1988 16 Sep. Bates No.: 2501040067. URL: http://legacy.library.ucsf.edu/tid/lvy32eOO 44. Hunt BL. CRU research into children & advertising. Philip Morris. 19885 Oct. Bates No.:

2501457108. URL: http:/~egacy.library.ucsf.edu/tid/ntj4geOO 45. Ross JP. [Letter to Glen Smith]. Philip Morris. 1988 Qct. Bates No.: 2501457111. URL: http://legacy.library.ucsf.edu/tid/ctj49eOO 46. Homel P. [Letter to Glen Smith). Philip Morris. 1988 12 Qct. Bates No.: 2501457110. URL: http://legacy.library.ucsf.edu/tid/btj49eOO 47. Daube MM. [Letter to Glen Smith]. Philip Morris. 198827 Oct. Bates No.: 2501457109. URL: http://legacy.library.ucsf.edu/tid/atj49eOO 48. Chapman S. A David and Goliath story: tobacco advertising in Australia. BMJ 1980;281:1187-90.

Page 130 of 260 49. INFOTAB. Infotopics: summaries of public information, Vol. 6, no. 11. Tobacco Institute. 198730 Nov. Bates No.: T112260816/0871. URL: http://Iegacy.library.ucsf.edu/tid/ayI40cOO 50. Philip Morris International. Corporate Affairs report. Philip Morris. 1980. Bates No.: 2048129267/9296. URL: http://Iegacy.library.ucsf.edu/tid/rbr42dOO 51. Musk AW, Shean R, Woodward S. Legislation for smoking control in Western Australia. BMJ 1985;290:1562-1565. 52. Whist A. Final appraisal of the public campaign to defend marketing rights in Western Australia. Philip Morris. 1984 13 Feb. Bates No.: 2023272348/2351. URL: http://legacy .1 ibrary. ucsf. edu/tid/h nt24eOO 53. The Australian Tobacco Industry. The cigarette health controversy. R.J. Reynolds. 1976. Bates No.: 502814751/4756. URL: http://legacy.library.ucsf.edu/tid/tyt31dOO 54. Phillip Morris Limited Australia, Lorillard Asia Ltd. 1977 Kent marketing plan. Brown & Williamson. 1977. Bates No.: 682111196/1221. URL: http://legacy.library.ucsf.edu/tid/eix70fOO 55. Negrine N. Kim Diagnostic Research Melbourne. Brown & Williamson. 19761 Dec. WD&HO Wills. Bates No.: 779105963/5969. URL: http://Iegacy.library.ucsf.edu/tid/wum11fOO 56. BATCo. Document re: Australian market. British Arrerican Tobacco. 1986. Bates No.: 102699796/9797. URL: http://tobaccodocuments.org/health_canada/10269982.html 57. WD&HO Wills (Australia) Limited. Value for money marketing in Australia. Brown & Williamson. 1983. Bates No.: 62170730617370. URL: http://legacy.library.ucsf.edu/tid/fid70f00 58. No author. Australian cigarette market. Brown & Williamson. 1984. Bates No.: 67514769517710. URL: http://Iegacy.library.ucsf.edu/tid/ryk73fOO 59. Philip Morris (Australia) Limited. [Competitive intelligence information on Winfield produced by Philip Morris]. Philip Morris. 1986 Nov. Bates No.: 2500131194/1213. URL: http://Iegacy.library.ucsf.edu/tid/tpc42eOO 60. Butson E. NPD. Philip Morris. 198623 Jun. Bates No.: 2500001706. URL: http://legacy.library.ucsf.edu/tid/pvi42eOO 61. Philip Morris International. Draft agenda PMI marketing meeting. Philip Morris. 19891 May. Bates No.: 2500114197/4202. URL: http://Iegacy.library.ucsf.edu/tid/bgI19eOO 62. Leo Burnett Agency. International target trends presentation. Philip Morris. 198911 Aug. Bates No.: 250013735417455. URL: http://Iegacy.library.ucsf.edu/tid/lcd42eOO 63. Zelkowitz D. Australia. Philip Morris. 1984 29 May. Bates No.: 2023265684/5686. URL: http://legacy.library.ucsf.edu/tid/bmr98eOO 64. Philip Morris International. Marlboro advertising brief for Leo Burnett (re: Australia). Philip Morris. 198423 Jul. Bates No.: 2023265680/5683. URL: http://Iegacy.library.ucsf.edu/tid/amr98eOO 65. Leo Burnett Agency. Exploratory Marlboro Strategic Research Australia. Philip Morris. 1989 10 Feb. Bates No.: 250405728017368. URL: http://Iegacy.library.ucsf.edu/tid/sot19eOO 66. British American Tobacco Australasia. The Challenge of Change [CD Rom]. Sydney: British American Tobacco Australasia; 2002. 67. Kush AO. Youth Smoking Prevention Meeting, July 27-28,1999, Lausanne. Philip Morris. 199913

Jul. Bates No.: 2070045517D/5521. URL: http:/~egacy.library.ucsf.edu/tid/sxa38d00

Page 131 of 260 68. Mallinson S. Supply of tobacco products & promotional items to juveniles. Philip Morris. 1988 17 Feb. Bates No.: 2504076001. URL: http://legacy.library.ucsf.edu/tid/hbh29eOO 69. Winokur M. [Public affairs management plan for Australia]. Philip Morris. 1993 Jun. Bates No.: 2504200125/0143. URL: http:lnegacy.library.ucsf.edu/tid/qhc87eOO 70. Buzzi A. PMI Marketing Code. Philip Morris. 1991 Jun. Bates No.: 2500050364. URL: http://Iegacy.library.ucsf.edu/tidlfcg8 7eOO 71. Buzzi A. Philip Morris Intemational Marketing Code. Phi lip Morris. 1991 Jun. Bates No.: 2500050365. URL: http://legacy.library.ucsf.edu/tid/gcg87eOO 72. Pollack L. Marketing Code. Philip Morris. 1991 8 Aug. Bates No.: 2500052592. URL: http://Iegacy.library.ucsf.edu/tid/jsf87eOO 73. Nelson JR. PMI Marketing Code. Philip Morris. 1991 4 Sep. Bates No.: 2500052577. URL: http:lnegacy.library.ucsf.edu/tid/gsf87eOO 74. Winokur M. PMI Marketing Code. Philip Morris. 199221 Sep. Bates No.: 2023311714. URL: http:lnegacy.library.ucsf.edu/tid/cba98eOO 75. Winokur M. Marketing code of practice. Phi lip Morris. 199315 Mar. Bates No.: 2500052711. URL: http://Iegacy.library.ucsf.edu/tid/psf87eOO 76. Pollack L. Marketing Code. Philip Morris. 199215 Sep. Bates No.: 2500050515. URL: http://Iegacy.library.ucsf.edu/tid/jcg87eOO 77. Winokur M. PMI voluntary marketing code status. Philip Morris. 199319 Feb. Bates No.: 2022989144. URL: http://legacy.library.ucsf.edu/tid/rac15eOO 78. Winokur M. PMI Marketing Code Communications Plan. Philip Morris. 199325 Mar. Bates No.: 2045680295/0296. URL: http://legacy.library.ucsf.edu/tid/ini87eOO 79. Winokur M. PMI Marketing Code. Philip Morris. 19933 Jun. Bates No.: 2501287635. URL: http://Iegacy.library.ucsf.edu/tid/tuj49e00 80. Pollack L. Marketing code. Philip Morris. 199329 Mar. Bates No.: 2500122231. URL: http://Iegacy.library.ucsf.edu/tid/rae58d00 81. Philip Morris Intemational. Notes for international youth brochure. Philip Morris. 1992. Bates No.: 2022810713/0714. URL: http://legacy.library.ucsf.edu/tid/tzf35eOO 82. Phi lip Morris International. A global commitment to responsible marketing. Phi lip Morris. 1994 Aug. Bates No.: 2501008958/8963. URL: http://Iegacy.library.ucsf.edu/tid/koj22eOO 83. Winokur M. Phase Two: Changing the operating environment. Philip Morris. 1993. Bates No.: 2504200155/0156. URL: http://Iegacy.library.ucsf.edu/tid/kmj29eOO 84. Winokur MN. Phase two elaboration. Philip Morris. 1993 Apr. Bates No.: 2504200157/0160. URL: http://Iegacy.library.ucsf.edu/tidnmj29eOO 85. Wirthlin Group. Australian corporate image study: general public and opinion leaders. Phi lip Morris. 1993 Apr. Bates No.: 202583752917579. URL: http://Iegacy.library.ucsf.edu/tid/uny83eOO 86. Tobacco Institute of Australia. Draft project plan for ETS public smoking and credibility. Philip Morris. 199328 Jul. Bates No.: 2504079120/9125. URL: http://Iegacy.library.ucsf.edu/tidflpk02aOO 87. Philip Morris. Addressing underage smoking in Australia: report to Federal & State politicians. Philip Morris. 1998 Jul. Bates No.: 2063552750/2769. URL: http://Iegacy.library.ucsf.edu/tid/tna42dOO

Page 132 of 260 88. Brady B, Weedon D. Head to head: should tobacco be listed as a poison? Philip Morris. 1995 3 Aug. Bates No.: 2065095594. URL: http://legacy.library.ucsf.edu/tid/ufl22dOO 89. Han V. [Tobacco Control conference notes]. Philip Morris. 1993. Bates No.: 2023922703/2801. URL: http://legacy.library.ucsf.edu/tid/cif34eOO 90. Davidson DK. Selling sin. Westport, Conneticut: Quorum Books, 1996. 91. [Philip Morris Corporation shareholders]. Philip Morris Cigarette Marketing Practices in Developing Nations. Phi lip Morris. 1991 Sep. Bates No.: 2500052591. URL: http:/negacy.library.ucsf.edu/tidlrn1geOO 92. Bartlett DT. [Compound document: includes letter from PM Corp to Sister Mary Lucey re: a shareholders proposal on youth smoking]. Philip Morris. 199226 Qct. Bates No.: 2045745672/5673. URL: http://legacy.library.ucsf.edu/tid/cot82eOO 93. No author. Global Warning Philip Morris [shareholder proposal]. Philip Morris. 19951 Jan. Bates No.: 2024152576. URL: http://legacy.library.ucsf.edu/tid/kym42eOO 94. Burrell WG. Shareholder's proposal. Philip Morris. 199626 Nov. Bates No.: 2500076258. URL: http://legacy.library.ucsf.edu/tid/kae58dOO 95. Philip Morris. Philip Morris holds 1998 annual meeting: Chairman criticizes Senate Tobacco Bill, reaffirms commitments to reducing underage use of tobacco products and to building shareholder value. Philip Morris. 199830 Apr. Bates No.: 2501765081/5084. URL: http://legacy.library.ucsf.edu/tid/iev28dOO 96. Philip Morris Intemational. Protecting youth from smoking in developing countries. Philip Morris. 19963 Dec. Bates No.: 2500076256. URL: http://legacy.library.ucsf.edu/tid/ydI19eOO 97. Staunton D, Windholz EL. youth Access Taskforce Action Against Access (AAA). Phi lip Morris. 199528 Jul. Bates No.: 2504080744/0748. URL: http://legacy.library.ucsf.edu/tid/mhc87eOO 98. Young & Rubicam, Burson Marstellar. Access: Philip Morris International. Philip Morris. 199513 Sep. Bates No.: 2500076311/6330. URL: http://legacy.library.ucsf.edu/tid/mdI19eOO 99. Philip Morris International. [Phi lip Morris International youth Access Taskforce document on 'Youth Smoking Issues']. Philip Morris. 1995 Sep. Bates No.: 2047832694/2701. URL: http://legacy.library.ucsf.edu/tid/arf75eOO 100. Philip Morris (Australia) Limited. It's the law: it's illegal to sell cigarettes to persons underage: Philip Morris retailer campaign representatives kit. Philip Morris. 1993 23 Sep. Bates No.: 2022810557/0561. URL: http://legacy.library.ucsf.edu/tid/bag35eOO 101. British American Tobacco Australasia. British American Tobacco Australasia website. British American Tobacco Australasia 2002. Date Accessed: 2 Dec 2002. URL: http://www.bata.com.au 102. Philip Morris International. Philip Morris International website. Philip Morris International 2002. Date Accessed: 2 Dec 2002. URL: http://www.philipmorrisinternational.com/ 103. Carter S. Going below the line: creating transportable brands for Australia's dark market. Tobacco Contro/2003;12:iii87-94. 104. Folie M. [Memo to Randall Eiger]. Philip Morris. 199214 Oct. Bates No.: 2022811113/1114. URL: http://legacy.library.ucsf.edu/tid/ezf35eOO

Page 133 of 260 105. Tobacco Institute of Australia. Cigarette sales to young people. Philip Morris. 1992. Bates No.: 2504067793/7796. URL: http:!negacy.library.ucsf.edu/tid/qkw1geOO 106. Gee L. Philip Morris retail focus. Philip Morris. 1998 Jun. Bates No.: 2063552738/2749. URL: http://legacy .library. ucsf. ed u/tid/sn a42dOO 107. Staunton D. [Letter to David Greenberg]. Philip Morris. 199824 Jun. Bates No.: 206483172311724. URL: http://legacy.library.ucsf.edu/tid/wtb63cOO 108. Firestone M. Attribution. Philip Morris. 1997 27 Feb. Bates No.: 2064820701. URL:

http:/~egacy.library.ucsf.edu/tid/rda63cOO 109. Philip Morris Companies Inc. Policy statement on attribution. Philip Morris. 1997 Feb. Bates No.: 2064820702. URL: http://legacy.library.ucsf.edu/tid/sda63cOO 110. Friedman MP. Australia - attribution. Philip Morris. 1998 29 Jun. Bates No.: 2065349289/9290. URL: http://legacy.library.ucsf.edu/tid/shu63cOO 111. Greenberg D. I've got the power: attribution policy. Philip Morris. 199825 Jun. Bates No.: 2065355555. URL: http://legacy.library.ucsf.edu/tidlfkw77dOO 112. Staunton D. "I've got the power" program: attribution policy. Philip Morris. 1998 29 Jun. Bates No.: 2065355552. URL: http://legacy.library.ucsf.edu/tid/dkw77dOO 113. Friedman MP. Attribution. Philip Morris. 199830 Jun. Bates No.: 2064831755. URL: http://legacy.library.ucsf.edu/tid/aub63cOO 114. Philip Morris Worldwide Regulatory Affairs. [Draft letter]. Phi lip Morris. 1998 30 Jun. Bates No.: 2064831756. URL: http://legacy.library.ucsf.edu/tidlbub63cOO 115. Friedman MP. [Fax cover sheet to Reg Hodgson]. Philip Morris. 199830 Jun. Bates No.: 2064831752. URL: http:!negacy.library.ucsf.edu/tid/ytb63cOO 116. Phi lip Morris Worldwide Regulatory Affairs. [Draft letter]. Philip Morris. 1998 30 Jun. Bates No.: 2064831753. URL: http:!negacy.library.ucsf.edu/tid/ztb63c00 117. Donnelly K. Tobacco giant at arms length. The West Australian (Perth) 13 Jan, 1999, p. 16. 118. Young A. Adviser defends education packs: tobacco cash 'notissue'. New Zealand Herald 26 Jan, 1999, http://www.nzherald.co.nzlstorydisplay.cfm?thesection=news&thesubsection=&storyID=1757 119. Jones C. Gude backs tobacco consultant: the Minister defends cigarette company's link to school kit. The Age (Melbourne, Vic) 26 Jan, 1999, p. 3. 120. No author. Registration pamphlet for teacher workshops -I've Got the Power and Our Strengths. Adelaide, Melbourne, Sydney, Brisbane: Education Strategies, 2001. 121. Chapman S. Tobacco giant's antismoking course flops. BMJ 2001 ;323:1206. 122. Metherell M. Smoke gianl offers lesson for schools. Sydney Morning Herald (Sydney, NSW) 21-22 Sep, 2002, p. 5. 123. Bible GC. Statement of Geoffrey C. Bible Philip Morris Companies Inc. before the Senate Commerce Committee. Phi lip Morris. 1998 24 Feb. Bates No.: 207204307213108. URL: http://legacy.library.ucsf.edu/tid/osy28dOO 124. Philip Morris International. Meeting Philip Morris International's commitments on preventing youth smoking. Philip Morris. 19987 Apr. Bates No.: 2065553273/3279. URL: http://legacy.library.ucsf.edu/tid/xgk73cOO

Page 134 of 260 125. Gembler A. International tobacco marketing. Philip Morris. 199825 Feb. Bates No.: 2065241442. URL: http://legacy.library.ucsf.edu/tid/icc38dOO 126. Philip Morris International. Marketing code. Philip Morris. 1998 May. Bates No.: 2065326393/6394. URL: http://legacy.library.ucsf.edu/tid/pv063cOO 127. Daw A. Marketing code meeting - April 28th in Lausanne. Philip Morris. 19981 May. Bates No.: 206532639116392. URL: http://legacy.library.ucsf.edu/tid/ov063cOO 128. Dangoor D. Marketing code. Philip Morris. 199928 Jul. Bates No.: 2074761738/1739. URL:

htlp:/~egacy.library.ucsf.edu/tid/opp52cOO 129. Hendrys PW. PMI marketing code and youth smoking prevention initiatives. Philip Morris. 199923 Sep. Bates No.: 2072676451/6452. URL: http://legacy.library.ucsf.edu/tidlfgk26cOO 130. Philip Morris International. Cigarette marketing code guidelines for implementation. Philip Morris. 200027 Jan. Bates No.: 2072676459/6464. URL: htlp:l/legacy.library.ucsf.edu/tid/ddh42cOO 131. Cusato A, Dangoor D. Proposed revised PMI marketing code. Philip Morris. 2000 25 Apr. Bates No.: 2078376534A. URL: http://legacy.library.ucsf.edu/tid/ysr72cOO 132. Philip Morris International. Cigarette marketing code. Philip Morris. 200025 Apr. Bates No.: 2078376535/6541. URL: htlp:l/legacy.library.ucsf.edu/tid/xsr72cOO 133. Kush AO. Invitation - Youth smoking prevention meeting, 27-28 July, Lausanne. Philip Morris. 1999

13 Jul. Bates No.: 2070045517C. URL: http:/~egacy.library.ucsf.edu/tid/rxa38dOO 134. No author. London meeting: issues and next steps [draft]. Philip Morris. 199830 Mar. Bates No.:

207253247212475. URL: htlp:/~egacy.library.ucsf.edu/tid/xma06cOO 135. Gembler A. PMI Marketing philosophy and code. Philip Morris. 199822 Oct. Bates No.:

2071353381/3382. URL: http:/~egacy.library.ucsf.edu/tid/qim08dOO 136. Bodine MR. International youth access and marketing initiatives meeting. Philip Morris. 1998 13 Mar. Bates No.: 2072664876. URL: http://legacy.library.ucsf.edu/tid/rsg42cOO 137. No author. For discussion. Philip Morris. 199810 Mar. Bates No.: 2072664877/4880. URL: http://legacy .Iibrary. ucsf. ed u/tid/qsg42cOO 138. British American Tobacco, Compania Industrial de Tabacos SA, Grupo Iberoamericano de Fomento SA, Japan Tobacco, , Philip Morris, et al. International tobacco products marketing standards. 2001. Date Accessed: 22 Jul 2003. URL: http://www.philipmorrisinternational.com/global/downloadslsh/internationaLmarketing_standards.p df 139. Herzog B, Belpedio H. International tobacco marketing standards: new standards create consistent, responsible international marketing practices. Credit Suisse Equity Research/First Boston 2001. Last updated: 25 Sep. Date Accessed: 25 Oct 2002. URL: http://www.ash.org.uklhtml/advspo/pdfs/csfb.pdf 140. British American Tobacco. Social reporl200112002. London: British American Tobacco Corporation UK,2002. 141. Bible GC, Camilieri LC. Philip Morris Companies Inc. 2002 Annual meeting of stockholders April 25, 2002: remarks by Mr. Geoffrey C. Bible Chairman and Chief Executive Officer and Mr. Louis C. Camilieri Senior Vice President and Chief Financial Officer. Richmond, Va :Philip Morris

Page 135 of 260 Companies Inc, 2002. Date Accessed: 29 Apr 2002. URL: http://www.philipmorris.com/docs/investouel/2002_AnnuaIReportsiremarks.pdf 142. British American Tobacco Australia Limited. A social report 2001-2002. Sydney: British American Tobacco Australia Limited, 2003. 143. Philip Morris Corporate Affairs (Worldwide). Corporate affairs world conference issue discussion group summaries. Philip Morris. 19958 Nov. Bates No.: 2047945425/5442. URL: http://legacy .1 ibrary. ucsf. edu/tid/cdi 18dOO 144. Buettner M. Philip Morris shareholders overwhelmingly approve name change to Altria Group. Associated Press Newswires 26 Apr, 2002, Factiva.com News Service, Date Accessed: 22 Jul 2003. 145. Fairclough G. Study slams Philip Morris ads telling teens not to smoke: how a market researcher who dedicated years to cigarette sales came to create antismoking ads. Wall Street Journal (New York) 29 May, 2002, Factiva.com News Service, Date Accessed: 22 Ju12003.

Page 136 of 260 CHAPTER EIGHT MONGOVEN, BISCOE & DUCHIN: DESTROYING TOBACCO CONTROL ACTIVISM FROM THE INSIDE

INTRODUCTION The purpose of this chapter is to present another detailed example of corporate affairs management. This chapter focuses not on an issue but on an organization: Mongoven, Biscoe & Duchin (MBD).

MBD is a specialist consultancy firm based in Washington DC that provides services to the corporate affairs departments of large organizations. MBD's partners and staff specialise in advising corporations and governments on issues that threaten their image or profits. The company does not engage in public communications under its own banner, and do not have a website, deliberately maintaining a low profile. Thus MBD is less well-known than companies such as Hill & Knowlton, Burson Marsteller, or Edelman PR Worldwide. There is a global industry of firms who help others manage the strategic and communication challenges presented by activists and consumergroups.1.2 Within this industry MBD appear to play a particular role: as intelligence-gatherers and advisors based on that intelligence. They help transnational corporations and governments to pre-empt and contain potentially damaging activism, through advice and practical, logistical support.1.2 MBD operatives have infiltrated a range of groups and processes on behalf of their clients. This chapter will discuss tobacco industry documents that demonstrate the role MBD has played on behalf of both the PM and R.J.Reynolds groups of companies, intended to damage tobacco control efforts including the recently completed FCTC process.

Background from the Center for Media and Democracy Previously, only the US-based Center for Media and Democracy had published research on MBD. The following paragraphs summarise material published in two of its books "Trust us, we're experts" and "Toxic sludge is good for yoU".1.2 The story told in these books begins with a boycott coordinated by INFACT, a North American anti-corporate activist group in the late 1970s and 1980s. The boycott was in response to Nestle's active

Page 137 of 260 promotion of infant formula in developing countries, a practice that led to widespread infant death due primarily to lack of access to clean water. Nestle adopted an aggressive corporate affairs strategy for three years, which did not make the boycott go away. It then hired Jack Mongoven, an ex-journalist who had served as director of press relations for the Republican National Committee and an advisor to the Nixon, Ford and Reagan presidencies. He and Rafael Pagan devised a plan intended to bring down the boycott without requiring Nestle to respond to NGO's concerns. They formed the "Nestle Coordination Center for Nutrition," with Pagan as President and Mongoven as Vice President, and implemented a strategy that became a blueprint for Mongoven's future career, and would be used to assist many other corporate affairs departments. The Nestle Coordination Center for Nutrition successfully recruited organizations to the pro-Nestle camp, dividing the boycott's support base, then established the 'Nestle Infant Formula Audit Commission", a group that included former boycotters and was designed to appear independent, to monitor Nestle's compliance. The strategy worked, thwarting the boycott and making Pagan and Mongoven's reputations. No longer needed at Nestle, they formed "Pagan International" and worked for the defence, chemical, pharmaceutical and food industries until a scandal scuttled the company and Jack Mongoven left to form MBD with Alvin Biscoe and Ron Duchin.

Ron Duchin graduated from the US Army War College, and served as special assistant to the Secretary of Defence and director of public affairs for the Veterans of Foreign Wars before joining Pagan International and then MBD. In 1991 he gave a speech to the US National Cattlemen's Association describing how MBD worked to divide and conquer activist movements. Duchin explained that activists fell into four categories: radicals, opportunists, idealists and realists, and that a three-step strategy was needed to bring them down. First, isolate the radicals: those who want to change the system and promote social justice. Second, carefully "cultivate" the idealists: those who are altruistic, don't stand to gain from their activism, and are not as extreme in their methods and objectives as the radicals. This could be done by gently persuading them that their advocacy had negative consequences for some groups, thus transforming them into realists, that is, into pragmatic incrementalists willing to work within the system. Finally, co-opt the realists into compromise. "The realists should always receive the highest priority in any strategy dealing with a public policy issue ... If your industry can successfully bring about these relationships, the credibility of the radicals will be lost and opportunists can be counted on

Page 138 of 260 to share in the final policy solution."1.2 Opportunists, those who are motivated by power, success, or a sense of their own celebrity, would be satisfied merely by a sense of partial victory.

According to Stauber and Rampton, MBD specialised in providing this strategy to its clients in a customised form based on "public policy intelligence" specific to their concerns. Corporations paid a large monthly retainer for the privilege: one industry document, for example, shows that R.J.Reynolds paid MBD a retainer of $US14,000 per month in November and December of 1994.3 MBD maintained extensive files on organizations and their leaders including personal biographies, funding sources and susceptibility to co­ optation. They also produced special reports, which they sold to their corporate clients for sums upward of $US1 ,000. They got their information by joining mailing lists, reading newsletters and other publications, and planting informants - people who claimed to be concerned citizens or freelance journalists - to gather inside information at advocacy events and from within advocacy organizations, sometimes infiltrating the organization and gathering information over long periods.

Stauber and Rampton also reported that MBD used mail and telephone "surveys' of activist organizations, generally framing their objectives euphemistically. In 1995, The Wilderness Society, an Australian environmentalist group, received a letter from MBD. Attached information described MBD as a firm "committed to the concept that corporate decision makers must develop a better appreciation of the public interest movement", and described MBD's role as "assist[ing] clients in developing long-term strategies to resolve contentious public policy issues in a balanced and socially responsible matter."4 The letter sought to imply, at least, that MBD's efforts were genuinely international, stating:

"increasingly, our clients have been seeking information and guidance concerning developments in Asia. To that end, MBD has set out to develop a series of 'profiles' of some of the leading non-governmental entities in Asia. We received exceptional levels of cooperation from NGOs in Europe and Latin America for previous projects, and we hope that the Asian community will be equally helpful. .. "4

Page 139 of 260 A long list of specific questions was attached, including "who are your principal officers and staff?"; "what is your annual budget and what are your sources of funding (foundation grants, membership donations, etc.)?"; and 'what are your most recent campaigns and achievements?" The Wildemess Society was aware of MBD because of the Centre for Media and Democracy's work, and forwarded the material to PR Watch.5 According to Stauber and Rampton, despite the misleading descriptions of MBD's function in their surveys, and the assumed identities of MBD informants, MBD's representatives always claimed to be "outraged" at suggestions that their information gathering amounts to espionage. 1.2

RESULTS A small body of tobacco documents was found relating to MBD's work for the tobacco industry. The earliest link between Mongoven and the tobacco industry suggested by the documents was an informal connection in 1985, when he represented the Nestle Coordination Centre for Nutrition on the League of United Latin American Citizens Business Council along with Peter G Sparber, Vice President of the Tobacco Institute.6 However later documents demonstrated that MBD went on to work directly for the tobacco industry. A 1993 list of corporate affairs expenses for Philip Morris Companies Inc. included $US85,500 for the services of Jack Mongoven. The justification of the expense suggested the synergistic role Mongoven had played within the Philip Morris group of companies:

"Mongoven has a very unique niche. At our request, he will do investigatory work on various activist groups and flag problems, i.e. EDF [Environmental Defence], animal rights groups, etc. KGF [Kraft General Foods] uses the majority of his services. This contract ought to be split between KGF and WRO [Washington Regulatory Office]."7

Robert Blumel and Ronald Duchin appear to have consulted primarily for R.J.Reynolds. The earliest document found that mentioned Duchin was from 1986. It noted that Duchin was an ally who presented pro-industry arguments at military commissaries under the cloak of apparent independence.8 Occasional documents were found that showed Duchin

Page 140 of 260 r

working for Philip Morris,9 and also coordination of MBD activity between RJ.Reynolds and PM.1o

MBD's efforts for the tobacco industry can be divided into five metathemes: 1. environmental health issues; 2. monitoring or co-opting NGOs; 3. working against the US Food and Drug Administration; 4. providing damaging information about individual tobacco control figures; and 5. undermining the globalization of tobacco control, including the Framework Convention on Tobacco Control.

Indoor air, ETS and genetically modified organisms (GMOs) Rampton and Stauber's work suggests that MBD are particularly experienced in fighting environmental NGOs, with areas of interest including endangered species, rainforest, hazardous and toxic wastes, environmental justice, drinking water, pesticides, and oil spills2 There is evidence from the documents that MBD has provided general expertise to the tobacco industry on environmental activism,11.13 including to "The Working Group", a cross-industry body which included General Electric, R.J.Reynolds Nabisco, Pfizer Inc. and Dow Chemicals. 14 In the late 90s, MBD intelligence was important to PM planning to ensure that Genetically Modified Organisms could continue to be used across the PM group of companies. 15.19 It was in the early to mid 90s that MBD did most of their environmental work for the tobacco industry, on the issue of indoor air quality. Mongoven delivered several papers to PM on aspects of indoor air quality.2o.23

The papers detailed the relevant agencies and processes, forecasted likely legislative actions, and analysed risk management implications and related issues. They also highlighted Mongoven's trademark framing of the public as confused and woolly-headed, his lack of sympathy for the plight of consumers, and his tendency towards a dramatic communication style. In 1991 he advised that indoor air quality was "one of the issues we see beginning to receive more attention from the activists ... Much of this issue has been based on an amorphous fear of the unknown, but that will not prevent it from becoming a real factor which will have to be dealt with."2o In the same year he advised PM that people professing to have Multiple Chemical Sensitivity "think of themselves as being like the

Page 14101260 canaries that miners took below ground to provide a warning in case of dangerous levels of gas in the air. Unlike the canaries, however, these people will not just die quietly."21 Both PM and R.J.Reynolds received advice from MBD on indoor air. In 1992 Mongoven advised PM regarding the Environmental Protection Agency, writing about indoor air quality: "we believe it to be in the interests of our clients to prefer Occupational Safety & Health Administration (OSHA) regulation to EPA."24 Two years later, Ron Duchin and Robert Blumel were fighting OSHA for R.J.Reynolds. In a 1994 report setting out status and costings for their work and requesting a budget of $US41 ,500, they reported on their achievements, highlighting an "indoor air quality project" which had succeeded in "recruit[ing] veterans organizations in a campaign against onerous regulations and legislation, particularly OSHA's proposed Indoor Air Quality regulation."3 MBD facilitated veterans' groups testifying before OS HA, addressed veteran's organizations, and set up a "survey centre" which gathered and dispatched information via an ever expanding mailing list, an example of "third party strategy", that is, creating a purpose-built third party to advocate a client's views. This technique is widely used in corporate affairs management but appears to be a particular speciality of MBD. The survey collected information on veteran's opinions and estimates of compliance in veteran's clubs, which was used in testimony and was posted out to veteran's organizations. But its primary purpose was reportedly "bring[ing] the indoor air quality issues to the attention of veterans organizations' leadership without appearing to be promoting a specific industry's interest".3 MBD noted that the project was "a powerful force for recruiting not only veterans organizations and individuals within those organizations, but it can be expanded to other constituencies ... "3

Monitoring and co-opting NGOs The documents suggest that another apparent MBD specialty, monitoring and/or co-opting NGOs, was provided on a number of issues for the tobacco industry. In 1994 Duchin and Blumel undertook "a crash effort to recruit and retain national and state organizations, as well as individuals, to a broad based ad hoc coalition to Get Government Off Our Back."3 Mongoven provided PM with a fairly pedestrian analysis of the 1998 meeting of Society for Research on Nicotine and Tobacco's Annual Meeting,25 and in 1999 he investigated the possibility of PM obtaining liaison status at the International Standards Organization,26 reinforcing existing evidence of industry's interest in influencing the ISO,27 More colourful is MBD's engagement with INFACT, a corporate watchdog non-government organization that

Page 142 of 260 went head to head with Mongoven during the Nestle boycott in the 70s and 80s. MBD advised both R.J.Reynolds and PM regarding INFACT, and in ways which differed substantially in tone. In 1995 Duchin was suggesting that the joint participation of INFACT and the Interfaith Centre on Corporate Responsibilities (ICCR) in the FDA tobacco regulation issue was a significant threat that he could manage for R.J.Reynolds:

"the involvement of both INFACT and ICCR in any activist campaign brings a unique dimension to the issue - the power of perceived church sponsorship of the activist groups. MBD has been following the two organizations and their leaders for many years. We know their styles of leadership and their philosophies they adhere to. We can be of help to RJR in monitoring and developing strategies relative to these groups and their activities."2B

Less than three years later, Mongoven provided PM with a detailed report on INFACT's Hall of Shame, including details such as planned targeting of board members, the text of letters to be sent to them, and the predicted course of the campaign. Overall though, Mongoven appears to be aiming to paint INFACT as being rudderless and grasping at causes for the sake of engaging in activism, while being careful to cover his risk­ management bases.

