Possible regulation of cigarettes not likely to significantly change US illicit tobacco market

WASHINGTON — Although there is insufficient evidence to draw firm conclusions about how the U.S. illicit tobacco market would respond to any new regulations that modify cigarettes–for example, by lowering nicotine content–limited evidence suggests that demand for illicit versions of conventional cigarettes would be modest, says a new congressionally mandated report from the National Research Council and Institute of Medicine.

Tobacco use has declined in the past few decades due to measures such as high taxes on tobacco products and bans on advertising, though there are still more than 1 billion people worldwide who regularly use tobacco, including many who purchase their products illicitly. Illicit tobacco markets can undermine public health efforts to reduce tobacco use, while depriving governments of revenue. In the United States, the revenue losses are borne mostly by the states.

As the U.S. Food and Drug Administration considers possible regulations for tobacco products, the agency asked the National Research Council and the Institute of Medicine to examine the U.S. and international markets for illicit cigarettes and the evidence on how illicit markets react to various policies and regulations.

Currently, the U.S. illicit tobacco market primarily consists of bootlegging from Native American reservations and low-tax states, such as Virginia, to high-tax states, such as New York. Bootlegging is the legal purchase of cigarettes in one jurisdiction and their consumption or resale in another, without the payment of applicable taxes or duties in the jurisdictions where they are resold. Large-scale international smuggling, counterfeit cigarettes, and “illicit whites” — cigarettes legally produced under unique brand names or no brand name — which are prevalent in many other countries, are largely absent from the U.S. market, the report says.

The portion of the total U.S. tobacco market represented by illicit sales is between 8.5 percent and 21 percent, or 1.24 billion to 2.91 billion packs of cigarettes annually, concluded the committee that conducted the study. This share has nearly tripled over the past two decades.

The illicit tobacco market is not evenly distributed across states: it may constitute as much as 45 percent of all tobacco sales in high-tax states, such as New York, while it is low in many other states. The committee classified 22 states and the District of Columbia as net exporters, and 28 states as net importers. In 2011 the net importing states lost an estimated $2.95 billion in state and local cigarette excise taxes, with New York accounting for nearly half of this total. The net exporting states gained an estimated $0.82 billion.

The people involved in the segments of the distribution process of illicit tobacco generally do not have serious criminal records, and this market is not associated with violence, either abroad or in the United States, the report says. Although many claims have been made regarding the relationship between illicit tobacco trade and terrorism, the link between the U.S. illicit tobacco market and terrorism appears to be minor, and there is also no evidence of sustained links between the global illicit tobacco trade and terrorism.

Enforcement efforts are challenged by the changing nature of illicit tobacco markets, the need to coordinate across various agencies and levels of government, and the fact that illicit tobacco trade has been a low priority. Law enforcement efforts to investigate the illicit trade tend to be weak and uneven, and criminal prosecution of those involved is a low priority for prosecutors. Although the committee was able to obtain only limited information on enforcement activity and successes by agencies, it concluded that the risks of detection and prosecution for tobacco smugglers are small.

Comprehensive interventions adopted by several countries show that it is possible to reduce the size of the illicit tobacco market through tobacco-specific enforcement resources and collaboration across jurisdictions. For example, Spain reduced the illicit share of its market from 15 percent in 1995 to 2 percent in 2001 through licensing and control measures, enforcement efforts, and legal agreements. The United Kingdom used stamping and marking requirements on cigarettes, agreements with tobacco manufacturers, enhanced enforcement efforts, and public education campaigns to reduce the size of its illicit market from 21 percent in 2000 to 9 percent in 2013.

“In the future, non-price regulation of cigarettes – such as product design, formulation, and packaging – could, in principle, contribute to the development of new types of illicit tobacco markets if incentives for such illicit trade are not controlled or mitigated,” said Peter Reuter, committee chair and professor in the school of public policy and department of criminology at University of Maryland. “However, based on the limited available evidence we reviewed, if new regulations were introduced, any increase in the demand for illicit tobacco may only be modest.”

