ASH and its relationship with pharmaceutical companies

Here is a letter from Action on Smoking and Health from 2001 written by Clive Bates.  Strangely Old ASH  have now protected it with a username and password.

Chief Executive Officer

GlaxoSmithKline

1 New Horizon’s Court

Great West Road

BRENTFORD

Middlesex

TW8 9EP

7th March 2001

Dear Dr. Garnier

Re:  Derek Bonham

I write to express my dismay that GlaxoSmithKline, as a major healthcare company, should have on its board a prominent tobacco industry figure.   I believe this will have negative consequences for the company – especially in an environment where partnerships between private, public and voluntary sectors are increasingly common.

ASH has worked closely with both Glaxo and SmithKline Beecham staff and always welcomed the active collaboration.  I hope to continue this with the merged company.  We have worked with GSK under the auspices of the WHO-Europe Partnership Project on tobacco dependence and at various one-off opportunities.   ASH was instrumental in securing greater government commitment to smoking cessation products in the NHS National Plan and we have helped with PR for both Zyban and Niquitin CQ.  Our involvement with GSK staff has, I believe, been mutually beneficial, and we have gained from exposure to the company’s arguments and insights.  I have always admired the commitment and professionalism of the GSK staff involved.

This experience is replicated in many organisations, many countries and in business areas beyond the smoking cessation category.   This positive and constructive environment is threatened by the continuing presence of Derek Bonham, Chairman of Imperial Tobacco, on the board of GSK. There are several negative aspects to Mr. Bonham’s presence on the GSK board.  Most contribute to strong reputational risk.

There are clear conflicts of interest – every time someone successfully uses a GSK smoking cessation product the market for tobacco declines.  Every time a smoker switches to ‘lights’ as an alternative to quitting the market for smoking cessation is diminished. Most of the measures that drive people to want to quit smoking and use GSK products are exactly those that are opposed by tobacco companies. Such measures include:

o Restrictions on smoking in public places and workplaces

o Marketing restrictions on tobacco companies

o Higher tobacco taxation

o Greater NHS involvement in smoking cessation

o Regulatory measures to be applied to tobacco products

There is the question of the credibility of a science and research based organisation like GSK appointing a person who leads a tobacco company, which has had such a notoriously poor nrecord with truth, facts and reality.   You may not be aware of the especially withering criticism the Commons Health Select Committee reserved for Imperial Tobacco in its report.

The Tobacco Industry and the Health Risks of Smoking, published in June last year:

Para 38: “Mr Gareth Davis [chief executive] of Imperial refused to accept directly any of the  evidence, nor did he appear to think it was his role to evaluate this evidence. He told us: “I do not think that we can say that it [smoking] is safe or unsafe … we do not know whether it is safe or unsafe”.  He added that “we do not agree that smoking has been shown to be a cause [of certain diseases]”

Para 54. It seems to us that the companies have sought to undermine the scientific consensus until such time as that position appears ridiculous. So the companies now generally accept that smoking is dangerous (but put forward distracting arguments to suggest that epidemiology is not an exact science, so that the figures for those killed by tobacco may be exaggerated); are equivocal about nicotine’s addictiveness; and are still attempting to undermine the argument that passive smoking is dangerous. The current exceptions to this – based on the evidence they gave us – are firstly Philip Morris who claim no longer to comment on these issues except to protect themselves in law and secondly Imperial who claim not to know whether smoking is dangerous or nicotine addictive.

Para 55. Tobacco companies are commercial enterprises whose imperatives have nothing in common with the public health community. Their past records of denial and obfuscation militate against any claims they may make towards scientific objectivity.

If he is still with the company by the time of the GSK AGM, I will be asking Mr. Bonham what he believes about smoking.  I believe he will have to choose between the line taken by a science based healthcare company and a tobacco company.  As you can see above, they are rather different and I think you can imagine the line of questioning.

