Tobacco Harm Prevention: A Case Study on Reynolds American Abstract Reynolds American, the second largest tobacco company in the United States, has transformed its company due to the growing health complications and deadly diseases associated with cigarette use. They have developed a tobacco harm reduction continuum that promotes different smokeless tobacco products in place of traditional cigarettes. It has been suggested that smokeless products are much less dangerous than smoking tobacco, resulting in lower rates of cancer and disease. Reynolds American is committed to spreading awareness about tobacco harm prevention and leveraging new, less harmful products. Keywords cancer; cigarettes; health; Reynolds American; nicotine; smokeless; smoking; tobacco; tobacco harm reduction; United States Introduction This paper will discuss Reynolds American, the parent company of R.J. Reynolds Tobacco Company (RJRT), Santa Fe Natural Tobacco Company, Inc. and Lane Limited. In specific, its aim is to give a detailed analysis of its Tobacco Prevention Campaign and how it has affected the company. Background Reynolds American Inc. (NYSE:RAI) is the second largest tobacco company in the United States. Its subsidiaries manufacture and market a variety of both cigarettes (Camel, Pall Mall, Kool, Winston, Salem, Doral, Misty, Capri and Natural American Spirit) and smokeless tobacco (Grizzly and Kodiak). The tobacco industry is a very controversial and highly regulated industry; RAI’s tobacco prevention pillar resulted from these strict regulations. 1 Strategy RAI and its operating companies are committed to addressing the issues and health concerns that are presented by tobacco products. The goal is to be very upfront about these issues and to ensure that their consumers do not feel betrayed or uninformed. Tobacco Harm Reduction (THR) is about reducing the risks that adult tobacco smokers face. “The rationale behind tobacco harm reduction approaches is that, while dependence on nicotine (the addictive substance in tobacco) underpins most tobacco use, it is not what causes most of the harm.”2 This initiative was enacted in order to provide RAI’s adult consumers with accurate information about the product and to enforce regulatory policies that reflect the researched comparative risks between cigarette smoking and smokeless tobacco products. 3 The goal in this aspect is to encourage smokers who are not able to quit tobacco entirely to transition to smokeless tobacco products. Research RAI has done extensive research on the harm that cigarette smoking causes to humans and the environment. It has acquired a superior knowledge base and feels confident it can supply consumers with valuable and accurate information. In order to be as clear as possible on the issue, RAI provides a plethora of research on it’s website. “Cigarette smoking is the single most preventable cause of disease in the United States. It has been associated with a number of diseases, including cancer and heart disease.” This is stated directly on the website. 4 The fact-based information about associated harmful diseases reduces liability concerns with the Department of Health, Food and Drug Administration and the United States Government. RAI has found that there have been a variety of efforts implemented in order to encourage smokers to quit and to discourage the initial beginnings of cigarette smoking. These educational programs have been widely successful and have decreased smoking rates dramatically. Adult smoking has declined from 42.4 % in 1965 to 19.3% in 2010. Additionally, cigarette use in high school students has dropped from 28% in 2000 to 17.2% in 2009.5 However, 43 million Americans still continue to smoke cigarettes despite the educational initiatives to prevent it. This is what RAI sees as its major problem, and that there needs to be a different health initiative to reduce harm rates. RAI sees tobacco addiction as an addiction like any other, for example, caffeine or alcohol. It believes that adults are aware of the associated harm and should be able to make the appropriate decision of whether or not they want to continue taking these health risks. Despite this, a newer response to the problem has been to make a risk continuum of different tobacco products and to educate consumers on the varying health risks that these products have. Detailed research has gone into accessing the harm of smokeless tobacco products in comparison to traditional cigarettes. In 2004, a panel of experts (chosen due to their knowledge of health risks associated with both smokeless tobacco and cigarette use) met to assess the risk of these products. Overall, the panel concluded that smokeless tobacco products reduced health risks by at least 90%. 6 This research is not negating that there is still risk associated with smokeless tobacco products, but encourages transitioning to these smokeless products because of the reduced effects. The risk of lung cancer for non-smokers is reduced by 100 percent, in comparison to smokers. The panel also found that the risk of oral cancer is still dramatically lower with smokeless tobacco. It is imperative that the general public has an understanding of this because it is common belief that there is a high risk of oral cancer (especially with products like Grizzly) because of the concentration of tobacco placed in one’s mouth. The panel found this to be false, and that the risk was actually 70 to 85% lower. A 2007 report, conducted by the Royal College of Physicians, agrees with these conclusions. These researchers concluded that it is the manner in which consumers obtain nicotine that can be so lethal. “If nicotine could be provided in a form that was acceptable and effective as a cigarette substitute, millions of lives could be saved.”7 These researchers, as well as the panel, suggest that further research support the existence of a “continuum of risk” with tobacco and nicotine products. 