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Risks of e-cigarettes and white snus
Magnus Lundbäck, researcher and cardiologist, talks about the health risks of e-cigarettes and Annelie Johansson, operations manager at the Quit Smoking Line, explains the risks of the product.
Animated film about white snus
White snus was launched in Sweden in 2016 and since then its use has increased significantly among children and young people, and among women. White snus is said to be tobacco-free, but it often contains nicotine extracted from the tobacco plant. The nicotine content is often higher than in traditional brown snus and in cigarettes. Therefore, it is easy to quickly become addicted to white snus.
The animated film about white snus has been produced as part of the campaign Laws for the Future of All Bars. Read more about the campaign here.
The film about white snus is available in several formats, in English and in a short version in both Swedish and English. They are collected here . Email info@tobaksfakta.se if you would like film files in MP4 format for distribution on, for example, waiting room TVs or digital screens in schools.
Animated film about nicotine
Nicotine is not a recreational substance, but a poison. Despite this, nicotine use is normalized and many children test, and become addicted to, nicotine already during their teenage years. The animated film about nicotine has been produced within the framework of the Laws for All Children's Future campaign to shed light on the negative effects of nicotine. Read more about the campaign here.
How tobacco affects the environment and climate
To spread the campaign "Reduce tobacco use - an effort for a sustainable planet", Tobacco Facts and Doctors Against Tobacco have produced an animated film that shows how the entire tobacco chain, from cultivation to waste, negatively affects our planet.
The film can help the media, the public, politicians and decision-makers gain increased knowledge in an easily accessible way that reducing tobacco use is a bigger issue than individual health and the economy. Read more about the campaign here.
The tobacco industry has deliberately made cigarettes even more toxic
Did you know that the tobacco industry makes cigarettes more toxic and that smoking is the biggest cause of premature death? 12000 people in Sweden die every year due to smoking. A reminder of this can motivate us to do everything we can to reduce tobacco consumption.
Good news for politicians
Politicians of all parties have a lot to gain from taking action to reduce tobacco use. They could save 75 billion. Money that could be used to develop society instead. It would benefit everyone. Including you.
Message from 2025
Here is a greeting from the year 2025: Thank you, committed politicians, who in 2019 chose to stand up against public health enemy number one, the tobacco industry. Your support and efforts have been of great importance in putting an end to smoking. Now almost everyone in Sweden is smoke-free, many lives have been saved and Sweden has money left over to invest in schools, healthcare and infrastructure. Help Tobacco Facts spread the message, watch the film and share it on your social media!
Tobacco is the worst addiction of all
Every year, 16,000 people start smoking in Sweden. Of these, 14,400 are children. The social cost of the consequences of smoking amounts to a staggering 75 billion kronor each year. That's the same amount we spend on education in Sweden. Help Tobaksfakta spread the message, watch the film and share it on your social media!
Smoking is decreasing but inequality is increasing
More young girls than boys are starting to smoke, and women are more severely affected by the health consequences of smoking. Smoking is an unequal addiction that affects different groups to different degrees, and we need to help each other to achieve equal health where everyone has the same opportunities to make healthy choices in everyday life.
What do you want your children to learn in school?
Tobacco Facts is running the Tobacco-Free School Time campaign. The aim is to reach parents, politicians and schools with the message that it is high time to tackle the tobacco issue. Children's health is the responsibility of adults, and children and young people need tobacco-free school time to receive support in choosing to give up tobacco.
Read more at http://tobaksfriskoltid.nu/
Factsheets / Brochures
Tobacco Endgame – A Sweden free from smoking and nicotine addiction
For more than a century, the tobacco industry's unsustainable production and sale of addictive nicotine products has significantly worsened public health both nationally and globally. Here is evidence-based knowledge, as well as measures that should be implemented to achieve the goal of a tobacco- and nicotine-free Sweden.
About nicotine
The effects of nicotine on the body
Nicotine is the highly addictive substance in tobacco products and so-called tobacco-free products, such as white snus. More and more research shows that nicotine has harmful effects on health.