"Despite INFACT's grandiose plans and threats, we do not believe that the organization represents the threat that it once did ... It is important to note, however, that demonstrations at corporate annual meetings are often disruptive and embarrassing to corporate management."29

These contrasting framings of INFACT raise some questions, impossible to answer from the documents, about the extent to which MBD play their clients as hard as their opponents. Given that Mongoven and his colleagues have worked against causes such as the prevention of infant death in developing countries and the anti-apartheid movement, it seems unlikely that they would feel constrained by high moral principles. Perhaps MBD's advice on indoor air quality and on INFACT differed because circumstances were different, or perhaps even corporations should be wary of those who "manage issues" for a living.

Page 143 of 260 Working against the US Food and Drug Administration The documents suggest that R.J.Reynolds commissioned MBD to actively work against the US Food and Drug Administration (FDAl's attempts to regulate tobacco in 1994 and 1995. Unsurprisingly the strategy included co-optation of veteran's groups and the use of third party strategy ("develop an entity'):

"M BD has now undertaken to assist RJR with its FDA project to obtain one million plus signatures in opposition to the FDA's potential regulation of tobacco products. MBD will develop an entity and message to provide petitions to local posts and grassroots veterans organization ... additional signatures can be obtained from members of social and fraternal organizations which work closely with veterans postS."3

A fax from the Senior Director of R.J.Reynolds' Public Issues Department gives the most detail about the advice Robert Blumel was giving on the FDA process, and suggests some incredulity:

"Faxed proposed rule to Bob Blumel on Thursday and followed up with him today. Blumel feels ($$$) that getting Congress to take an interest in the issue will be easier as it can be argued that the cost of the regulations will add to the deficit. He suggests a cost benefit analysis or study from one of the think tanks here in town (CEI, Heritage, CA TO) to demonstrate that not only will the proposal not have any effect on children smoking, but that it will cost the taxpayers a whole lot of money. He thinks attacking the proposal from a cost argument could be the necessary hook to pull in conservative deficit hawks on the hill. In addition, Blumel is going to the FDA on Monday to poke around and see some of his contacts to see if he can get a feel for what they think of Kessler's proposed regs. I'll be having lunch with Blumel on Monday afternoon."30

Blumel certainly appears to have been gathering information from inside both Congress and the FDA on the proposed regulatory changes. The meaning of the aside ($$$) is unclear. Perhaps Hyde was referring to the cost of Blumel "feeling" anything on behalf of

Page 144 of 260 R.J,Reynolds, MBD certainly didn't have an open chequebook to pursue the FDA process, as evidenced by Duchin's suggestions four months later that for a fee he could investigate NGOs' lobbying of the FDA,28

Providing damaging information about individual tobacco control figures A particularly unpleasant element of MBD's tobacco work appears to have been preparation of backgrounders on tobacco control leaders, presumably to enable the industry to discredit them in the eyes of the public or decision makers, Philip Morris specifically requested that MBD investigate Or Sydney Wolfe of the Health Research Group (HRG), Cliff Douglas of the American Lung Association and Scot! Ballin of the American Heart Association in 1992, MBD sent information they already had on file and advised "If we had a day or so we could expand on this information significantly."31 As well as general information about the mens' career paths and networks, Mongoven's made some seemingly desperate and unsuccessful attempts to identify character flaws or weaknesses. 31 Far more brutal was MBD's work on Or Gro Harlem Brundtland in relation to her appointment as Director General of the WHO. Brundtland moved tobacco control to the top of the WHO priority list on her appointment, thus posed a significant threat to the industry. In 1998 Mongoven provided intelligence both on the appointment process and Brundtland's loyalties, predicting that she was certain to be elected to the position.32 Six months later, Jack Mongoven provided a memo bluntly entitled "Brundtland and Whales", which highlighted the fact that Norway engaged in whaling during the period that Brundtland was Prime Minister, in opposition to the 1986 moratorium declared by the International Whaling Commission (IWC).33 A folder of materials found in Matt Winokur's office labelled "WHO Planning" contained the Greenpeace pUblications which were attached to this memo. 34 Criticism of whaling is readily justified, but given that Mongoven was a trenchant opponent of animal rights and environmental activism, this criticism of Brundtland seems extremely cynical.

Working against the globalization of tobacco control The final area in which MBD has worked for the industry is in undermining WHO processes, particularly the FCTC. The FCTC was initiated in 1996 by the World Health Assembly, an association of 161 governments under the auspices of the WHO. It was

Page 145 of 260 adopted by member countries of the WHO in May 2003 and entered into force on November 29th 2004 when Peru deposited the fortieth instrument of ratification at the UN in New York. The FCTC binds those member countries that ratify it. Any convention is generally associated with a set of protocols. These are detailed legal instruments on particular sub-issues (in the case of tobacco, issues such as advertising or taxation), which can be written consecutively with or following the completion of the convention itself. An ongoing tension exists in any convention process because protocols are individually ratified, separate from the convention itself. Thus negotiation of a framework convention can pursue one of two paths: a weak convention which most countries will ratify plus strong protocols which may be delayed indefinitely and to which few will sign; versus a strong convention, which may be ratified by fewer countries but will provide an international standard for comprehensive global governance. The FCTC and its protocols must be accepted by the World Health Assembly before being ratified, and every member-state of the World Health Assembly has one vote. Thus every nation-state in the World Health Assembly has at least a nominally equal say in the final "yes or no" decision, although obviously the political and fiscal reality is far more complex.

The FCTC development process started with two working groups in 2000, which set out an initial framework, and continued with a series of sessions of the Intergovernmental Negotiation Body (INBs), the fourth of which was held in March 2002, when the chapter on which this paper is based was originally published. The secretariat for all of the formal meetings of the FCTC was the Tobacco Free Initiative (TFI), a WHO cabinet project created by Gro Harlem Brundtland at her appointment in 1998 to focus international attention, resources and action on global tobacco control. NGOs formally recognised by the WHO were able to observe and make formal "statements" at FCTC meetings: NGO meetings were thus scheduled to precede and coincide with FCTC meetings. Opportunities for lobbying occurred at the INBs, and also at Regionallntersessional Meetings. These meetings occurred within the six WHO "regions" (Africa, The Americas, Eastern Mediterranean, Europe, South-East Asia and Western Pacific) as well as within other groupings (eg. ASEAN). They were not part of the formal process, occurring at the region's discretion, but groups of nations did speak formally at meetings of the INB.

In July 2000, a WHO "Committee of Experts" released a report entitled "Tobacco company strategies to undermine tobacco control activities at the World Health Organization".35In it

Page 146 of 260 was detailed evidence of a wide range of deliberate ploys by big tobacco to "contain, neutralise and re-orient" WHO tobacco control activities. Based on what they had found, members of the committee concluded:

"it is likely that tobacco companies will attempt to defeat the proposed Framework Convention on Tobacco Control, or to transform the proposal into a vehicle for weakening national tobacco control initiatives. Such a campaign is likely to be sophisticated and sustained, and to use tactics similar to those described in this report."35

The documents suggest that this observation was prescient. It appears that from 1997 MBD worked against the FCTC process for PM as well as advising on undermining the WHO in general. In August of 1998 Mongoven analysed the framework convention process, including "strategic recommendations and case studies of past and on-going negotiations."36.37 Mongoven started by ensuring that his client was convinced of the seriousness of the situation. "Once a framework convention reaches this stage a final product is virtually inevitable", he counselled. PM was advised to learn from the Framework Convention on Climate Change, in which industry groups did not participate early, making the mistake of assuming that the US would not be a signatory. When industry groups realised that their predictions were misplaced, they were forced to "fight a decidedly uphill battle against activists."37

"Activists are aware that the existence of a framework convention allows them to gradually escalate the severity of restrictions through adoption of additional protocols never envisioned at the time of treaty ratification ... In conventions where industry has participated from an early stage it has played an important role in shaping the framework convention and thus the protocols. The pharmaceutical industry's involvement in the Framework Convention on Biodiversity is a good example of Western industry participating in the development of what could have been a very onerous agreement but which has become an acceptable regulatory regime."37

Action was thus required to influence both the treaty and the protocols, Mongoven advised:

Page 147 of 260 "The first alternative to an onerous convention is to delay its crafting and adoption. Since the US Congress only enters this issue when the treaty must be ratified, the current administration will be responsible for US input and negotiations of the treaty. Any pressures to delay the finalization of the convention would require the combined efforts of several individual or coalitions of countries and various NGOs ... "37

Mongoven advised that the working groups were key sites of influence for NGOs, and that "the key intervention points to delay or strongly influence movements in negotiations are the biennial meetings of the [World Health Assembly] where all the individual nation-states participate ... The first target [World Health Assembly] would be 1999. Any strategy to deal with same would have to be in place by mid-1998."37

"Aside from delaying the adoption of a convention the company is best served by participating in the development of the agreement. It would be in the company's interest to have the treaty focus entirely on protecting children and leaving adult choice protected .. ." "Any effort to influence the convention finally adopted will require a highly sophisticated and well coordinated central strategy ... the corporation must have a cohesive and consistent strategy and focal point or it will be working against itself in an international tribunal ... Compromises can be significantly influenced, but to do so requires a clear cut decision to do so, agreement on specific objectives to be sought, a comprehensive strategy to achieve those objectives and a central structure to implement the strategy worldwide."37

Mongoven worked hard for PM in the last months of 1998, but many of the reports he wrote have not been included in Philip Morris' online document collection. Covering memos show that he completed an analysis of the creation and roles of NGOs in relation to UN processes,38.39 a briefing paper on "the background and current thinking at WHO on tobacco control",4o which was to be used for lobbying purposes,41 and a paper analysing International Framework Convention issues.42 The memo covering the WHO paper suggested that Mongoven was making the most of UN contacts: "As you can read from our

Page 148 of 260 memo on the interview with Mr Uranga,j35 WHO is stepping on a lot of toes - perhaps something we ought to watch more closely."4o

Not long afterwards, MBD were asked by PM's Matt Winokur, director of Corporate Affairs for PM Intemational in Washington, to "look into" another WHO-sponsored event, an International Policy Conference on Children and Tobacco, to be held in Washington DC on March 18 1999.43.44 The conference aimed to devise healthy public policy, and was a relatively closed and expert affair rather than a general information-sharing opportunity. In MBD's analysis of the media announcement of the conference,45 Mongoven also delivered the inside word on the international framework convention, noting that he had had a private conversation with TFI staff about their plans to enlist the support of US politicians for the FCTC, and that TFI were "very encouraged by the receptivity of American policymakers to advancing the IFC".45

By April, Mongoven had moved on from general background papers to specific analyses of components of the FCTC process, was starting to focus on the NGOs involved in the process, and was reporting monthly on his ongoing investigations. He reported that an NGO meeting was scheduled at WHO on May 15111 and 16th to coincide with the World Health Assembly in Geneva, organised by the International Non Govemmental Coalition Against Tobacco (INGCAT), at that time run by Karen Slama. "The purpose of the meeting is to mobilise important intemational organizations which have not taken a stand against tobacco ... Slama has scheduled a press conference for May 14th which we will cover."46

That day Mongoven also forwarded an intelligence report on activities of the Tobacco Free Initiative.47 The report listed the TFI activities in progress and the personnel involved, and detailed methods for selecting tobacco control activists for awards on the upcoming World No Tobacco Day, identifying one of the planned recipients. Considerable detail of the TFl's activities was included:

j Presumably (but not certainly) Raul Uranga, who was staff at the United Nations System Focal Point on Tobacco or Heallh, a unit which preceded the TFI and was sited in Ihe UN Economic and Social Council (ECOSOC), a policy decision seen as a victory by the industry at the time. This document suggests that the industry may have had links to the focal point.

Page 149 of 260 "The review of the Children's Rights Convention with reference to tobacco is almost completed. The lawyer handling it is finishing his TFI contract next month, and will move on to work with UN High Commission of Refugees ... The UNICEF Adolescent smoking survey in nine countries is about to begin and continue for two months. Apparently, some problems still have to be resolved but the launch is being planned. The survey will be handled by education authorities and tobacco-control NGOs in the participating countries ... GlobaLink and TFI are developing a joint web-site with help from IUAC ... Framework convention is still in its political support­ seeking stage. [The World Health Assembly] is expected to either give it impetus or downgrade it at its upcoming meeting. It appears there is some reserve on the part of some representatives to make it as high a priority as the Director General has. Drafters of the IFC are making slow headway and have yet to come up with a concrete outline they can agree on."47

The document evidence begins to thin out around June 1999. However the last two documents, from mid-1999, suggested that PM was acting on MBD's advice. They were engaging with the 1999 World Health Assembly, as suggested by Mongoven in 1997, and appeared to be approaching the FCTC problem in terms of regions. Winokur emailed Anne Kush and others on June 6th regarding "draft cover for followup to regions," advising "I'll get Mongoven's transcripts sent up by disc so we can send those out as well,"48 and on June 18th he distributed "revised country comments at [the World Health Assembly] compiled by MBD".49 The available documents finish at that point, but the FCTC process continued, and so did MBD's involvement. On March 15th 2000 in Washington DC, the US Centres for Disease Control and Prevention held public hearings to solicit "comments from the public" on the FCTC. Attending, but not presenting, was a Mr. Matthew Vanek, listed as a "Policy Analyst", from MBD.5o

DISCUSSION In the published version of this work, I suggested that the most worrying of all of MBD's efforts was their engagement with the FCTC process, that it was highly probable that MBD continued to work for Philip Morris on the issue, and that PM had a centralised coordinated

Page 150 of 260 strategy to undermine the FCTC as recommended. The documents certainly suggested, in summary: 1. an intention to delay the FCTC; 2. an intention to focus the convention on children, framing the issue as one of adult choice; 3. an interest in what content is included in the convention and what is left to be dealt with in the protocols; 4. a recommendation that the "combined efforts of several individual or coalitions of countries and various NGOs' would be required; 5. a focus on the meetings of the World Health Assembly as key intervention points, suggesting an intention to co-opt the votes of individual nation-states through lobbying; and 6. an interest in approaching the issue by region.

Negotiation of the text of the FCTC is now complete and the original paper on which this chapter was based was released in 2002. As shown in Appendix Three, it generated some international interest around INB4, not least from MBD and Philip Morris. Jack Mongoven died of lung cancer in 2001, but in his absence Ronald Duchin claimed that the information in the paper was "almost totally untrue". This would be a difficult claim to support, given the extent of the documentary evidence regarding MBD's work for PM and R.J.Reynolds. Duchin also insisted that MBD had not been associated with tobacco interests "for quite some time". This indignant distancing from the industry was hard to interpret: it may have been bluff; it may have been true if "some time" meant two years; the relationship between MBD and PM may have ended with Mongoven's death. Duchin's statement certainly suggested some discomfort with the findings reported here becoming public.

Philip Morris International also responded with the following press release:

"Lausanne - Today Philip Morris Intemational reiterated its support for the World Health Organization's (WHO) efforts to create a Framework Convention on Tobacco Control Framework (FCTC). David Davies, Senior Vice President of Philip Morris International, stated:

Page 151 of 260 "We think the WHO has a legitimate role in proposing strong and effective regulations on the marketing, manufacturing and sale of tobacco products, especially with the goal to prevent minors from smoking. "

The company confirmed that in the past the consultancy firm Mongoven Biscoe and Duchin had provided information about the process and progress of WHO's Framework Convention on Tobacco Control. David Davies said that "it is nothing out of the ordinary to seek information and understand the processes so that the company can make a constructive contribution." The company no longer has a relationship with this consultancy firm.

Philip Morris International has been very clear and open about its position on the FCTC. The company supports the WHO's FCTC based on four key principles: 1. Smoking-related decisions should be made on the basis of consistent public health messages 2. Effective measures should be taken to prevent minors from smoking 3. The ability of adults to choose to smoke 4. All manufacturers of tobacco products should compete on a level playing field.

Philip Morris International also reiterated its desire to work with the WHO and Member States. Although WHO and others have called for the exclusion of tobacco companies from the FCTC process, Philip Morris believes that all interested parties, including tobacco companies, have a legitimate role to play."51

This statement is completely consistent with the advice previously given by MBD: emphasise youth smoking prevention; appear to be highly cooperative; work from within. PMl's characterization of MBD's work as constructive certainly seems euphemistic.

Mongoven, Biscoe & Duchin and consultancies like them are part of the mechanism by which regulatory processes and community opinion are annexed by corporate interests, as

Page 152 of 260 described in Chapter Two. For Jack Mongoven, public health, consumer advocacy, and "the kind of fuzzy thinking which brought us the likes of the precautionary principle"2 were secondary to the science produced by corporations. Rampton and Stauber have observed that MBD created their own form of scaremongering where the industry became an "innocent giant under attack from radicals? mobilizing grand narratives of modernization, technology and western values against the "threats" of radical communities and the encroaching developing world. MBD is not the only corporate affairs consultancy that gathers intelligence on advocates, and of course advocacy campaigns sometimes use the methods evidenced here: strategic thinking about the strengths and weaknesses of an opponent, using contacts to gather information, selecting the best possible mouthpiece for media coverage. The differences lie in the resources available, the objectives, the outcomes, and, resonating again with Chapter Two, the ideologies on which these are based.

The documents and Stauber and Rampton's work both suggested that MBD were pragmatic about reaching their corporate affairs objectives and unconcerned about the impact they had on disempowered others. When corporations have these kinds of specialists working transnationally to protect their interests, it is no wonder that the widespread changes observed in Chapter Two continue apace. The challenge is for civil society and regulatory procedure to ensure that MBD and organizations like them do not impact any further on local and global tobacco control policy and practice, and for people working in tobacco control to be wary of consultants seeking to isolate the radicals, re­ educate the idealists, flatter the opportunists and co-opt the realists.

REFERENCES 1. Stauber J, Rampton S. Toxic sludge is good for you! Lies, damn lies and the public relations industry. Monroe. Maine: Common Courage Press. 1995. 2. Rampton S, Stauber J. Trust us, we're experts! How industry manipulates science and gambles with your future. New York: Jeremy P. Tarcherl Putnam, 2001. 3. Ouchin R, Blumel R. Status report on projects and projected costs through the end of 1994 (940000). 1994 Qct 27. RJ Reynolds. Bates No.: 51201097110981. 20020129. URL: http://legacy .1 ibrary. ucsf. edultidlgwz61 dOO 4. Letter and Survey from MBO to the Wilderness Society. PR Watch 1996. Volume 3 No. 2. Date Accessed: Feb 4th 2002. URL: http://www.prwatch.orglprwissuesI1996Q2Ibart.html

Page 153 of 260 5. Stauber J RS. Flack attack. PR Watch 1996. Vol 3 Issue 2. Date Accessed: Jan 29 2002. URL: http://www.prwatch.org/prwissues/1996Q2I 6. Lulac Business Council Members. 1985 May. Tobacco Institute. Bates No.: TITX003239212394.

02022002. URL: http:/~egacy.library.ucsf.edu/tid~uv32f00 7. Corporate Affairs corporate cost review. 1993 Jul. Philip Morris Companies Inc. Bates No.: 2046996735/6770. 20020129. URL: http://legacy.library.ucsf.edu/tid/wqq02aOO 8. Kloepfer Jr WJ. Remarks to Board of Directors TI winter meeting 1986. 1986. RJ Reynolds. Bates No.: 504988247/8256. 29012002. URL: hUp:lllegacy.library.ucsf.edu/tidlvip35dOO 9. Duchin R. SIDS linked to particulate air pollution: forwarding an article and includes information on the authors. 1997 August 4th. Philip Morris. Bates No.: 2065285680. 20020129. URL: http://legacy .library. ucsf. ed u/tidlfzx 77 dOO 10. Multinational Business Services Inc. Invoice Number MPOR·00794. 1997 Jul Access. Philip Morris. Bates No.: 202937704817050. 20010129. URL: http://legacy.library.ucsf.edu/tid/cwi02aOO 11. Annex E. Environment policy. 1994 Apr 01. Philip Morris. Bates No.: 204854221212217. 20020129. URL: http:!negacy.library.ucsf.edu/tid/uvn92eOO 12. Philip Morris technical synergy symposium on the environment preliminary program draft agenda. 1993 Feb. Philip Morris. Bates No.: 204659725517256. 20020129. URL: http://legacy.library.ucsf.edu/tid/ocf22dOO 13. Grant K. An analysis of key U.S. organizations involved in environmental issues. 1991 Jan 4. Philip Morris. Bates No.: 2047375315. 20010129. URL: http:!negacy.library.ucsf.edu/tid/mxn32dOO 14. Campanella C. The Working Group: minutes of meeting. 1991 Jan 23. RJ Reynolds. Bates No.: 50763779017791. 20020129. URL: http://legacy.library.ucsf.edu/tid/mxp61dOO 15. Biotech issue team meeting Wednesday, 980617 9:00 am • 11: 00 am agenda. 1998 Jun 17. Philip Morris. Bates No.: 2065355813. 20020129. URL: http:!negacy.library.ucsf.edu/tidlklw77dOO 16. Goodheart J. Final: Follow Up Items 1GMO Issue Team. 1998 Jun 19. Philip Morris. Bates No.: 2065355812. 20020129. URL: hUp:lllegacy.library.ucsf.edu/tid/jlw77dOO 17. Biotech issue team meeting Friday, 980626 10:00 ·12 noon NY time. 1998 Jun 26. Philip Morris. Bates No.: 2065355810. 20020129. URL: http://legacy.library.ucsf.edu/tid/hlw77dOO 18. Mongoven J. Activists demand famine relief be GMOfree. 1998 Feb 24. Philip Morris. Bates No.: 2065356010/6011.20020129. URL: http://legacy.library.ucsf.edu/tid/amw77dOO 19. Modern biotechnology strategy 1issue outline. Philip Morris Management Corp. 1997 Apr 9. Bates No.: 2060571679/1697. 20020129. URL: http:!negacy.library.ucsf.edu/tid/hqa13eOO 20. Mongoven J. Indoor Air Quality. 1991 Dec 9. Philip Morris. Bates No.: 2024719340. 20020129. URL: http://legacy.library.ucsf.edu/tid/fgk98eOO 21. Mongoven J. Issue analysis: indoor air pollution status as of 911209. 1991 Dec 9. Philip Morris. Bates No.: 2024719341/9375. 20020129. URL: http:!negacy.library.ucsf.edu/tid/ely24eOO 22. Mongoven J. Multiple chemical sensitivity as an emerging issue. Philip Morris. 1993 Nov. Bates

No.: 202413889218959. 20020129. URL: hUp:/~egacy.library.ucsf.edu/tid/bph45dOO 23. Mongoven J. Indoor air pollution·· who will regulate? Philip Morris. 1992 Feb 17. Bates No.: 2022874295/4297.20020129. URL: http://legacy.library.ucsf.edu/tid/ukb78eOO

Page 154 of 260 24. Mongoven J. Indoor air. Philip Morris. 1992 Feb 21. Bates No.: 2022874294. 20020129. URL: http://legacy.library.ucsf.edu/tid/dw34eOO 25. Mongoven J. SNRT annual meeting. Philip Morris. 1998 Jun 10. Bates No.: 2063123724/3727. 20020129. URL: http://legacy.library.ucsf.edu/tid/iig33eOO 26. Mongoven J. Liason status at ISO. 1999 Jun 9. Philip Morris. Bates No.: 2065285821. 20020129. URL: http:lnegacy.library.ucsf.edu/tid/uzx77dOO 27. Bialous S, Yach D. Whose standard is it, anyway? How the tobacco industry determines the International Organization for Standardization (ISO) standards for tobacco and tobacco products. Tobacco Control 2001;10:96-104. 28. Duchin R. Coalition pushes FDA on Tobacco. 1995 Nov 7. RJ Reynolds. Bates No.: 515246495/6498.20020129. URL: http://legacy.library.ucsf.edu/tid/teu90dOO 29. Mongoven J. INFACT's new campaigns against Philip Morris. Philip Morris. 1998 Mar 17. Bates No.: 206219716117163. 20020129. URL: http://legacy.library.ucsf.edu/tid/ouq22dOO 30. Hyde T. FDA activities update. 1995 Aug 14. Philip Morris. Bates No.: 513968767/8775. 20020129. URL: http:lnegacy.library.ucsf.edu/tid/lgk61dOO 31. Mongoven J. Wolfe, Ballin and Douglas. 1992 Feb 18. Philip Morris. Bates No.: 2026168806/8807. 20020129. URL: http://legacy.library.ucsf.edu/tid/pzt85eOO 32. Mongoven J. Brundtland wins Director General nomination at WHO. 1998 Jan 27. Philip Morris. Bates No.: 2065285196. 20020129. URL: http://legacy.library.ucsf.edu/tidlkyx77dOO 33. Mongoven J. Brundtland and Whales. Philip Morris. 1998 Jul 24. Bates No.: 2065284694. 20020129. URL: http://legacy.library.ucsf.edu/tid/kxx77dOO 34. WHO Planning [folder from Matthew Winokur's office]. Philip Morris. 1998. Bates No.: 2065284694/4704.20020129. URL: http://legacy.library.ucsf.edu/tid/mxx77dOO, http://legacy.library.ucsf.edu/tid/nxx77dOO, http:lnegacy.library.ucsf.edu/tid/oxx77dOO, http://legacy.library.ucsf.edu/tid/lxx77dOO, http://legacy.library.ucsf.edu/tid/kxx77dOO 35. Committee of Experts on Tobacco Industry Documents. Tobacco company strategies to undennine tobacco control activities at the World Health Organization. Geneva: World Health Organization, 2000 July. 36. Mongoven J. [Memo to Matt Winokur enclosing analysis of the FCTC process]. 1997 Aug 8. Philip Morris. Bates No.: 2065285679. 20020129. URL: http://legacy.library.ucsf.edu/tid/ezx77dOO 37. Mongoven J. MBD analysis of WHO convention (FCTC) process. 1997 Nov. Philip Morris. Bates No.: 2074292078/2082. 20020129. URL: http://legacy.library.ucsf.edu/tid/wqp87dOO 38. Winokur M. [Memo distributing Executive Summary of MBD's report on the WHO tobacco control convention]. 1997 Dec 1. Philip Morris. Bates No.: 2074292077. 20020129. URL: http://legacy.library.ucsf.edu/tid/upv28dOO 39. Mongoven J. [Memo forwarding MBD's analysis of NGOs in relation to UN processes]. 1997 Dec 10. Phi lip Morris. Bates No.: 2065284804. 20020129. URL: http://legacy.library.ucsf.edu/tid/yxx77dOO 40. Mongoven J. [Memo:World Health Organization]. 1998 Dct 9. Philip Morris. Bates No.:

2065284638. 20020129. URL: http:/~egacy.library.ucsf.edu/tid/exx77dOO

Page 155 of 260 41. Winokur M. [Memo forwarding background briefing on the WHO). 1998 Oct 12. Philip Morris. Bates No.: 2065284665. 20020129. URL: hUp:lllegacy.library.ucsf.edultidlfxx77dOO 42. Mongoven J. [Memo forwarding IFC issues paper]. 1998. Dec 8. Philip Morris. Bates No.:

2065284576. 20020129. URL: http:l~egacy.library.ucsf.edultidldxx77dOO 43. Kush A. [Email re: International Policy Conference on Children and Tobacco]. 1999 June 25. Philip Morris. Bates No.: 2065560545. 20020129. URL: http://legacy.library.ucsf.edultidlrei17dOO 44. Winokur M. Email to Anne Kush re: Intemational Policy Conference on Children and Tobacco. 1999 Jun 28. Philip Morris. Bates No.: 2065560544. 20020129. URL: http://legacy.library.ucsf.edultidlqei17dOO 45. Mongoven J. International policy conference on children. 1999 Mar 3. Philip Morris. Bates No.: 207074080310809.20020129. URL: http://legacy.library.ucsf.edultidltga38dOO 46. Mongoven J. [Memo to Matthew Winokur). 1999 Apr 22. Philip Morris. Bates No.: 2065285547.

20020129. URL: hUp:"legacy.library.ucsf.~dultidlzyx77dOO 47. Mongoven J. Intelligence report on the activities of the Tobacco Free Initiative. 1999 Apr 22. Philip Morris. Bates No.: 206528557015571. 20020129. URL: hUp:lllegacy.library.ucsf.edultidlczx77dOO 48. Winokur M. Draft cover for followup to regions. 1999 Jun 9. Philip Morris. Bates No.: 2065560461. 20020129. URL: hUp:lllegacy.library.ucsf.edultidlaei 17 dOO 49. Winokur M. Revised country comments at WHA compiled by MBD. 1999 Jun 18. Philip Morris. Bates No.: 2065560644. 20010129. URL: hUp:lllegacy.library.ucsf.edultidlcfi17dOO 50. US Centers for Disease Control and Prevention. List of participants in public hearings on FCTC. 2001. Date Accessed: Jan 28 2002. URL: http://www.cdc.govltobaccolgloballfctcJfctc_participants.htrn 51. Philip Morris International Management. Philip Morris International renews fts support for a framework on tobacco control (press release). Lausanne Switzerland: PR Newswire Europe, 2002 20 March.

Page 156 of 260 ~NI13}1~VW A~nlN3:> lS~~ :33~Hl NOI1:>3S CHAPTER NINE THE AUSTRALIAN CIGARETTE BRAND AS PRODUCT, PERSON AND SYMBOL

INTRODUCTION The purpose of research reported in this chapter was to understand contemporary Australian cigarette brands, and the process by which the tobacco industry had attempted to make those brands meaningful for consumers in an increasingly restricted marketing environment.

The "brand" The brand is a fundamental, dominant and constantly evolving concern in marketing.1.30 Despite agreement on the importance of brands, what constitutes a brand is contested. 13 Although the brand is sometimes defined simply as a "logo, trademark or package design,"4.10.11.17,28 many authors emphasise that a brand is far more, particularly more recently, in critical works on marketing, and in professional resources for marketing practitioners. 2.3,21,24,27

Brand image In the 1950s and 1960s, marketing focused on the characteristics of the actual product: concrete, novel product benefits. The brand did not communicate anything about the product: it was considered to be merely an identifier that helped the consumer to find the brand more easily via the name and logO.5,6,12,31 A highly original paper produced in 1955, "The product and the brand,"15 posited that a brand was more than just a memory aid. It was a complex symbol that built up a body of associations over time, and thus communicated ideas, attributes, image, character and personality to consumers. With prescience, the authors of this paper foreshadowed a fundamental contemporary distinction between the product, a concrete object produced in a factory, and the brand, an abstract construct which is independently important to sales.4,7,8,13,15,27,32 That paper inspired David Ogilvy to champion the idea of 'brand image' or "brand personality" in the 1970s, often embodied as spokesperson characters for the brands he advertised ,6,12,16 The

Page 157 of 260 "brand image" concept is still important, now generally defined as the associations with or perceptions of the brand in the mind of consumers.3,4,10,14,16

Brand positioning In the 1980s positioning rose to prominence. The position of a product was also a place in consumers' minds, but it was a place relative to competing products.3,6.1o.11 The concept of the "positioning statement" is still current in marketing,9,11.2B defined by Aaker as "the part of the brand identity and value proposition that is to be actively communicated to the target audience ... [to] demonstrate an advantage over competitor brands."2.3 Brand identity will be discussed shortly. Aaker defines the value proposition as "a statement of the functional, emotional and self-expressive benefits delivered by a brand that provide value to the consumer,"2.3 that is, a statement of what the brand can do for the consumer. Positioning statements are necessarily efficient. Not all aspects of a brand's identity can be communicated to a consumer - many of them will operate as a back-story to guide a marketing manager's thinking.

