Australian Tobacco Harm Reduction Association (ATHRA)

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The Australian Tobacco Harm Reduction Association (ATHRA) describes itself as a “registered health promotion charity established to improve public health by reducing the harm from tobacco smoking in Australia”.1

Background

ATHRA was founded by four Australian health practitioners in October 2017.1 It  has regularly campaigned and lobbied to try to overturn the Australian Government’s ban on retail sales of nicotine-containing e-cigarettes .2

ATHRA has received funding from Knowledge Action Change (K-A-C), an organisation funded by the Foundation for a Smoke-Free World (FSFW). FSFW was rebranded in May 2024 as Global Action to End Smoking (GAES). The organisation remains wholly funded by Philip Morris International.

People

ATHRA does not appear to employ any staff.3 In 2024 it listed three volunteer directors.45

Founders in October 2017:

  • Dr Colin Mendelsohn, Founding Chairman of ATHRA; board member until January 2021.136
  • Dr Joe Kosterich.78
  • Dr Alex Wodak.89

Board as of June 2024:5

  • Dr Joe Kosterich (Chairman).
  • Dr Alex Wodak.
  • Ean Alexander.10

Previous directors and members include:

  • Dr Attila Danko.1112
  • Dr Catherine Silsbury.13
  • Stephen Elsom.14

Mendelsohn, Kosterich, Wodak, Silsbury and Elsom stated in 2018 that ”none of the directors have ever had any financial or commercial relationship with any electronic cigarette or tobacco company”.15 The same statement is made on the ATHRA website in respect of the current directors.5

Tobacco Industry links

Part-funded by FSFW grantee K-A-C

Mendelsohn has stated that it cost AUD$50-60,000 to set up ATHRA.1617

Australian media reported in 2019 that ATHRA had received around AUD$43,000 in e-cigarette and tobacco industry-related funding,1819 including a “one-off, unconditional donation” of AUD$8,000 from Knowledge Action Change (K-A-C).1620 In 2018, K-A-C received US$787,000 in funding from the FSFW. For more details see FSFW Grantees.

In March 2019, six months after its funding sources first received media scrutiny, ATHRA published a statement on its website saying it would no longer accept money from the e-cigarette industry.21 ATHRA also stated that it “has never and will never accept funding from the tobacco industry or its subsidiaries”.21 However, the statement did not mention a grant from K-A-C.22

In July 2022, Mendelsohn and Wodak co-authored a paper in Drug and Alcohol Review which included a statement acknowledging that ATHRA had received a donation from Knowledge Acton Change Communications which was “legally separate from Knowledge Action Change (KAC)”.23 At the time of the donation, KAC Communications and Knowledge-Action-Change Ltd had the same directors.2425

Activities

Public media campaigns

At the 2017 Global Forum on Nicotine in Warsaw, which is run by K-A-C, Mendelsohn outlined plans to set up a “switch2vaping” public education and media campaign in Australia,26 which ATHRA subsequently launched in December 2018.27

Mendelsohn wrote the foreword for a report published by the Australian Taxpayers’ Alliance (ATA) and MyChoice Australia in 2018,28 and attended the launch event.29 The report launch event was part of ATA’s “Legalise Vaping Australia” (LVA) project.29 (LVA was later listed as a partner of the World Vapers’ Alliance.)

In May 2019, ATHRA and ATA co-organised the “first ever Aussie Vape Day” in Sydney on the day before World No Tobacco Day.30 The event’s stated aim was to “educate adult smokers about vaping and encourage them to ‘give it a go’ as a much less harmful alternative to smoking”.3031 The same month, ATHRA’s Dr Mendelsohn gave a presentation at ATA’s 7th Annual Friedman and Global Taxpayers’ Conference titled: “Vaping in Australia. Tobacco harm reduction in a hostile regulatory environment”.32

Promoted report funded by Foundation for a Smoke-Free World

In March 2019, ATHRA co-hosted the Australian launch of a report by K-A-C in the New South Wales and Victorian state parliaments.33 Titled “No Fire, No Smoke”, this first edition of K-A-C’s Global State of Tobacco Harm Reduction (GSTHR) was funded by a US$176,700 grant from FSFW.34 ATHRA Chairman Dr Mendelsohn was credited as author of a section about Australia’s “ban on nicotine” and listed among the “key informants” in the report’s acknowledgements.35

Speakers at the parliamentary launches included ATHRA directors Mendelsohn and Kosterich, the report’s author Harry Shapiro and Dr. Marewa Glover of the Centre for Research Excellence: Indigenous Sovereignty and Smoking (COREISS), which has also received significant funding from FSFW.32 Attendees included “MPs, health policy professionals, academics, harm reduction experts, journalists, consumers and vape supporters”.33

Lobbying against government restrictions on e-cigarettes

In March 2020, ATHRA signed a joint open letter with ATA and a new Australian Retail Vaping Industry Association (ARVIA), urging the Australian Prime Minister and all State Governments to keep e-cigarette shops open during the COVID-19 lockdown. The groups argued that closing the shops would have “devastating long-term public health consequences” and would force vapers back to smoking.36

ATHRA later announced it had “formed a coalition” with ARVIA and ATA-LVA to fight the ban on personal nicotine imports from overseas proposed by the Australian Government in June 2020. In K-A-C’s Nicotine and Science Policy newsletter, Mendelsohn outlined how their coordinated media and MP lobbying campaign had raised funds and garnered support from politicians, after online petitions collected tens of thousands of signatures, helping to secure a six-month delay to the ban. 37 The proposed reform was later shelved.