Nicotine is also found in tobacco cessation medications.
About new products with tobacco and nicotine
The tobacco industry is continuously launching new nicotine products, both with and without tobacco. Product development and marketing are taking place at a rapid pace, and authorities are struggling to regulate the new products. Tobacco companies market them as less harmful than regular cigarettes. However, scientific knowledge about the new tobacco products is still low, and the long-term health effects are unknown.
About the environmental impact of tobacco
Every step in the global tobacco supply chain has an impact on the environment. Tobacco cultivation competes for land with crops that are essential for human sustenance. The production process pollutes ecosystems through the release of toxic substances. Transportation contributes to further climate impact. Cigarette butts spread large amounts of environmental toxins and plastic.
Tobacco Endgame – Smoke-free Sweden 2025
Support for Tobacco Endgame – Smoke-Free Sweden 2025 is growing. More and more authorities, organizations and companies are backing the proposal.
Does your organization also want to be involved? In this folder you will find information about Tobacco Endgame – Smoke-Free Sweden 2025 and what it means to support the initiative. What does the support from your organization mean for our children's opportunities for a tobacco-free future? And what benefits can the organization itself have from taking a stand on the tobacco issue?
About smoke-free outdoor environments
Tobacco smoke can be just as harmful to health outdoors as it is indoors – it all depends on the concentration of hazardous particles and the length of time you are exposed. That is why several of the countries that have made the most progress in indoor smoke-free areas in recent years have also started to introduce smoke-free areas in some outdoor areas.
About illegal trade in tobacco products
Approximately one in ten cigarettes smoked in the world comes from the illegal tobacco trade. The trade is very profitable and leads to cheap cigarettes being put on the market, which erodes both governments' fiscal policies and public health. It also weakens stability and security in the countries where it is carried out because it fuels organized crime and terrorism. A new international agreement will make every tobacco product traceable. The intention is to eliminate the illegal tobacco trade.
The Tobacco Control Convention – for a tobacco-free and sustainable future
- Tobacco is produced by highly profitable multinational companies and kills millions of people around the world every year.
- The production of tobacco for all types of tobacco products, such as cigarettes and snuff, is based on child labor, debt bondage and deforestation in poor countries.
- Tobacco creates addiction that can cause the user to continue despite knowing that it is life-threatening.
Tobacco hinders sustainable development
The 193 member states of the UN have agreed on 17 global goals for long-term sustainable development. The goals are about how we will end poverty and hunger and create good living conditions for all people. Tobacco production and consumption in the world are a serious obstacle to achieving this. In this fact sheet you can read about how tobacco threatens the various sustainability goals.
About e-cigarettes
Smoking an e-cigarette is called “vaping”. An e-cigarette often looks like a regular cigarette, but there are many other designs and more are coming all the time. The e-cigarette does not contain tobacco, but (usually) nicotine.
Tobacco Endgame (English)
In English
The public support for Tobacco Endgame – Smoke Free Sweden 2025 is increasing. This folder updates the information on the endgame initiative – what it means and what it takes to join and be a supporting organization.
About exposure ban (long version)
Cigarette packets and snuff boxes displayed in stores and other points of sale are the tobacco companies' most effective marketing. It is with this advertising that they attract new consumers among children, and make it more difficult for tobacco users who are trying to quit. An increasing number of countries are therefore legislating, supported by the WHO's tobacco control convention, that tobacco products may not be displayed in the stores where they are sold.
The myth of the “weak” cigarette
Since 20 May 2016, it has been prohibited to indicate the tar, nicotine and carbon monoxide yields on tobacco product packaging. The same rule applies, according to a new Tobacco Products Directive, throughout the EU. The ban was introduced partly because tobacco companies' data was misleading due to manipulation, and partly because exposing the existence of such content declarations led many consumers to believe that certain cigarettes were less harmful.
New tobacco labeling – better consumer information
A series of new regulations for tobacco came into force on 20 May 2016. They are based on a directive, the “Tobacco Products Directive”, from the EU and involve major changes to, among other things, the health warnings on the packaging.