Brand equity A dichotomy between "brands" and "commodities" underlies the brand concept. When consumers choose "commodities," they do so on the basis of price.2.BBrand building is seen to liberate products from this dependence on price alone by creating lasting value in consumers' minds.2,5.B.10,19It is widely acknowledged that this added value, together with a positive consumer experience of the product, can justify a higher price, influence sales levels, increase stock values and improve profits. 14,8,9,18,19

In corporate acquisitions in the 1980s, huge prices began to be paid for brands, over and above the value of their manufacturing facilities.9.1o This brought brand equity, the financial value of brands, above and beyond the value of the products they were linked to, to prominence. This concept became increasingly important in the 1990s.9,14 Although there is much disagreement about how it should be measured,9 brand equity is seen to arise from other aspects of the brand, including brand awareness, brand imagery, brand loyalty, consumers' attitudes to the brand, perceived quality, brand associations, and patents and trademarks.24.10.1 1.17 It can be influenced by major new products, product problems, management changes, competitor actions, and legal actions.2

Page 158 of 260 Brand identity Later work emphasises the notion of a brand identity, defined by the brand's manager and determining all aspects of a brand's marketing.2.3•9 Brand identity is complex and potentially arises from many elements (Table Five).2It is idealised, creative and dynamic, a vision, purpose and meaning for a brand, encapsulating the brand's values and determining the associations made with the brand.3.9 Identity differs from brand image, which exists in the consumers' mind and is only partly determined by brand identity, and from positioning, which expresses only some aspects of a brand's identity and benefits. 3.9 Aaker identifies three parts of brand identity. Brand essence is "a single thought that captures the soul of the brand", what it is or what it does. The core of the brand's identity consists of a few brand elements that summarise the brand's vision. The brand's extended identity consists of "elements that provide texture and completeness",2.3

TABLE FIVE: POTENTIAL COMPONENTS OF BRAND IDENTITY, ADAPTED FROM AAKER3

Elements of brand essence, core identity and extended identity BRAND AS BRAND AS BRAND AS BRAND AS PRODUCT ORGANIZATION PERSON SYMBOL Association with Organization Personality Visual imagery and product class attributes (e.g. (e.g. feminine, metaphors (e.g. cigarettes) innovation, rugged) trustworthiness) Product attributes Local versus global Brand-customer Brand heritage (e.g. taste) relationships (e.g. friend) Quality/value Uses Users Country of origin

Page 159 of 260 RESULTS

Brand loyalty While Australians' loyalty to particular cigarette brands exceeds loyalty to other Australian product brands, my sources suggested that the industry considers Australian smokers to be less brand loyal than, for example, US or UK smokers. Industry documents from the 1970s to the 1990s state that the Australian market is volatile and characterise Australian smokers as both commonly smoking more than one brand and readily switching brands.33- 37 A 2002 BAT A advertisement in Retail World, solely intended to convince shopkeepers to avoid running out of stock, supports this notion: the most dramatic warning BATA could muster, based on its "general consumer survey" was that 43% of smokers would go elsewhere if their regular brand variant was out of stock, 28% would reportedly buy a different variant, and 22% a different brand. 38 Although not directly comparable, findings from other markets such as the US, where a 1997 study reported that only 9.5% of smokers switched brands,39 suggest that Australian brand loyalty may be relatively low.

Regional variation The sources also suggest that the Australian market is highly regionalized. David Metcalf of WD&HO Wills was quoted as saying in 1998: "it varies by state ... Australia is really amazing - it's almost like separate countries."4o Although this makes market research more difficult, it also provides marketing opportunities. 35,41,42 Apart from Escort, which has approximately one quarter of the convenience market in South Australia but a negligible share in other states,43 the same few brands occupy different positions in the share data for different states. k In the convenience market in the last quarter of 2002 for example, Winfield was the leading brand in Western Australia, NSW and Victoria, with 35.0%, 34.0% and 25.1% value share respectively, but was third in Queensland at 18.9% and fifth in South Australia with 9.0%.43 In 1986, Sydney, the biggest city market, was characterised

k The following discussions will often contrast the convenience retail sector, which is comprised of corner shops, petrol stations and convenience stores, with the grocery retail sector, which is comprised of large supermarket chains. Much has been written in recent years in Australia about the anti-competitive nature of the grocery sector, which has become highly concentrated through mergers and aquisibons. The convenience sector contains more small and independent businesses.

Page 160 of 260 as image-based, rejecting deep discounting, while Melbourne, the next biggest, was characterised as value-based, responding more positively to discounting. 44 However this pattern is not clearly reflected in current data from these markets.

Local branding Although the global cigarette market has been increasingly oriented towards international brands,42 since the 1970s successful Australian brands have been those, like Winfield, Peter Jackson and , that were given distinctly Australian brand identities, and from the mid 1980s onwards the local industry formally recognized that Australian smokers were resistant to international brands. 4549

Diversification within existing brand families The sources also suggest the fundamental importance of increasing mildness in Australia. The "Iow tar" segment has been a priority for Australia since the mid 1970s because it attracts "health conscious smokers," enhances quality perceptions, and assists smokers to deal with the declining social acceptability of smoking. Over time "mildness" has become essential to Australian brands, and is most acceptable when provided as a line extension, that is, a new variant of an existing product under the same brand. 11 ,41,50-65 Frequently "mildness" is expressed not just through variant names, but also through pack changes, generally through the use of paler and/or bluer colour.

By the early 1990s, industry documents referred to the Australian market as the "mildest in terms of average delivery,"61 and to the "dramatic downward shift of [tar and nicotine] deliveries of Australian products"62 as a "key dynamic" of the market.61 .63 In 1994, Henry Goldberg, then managing director of PML, argued: "for some years now, there have been three kinds of new products launched in Australia; mild extensions; price propositions; and failures. We don't intend to launch a new price brand unless provoked. Not surprisingly then, we have plans for even lower tar versions of all of our major brands."66

Australian brand identities thus need to be particularly robust, capable of resonating through up to eight or ten variants. Machine-read tar is objectively relatively meaningless because smokers are able to compensate to adjust for product design changes,67 and the industry's own consumer research showed that smokers had minimal understanding of

Page 161 of 260 what "Iow tar" actually meant. 54 However industry research also showed that smokers experienced "lowered tar" as a real sensory phenomenon, influenced in part by the brand family and the tar band printed on the pack.68 Manufacturers raced to lower the tar banding of their important brands both to maintain loyalty by enabling trade-down over time within one brand family, and to attempt to steal share from competitor brands by getting to a "tar point" first. 65.69

Other Australian tobacco control research confirms that, in the current market, when a brand moves into a lower pack count, for example, it tends to do so in a wide range of tar variants'?o Examination of patterns in Australian retail trade publications suggested that the 5 to B mg "medium" tar band currently has the highest share and is the industry's priority. Line extensions in recent years have included Benson&Hedges Lights 6 (6mg, 1997); Marlboro Medium (Bmg, 2001); and Win field Light Blue Special Mild 6 (6 mg, 2003). Supervalue products (the cheapest brand group in the Australian market, to be discussed further in the next section) offer vast "lights" choice: Longbeach, for example, is in Filter, Mild, Super Mild, Ultra Mild, Ultimate, 1mg, Menthol, and Menthol 2mg. As noted in Chapter Three, my analysis of retail trade publication advertising included counting the number of advertisements that were dominated by images of packets of cigarettes labelled "light," "mild" or Bmg tar or below, even when the advertisements were for the entire brand family. Sixty one percent of premium advertising, 64% of mainstream advertising, and BO% of supervalue advertising featured low tar variants. What was once low tar is an increasingly regular offering, reinforcing mildness as an intrinsic brand characteristic.

Premium, mainstream, supervalue The Australian cigarette market is far simpler than the complex matrix of brands available internationally.l1 In 2001 in supermarkets, for example, ten brands accounted for about 95% of volumen Australian brands belong to one of three categories, commonly termed premium, mainstream and supervalue. WD&HO Wills called them "premium, value and commodity" and characterised them as: "image, image/value, and value/image".37.66.73 Supervalue are sold primarily in packs of 30, 40 or 50, mainstream and premium brands in packs of 30,25 or 20. 38.74 The three categories were slowly constructed through competitive attacks and in response to perceived consumer preferences between the early 1970s and the introduction of the Tobacco Advertising Prohibition Act in 1992.

Page 162 of 260 Tables Six to Eight present basic information about these brand categories. Table Six lists the major Australian brands of ready-made cigarettes in 2002. There are many other minor brands, mostly of Asian origin, available and advertised in Australia but these currently hold small market shares and are not discussed here. The rolling tobacco category is also not considered. Table Seven shows market share data found in the retail literature. Mainstream brands had the largest market share in both the convenience and the grocery sector. After mainstream brands, premium did better in convenience shops and supervalue in grocery shops. Table Eight enumerates the targeting of advertising to retail trade publications, showing a skew corresponding to the market share data. Note that for high profit premium brands there were more advertisements overall, and that the majority of double page and cover advertisements were devoted to premium brands.!

TABLE SIX: PML, ITA AND BAT A BRANDS OF READY -MADE CIGARETIES ADVERTISED IN THE AUSTRALIAN RETAIL TRADE PRESS

International brand Predominantly Australian brand Premium 8enson&Hedges Alpine (stand-alone menthol) Dunhill ('minimal brand Kent' (stand-alone low ta!"") share in 2002) Lucky Strike' Marlboro Peter Stuyvesant West' Mainstream Escort (South Australia) Peter Jackson Winfield (now exported) Supervalue Holiday Horizon Long beach Stradbroke

I In the following sections, advertising from retail magazines will be used to illustrate the points made about brand identities. This advertising is not intended to reach the consumer, but contains a great deal of textual and visual brand pcsitioning information. The significance of the use of retail advertiSing as a marketing strategy will be discussed in Chapter Eleven. m In most instances in Australia functional benefits such as mentholation or low tar are offered as line extensions within existing brand families. Stand-alone products are distinct brands positioned on such a functional benefit.

Page 163 of 260 TABLE SEVEN: BRAND VALUE SHARE DATA FOR THE GROCERY AND CONVENIENCE MARKETS 2001-2

Value Share grocery" Value Share Convenienceo Mainstream Winfield 17.4 28.1 Peter Jackson 16.4 17.2 Supervalue I Longbeach 19.8 9.7 I Horizon 15.1 6.2 Holiday 5.4 2.5 Stradbroke 2.1 Premium 8enson&Hedges 8.5 12.5 Dunhill 2.7 6.8 Marlboro 2.1 4.8 Peter Stuyvesant [too low to report] 4.1 Alpine 3.8 2.8

The premium segment The premium segment contains Australia's oldest brands, mostly major international brands. They are targeted to younger, more urban, higher income consumers who care more about image than price and are more likely to buy in packs from convenience shops than in cartons from grocery shops or supermarkets. They are also targeted to mainstream smokers who use them as supplementary brands.75

The shared core element of the identity of premium brands is quality.59.66,76-ll0 As Aaker notes,2.3 "quality" and "value" are inextricably linked, and premium brands offer quality rather than value - they are typically sold at high price in a small pack. "Quality" is seen in brand-as-symbol and brand-as-personality elements as well as brand-as-product elements such as taste. 79

"ACNielsen grocery Value Share Taken from Retail World Annual Report 2001 o C'track data Convenience Value Share to 23 Dec 2001 taken from Australian Convenience Store News March/April 2002 Tobacco feature

Page 164 of 260 TABLE EIGHT: NUMBER OF ADVERTISEMENTS IN RETAIL TRADE PUBLICATIONS

E m ca m ::::0 E E ::::0 E ::::0 ca en~ _ ca "E ~ ~ en - en ca en 2: en .~ -E m c:: (j)"E c:: c:: 2:- m-a.C:: m m ~ m c:: m .- m ::::0 m ....J ~ ca ~ffi E a.E 'co E E ::::0 E en E m > m > E""O .0""0 -c::""O > .0 ""0 -c:: ""0 > ::::0 ~16 E ca ca ~ E ca ~ ca ca ::::0 ~ Z m ::::0 ~ Q.. Z m Z m Q.. Q..

Australian Retail 42 20 39 12 44 10 45 Tobacconist Australian Service Station and 39 23 45 11 41 5 23 Convenience Store News Retail World 19 8 16 4 15 7 32 TOTAL 100 51 27 22 Total advertisements on cover or 42 24 47 14 52 4 18 more than one page

Australia is a "priority market" for Benson&Hedges, which dominates the premium segment. B1 The essence of Benson&Hedges' brand identity is "gold," communicated especially through the pack.59.76.79 8enson&Hedges' "gold" essence aligns the brand to the core premium brand element, quality. This can be seen in Figure One, which features prominent gold colouring resonating with the pack hero and a sophisticated abstract image consistent with quality as well as the trademark ampersand.

Alpine's brand essence, in addition to the core premium brand element, quality, is "fresh clean femininity."64.Bo This is strengthened by brand-as-product, brand-as-symbol and brand-as-person elements. Alpine's users are young feminine white collar (or not working) womenF,80,B2 Alpine is mentholated and has white tipping and a green and white pack. 59,77,8o It also has a heritage of "escapist" promotional imagery starring a young, free and attractive woman going on a five star beach holiday.59,77,Bo This is shown in Figure

Page 165 of 260 Figure One: B&H retailer print advertising 2001-3 Figure Two: Alpine retailer print advertising

-

. SMOKING ~AU:.ES .UNG CANeE"

BENSON HEDGES Figure Three: Dunhill retailer print advertising 2001·3

Figure Four: 2001·3 Winfield retailer print advertising featuring "masculine" visual joke about a fish caught with two fishing lines Two, which communicates the premium core brand element, quality, through the obvious exclusivity of the travel story communicated by the picture series. The feminine brand-as­ person element is conveyed through the silhouette, thus evading the ban on appearance of human figures in advertising, and the trademark Alpine green is carried through the single­ tone artwork. The positioning statement, "Fresh is Alpine", which has been in use for decades, communicates the essence of the brand's identity.

Consumer research commissioned by the industry has suggested that consumers' brand image for premium brands matched the brands' identities and positioning. In consumer research conducted in the 1990s, both Dunhill and Benson&Hedges were perceived as classy, stylish, up-market and top quality,37.83 Benson&Hedges as "clever/smart with status", and "non-elitist but aspirational,"78}9 Dunhill as "exclusive/elitist."79 The Dunhill advertisement in Figure Three contains positioning consistent with this image. The pack hero, which completely dominates the advertisement in close-up to the exclusion of the environment, suggests Dunhill's intrinsic worth, that is, its quality. Nothing additional is needed to speak for the brand, the pack itself is enough.p Consumer research conducted for WD&HO Wills suggested that the maintenance of Benson&Hedges' "gold" heritage told Benson&Hedges smokers "I'm OK, you're OK" in the face of the declining social acceptability of smoking.l9Alpine was perceived as milder, cleaner, less harmful and more "healing" than non-menthol cigarettes. Its image also had strong brand-as-person elements. Alpine was seen as "feminine', "upmarket", "sophisticated", and signified "balanced success as women" to its smokers. Alpine benefited from a relationship with its smokers that provided "emotional gratification," relaxation, "regaining control and confidence", "looking and feeling attractive" and "temporary escapism."59.80

The mainstream segment Although cigarettes had been available in Australia at a range of price points from at least the 1960s,50.57.77.84 the late 1970s saw a major shift towards "good value' in the Australian cigarette market, internationally unprecedented in size and scope.61 Australia is not the only market to have experienced a change towards a value orientation. Internationally, in

P Dunhill's pack has recently been revolutionised to a smaller size and a contemporary solid-colour design, has abandoned gold, which is not surprising given research demonstrating Benson&Hedges' strong "gold" brand image, and has developed a new logo.

Page 168 of 260 the mid 1980s, there was a move "away from classical image based brands to a wide variety of value for money offers" in cigarette marketing.85.8s However the mid 1970s Australian shift was notable for its size and scope at the time.

"Good value" was seen to incorporate price, imagery, and product elements, including perceived quality,?7 Tobacco industry analysts have said that Australian consumers see "the same quantity for less money" as "decreased quality," instead demanding more quantity for the same money, arguing: "the US generic approach of low price/Iow image product has never been successful in Australia. Discount for quantity purchase is a pre­ requisite for success. This belief is reflected across the entire consumer perishables segment."S1.77.84 In 1983 an international consultant observed that this approach of adding value rather than reducing price seemed to remove the stigma from smoking cigarettes that cost less per stick. 57

The mainstream cigarette category was created by two new, successful brands, Winfield (25s) and Peter Jackson (30s), which capitalised on the Australian smokers' desire for more for the same price. Larger packs offered the manufacturers economies of scale and also increased smokers' consumption. St87 The shared core element of mainstream brands was a good-humoured "fair go" for ordinary Australians. The category's brand identity thus contained quality/value elements (a fair go), user elements (for ordinary Australians) and personality elements (egalitarian good humour).57.7S,77.88.89

Both brands foregrounded "a fair go" in their initial positioning statements, Winfield as "5 smokes ahead of the rest" (25 cigarettes rather than 20)90 and Peter Jackson as "30 of the best at a popular 25s price," and later "Best value in Australia."91-93 Both emphasised full or added length to further strengthen this positioning. The value emphasis was supported by "intense image development program[s] to obtain smokers' loyalty and resilience to competitor initiatives,"s1.90 which included elements of brand as product, person and symbol.

Winfield's brand-as-person element, an irreverent "Aussie bloke," was provided by the actor Paul Hogan. 90.94 He starred in Winfield's humorous advertising campaigns throughout the 1970s, advising "".anyhow' have a Winfield," with a calm grin, in the context of bizarre, challenging or hopeless situations. This was welcome advice in a context of recession and

Page 169 of 260 Figure Six: 2001·3Horizon retailer print advertising showing blue tones and relaxation brand essencevia cloud on pack and association with coffee

11'~1111 n1\ .. h'n Ih.,1 ... ,"11,: •

II1In~.... ,.lne! Ih,- 11'''' III time

, .

• •

_,7_

____ .-ill

Figure Five: 2001·3Peter Jackson retailer print advertising featuring dubious Stonehengevisuai joke: the text reads "it's no mystery that some things stand the test of time" youth unemploymenl.94 Accordingly, Winfield's smokers were younger, slightly more male and of lower SES: Winfield was particularly "for those starting to smoke."94 Although Hogan was removed from the advertisements in 1980 on the grounds that he appealed to children, the strong association meant that he continued to be a high profile "walking advertisement for Winfield,"77 and longstanding "Winfield Cup" sponsorship of Rugby League football helped sustain the masculine Aussie personality of the brand. In retail advertising Winfield continues to draw on the "... anyhow'" positioning statement and the representation of humorously hopeless situations with a masculine Aussie bent, as seen in Figure Four.

Peter Jackson's mainstream Aussie humour was communicated through the positioning statement "Peter Jackson: you're laughing."91-93 Its brand identity included a quality edge, intended to be communicated through pack, advertising, premiums and event promotions. 36,66,69,69,92,95 The brand relied heavily on associations with motor racing,63,64,93 but also softened brand-as-symbol elements over time to become less aggressive and masculine and thus further differentiate from Winfield. 54,66 In current advertising to retailers Peter Jackson has abandoned the "you're laughing" positioning statement and positions itself primarily as a "good business" brand. The core mainstream "fair go" promise is made directly to retailers, reinforced by somewhat dubious visual humour, also in line with the shared core elements of the brand category (Figure Five).

Mainstream brand image has varied. In consumer research in the 1980s, smokers agreed that Winfield was lesser quality than premium brands,76,94 but Winfield's own smokers saw it as a "respectable", value for money brand, mirroring the brand's identity.94 Premium smokers, in contrast, emphasised poor quality, seeing Winfield as smaller, looser, cheap, with a "burning" taste, and found Winfield's symbols "unattractive,"94 In the 1990s, Winfield smokers described their own brand to be higher quality than Peter Jackson.63 Supervalue smokers characterised mainstream cigarettes as "everyday" but also as out of their league because they were "quality" brands, not far behind premium brands,?3,83 In 1993 these smokers still linked Winfield to Paul Hogan, describing the brand as "quality, Paul Hogan, average bloke - cheeky, Australian" and Peter Jackson as "average bloke, standard, cigarette machine, Australian."73

Page 171 of 260 The supervalue segment The success of mainstream offerings plateaued in the late 1980s, undermined by growing pack sizes that created a new category dubbed "supervalue."91 Packs of 35 and 40 grew to 20.5% of the market in 1988/9, first with Stradbroke and then with Longbeach as the first full-specification 40s product. 61 Holiday was the first 50s in 1991, followed by Horizon as the first full size 50s. PML attributed the rise of supervalue to increasing taxation, and the fact that "the aggressive activity of the anti-smoking lobby hard] impacted significantly on the social acceptability of smoking, which hard] in turn diluted considerably the traditional benefits of an image platform for brands."61 In addition, manufacturers had been prioritising market share over profitability, "diluting the value of trademarks through a focus on value, which can easily be duplicated or surpassed by competitors, as opposed to consolidation of image providing a unique value (i.e. not price) to the trademark. This has been reflected by switching rates - over 33% of Australian smokers are now switching within a 12 month period. This problem is likely to be exacerbated by draconian [marketing] restrictions ... "61

Documents from this period resonate with the general dichotomy in the marketing literature between "brands" and "commodities," expressing fears that without effective brand building and in the presence of price discounting, Australian cigarettes could become commodity items.35.96-99 Premium and mainstream brands were suffering and it was feared that the trend might spread to other countries. 99,100 Rothmans, manufacturer of Winfield, had a 33% profit decline in 1990/91, and a further decline of 70% in 1991/92,101 and Rothmans' competitors were exasperated with its apparent disregard for brand equity.99,101 Despite Winfield being a major competitor for the brands of PML, Henry Goldberg, PML's Managing Director, was extremely concerned about the erosion of Winfield's brand equity and price position, and concluded "any increase in legitimate market expenditure by Rothmans would be a welcome return to them re-building brand equity."99

Despite the dangers, the trend culminated in a "damaging and peculiarly Australian price war",66 which was financially unsustainable for the industry.62,102 The fact that larger pack sizes further increased the cigarette consumption of individual smokers 61 was poor compensation for the tiny margins on large packs and the loss of smokers from brands with larger margins. It seems that at the height of the price war manufacturers were desperate enough to seek market share at the expense of current profit, presumably in the hope that

Page 172 of 260 share increases would convert into brand-loyal future consumers prepared to pay higher prices. WD&HO Wills' Horizon 50s, launched in 1991, reportedly had zero margin.36 Although the companies developed the technology to produce 60s and 65s pre­ emptively,36,37,99 it was not used - by 1993 supervalue growth had flattened, and the 5% per annum decline in mainstream and 1.5% per annum decline in premium had stopped.99 However the damage to premium brand equity was considered lasting.63

The most important core element of supervalue brand identities, the key to their positioning, and the prime motivation of their users, was value for money, and pricing was a vital component of the brands' marketing strategies. 66,103 Supervalue users were older, more female, poorer, heavier and longer term smokers, who purchased from grocery shops,?3,103 However, the industry saw the core value for money element as an insufficient basis for long term supervalue brand equity.63,64 Thus brand-as-person and brand-as­ symbol elements were created. These were intended to have "an attitude of freedom, escape [and] mildness" and to be aspirationaI. 91.103-105 Blue tones were used along with waterside scenes implying escape, freedom and relaxation,63,73,103-105 resonating with familiar Australian narratives of beachside summer holidays and coastal retirement. The early positioning statement for Longbeach, "You're miles ahead," presented against scenes of long deserted beaches, exemplified the link made between the core brand identity element of "value for money" and the core elements of waterside escape and freedom. 36,91,105 Because Supervalue brands were launched close to the introduction of the TAP Act, this positioning has relied heavily on the point-of-sale and the pack.64,73 Figures Six to Eight show advertising from retail magazines for supervalue brands, all demonstrating the core brand category elements: value for money, water and freedom. Positioning of the least successful supervalue brand, Holiday, shows that its brand-as­ person and brand-as-symbol elements had been down played and its value proposition reduced to little more than "lowest price', consistent with Holiday's position as the bottom­ of-the-market "commodity" brand.

Brand image information from market research done by the tobacco industry has showed a clear division between supervalue brand smokers and non-supervalue brand smokers. Smokers of all brands saw supervalue as "budget" brands. 37,73 Non-supervalue smokers saw them as thin poor-tasting cigarettes, not value for money and only attractive in terms of price.83 Winfield smokers defined supervalue brands as "not Winfield" and therefore "no

Page 173 of 260 Figure Seven: 2001·3Longbeach retailer print advertising- brand category essence of beach and relaxation evident along with blue tones

I J-""'I~It- .. • .....

'$ :a'-bo=odcrd .. c I ..... pad. , = ..... Xt.. lOt. ".d ~ For !lid ... ..a • "". ,r ... .. _ ~ ~.1M~ 1IIOI:l.d...... v_'?; w ...... ,v- cc: V..,.= L. . ,.( = ' ltu~. 1_ - .,' ~ LONGBEACH • --'~ " t-___ . _ _ 7 _- ., . •

YOUR SMOKING CAN HARM OTHERS -' Figure Eight: 2001·3retailer print advertising for the least successful supervalue brand, HOLIDAY: holiday essence communicatedonly through the pack hero, blue tones evident. Emphasis on relative price: text reads "Through every price rise, HOLIDAYstill offers your customers the: Lowest 20s Lowest 305 Lowest 405"

c name" (the Australian colloquialism for generic brands).83 Non-supervalue smokers also described the brands as "cheap looking" and did not respond positively to the classic supervalue symbols of beach scenes. They described supervalue smokers as immature, bland, wimpy surfers, and effeminate. 83

In contrast, supervalue smokers saw the brands as being reasonable quality for the price, providing "more for your money,"83 and supervalue users as happy, relaxed, easy-going, "Aussie lifesavers", popular, outgoing, male or female, and importantly, as someone who looks for quality and value and thus "beats the system."83 Supervalue smokers described the beach symbols as a drawcard, as empathetic, desirable, appropriate to the brand, and providing space, freedom, relaxation, and contentment. 83 Supervalue smokers also seemed to view their own brand in a disproportionately positive light, describing them as "not shrunken", flavoursome, easy to smoke, well priced, "the best of the big packets," and popular.83 Longbeach smokers saw Longbeach as better quality than mainstream brands or other supervalue brands. 83 Horizon smokers visualised their brand's personality as "a seductive woman walking along the beach," calm, relaxed and "floaty."73 Holiday had a poor brand image with Horizon smokers, seen as bad quality, "cheap and nasty," loud/busy/noisy" and thin, and Holiday users were "people who can't afford smokes" and "street kids."73

Brand failure: Marlboro in Australia As a BAT Co. Marketing Intelligence Department document observed in 1994, "there are virtually no markets, excluding Australia ... where Marlboro has failed."106 In 1976, the year Winfield was launched, Marlboro had a 12.5% brand share, and 55% of Marlboro smokers were under 25. By 1989 Marlboro had only 2.7% share and only 11 % under 25, despite PML's sacrifice of profit margins to try to bring it back.77.107 Marlboro remained PML's "biggest problem" throughout the 1980s and 1990s, despite high brand awareness and consumers reporting that it was a cigarette "for Australians."89 The failure has been attributed to the success of mainstream, supervalue and low tar; Marlboro's strong flavour and smell, atypical of Australian blends; and inconsistent and inappropriate brand positioning, including the Marlboro Man, seen by some Australian audiences as a cultural imperialist. 89.107

Page 175 of 260 Attempted solutions between 1980 and 2000, with close involvement from PM's intemational offices,107,108 were focused on increasing the flow of teenage starters to the brand, and addressed elements of brand-as-product, brand-as-person and brand-as­ symbol. They included PM I almost immediately taking over advertising (imposing the American cowboy, considered a "mistake" by WD&HO Wills),109 importing US soft packs (1983),110 decreasing pack size (1984),111 and "making the advertising appealing to younger smokers who are in the process of forming brand preferences" (1984),111 There was also an attempt to change the blend to "make it harder for eXisting smokers to leave the product."111 Project Classic, a re-launch of the original20s as a cult, individualistic, "Fully Imported from the USA" brand also did little, despite being designed by Leo Burnett, the advertising agency responsible for the Marlboro Man,107

By 1993 PM were so desperate that, along with another modified blend and an "Australian version of Marlboro Country [to try to] rebuild Marlboro's big brand image," Marlboro's price was lowered to parity with Winfield, effectively putting Marlboro in the mainstream segment in terms of price, and potentially undercutting any aspirations to the premium essence of "quality," It continued to "behave like one of the minor, unsupported brands,"66 However PML continue to support its flagship international brand strongly in retail advertising, with as many advertisments as the Australian market leaders, although fewer on multiple pages or covers (Table Nine), Growth has remained slow and inconsistent, with share still minimal at grocery but up to 5% at convenience,23,74

DISCUSSION These findings suggest that brand equity is a shared strength and weakness of the tobacco industry, A market consisting of competing, robust brand identities with strong, positive brand images is the industry's assumed ideal, creating a more profitable market for all competitors, Equally, even unilateral undercutting of brand equity risks the introduction of an entirely price-based commodity market. However to retain equity, brands need to have a reference point in the market, which has settled into three brand categories, premium, mainstream and supervalue, each having core brand identity elements that are shared by its members, Although individual brands have additional core brand identity elements that make them more or less distinct from one another, it seems that their brand identities need to contain the elements of the category to which they belong to be successful. The failure

Page 176 of 260 TABLE NINE: ADVERTISING IN RETAIL MAGAZINES IN STUDY PERIOD BY BRAND FAMILY

Number of Percent of all Number of advertisements on advertisements on BRAND FAMILY advertising more than one pag e more than one page instances or cover or cover Winfield 15 8 19 Marlboro 13 3 7 Longbeach 13 1 2 Peter Jackson 12 6 14 8enson&Hedges 11 3 7 Alpine 10 8 19 Dunhill 5 5 12 Peter Stuyvesant 5 1 2 Holiday 5 2 5 West 4 2 5 Horizon 4 1 2 Lucky Strike 2 1 2 Kent 1 1 2 TOTAL 100 42 of Marlboro in Australia may be at least in part due to its poor fit with Australian brand categories. As an international premium brand it certainly does not belong in the supervalue category, but its image also lacked both the core premium brand element, quality, particularly after its price was cut, and the good humour and ordinary-Aussie user associations that formed the core of mainstream brand identities.

All of the brand identities discussed in this chapter were created before the introduction of the TAP Act in 1992, although the various supervalue brands had only one to three years to establish themselves via print, billboard and radio advertising, and have thus relied almost entirely on point-of-sale and the pack for positioning. However brand image research conducted by the industry after the introduction of the TAP Act showed striking congruence, for successful brands, between brand identity and brand image. As noted in the introduction, brand images are created cumulatively over time. Thus consumers' perceptions are likely to be based both on current marketing through available channels, and the brands' historical associations (exemplified by Paul Hogan still being linked to Winfield in smokers' minds 13 years after he was removed from the brand's advertising).

Page 177 of 260 It is also clear that brand image is relative - the perceptions of smokers of supervalue brands differ substantially from those of premium brand smokers. This suggests some fundamental differences in the ways in which different smokers approach and choose between cigarette brands: that particular brand identities, or brand category identities, may resonate for particular smokers. Brand management principles can be applied to any communicative task, and it seems reasonable that the brand identity elements that hold brand categories together may have potential for use in quit messages or media advocacy. Premium smokers may particularly respond to the brand-as-product element of quality, and may be more responsive to messages that suggest that they are sophisticated. Mainstream smokers may appreciate familiar user elements (for ordinary Australians) and personality elements (egalitarian good humour). Both mainstream and supervalue smokers may respond to the idea of a "fair go" or "value for money," for example, offers that made cessation treatments more affordable. Smokers of supervalue brands may prefer symbol and personality elements of escape, relaxation, freedom and aspiration.