In March 2021, Australian media reported that metadata linked to PMI’s Hong Kong lobbyists Burson Cohn & Wolfe (BCW) had been discovered in the page source code on ATHRA’s website,38 including on some 2020 press releases. 383940 ATHRA and BCW denied ATHRA was a client.4142

Conferences, Presentations and Commentary

In September 2020 Mendelsohn was a keynote speaker at the annual tobacco industry-funded Global Tobacco and Nicotine Forum (GTNF).43

More recently, Mendelsohn presented his research on youth vaping at the 2023 GTNF in South Korea as part of a panel titled “Youth Use is Everyone’s Responsibility”.3244 At the 2022 Dubai World Vape Show, he joined a “Vaping Research and Public Health” panel alongside head scientists from PMI and British American Tobacco (BAT) , and the Consumer Choice Center.45 The organisers, who own the world’s largest network of tobacco-related, e-cigarette and shisha events,46 paid Mendelsohn’s travel and accommodation expenses.47

ATHRA’s directors have expressed support for industry activities promoting tobacco harm reduction.

In a 2022 ABC news interview Mendelsohn stated:48

“Big Tobacco is actually more trustworthy and more pro-health in this [e-cigarettes issue], than many of the public health bodies of Australia. They’re producing credible research, they’re producing products that save lives.”

He argued that public health bodies were “costing more lives” by campaigning against vaping.48 Mendelsohn has also called for consumers to email their local MPs via BAT’s “Responsible Vaping Australia” front group website and sign a petition in favour of legalising retail vaping.49

In March 2023, the Australian Association of Convenience Stores (AACS) invited Mendelsohn to  address their annual conference, where he spoke on nicotine vaping products and the role of convenience stores.50 AACS’s corporate members include PMI, BAT and Imperial Tobacco.

Lobbying against e-cigarette regulations

Since 2018, ATHRA has made submissions to multiple federal and state government inquires and consultations in Australia to lobby for the loosening of e-cigarette sales restrictions. These include:

  • Northern Territory Inquiry into the Tobacco Control Legislation Amendment Bill 2018: ATHRA argued against e-cigarette regulations, including the banning of advertising e-cigarettes and their use in public spaces.5152
  • West Australia Inquiry on Personal Choice and Community Safety (2018): ATHRA argued against an e-cigarette ban, and instead proposed “proportionate risk-based regulation”.53
  • National Tobacco Strategy 2018-26 Consultation: ATHRA’s submission to this Inquiry was deemed to have a conflict of interest (“whether real or perceived”) due to its funding from e-cigarette companies, its K-A-C grant and involvement with K-A-C’s GSTHR report launches in Australia.54
  • National Tobacco Strategy 2022-30 consultation: ATHRA’s submission disagreed with the government’s draft priority areas, arguing that “Priority needs to be on adding tobacco harm reduction via support of vaping to the current mix”. ATHRA did not disclose the K-A-C funding in the section on conflict of interest.55
  • Submission to the Australian drugs regulator arguing that heated tobacco products should be approved for consumer sales in Australia.56

Directors of ATHRA have also made individual submissions to inquiries since 2016.5758