New rules on flavors in tobacco
On May 20, Sweden and other EU countries introduced new regulations to reduce the use of flavorings in tobacco. The regulations prohibit what is known as “characteristic flavor.” This refers to additives with a smell and taste that are different in nature than the pure tobacco smell and taste.
About the Tobacco Act
The Tobacco Act was introduced in 1993 to limit the health risks and other problems caused by tobacco use and passive smoking. The Tobacco Act contains provisions on
- non-smoking areas inside and outside
- smoke-free work environment
- health warnings on packaging for tobacco products and herbal products for smoking
- regulation of trade in and importation of tobacco products
- restrictions on tobacco marketing
- what tobacco products may contain and how this is controlled
About warning images
Pictorial warnings on cigarette packets and other tobacco packaging raise awareness of the health risks of tobacco. Experience and research show that they help reduce tobacco consumption. The larger the warnings, the more impact they have, and warnings with pictures are the most effective. They provide both important knowledge about the risks and arouse emotions.
About tobacco taxes
Tobacco tax is an excise tax that, like alcohol and petrol taxes, is levied with the dual purpose of providing revenue to the treasury and at the same time having a beneficial effect on health and the environment. Raising tobacco tax provides increased resources to the public sector, but also contributes to increasing society's total resources by improving health and quality of life.
About snus
Snus is made from ground tobacco that is moistened with water. In addition, humectants such as propylene glycol or sometimes glycerin are added, as well as sodium carbonate, a pH-increasing agent, salts and often other flavorings. Snus also contains nicotine, which is highly addictive. Among the approximately 2000 different substances in snus, several are carcinogenic.
About flavorings in tobacco
Tobacco companies add substances to their products that enhance the effects of nicotine, reduce the smell of tobacco, and make the smoke tastier and more attractive. Until 1970, hardly any additives were used at all, but since then over a thousand different substances have been added to cigarettes and snuff. Additives now make up almost ten percent of the weight of cigarettes.
About neutral packages (long version)
Packaging design is an essential part of the marketing of all kinds of consumer goods. For the tobacco industry, it is one of the few remaining advertising channels for recruiting new customers since country after country, in order to protect citizens, has banned tobacco advertising in newspapers, radio and television, on billboards, in stores and as direct mail.
About smuggling
No product in the world is traded illegally on such a large scale as cigarettes. This causes major problems because efforts intended to reduce smoking to save people’s health and lives are undermined. Illegal cigarettes are cheaper and are therefore mainly bought by young people and low-income earners. Governments lose billions in tax revenue.
Children's rights perspective: Tobacco sales to and by minors
Article 16 of the Tobacco Control Convention describes measures to reduce sales to persons under the age of 18. The article recommends, in addition to the age limit itself, that all places selling tobacco products should have clearly visible information about the age limit.
In addition, tobacco products must not be directly accessible to customers at points of sale. Tobacco vending machines must not entice or be accessible to minors. In addition, it shall be prohibited to manufacture and sell sweets and toys that resemble tobacco products, as well as to sell cigarettes in small packages or distribute cigarettes for free. It is also recommended that sellers of tobacco products must be at least 18 years old.
Child rights perspective: Measures to reduce tobacco addiction and promote tobacco cessation
Article 14 of the FCTC states that countries should develop and disseminate evidence-based programmes to promote tobacco cessation and adequate treatment for tobacco dependence. The guidelines for the article emphasize that resources for tobacco cessation should be extensive and that factors such as gender, culture, age and socio-economic status should be taken into account to make tobacco cessation strategies as broad as possible.
Children's rights perspective: Tobacco advertising, marketing and sponsorship
The guidelines for this article state that countries should eventually introduce a total ban on tobacco advertising, marketing and sponsorship, as such a total ban reduces tobacco use. The guidelines for this article recommend, in line with this, a ban on the display of tobacco products at all points of sale, plain packaging and a ban on tobacco companies engaging in marketing through corporate social responsibility (CSR).