This potential could be further explored through research, as there are many questions not answered here. How loyal are Australian smokers? How distinct are the smokers of the three brand categories? Are smokers meaningfully differentiated by their brand choices? How do smokers relate to cigarette brand identities? Could the elements of these identities be used to destabilise commitment to smoking? Might smokers respond to different quit messages, as they have responded to differences in branding? Given that mildness is an inherent trait of successful brands, could accurate information about "Iow tar" cigarettes be a particularly effective quit communication in Australia? Given the success of local, "Aussie" brands, could the multinational nature of the industry be a useful frame for reducing the industry's social acceptability?

This raises a glaring gap in Australian cigarette brand identities: brand-as-organization. Aaker proposes that characteristics of the organization, such as innovation, trustworthiness, or its local or global character, can be used as brand identity elementsP However Australian cigarette brand positioning is relatively silent on this point. Australian consumer research has suggested that consumer trust in general is declining, creating a more critical and vigilant audience for brands that demands that products and the businesses behind them live up to their brands' identities.20 Anti-corporate activists have

Page 178 of 260 been using the brand-as-organization element in their campaigns for years, associating Nike with Asian sweatshops rather than athletic tenacity, for example, or Starbucks with global and local market thuggery rather than the creation of community27

A common means to subvert brand identities is via modification of existing brand advertising such as billboards. This was important to Australian tobacco control before the

TAP Act, 112 and could still be of benefit in other markets, but is no longer relevant in Australia's restricted advertising environment. However both traditional advocacy and campaigns in the mass media and via other channels could be used to creatively subvert brand positioning and to link brands to company activities incongruous with that brand's identity (for example, to highlight the profits made on the popular, supposedly "good value" mainstream brands).

The Australian industry has acknowledged that tobacco control activities have seriously undermined brand equity in the cigarette market, not least by regulation of tobacco marketing. This work demonstrates the complexity of brand identities, and that brand image lives on in consumers' minds after the restriction of above-the-line marketing. Brand image is tenacious and is far more than a simple trademark, incorporating elements such as user associations and longstanding relationships between smokers and their brands. Brand-as-product, brand-as-person and brand-as-symbol elements should be considered in regulating cigarette marketing. Obvious remedies are the removal of point-of-sale marketing and the introduction of generic packaging, but even generic packs, if offered in the three existing brand categories, and particularly if they can be readily linked to previously existing brands, are likely to benefit from historic brand identities. It may be that existing brand identities will live on until a restructured generic cigarette market can be introduced.

REFERENCES

1. Anholt S. Brand new justice: the upside of global branding. Oxford: Butterworth-Heinemann, 2003. 2. Aaker D, Joachimsthaler E. Brand leadership. London: Free Press Business/Simon & Schuster, 2000. 3. Aaker D. Building strong brands. New York: The Free Press/Simon & Schuster, 1996. 4. East R. Consumer behaviour: advances and applications in marketing. Hemel Hempstead Hertfordshire: Prentice Hall Europe, 1997.

Page 179 of 260 5. Myers G. Ad worlds: brands, media, audiences. London: Arnoldl Hodder Headline, 1999. 6. Ries A, Trout J. Positioning: the baNle for your mind. New York: McGraw Hill, 1986. 7. Ries A, Ries L. The 22 immutable laws of branding. New York: Harper Business, 1998. 8. Weilbacher W. Brand marketing: building winning strategies that deliver value and customer satisfaction. Lincolnwood, Illinois: NTC Business Books, 1993. 9. Kapferer J. Strategic brand management: creating and sustaining brand equity long tenn. London: Kogan Page, 1997. 10. Aaker D. Managing brand equity: capitalising on the value of a brand name. New York: The Free Press, 1991. 11. Kotler P, Adam S, Brown L, Armstrong G. Principles of marketing. Frenchs Forest: Pearson Education Australia, 2001. 12. Dowling G. Corporate reputations: strategies for developing the corporate brand. Melboume: Longman Professional, 1994. 13. Ind N. The corporate brand. London: MacMillan Business, 1997. 14. Rook D. Products and brands. In: Rook D, ed. Brands, consumers, symbols & research: Sidney J Levy on marketing. Thousand Oaks: Sage Publications, 1999.127-129. 15. Gardner B, Levy S. The product and the brand (1955). In: Rook D, ed. Brands, consumers, symbols & research: Sidney J Levy on marketing. Thousand Oaks: Sage Publications, 1999.131- 140. 16. Levy S. Imagery and symbolism (1973). In: Rook D, ed. Brands, consumers, symbols & research: Sidney J Levy on marketing. Thousand Oaks: Sage Publications, 1999.233-240. 17. Rossiter JR, Ang L. Brand equity building for new brands via appropriate adverlising symbol selection. Sydney: Australian Graduate School of Management, UNSW, 1992. 18. Mackay Research. Creating customer loyalty. Lindfield: Mackay Research Pty Ltd, 1992 June. 19. Mackay Research. Brands & generics. Lindfield: Mackay Research Ply Ltd, 1993 Sep. 20. Mackay Research. The meaning of brands. Lindfield: Mackay Research Pty Ltd, 1998 Sep. 21. Peters T. The brand cafe. Tom Peters Company 2003. Date Accessed: September 10 2003. URL: http://www.tompeters.comlbrand_cafe/ 22. ACNielsen. 1998/99 ACNielsen Top 100 Brands. AC Neilsen 2001. 2001. 23. ACNielsen. 2002 Annual Report. Retail World 2002;Dec:32. 24. Buildingbrands.com. Buildingbrands website. 2003. Date Accessed: 22 May 2003. URL: http://www.buildingbrands.com/ 25. Gabriel Y, Lang T. The unmanageable consumer: contemporary consumption and ffs fragmentations. London: SAGE Publications, 1995. 26. Kerslake D. ACNie/sen Top-100 Brands 2000. Sydney: ACNielsen, 2000. URL: http://www.acnielsen.com.au/news.asp?newsID=143 27. Klein N. No logo. London: Flamingo/HarperCollins, 2001. 28. Rossiter JR, Percy L. Adverlising communications and promotions management. Boston, MA: Irwin/McGraw-Hill, 1997.

Page 180 of 260 29. TrueNorth Consultants. What is a brand? TrueNorth Strategies 2003. Date Accessed: 28 May 2003. URL: http://www.truenorthconsultants.bigstep.com/generic9.html 30. van den Berg A. Brand Power Lives! A C Neilsen 22 Nov 2001. Date Accessed: November 2001. URL: http://www.acnielsen.com.au/news.asp?newsID=143 31. McCarthy E. Basic marketing: a managerial approach. Homewood Illinois: Richard D Irwin, 1960. 32. Ambler T. Marketing from advertising to zen. London: FT Pitman Publishing, 1996. 33. Notes on Australian presentation. Brown & Williamson. 1978. Bates No.: 65900750117504. URL: http:lnegacy.library.ucsf.edu/tidlbpq14100 34. Robinson W. Australian cigarette market. Brown & Williamson. 1983 12 Jul. William Robinson Management Consultant. Bates No.: 67050022010221. URL: http:lnegacy.library.ucsf.edu/tid/zjy04100 35. British American Tobacco. [Wills Market ResearchJ. British American Tobacco. [1985]. Bates No.: 102699794/9822. URL: http://tobaccodocuments.org/health_canadal10269979.html 36. Philip Morris (Australia) Limited. [Operating budget and market forecast]. Philip Morris. 1992. Bates No.: 2504204085/4119. URL: http://legacy.library.ucsf.edu/tid/ahn32eOO 37. Yann Campbell Hoare Wheeler. WD&HO Wills Packaging Research Study: qualitative report. British American Tobacco. 1994 Nov. Bates No.: 500245336/5406. URL: http://tobacco.health.usyd.edu.au/tds/BAT500245336_5406 38. British American Tobacco Australasia. [AdvertisementJ. Retail World 2002;(ApriI15-26). 39. Cummings KM, Hyland A, Lewit E, Shopland D. Discrepancies in cigarette brand sales and adult market share: are new teen smokers filling the gap? Tobacco Control 1997;6:S38-S43. 40. Swan ton L. Tighter laws drive cigarette company creativity. Australian Service Station and Convenience Store News 1998;May/Jun:38-39. 41. British American Tobacco. BATCo Operating Group five year plan, 1990-1994. British American Tobacco. 1990 Jan. Bates No.: 502640954/1045. URL: http://tobaccodocuments.org/health_canadal2239.html 42. British American Tobacco. [BATCo company plan report excerptJ. British American Tobacco. [1991J. Bates No.: 502630615/0641. URL: http://tobaccodocuments.org/health_canadal2250_01.html 43. No author. Tobacco regulation review. Australian Convenience Store News 2003;(Jan/Feb):30. 44. Philip Morris International. Market Research Seminar, September 1986. Volume IV. Philip Morris. 1986 Sep. Bates No.: 2504006457/6709. URL: http:lnegacy.library.ucsf.edu/tid/eka42eOO 45. Kummel E, Maxwell H. Introduction of Hamish Maxwell by Eugene Kummel and remarks by Hamish Maxwell Chairman and Chief Executive Officer Philip Morris Companies Inc. Philip Morris.

198916 Dct. Bates No.: 2501452970/2996. URL: http:/~egacy.library.ucsf.edu/tid/cwr3geOO 46. Philip Morris International. Minutes from Wednesday, June 20 presentations International Trademarks. Philip Morris. 199020 Jun. Bates No.: 2500114157/4167. URL: http://legacy.library.ucsf.edu/tid/ygd42eOO 47. Miller T. Marketing intelligence report: competitive activities. RJ. Reynolds. 19852 Jan. Bates No.: 504591758/1764. URL: http:lnegacy.library.ucsf.edu/tid/ewh65dOO

Page 181 of 260 I 48, British American Tobacco, Project Cloudburst: note to the BAT Industries PLC Board [excerpt], British American Tobacco, [1993], Bates No,: 201073875/3881, URL: http://tobaccodocuments,org/guildford_miscl201073869-3881,html 49, Burgess G, BATCo plan preview [Memo to all BATCo directors forwarding meeting minutes], British American Tobacco, 199316 Nov, Bates No,: 50263778617793, URL: http://tobaccodocuments,org/health_canadal2234_002,html 50, Cullman H, Philip Morris International five year plan, 1975-1979, Philip Morris, 1974 Jul. Bates No,: 2048148837/8989, URL: http://legacy,library,ucsf.edu/tid/izs81fOO 51, WD&HO Wills (Australia) Limited, A review of and recommendations on passive smoking and social acceptability of smoking, Brown & Williamson, 1976 Jul. Bates No,: 69001348213502, URL: http://legacy,library,ucsf,edu/tid/ulx93100 52, Australia, Brown & Williamson, 1977. Bates No,: 660904286/4292, URL: http://legacy,library,ucsf,edu/tid/gci70100 53, Hurley H, [Letter to H, Hurley re Silk Cut], Philip Morris, 197716 Sep, Gallagher International Limited, Bates No,: 2504077138/7139, URL: http://legacy.library,ucsf.edu/tid/mpi29eOO 54, Colmar Brunton Research, Low tar cigarettes presentation prepared for Philip Morris Ltd, Phi lip Morris, 1993 Jul. Bates No,: 2504104805/4892, URL: http://legacy.library,ucsf.edu/tid/own32eOO 55, Evans L, Harmsma 0, Project Commonwealth, Philip Morris, 19832 Jun, Bates No,: 207486770517706, URL: http:tnegacy,library,ucsf,edu/tid/dpv17dOO 56, RJ Reynolds Tobacco Intemational. Australia 1981 operating plan, R.J, Reynolds, 1980 Sep, Bates No,: 505525649/5653, URL: http:tnegacy.library,ucsf,edu/tidlkoI15dOO 57, The Australian market and some 1981 brand Jlews, Brown & Williamson, 1981, Bates No,: 620746149/6153, URL: http://legacy,library,ucsf,edu/tid/mqw21fOO 58, Australian cigarette market. Brown & Williamson, 1984, Bates No,: 67514769517710, URL: http://legacy,library,ucsf,edu/tid/ryk73100 59, Philip Morris (Australia) Limited, Project Circe creative brief. Philip Morris, 198719 Mar. Bates No,: 2504076301/6314, URL: http://legacy,library,ucsf.edu/tidlbbh29eOO 60, British American Tobacco, Research Policy Group Meeting, September 19th-21st, 1988, Salzburg, Austria, British American Tobacco, 198820 Oct. Bates No,: 401018120/8132, URL: http://tobaccodocuments,orglbc_moh/10535,html 61, Value segment synopsis: the Australian market. Philip Morris, 1990 Mar. Bates No,: 2048568608/8613, URL: http:tnegacy,library,ucsf.edu/tidflnn36eOO 62, Alien W, Summary of meetings held with Rothmans, Australia on February 24, 1993, R.J, Reynolds, 19934 Mar, Bates No,: 516413407/3408, URL: http://legacy,library,ucsf,edu/tid/qny82dOO 63, Philip Morris International, Philip Morris AsialPacific three year plan, 1992-1994, Philip Morris, 1991 Dec, Bates No,: 2500064000/4226, URL: http://legacy,library,ucsf.edu/tid/wwi19eOO 64, [Presentation notes - slides 1-73 Australian retail market: notes for a NY Marketing Meeting]. Philip Morris, 1992, Bates No,: 2504107172A17192, URL: http://legacy,library,ucsf,edu/tid/dii29eOO

Page 182 of 260 65. Philip Morris. Positioning paper - Project Alpha. Philip Morris. 1991 6 Jun. Bates No.: 250410705717061. URL: http://legacy.library.ucsf.edu/tidlcii29eOO 66. Goldberg H. 1994 second revised forecast presentation, June 1994, New York. Phi lip Morris. 1994 May. Bates No.: 2504204001/4063. URL: http://legacy.library.ucsf.edu/tid/ygn32eOO 67. King B, Carter S, Borland R, Chapman S, Gray N. The Australian Tar Derby: the origins and fate of a low-tar harm reduction programme. Tobacco Contro/2003;12:iii61-70. 68. Philip Morris. Consumer panel test number 1. Philip Morris. 1993 Jul. Bates No.: 2057092037/2040. URL: http://legacy.library.ucsf.edu/tid/soj96eOO 69. Philip Morris. 1991 original budget: Marketing Presentation October 3,1990. Philip Morris. 1990 Oct. Bates No.: 2504107139A17171. URL: http:/negacy.library.ucsf.edu/tid/aii2geOO 70. Scollo M, Younie S, Wakefield M, Freeman J, Icasiano F. Impact of tobacco tax reforms on tobacco prices and tobacco use in Australia. Tobacco Contro/2003;12:ii59 71. Competitive analysis. R.J. Reynolds. 199512 Sep. Bates No.: 519900759/0799. URL: http://legacy.library.ucsf.edu/tid/dgw66dOO 72. No author. Tobacco category review. Retail World 2001 ;54(Nov 26 - Dec 7):11-13. 73. Colmar Brunton Research. Slim cigarettes presentation prepared for Philip Morris Ltd. Philip Morris. 1993 Aug. Bates No.: 250410440214471. URL: http:megacy.library.ucsf.edu/tidlki032eOO 74. No author. Focus stock selection within tightening regulations. Convenience Store News, 2002;(Mar/Apr):18-21. 75. British American Tobacco. Establishing and implementing a communications strategy [includes a case study on Benson & Hedges in Australia]. British American Tobacco. 1990. Bates No.: 303625613/5641. URL: http://tobacco.health.usyd.edu.au/tdslBAT303625613_5641 76. RJ Reynolds Tobacco International. Australia 1980 Business Plan. R.J. Reynolds. 1979 Sep. Bates No.: 505525644/5648. URL: http://legacy.library.ucsf.edu/tid/joI15dOO 77. WD&HO Wills (Australia) Limited. Value for money marketing in Australia. Brown & Williamson. [1983]. Bates No.: 62170730617370. URL: http://legacy.library.ucsf.edu/tid/fid70f00

78. Hi~i T. B&H gold standard: Project MIDAS [Memo to BATCo executives forwarding meeting notes and a presentation on testing methods]. British American Tobacco. 19922 Apr. Bates No.: 40005775517767. URL: htlp:lltobaccodocuments.org/guildford_miscJ400057754-7771.html 79. E. Chris Adams Research Ply Ltd. Evaluation of three alternative advertising approaches for Benson and Hedges: a qualitative research report prepared for WD&HO Wills (Australia) Limited and its advertising agency 'The Campaign Palace'. British American Tobacco. 1992 Jul. Bates No.: 303523430/3469. URL: http://tobaccodocuments.orgihealth_canadal03800728.html 80. Colmar Brunton Research. Qualitative research Alpine creative presentation prepared for Philip Morris. Philip Morris. 1994 Mar. Bates No.: 2504102678/2701. URL: http://legacy.library.ucsf.edu/M/vii29eOO 81. British Arnerican Tobacco. Benson and Hedges long term strategy. British Arnerican Tobacco. 1992. Bates No.: 502568037/8040. URL: http://tobaccodocuments.orgihealth_canadal50256803.htrnl

Page 183 of 260 ,

82. Barber K, Sharrock S. Morgan consumer review, April-June 1994. Philip Morris. 1994 Aug. Bates No.: 2504103801/3908. URL: http://legacy.library.ucsf.edu/tid/ji032eOO 83. Sweeney B. Presentation Longbeach research study no. 7727. Philip Morris. 1992 Sep. Brian Sweeney and Associates (Australia). Bates No.: 2504204122/4136. URL: http:tnegacy.library.ucsf.edu/tidlbhn32eOO 84. Hirji T. Value-for-Money Marketing Brand Development Course, Egham, Surrey, 29th April-12th May 1984 [includes WD&HO Wills (Australia) Limited presentation]. British American Tobacco. 198412 May. Bates No.: 102245184/5197. URL: http://tobaccodocuments.org/health_canadal10224518.htrnl 85. British American Tobacco. The worldwide cigarette market: past, present, future. Brown & Williamson. 1984. Bates No.: 512106481/6488. URL: http://legacy.library.ucsf.edu/tid/lnr24roO 86. British American Tobacco. Overview of Philip Morris' marketing strategy. British American Tobacco. 19856 Feb. Bates No.: 500098281/8283. URL: http://tobaccodocuments.org/health_canadal02400434.html 87. Webster P. Limiting factors in changing cigarette pack sizes, and, Changing a cigarette pack without losing face. British American Tobacco. 1985 Dec. World Tobacco. Bates No.: 102573668/3678. URL: http://tobaccodocuments.org/health_canadal01400322.html 88. BATCo Marketing Intelligence Department. World cigarette market trends 1985. British American Tobacco. 1986 Dec. Bates No.: 303594867/4921. URL: http://tobaccodocuments.org/health_canadalR1661.html 89. Snitzer M. Visit to Australia - September 11-14, 1984. Philip Morris. 1984 18 Sep. Bates No.: 2023265668/5675. URL: http://legacy.library.ucsf.edu/tid/jmr98eOO 90. Marlboro megabrand management discussion. Philip Morris. 1991 3 Jan. Bates No.: 204512559215663. URL: http://legacy.library.ucsf.edu/tid/ker81roO 91. Philip Morris International. [State of play presentation]. Philip Morris. 1989 29 Aug. Bates No.: 2500106406/6522. URL: http:tnegacy.library.ucsf.edu/tid/pnc42eOO 92. British American Tobacco Company Marketing Intelligence Department. Philip Morris Incorporated competitor activity report. Brown and Willamson. 1985 Mar. Bates No.: 516003073/3167. URL: http://legacy.library.ucsf.edu/tid/wdw23roO 93. Webb W. 1989 PMI board presentation - Asia 1Australia. Philip Morris. 198929 Aug. Bates No.: 2500106384/6391. URL: http://legacy.library.ucsf.edu/tid/czI19eOO 94. Philip Morris (Australia) Limited. [Competitive intelligence information on Winfield cigarettes]. Philip Morris. 1986 Nov. Bates No.: 2500131194/1213. URL: http:tnegacy.library.ucsf.edu/tid/tpc42eOO 95. Snyder R. Philip Morris Asia and Australia. Philip Morris. 1984. Philip Morris (Australia) Limited, Philip Morris Asia Incorporated. Bates No.: 2500106859/6915. URL: http://legacy .library. ucsf. ed u/tid/snc42eOO 96. JJ Speakman & Associates. Marketing communications. British American Tobacco. 1990 Jun. Bates No.: 303625567/5573. URL: http://tobacco.health.usyd.edu.au/tds/BAT303625567_5573

Page 184 of 260 97. Bramley B. [Importance of quality on brand goodwill: presentation delivered at the BAT Marketing Conference, November 19·23,1991). British American Tobacco. 1991 20 Nov. Bates No.: 202235487/5533. URL: http://tobaccodocuments.org/health_canadal20223548.html 98. Philip Morris International. Minutes from Thursday, June 21 presentations "Marketing restrictions". Philip Morris. 199021 Jun. Bates No.: 2500114168/4176. URL: http:megacy.library.ucsf.edu/tid/zgd42eOO 99. Goldberg H. Downside for 1993. Philip Morris. 1993 Apr. Bates No.: 2071284407/4426. URL: http:megacy.library.ucsf.edu/tid/dkq08dOO 100. British American Tobacco. Brown & Williamson preview 1991·1995 [minutes from the CPC meeting held 3 October 1990). British American Tobacco. 19908 Oc!. Bates No.: 20178748717489. URL: http://tobaccodocuments.org/guildford_miscl201787487·7493.html 101. British American Tobacco. Rothmans International: a competitive report. British American Tobacco. 199216 Nov. Bates No.: 50255453114545. URL: http://tobaccodocuments.org/bc_moh/11385.htrnl 102. Bingham P. Excise taxation of tobacco products: key area paper. British American Tobacco. 1992 May. Bates No.: 301543226/3250. URL: http://tobaccodocuments.org/guildford_miscl301543226· 3250.html 103. [Presentation notes: slides 1·68 "Australian New Products"). Philip Morris. 1992 Jul. Bates No.: 250410719817218. URL: http://legacy.library.ucsf.edu/tid/wwn32eOO 104. [Presentation notes· slides 69·79 Australian retail market: notes for a NY Marketing Meeting). Philip Morris. 1992. Bates No.: 250410719317197. URL: http://legacy.library.ucsf.edu/tid/vwn32eOO 105. Philip Morris International. Minutes: Philip Morris International Marketing Conference June 18·22, 1989, The Homestead, Hot Springs, VA. Philip Morris. 1989 18 Jun. Bates No.: 2500114177/4194. URL: http:megacy.library.ucsf.edu/tid/ahd42eOO 106. Bingham P, Holroyd K. How Marlboro led the pack. British American Tobacco. 1994 Mar. Bates No.: 502570351/0387. URL: http://tobaccodocuments.orglhealth_canadal00100028.html 107. Leo Burnett. Exploratory Marlboro Strategic Research Australia. Philip Morris. 198910 Feb. Bates No.: 250405728017368. URL: http://Iegacy.library.ucsf.edu/tid/sot19eOO 108. Hulit M. Project Classic· CPC submission. Phi lip Morris. 19891 Nov. Bates No.: 2504076970/6970A. URL: http://Iegacy.library.ucsf.edu/tid/zfi29eOO 109. Wisner J. Trip report: AustralialNew Zealand, October 25·29, 1982. Brown & Williamson. 1982 15

Nov. Bates No.: 470022029/2032. URL: http:/~egacy.library.ucsf.edu/tid/sgz30fOO 110. Housepeters T. [Facsimile to J. Myracle re Marlboro soft pack). Philip Morris. 1983 17 May. Bates No.: 2074867834. URL: http://legacy.library.ucsf.edu/tid/inv17dOO 111. Webb W. Status ofthe Marlboro Development Programme. Philip Morris. 1984 7 Dec. Bates No.: 2023265662/5664. URL: http://Iegacy.library.ucsf.edu/tid/gmr98eOO 112. Chapman S. Civil disobedience and tobacco control: the case of BUGA UP. Billboard Utilising Graffitists Against Unhealthy Promotions. Tobacco Control. 1996;5:179·85.

Page 185 of 260 CHAPTER TEN GOING BELOW· THE·LlNE: CREATING TRANSPORTABLE BRANDS FOR AUSTRALIA'S DARK MARKET

INTRODUCTION The purpose of the research reported in this chapter was to understand the marketing strategies used by the tobacco industry in Australia's highly restricted marketing environment.

The retail environment is extremely important in Australia's dark market, and will be discussed in the next chapter. The cigarette pack, also an important marketing tool in

Australia, has already been explored in the literature.1.2

GLOSSARY OF TERMS Above-the-line (ATL): marketing via the mass media (print, television, radio, posters/billboards and cinema) Below-the-line (BTL): marketing via methods other than mass media Brand stretching: promoting a cigarette brand via the marketing of non-tobacco products under the same brand Cut-through: getting noticed by the consumer above the "noise" of the crowded marketing environment Dark market: highly restricted marketing environment Guerrilla, buzz or viral marketing: marketing that appears not to be an advertisement, but rather creates an environment (e.g. street graffiti, parties, websites, conversations with peers) consistent with a brand's identity, in which the brand "coincidentally" appears Out-ot-home marketing: billboards, or outdoor advertising Point-ot-sale (POS) marketing: the arrangement of product and placement of promotional material in retail stores; POS is called point-of-purchase (POP) in some markets Premiums: branded gifts, usually with purchase (for example, buy two packs, get a free lighter)

Page 186 of 260 Good marketing integrates above-the-line and below-the-line strategies There are two kinds of marketing strategy that can be used to promote any product: "above-the-line" strategies (ATL, essentially advertising in the mass media) and "below­ the-line" strategies (BTL). These category names reflect the business practices of advertising agencies. Agencies generally make commission on placement of advertisements in newspapers, magazines and cinema, and on television, radio and billboards,3 a fee that appears 'above-the-line" on their bill.4 Traditionally, other forms of promotion, such as events, point-of-sale displays, direct marketing, premiums, price reductions, news media activities, sponsorship, trade shows, exhibitions, sales literature and catalogues, were charged at a fixed fee and thus appeared 'below-the-line".3·9

Traditionally ATL and BTL strategies have been considered distinct, and BTL the poor cousin. In fact, some agencies have argued that BTL cheapens a brand and undermines long-term brand prospects.3 However increasingly BTL strategies are recognised as economical, unique and personal ways to achieve cut-through in the super-saturated advertising environment. Some marketing theorists and practitioners now argue that ATL is relatively unsophisticated and poor value, particularly for young, cynical, media-savvy markets. The key to powerful marketing, and standard marketing practice, is now the integration of a range of complementary ATL and/or BTL strategies to provide multifaceted support for a brand.3.1o.11

The tobacco industry: a special kind of integrated marketing This general shift in marketing away from the presumed superiority of ATL and towards integration and the power of BTL has special significance for the tobacco industry. Australian tobacco marketers are expert at integrated and BTL marketing. However, as they acknowledge, they have developed these skills not to keep up with other industries, but because the Australian tobacco market is among the darkest in the world. 12,13 Because of progressive regulation, the Australian cigarette industry has been forced into dependence on creative BTL strategies alone to formulate an integrated marketing mix.

Page 187 of 260 The new BTL: guerrilla marketing Since the late 1990s, for all kinds of products but particularly those for youth markets, BTL has included techniques known as buzz, viral or guerrilla marketing. These techniques are thus named because they are intended to create a word-of-mouth buzz, to spread like a virus, or, most importantly, to subvert the transparency of commercial messages, making a consumer think that they are discovering something for themselves when they are in fact an advertising target - thus guerrilla. The phenomenon of making people think they are finding something independently is also central to coercions such as pyramid selling and cult recruitment. 14 Guerrilla marketers may, for example, pay teens to talk to their friends about a product, commission footpath graffiti, or create an event or a website which, rather than containing overt brand imagery, is consistent with the image of the product and, apparently coincidentally, contains it, without overtly delivering a selling message.

Guerrilla event marketing for tobacco is well-developed and documented in Australia, via journalism, tobacco control research and the courts. There are many examples. One news article, for example, reported on a high-profile fashion designers' after-show-party, bankrolled by a cigarette manufacturer, that featured cigarette-bearing models. 15 Another series of events which have been widely discussed were the "Wavesnet" dance parties and fashion shows for young women, which featured a wide range of "feminine" products, including cigarettes, were promoted via the street press, and followed up with questionnaires to party-goers about their smoking. PML has pleaded guilty to the charge that one of these events was cigarette advertising. 16.17 Importantly, the people attending these events did not expect cigarettes to be featured, and in some instances co-sponsors claimed not to know that tobacco money was involved.

RESULTS

Resilience, substance, transportability: keys to a dark market cigarette brand In 1990, before the introduction of the TAP Act, PML launched a new (unsuccessful) brand, , to compete with Rothmans' Winfield, and "to ensure a balanced aggressive portfolio entering the print ban era."18 Belmont's launch plan was classic integrated

Page 188 of 260 marketing, combining out-of-home advertising, press inserts, point-of-sale, distribution, aggressive direct marketing by mail to Winfield smokers, and premiums in convenience retail outlets as incentives for both retailers and customers. Thirty hostesses in hotels and clubs offered samples and tradeups (a free pack of Belmont cigarettes for smokers in exchange for the pack of competitor brand being smoked), playing "a critical role within the tactical mix in gaining trial amongst targeted opposition smokers, building awareness and creating word of mouth communication."18

In 2003, eleven years after the introduction of the TAP Act, marketing, in an evolved form, retains its central place. Indeed readers of British American Tobacco Australia's 2000 Annual Report could be forgiven for thinking the TAP Act was never passed. A typical sample: "Dunhill's presence as the leading super-premium brand was enhanced by a new and confident creative campaign in mid-June. This combined with a focus on building the brand's presence in bars and cafes saw Dunhill achieve market share growth nationally ... [consumer research showed] ... increased consumer presence and relevance."19 BATA's report consistently attributed improvements in brand share to integrated marketing activities, including the launch of product innovations such as "King Size" cigarettes, small and soft packs, and "new creative campaigns." In other forums manufacturers have explicitly discussed the value of their guerrilla marketing. 2o

As early as the 1970s, manufacturers made careful plans to manage regulation by "establish[ing] unique images for leading brands and at the same time ensur[ing] that after above-the-line phase out, the advertising campaigns already built could be easily transferred to ... other media."21 Many Australian industry documents, both pre- and post­ TAP Act, frankly discussed the need to maximise the impact of remaining advertising opportunities, develop "instantly recognisable" brands, continue to research innovative new promotion techniques and gradually adjust advertising strategies to acclimatise consumers before regulation was enforced.22-25

Transportable old brands instead of new brands The frequency of brand launches in Australia started to slow in the 1980s, due to frequent failure of new brands and competition pushing the price of brand launches to "astronomical

Page 189 of 260 levels".20.26-28 However, since the TAP Act, launching new brands has been seen as frankly wasteful. As one retail industry writer noted:

"the ever tightening legislation has ... put paid to a constant parade of new brands - it's difficult enough to promote existing 'old favourites" without trying to launch something new without promotional opportunities ... the companies have to be constantly creative with what they've gOt."29

The loss of ATL was seen as a terrible blow. R.J.Reynolds complained in 1997 that "the brand awareness goals set for a new brand or line extension that Australia used to reach in three to four months via print, billboard and direct marketing now take them two to three years to achieve. New brands have been almost impossible to launch."30 In preparation for this media desert, new brands were launched in the dying days of ATL in Australia in an attempt to create brand awareness before the market became darker,31.32 and R.J.Reynolds advocated this method in other markets in response to the Australian experience, recommending:

"any propositions with should be launched while you still have full colour, [out-of-home], print & direct marketing. The hell you put field sales through and the trade through will pale compared to the hell you face gelling a new proposition to jell after the bans."3o

After the TAP Act, instead of launching new brands, manufacturers have enriched existing brand personalities and developed new variants within existing brand families, focusing on a small number of brands with pre-existing high awareness and strong campaigns where possible. 33.35 The best example of this transportability is the Hogan-Winfield campaign, with its bizarre mishaps, strange activities or unsolvable problems and the reassuringly good-humoured positioning statement ' ... anyhow· have a Winfield," described in the previous chapter. The format and slogan, without Hogan, are still in use on pack outserts (cardboard wrappers placed around the pack) and in retail advertising thirty years later, helping to maintain Winfield in its number one position in the Australian market. (Figures Nine to Eleven)

Page 190 of 260 Figure Nine: 19708 Wlnfleld print advertising to consumers with Paul Hogan providing brand-as­ peiSon element and the ... anyhow· positioning statement

Figure Ten: 2003 Winfleld pack outsert featuring ...anyhow· positioning statement and "masculine" visual joke about tangled fishing lines catching the same fish

""-~-.