Should this link between tobacco and pharmaceuticals become widely known in the general public, there is a grave risk to the public understanding of smoking cessation.  There are already campaign groups that claim the tobacco industry and pharmaceutical industry have a symbiotic relationship that is parasitic on the smoker.   I believe it would be highly damaging to the category, to the company and the industry as a whole would be highly damaging to feed that cynical perception.  There is a serious reputational risk in continuing with Mr. Bonham on the board.

Loss of public – private  – voluntary sector collaboration is inevitable.  The GSK forerunner companies have been champions of such collaboration, with partnerships with WHO-Europe (which includes ASH), Cancer Research Campaign, British Medical Journal and others.  The position will be especially difficult for WHO, which has recently published extensive research on the tobacco industry’s infiltration of WHO.  I saw the announcement of the GSK-WHO partnership on malaria – but how could WHO justify working with GSK on malaria but not on smoking?  WHO is highly sensitive to forces that draw it away from tobacco, and collaboration on malaria but not on smoking would do exactly that.

I fear this must be very undermining for GSK staff.  I frankly feel sorry for the hard-working professionals working in the GSK smoking cessation category.  All that I have spoken to have assiduously defended the company’s position, but I cannot believe this does not cause them some distress.  For them, doors that they have worked to open will close, and friends and allies they have cultivated will have no choice but to turn away.   No one will be happy about this, but it is inevitable.  I believe that one of the strongest reasons for Mr. Bonham to step down is the likely impact on GSK staff morale in the smoking cessation businesses. As part of compliance with the Turnbull guidance on internal control, the company is required to assess and manage risk – including reputational risk.   I believe the risks outlined above amount to a substantial total downside.  It is also unnecessary that the company takes this risk.  While I do not doubt Mr. Bonham’s financial acumen, I do not believe he can be so much more capable than the next best non-executive director to fill his position on the GSK board.  Thus the balance of advantage must surely rest with his departure from the board.

ASH has a small shareholding in GSK and I will be attending with others to question you and the Chairman on this situation.  I hope that Mr. Bonham will have already announced his departure by then and that such questioning proves unnecessary.  More than anything, I would like to resume normal and constructive relations with GlaxoSmithKline.  For ASH and for many others, the presence of Mr Bonham on the board is unacceptable and a barrier to collaboration.

Yours sincerely

Clive Bates



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5 Responses to ASH and its relationship with pharmaceutical companies

  1. Rose says:

    “Strangely Old ASH have now protected it with a username and password.”

    But luckily is still available on pdf.
    http://www.ash.org.uk/files/documents/ASH_635.pdf

    Unfortunately their very informative piece on additives doesn’t seem to be.

    “Prior to 1970, the use of additives in tobacco products was prohibited without special permission from the Commissioners of Customs and Excise, under Section 176 of the Customs and Excise Act, 1952. This permission was given only within very strict limits and mainly in respect of flavourings in tobacco products other than cigarettes. The prohibition extended to the importation of tobacco products containing additives as well as a ban on the production of cigarettes with additives for export.”

    “The rise of additives in tobacco products is intimately linked with the strategy to reduce tar yields. The amount of tar and nicotine in smoke is measured by a standard smoking machine in which the cigarette is smoked with a fixed puff volume and frequency with tar and nicotine residues collected on a filter and weighed. Governments have insisted on reducing tar levels as measured by this approach, hoping that this would reduce tar exposure to smokers — and therefore lead to reduced harm.

    “The tobacco industry argues that one of the key purposes of additives is to make lower tar cigarettes more palatable. The ISCSH accepts this and notes:
    “Some smokers find existing low and low to middle tar brands unsatisfying, but if those who smoked middle or middle to high tar cigarettes could switch to low tar brands whose acceptability was improved by additives, the dangers of smoking could be reduced.
    The Committee recognises the potential value of using flavouring additives in this way.”
    http://old.ash.org.uk/html/regulation/html/additives.html

  2. Karen says:

    Just found this statement on an ASH pdf.

    Action on Smoking and Health is a public health charity which does not accept funding from, or invest in, the tobacco or pharmaceutical industries.

    Pdf last updated July 2007: http://www.ash.org.uk/files/documents/ASH_447.pdf

    (Statement is very last sentence, just before references pages)

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