Children's rights perspective: On education, information and general enlightenment
Article 12 deals with how countries should develop their efforts for education, information and advocacy with the aim of increasing knowledge and awareness of various aspects of the tobacco issue (e.g. the working methods of the tobacco industry, the environmental impact of tobacco and the health effects of tobacco use). Countries should also specifically promote training programmes aimed at personnel in health and medical services, social services, schools, the media and other key groups.
Child rights perspective: Protection from exposure to tobacco smoke
The guidelines for this article state that all indoor environments shall be 100% smoke-free, with no permission to establish smoking rooms. From a child rights perspective, full implementation and continuous monitoring of this article is very important.
Children's rights perspective: Protecting public health policy against the tobacco industry
“When establishing and implementing their public health policies on tobacco control, Parties shall, in accordance with national law, act to protect these policies from the influence of commercial and other interests within the tobacco industry.”
This is stated in Article 5.3 of the Tobacco Control Convention, which should permeate all tobacco prevention and tobacco policy work and is therefore linked to all other articles in the Tobacco Control Convention.
About neutral packages (short version)
Packaging design is an essential part of the marketing of all kinds of consumer goods. For the tobacco industry, it is one of the few remaining advertising channels to retain and recruit new customers after country after country banned tobacco advertising in newspapers, radio and television, on billboards, in stores and as direct mail.
About exposure bans (short version)
The cigarette packets and snuff boxes that are intrusively displayed in stores and other points of sale are the tobacco industry's most effective marketing. It is with this advertising that they attract new consumers among children and young people. 90 percent of the costs for tobacco companies' marketing are invested in measures at points of sale, a US study shows.
About the tobacco industry
The interests of the tobacco industry clash brutally with global public health interests in all areas. Every year, nearly six million people on earth die from tobacco smoke. If current trends hold, the death toll is estimated to rise to seven million by 2020 and eight million by 2030. At the same time, tobacco companies sell cigarettes for $300 billion per year, equivalent to 1,980 billion Swedish kronor. Of all the tobacco sold, 96 percent are cigarettes.
Reports / Writings
Tobacco Facts 15 years – its activities and importance
Tobacco Facts is an independent think tank that has been working to raise awareness of the need to continue reducing tobacco and nicotine addiction in the population since 2010. This brochure summarizes the work that has been done since its inception.
DownloadThe battle for the future of tobacco policy
To spread a campaign – to reduce tobacco addiction in children
Discrepancies in tobacco policy
This report examines the discrepancies that are visible in Swedish tobacco policy. In Sweden, there is a great awareness of the risks and harms of tobacco. Despite this, Sweden still has a long way to go to comply with the Tobacco Control Convention and, unlike several comparable countries, has not introduced measures such as plain tobacco packaging and exposure bans. To find answers to the reasons for this discrepancy, the report conducted in-depth interviews with nine politicians: one member of parliament from each party and the government's Agenda 2030 coordinator. The report highlights several explanatory models for the political caution regarding the introduction of evidence-based measures.
DownloadA study of the parliamentary parties' tobacco policy priorities in spring 2018
Do Swedish politicians care about the tobacco convention?
The conclusion of the report is that although all parties agree that smoking should be reduced, there is a lack of cross-party consensus on what the goal of tobacco prevention work is.
S, V, Mp, L, Kd and C support the goal of Smoke-Free Sweden 2025. M's answer is more unclear on this issue and SD does not think that a time-bound goal is needed.
DownloadThe Tobacco Control Convention – from the individual's lifestyle to society's responsibility
Second, revised, edition
It is the world's first international convention on a public health issue and it has helped to change the way we view the tobacco issue. Thanks to the WHO Framework Convention on Tobacco Control, we now fully understand that the tobacco issue is about politics. And not just about health policy, but also about political decisions regarding education, the economy and social issues, among other things.
The Tobacco Control Convention came into force in 2005 and a lot has happened since then. In this publication we provide an up-to-date picture of the Tobacco Control Convention and the work to implement it in Sweden and other countries around the world.