In trying to assess the possible effects of regulations on the illicit market, the committee examined experimental studies on how modifying cigarettes might affect their product appeal for consumers. Such modifications as reducing ignition capacity–requiring that cigarettes extinguish when not actively puffed–and decreasing filter ventilation have shown only modest impact on product appeal when considered in isolation from other product features. Reducing nicotine levels or mentholation has been shown in experimental studies to have a stronger effect on reducing product appeal. Behavioral responses to reduced nicotine or mentholation have been mixed in short-term studies, with some smokers indicating that they intend to quit while others are able to tolerate product changes with little to no change in individual cigarette consumption.

Cigarette packs with large graphic warning labels or in plain packaging have also been shown to reduce product appeal. In countries that have implemented regulations on packaging, some smokers have been observed to use stickers or branded containers to conceal graphic health warnings – strategies that subvert the intent of the law to reduce tobacco use, but which are an alternative to purchasing illicit products.

In order to better understand the nature of existing illicit tobacco markets and the ways they may evolve in the future, additional research and data are needed across a broad range of areas, including deeper knowledge on the individual and criminal networks that traffic in illicit tobacco in the U.S., an examination of how smokers respond to the permanent loss of specific product features they previously found desirable, and the relationship between e-cigarette use and the use of conventional tobacco products.

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The study was sponsored by the U.S. Food and Drug Administration. The National Academy of Sciences, National Academy of Engineering, Institute of Medicine, and National Research Council make up the National Academies. They are private, independent nonprofit institutions that provide science, technology, and health policy advice under a congressional charter granted in 1863. The National Research Council is the principal operating arm of the National Academy of Sciences and the National Academy of Engineering. For more information, visit http://www.national-academies.org. A committee roster follows.

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Pre-publication copies of Understanding the U.S. Illicit Tobacco Market: Characteristics, Policy Context, and Lessons from International Experiences are available from the National Academies Press on the Internet at http://www.nap.edu or by calling 202-334-3313 or 1-800-624-6242. Reporters may obtain a copy from the Office of News and Public Information (contacts listed above).

NATIONAL RESEARCH COUNCIL

Division of Behavioral and Social Sciences and Education

Committee on Law and Justice

Committee on the Illicit Tobacco Market: Collection and Analysis of the International Experience

Peter Reuter (chair)

Professor

School of Public Policy

Department of Criminology

University of Maryland

College Park

Martin Bouchard

Associate Professor

School of Criminology

Simon Fraser University

Burnaby, British Columbia

Canada

Frank J. Chaloupka

Distinguished Professor of Economics, and

Director, Health Policy Center

School of Public Health

University of Illinois

Chicago

Philip J. Cook1

ITT/Sanford Professor of Public Policy

Sanford School of Public Policy

Duke University

Durham, N.C.

Mathew C. Farrelly

Chief Scientist

RTI International

Research Triangle, N.C.

Geoffrey T. Fong

Professor of Psychology and Public Health and Health Systems

University of Waterloo, and

Senior Investigator

Ontario Institute for Cancer Research

Toronto, Ontario

Canada

Rachel A. Harmon

Sullivan and Cromwell Professor of Law

School of Law

University of Virginia

Charlottesville

Edward R. Kleemans

Professor

Faculty of Law

University of Amsterdam

Netherlands

Conrad P. Kottak2

Julian H. Steward Collegiate Professor Emeritus of Anthropology

University of Michigan

Johns Island, S.C.

Michael Levi

Professor of Criminology

Cardiff University

Cardiff, United Kingdom

Emily Owens

Associate Professor

Department of Criminology

University of Pennsylvania

Philadelphia

Vaughan Rees

Lecturer on Social and Behavioral Sciences, and

Deputy Director, Center for Global Tobacco Control

Department of Social Behavioral Sciences

Harvard School of Public Health

Boston

Anthony So

Professor of the Practice of Public Policy Studies

Sanford Institute of Public Policy

Duke University

Durham, N.C.

Klaus von Lampe

Associate Professor

John Jay College of Criminal Justice

New York City

Heather Wipfli

Assistant Professor of Preventive Medicine and International Relations, and

Associate Director, USC Institute for Global Health

University of Southern California

Los Angeles

STAFF

Malay K. Majmundar

Study Director

1 Member, Institute of Medicine

2 Member, National Academy of Sciences