Figure Eleven: 2001 to 2003 Wlnfleld print advertising to retalleiS featuring ...anyhoW" positioning statement and "masculine' visual joke about a prize fight conflicting with I wedding

Page 191 of 260 The strategy The Australian dark market strategy appears to have been as follows. Before the restrictions were introduced, big powerful brands were selected, studied and strengthened to ensure continued potency after the bans. In the lead-up to the ban, spending on BTL was increased to prepare the consumer for the changed environment. 36 After the restrictions were introduced, novelty was introduced within brand families through broader variant ranges (particularly in the supervalue and mainstream product categories) and product changes. Novel offerings included round-comered packs and American style soft­ packs for premium cigarettes and more modest pack changes (largely in graphic design) for mainstream and supervalue cigarettes. As noted in the previous chapter, there was a new emphasis on mid-range (6 to 8 mg) tar banding, Australia's fastest growing tar segment, which also appears important to the overall strategy. In addition, when 1999 taxation changes made it financially viable, brands which had traditionally only been available in large pack sizes diversified into small packs of 20 or 25.37

These offers provided flexibility and novelty for consumers at the margins of a known brand identity, and made marketing expenditure more efficient for the manufacturer as the existing brand identity provided infrastructural support for the new line extension. Loopholes in the legislation were also sought to sustain brand images in the mind of the consumer by any available below-the-line means. Loopholes were extended as far as possible, denying the spirit of the law and sometimes complying with the letter only when forced. 38 Rothmans' head office noted in 1997 regarding Australian point-of-sale advertising: "local tobacco companies tend to stretch meaning of regulations and only removed [advertising] after retail warning was issued."3o Cementing and sustaining a continuing personal relationship between the consumer and their brand was the priority. As PML argued in 1990: "going out and directly contacting our key target consumer is becoming increasingly more important, particularly in light of the upcoming media ban ... we must now talk to the consumer face to face ... "36

BTL (and ATL) activities after the TAP Act After the restrictions were introduced, the manufacturers discussed a wide range of channels available to communicate with their consumers and promote their priority brands. In addition to the guerrilla marketing already discussed, these have included:

Page 192 of 260 1. advertising in imported intemational magazines; 2. altering the pack; 3. sponsorships; 4. brand stretching; 5. event promotions; 6. lifestyle premiums; and 7. the development of corporate websites.

International magazines Tobacco advertising is permitted in magazines that are both printed outside Australia and "not principally intended for distribution or use in Australia" and these have been targeted by the industry to gain a foothold. 3942

Delivering novelty via the pack Manufacturers have printed on the inside of flip-top packs, printed on or changed the colour of the foil inside the pack, subtly changed pack design to provide novelty, and used pack and carton inserts, outserts and faces to display advertising imagery (as in Figure Ten and Figure Twelve.) Outserts are cardboard wraps around a pack or packs, used (as shown in Figure Ten above) to join two packs into a single "mini-carton" and to display advertising imagery.30.4345 Because of the importance of the pack, the industry fears the introduction of generic packaging. However there is some suggestion from the documents that industry managers believe generic packaging is only "a short step" from the placement of products under the counter in retail stores, and is possibly "achievable [in Australia] in the long term," particularly given the link to youth smoking.46

Sponsorships The TAP Act currently permits "sponsorships of international significance," and the documents show that manufacturers saw these sponsorships as vital to consumer cut­ through; selected them for their brand synergy; and funded them both to market that brand via television and individual consumer attendance at the events and to provide opportunities to entertain VIPS.22.36.38.40.45,47·51

Page 193 of 260 The importance of sponsorships is illustrated by an unusual exception to the "no new launches" rule: the recent launch of West by ITA in Victoria, which houses the sponsorship exempted International Formula One competition. West was launched to coincide with the WesUMcLaren team winning the Victorian F1 in March 2003, underlining the synergistic power that the industry perceives international sponsorships to have in a dark market.

Brand stretching Although the manufacturers have repeatedly denied that trademark diversification promotes tobacco products,52 their stated intentions to use brand stretching,4o.51.53.54 and a statement by an R.J.Reynolds executive that Australian manufacturers were "highly regretful that they did not move very early in the game to extend the reach of their trademarks well outside the tobacco category ... for constant reinforcement of brand positioning"30 belies the claim.

Event promotions Promotions, sampling, competitions and sweepstakes via special theme nights at nightspots, pubs and events and via mail and toll-free phone lines have been used,32.38.48.53.55,56 deSigned to "get our product into the hands of opposition smokers in an involving way."36 "Sell no tell" hostesses in branded costumes at nightspots have also been used. The industry's argument has been that because these models sell the product but do not talk about it, they are not engaging in advertising.38

Lifestyle premiums "Lifestyle" premiums such as diaries and entertainment guides were established as branded tools before TAP, and then continued after TAP in brand colours only, with the branding reinforced through point-of-sale displays.38,53,55

Corporate websites Although corporate websites do not contain brand advertising, they may serve a brand-as­ organization function,57 particularly given that the manufacturers, including their websites, are commonly named on cigarette packaging. In March 2000, Eric Windholz, attorney with Philip Morris Corporate Services, wrote of PML's new corporate website: "as you are no doubt aware, our ability to communicate about the Company and its positions through

Page 194 of 260 traditional media is severely restricted. As a result, the website takes an added significance [sic]."56

A detailed example: the resurrection of Peter Stuyvesant As noted in Chapter One, the Imperial Tobacco group entered the Australian market in 1999. Shortly afterwards ITA appointed an agency to manage more than $10m worth of below-the-line marketing activities. 59 Peter Stuyvesant, an old and previously successful brand that sank into obscurity in the 1990s, is now being revived as ITA's key premium small-soft-pack product, providing a good illustration of re-branding and grow1h in the absence of ATL. Sizeable risks have been taken to extend the brand's silver and blue retro styling, which is also reflected in the image-based retail advertisements for the brand (Figure 13). Small silver and glass cabinets displaying only the Peter Stuyvesant soft pack range have been installed illegally in places such as cafes where cigarettes are not usually sold, minus the usual health warnings, allowing the brand a glamorous solo presence until detected by authorities.q Arresting photographic advertising images on carton-sides have been used to provide eye-catching displays in-store, and special brand-blue plastic display modules have been provided to sit over the regular pack dispensers, highlighting the brand within the unit and providing clear pack face display (Figures 12, 14, 15).

ITA has obtained the "exclusive right to sell cigarettes" (not the right to "sponsor") at popular music festivals, and the right has been exercised creatively with the assistance of Peer Group Media, a company specialising in youth marketing and headed by the editor of a local music magazine with impeccable street credibility. ITA appears to be hoping for some memory of and resonance with the brand's old slogan "your passport to international smoking pleasure" (which, if recalled, would offer camp retro irony for young Australians). Cigarettes have been sold by "air hostesses" in dedicated tents at festivals, along with clothes in suspiciously similar livery made by a separate company under a "Beaver Discovery World Air (DWA)" brand.60 One of these festival appearances was linked to similarly retro-chic club nights, also under the DWA brand, promoted as a follow-up to the festival. Invitations included a fictional back-story for the company that also emphasised the brand heritage brand-as-symbol element of air travel (Figure 16). The URL on the

q Personal observation, NSW, 2002

Page 195 of 260 invitations led to a single web page which now instructs 'we'll have something special real soon , but for now, go look at pom' and is linked to ironically un-sexy websites on subjects such as fly fishing and barn dancing. A silver metal Peter Stuyvesant cigarette case, branded and perfectly sized to contain a soft-pack and thus cover the health warning, has also been made available at music festivals!

Australian Convenience Store News observed in 2002: 'Peter Stuyvesant's strength in the premium market is obscured in the aggregate market share data. Its share of the convenience store premium marketincreased from 11.6% to 13.2% last year ... pt is) growing in the strongest segment, in particular the 20s pack size.'61 A review of AC Nielsen C'Track (convenience scanning) value share data from 2002 showed four Peter Stuyvesant products in the national top 40, and the total family ranked between sixth and tenth by state, with value shares from 2.0 to 6.6% of the state markets - no mean feat for a previously 'uncool' brand.52 Given that young smokers are fond of convenience stores, premium brands and small packs it seems highly likely, given the marketing strategies, that at least some of this share growth has come from young smokers.

Figure Twelve: Detail of Peter carton

, A picture of this case is available at http:/twww.ashaust.org.auJpdfslStuyvTin02.pdf

Page 196 of 260 \.;.. -

... eN·' ,"-

Figure 13: Peter Stuyveaant retailer Figure 14: Carton art In standalone print advertising display unit

•- ~ ,.... JI"'IWiObI., ... J -. [ , -. Figure 15: Plastic display unit

Figure 16: Fictional backltory for Beaver Discovery World Air

Page 197 of 260 DISCUSSION There are three main conclusions to be drawn from this material. First, the industry acknowledges that marketing restrictions have an impact, validating their continued use in tobacco control. Secondly, the industry is extremely creative in circumventing these marketing restrictions, requiring tobacco marketing regulations to be informed by marketing expertise, regularly updated, and to adopt the broadest possible scope. Thirdly, tobacco control advocates, particularly those communicating with young people, could learn from the creativity of the tobacco industry.

Some may argue that brand choice is inconsequential to tobacco control and that manufacturers' ability to, in their words, "simply compete for brand share" is not the proper jurisdiction of tobacco control. However this is belied by the enormous efforts expended by the industry on brand promotion, which is effectively an attempt to attract new smokers and keep existing smokers smoking. Brands and their transportability in a dark market are central concerns for the industry, and thus should be a central concern for tobacco control.

The industry clearly acknowledges that ATl advertising bans disrupt their business, making consumer awareness harder and more time consuming to achieve. However, even in a heavily restricted market, the cigarette industry keeps advertising. Despite the pain and reduced efficiency resulting from loss of ATl, BTl is stretched in innovative ways, and manufacturers breach the law (until caught) for short-term benefits. Industry documents and observation suggest that the pack, point-of-sale, international sponsorships and guerrilla marketing are the most important frontiers in a dark market. Advertising in imported international magazines, brand stretching, lifestyle premiums and corporate websites also have a role to play.

The creativity of the industry in circumventing marketing restrictions highlights the need for truly comprehensive bans, addressing every aspect of all of these marketing activities. "Generic" packs, for example, would require complete standardization: simply prohibiting current trademarks will not suffice. Inserts, outserts, foil, wrap, image, colour, typeface, printing on the cigarette rod, rod colour and tipping paper, and even scent would need to be considered, as there is an Australian precedent for using scented foil for menthol cigarettes. These are all means by which brand identity can be communicated. As discussed in the previous chapter, a brand is far more than a visual trademark, and

Page 198 of 260 disruption of brand differentiation will require disruption of all aspects of brands, not just their name and logo.

Manufacturers prepare themselves and their consumers for onerous regulation years in advance, selecting, building and transporting a strong set of existing brands into the regulated market. It follows that those contemplating regulation of tobacco marketing should closely guard proposals for marketing restrictions for as long as possible. Although this is inconsistent with usual due process, it could be argued that this industry has in fact relinquished its place at the negotiating table by deliberately and consistently flaunting the spirit of the law.

In a dark market, cigarette marketers create novelly for the consumer not by launching new brands, but by making new offers within existing strong brand families. This increases the efficiency and effectiveness of their marketing activities by removing the arduous task of attempting to launch a completely new brand concept without above-the-line. The provision of a vast array of variants within a brand family not only creates consumer novelty, but provides critical mass in the retail display: if only one pack of each variant can be displayed by law, four variants provide twice the space of two, eight variants twice the visual space of four, and so on, increasing brand impact. Regulation of marketing should, if possible, incorporate limits on the type and number of offers that can be made within a brand group, and the grounds on which products can be differentiated, with a particular eye for the truth of manufacturers' product claims.

Australian cigarette manufacturers are not unique: they mirror trends in promotion of all kinds of products to young consumers worldwide, and tobacco control would benefit from studying other highly competitive youth markets such as electronic games, energy drinks and fashion. Cutting-edge, practising marketing experts could also be consulted on future directions and potential loopholes, and assist with the construction of both counter­ marketing and legislation. As tobacco control is up against some of the most talented guerrilla marketing professionals in the world, it should, like them, avoid over-reliance on relatively static and expensive ATL strategies. Integrated marketing is likely to be more effective marketing, in tobacco control as much as any other endeavour.

The detailed example of the dark marketing of Peter Stuyvesant suggests some potential lessons for a tobacco control "brand.' Create a strong brand identity and communicate it

Page 199 of 260 clearly. Ensure that every aspect of the consumer's experience of the brand is consistent with that identity. Integrate as many complementing marketing activities as possible to build your brand including BTL activities. Make your product stand out. Use humour, and let the consumer know that you know that they "get the jokes." Promote the brand in the consumers' own environment, particularly where they have fun. It is worth noting that the phenomenally successful "Truth' campaign in Florida, which raised awareness, changed attitudes and lowered smoking prevalence amongst teens, followed all of these principles. 63-67 Most importantly when tobacco control is trying to monitor the industry's activities, it pays to remember that BTL marketing aims to create a "world" for the product that the consumer will feel a part of, and that world will complement the brand but will not necessarily be "branded'. Thus a tent at a music festival, or a brown flyer for a pretend airline, may not carry the Peter Stuyvesant logo, or even be in Peter Stuyvesant colours, but if they create a world in which Peter Stuyvesant is available and seems "natural" or right, they can be very powerful forms of marketing. Comprehensive tobacco marketing regulation may need to be combined with cutling-edge integrated marketing of tobacco control to effectively counter the industry's continuing efforts to attract and retain customers.

REFERENCES

1. Wakefield M, Morley CP, Horan JK, Cummings KM. The cigarette pack as image: new evidence from tobacco industry documents. Tobacco Control 2002;11 (Suppl1 ):i73-i80. 2. Wakefield M, Letcher T. My pack is cuter than your pack. Tobacco Control 2002;11:154-156. 3. Kotler P. Markeb'ng. Sydney: Prentice Hall, 1998. 4. Glossary. Multimedia Marketing.Com, an affiliated company of London Metropolitan University & Manchester Metropolitan University 2003. Date Accessed: 29 Aug 2003. URL: http://multimediamarketing.com/treasurechestlglossary.asp 5. Baker M. MacMillan dictionary of marketing and advertising. London: The MacMillan Press Ltd, 1984. 6. The international encyclopedia of marketing / European Marketing Confederation. London: Butterworth-Heinemann, 1997. 7. Rosenberg J. Dictionary of marketing and advertiSing. New York: J. Wiley, 1995. 8. Bradmore D. Australian marketing dictionary. Hampton, Victoria: MacStyle, 1990. 9. Marketing glossary, Chartered Institute 01 Marketing website. The Chartered Institute of Marketing 2003. Date Accessed: 29 Aug 2003. URL: http://www.cim.co.uklcim/ser/htrnlflnIQuiGlo.clm?letter=A 10. Rossiter JR, Percy L. Advertising communications and promotions management. Boston, MA: Irwin/McGraw-Hill,1997.

Page 200 of 260 11. Media Watch. Advertising gets integrated. Media Watch 2002. Last updated: 2 Sep 2002. Date Accessed: 1 Oct 2002. URL: http://www.abc.net.au/mediawatch/stories/ 12. British American Tobacco Australasia. The Challenge of Change [CD ROM]. Sydney: British American Tobacco Australasia; 2001. 13. Orlando Conference: summary of BATCo participants' comments. British American Tobacco. 1992 19 Feb. Bates No.: 502585153/5154. URL: http://tobaccodocuments.org/guildford_miscl502585141-5192.html 14. Rushkoff D. Coercion. London: Little, Brown & Company, 2000. 15. Byrnes H. Fashion's smoking gun: top designers' functions sponsored by cigarette company. Sun­ Herald (Sydney, NSW) 11 Aug, 2002, p. 3. 16. Harper T. Marketing life after advertising bans. Tobacco Control 2001 ;1 0: 196-197. 17. Carter S. Worshiping at the Alpine Altar: promoting tobacco in a world without advertising. Tobacco Control 2001 ;1 0:391-393. 18. Philip Morris Limited. Project Dagger launch plan. Philip Morris. 1990 26 Jul. Bates No.: 250407708317094. URL: http://legacy.library.ucsf.edu/tid/qpi29eOO 19. British American Tobacco Australasia. Annual report. Sydney: British American Tobacco Australasia, 2000. 20. Marketing survival in the trenches. B & T marketing & media 1983;26 Aug:18. 21. Cullman H. Philip Morris International five year plan, 1975-1979. Philip Morris. 1974 Jul. Bates No.: 2048148837/8989. URL: http://legacy.library.ucsf.edu/tidlizs81fOO 22. Philip Morris International. Philip Morris AsialPacific three year plan, 1992-1994. Philip Morris. 1991 Dec. Bates No.: 2500064000/4226. URL: http:lnegacy.library.ucsf.edu/tid/wwi1geOO 23. Bramley B. [Importance of quality on brand goodwill: presentation delivered at the BAT Marketing Conference, November 19-23, 1991]. British American Tobacco. 1991 20 Nov. Bates No.: 202235487/5533. URL: http://tobaccodocuments.org/health_canadal20223548.html 24. [Presentation notes - slides 69-79 Australian retail market: notes for a NY Marketing Meeting]. Philip Morris. 1992. Bates No.: 250410719317197. URL: http://legacy.library.ucsf.edu/tid/vwn32eOO 25. Philip Morris (Australia) Limited. Superlights 30's. Philip Morris. 198718 Nov. Bates No.: 2500113068/3074. URL: http://legacy.library.ucsf.edu/tid/jIl19e00 26. RJ Reynolds Tobacco International. Australia 1981 operating plan. R.J. Reynolds. 1980 Sep. Bates No.: 505525649/5653. URL: http:lnegacy.library.ucsf.edu/tid/koI15dOO 27. Altizer C, Bolanowski G, Christopher R, Goodwin C. Ventilation seminar. Philip Morris. 1983 May. Bates No.: 2057251669/1968. URL: http://legacy.library.ucsf.edu/tid/acq52eOO 28. Shoebridge N. Australia: ten years of advertising. Lorillard. 1985 Oct. Bates No.: 83609386/9387. URL: http://legacy.library.ucsf.edu/tid/jfl09cOO 29. Swanton L. Tighter laws drive cigarette company creativity. Australian Service Station and Convenience Store News 1998;May/Jun:38-39. 30. Stockdale B. Australia trip: topline learning (highly restricted market). R.J. Reynolds. 199712 Feb. Bates No.: 518093846/3852. URL: http://legacy.library.ucsf.edu/tid/ads90dOO

Page 201 ot 260 31. Philip Morris International. Minutes from Tuesday, June 19 presentations "New Products". Philip Morris. 1990 19 Jun. Bates No.: 2500114149/4156. URL: http:/~egacy.library.ucsf.edu/tid/dgllgeOO 32. Cig groups make light of ad bans. Tobacco Institute. 199022 Nov. Daily Telegraph Mirror (Sydney, NSW). Bates No.: TIMN0377798. URL: htlp:lllegacy.library.ucsf.edu/tid/say42fOO 33. Philip Morris International. PMI marketing meeting minutes. Phi lip Morris. 1991 17 Jun. Bates No.: 250410722217265. URL: http:Jnegacy.library.ucsf.edu/tid/kii2geOO 34. Yann Campbell Hoare Wheeler. WD&HO Wills Packaging Research Study: qualitative report. British American Tobacco. 1994 Nov. Bates No.: 500245336/5406. URL: htlp:lltobacco.health.usyd.edu.au/tdslBAT500245336_5406 35. Philip Morris. Positioning paper - Project Alpha. Philip Morris. 1991 6 Jun. Bates No.: 250410705717061. URL: http:Jnegacy.library.ucsf.edu/tid/cii2geOO 36. Philip Morris. 1991 original budget: Marketing Presentation October 3,1990. Philip Morris. 1990 Oct. Bates No.: 2504107139A17171. URL: http://legacy.library.ucsf.edu/tid/aii29e00 37. No author. Tobacco category review. Retail World 2001;54(Nov 26 - Dec 7):11-13. 38. Zufic D. [Forms part of a fax from Denis Zufic to Robert Sarmento on the topic of government restrictions that impede the Australian Tobacco Industry]. Philip Morris. 1995 16 Aug. Bates No.: 2071284487/4490. URL: http:Jnegacy.library.ucsf.edu/tid/nkq08dOO 39. Commonwealth of Australia. Tobacco Advertising Prohibition Act. Commonwealth Consolidated Acts, 1992. Date Accessed: 14 Ju12003. URL:

http://www.ausilii.edu.au/au~egis/cth/consoLacUtapa1992314f1ndex.html 40. British American Tobacco. [Extract from BATCo 1992-1996 company plan]. British American Tobacco. 1991. Bates No.: 502585324/5329. URL: http://tobaccodocuments.org/bc_moh/11376.html 41. Leo Burnetl. Philip Morris International 1980 media plan. Philip Morris. 197920 Sep. Bates No.: 2500000014/0079. URL: http://legacy.library.ucsf.edultidflgz09eOO 42. Zenith Media Worldwide. Project Talisman media implications. British American Tobacco. 19939 Jul. Bates No.: 503074509/4515. URL: htlp:lltobaccodocuments.orglhealth_canadal2126_01.pdf 43. Vincent S. Australian Marlboro Outsert - Marlboro Filter & Lights 25s Europack. Philip Morris. 2000 4 May. Bates No.: 2078450631. URL: htlp:lllegacy.library.ucsf.edultid/aim70c00 44. Graebner C. Australian Marlboro Outsert - Marlboro Filter & Lights 25s Europack. Philip Morris. 20004 May. Bates No.: 2078450632. URL: htlp:Jnegacy.library.ucsf.edultid/zhm70c00 45. Goldberg H. 1994 second revised forecast presentation, June 1994, New York. Philip Morris. 1994 May. Bates No.: 2504204001/4063. URL: htlp:lllegacy.library.ucsf.edu/tid/ygn32eOO 46. Philip Morris (Australia) Limited. Anti smoking agenda. Philip Morris. 1998. Bates No.:

2072523055/3075. URL: http:/~egacy.library.ucsf.edu/tid~ab06cOO 47. Philip Morris International. F-1 and bikes evaluation - Australia. Philip Morris. 1993 14 May. Bates No.: 2504052867/2870. URL: http://legacy.library.ucsf.edu/tid/fyw32eOO 48. Barber K, Sharrock S. Morgan consumer review, April-June 1994. Philip Morris. 1994 Aug. Bates

No.: 2504103801/3908. URL: htlp:/~egacy.library.ucsf.edultid/ji032eOO

Page 202 of 260 49. Bible G. Australia [Memo to D. DaviesJ. Philip Morris. 19933 Mar. Bates No.: 2047896065A16071. URL: http://legacy.library.ucsf.edu/tidlbzo07eOO 50. Oostrom D. B&H creatives. British American Tobacco. 1994 27 Oct. Bates No.: 500245465/5469. URL: htlp:lltobaccodocuments.org/guildford_miscl500245450-5479.html 51. British American Tobacco. [BA TCo company plan report excerptJ. British American Tobacco. [1991J. Bates No.: 502630615/0641. URL: http://tobaccodocuments.org/health_canadal2250_01.htrnl 52. Trademark diversification. Philip Morris. 1992 30 Qct. Bates No.: 2504099390/9395. URL: htlp:/IIegacy.library.ucsf.edu/tid/xtu43eOO 53. Philip Morris International. Minutes from Thursday, June 21 presentations "Marketing restrictions". Philip Morris. 199021 Jun. Bates No.: 2500114168/4176. URL: http://legacy.library.ucsf.edu/tid/zgd42eOO 54. McCrossin M. [Fax to R. Goldbrenner, LorillardJ. Lorillard. 19932 Aug. Clayton Utz. Bates No.: 83664587/4588. URL: http://legacy.library.ucsf.edu/tid/qtc44cOO 55. [Presentation notes - slides 1-73 Australian retail market: notes for a NY Marketing MeetingJ. Philip Morris. 1992. Bates No.: 2504107172A17192. URL: htlp:lllegacy.library.ucsf.edu/tid/dii2geOO 56. [Presentation notes: slides 1-68 "Australian New Products"J. Philip Morris. 1992 Jul. Bates No.: 250410719817218. URL: http://legacy.library.ucsf.edu/tid/wwn32eOO 57. Aaker D, Joachimsthaler E. Brand leadership. London: Free Press Business/Simon & Schuster, 2000. 58. Windholz E. Australian website - status repert. Philip Morris. 2000 30 Mar. Bates No.: 2072557317 Al7318. URL: htlp:lllegacy.library.ucsf.edu/tid/gjz95cOO 59. Madjarian A. 2000: The year that sizzled. B&T 2001. Date Accessed: 4th Qct 2002. URL: http://bandt.com.au/artlclesl78/0c003378.asp 60. Hornery A, Moses A. Cig day out. Sydney Morning Herald (Sydney, NSW) 29 Jan, 2003, p. 20. 61. No author. Focus stock selection within tightening regulations. Convenience Store News, 2002;(Mar/Apr):18-21. 62. No author. Tobacco regulation review. Australian Convenience Store News 2003;(Jan/Feb):30. 63. Hicks J. The strategy behind Florida's "truth" campaign. Tobacco Control 2001 ;10:3-5. 64. Zucker D, Hopkins R, Sly D, Urich J, Mendoza Kershaw J, Solari S. Florida's "Truth" campaign: a counter marketing, anti-tobacco media campaign. Journal of Public Heafth Management and Practice 2000;6:1-6. 65. Sly D, Heald G, Ray S. The Florida "Truth" anti-tobacco media evaluation: design, first year results, and implications for planning future state media evaluations. Tobacco Control 2001 ;1 0:9-15. 66. Sly D, Hopkins R, Trapido E, Ray S. Influence of a counteradvertising media campaign on initiation of smoking: the Florida "Truth" campaign. Am J Public Heafth. 2001 ;91 :233-238. 67. Evans W, Price S, Blahut A. Evaluating the truth® Brand. Journal of Heafth Communication 2005;10:181-192.

Page 203 of 260 CHAPTER ELEVEN NEW FRONTIER, NEW POWER: THE RETAIL ENVIRONMENT IN AUSTRALIA'S DARK MARKET

INTRODUCTION The purpose of the research reported in this chapter was to understand the marketing strategies used by the Australian tobacco industry in the retail environment.

Some international research has considered the role of the retailer in marketing. US research has shown that retailer incentive payments (for point-of-sale agreements) are growing;1 retailers receive proportionally more incentives from tobacco than other industries;2 and 81 % of industry marketing expenditure is on these "promotional allowances,' through contracts which stipulate terms such as in-store placement and reimburse retailers for selling at cheaper prices.3.4These programs have also been shown to be associated with increased levels of cigarette advertising and cheaper cigarette prices in shops.5 The US industry's retail marketing plans have been shown to reflect the age, race and wealth of the retailer's customers.6-l1 Point-of-sale promotions appear to be used more extensively in contexts where other industry strategies are curbed by regulation,9 and quantitative studies published after the material in this chapter showed that US marketing dollars moved into the retail sector in response to the Master Settlement Agreement. 1o.11 Retail marketing and relationship-building with retailers in the UK has also been described. 12 One small study of retailer compliance with new marketing restrictions in Western Sydney showed a high degree of compliance, and suggested that non-compliant retailers had sometimes been misinformed by industry representatives. 13 Other than this latter study, there has been little exploration of the significance of retail marketing in Australia in the literature.

RESULTS The Australian industry has always used the retail environment as a conduit for personal communication with consumers. As early as 1955 Philip Morris promised retailers "free, top quality display material."14 By the 1960s Australia was "a lively active market with a great

Page 204 of 260 deal of aggressive advertising and point-of-sale," and Philip Morris employed 44 "salesmen." These salesmen serviced retailers and performed consumer trade-ups. In a "trade-up," the salesman exchanged of a packet of Philip Morris cigarettes for the cigarettes a consumer was smoking, an activity they were expected to perform opportunistically everywhere they went. 15 In the 1970s and 1980s manufacturers provided retailers with everything from signs announcing opening hours, push/pull door signs, menu boards and clocks, as well as in-store premiums (gifts with purchase, often linked to branded sports sponsorship), hostesses, competitions, and "switch selling" programs. "Switch selling" occurred when a customer asked for a competitor brand of cigarettes in a shop: the company sales representative would offer to buy the customer a packet of their company's brand instead. 16-19

The rise of retail as marketing was restricted In 1992, a PML presentation argued: "new government restrictions are rapidly increasing the importance of retail marketing as a part of the overall marketing mix. With this comes aggressive competition for in-store space and importantly, cut through to the consumer."20 Previous to the TAP Act, above-the-line had been the primary vehicle for building brand image, and below-the-line strategies "provid[ed] important support for these established images."2o The "net result" of the TAP Act, argued PML's spokesperson, was that "we must now extend below-the-line programs to encompass the image building role ... retail marketing is therefore no longer the support mechanism, [but] the primary communication vehicle."2o

In the early 1990s, before and after the TAP Act was introduced, the industry poured resources into "big specials which both reward and involve smokers,"21 including gondola end spectaculars (large three dimensional displays covering the entire end of a grocery aisle) competitions and sweepstakes, window displays, promotions in unique retail settings such as cafes and video stores, premiums, and more frequent changes in imagery, all in search of the holy grail of consumer attention and awareness. 21 -23 To create "overpowering" beach imagery in shops in the early days of PML's Longbeach brand, for example, old two dimensional display units were replaced by "full 3D representations of the beach environment," including "beach chairs ... sand, seagulls and even footprints on the

Page 205 of 260 floor," supported by beach photographs incorporated into the pack, and themed premiums such as beach bags.20

On the eve of local sponsorship bans, PML wrote:

"as of 1996, the primary point of communication between ourselves and our consumers will be inside a retail outlet. .. In-store point-of-sale material, discounted stock units, on-pack premium offers, strategically located stock displays in-store (as well as in windows and showcases), need to be dominated by PML ... In summary, the spend focus has shifted from media, outdoor and consumer promotions to in-store [point-of-sale management], contracting for display space, partnerships with retailers to build business, and international sponsorships."23

Accordingly, by 1995 PML already had "long term agreements with retailers to ensure a dominant point-of-sale presence" in preparation for restrictions.23

Responses to retail marketing restrictions Given the increased importance of retail in a restricted marketing environment, it is not surprising that, as various states limited point-of-sale promotions, the industry's retail strategies constricted only incrementally and under duress. Mass displays of cartons were used to "paint a billboard," but were soon noticed by regulators. 24 When regulation prevented point-of-sale displays from including brand logos, brand colours were used instead through balloons and streamers. 24 The same occurred for premiums. Originally items selected for their resonance with brand's identity were branded with trademarks and offered as gifts with purchase. When trademarks on gifts were banned, the same gifts continued to be offered, in the colours of the brand, minus the trademark. In 1995, for example, smokers who bought two packs of Marlboro were offered a red cap with an F1 car (rather than a Marlboro logo) embroidered on it.23 When premiums for cigarette purchases were banned WD&HO Wills gave retailers cricket bats to raffle to consumers who bought "anything to the value of a carton of Benson & Hedges."23

Page 206 of 260 Where possible, point-of-sale displays capitalised on the longstanding intemational sports sponsorships of the cigarette brands. This was seen by the manufacturers to provide "unquestionable legitimacy" at the point-of-sale: the familiarity of the link between the sport and the product, and the synergy between the display and the sport, making consumers more comfortable with the marketing. 25 Manufacturers remain willing to test the law - with, for example, a recently used custom-made silver bar-refrigerator holding Alpine cigarettes for sale in shops, illegal in NSW26 but tested by the manufacturers anyway.s

One PML document stated that the company believed legislation forcing all cigarette products below the counter was probable across Australia in the medium term.27

The new power of retailers and the industry's response Retailers are important to tobacco companies, as almost all cigarettes are sold in retail shops. Conversely, tobacco products are an extremely important category for many retail businesses. Unfortunately the retail sector is complex and availability and quality of data from public sources on retail cigarette sales is inconsistent, and thus difficult to summarise. The most comprehensive review available suggested that the margin of sales from cigarettes and tobacco as a proportion of gross margin was 71 % for tobacconists, 20% for petrol stations, 17% for convenience, 11% for grocery and 8% for mixed businesses. 28 ACNielsen creates an annual "Top 100 Brands" report on the grocery/supermarket sector based on sales value, and tobacco brands reliably inhabit six out of the top ten places in this list, beaten only by Coca Cola. A report on the convenience store sector based on data from 2000 showed that the "cigarette" category accounted for 34.68% of total sales, far exceeding the next largest categories, beverages (12.7%), milk (8.03%) and confectionery (7.86%).29 Although the data are difficult to pin down, there is no doubt that tobacco is important to the Australian retail sector.