Tobacco Facts recommendations on legislation on e-cigarettes, PM
Electronic cigarettes have long been sold in our country without any specific legal regulation. It is very positive that there is now a bill for a law on e-cigarettes, which will come into force in the autumn of 2016. However, Tobaksfakta – an independent think tank – believes that the proposed legislation on e-cigarettes in Sweden is too weak in several ways. We believe that additional rules and measures are required to create a regulation of e-cigarettes that truly protects our children.
This document describes how we believe legislation and other interventions should be designed regarding e-cigarettes.
Tobacco and the rights of the child (English)
(in English)
This document is a result of the project, The Child's Rights Concerning Tobacco (CRCT). Tobaksfakta, an independent think tank, carried out the project with support from the Swedish Public Health Agency and in collaboration with several county councils and regions. The aim of the project is to strengthen the child's right to a tobacco-free childhood and adolescence, by different means of public education.
The importance of that right is emphasized by two international conventions which support and strengthen each other: the UN Convention on the Rights of the Child, and the World Health Organization's Framework Convention on Tobacco Control — commonly referred to as CRC and the FCTC.
The child's right to be tobacco-free
This material is a result of the project Barents Rätt i Tobaksfrågan, BRiT. Tobaksfakta – an independent think tank – is carrying out this project with the support of the Public Health Agency of Sweden and in collaboration with several county councils and regions.
The project aims to strengthen the child's right to a tobacco-free upbringing by highlighting how important this right is according to two international conventions that clearly interact with each other. These are the UN Convention on the Rights of the Child and the WHO Framework Convention on Tobacco Control, more colloquially known as the Children's Convention and the Tobacco Convention.
DownloadProtecting public health policy against the tobacco industry – a guide
The guidance contains eight concrete points for how Article 5.3 of the Tobacco Control Convention should be implemented by the parties, such as the greatest possible openness in contacts, avoiding conflicts of interest for politicians and public employees, not giving the tobacco industry (including domestic companies) any preferential treatment or position, and increasing public awareness of the tobacco industry's working methods.
Deadly Influence – About the Tobacco Industry's Last Battle
Second, revised, edition
The International Tobacco Control Convention, which Sweden and over 175 other countries have joined, states that countries must protect public health policy from the influence of commercial and other interests within the tobacco industry. An important part of this is that we all gain knowledge about the working methods of the tobacco industry. This is precisely what Tobacco Facts – an independent think tank wants to contribute to with this publication.
It is about how tobacco companies in Sweden and the rest of the world are working to continue selling their products for as long as possible. We talk about the industry's marketing strategies at a time when tobacco advertising is increasingly restricted. And we talk about the long series of strategies used to slow down and preferably stop tobacco prevention legislation.
How well is Sweden living up to the WHO Framework Convention on Tobacco Control?
In English
As indicated by this report, Sweden's tobacco control legislation is far from the leading edge of international developments, as was the case in previous years. Instead, Sweden is falling behind its Nordic neighbors and the rest of Europe.
Awareness of WHO's Framework Convention on Tobacco Control is completely inadequate, and must increase among political leaders, other decision makers and the general public. Sweden must actively develop its tobacco control policy in step with international efforts related to the FCTC.
Time limit for tobacco sales in Sweden
Opinion study conducted in 2011 by Novus on behalf of Tobaksfakta
DownloadHow well is Sweden fulfilling its commitment to implement the Tobacco Control Convention?
This report shows that Sweden's tobacco policy is far from being at the forefront of international developments where we previously were. Instead, Sweden is lagging behind compared to its Nordic neighbors and the rest of Europe.
Awareness of the WHO Framework Convention on Tobacco Control is completely inadequate and must be increased among politicians, other decision-makers and the general public. Sweden must actively develop its tobacco policy in line with the international work being done within the framework of the Tobacco Convention. So far, Sweden has ignored the new recommendations.
