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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA



Friday, July 14, 2006 - 12:00 PM
103-28

Ethical Approaches to Tobacco Taxes - Options to Reduce Harm and Maximise Benefit

Nick Wilson, MBChB, MPH, Public Health, Wellington School of Medicine & Health Sciences, Otago University, Mein St, Newtown, Wellington, New Zealand and George W. Thomson, MPP, PhD, Public Health, University of Otago, Mein St, Newtown, Wellington, New Zealand.

Objective: To identify the policy options to reduce the harms involved in tobacco taxation.

Methods: Searches of Medline, ECONbase and Google Scholar to find literature on the policy options. Ethical frameworks considered maximizing benefits and minimizing injustice.

Results: The options to reduce harm and maximize benefit include: (1) The dedication of tobacco tax revenue to tobacco control activity; (2) Intensive, comprehensive, well managed tobacco control programmes to quickly reduce the prevalence of smoking for all societal groups; (3) The use of programmes to maximize smoking cessation in the least privileged groups; and (4) Having a progressive tax system overall (eg, including income, capital gains and asset taxes), and ensuring sufficient health and social services support for low income households where smoking cessation does not occur.