Brownell Kelly D, Warner Kenneth E
Rudd Center for Food Policy andObesity, Yale University, 309 Edwards Street, New Haven, CT06520-8369, USA.
Milbank Q. 2009 Mar;87(1):259-94. doi: 10.1111/j.1468-0009.2009.00555.x.
In 1954 the tobacco industry paid to publish the "Frank Statement to Cigarette Smokers" in hundreds of U.S. newspapers. It stated that the public's health was the industry's concern above all others and promised a variety of good-faith changes. What followed were decades of deceit and actions that cost millions of lives. In the hope that the food history will be written differently, this article both highlights important lessons that can be learned from the tobacco experience and recommends actions for the food industry.
A review and analysis of empirical and historical evidence pertaining to tobacco and food industry practices, messages, and strategies to influence public opinion, legislation and regulation, litigation, and the conduct of science.
The tobacco industry had a playbook, a script, that emphasized personal responsibility, paying scientists who delivered research that instilled doubt, criticizing the "junk" science that found harms associated with smoking, making self-regulatory pledges, lobbying with massive resources to stifle government action, introducing "safer" products, and simultaneously manipulating and denying both the addictive nature of their products and their marketing to children. The script of the food industry is both similar to and different from the tobacco industry script.
Food is obviously different from tobacco, and the food industry differs from tobacco companies in important ways, but there also are significant similarities in the actions that these industries have taken in response to concern that their products cause harm. Because obesity is now a major global problem, the world cannot afford a repeat of the tobacco history, in which industry talks about the moral high ground but does not occupy it.
1954年,烟草行业出资在美国数百份报纸上发表了《致烟民的坦诚声明》。声明称,公众健康是该行业首要关注的问题,并承诺进行一系列真诚的变革。然而,随之而来的是数十年的欺骗行为以及导致数百万人丧生的后果。为了让食品行业的历史书写得有所不同,本文既强调了可以从烟草行业的经历中学到的重要教训,也为食品行业推荐了应对措施。
回顾和分析与烟草及食品行业影响公众舆论、立法监管、诉讼及科学行为的做法、信息和策略相关的实证及历史证据。
烟草行业有一套行事准则、一个脚本,强调个人责任,资助那些发表能引发质疑的研究的科学家,批评那些发现吸烟有害的“垃圾”科学,做出自我监管承诺,投入大量资源进行游说以遏制政府行动,推出“更安全”的产品,同时操纵并否认其产品的成瘾性以及针对儿童的营销手段。食品行业的脚本与烟草行业的既相似又不同。
食品显然不同于烟草,食品行业在重要方面也与烟草公司不同,但在应对有关其产品造成危害的担忧时,这些行业采取的行动也有显著相似之处。由于肥胖如今已成为一个重大的全球性问题,世界承受不起烟草行业历史的重演,即行业口口声声说占据道德高地,实际上却并非如此。