NCD Alliance report on the epidemic of non-communicable diseases
Swedish translation of Tobacco Facts
“Global tobacco control can and should be the main driving force”
This is the conclusion that one of the world's most prominent institutions for policy studies, the Center for Strategic and International Studies, draws in its analysis of the possibilities for the UN Summit on Noncommunicable Diseases (September 19-20, 2011) to raise issues about these diseases at a global level.
Many of the world's most knowledgeable scientists, key NGOs, and public health workers in low-, middle-, and high-income countries are already engaged in compiling data and proposing prioritized interventions to create immediate and sustainable progress.
The Conference of the Parties, the governing body of the FCTC, highlighted the importance of the NCD Summit at its latest meeting and called on the international community to accelerate the implementation of the FCTC and mobilize additional development support to limit tobacco consumption.
The Lifesavers – about a few successful decades in Swedish tobacco prevention work
book, 160 pages
The number of smokers in Sweden has been halved since the early 1980s. This means that 500,000 people have avoided dying prematurely from the diseases caused by smoking. This success is the result of a determined and sustained tobacco prevention effort in which Margaretha Haglund and Paul Nordgren have made the most difference in their nationally leading positions, first at the National Board of Health and Welfare and then at the National Institute of Public Health. This publication has been created to honor them and others in the circle who have participated in the fight and to carry it forward to a tobacco-free society.
Other people's reports
Regulate all nicotine – regardless of form
The organization VISIR – We Who Don't Smoke – has produced a brochure that clarifies the harms of all forms of nicotine.
Fact sheet about nicotine and new nicotine products
Knowledge overview – Tobacco and young people
A knowledge overview developed by Psychologists Against Tobacco to provide motivation, strengthen engagement and deepen knowledge in the area of tobacco and young people. It contains 14 sections under 8 main areas, covering health risks, statistics and attitudes, tobacco and nicotine products, arenas, environmental impact, policy, methods and implementation.
Download
Tobacco habits in Sweden 2003-2018
Fact report from CAN.
The report reports on the extent of tobacco use in the population and in different groups in the population during the period 2003–2018. It also reports on how the tobacco was acquired. Estimates have been made for how much of the acquired tobacco consists of taxed tobacco and how much is acquired when traveling abroad and through the purchase of contraband tobacco. In addition to the use of cigarettes and snus, data is also reported on the use of e-cigarettes.
DownloadThe lung report
The Heart and Lung Foundation
The 2019 Lung Report provides a comprehensive picture of the health situation and research challenges regarding lung diseases in Sweden.
The big tobacco lie
A non smoking generation's journey in Malawi. About child labor and working conditions in tobacco production.
DownloadSupport is lacking
A report on young people's attitudes towards smoking. A non smoking generation.
The survey on which this report is based was conducted by Novus on behalf of A Non Smoking Generation to find out the public’s attitude towards smoking. The target group was the Swedish public aged 14–79. A total of 1,010 online interviews were conducted during the period 4–20 May 2018, of which 400 interviews were conducted with the target group aged 14–18. The participation rate was 61 percent.
The environmental impact of the tobacco industry
– a review of the research situation in 2018. A report from VISIR.
Although most people are aware of the negative health effects of smoking, the negative effects of the tobacco industry are generally less well known. This is despite the fact that the tobacco industry has a negative impact on almost all of the UN's sustainability goals.
Tobacco consumption cannot be reduced to being seen as an individual health problem, but must be seen as a problem for the entire planet. By clarifying the tobacco industry's negative environmental and climate impact, new groups can also be persuaded not to start smoking, and smokers can be persuaded to quit.
Only children start using tobacco
Report on young people's attitudes towards tobacco. Non Smoking Generation 2019.
Eight out of ten tobacco users start smoking during adolescence. Those who have not started smoking or using snuff before the age of 20 will probably never start. This means that the risk of potential tobacco use is high during a short period of life and that support and help from adults and society are then required to minimize it.
The tobacco industry launches new products as less dangerous alternatives to conventional smoking and believes that the target group is adult smokers.
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