8 “THR has been described as having the potential to lead to one of the greatest public health breakthroughs in human history by fundamentally changing the forecast of a billion cigarette-caused deaths this century.”9 Evaluation In response to the research presented by the 2004 panel, the Royal College of Physicians and additional related cancer findings, RAI has worked with the government to try and find common ground. In 2008, the American Association of Public Health Physicians stated that the addition of Tobacco Harm Reduction to current policies “could yield a 50% to 80% reduction in tobacco-related illness and death over the first ten years, and a likely reduction of up to 90% within 20 years.”10 RAI is dedicated to ensuring that its operating companies are fully engaged with the Food and Drug Administration, as well as other programs, on THR and education programs. Discussion about installing policies of this nature is essential for the pillar’s full development. Unfortunately, many government health agencies and tobacco control organizations have not been fully supportive of this initiative, nor have they endorsed it as a viable addition to existing abstinence policies. There is possibility for legislative opportunities in order to improve public health and reduce state healthcare costs. This could be done by creating a tier system for health insurance rates based upon comparative risk in the form of tobacco used (smoking, smokeless, chewing, vapor etc.). This could potentially reduce state employees health care costs. At the very least, legislators should be challenged by the immense opportunity and potential change that public policy leaders and tobacco companies like RAI or Altria could make. 11 Analysis In response to the problems at hand, RAI and its operating companies have worked diligently to try and transform the U.S. tobacco industry. Its main focus is to continue efforts in transforming the industry from being dominated by cigarettes to a range of lesser risk products. RAI believes that this transformation is in the best interest of its consumers, manufacturers, as well as society as a whole. Marketing the benefits of these products while still meeting adult consumer’s preferences and tobacco expectations is the main task at hand. In order to do this, RAI has done extensive research, has made investments through acquisitions, and has been promoting innovative product development with its operating companies. The investments have been made specifically to emphasize the changing nature of the industry while still striving to meet consumer preferences. RAI notes that this transformation is an ambitious, long-term goal, but feels it is in the best position to achieve market leadership through this endeavor and is confident in a highly successful outcome. These acquisitions began in 2004 with the merger of R.J Reynolds Tobacco Company and Brown & Williamson Tobacco Corporation. Through this, RAI was born as a parent company and immediately exuded a stronger force in the market, as well as a succinct business model with a plan for the future. Two years later RAI was able to move into the smokeless tobacco business by acquiring Conwood Tobacco Company (now American Snuff Company). American Snuff Company is the U.S.’s second largest smokeless tobacco company and produces the popular brands, Grizzly and Kodiak. In 2009, RAI continued its commitment to transforming the industry by purchasing Niconovum AB. This Swedish based company markets innovative products such as nicotine gum, mouth spray, and pouches. "ASC and Niconovum are integral components to RAI's strategy,” said Daniel M. Delen, president and chief executive officer of RAI. “The products these companies produce have the potential to fundamentally change the impact that tobacco has on society.”12 RAI further solidified its success and position as the leader in modern smoke-free tobacco products with the introduction of Camel SNUS. This innovative product has so many positive attributes for the adult smoker as well as society as a whole. It is heat-treated, does not require spitting, and is typically sold in pouches. This product really took RAI to the next level and was a key product introduction. Continuing with innovative products and expanding its operating companies have been RAI’s main actions for transforming adult tobacco use. Discussion “The U.S. currently provides the best access to a wide variety of smoke-free products, including traditional smokeless tobacco, Swedish SNUS, dissolvable tobacco (sticks, strips, orbs and pellets), e-cigarettes, and pharmaceutical nicotine (gum, lozenges, patches, nasal spray).”13 RAI is at the forefront of this transformation. Although it is #2 for leading cigarette distributors in the United States, it has made the greatest leaps and bounds into smokeless cigarette products. Altria, the biggest supplier, has really only delved into smokeless tobacco from their acquisition of UST Inc. and has a larger stake in pipe and cigar smoking. Despite this, they are working diligently to transform consumer’s preferences to lower their health risks. RAI has definitely worked hard to change its company’s outlook in order to improve the health and wellness of its consumers as well as the general public. It has reduced the profit derived from cigarettes from 100% to 80%. Additionally, it has been working adamantly to sell these new products, which are small in comparison but are a part of a growing market. I believe RAI’s new e-cigarettes (VUSE_ will take the transformation to the next level. While the prototype did not meet expectations, it has been restructured in order to satisfy customers and create a flawless result. Updates on this will be out in the next few months; it will undoubtedly be instrumental to RAI’s continued success in the sector. RAI Profile | Reynolds American Inc Common St Stock - Yahoo! Finance. (n.d.). Yahoo! Finance - Business Finance, Stock Market, Quotes, News. Retrieved April 30, 2013, from http://finance.yahoo.com/q/pr?s=rai 2 Overviews of harm reduction | Harm Reduction International. (n.d.). Home | Harm Reduction International. Retrieved April 30, 2013, from http://www.ihra.net/contents/697 3 Reynolds American Inc. (n.d.). Reynolds American Inc. Retrieved April 30, 2013, from http://reynoldsamerican.com/harm-reduction.cfm?plank=harmReduction1 4 “” 5 “” 6 “” 7 Harm reduction in nicotine addiction. Helping people who can't quit. (n.d.). RCP Bookshop. Retrieved April 30, 2013, from bookshop.rcplondon.ac.uk/contents/pub234-aafdfc2b-5c23-4ee3-8f1dea18f017edce.pdf 8 The scientific foundation for tobacco harm reduction, 2006-2011. (n.d.). University of Louisville. Retrieved April 30, 2013, from www.harmreductionjournal.com/content/8 9 “” 10 Reynolds American Inc. (n.d.). Reynolds American Inc. Retrieved April 30, 2013, from http://reynoldsamerican.com/harm-reduction.cfm?plank=harmReduction1 11 “” 12 Reynolds American Inc.. (n.d.). Reynolds American Inc. Retrieved April 30, 2013, from http://reynoldsamerican.com/harm-reduction.cfm?plank=harmReduction2 13 The scientific foundation for tobacco harm reduction, 2006-2011. (n.d.). University of Louisville. Retrieved April 30, 2013, from www.harmreductionjournal.com/content/8 1