Smoke-free England

Adam Afriyie Excerpts

Tuesday 29th March 2022 Westminster Hall

[Adam Afriyie (Windsor) (Con)]

It is a pleasure to serve under your chairmanship for the first time, Ms Rees. I am not sure I can be as passionate as my hon. Friend the Member for Broxbourne (Sir Charles Walker), but I am convinced that we in the UK are standing on the brink of a huge opportunity to get this right in the very near future. Some 3 million people vape today, which is wonderful compared with 3 million people smoking, and approximately 6 million, maybe 7 million, continue to smoke. As my hon. Friend has pointed out, that leads to 75,000 deaths a year, or 200 people every single day. The number of people who have died from vaping is zero. So when we look at the plain stats on this, we can ask, “Do we want 200 people per day to continue to die through smoking rates continuing as they are, or do we want to have zero people dying per day?” My answer to that is pretty clear.

There is some good news, which I will come to in a moment. I have great respect for the Minister; I know she has heard these arguments many times before, and she always takes them with such grace, but I will go through a couple of negatives before I come to the positives—I am equal to my hon. Friend in my optimism for the future.

I chair the Parliamentary Office of Science and Technology, a fantastic, impartial organisation that produces science briefings for parliamentarians and their research staff. We produced a POSTnote on electronic cigarettes,. In 2013, only one in 20 people thought that vaping was as harmful as smoking. That was really encouraging, but in 2016 we observed that about one in four people thought vaping was as harmful as, if not more harmful than, smoking. We have been going backward, and today about 53% of people think that vaping is as harmful as smoking. Something is very wrong when the information flow has reversed in such a short space of time for something that was only introduced to the UK about 15 years ago, so we really need to get a handle on that problem.

There is a simple test when it comes to smoking. Lots of people say, “Oh, I like smoking. I wish we had the freedom to smoke,” and I agree entirely: you can kill yourself with your own poison, and that is fine by me. However, when a smoker is asked, “Would you like your children to smoke?” the answer is always, “Oh gosh, no. I would want them to have them the freedom to do it, but I would really rather they didn’t.” I have tried this, and it says an awful lot. It says that smokers—I was one—do not want to smoke; they stumbled into it in their youth or at a time when they thought they would be able to escape from its clutches. The truth of the matter is that nobody really wants to smoke.

With vaping, snus, and non-combustible tobacco, which may be more harmful than vaping, but is nowhere near as harmful as smoking, we have a huge opportunity to embrace newer technologies and approaches, and I know the Minister is keen to do so however she can. I agree with my hon. Friend the Member for Broxbourne that harm reduction is the key here. Why have 200 people dying per day when we could have zero dying per day? Why hold on to the idea that anything we can do to move people from smoking to vaping, snus or one of those other products should be slowed down in any way?

On balance, I am quite optimistic for the future. I am optimistic because the Minister is in her post, but also because the Javed Khan review appears to be going in the right direction. It appears to recognise that we cannot let the perfect be the enemy of the very near perfect, which vaping appears to be at this stage. Also, whether we voted remain or leave, we are now outside the strictures of the European Union and its directives. We have full autonomy and full power to head in any direction we choose, and I ask for that direction to be informed by the evidence, the data, the science, Javed Khan’s review, and what is self-evident before our very eyes—that people do not die from vaping, full stop.

I am also optimistic because we have a couple of other opportunities. We have the opportunity as a Government—the UK Government—to direct a little bit of funding at research, because there are some unanswered questions about the long-term effects of vaping and these other products. We could direct or nudge a little bit of research funding in that direction. It would not cost a fortune. A small amount could be dedicated to a longitudinal study of the outcomes. I think that such a study would put the final few sceptical academics’ minds at rest—or not, as the case may be—when we got the results.

This morning I was at a meeting on this subject with Demos, which is producing a study of this issue and some recommendations for policy. One message that came through loud and clear from the healthcare professionals was, “Give us the opportunity to try this, at least in a limited way, maybe in a limited area or perhaps just with pregnant women, because it is very clear that vaping is far better than smoking during pregnancy. Give us an opportunity, maybe in a restricted location, a particular area or with a particular demographic, to try the approach of switching people to vaping, and let’s see if that works better than trying to get them to stop smoking during pregnancy or in any other circumstances that they are in.”

There is another wonderful opportunity here. This is bizarre—absolutely bizarre—but I love to say that, bizarrely, the tobacco industry in the west is behind switching to vaping. I say to the Minister that actually the industry is ready to put its hands in its pocket and pay for a lot of this work, which is absolutely extraordinary. I think the industry recognises that its business model will not continue to succeed in the west, including in the UK, and we should be mindful that it is prepared to put its hands in its pocket to help the transition—not for altruistic reasons, of course; it will be because the industry is switching its business model more towards non-combustible and vaping products. It may also be because some of the cigarette manufacturers would like to look in the longer term at these inhaling systems as a way to deliver medicine—not smoking or vaping, but delivering all sorts of other products. The tobacco industry has a profit motive, but this is the first time that I have known it to be potentially aligned with UK policy and we should certainly take advantage of that.

I could go on for ever, but I will not do so. What I would say in summary is this: do not let the perfect be the enemy of the good. It is a really good thing to do to push in this direction. There is very little pushback from anywhere. I plead with the Government to consider the information flow as part of the judgments that they will make in the near term, because if more people today than in 2016 think that vaping is more harmful than smoking, then clearly something is very seriously wrong with the information processes.

I have a last question, which basically is: how do we get to smokers? We might think, “Oh, we don’t want to advertise these things online and on television.” Well of course not; we have to keep children and advertising to children out of the mix when it comes to these products. There is a really simple way to get to smokers though: every single smoker has to open their box of cigarettes, so have something inside the box. It is really simple and it only targets those people who continue to smoke, so let us get on with it.

Minister, thank you very much for listening. Sir Charles, thanks for calling this debate, and thank you, Ms Rees, for calling me to speak.