Despite this apparent dependence on tobacco, a combination of the disappearance of ATL and concentration of the grocery market in Australia22 has put large retailers in particular in a strong negotiating position, and their loyalty is not guaranteed. Cigarette manufacturers maintain their relationships with retailers through five channels:

, A picture of this display unit can be viewed at http://www.ashaust.org.aunv4/Lv4resourcesJobacco_ads.htm

Page 207 of 260 1. trade promotional expenditure; 2. in-store display hardware and assistance with point-of-sale marketing; 3. corporate advertising and alliance building; 4. brand advertising direct to retailers; and 5. a new, innovative electronic distribution system.

Trade promotional expenditure Trade promotional expenditure (TPE) consists of retailer rewards, retailer loyalty programs, rebates and price supportS.30-33 Price support and rebates direct to the retailer have been important since at least the 1960s and are increasingly SO:33·36 as discussed in Chapter Nine, in the absence of above-the-line advertising, pricing strategies become an increasingly important component of marketing. Loyalty programs, in contrast, provide personal rewards to the retailer. In 1995, for example, PML ran an incentives scheme where retailers who placed Longbeach products prominently in their shops received "Long beach Dollars" that could be spent at special auction nights.23 Such rewards must be sufficient to stimulate loyalty, as demonstrated by a failed 1994 Rothmans program in which the rewards were too low23

Display units and assistance with point-of-sale marketing An R.J.Reynolds report stated that '[Australian] retailers immediately realised they were sitting on a "gold mine" at retail when print and [out-of-home] went away," and that as a result, "the cost of the real estate went through the roof for Australia," forcing manufacturers to pay millions of Australian dollars for entire massive sets of retail display hardware to ensure "an advantaged position (the only piece of 2000 cm advertising)."24 Presumably this high cost was not just for the physical manufacture and installation of the units, but also a large fee for the right to use the only small piece of advertising space still available. PML has also acknowledged the importance of providing "innovative and customised instore [display] hardware"31 and other merchandising supports, shouldering the financial burden placed on retailers as a result of regulatory changes to the display of cigarettes. As an R.J.Reynolds report noted "[providing customised hardware] could play a major role in the future on who is perceived as the must-have companies. Retailers will be looking for new and creative ways to sell and merchandise cigarettes."24

Page 208 of 260 Personal relationships between company representatives and retailers certainly appear to be valued in tobacco culture, as evidenced by awards to staff who excel in developing these "invaluable" relationships,37 and concern from an R.J.Reynolds executive that after the TAP Act was introduced "field people [were] totally confused about what [was] important... morale was five times worse than their expectations ... [and] massive cultural/past behaviour change issues ... existed."24 "Field people" assist retailers with everything from planograms or POGs - diagrams that show how and where to display products in order to increase customer purchases - to Local Area Marketing - designing a stock selection and display tailor-made for the demographics of the area in which the business is situated. 3a

Comments from a WD&HO Wills marketing manager in 1998 illustrate just how serious the industry is about the minutiae of legal cigarette displays in regulation sales units:

"We've been pushing retailers to put their cigarettes on the back wall, and we've had some initiatives where we've block-stocked our products. Instead of using a gravity-fed overhead dispenser, we've used a cascade tray to build up a big brand image. That orients the product towards the consumer rather than having it facing the floor so you see more of the packet. The company has also changed the packet colours on one of its major brands - Horizon - so that it's a uniform blue. The aim of the exercise is instant recognition: along with Benson&Hedges, that's given us full gold and blue blocks on display and that helps our brands stand OUt."39

The maintenance of "point-of-sale dominance," the strengthening of brand symbols and colours for instant recognition (via pack design) and the extension of these colours and the brands' identities into the point-of-sale are continuing, carefully negotiated strategies,31 which also offer benefits to the retailer through highly organised and professional support for their merchandising.

Alliance building The manufacturers promote their corporate image direct to retailers, and work to recruit retailers as political allies. 31 .40.41 Retail trade publications contain both editorials consistent

Page 209 of 260 with tobacco rhetoric and photographs of the cigarette manufacturing/mar1leting companies' constant presence at retail trade fairs, seminars. and award nights.

All three manufacturing/mar1leting companies take out frequent corporate advertising in retail trade journals. promising the retailer better service and support and urging them to

wor1l with company representatives to 'maximize your profits: 38•42 In the retail magazines examined for this study. each company was promoting a slightly different corporate identity. BA TA. the serious industry leader. warned about the penalties for selling 'chop chop' (illegal loose tobacco). promised to provide important information on its corporate website. and oocasionally promoted the benefits of its brands with dense pages of text and graphs (Figure 17). PML's corporate image was more approachable. promising good service and support, brands that young people like to smoke. and bigger profits (Figure 18). ITA. the new entrant. promised high-tech 'younique' service unencumbered by age and tradition. pledging 'at Imperial. we take a more individual approach to your business. We listen, we learn and we deliver' (Figure 19).

PEOPLE on! !NG IN III EGAI TOBACCO Figure 17: BATA corporate warning of the dang.!I of sailing chopchop ARE NOW BEING CHARGED AND F1Nm.

-..---_.,- _"' __ z : ______• "= 00' ____..... _ ::.~:.:.:::.:::L.7 ______------'-~ ... - ---- ~---... _-...... _ --.. _-- - & £ ...... _ -- Le - - ... ,,_ " ..... h 1_.... 0 - Figure 18: PM corporate adv8l1leement emphasising the financial ben.1IIs of the tobacco category compared to the confectlont/Y. Juice. milk and bread categories: the text above reads "are you making the most of it?" and below reads "to find out how to get the most from the m'"...... - -. tobacco category. speak to your Phlllp Morris account manager today." YOUR SMOKING CAN HARM OTHERS i1*~ HI . /" q

Page 210 of 260 •

~

Flgur.19: Imperial corporate advertising: the positioning statement la "YOUNIQUE" and the text underneath the Image reads "At Imperial, we take a more Individual approach to your busln ..s. We listen, we learn and we deliver."

Page 211 01260 Brand advertising in trade publications Another important channel of communication between the industry and retailers is brand advertising in retail trade publications. A total of 44 such advertisements were examined as described in Chapter Three. A summary of the results is presented in Table Ten.

TABLE TEN: CONTENT OF BRAND ADVERTISING IN RETAIL TRADE PUBLICATIONS

Number of unique advertisements Premium Mainstream Value TOTAL Jan 2001 to June 2003 containing the listed content TOTAL Number of unique advertisements 23 11 10 44 Number of brand families represented 8 2 3 13 New things announced 8 5 4 17 Cigarette pack appears 19 11 9 39 Imagery other than pack or trademark used 20 9 6 35 Text discusses business aspects of the brand 6 9 8 23 Positioning statement used 15 6 7 28

The advertisements examined did not solely or even primarily perfonm an infonmation function. Only a minority announced something new, such as changes in pack size, pack style or tar banding.

Two kinds of imagery appeared in the advertisements: packs or trademarks, and other imagery. Retailers selling cigarette products need to be able to identify cigarette packs: this enables them to make orders and provide customers with the products they request. It is thus unsurprising that advertising in retail trade publications frequently contained pictures of packs. However it is not necessary for a retailer to be able to associate, for example, Alpine with deserted beaches or Winfield with boxing matches. Despite this, particularly in premium and mainstream advertising, imagery in addition to the trademark or pack was also used to build these associations, attempting to create brand images in the retailers' minds.43.44 As seen in the advertisements reproduced in the previous two chapters, the imagery used included 1950s-style photographs; carefree beach scenes; abstract

Page 212 of 260 compositions based on electrical wires and computer chips; scenes of fishing, playing billiards or doing woodwork; nightclub-style lights; calm lakes; and tablecloths holding soothing cups of coffee.

The function of text in the advertisements also differed between the brand categories premium, mainstream and supervalue. Positioning statements for high-profit premium brands in particular were relatively abstract and focused on communicating brand identities, much as one would expect in an advertisement to consumers. Positioning statements included "Dunhill20s: when you're ready", "Fresh is Alpine", "Live&Wired' and "Connect&Commit" for Benson&Hedges, "The spirit of Marlboro in a light cigarette', and "Test It" and "Passion for Power" for West. Positioning statements for supervalue brands more frequently emphasised the value proposition for the brands, such as "Australia's best value" for Holiday and "Still number one for value' for Longbeach. Mainstream ads emphasised their popularity in the market as well as their "ordinary-Aussie" positioning, for example, Winfield's "Reel in an Aussie favourite." Text which explicitly talked about the business aspects of a brand - such as sales levels or profit margins - appeared in about 80% of advertisements for supervalue and mainstream brands, but only 25% of advertisements for premium brands, consistent with the core brand element of the premium category, quality, and the strong brand-as-symbol elements common to premium advertising. e-Distribution: placing tobacco companies at the heart of retail business A 1994 PML document observed "the importance of the distribution system is growing as more marketing restrictions are placed on the industry."30 Accordingly, both BATA and PML have made globally unique efforts in the area of distribution in recent years. Both now have associated companies - e-Orders, established by PML in January 2001 and Qualro Four launched by BATA in December 2001 - which operate as major integrated distribution hubs for small retailers in convenience, newsagents and petrol stations. These hubs distribute not just tobacco products, but a range of fast-moving consumer goods including beverages, confectionery, ice-cream, phone cards, convenience foods, dairy and automotive parts. 45 e-Orders has 650 retail customers, Quatro Four signed more than 2000 in its first nine months of operation, including both national chains and small independent retailers. 45•46

Page 213 of 260 Although at present retailers can use both systems simultaneously for different products, it has been said in the trade press that "ultimately, there is only really room for one ordering system. The two electronic ordering specialists - e-Orders and Quatro - are scrambling for critical mass, for retailers and suppliers."45 e-Ordering has become a new frontier for competition and control between the manufacturers. The systems are currently advertised and editorialised about extensively in the trade literature, promising increased efficiency, tailoring, reduced supply chain costs to the retailer, integration with point-of-sale technology to enable automated stock management, and upcoming financial management services such as electronic invoicing and automatic account payment. Quatro Four offers incentives such as a years' free internet access for joining up, and promises convenience store owners that they will "help you compete with the big guys", that is, the large grocery supermarket chains that have a stranglehold on the Australian market, by providing budget priced point-of-sale computer systems and other technology.45

It is important to note that these two initiatives are not centralised systems rolled out to Australia from overseas - they are local start-up enterprises, and may in fact be implemented in overseas markets by PMI and BAT if they continue to be successful. Both systems contain tobacco advertising, position tobacco at the heart of a retailers' business along with other more benign product categories, and according to their spokes people "will enable sales reps to go back to being professional representatives for their companies, helping retailers to build their sales, rather than spending inordinate amounts of time as order takers."47 It may be that an increase in e-ordering will lead to redundancy in the sales force, but given the evidence presented here of the importance of intensive assistance given to retailers in purchasing and presenting their cigarette stock, this seems unlikely.

DISCUSSION The point-of-sale, always an important marketing environment for the Australian cigarette industry, has been transformed in the last five decades. Originally retail marketing was a mere support mechanism for above-the-line activities. When above-the-line was banned, the retail environment became the front line for brand-building, absorbing massive resources and being seen as the primary site for sustaining relationships with the consumer. When retail was restricted by some states, the industry conceded only

Page 214 of 260 incrementally and under duress. The fact that the law is sometimes broken in retail marketing suggests that retail promotions, however modest, are still highly prized in Australia's dark market.

Given that the industry explicitly defines retail as the new frontier in a dark market, effective tobacco control regulation should include stringent control of the retail environment. Given the industry's creativity and risk-taking, the only way of preventing promotion of products at retail would be to require all products to be placed under the counter. Consumers could make purchases from product listings, and the law could define and standardise the format of these listings, allowing only product names and differentiating infonmation such as pack size. The industry expects tobacco products to be forced under the counter, and their expectations should be fulfilled.

Another measure of the importance of the retail environment is the energy and resources expended by the industry on their relationships with retailers, demonstrated through trade promotional expenditure, in-store marketing assistance, alliance building, brand advertising in the trade press and the new electronic retail distribution system. Regulating some of these aspects of the retail environment will be much more difficult than regulating the display of products.

Elements potentially more amenable to change are branded advertising in the retail press and trade promotional expenditure. Given that trade promotional expenditure impacts on price and thus can reduce the effectiveness of taxation strategies, the possibility of regulating it on economic as well as marketing grounds could be considered. Branded product advertising to retailers could potentially be banned in the current review of the TAP Act. These advertisements are clearly serving brand positioning functions, presenting brand-as-symbol elements and using brand positioning statements that would be appropriate for consumer advertising. In premium cigarette advertising in particular, attempts to communicate brand identity are more prominent than information about the business aspects of selling cigarettes. It is hard to imagine why the tobacco industry would continue investing in such brand building activity if they did not think it was likely to increase their profits. Retailers' brand recognition requirements could be fulfilled by simple text lists and thumbnail package illustrations, a format already used for presenting information on brand share in some publications. Retailing information, such as market

Page 215 of 260 share and profit margins, could readily be provided without being associated with brand positioning statements and imagery.

The tradition of the industry paying for in-store display hardware provides an opportunity. This precedent means that regulatory changes in retail displays could in future be defined as the industry's financial responsibility, reducing the burden on individual retailers. In contrast, the industry's traditional role in supporting and informing retailers as to the display of cigarettes should ideally be absorbed by health authorities, moving the emphasis from maximising sales to compliance with regulation. If the rise of e-distribution does undermine the role of the sales representative it may provide a window of opportunity to effect this change.

The major threats to tobacco control in the retail sector appear to be the strong political alliances between tobacco and retail, profits that tobacco products offer to retailers, and the new developments in e-distribution. These will all be difficult to disrupt. It may be necessary for health groups to begin alliance-building activities with the retail sector, as has been done to an extent with the sporting sector in the advent of local sponsorship bans. It may also be necessary, as occurred in sport and the farming sector, to commit some public money to support the movement of small businesses away from dependence on tobacco and into other categories. Given the tobacco tax windfall that the federal government collects and does not hypothecate, this seems a reasonable means by which to acknowledge the genuine financial dependence of some small businesses on tobacco.

REFERENCES 1. US Federal Trade Commission. Tobacco information page. US Federal Trade Commission, 2003. Date Accessed: 14 Ju12003. URL: http://www.ftc.gov/bcp/menu-tobac.htm 2. Feighery EC, Ribisl KM, Achabal DD, Tyebjee T. Retail trade incentives: how tobacco industry practices compare with those of other industries. Am J Public Heafth. 1999;89:1564-6. 3. Feighery E, Ribisl K, Clark PI, Haladjian HH. How tobacco companies ensure prime placement of their advertising and products in stores: interviews with retailers about tobacco company incentive programmes. Tobacco Control 2003;12:184-188. 4. Feighery EC, Ribisl KM, Schleicher N, Lee RE, Halvorson S. Cigarette advertising and promotional strategies in retail outlets: results of a statewide survey in California. Tobacco Control. 2001;10:184-8.

Page 216 of 260 5. Feighery EC, Ribisl KM, Schleicher NC, Clark PI. Retailer participation in cigarette company incentive programs is related to increased levels of cigarette advertising and cheaper cigarette prices in stores. Preventive Medicine 2004;38:876-84. 6. Muggli ME, Pollay RW, Lew R, Joseph AM. Targeting of Asian Americans and Pacific Islanders by the tobacco industry: results from the Minnesota Tobacco Document Depository. Tobacco Control. 2002; 11 :201-9. 7. Laws MB, Whitman J, Bowser OM, Krech L. Tobacco availability and point of sale marketing in demographically contrasting districts of Massachusetts. Tobacco Control. 2002;11:ii71-3. 8. Anonymous. Point-of-purchase tobacco environments and variation by store type--United States, 1999. MMWR Morb Mortal Wkly Rep 2002;51 :184-7. 9. Slater S, Chaloupka FJ, Wakefield M. State variation in retail promotions and advertising for Marlboro cigarettes. Tobacco Control. 2001;10:337-9. 10. Ruel E, Mani N, Sandoval A, Terry-McElrath Y, Slater SJ, Tworek C, et al. After the Master Settlement Agreement: trends in the American tobacco retail environment from 1999 to 2002. Health Promotion Practice 2004;5. 11. Pierce JP, Gilpin EA. How did the Master Settlement Agreement change tobacco industry expenditures for cigarette advertising and promotions? Heafth Promotion Practice 2004;5. 12. Anderson S, Hastings G, MacFadyen L. Strategic marketing in the UK tobacco industry. Lancet Onco/2002;3:481-6. 13. Goldthorpe I, Jorm L. Compliance with the Tobacco Advertising Prohibition Act 1991 in Westem Sydney. Sydney: Western Sector Public Health Unit., 1994. 14. The Australian Tobacco annual, 1956. Philip Morris. 1955 Dec. Retail Tobacco Traders Association. Bates No.: 2504085100/5166. URL: http:megacy.library.ucsf.edu/tidlfnd71fOO 15. Weissrnan G. Australia. Philip Morris. 1964 23 Mar. Bates No.: 201258006210070. URL: http://legacy.library.ucsf.edu/tid/wkb66eOO 16. Smith P. [Memo to John J. Howley of Brown & Williamson International Tobacco]. Brown & Williamson. 197829 Dec. WD&HO Wills (Australia) Limited. Bates No.: 661076840/6844. URL: http://legacy .Iibrary. ucsf.edu/tid/bpe 70100 17. Smith P. Kent merchandising. Brown & Williamson. 197929 Jun. WD&HO Wills (Australia) Limited. Bates No.: 661076740/6742. URL: http://legacy.library.ucsf.edu/tid/ape70fOO 18. License Agreement - Philip Morris, Australia. American Tobacco Company. 198320 Dct. Bates No.: 968122490/2496. URL: http://legacy.library.ucsf.edu/tid/otqllaOO 19. Batten K. PMA weekly highlights. Philip Morris. 1984 9 Mar. Bates No.: 2023265803/5806. URL: http://legacy .Iibrary. ucsf. ed u/tidlbxr98eOO 20. [Presentation notes - slides 1-73 Australian retail market: notes for a NY Marketing Meeting]. Philip Morris. 1992. Bates No.: 2504107172A17192. URL: http://legacy.library.ucsf.edu/tid/dii29eOO 21. Philip Morris. 1991 original budget: Marketing Presentation October 3,1990. Philip Morris. 1990 Oct. Bates No.: 2504107139A17171. URL: http:megacy.library.ucsf.edu/tid/aii2ge00 22. Goldberg H. 1994 second revised forecast presentation, June 1994, New York. Philip Morris. 1994 May. Bates No.: 2504204001/4063. URL: http://legacy.library.ucsf.edu/tid/ygn32eOO

Page 217 of 260 23. Zufic D. [Forms part 01 a lax from Denis Zufic to Robert Sarmento on the topic 01 government restricuons that impede the Australian Tobacco Industry[' Philip Morris. 199516 Aug. Bates No.:

2071284487/4490. URL: http:/~egacy.library.ucsf.edu/ud/nkq08dOO 24. Stockdale B. Australia trip: topline learning (highly restricted market). R.J. Reynolds. 1997 12 Feb. Bates No.: 518093846/3852. URL: http:Jnegacy.library.ucsf.edultid/ads90dOO 25. Turner P. Consumer promouons. British American Tobacco. 1993 21 May. Bates No.: 301742098/2099. URL: http://tobaccodocuments.orglhealth_canadal30174209.pdl 26. New South Wales Parliament. Public health (tobacco) regulation 1999. New South Wales Consolidated Regulations 1999. Date Accessed: September 2 2003. URL:

http://www.austlii.edu.au/au~egis/nsw/consoUeg/phr1999269/ 27. Philip Morris (Australia) Limited. Anti smoking agenda. Philip Morris. 1998. Bates No.: 2072523055/3075. URL: http://legacy.library.ucsl.edu/tid/lab06cOO 28. PricewaterhouseCoopers Economic Studies and Strategies Unit. The significance of cigarettes and tobacco products to retailers. Canberra: Tobacco InsTItute 01 Australia, 1999. 29. C-Store Industry Report Part 11. Retail World 2001 ;Aug 20-31 :Report page 1. 30. Philip Morris International. Philip Morris AsialPacific three year plan, 1992-1994. Philip Morris. 1991 Dec. Bates No.: 2500064000/4226. URL: http://legacy.library.ucsl.edu/ud/wwi19eOO 31. Philip Morris (Australia) Limited. 3 year plan, 1996-1998. Philip Morris. 1996. Bates No.: 2047041415/1432. URL: http://legacy.library.ucsl.edu/tid/xzw06cOO 32. Goldberg H. Australian highlights lor the week ending 10 January 1996 and the month 01 December 1995. Philip Morris. 1996 11 Jan. Bates No.: 2046386064B/6068. URL: hUp :lIIegacy .library. ucsl. edu/tid/lwu 87 dOO 33. Philip Morris International- Australia. Philip Morris. 1997. Bates No.: 2062389181. URL: http://legacy.library.ucsl.edu/tid/ijk93cOO 34. Philip Morris (Australia) Limited. Philip Morris Limited minutes 01 Directors' Meeting held at the company's registered office, corner Chesterville and Cochranes Roads, Moorabbin, on Friday, 1st August 1969, at 12 Noon. Philip Morris. 19691 Aug. Bates No.: 201504796117962. URL: http://legacy.library.ucsl.edu/tid/tnq34eOO 35. Philip Morris (Australia) Limited. Superlights 30's. Philip Morris. 198718 Nov. Bates No.: 2500113068/3074. URL: http://legacy.library.ucsl.edu/tid/jIl19eOO 36. Goldberg H. Australian highlights lor the week ending 22 January, 1997. Philip Morris. 199723 Jan. Bates No.: 2074162304B/2305. URL: http://legacy.library.ucsl.edu/ud/pvd52cOO 37. Philip Morris. Ring Award introductions at the PMII KFI dinner Friday, October 18, 1996, Australia. Philip Morris. 1996 18 Oct. Bates No.: 2073765218/5239. URL:

http:/~egacy.library.ucsl.edu/tid/ndw85cOO 38. British American Tobacco Australasia. [Advertisement]. Retail World 2002;(ApriI15-26). 39. Swan ton L. Tighter laws drive cigarette company creativity. Australian Service Station and Convenience Store News 1998;May/Jun:38-39. 40. Gee L. Philip Morris retail locus. Philip Morris. 1998 Jun. Bates No.: 2063552738/2749. URL:

http:/~egacy.library.ucsl.edu/Ud/sna42dOO

Page 218 01 260 41. British American Tobacco Australasia. [Advertisement). Retail World 2001 ;(JuI23 - Aug 3):14. 42. No author. Tobacco category review. Retail World 2001 ;54(Nov 26 - Dec 7):11-13. 43. Aaker D, Joachimsthaler E. Brand leadership. London: Free Press Business/Simon & Schuster, 2000. 44. Aaker D. Building strong brands. New York: The Free Press/Simon & Schuster, 1996. 45. No author. e-Fast and e-Easy ordering. Australian Convenience Store News 2003;(Jan/Feb):18-19. 46. No author. Shell trials Quatro Four. Australian Convenience Store News 2002;(Nov/Dec):36. 47. No author. New entrant pledges to automate the industry. Australian Convenience Store News 2001 ;(Nov/Dec):34-35.

Page 219 of 260 SNOlsnl~NO~ :~no:l NOI1~3S CHAPTER TWELVE CONCLUSIONS

In previous chapters I have presented an analysis of tobacco industry documents and other sources, detailing some of the overt and covert communication strategies of Australian and transnational tobacco corporations. I have discussed the role and work of the Tobacco Institute of Australia (TIA) and Mongoven Biscoe & Duchin (MBD), making a case that the work of the TIA was the direct responsibility of the Australian manufacturers, and providing details of the industry's transnational efforts to undermine the FCTC via MBD, with potential impacts for many countries. I have contrasted the industry's public and private communications on two key issues, smoking and disease and young peoples' smoking, demonstrating that the manufacturers have cooperated sometimes and disagreed other times, but that the industry has rarely provided the Australian public with the information it had available internally. I have provided an analysis of the Australian ready-made cigarette brand market, using David Aaker's typography of brand identity, brand positioning, brand image and brand equity and describing three brand categories that serve different types of smokers: premium, mainstream and supervalue. I have also presented detail of some of the below-the-line marketing strategies used by tobacco companies in Australia, including their strategies to minimise the acknowledged impact of marketing regulations in the retail environment and beyond.

The strategies I have described are inconsistent with public health objectives, and in keeping with the findings in Chapter Two, they share a common motivation: to maintain the profit of the three transnational tobacco corporations operating in Australia by influencing their business environment and increasing, or at least maintaining, expenditure on cigarettes by new and existing users.

There are a number of ways in which these strategies could be countered, including through marketing, through lobbying and other strategies used by corporate affairs departments, through research, and through regulation of marketing and of the profit-making nature of the industry.

Page 220 of 260 MARKETING When planning marketing campaigns to discourage tobacco use, there is much to be learned from the importance of BTL marketing in selling cigarettes and many other products. Tobacco companies know, for example, that price and display are important, spending a considerable portion of their marketing budgets on trade promotional expenditure to support price reductions and impressive product displays at the very front of many outlets. In contrast, nicotine replacement therapies are not price-supported in Australian tobacco control regulation, or through Australia's Pharmaceutical Benefits Scheme, and are less prominent in shops, presenting barriers to access. Tobacco companies have sought to establish a presence for their product in places where young trendsetters have fun, but there is not a similar presence for counter-messages. Tobacco companies provide plenty of novelty to smokers via the pack, but Australian health warnings have been unchanged since 1995. The revised regulations that will govern warnings to smokers from 2006 specify that new picture warnings all be introduced over a short period; thus the novelty will be short-lived, and the potential impact on smokers lessened. The general trend towards integrated marketing reported in Chapter Ten suggests that allocation of public money to BTL strategies could provide good-value opportunities to communicate cessation messages to smokers and prevention messages to non-smokers.

While any new approaches to promotion would have to be tested in the market, existing tobacco industry strategies suggest many directions for consideration. The importance of novelty, price and events suggests that, for example, for a short period from World No Tobacco Day annually smokers could be offered cheap nicotine replacement therapy and appealing, social environments in which to get support from other smokers trying to quit. BTL event marketing is a natural tit to promote and support the bans on smoking in clubs and pubs as they are introduced. The central importance of the brand in industry communication, whether to sell cigarettes or to sell ideas like prevention of youth smoking, suggests that those planning tobacco control programs should approach both Quit and youth smoking prevention as brands, with identities as multifaceted as the industry's brand identities. As noted in Chapter Ten, evaluations of the Truth brand have suggested that this is both possible and efficacious. 1 Further, given that smokers clearly respond very differently to the three cigarette brand categories operating in Australia, thought could be given to developing separate quit brands that resonate with the core of each of the three distinct cigarette brand categories (quality, good-humoured-Aussie-fair-go or value-and-escape). The industry is already placing printed

Page 221 of 260 information inside packs and wraps around packs: this technology could be utilised to provide frequently changing, informative and eye-catching quit information that is different for different cigarette brand categories. When smokers go to websites or telephone help-lines for information about cessation, they could be asked to nominate their brand, and the information, approach and style of the information provided could be tailored accordingly, and delivered through innovative media such as e-mails, text messaging and chat rooms where appropriate.

USING CORPORATE AFFAIRS STRATEGIES AGAINST THE TOBACCO INDUSTRY Section Two demonstrated the way in which the tobacco industry's corporate affairs departments and consultants have changed their strategies over time. The aggression of the 1970s and 1980s, personified by John Dollisson, gave way to a subtler, more conciliatory, less public face of the industry in the 1990s and 2000s. The detail of MBD's work demonstrates some of the thinking behind the industry's corporate affairs strategies, much of which could be adopted for use by tobacco control. MBD's schema of opponents - radicals, idealists, realists, and opportunists - could be used to analyse the industry and its allies. It is interesting that the managers of tobacco corporations in recent years have chosen to position themselves as realists, that is, pragmatic incrementalists willing to work within the system, given that in MBD's schema, realists are the group least vulnerable to being excluded, shamed or trivialised in policy negotiations. Realists are also the group that MBD considered most useful: the industry may well be modelling the kind of conduct they would like to see from their opponents. MBD's schema could be a useful way of thinking about the roles played by people working within tobacco control, ensuring that there are not only realists (who are vital but readily coopted) but also idealists and radicals pushing the tobacco control agenda.

Chapter Two and Section Two discussed campaigns that both overtly and covertly promoted the interests of tobacco TNCs through a range of strategies. Overt campaigns to convince the public included the industry's aggressive media stance on smoking and disease in the 1980s, and the more subtle youth smoking prevention campaigns mounted by "Australian Tobacco Companies' in the 1990s. Third party strategy - speaking through an apparently independent person or organization - was illustrated by examples such as Glenn Smith conducting and criticising research on children and advertising, veterans groups organised by MBD to speak out for the tobacco industry, or Kevin Donnelly protesting the efficacy and independence of I've

Page 222 of 260 Got the Power. Private attempts to influence decision makers included the Report to Federal and State Politicians: Philip Morris Addressing Underage Smoking in Australia, the negotiations around the attribution of funding for I've Got the Power, and the campaigns through regulatory bodies to attempt to silence health promotion messages in the 1980s.

Many of these strategies, in particular overt communication through the media and private lobbying of politicians, are already used against the tobacco industry in Australia. Third party strategy has also been used to an extent, most noticeably of late in battles over smoking bans in NSW when groups such as unions and entertainers have been strong voices in the debate. Countering the industry, in particular gaining further regulatory control of cigarette marketing, may be facilitated by continued and strengthened use of such strategies, particularly private lobbying which, to adopt a lesson from BTL marketing, has the potential to cut through the cluttered political communication environment in a unique way and thus have greater impact on individuals. Groups such as sympathetic advertising agencies, promoters or businesses unwittingly caught up in events promoting tobacco products, and the young adults who are the targets of much BTL marketing may be the most appropriate voices to speak out against these industry practices.

RESEARCH Chapters Two, Five and Seven in particular discussed the importance of research for corporate communication. Chapter Two suggested that industry funding and control of research, the industry's public and private communication of research results, and the potential for this research to contribute to the corporate brands of tobacco companies, are key issues. Section Two showed that as tobacco corporations moved into the 1990s, they began to adopt a new approach to corporate affairs. This included changes in the way that research was used. The days described in Chapters Four and Five, when industry used research funds as ammunition in an overt war against the arguments of the public health community, appear to be over. But research is no less central, particularly with the rise of the Corporate Social Responsibility movement as noted in Chapter Seven.

