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People Profits cov2 12/4/02 3:21 PM Page 1 PEOPLE PROFITS OVER OVER PEOPLE PROFITS Tobacco Industry Activities to Market Cigarettes and Undermine Public Health in Latin America and the Caribbean PAN AMERICAN HEALTH ORGANIZATION Regional Office of the WORLD HEALTH ORGANIZATION Division of Health Promotion and Protection Program on Mental Health Unit on Tobacco, Alcohol and Other Drugs 525 Twenty-third Street, N.W. Washington DC 20037, U.S.A. www.paho.org Pan American Health Organization PAHO PROFITS OVER PEOPLE Tobacco Industry Activities to Market Cigarettes and Undermine Public Health in Latin America and the Caribbean Pan American Health Organization November 2002 CONTENTS Acknowledgements . .5 Executive Summary . .7 I. Introduction . .13 Methods . .16 Internet . .16 Guildford Depository . .17 Limitations . .17 References . .18 II. Plans and Strategies . .19 Strategic Directions . .21 Lobbying . .23 Lobbying of Governments . .24 Lobbying of International Organizations . .24 BAT’s Public Affairs Resource Group (PARG) . .25 Courting the Media . .27 Media Symposia . .27 Global Messages, Delivered Locally . .30 Journalists’ Trips . .31 Allies or Competitors? . .31 Conclusion . .32 References . .33 III. Secondhand Smoke . .39 The Tobacco Industry and Passive Smoking . .39 Tobacco Industry SHS Strategies in Latin America . .39 The ETS Consultancy Program and the Latin Project . .42 Shifting the Debate: Indoor and Outdoor Air Quality . .44 The Brazilian Air Force Ministry Aircraft Study . .45 The CIESPAL Seminar . .45 Other Seminars and Institutions . .46 Latin America SHS and Air Quality Survey . .47 FUSADES . .48 Spreading the Word . .48 Back to Basics: Denial, Preemption, and “Accommodation” . .49 Lessons for the Future . .50 References . .51 IV. Promotion and Marketing . .57 Campaigns to Avoid Promotional Restrictions . .58 Voluntary Codes . .60 Evading Marketing and Promotional Restrictions . .60 Youth “Prevention” Campaigns: Denying the Obvious . .61 Marketing Tobacco Products . .64 Targeting “Young Adults” and Starters . .64 Targeting Young Women . .65 10’s Packs: Making Cigarettes More Affordable . .66 Sponsorships . .66 Formula 1 1993 Study . .67 International Brands . .66 The “Lights” Deception: Deterring Smokers from Quitting . .68 Marlboro Advertising and Marketing . .69 Conclusion . .70 References . .71 V. Cigarette Smuggling . .77 Overall Regional Strategies . .80 Venezuela . .80 Argentina . .82 Brazil-Argentina . .84 Pampa Project . .85 Brazil . .86 Paraguay-Colombia . .87.
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