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This new volume of the IARC Handbooks of Cancer Prevention in Tobacco Control presents a critical review and evaluation of the evidence by 25 international experts from twelve countries on the economics, epidemiology, public policy and tobacco control aspects of tax and price policies. The working group draws conclusions about the effectiveness of tax and price measures to control tobacco use in the population. The Handbook covers an overview of tobacco taxation; industry pricing strategies and other industry initiatives diluting the effects of taxes on consumption; tax, price and aggregated demand for tobacco, as well as demand at the individual level in adults, young people and the economically disadvantaged; tax avoidance and tax evasion and the economic and health impacts of tobacco taxation. This body of evidence and the consensus evaluation of 18 concluding statements on the impact of interventions to increase the price of tobacco products, can assist policy makers, government officials, evaluators and researchers working in tobacco control and disease prevention, to base their decisions on the latest scientific evidence.
Tobacco use is the single largest cause of preventable death globally, killing more than five million people each year. Tobacco use also creates considerable economic costs, from greater spending on health care to treat the diseases it brings on in users and those exposed to tobacco smoke to the lost productivity resulting from the premature deaths it causes. Of all the many interventions for reducing tobacco use, a significant increase in tobacco product taxes and prices has been demonstrated to be the single most effective and cost-effective intervention, particularly among the poor and the young. At the same time, because of the inelasticity of demand for tobacco products in most countries and the low share of tax in price in many, significant increases in tobacco taxes generate significant increases in the revenues generated by these taxes. This technical manual aims to help governments achieve both objectives by identifying a set of "best practices" for tobacco taxation. It documents governments' existing approaches to tobacco taxation, discusses barriers to using tobacco taxes to achieve health and revenue objectives, and provides case studies of effective tobacco tax administration. This manual is intended to be useful to tax administrators at the Ministry of Finance level by making them aware of the practices used and challenges faced by other countries. It will also be useful to officials in a country's Ministry of Health or similar organizations by providing them with a more thorough understanding of key issues in tax structure and administration.
Tobacco use has declined because of measures such as high taxes on tobacco products and bans on advertising, but worldwide there are still more than one billion people who regularly use tobacco, including many who purchase products illicitly. By contrast to many other commodities, taxes comprise a substantial portion of the retail price of cigarettes in the United States and most other nations. Large tax differentials between jurisdictions increase incentives for participation in existing illicit tobacco markets. In the United States, the illicit tobacco market consists mostly of bootlegging from low-tax states to high-tax states and is less affected by large-scale smuggling or illegal production as in other countries. In the future, nonprice regulation of cigarettes - such as product design, formulation, and packaging - could in principle, contribute to the development of new types of illicit tobacco markets. Understanding the U.S. Illicit Tobacco Market reviews the nature of illicit tobacco markets, evidence for policy effects, and variations among different countries with a focus on implications for the United States. This report estimates the portion of the total U.S. tobacco market represented by illicit sales has grown in recent years and is now between 8.5 percent and 21 percent. This represents between 1.24 to 2.91 billion packs of cigarettes annually and between $2.95 billion and $6.92 billion in lost gross state and local tax revenues. Understanding the U.S. Illicit Tobacco Market describes the complex system associated with illicit tobacco use by exploring some of the key features of that market - the cigarette supply chain, illicit procurement schemes, the major actors in the illicit trade, and the characteristics of users of illicit tobacco. This report draws on domestic and international experiences with the illicit tobacco trade to identify a range of possible policy and enforcement interventions by the U.S. federal government and/or states and localities.
This study analyzes the potential fiscal, health, and poverty impacts of increasing cigarette taxes in five countries---the People's Republic of China, India, the Philippines, Thailand, and Viet Nam. For each of these countries, increasing taxes on cigarettes would result in substantially fewer long-term smokers and a reduction in premature deaths from tobacco-related diseases, while increasing tax revenues. The poorest groups in each country only bear a small part of the extra tax burdens, but do reap a substantial proportion of the health benefits of reduced smoking.
Required reading for anyone wishing to be conversant with tobacco control policy, the book is edited by Kenneth E. Warner—dean of the School of Public Health at the University of Michigan and a leading tobacco policy researcher—who leads with an overview of the field. Warner’s overview is supported by reprints of some of the field’s most significant articles, written by leading scholars and practitioners. The topics discussed are: Taxation and Price Clean Indoor Air Laws Advertising, Ad Bans, and Counteradvertising Possession, Use, and Purchase (PUP) Laws and Sales to Minors Cessation Policy Comprehensive State Laws
Economic costs attributable to smoking in China : update and an 8-year comparison, 2000-2008 / Lian Yang, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu, and Keqin Rao -- Secondhand smoke exposure at home in rural China / Tingting Yao, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu, and Wendy Max -- The healthcare costs of secondhand smoke exposure in rural China / Tingting Yao, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu, and Wendy Max -- Quantity, quality, and spatial price variation of tobacco : demand analysis of household survey data in China / Yuyu Chen and Weibo Xing -- The effect of cigarette prices on brand-switching in China : a longitudinal analysis of data from the ITC China survey / Justin S White, Jing Li, Teh-wei Hu, Geoffrey T Fong, and Yuan Jiang -- The heterogeneous effects of cigarette prices on brand choice in China : implications for tobacco control policy / Jing Li, Justin S. White, Teh-wei Hu, Geoffrey T. Fong, and Yuan Jiang -- The epidemic of gift giving : a social barrier to tobacco control in China / Xiulan Zhang, Steve Lin and Teh-wei Hu -- The role of taxation in tobacco control and its potential economic impact in China / Teh-wei Hu, Zhengzhong Mao, Jian Shi, and Wendong Chen -- Recent tobacco tax rate adjustment and its potential impact on tobacco control in China / Teh-wei Hu, Zhengzhong Mao, and Jian Shi -- Can increases in the cigarette tax rate be linked to cigarette retail prices? : solving mysteries related to the cigarette pricing mechanism in china / Song Gao, Rong Zheng, and Teh-wei Hu -- The potential effects of tobacco control in China : projections from the China Simsmoke simulation model / David Levy, Ricardo L Rodríguez-Buño, Teh-Wei Hu, and Andrew E Moran -- The consequences of tobacco tax on household health and finances in rich and poor smokers in China : an extended cost-effectiveness analysis / Stéphane Verguet, Cindy L Gauvreau, Sujata Mishra, Mary MacLennan, Shane M Murphy, Elizabeth D Brouwer, Rachel A Nugent, Kun Zhao, Prabhat Jha, and Dean T Jamison -- WHO framework convention on tobacco control in China : barriers, challenges and recommendations / Teh-Wei Hu, Anita H. Lee, and Zhengzhong Mao -- Tobacco control in China : from policy research to practice and the way forward / Teh-wei Hu and Xiulan Zhang
The author focuses attention on the $48 billion tobacco industry, tracing its remarkable success as a cash crop and modern superbusiness, even in the face of public health concerns about their products.