The fact that researchers receiving corporate funding typically support corporate perspectives and deny corporate influence suggests that researchers should evaluate their own industry ties, including to the tobacco industry, remembering that the issues are far subtler than deliberate

Page 223 of 260 bias or corruption. Universities that have not yet done so should consider strong controls on tobacco industry funding, and meta-analyses should separate privately and publicly-funded research for tobacco and other industries. Although tobacco industry research in Australia is now less likely to be run out of universities than it was in the past, complex, long term corporate affairs programs such as I've Got the Power or BAT A's ongoing series of annual Social Reports have strong research and evaluation elements. According to BAT A's website, for example, "key features" of their social report process include "independently facilitated dialogue with stakeholders, creating responses to stake holders' issues, introducing measures to deliver identified actions, [and] publishing results regularly in a social report."2 These are all research­ related activities, all increasingly central to the BAT A corporate brand, largely performed by external consultants, and highly likely to be useful in BAT A's approaches to the public and decision makers. This suggests a continued need for critique of the processes and uses of tobacco industry funded research as well as the research funded by other corporations. The material presented in Chapter Two suggests that the strong ties between some researchers in tobacco control and the pharmaceutical industry, in particular, should be more closely scrutinised.

Research is also necessary to counter corporate communication. BTL marketing and the activities of contemporary corporate affairs departments can easily go unnoticed, especially by the white collar workers in tobacco control who are rarely their intended target. Smokers are the recipients of BTL initiatives such as pack changes, the passing on of trade promotional expenditure as lower prices, or the display of cigarettes in shops that non-smokers are unlikely to notice. Using smokers as informants in marketing research that aims to monitor such trends would be resource-intensive but could provide important information. Corporate affairs departments are much harder to monitor, although the work of the Centre for Media and Democracy in the USA, as used in Chapter Eight, could provide a model: it gains information through good networks in politics and the NGO sector. These links exist informally in Australia, particularly via the Intemet and em ail-based Tobacco Control Network, but do not always have an organizational focal point. Such research would inform continuing revision of regulation, prosecutions, and advocacy.

Page 224 of 260 REGULATION Chapter Two raised the issue of current constraints on national governments and the need for public health to be regulated transnationally. The Framework Convention on Tobacco Control is undoubtedly a movement towards the transnationalization of tobacco control and a symbolically important moment, particularly for poor countries with little tobacco regulation or global power. Australia was an important player in the FCTC and an earty signatory, but the FCTC will have a very limited impact in Australia, particularly in the area of communication where our national and state legislation is already further advanced. 3 Changes in Australia's domestic tobacco policies are thus likely to be fought locally rather than being determined by the FCTC. As observed in Chapter Two, one of the limitations on regulatory responses to any transnational corporation is that corporation's involvement in, or even control of, local regulatory processes. This is made more difficult when the resources of a transnational corporation are pitted against a relatively smaller local regulator. There is little that can be done to stop this influence. Attempting to regulate the activities of corporate affairs departments would set dangerous censorship precedents, except when misleading information is provided to consumers. It seems necessary to counter corporate affairs departments, and their attempts to influence the regulatory process, with public health advocacy and below-the-line public health marketing programs as discussed above, and focus regulatory efforts on limiting marketing and removing the profit incentive, as discussed below.

Regulating marketing There is some anecdotal evidence in Australia of the transnational tobacco industry slowing down the regulatory process - several initiatives have been progressing haltingly in recent years, including picture pack warnings, pub and club smoking bans, and the review of the Tobacco Advertising Prohibition Act, and this is frequently attributed to industry intervention. However the TAP Act also provides a positive precedent, and certainly appears to have changed the marketing practices of tobacco corporations enormously. As seen in Chapter Ten, the industry complained internally that the TAP Act seriously decreased its ability to communicate efficiently with customers. As seen in Chapters Ten and Eleven, it also forced corporations to consolidate their efforts within a narrow field of known brands, and pushed them ahead of the international trend to become leading experts in integrated marketing. Regulation has had an effect in Australia, but not a complete effect, as Chapters Ten and Eleven demonstrated.

Page 225 of 260 Marketing, as shown in Section Three, is highly dynamic, which makes it difficult to regulate. The TAP Act 1992 defines "tobacco advertisement" as follows:

"( 1) Subject to this section, for the purposes of this Act, a tobacco advertisement is any writing, still or moving picture, sign, symbol or other visual image, or any audible message, or any combination of 2 or more of those things, that gives publicity to, or otherwise promotes or is intended to promote: (a) smoking; or (b) the purchase or use of a tobacco product or a range of tobacco products; or (c) the whole or a part of a trade mark that is registered under the Trade Marks Act 1955 in respect of goods that are or include tobacco products; or (d) the whole or a part of a design that is registered under the Designs Act 2003 in relation to products that are or include tobacco products; or (e) the whole or a part of the name of a person: (i) who is a manufacturer of tobacco products; and (ii) whose name appears on, or on the packaging of, some or all of those products; or (D any other words (for example the whole or a part of a brand name) or designs, or combination of words and designs, that are closely associated with a tobacco product or a range of tobacco products (whether also closely associated with other kinds of products).4

Remaining forms of above-the-line advertising that have been grandfathered to date easily fit this definition. Sponsorship of international sporting events (when broadcast) and advertising in imported international magazines are clearly ATl brand promotion activities, are currently only protected by a specific exemption, and could be readily amenable to regulation. I demonstrated in Chapter Eleven that print marketing in retail magazines is predominantly performing a brand marketing role: it would be fairly simple to argue that in its current form this should be prohibited as a "tobacco advertisement". However, although the broad definition in the TAP Act provides room to argue that BTl activities "promote or are intended to promote" tobacco

Page 226 of 260 products, as this marketing becomes increasingly indirect, the intention to promote becomes increasingly difficult to prove.

The reality is that most BTL activities do more than "promote" a tobacco product. Many of the activities directed at retailers, which are important components of manufacturers' attempts to increase consumption, such as Trade Promotional Expenditure, provision of support by corporate sales staff, alliance building, and the new e-ordering systems, are also services that retailers welcome and that have a relatively indirect relationship to the consumer. Similarly, the design of packs is complex. Packs have a pragmatic purpose - to contain and identify the cigarettes within. They are also a vital component of current BTL cigarette marketing. Although there are elements of packaging such as inserts and outserts that seem readily amenable to regulation, TRIPS would make it extremely difficult for any government to introduce generic packs, although it has been suggested that this could be achieved by making tobacco a controlled substance.s Even if the intellectual property barrier was overcome, it seems highly likely that the industry would find new ways to sustain existing brand images and brand categories in the market, via mechanisms such as cigarette rod design, the generic packs themselves, and/or word-of-mouth.

One of the insights from this work is that marketing is far more than the direct promotion of a named brand. The "exclusive right to sell" arrangements at music festivals and dance parties is a good illustration of this. The successful prosecution of Philip Morris over the Wavesnet events discussed in Chapter Ten showed that, if forewarned, it is possible to prove that event marketing is marketing, but the ephemeral nature of these BTL activities make them difficult to address. Timing has always been an important issue in the regulation of communication: even above-the-line marketing campaigns are short, and regulatory processes are frequently not responsive enough to allow for corrective action during a campaign. Events used to market cigarettes are not promoted as such, meaning that it can be difficult to gain prior warning. Good documentation, made by the parties authorised to document by the relevant legislation (usually Departments of Health) is also required to prosecute. The post-Wavesnet generation of event marketing is subtler, frequently limited to the sale of a single brand of cigarettes by existing bar staff, making all of these challenges greater.

Changes in the Act could address communication channels, definitions, and indirect means of brand building. Specific marketing channels could be prohibited, including pack inserts and

Page 227 of 260 outserts (although this technology could be fruitfully used for health wamings or quit communications and there may be more benefit in maintaining it), retail print advertising, trading in "exclusive rights to sell", and temporary or mobile selling units (for example, the sales display units used at dance parties and other music events). The definition of "advertising" could be expanded to take in not just writing, pictures, signs, visual images and audible messages, but also environments and events. It may also be necessary to go beyond direct "promotion" of brands to prohibit writing, pictures, signs, visual images, audible messages, environments or events that are associated with a cigarette brand and are consistent with that brand's identity, whether or not they carry the brand's identifiers.

Regulating profits As noted in Chapter Two, the objectives of corporations and the objectives of public health are ideologically different. Tobacco corporations are clearly and appropriately motivated by profit, and their marketing and corporate affaris personnel are charged with driving their market share up in a challenging regulatory environment. As publicly-held companies, that is their responsibility. This creates the major challenge for tobacco control. It is unrealistic to expect that the industry, if allowed to continue selling cigarettes, will stop engaging in activities like those described in the preceding chapters, or that corporate managers will not invent new responses to any new regulation. As discussed in Chapter Two, corporations of all kinds will drive their share price any way they can, within and often beyond the constraints of the law, until prevented. Thus the fundamental ideological challenge for tobacco control is to attempt to reframe the commercial relationship between tobacco corporations and consumers as socially unacceptable, even immoral, to provide the impetus for that prevention.

In Australia new regulatory models that go well beyond the FCTC are being proposed, specifically designed to address the tobacco industry's incentive to make profit.5.6 Under one variation of such a model, a Tobacco Products Agency would be responsible for the regulation of all aspects of both tobacco products and other nicotine delivery systems. The role of tobacco TNCs would be reduced to one of manufacturing only, tendering competitively for the provision of products to the Agency. The Agency would regulate the content and packaging of tobacco products through its tenders, would shape the market towards less harmful products, and would control distribution to retailers and thus break the link between manufacturers and retailers. Manufacturers would be prohibited from communicating with consumers, and the

Page 228 of 260 Agency would sell cigarettes under its own name, removing the manufacturers' names from the consumer market. The authors have suggested that consumer marketing in all forms could then be skewed towards reduced harm products, for example, by allowing less harmful products to be sold in attractive packaging and limiting more harmful products to generic packaging.5 They have also proposed that the removal of consumer marketing will mean that manufacturing will be opened up to competition, as small operators may enter the market. One benefit of this may be that if the transnationals are less prominent in the market they may have less influence on regulators.5 There would no doubt be extensive, well organised transnational opposition to these changes using all possible channels including the WTO, as is common when a single market attempts to set an international precedent that is against the interests of TNCs. However such a system would undoubtedly provide better controls of the tobacco market than are currently available, particularly over product composition, although it is difficult to judge how well it would control BTL marketing and the TNC's corporate affairs departments.

The manufacturers would still stand to gain from increased cigarette consumption. Although they have been less obviously cooperative since the 1990s, the removal of brands from the market, if it could be achieved under TRIPS, may in fact increase their incentive to organise and cooperate on corporate affairs issues. In a recent focus group I conducted for another project, a participant reported that a friend, who worked as a sales representative for a tobacco TNC, had been paying retailers in the local area to remove from their shops health-warning posters that had been placed there by health authorities. I believe that this information was trustworthy, and it is an example of tobacco TNCs' preparedness to pay individually to improve their operating environment in ways that benefit both them and their competition. This is consistent with the recent efforts of PM reported in Chapter Seven to gain consensus from all the major TNCs on an international marketing code, and the industry's history of collaboration on other important issues as seen in Section Two. The manufacturers understand that they are interdependent. The proposed model would not change this interdependence, or the TNCs' willingness to act in ways that benefit the entire market.

The authors of the regulatory model described above have proposed that it may force PML and BAT A, the two manufacturers in Australia, to bow to smaller competitors. However this seems unlikely. With their established production facilities, made ever-leaner over the last two decades, PML and BAT A's tenders would be likely to be most competitive. As shown in Chapter Two, markets for many products in many countries have been rapidly concentrating

Page 229 of 260 through mergers and acquisitions of late and this pattem is unlikely to change even in the face of severe regulation. As long as the TNCs were making a profit from manufacture they would continue, and their corporate affairs departments would remain in operation, with support from expert head-offices in their parent companies, attempting to effect regulatory change that is counter to public health objectives.

It also seems likely that the manufacturers would continue to engage in BTL marketing of smoking and to a diminished extent, brands. As observed in Chapter Nine, the corporations appear to perceive the equity of their competitors' brands to be important in sustaining the equity of their own brands. Thus even BTL marketing - for example paying people to smoke at events - could become a cooperative affair. The manufacturers could produce smoking accessories without brand identification but resonating with the old brand categories (quality, good-humoured-Aussie-fair-go or value-and-escape) as a source of profit, for example. They could retain their presence in the retail industry through attendance at functions, provision of general advice on retail marketing, and e-ordering of other goods to encourage retailers to present tobacco-related products to consumers in the most favourable way possible under the new laws. As suggested previously, presuming a reasonable correspondence between old and new products, a relatively straightforward word-of-mouth retailer information program may be enough to transport old brand identities into a new market even in the context of generic packs, just as they have been made transportable across previous regulatory changes. To break the link to current brands it may in fact be necessary to remove cigarettes entirely from their current retail locations, with appropriate compensation for retailers, and sell them only in government­ controlled outlets run by staff who do not stand to profit personally from increased sales.6

Legitimising regulation Regulatory change has much potential, but its impetus may need to come from civil society. Before governments will regulate they must first accept that there are situations in which it is legitimate to curb the activities of the private sector. For govemments to accept that this is the case, it may be necessary for citizens to make it clear that curbing the activities of the private sector, where this is in the interest of individuals, taxpayers and society in general, is not only a legitimate role for government, but also one that weighs heavily in determining our vote. If research like the work reported in the previous chapters can provide an understanding of the tobacco industry's conduct, and that information can be communicated to the public in

Page 230 of 260 innovative ways that borrow from both the marketing practices and the corporate affairs departments of tobacco companies, then the ideological change needed to drive regulatory change may be possible. If public health objectives are to be met, regulators, both national and transnational, need to impose on the profit-making ambitions of corporations to protect population health and counter the endless innovation of the marketing professionals working to sustain cigarette consumption. If strategies limiting marketing are combined with others such as smoking bans in social environments and product modification, it may be possible to further reduce the preventable burden of disease from tobacco smoking in Australia and elsewhere.

REFERENCES 1. Evans W, Price S, Blahut A. Evaluating the truth® Brand. Joumal of Heafth Communication 200S;10:181-192. 2. British American Tobacco Australia. Social report 2003/2004. BATA 200S. Last updated: February 12 200S. Date Accessed: March 12 200S. URL: http://www.bata.com.au/oneweb/sites/BAT _S3RFSW.nsf/0/SCB232A3F7 48S827802S6CES003E2D4A?0 pendocument&SI D=D71 A9CB 19E79F48D8B7EA4BAD901686E&DTC=200S0228 3. World Health Organization. WHO Framework Convention on Tobacco Control. Geneva: WHO, 2003. 4. Commonwealth of Australia. Tobacco Advertising Prohibition Act. Commonwealth Consolidated Acts 1992. Date Accessed: July 14 2003. URL: http://www.austlii.edu.au/au/legis/cth/consol_acUtapa1992314/index.html S. Borland R. A strategy for controlling the marketing of tobacco products: a regulated market model. Tobacco Control 2003; 12:374-382. 6. Liberman J. Where to for tobacco regulation: time for new approaches? Drug and Alcohol Review 2003;22:461-9.

Page 231 of 260 CHAPTER THIRTEEN A REVIEW OF TOBACCO DOCUMENT RESEARCH REPORTING, WITH REFLECTIONS ON THE PRACTICE OF TOBACCO DOCUMENT RESEARCH

INTRODUCTION This is a reflective chapter that reviews existing TOR, including my own, considers ways in which TOR has developed during the last decade, and proposes directions TDR could take in future.

This history of the documents was sketched in Chapter One, but I will review it in more detail here. Document release has been characterised by Mike Cummings and Richard Pollay as occurring in two waves. 1First, whistleblowers and US Congress made 1384 documents from the Brown and Williamson (B&W) Tobacco Corporation and its parent company, British American Tobacco (BAT) Company available in 1994. The second wave arose from the Minnesota attorney general's office and Blue Cross/Blue Shield's lawsuit against US tobacco corporations.1.2The majority of the second wave, excluding documents from the UK-based BAT companies, was made available on the Internet as a result of the Master Settlement Agreement between the major tobacco companies and a consortium of state attorney's general in 1998: tens of millions of pages are being released until 2010. 14

A small number of papers have considered tobacco document research (TOR) method, that is, the specific procedures used to gather and analyse tobacco documents. They explain that tobacco documents can be found by time-consuming searching of either online or physical archives: there are two archives, one in Minnesota, USA, and one in Guildford, UK.4·12 Industry sites online enable wildcard and "all fields" searching; the physical archives contain unique collections and provide indexing lists, but access is resource intensive; industry indexing is inconsistenP·4.9.12.13 Searching the Minnesota Depository versus industry websites produces comparable results. 13 The British American Tobacco (BAT) depository in Guildford, UK, has been particularly inaccessible.9-11 Electronic tobacco control archiving projects are building

Page 232 of 260 more stable, accessible and comprehensively indexed alternatives to industry sources. 2.4.5.7.8.12. 13

Few papers have discussed TOR methodology, that is, why research is done a certain way, or the principles that determine how research procedures are used and interpreted. The most common observation in these papers is that publicly available documents are not representative of the total document population. 3.4 This results from the documents' provenance, that is, whistle-blowing and legal discovery, and also because of limitations imposed by the tobacco industry on what is made available. Tobacco lawyers have destroyed documents, a subset of discovered documents is deemed privileged by the companies and withheld from researchers, and, importantly, no business keeps every document it produces. Other writers have observed that the relationship between industry intentions and actions is often unclear, and that TOR papers rarely discuss analysis, sometimes analyse documents out of context, and tend not to use the interpretive methods from other disciplinesP

Purpose of this chapter This chapter examines how the two waves of documents described above have been used in the peer-reviewed health literature indexed in Medline. As described in Chapter Three, a total of 173 papers in this literature that had used tobacco documents were identified. It was beyond the scope of this work to include research based on other industry sources, or in other literatures such as legal journals, books or journalism. I sought to answer several questions. First: what reporting traditions have been established in TOR published in the peer-reviewed health literature? Then: What can the reporting traditions of TOR tell us about the nature of TOR? How do they relate to other research reporting traditions? What directions do they suggest for the future?

RESULTS To recap on the methods presented in Chapter Three, the 173 papers that I analysed were divided into two sets, which I will henceforth refer to as A-Papers and B-Papers. A-Papers were research papers that were primarily concerned with finding, analysing and reporting on tobacco industry documents. There were 110 A-Papers. B-Papers were papers that cited a small number of documents but were not primarily reports of tobacco document research. There were 63 B-Papers. B-Papers included, for example, analytic reviews of the literature and

Page 233 of 260 reports of survey research: what B-Papers had in common was that they cited a small number of tobacco documents (generally one or two). In most cases the distinction between A-Papers and B-Papers was straightforward. Marginal decisions were not based purely on the percentage of references that were tobacco documents: I also took into account whether documents were acknowledged as a source and how they were used.

TOR publishing patterns The second wave of tobacco documents stimulated TOR publication - only 12 papers were published up to 1998 - including of B-Papers, which with one exception commenced in 1999. Publication of A-Papers peaked in 2002 and 2003; publication of B-Papers increased from 2000 (Figure 20).

35 'r-~--

30 , --- • i '::'\--

25" , 20 .,-----.- I

15 +-1-- • ...... " 10 ---_ .. , / ~ • • 51 """ --~.~. • o I .>.. <:. , ' -. 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

FIGURE 20: NUMBER OF TDR PAPERS PUBLISHED OVER TIME ___ A-Papers --- •••• B-Papers

Although 39 journals published TOR, a small subset dominated the field. Journals were divided into groups (Table Eleven): those that had published eight papers or more were kept distinct in the analysis; other journals were divided into those that had published only one paper (1-paper journals) and those that had published between two and four papers (2-4 paper journals).

The first wave was dominated by JAMA, which published seven of the 12 papers to 1998 but little thereafter. After the second wave, Tobacco Control (TC) dominated (from 2000),

Page 234 of 260 publishing about half of all A-Papers, followed by the American Journal of Public Health (AJPH - from 2001). Both published around five A-Papers a year, except for 2002 and 2003, when Te published 36 A-Papers in all, approximately one third of all A-Papers, many of them in supplements. Almost a third of all B-Papers were published in 2004. Up until 2003, most B­

Papers were published in Te (more than hal~ and journals that had published only one TOR paper (a quarter). In 2004 this changed. The number of TDR papers in Te decreased. Journals that had published TOR only once were responsible for a quarter of the B-Papers, as before. The rest were in published in journals that had previously rarely published B-Papers, including Nicotine and Tobacco Research (NTR) and The Lancet (30% of all B-Papers in 2004), journals that had published two to four papers (20%) and American Journal of Public Health (AJPH - 15%).

Authors of TOR A total of 222 authors were represented; 161 (almost three quarters) had worked on only one paper; only 17 had published five papers or more.! Four groups of papers defined by authorship were delineated (Table Eleven). Generally speaking, A-Papers were more likely to have highly published authors working on them, and B-Papers more likely to have less-published authors working on them. The rush of A-Papers in 2002 and 2003 was strongly dominated by senior authors (those in the 7-11 and 20+ groups), mostly based at large centres funded specifically to do TOR. Otherwise each author group published about the same number of A-Papers from 2000 to 2004. More than half of all B-Papers were by the 1-2 group, half of these in 2004 alone; however all author groups published B-Papers (Table Eleven).

t To recap on the methods described in Chapter Three: I divided authors into four groups, those that had published only one or two TOR papers (the 1-2 group); those that had published between three and six papers (the 3-{) group); those that had published between seven and eleven papers (the 7-11 group) and a small group of authors who had published over 20 papers (the 20+ group).

Page 235 of 260 TABLE ELEVEN: PUBLICATION PATTERNS AND AUTHORSHIP

I!! I!! I!! .. I!! I!! C- ..C- .. ..C- ..C- C- ..C- "-.. "-.. "-.. "-.. 0 ..;: ..;: cO -~ cO -;;; 'iij ..Cl.. 0 0 E -:;; 0 -~ 0 ::I ..Cl.. ..Cl - - 0:: 0:: 0:: E -..U E -.. -;;; ::I ::I '0 z ..~ z ..~ I- "- "-

TOTAL 173 110 100 63 100

NUMBER OF TOR PAPERS PUBLISHED BY JOURNAL

1 paper (27 joumals) 27 12 11 15 24

2 to 4 papers" 19 9 8 10 16

NTR and The Lancet 16 7 6 9 14 (second wave only)

JAMA (predominantly first wave) 9 9 8 0 0

American Journal of Public Health 25 20 18 5 8 (exclusively second wave)

Tobacco Control 77 53 48 24 38 (almost exclusively second wave)

NUMBER OF TOR PAPERS PUBLISHED BY MOST SENIOR AUTHOR

1 or 2 53 20 18 33 52

3 to 6 27 13 12 14 22

7 to 11 43 38 35 5 8

More than 20 50 39 35 11 17

._- -

U This group contained Addiction, BMJ, Central European Journal of Public Health, Health Promotion Practice, Journal of Epidemiology and Community Health, Medical Journal of Australia & New England Journal of Medicine

Page 236 of 260 Purpose of TDR Of the 173 papers, 40 had no stated purpose, slightly more of those being B-Papers, The simplest and most common purpose stated in the remaining papers was "to describe what was in the documents", Five other more complex purposes occurred in fewer papers: 1, to understand; 2, to argue, criticise or assist with litigation; 3, to answer stated questions; 4, to analyse contributing factors or determine causation; and 5, to compare the contents of document and non-document sources,

Data sources, searching, analysis and limitations reported in TDR The non-mutually exclusive sources and limitations reported are listed in Table Twelve; searching and analysis practices reported are listed in Table 13,

Patterns in reporting Reporting was inconsistent: most of the items in Tables Twelve and 13 occurred in small numbers of papers, combined differently by different authors, One third of all A-Papers reported using multiple data sources, one third noted some limitations, about 80% provided some search information, and half some analysis information, defined extremely liberally (Table 13),

Patterns of reporting in A·Papers There was an apparent evolution in A-Papers over time, These changes were complex, occurring more or less in some author groups or journals or even in some individuals, Speaking generally, across time A-papers became more likely to: 1, state a purpose; 2, state a purpose more complex than description; 3, combine tobacco documents with other sources; 4, describe searching; and 5, describe analysis,

Page 237 of 260 TABLE TWELVE: SOURCES AND LIMITATIONS REPORTED IN ORDER OF FREQUENCY OF USE

TOBACCO DOCUMENT SOURCES LIMITATIONS REPORTED REPORTED MSA tobacco industry Web sites Returned document set not complete Searching inefficient, retumed document Tobacco Documents Online set voluminous Legacy/UCSF Searching problems Other non-tobacco industry websites Depositories hard to access Nature of document evidence creates Tobacco documents non MSA or BAT lBW limitations Minnesota Depository Documents returned by search redundant Not clear from documents whether plans BAT Guildford Depository were implemented Early BAT and B&W doc set Documents stop in 1990s NON TOBACCO DOCUMENT Selection bias in total document SOURCES population No triangulation of documents with other General or specialist press, internet sources Legislation, lawsuits, hearings Published literature Interviews and surveys Government or state information Resources from individuals or organizations Quantitative data Observation Agencies working for the tobacco industry Patents Filings from stock exchanges, financial records Advertising campaigns

Page 238 of 260 TABLE 13: SEARCHING AND ANALYSIS PRACTICES REPORTED IN ORDER OF FREQUENCY OF USE

SEARCHING PRACTICES ANALYSIS PRACTICES Culling: authors stated that they kept relevant Search strings or terms listed documents Searching in specified fields:topic or keyword Abstracting or summarising Culling: specific selection criteria for culling Number of documents retumed listed described Describes the use of snowballing Documents ordered chronologically Searching in specified fields:people or names Documents coded or indexed Specific analysis methods used (e.g. case Dates of search listed study methods, content analysis) Searching in specified fields:organizations More than one coder used committees or companies Notes that search terms were combined Themes identified Searching in specified fields:dates Documents coded inductively Search strategy explained sequentially Authors stated that used a narrative approach Explains why a certain search strategy was Authors stated that analysis was descriptive used Searching in specified fields:source file or Statistical tests used location Searching in specified fields:bates numbers Software used to manage data Notes source imbalance (more documents Quantitative techniques used from some companies than others) Date range of documents returned listed Coders were trained States that search reached saturation or was Authors stated that analysis was qualitative exhaustive Authors stated that analysis used mixed Searching in specified fields:title methods Culling: authors described considering quality Describes search as systematic of document information in analysis

Searching in specified fields:projects or Authors stated that their approach was ! accounts analytical Authors described interpreting the documents Describes techniques used as normative against other material ! Culling: authors described emphasising Physical searching in depositories documents for which a context was available -- -

Page 239 of 260 SEARCHING PRACTICES CONTINUED ANAL VSIS PRACTICES CONTINUED Culling: authors described emphasising Searching in specified fields:RFP codes repeated rather than single instances Searching in specified fields:document type Authors stated that analysis was historical Uses optical character recognition Searching in specified fields:meetings or events Notes use of keyword variation (such as searching for misspellings as well as correct spellings)

Until 2001 most A-Papers stated either no purpose or a descriptive purpose. From 2002 about half of A-Papers had a more complex purpose, most often from the 7-11 paper authors, and least often from 1-2 paper authors. A-Papers containing no source information were published until 2003, particularly in 1-paper journals, but became proportionally less prominent each year from 1998. There was a sharp decrease in 2001 and 2002, corresponding with a sharp proportional increase - to about 60% - in papers that reported using tobacco document sources only. In 2003 only, the majority of papers Uust over halD reported combining document and non-document sources, again primarily from authors of 7-11 papers. Although this suggests evolution over time for these authors, this was true for only some individuals in the group. Papers with more complex purposes combined sources more often, as did papers in NTR and The Lancet, and in AJPH.

Although methods sections ranged from one or two sentences up to many detailed paragraphs, the proportion of A-Papers containing some search or analysis information increased over time, more consistently for searching than for analysis (Figure 21). Papers in 1-paper journals and by 1-2 paper authors were least likely to contain search or analysis information. Papers by 7-11 and 20+ paper authors were most likely to contain search information; analysis information was most commonly provided in papers by 3-6 paper authors and 7-11 paper authors, and in AJPH, 2-4 paper journals and TC. AJPH and TC published the widest range of analysis information. Papers that stated a complex purpose and that combined sources were both more likely to provide searching or analysis information.

Most innovations in reports of searching were introduced between 2000 and 2002, after which authors recombined established elements. In 2000 the first papers from both physical

Page 240 of 260 searching in depositories and online document searching were published. Most published papers have come from online searching, and this imbalance is reflected in the search information observed. Authors began to describe their searching in 2000: most often keywords and number of documents returned; less often, search dates, search strategy, imbalance in sources, and searching by people or groups. In 2001, authors began describing their searching as "systematic", and reported combining search terms and searching in more fields including title, source file or location, dates and document type. In 2002, authors began using Malone and Balbach's 2000 paper on methods 12 to state that they had used normative techniques, and to report using Optical Character Recognition (a facility available at Tobacco Documents Online, an electronic archiving project within tobacco control). Authors also began reporting searching for documents in context, including searching for Bates numbers consecutive to found documents, searching for all documents arising from particular events, projects or accounts, or searching by Request for Production (RFP) codes (for further explanation of RFP codes see 14).

Page 241 of 260 100 ~

30

25

I!! 1 H,,,,,,,'IPercentof all A-papersl'lilhsome searching 'I :!:. i I information 20 ~ ~ ..( ..( ! c:::J Percentof all A-paperswith someanalysis I '5 '5 information c::: -.. 15 ~ ...... Totalnumber of A-papers l:! E :. z" 10

5

o 1998 1999 2000 2001 2002 2003 2004

v FIGURE21: SEARCHINGAND ANALYSIS INFORMATION BY YEAR

v Thefirst wavehas beenexcluded from Figure21 becauseit was a differentkind of data set, less relevantfor currentTOR researchers particularly because of its smallsize.

Page242 of 260 Reporting of analysis, always less prevalent than reporting of searching, was slower to start and is still evolving. The two least specific and earliest analysis practices reported - summarising documents and culling according to "relevance" - appeared most often and across years. From 2000, authors talked about analysis using three kinds of terms that resonated with, but were generally not formally linked to, three different research traditions.w These ways of writing sometimes coexisted in one paper. x The earliest terminology used to discuss TDR analysis borrowed from interpretive/constructivist research. Researchers described identifying themes, used

w Although several authors cited particular research techniques in their papers - particularly case study techniques or content analysis methods - these were rarely referenced to literature and the papers were rarely structured in a way that allowed the reader to understand and verify the authors' claim to that method. , The following sections will frequently contrast interpretive/constructivist and positivisUpost-positivist approaches to research. This is a key distinction in most research disciplines. The most important difference between these two approaches is their conceptualization of the researcher, which has a fundamental impact on the way in which the quality of research is assessed. PositivisUpost-positivist traditions are most commonly observed in reductionist disciplines such as basic science, epidemiology. quantitative economics or sociology, and demography. In positivisUpost-positivist traditions, the researcher is expected to be objective. The researcher must strive not to influence the research participants or the research outcome. This objectivity is achieved through the application of standardised techniques (for example randomisation, standardised questionnaires. blinding, controlling in statistical analyses). Ideally multiple researchers will apply the same techniques. allowing their agreement to be measured and statements about the repeatability of the research process to be made. Interpretive/constructivist approaches are more commonly seen in qualitative research. although not all research that analyses text is interpretive/constructivist. In interpretive/constructivist approaches, research is taken to be inherently subjective. and it is assumed that it is impossible for the researcher not to influence the research outcome; the researcher partiCipates actively in the research through their questioning of sources, their interpretive decisions and their unique frame of reference. Interpretive or constructivist research is more circumspect about what research can achieve, and does not make claims, like positivisUpost-positivist research, to results that are broadly generalisable, or to a measurable degree of certainty (the concept of measurable certainty is illustrated by confidence intervals in epidemiology). Although results are more likely to be expressed tentatively or with qualification, the acknowledgement of subjectivity does not mean that 'anything goes." Repeatability of results becomes a less meaningful measure of the quality of interpretive/constructivist research; quality is demonstrated through the results "ringing true" for those familiar with the topic, by their usefulness, and, importantly, through the researcher's transparency about the research process, which allows a reader to decide whether they agree with the researcher's interpretations. These two approaches each have strengths and weaknesses. Because of the assumptions at their core, they are not readily compatible within a single study, although the same researcher may adopt one or the other for different projects.

