Thursday, 21 November 2002
Hilton San Francisco Exhibit Hall (0)
EVAL-264-105

This presentation is part of EVAL-264. Evaluation and Surveillance Posters

Case Studies in International Tobacco Surveillance: Cigarette Smuggling in Brazil

Omar Shafey, MPH PhD, American Cancer Society, Epidemiology and Surveillance Research, oshafey@cancer.org, Vilma Cokkinides, PhD, vilma.cokkinides@cancer.org, Tânia Maria Cavalcante, MD, taniac@inca.org.br, Márcia Teixeira, MS, marciap@inca.org.br, Cristiane Vianna, JD, cfvianna@inca.org.br, Michael Thun, MD MS, michael.thun@cancer.org.

Learning Objectives: Describe how evidence of large scale cigarette smuggling can be detected in official trade statistics and why this is a public health problem.

Abstract: OBJECTIVE: This research is part of a series of international case studies developed by the American Cancer Society to illustrate use of publicly available surveillance data for regional tobacco control.
METHODS: A descriptive analysis of Brazil and Paraguay cigarette production and trade data from official sources. Per capita cigarette consumption for Brazil and its neighbor was calculated from 1970-1998 using data on production, imports and exports from NATIONS, the National Tobacco Information Online System.
RESULTS: A 63% decrease was observed in the estimate of per capita consumption of cigarettes in Brazil between 1986 and 1998 (from 1913 cigarettes per person in 1986 to 714 cigarettes per person in 1998) and a sixteen-fold increase in Paraguay was observed during the same period (from 678 cigarettes per person in 1986 to 10,929 cigarettes per person in 1998). Following Brazil’s 1999 passage of a 150% cigarette export tax, cigarette exports fell 89% and Brazil’s estimated per capita consumption rose to 1990 levels (based on preliminary data). Per capita consumption in Paraguay also fell to 1990 levels.

DISCUSSION: These trends coincide with local evidence that large volumes of cigarettes manufactured in Brazil for export to Paraguay are smuggled back and consumed as tax-free contraband in Brazil. We hope that this case study will draw wider public attention to the problems that smuggling presents for tobacco control, help identify other countries confronting similar issues, and stimulate effective interventions.


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