People who switch from regular cigarettes to
brands marketed as "low tar" or "light"
tend to smoke more and inhale more deeply to get the same
nicotine, eliminating any health benefit, the National Cancer
Institute said Tuesday.
Dr. David Burns, the study's lead author, said
the report supersedes a 1981 recommendation by the U.S. surgeon
general that smokers switch to light cigarettes if they can't
quit.
"That was our recommendation at that time.
It turns out to have been a bad mistake," said Burns,
who helped edit the surgeon general's report.
Burns and his colleagues spent the past three
years reviewing five decades worth of data examining low-tar
cigarettes. They found that some people who switched to low-tar
brands smoked more to get the same amount of addictive nicotine,
since the ratio between tar and nicotine generally remains
the same in all cigarettes.
Tar is a carcinogen that is produced when tobacco
is burned. It helps deliver nicotine to smokers. Low-tar cigarettes
are supposed to have less than 15 milligrams of tar.
The study found that people who switched to
light brands typically thought they were reducing their risk
of developing smoking-related disease and that tobacco companies
contributed to those assumptions through advertising and marketing
campaigns.
"The results of the review are clear.
There is no convincing evidence the changes in cigarette design
over the last 50 years have reduced the disease burden produced
by cigarettes," Burns said.
The study also found cigarettes that yielded
low tar and nicotine levels when tested on Federal Trade Commission
machines had higher levels when smoked by people, partly because
people take larger puffs and smoke more of the cigarette.
In addition, smokers can inadvertently cover ventilation holes
in the filter designed to lower tar levels.
"When they do that, they get a full dose
of tar and they don't have any risk reduction," Burns
said.
Sharon Boyse, the director of research for
Brown & Williamson Tobacco Corp., the nation's third-largest
tobacco company, did not dispute those findings. But she said
it's important to note that, if smokers are aware of how they
smoke, light cigarettes can deliver less tar than regular
ones.
The World Health Organization is sponsoring
talks on an international convention meant to reduce smoking
and tobacco-related disease, which kills 4 million people
each year worldwide. One of the provisions is for a ban on
terms such as mild and low-tar.
John Kirkwood, chief executive officer of the
American Lung Association, said health groups sent letters
Tuesday to members of Congress and the Bush administration
calling for Food and Drug Administration regulation of tobacco.
They also sent letters to tobacco companies urging them to
voluntarily stop using low-tar labels on their cigarettes.
Boyse said Brown & Williamson opposes such
a ban. A spokesman for Philip Morris Inc., the nation's largest
tobacco company, said the company would support greater regulation
of the terms "low tar" and "light."
The effort to produce and market low-tar cigarettes
gained momentum in the 1960s, after public health advocates
said cigarettes with less tar would produce less cancer. But
studies by the American Cancer Society in the 1960s and 1980s
found lung cancer death rates among male and female smokers
rose even as tar levels in cigarettes dropped by 60 percent.
The NCI report says public health officials
who backed the production of light cigarettes failed to take
into account the highly addictive nature of nicotine and the
difference in actual tar and nicotine levels taken in by people
and testing machines.
Attending a news conference to announce the
report were former U.S. Surgeon General C. Everett Koop and
gun-control activist Sarah Brady, who is battling lung cancer.
Through tears and coughs, Brady said she was among those who
switched to light cigarettes thinking they would be better
for her.
"Never allow yourself to get into the
predicament that I'm in," said Brady, who has been unable
to quit smoking. "The switch to low-tar lured me into
a feeling of false security."