{"id":6946,"date":"2022-11-22T00:58:40","date_gmt":"2022-11-21T23:58:40","guid":{"rendered":"https:\/\/snusforumet.se\/?p=6946"},"modified":"2022-11-22T08:29:44","modified_gmt":"2022-11-22T07:29:44","slug":"marewa-glover-anti-tobacco-zealot-turned-harm-reduction-advocate","status":"publish","type":"post","link":"https:\/\/snusforumet.se\/en\/marewa-glover-anti-tobacco-zealot-turned-harm-reduction-advocate\/","title":{"rendered":"Marewa Glover: Anti-tobacco zealot turned harm reduction advocate"},"content":{"rendered":"\n

In this instalment of our Harm Reduction Heroes series, Snusforumet talks to Dr. Marewa Glover, director of the independent Auckland-based Centre of Research Excellence: Indigenous Sovereignty & Smoking<\/a>, who takes issue with New Zealand\u2019s image as a bastion of progression in the tobacco harm reduction (THR) arena.\u00a0<\/strong><\/p>\n\n\n\n

Last winter, New Zealand introduced anti-tobacco legislation, the Smokefree Environments and Regulated Products (Smoked Tobacco) Amendment Bill<\/a>, with the aim of making the country smoke-free by 2025. <\/p>\n\n\n\n

The bill\u2019s most headline-grabbing aspect was a generational tobacco ban. Starting in 2023, anyone born on or after January 1, 2009, is barred for life from purchasing combustible cigarettes. Someone aged 14 when the legislation became law would therefore never be able to legally purchase tobacco. <\/p>\n\n\n\n

Another plank of the bill is to reduce the nicotine content of cigarettes by up to 95 percent, while a third is to reduce the number of shops allowed to sell cigarettes from 8,000 to between 500 and 1,000.

Many global public health authorities heralded the proposed legislation as groundbreaking.<\/p>\n\n\n\n

The UK government even recently published \u2018The Khan review: making smoking obsolete<\/a>,\u2019 an independent report by Dr. Javed Khan OBE outlining the government\u2019s ambition to make England smokefree by 2030 that was heavily influenced by New Zealand\u2019s approach.<\/p>\n\n\n\n

Smoking prevalence has diminished in New Zealand from 27% in 1992 to 18.4 percent in 2011-12 and then to 10.9 percent in 2020-21 \u2014 one of the lowest in the world.<\/p>\n\n\n\n

New Zealand, it would seem to an outsider, is doing things right.<\/p>\n\n\n\n

\u2018A step in the wrong direction\u2019<\/h2>\n\n\n\n

But praise for New Zealand\u2019s approach has not been unanimous, particularly at home.<\/p>\n\n\n\n

The new legislation saddened Marewa Glover of the Auckland-based Independent Centre of Research Excellence: Indigenous Sovereignty & Smoking, one of New Zealand\u2019s most prominent THR advocates.<\/p>\n\n\n\n

\u201cIt\u2019s yet another step in the wrong direction,\u201d she tells Snusforumet. <\/p>\n\n\n\n

\u201cThe negative consequences of previous \u2018smoke-free\u2019 legislation, such as much higher prices for tobacco, are already resulting in an increase in young people committing robberies to steal tobacco and being charged and imprisoned for such crimes.\u201d

For Marewa, it\u2019s not even the age restrictions that deserve the most scrutiny. <\/p>\n\n\n\n

\u201cIt\u2019s a sleight of hand,\u201d she continues. <\/p>\n\n\n\n

\u201cMost people are focusing on the age ban, and they’re overlooking that the government is about to reduce the nicotine yield in cigarettes by around 95 percent to below 0.05 mg per gram. They\u2019re taking it down to almost a trace level. That is major.\u201d<\/p>\n\n\n\n

Risks of \u2018nicotine-free\u2019 policies<\/h2>\n\n\n\n

Many people with mental health problems have high levels of nicotine dependency, says Marewa. <\/p>\n\n\n\n

Marewa worries that if cigarettes are made essentially nicotine-free, what will those dependent on nicotine from cigarettes do? After all, their dependency is not just going to vanish.

\u201cThey’re going to look elsewhere for relief,\u201d says Marewa. <\/p>\n\n\n\n

\u201cWe could see an increase in alcohol use, we could see an increase in marijuana use, which in New Zealand is still illegal, and we could see a rise in the use of stronger drugs.\u201d<\/p>\n\n\n\n

And then, of course, there’s the black market. Because of previous legislation that raised tobacco prices to stratospheric levels, New Zealand has seen a spike in the number of robberies of shops selling tobacco products.<\/p>\n\n\n\n

It\u2019s not just about ever-weaker cigarettes, however. The government\u2019s plans to drastically reduce the number of outlets licensed to sell tobacco could also be disastrous, according to Marewa Glover.<\/p>\n\n\n\n

\u201cMany youth gangs are already becoming involved in the black markets to supply tobacco,\u201d she says. <\/p>\n\n\n\n

\u201cBecause New Zealand is an island and we’re a three-hour flight from our nearest neighbour, cross-border smuggling is difficult. As a result, people have to source the black market tobacco internally, so they steal the tobacco from shops.\u201d<\/p>\n\n\n\n

Exacerbating inequality<\/h2>\n\n\n\n

And now, Marewa says, with the new law, the government plans to reduce the number of retailers allowed to sell tobacco will likely intensify criminal activity on that smaller number of outlets.<\/p>\n\n\n\n

Marewa also believes that the new legislation will exacerbate inequality in New Zealand. Her view is that the law will create a larger bureaucracy, increase enforcement activity, and funnel more people from disadvantaged backgrounds into the justice system.