Page 243 of 260 adjectives such as narrative, descriptive and qualitative in reference to their analysis, and wrote that they coded inductively - that they created codes from reading the documents rather predetermining codes. A second way of writing about analysis borrowed from positivisUpost-positivist research: first, formal selection criteria for culling and multiple researchers for coding; later pre-defined exhaustive coding systems in which researchers were trained, and in a small number of papers, quantitative analyses. A third group of terms resonated with historical research. The earliest and most common, from 2000, was "chronological? By 2003-4 a few TOR authors used language suggesting the quality of document evidence could not be taken at face value, a core issue in historiography. These authors described emphasising documents that were consistent with other documents or for which a meaningful context was available (such as a file), and making judgements about the trustworthiness of documents - for example evaluating documents against other sources as opposed to simply treating different sources as stores of additional facts.

This late shift towards questioning the documents as evidence was also reflected in the limitations noted by TOR authors. Until 2003 limitations noted used positivist language, mostly describing technical barriers such as searching problems and selection bias. In 2003 and 2004 a few authors raised limitations intrinsic to the documents as evidence, and TOR as research. They argued the past could not be evaluated by the standards of the present, framed their work as an interpretation, suggested that the documents could not always tell researchers why things were done, and interrogated the quality of the information in the documents (for example, including only industry research that met certain criteria in their document analysis). These new limitations seemed fundamentally different. Limitations noted before 2003 were about repeatability and representativeness, that is, about whether problems with searching, or problems with the original sample, might mean that the documents examined by the researcher were not representative of industry documents generally. The new limitations raised after 2003 suggested that, regardless of how representative the documents examined were of the larger body of documents,

Y Although traditionally central to history, chronology has more recently become a problematic historical concept. Many historians in recent decades have rejected sweeping chronologies and attempts to prove cause, instead moving toward interpreting the lives of tightly defined groups of people in specific places and times. This is connected to a contentious shift away from positivism/post-positivism - often referred to as empiricism in history - and towards a more constructivisVinterpretivist approach.

Page 244 of 260 research based on them would be limited in ways that were intrinsic to all work based on documentary evidence from the past. Patterns of reporting in B·Papers About three quarters of all B-Papers fell into one of two types, both written mostly by inexperienced authors: reviews or essays that provided no source information; or research papers that provided detailed source information about non-document data, most commonly from surveys or interviews (almost 30% of B-Papers), while referencing one or two documents for which no source information was provided. A smaller group of B-Papers used a very wide variety of sources including documents within their results.

The provenance of the documents was discussed in very few B-Papers in most years. In about three quarters of B-Papers documents were used as evidence to support a contention made by the authors - that tobacco companies market to teenagers, for example, in an introduction or discussion section. In more than half, quotes were reproduced, demonstrating the perceived power of using the voice of the industry. In about a quarter of B-Papers, documents were used as though they constituted the same kind of evidence as published literature, for example, authors would make a statement and support it with both an industry document and a piece of peer reviewed research, or would cite a single industry document instead of the published, peer-reviewed TOR that existed on that subject.

Two contrasting practices, suggesting different views of the documents as evidence, rarely occurred in the same B-Paper. In slightly more than half of B-Papers, authors used a small number of documents to make an expansive statement about "the industry", using a single quote to speak to all industry conduct. In contrast, in just under half of B-Papers, authors used the documents to provide a specific example or instance, located in place and time. The latter practice became more common over time and was most common in papers published in NTR, The Lancet and AJPH and by more experienced authors.

Page 245 of 260 DISCUSSION This section will address the second set of questions raised in the introduction. What can the reporting traditions of TDR tell us about the nature of TOR? How do they relate to other research reporting traditions? What directions do they suggest for the future?

Insights into the nature of TDR from its reporting traditions: my interpretations of the field The TDR examined for this study was diverse: no clear reporting or methodological standard had been established for it. Most A-Papers were produced by experienced authors. However they often worked with inexperienced authors, and across the study period inexperienced authors independently published A-Papers, and more often, B­ Papers. This inexperience, the newness and diversity of TOR, and the lack of any reference to a disciplinary or methodological context in most published TOR suggest that a clearer consideration of why we do things the way we do could be beneficial for the field.

Tobacco documents were being used in two relatively distinct sorts of publications, which I have labelled A-Papers and B-Papers. A kind of "descriptive mainstream" persisted in A­ Papers, although it slowly decreased. Papers in this descriptive mainstream form stated no purpose, or stated that their purpose was simply to describe the content of the documents, nominated no sources or only documents as sources, and had a typical structure: an introduction setting out an issue from the peer reviewed literature and promising to describe the contents of industry documents; methods; a long report of events, ordered chronologically and/or by issue, sometimes with extensive quotation; then a short conclusion calling for regulation, advocacy and/or litigation. Within this descriptive mainstream there were variations, such as early papers with no introduction or methods. A reasonable example of the descriptive mainstream (although it has an atypical introductory section) is the document research reported in the first TDR paper that I published, on which Chapter Eight is based, which is in Appendix Three D (the original paper has been somewhat altered for the thesis).

In both A-Papers and B-Papers, treatment of industry documents seemed to fall along a continuum, which I have labelled the continuum from researcher as conduit to researcher as constructor. At the conduit end, documents were used as straightforward nuggets of

Page 246 of 260 general truth, and the researcher was positioned as a passive conduit (B-Papers with one quote purporting to prove an expansive contention; A-Papers with no source, searching, analysis, or researcher information, telling a story without qualification, such as that in Appendix Three D). At the constructor end of the continuum documents were treated as problematic, complex sources of specific information that needed a context to be understood, and readers were made aware of the way in which the researcher had constructed their account of the past (B-Papers giving precise, qualified examples located in place, person and time; A-Papers with complex purposes, multiple sources, details of searching and analysis and the limitations inherent in the documents.) Most papers fell somewhere between these two and many contained elements of both, but in a general sense there was progression away from the conduit end of the spectrum and towards the constructor end. The papers in Section Three, along with their methods information in Chapter Three and the relevant appendices, are the closest I have come to positioning myself as constructor: Chapter Nine, for example, sets out to understand the brand structure of the Australian market, a purpose more complex than simply describing the content of the documents, and uses multiple sources. Chapter Three contains detailed information about searching and analysis.

It may be that the descriptive mainstream, and the positioning of researcher as conduit, which were connected and became less prominent over time, arose at least partly from the "forbidden fruit" nature of the documents on their immediate release. The early emphasis in TDR on the "secretness" of the documents and the sometimes extremely dramatic language used in the early days seemed to telegraph to readers the inherent importance and trustworthiness of TOR as a project. There was an urgency and sense of importance in this work that perhaps implicitly defined TOR as being a different kind of project from other research, with different reporting standards.

While reporting of analysis increased it did so to a lesser extent than reporting about searching, suggesting that TDR authors perceive analysis to be less salient than searching.z This practice has a subtext: that once a researcher finds the documents, and justifies the way in which they were found, making sense of them is a straightforward task.

, It should also be noted that many things that I counted as reporting on analysis would not necessarily be considered to be analysis in other disciplines: I believe my definitions were extremely generous.

Page 247 of 260 Tome this subtext resonates with the lack of any external methodological reference point in most TOR papers - when authors provided background references they were generally the seminal methods papers from within TOR itself.12.13 In contrast it is common for other text-based research in health journals to be located within a methodological and theoretical context, usually explained in the introduction.""

What I observed in TOR was a vocabulary for describing analysis that borrowed from three traditions: positivist textual research, interpretive textual research, and history. What TOR papers rarely contained was evidence that authors were working explicitly or purposefully within the traditions from which these words came. This is unsurprising, as many of the authors of TOR, including some of the most careful and some of the most widely published, have come from research disciplines that do not traditionally work with text, or think about methodology. Many of us, for example, have come from clinical medicine or public health disciplines such as statistics or epidemiology, all fields that take the positivisUpost-positivist approach for granted.

In the next section I will discuss possibilities for analysis in TOR. Reflecting the three kinds of vocabulary I observed in current TOR reporting, I will discuss possibilities for analysis under three headings: interpretive textual research, positivist textual research and history.bb I must emphasise that I am not suggesting that a single TOR paper or author should try to adopt all of these traditions at once (indeed to try to do so would be absurd and unhelpful). I am also not suggesting that current TOR is not useful because it has not adopted these traditions more fully. Rather I am exploring some differing directions from which TOR authors could choose to enrich their current practice.

aa As discussed in the introduction, methodology, that is, why research is done a certain way, or the principles that determine how research procedures are used and interpreted, is a different consideration from method, that is. in this case, the specific procedures used to gather and analyse tobacco documents. I am not criticising the referencing of these seminal methods papers - clearly this is good practice if they were used - rather I am highlighting the distinction between explaining what was done, and explaining why it was done that way. bb There are both positivist and interpretive historians, but their discipline is uniquely relevant because historians constantly work in archives and discuss the challenges of writing about the past, whereas other text-based research traditions tend to work in the present or the very recent past. For this reason I have discussed history separately.

Page 248 of 260 Reporting traditions in TOR in relation to other research reporting traditions

Possible applications of interpretive/constructivist approaches to tobacco industry documents As observed above, the earliest words used by TOR authors to describe analysis were those from interpretive research. Many researchers working interpretively use an informal hermeneutic thematic analysis, much like the approach taken in this chapter. 15 Other more formal interpretive approaches that could be adopted in TOR include frame, discourse, case study or ethnographic analysis.

Frame analysis is used in media studies, linguistics and policy studies. 16 Although highly contested,16-20 in essence frame analysis seeks to elucidate the conflicting, invisible frames through which a single event or issue is presented in texts. Different frames highlight or suppress aspects of the same situation, frequently for ideological reasons, and serve functions such as laying blame, suggesting solutions, or calling to arms. 16.21 . Frame theory is compatible with TOR in that it goes beyond the literal meaning of texts, it highlights conflict, it has a history of use in the study of social movements, and is highly compatible with the advocacy culture of tobacco control. 16 A frame analysis using documents may, for example, focus on a single event (such as a court case or a regulatory decision) or a single issue at a narrowly defined point in time. It could collect related documents and perhaps other sources that contain statements from the industry, their opponents and decision makers. It could then analyse and contrast the frames through which the event or issue was represented by the different players, emphasising the functions that these frames played.

Discourse analysis (DA) is a much-misused term and another highly conflicted and fractured field. DA is used in many disciplines including psychology, linguistics, organizational studies and politics.22-25 Most DA approaches focus on language structures and emphasise the importance of language in context, proscribing abstracting or decontextualization of documents. The detailed examination of language required in DA would limit researchers to examining a much smaller body of text than is common in a TOR

Page 249 of 260 paper. In my experience the most useful aspect of DA is its refusal to presume that language simply reflects reality. DA recognises that language creates our social world, and so would provide a formal framework within which to ask "how did the industry construct this issue?" If, for example, I had found the set of memos between Kevin Donnelly and Australian education departments that negotiated access for I've Got the Power to Australian schools, DA could have been used to analyse them not just for what was said, but how it was said. What was made to seem important or unimportant? Did the writers emphasise certain themes by recycling them throughout the memos? Were certain actions presented as obligations or as options? What genres did the memos use (what social processes did the language in them perform, such as storytelling, arguing, instructing, negotiating). Were they written so as to include or exclude others' points of view? Which voices were expressed: did anyone speak for tobacco control, school children, parents? How were they talked about? The answers to these questions would then, in some DA traditions, be related back to the larger social and political context.

The defining characteristic of a case study approach is the focus on a highly specific and "bounded" case,26 such as a decision or a program, narrowly situated in place and time. The approach seems readily applicable to TOR. cc Thus for example, a case study approach would not attempt to study "what the tobacco industry documents say about economics," but may for example study the recent infamous Philip Morris-commissioned report to the Czech government showing the economic benefits of smoking due to the early mortality of smokers,27 defining the study period tightly - perhaps six months before and six months after the report. There are, as usual, variations in the field, but broadly, a case study approach wou Id provide TOR researchers with a structure within which to analyse, move beyond description to interpret systematically, and, again, to emphasise context: this is a particular feature, with the context of the case generally being presented in detail first.26.28.29 This approach also emphasises diversity of sources, thus in the above example, documents would be combined with other sources such as archives, news reports,

" The methods sections of a small number of TDR papers that I examined said that they used case study methods. Unfortunately those papers that stated that they used case study methods rarely provided the kind of detail or external references that would allow other TDR researchers to copy their research methods. Note that there may be studies that used methods very similar to case study methods but did not say this in their methods sections.

Page 250 of 260 interviews and observation where possible. 26,28,29 The major limitation on using tobacco documents in a case study project is that the approach is best suited to studying relatively recent or current events in which the researcher can directly immerse themselves. 29

Ethnography28,30-32 also uses diverse data sources, but with different questions in mind: the primary interest of ethnographers is culture. I can imagine two ways in which cultural questions could be asked in TOR. One would be the study of a particular tobacco company, or a particular group within that company, as a culture, something that is common in organizational research but has not been done as yet in TOR. Anecdotally for example, the documents from the BAT group have been observed to contain more information about document destruction than the documents from other companies, An ethnographic approach would try to understand the culture of the BAT group, or perhaps the section of the BAT group responsible for document destruction, to better understand this phenomenon. dd The second kind of cultural question would be about specific groups in the population. Some TOR papers have considered particular population subgroups, such as countries, immigrant groups and the gay/lesbian/bisexual/transgender community, but these have mostly asked: "what is in the documents about this group?" In contrast, an ethnographic approach would ask a question such as "what does smoking mean in lesbian culture in Sydney?" (or any other culture in any other place). The contents of the documents, and other archives, would be combined with participant observation with the group and in-depth interviews with group members to understand the cultural meanings of smoking for this group. The great advantages of this approach are the depth of understanding that it encourages, and the inclusion of the accounts of members of the group. TOR focused on specific population groups has tended to be "about" that group, without necessarily including the perspectives and interpretations of the members of that group. This also raises a major limitation for both ethnographic and case study approaches to TOR: lack of meaningful access to the tobacco industry. Normally, for example, an ethnographic study of a particular office of a tobacco corporation would spend large amounts of time observing in this office: the improbability of this means that ethnographic approaches would have to be modified to be used in TOR focused on corporate culture,

Possible applications of positivist/post-positivist approaches to tobacco

dO Thanks to Claire Hooker and Jelt Collin for ideas that led to these observations.

Page 251 of 260 industry documents TOR is sited primarily in the public health literature, which, as discussed, is dominated by post-positivism via disciplines such as epidemiology, economics and demography, and thus is less likely to be familiar with interpretive traditions. It is thus unsurprising that some of the most scrupulous TOR researchers have demonstrated research quality via post­ positivist standards, although this has been done mostly in relation to searching rather than analysis. An excellent example of a carefully reported post-positivist analysis of text (albeit mostly of sources other than tobacco documents) is Bryan-Jones and Bero's 2003 paper on the US Occupational Safety and Health Administration's indoor air quality rule. 33

Few TOR papers have reported using used content analysis, the primary prescriptive, positivist method used to analyse written, spoken and visual texts in many disciplines.34,35 A good example of reporting of content analysis is Balbach, Gasior and Barbeau's 2003 study of R.J.Reynolds' targeting of African Americans, although again the content analysis methods in this paper are applied to magazine advertising rather than the documents themselves. 36 Content analysis involves counting concrete textual elements and statistically testing the patterns in which they occur. Researchers who work in a positivist/post-positivist paradigm in which statistical demonstration of repeatability is important may find content analysis the most useful formal structure for their analysis.

Possible lessons from historical research for the analysis of tobacco industry documents TDR rarely acknowledges its historical character, and has been criticised as ahistorical.37 However discussions in historiography, including those about sources, interpretation, and methods, are particularly relevant to TOR because they address the challenges of researching the past.

Many of the conflicts in history parallel the abovementioned conflict between positivism and interpretivism. For decades in historiography there has been tension between visions of history as an objective, empirical science or as a relativist art form. Many voices in this debate in fact take a compromise position,3a.13 and these compromises often characterise histories as competing readings of past events, arguing that there is "one past but many histories".41,44 Because the past is massive, surviving artefacts and accounts are

Page 252 of 260 fragmented, and we always view the past through the eyes of a very different present, we can never comprehend the past exactly or totally.39,41,42,44-47 These difficulties are shared but rarely acknowledged by TOR. Sources, the only window to the past, are a key concem in history; many historiographers advocate amassing diverse sources - public and private documents, oral accounts, objects and images - to counterbalance their intrinsic flaws. 42.47 While most A-Papers I examined amassed document sources, the descriptive mainstream did not use diverse sources (the paper in Appendix Three D, for example, used all the tobacco documents available relating to MBD but no other sources).

Most historiographers agree that the facts presented in history must be accurate38,39 - a concem which I believe is mirrored in the most careful TOR authors' painstaking documentation of their searching strategies, However many historiographers argue that the accuracy of the facts, while fundamentally important, is a dry and uninteresting baseline requirement for doing history - what matters is what researchers do with the facts - their interpretation.39,41,44,48 The facts versus interpretation distinction in history does not seem to have informed TDR writing. As discussed, authors who provide detailed information about searching often provide no information about analysis, suggesting that they thought that the task of interpretation needed no explanation, or even perhaps even that they did not believe that they were interpreting, believing instead that they were simply "telling." This latter explanation may have been especially true in the papers that positioned the researcher as conduit, and in papers that took the descriptive mainstream form, in which results sections frequently presented, with certainty, lists of events that happened. Thus TOR could perhaps learn from recent historical thinking by being more transparent about the interpretive phase of research using the documents.

However since the 1960s historians have disagreed over interpretation, and the related notion that historians' own identities and ideologies affect their interpretations. 38,39,42,44,46,49 Traditional history has been criticised for serving only powerful groups,38,41,42,49 and new histories have been written of previously excluded groups - for example women, indigenous people or workers - to energise political action,38,40-42.46,49 These marginal history projects, although retrospective, have features in common with ethnographic or case study projects, in particular a detailed engagement with the lives of particular groups of people. TOR shares with marginal histories its criticism of powerful groups, and tobacco documents could potentially be used to create marginal histories. For example, an

Page 253 of 260 historical study of tobacco workers in a particular area or factory might use tobacco industry documents, other archives, oral histories gathered from workers themselves, photographs, objects from the work environment and other sources to create an interpretive account of life as a tobacco worker in that place. TOR could also learn from these interpretive historians' conscious positioning of themselves in the research - as, for example, feminists or unionists or people of colour. TOR is often implicitly activist. Taking an overt interpretive frame, whether using historical methods or one of the interpretive methods described above, would encourage researcher to be more explicit about this position.

There are also some questions of method raised in history that could inform TOR. Many historians, particularly those more empirically inclined, would contend that primary sources, those produced as part of everyday life, are a different kind of source than secondary documents, those produced as reports on something.40,42,45,5o For these historians, a report on a meeting that stated that the CEO had advised an employee to do something, for example (a secondary source), would be considered less trustworthy than a memo from the CEO instructing that employee (a primary source). There was little sense from published TOR of whether these sources are being distinguished by TOR authors.

There is also some discussion in history of how a project as a whole is approached. The source-oriented approach to research has been contrasted with the question-oriented approach ,42,45 a contrast that resonates with the differences in purpose - description versus, for example, answering questions - that I observed between some TOR papers. Tosh suggests the source-oriented approach, that is, starting from a bounded set of primary sources like the tobacco documents and asking what is in them, suits a newly discovered source but is messy and inefficient, observations that resonate with the limitations noted by many TOR researchers. 42 He also contends that the question-oriented approach, that is, formulating questions by reading secondary sources then looking for answers in whatever primary sources can be found, provides order and guidance but is limiting if the researcher does not allow their questions to be changed by the sources.42

Finally, historians, like discourse analysts, case study researchers, ethnographers and of late some experienced TOR researchers, emphasise the need to present sources in their context and avoid over-simplification.51 This includes the need to consider institutional

Page 254 of 260 records as part of organizational processes and in the series in which they were originally

produced ,42 consistent with some experienced TOR authors' recent prioritisation of contexualised documents.

The major limitation on TOR researchers learning from historians is that historical papers generally do not have methods sections as public health papers do, although they do have extensive footnotes. Thus if TOR researchers are to learn to use historical ways of thinking, they will probably need to consult historiography texts.

FUTURE DIRECTIONS FOR TDR REPORTING Asserting a standard for TOR reporting will be difficult, not least because of the inexperience of many authors and publishers. However certain reporting practices seemed to become more common in later years and to "clump" together - more complex purposes, more diverse sources, more detail of searching and analysis - suggesting that greater exposure to the complexity of the documents is evolving TOR reporting for some researchers towards the position that I have labelled researcher as constructor. I believe this trend from more senior TOR authors is worth continuing because it makes TOR more transparent. Figure 22 proposes a draft process for planning and evaluating TOR to move reporting further towards researcher as constructor. There will certainly be traditions that I have neglected in the model. I hope it will be improved by re-adjustments from other TOR authors after publication.

Also consistent with trends, and I believe beneficial for transparency, would be a standardised structure for TOR methods sections: sources (see examples in Table Twelve), searching (see examples in Table 13) and analysis (presently poorly defined in the literature: see discussion in previous section). As illustrated in Figure 22, sources, searching and analytic methods interact with the purpose defined for the research, which interacts with the overall analytic approach taken. In my view this would ideally be either interpretive/constructivist or positivist/post-positivist rather than using a combination, as this would provide a clearer sense for readers of the nature of the research. There may be other analytic approaches that would also be useful. For example, there has been limited discussion in the public health literature of the legal significance of the documents: an

Page 255 of 260 author with legal training may choose to analyse the documents via that tradition, which would contain its own assumptions.

Word limits are always an issue in qualitative research, and providing more detailed methods sections will inevitably reduce the size of results sections. However there are few other disciplines in which it would be considered appropriate to have a one-sentence methods section for the sake of a few more paragraphs of results. I would expect the model in Figure 22 to produce more compact results through facilitating deeper examination of more specific cases or questions and better synthesised analysis, rather than the "laundry list" of events across long time frames common in the descriptive mainstream form of TOR (remembering that many authors already publish work in a form more complex than the descriptive mainstream). This difference is illustrated by some of the developments in my own work - the contrast, for example, between Chapters Seven and Nine.

Audit trails - detailed records kept by researchers - are a common way of dealing with word limits in qualitative research which may also assist. 52•53 The material presented in my Appendices, which as noted in Chapter Three was made available on the Internet linked to some of my papers when they were originally published, was inspired by the concept of the audit trail.

Finally, while I believe TDR has much to learn from the rich analytic traditions described above, it may well be that TOR researchers have developed their own ways of doing analysis which are specifically suited to working with the documents as a data source. The problem is that at the moment they are not being described. Chapter Three of this thesis represents my best efforts to be clear about how I made sense of the documents: over time TOR authors may evolve their own analytic traditions, although these will inevitably make interpretive/constructivist or positivist/post-positivist assumptions, consciously or otherwise.

Page 256 of 260 FIGURE 22: FLOWCHART FOR DESIGNING AND EVALUATING TOR

Are documents a major data source for the paper (A. Paper), or are a small number of documents to be used in a paper that mostly reports on other kinds of data (B·Paper)? I A·PAPER I B·PAPER ~ INTRODUCTION: Is the• research purpose defined? Is there a piece of published TOR that Can the research purpose be made more complex addresses the issue the authors want and specific than simply describing? (e.g. answering to illustrate? specific questions, examining well·defined cases) .. .. ]-+I / Reference existing + NO YES TDR instead of INTRODUCTION: Is the researcher and/or intended [ [ " documenUs ./ journal and/or purpose most compatible with interpretive or post·positivist approaches? ~ Are documents to be used to demonstrate a specific bounded INTERPRETIVE J POST ·POSITIVIST J event, or make a general assertion? I • • INTRODUCTION: Which analytic approach is most SPECIFIC GENERAL appropriate to the research purpose? What literature [ l will be referenced to provide the reader with a context .. --. for the analytic approach? Avoid this use of documents. r---,~ /~ Seek other published work, indicate need for more research, and/or pursue this TOR project Historical r Content Frame/Discourse/Case separately Other study/Ethnography/ ...- Other ... V 1 ~ Use the documenUs to illustrate particular events, METHODS: Which sources are most appropriate to being careful not to exceed the limits of what the this purpose and approach? documenUs demonstrate. If the approach suits a broad use of sources (e.g. case Be as transparent as possible about how you have study, historical, ethnographic) have many diverse selected this example and interpreted its meaning. sources been gathered and justified? Provide detailed context, particularly the source of If the approach suits a more bounded use of sources the documenUs, and relevant people, places and (e.g. discourse analysis) has this been clearly defined events and justified? (See Table Two for.. ideas about sources)

METHODS: Which searching strategies are most appropriate for this combinatlon of purpose, sources and analytic approach? Are searching strategies well documented? (See Table Three for searching ideas) ... ~ METHODS: Are the documents analysed in context? Is analysis method described? Can the reader understand how the author drew their conclusions? ! Have limitations been outlined? Are they consistent with the overall research approach? Do they reflect the inherent weakness of the tobacco documents as data? REFERENCES

1. Cummings KM, Pollay RW. Exposing Mr Butts' tricks of the trade. Introduction. Tobacco Control. 2002;11 :11-4. 2. Bero L. Implications of the tobacco industry documents for public health and policy. Annual Review of Public Health. 2003;24:267-88. 3. Glantz S, Barnes D, Bero L, Hanauer P, Slade J. Looking through a keyhole at the tobacco industry. JAMA 1995;274:219-224. 4. MacKenzie R, Collin J, Lee K. Handbook on the Use of Tobacco Industry Documents for Research. London School of Hygiene and Tropical Medicine and Rockefeller Foundation 2003. URL: http://www.lshtm.ac.uklcgch/tobacco/Handbook%2008.07.03.pdf 5. Legacy Tobacco Documents Library. American Legacy Foundation and University of California San Fransisco Library Center for Knowledge Management 2005. Date Accessed: Feb 17 2005. URL: http://legacy.library.ucsf.edu/ 6. Tobacco Archives. 2005. Date Accessed: February 15 2005. URL: http://www.tobaccoarchives.com/ 7. Tobacco Documents Online. 2005. Date Accessed: Feb 15 2005. URL: http://tobaccodocuments.org/ 8. British American Tobacco Documents Archive. 2005. Date Accessed: Feb 15 2005. URL: http://bat.library.ucsf.edu 9. Collin J, Lee K, Gilmore AB. Unlocking the corporate documents of British American Tobacco: an invaluable global resource needs radically improved access. Lancet 2004;363:1746-7. 10. Lee K, Gilmore AB, Collin J. Looking inside the tobacco industry: revealing insights from the Guildford Depository. Addiction 2004;99:394-7. 11. Muggli ME, LeGresley EM, Hurt RD. Big tobacco is watching: British American Tobacco's surveillance and information concealment at the Guildford depository.[see comment]. Lancet 2004;363:1812-9. 12. Malone RE, Balbach ED. Tobacco industry documents: treasure trove or quagmire? Tobacco Control. 2000;9:334-8. 13. Balbach ED, Gasior RJ, Barbeau EM. Tobacco industry documents: comparing the Minnesota Depository and internet access. Tobacco Control. 2002; 11:68-72. 14. Cummings KM, Mortey CP, Horan JK, Steger C, Leavell NR. Marketing to America's youth: evidence from corporate documents. Tobacco Control 2002;11 :15-17. 15. Ryan GW, Bernard HR. Techniques to identify themes. Field Methods 2003;15:85-109. 16. Benford RD, Snow DA. Framing Processes and Social Movements: An Overview and Assessment. Annual Review of Sociology 2000;26:11-39. 17. Goffman E. Frame Analysis: An Essay on the Organization of Experience. New York, NY: Harper & Row, 1974. 18. D'Angelo P. News framing as a multi-paradigmatic research program: A response to Entman. Journal of Communication 2002;52:870-88. 19. Scheufele DA. Framing as a Theory of Media Effects. Journal of Communication. 1999;49:103-22.

Page 258 of 260 20. Entman RM. Framing: Toward Clarification of a Fractured Paradigm. Journal of Communication 1993;43:51-8. 21. Ryan C. Prime time activism. Boston MA: South End Press, 1991. 22. Gee J. An introduction to discourse analysis. London: Routledge, 1999. 23. Schiffrin D, Tannen D, Hamilton H. The handbook of discourse analysis. Oxford UK: Blackwell, 2003. 24. Antaki C, Billig M, Edwards D, Potter J. Discourse analysis means doing analysis: a critique of six analytic shortcomings (also see on line responses). Discourse analysis online 2002. Date Accessed: Feb 25 2005. URL: www.shu.ac.uk/daol/articleslv1/nlla1/antaki2002002-paper.htm 25. Blommaert J, Bulcaen C. Critical discourse analysis. Annual Review of Anthropology 2000;29:447- 466. 26. Stake R The art of case study research. Thousand Oaks: CA: SAGE, 1995. 27. Arthur D Little International Inc. Public Finance Balance of Smoking in the Czech Republic: executive summary. 2000. Date Accessed: March 102005. URL: http://www.mindfully.org/lndustry/Philip-Morris-Czech-Study.htm 28. Cresswell JW. Qualitative inquiry and research design: choosing among five traditions. London: Sage Publications, 1998. 29. Yin RK. Case Study Research, Design and Methods. Newbury Park: SAGE, 2002. 30. Fetlerman DM. Ethnography: step by step. Newbury Park, CA: SAGE, 1989. 31. Hammersley M, Atkinson P. Ethnography: principles in practice. New York: Routledge, 1995. 32. Wolcott HF. Transforming qualitative data: description, analysis and interpretation. Thousand Oaks: CA: SAGE, 1994. 33. Bryan-Jones K, Bero LA. Tobacco industry efforts to defeat the occupational safety and health administration indoor air quality rule. American Journal of Public Health. 2003;93:585-92. 34. Krippendorff K. Content Analysis: An Introduction to Its Methodology. Thousand Oaks, CA: SAGE, 2004. 35. Neuendorf KA. The Content Analysis Guidebook. Thousand Oaks, CA.: SAGE, 2002. 36. Balbach ED, Gasior RJ, Barbeau EM. RJ. Reynolds' targeting of African Arnericans: 1988-2000. Arnerican Journal of Public Health. 2003;93:822-7. 37. Talley C, Kushner HI, Sterk CE. Lung cancer, chronic disease epidemiology, and medicine, 1948- 1964. Joumal of the History of Medicine & Allied Sciences 2004;59:329-74. 38. Appleby J, Hunt L, Jacob M. Telling the truth about history. New York and London: WW. Norton & Company, 1994. 39. Carr E. What is history? Houndmills, UK: Palgrave, 1961. 40. Iggers G. Historiography in the twentieth century. Hanover and London: Wesleyan University Press, 1997. 41. Jenkins K. Re-thinking history. London and New York: Routledge, 1991. 42. Tosh J. The pursuit of history: aims, methods and new directions in the study of modern history. Harlow, Essex, UK: Longman Group Ltd, 1984. 43. Evans R In defense of history. London UK: Granta Publications, 1997.

Page 259 of 260 44. Becker CL. What is evidence? The relativist view - "Everyman his own historian". In: Winks RW, ed. The historian as detective: essays on evidence. New York, Evanstone and London: Harper and Row, 1969. 45. Winks RW. Introduction. In: Winks RW, ed. The historian as detective: essays on evidence. New York, Evanstone and London: Harper and Row, 1969. 46. Fernandez-Armesto F. Epilogue. In: Cannadine D, ed. What is history - now? Houndmills, UK: Palgrave MacMillan, 2002. 47. Collingwood RG. The pleasures of doubt: re-enacting the crime. In: Winks RW, ed. The historian as detective: essays on evidence. New York, Evanstone and London: Harper and Row, 1969. 48. Pedersen S. What is political history now? In: Cannadine D, ed. What is history - now? Houndmills, UK: Palgrave MacMillan, 2002. 49. Rubin M. What is cultural history now? In: Cannadine D, ed. What is history - now? Houndmills, UK: Palgrave MacMillan, 2002. 50. Elton G. The practice of history. New York: Thomas Y Crowell Company, 1967. 51. Proctor RN. Should medical historians be working for the tobacco industry? The Lancet 2004;363: 1174-5. 52. Wolf ZR. Exploring the audit trail for qualitative investigations. Nurse Educator 2003;28:175-8. 53. Koch T. Commentary: Expert researchers and audit trails. J Adv Nurs 2004;45:134-135.

Page 260 of 260 1 £ SEP 2005