She explains that sixty-two percent of women in prison in New Zealand are Maori, emphasizing the plight of the country’s main indigenous group, which makes up around 16 percent of the country\u2019s population.<\/p>\n\n\n\n

\u201cWe have major inequity, and major disproportionate inequity going on. This legislation will mean more inequity, not less,\u201d Marewa explains.<\/p>\n\n\n\n

\u201cThis is neo-prohibition legislation and it is not consistent with harm reduction – it is top-down and not person-centred. It is punitive and not compassionate. It is wrong.\u201d<\/p>\n\n\n\n

Marewa Glover: \u2018I had a hatred for smoking\u2019<\/h2>\n\n\n\n

Marewa\u2019s commitment to the rights of nicotine users is a little surprising given her background as a born-again non-smoker. <\/p>\n\n\n\n

\u201cI was one of those stereotypical smokers who gives up and then spends their whole time stigmatising and demonising smokers,\u201d Marewa says. <\/p>\n\n\n\n

\u201cI was very judgemental. I had smoked so much that I developed chronic bronchitis in my twenties. To actually give up, I had to develop a hatred for smoking.\u201d

Marewa is a former Professor of Public Health at Massey University and a former chair of End Smoking NZ, a charitable trust that lobbied for tobacco harm reduction for more than a decade. <\/p>\n\n\n\n

As a behavioural scientist, Glover has led and collaborated on many studies resulting in more than 120 scientific publications. But it was a Dutch student on placement at the University of Auckland around ten years ago who triggered Marewa\u2019s transition from rabid anti-smoker to a more compassionate advocate of THR. <\/p>\n\n\n\n

Marewa and the student were discussing ways of dissuading people from smoking, when Marewa came up with the idea of impregnating cigarette filters with dye, in the same way that banks impregnate bank notes with pigment to deter bank robbers. <\/p>\n\n\n\n

\u201cThen we could shame smokers,\u201d Marewa says. \u201cI was quite serious, but I horrified this student who said, \u2018How awful – how can you even think of doing something like that to someone?\u2019 And I thought, \u2018Oh god, you are right!\u2019\u201d she recalls.<\/p>\n\n\n\n

\u201cThe thing is, within the echo chamber of tobacco control, such nasty ideas were celebrated. And this is still happening now in New Zealand. The zealots and prohibitionists are still in control.\u201d<\/p>\n\n\n\n

NZ nicotine pouch ban \u2018was insane\u2019<\/h2>\n\n\n\n

Snus has long been banned in New Zealand, and nicotine pouches were outlawed in 2020 as part of The Smokefree Environments and Regulated Products (Vaping) Amendment Bill<\/a>, in what was another loss for tobacco harm reduction advocates. <\/p>\n\n\n\n

\u201cThe banning of nicotine pouches was just insane,\u201d Marewa says. \u201cAccording to the data, they represent even less risk than vapes. Why would you ban them if your goal is harm reduction? Unless your goal is purely to ban nicotine.\u201d<\/p>\n\n\n\n

Marewa fears that New Zealand is heading towards an illiberal future regarding public health. She says it\u2019s anathema to suggest New Zealand is on a slippery authoritarian slope but thinks it\u2019s undeniable.<\/p>\n\n\n\n

\u201cI was there 30 years ago, when I was being accused, as a policy analyst, of being a public health Nazi and I was partly responsible for the slide towards this illiberal future,\u201d says Marewa Glover. <\/p>\n\n\n\n

\u201cI truly believed that we were trying to reduce death and disease. But I\u2019ve seen it with my own eyes from the other side and know that is not the truth. There is definitely a slippery slope. And what we have now? This is not democracy. This is a loss of human rights.\u201d <\/p>\n","protected":false},"excerpt":{"rendered":"

In this instalment of our Harm Reduction Heroes series, Snusforumet talks to Dr. Marewa Glover, director of the independent Auckland-based Centre of Research Excellence: Indigenous…<\/p>\n","protected":false},"author":3,"featured_media":6947,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[254],"tags":[469,475,530,444],"class_list":["post-6946","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-opinions","tag-harm-reduction-heroes","tag-javed-khan","tag-marewa-glover","tag-new-zealand"],"acf":[],"yoast_head":"\nMarewa Glover: Anti-tobacco zealot turned harm reduction advocate - Snusforumet<\/title>\n<meta name=\"description\" content=\"Snusforumet talks to Dr. Marewa Glover who takes issue with New Zealand\u2019s image as a bastion of progression in tobacco harm reduction (THR).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/snusforumet.se\/en\/marewa-glover-anti-tobacco-zealot-turned-harm-reduction-advocate\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Marewa Glover: Anti-tobacco zealot turned harm reduction advocate - 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