Relevant Link

Australian Tobacco Harm Reduction Association (ATHRA) website

Tobacco Tactics Resources

References

  1. abcAustralian Tobacco Harm Reduction Association, What is ATHRA, website, undated, accessed October 2024
  2. ATHRA, Submission to Northern Territory Inquiry into the Tobacco Control Legislation Amendment Bill 2018, 17 September 2018, archived 28 March 2018, accessed October 2024. Available from nt.gov.au
  3. abAustralian Charities and Non-profits Commission, Australian Tobacco Harm Reduction Association Limited: Financials & Documents, charity register, accessed October 2024
  4. Australian Charities and Non-profits Commission, Australian Tobacco Harm Reduction Association Limited: Responsible People, charity register, accessed October 2024
  5. abcATHRA, Board of Directors, website, undated, archived July 2024, accessed October 2024
  6. ATHRA, Board members: Colin Mendelsohn, website, undated, accessed October 2024
  7. ATHRA, Board of directors: Joe Kosterich, website, undated, accessed October 2014
  8. abCoalition of Asia Pacific Harm Reduction Advocates, CAPHRA Expert Advisory Group, website, undated, accessed January 2024
  9. ATHRA, Board of Directors: Dr Alex Wodak, website, undated, accessed October 2024
  10. Ean Alexander, LinkedIn profile, accessed September 2023
  11. Attila Danko, LinkedIn profile, accessed July 2024
  12. Missing even a no-brainer, Tobacco Reporter, 12 July 2018, accessed March 2024
  13. ATHRA, Board of Directors: Catherine Salisbury, website, undated, archived March 2019, accessed October 2024
  14. ATHRA, Board of Directors: Stephen Elsom, website, undated, archived March 2019, accessed October 2024
  15. ATHRA, E-cigarette report misses golden opportunity to save 500,000 Australian lives, Media Release, 28 March 2018, website, accessed October 2024
  16. abJ. Margo, The Addict Craves Swift Relief, Australian Financial Review, 10 February 2019, archived March 2019, accessed September 2023
  17. Ex-smoker says vaping ‘saved his life’, nine.com.au, 23 September 2019, accessed October 2024
  18. T. Eliot, Big Tobacco’s shadowy new play, The Sydney Morning Herald, May 2019, accessed October 2024
  19. E. Han, Secret industry funding of doctor-led vaping lobby group laid bare, The Sydney Morning Herald, 26 August 2018, accessed September 2023 (behind paywall)
  20. E. Han, ‘Independent’ doctor-led vaping group accepts tobacco-tainted funding, The Sydney Morning Herald, 16 October 2018, accessed September 2023 (behind paywall)
  21. abATHRA, ATHRA no longer accepts vape industry donations, 1 March 2019, website, accessed October 2024
  22. ATHRA, Funding, website, undated, archived March 2019, accessed October 2024
  23. CP. Mendelsohn, A. Wodak, W. Hall, R. Borland, A critical analysis of ‘Electronic cigarettes and health outcomes: Systematic review of global evidence, Drug and Alcohol Review, 2022; 41(7): 1493–1498. doi: 10.1111/dar.13515
  24. Knowledge Action Change Ltd, Company number 07736166, Companies House record, accessed October 2024
  25. KAC Communications, Company number 08834858, Companies House record, accessed October 2024
  26. C. Mendelsohn, Nicotine, the TGA and a missed opportunity in Australia, YouTube, 7 December 2017, accessed August 2024
  27. ATHRA, First ever “Switch to vaping” campaign launched in Australia, 18 December 2018, website, accessed October 2023
  28. S. Marar, Tobacco Harm Reduction: A formula to save 500,000 Australian Lives, Joint report by Australian Taxpayers’ Alliance & MyChoice Australia, February 2018
  29. abSimon Chapman, What is it About Far Right Conservatives and Vaping Activists in Australia?, blog, 2 March 2019, accessed October 2024
  30. abAussie Vape Day, website, 30 May 2019, accessed October 2024
  31. Aussie Vape Day, Switch to vaping: Success stories, 2019, accessed  October 2024
  32. abcC. Mendelsohn, Presentations, personal website, archived 28 October 2020, accessed October 2024
  33. abKnowledge-Action-Change/GSTHR, Australia Roadshow 2019 – Melbourne and Sydney, website, accessed October 2024
  34. Foundation for a Smoke-Free World, Form 990-PF, 2018 Tax Return, 13 May 2019, accessed October 2024
  35. H. Shapiro/GSTHR, No Fire, No Smoke, 2018. Available from gsthr.com
  36. Australian Retail Vaping Industry Association, Open Letter to Australian Governments – Ensure Access to Vape Shops, 26 March 2020, accessed October 2024
  37. C. Mendelsohn, A Welcome Reprieve for Australian Vapers, but a Rocky Road Ahead, Nicotine and Science Policy.net, July 2020, archived September 2023, accessed October 2024
  38. abM. Workman, S. Hutcheon, Metadata reveals medical charity ATHRA received assistance from PR company linked to vaping campaign, ABC News, 25 March 2021, accessed October 2024
  39. Australian Tobacco Harm Reduction Association, ATHRA media releases, November 23 2018-September 30 2020, website, archived 24 October 2020, accessed October 2024
  40. Australian Tobacco Harm Reduction Association, ATHRA media releases, November 23 2018-March 6 2020, website, archived 26 February 2021, accessed October 2024
  41. N. Chenoweth, The secret money trail behind vaping, Australian Financial Review, 21 February 2021, accessed October 2024
  42. N. Chenoweth, More Vaping Lobbyists linked to Big Tobacco, Australian Financial Review, 22 February 2021, accessed October 2024
  43. Global Tobacco and Nicotine Forum, 2020 Agenda, GTNF website, undated, archived October 2020, accessed October 2024
  44. Global Nicotine and Tobacco Forum, 2023 Speakers, 21 September 2023, archived February 2024, accessed October 2024
  45. World Vape Show 2022, Sessions for Dubai 2022, archived May 2022, accessed October 2024
  46. Quartz, The world’s largest network of tobacco-related events in the world, undated, archived March 2024, accessed October 2024
  47. C. Mendelsohn,  Opinion: WA’s misguided vaping move will be a public health disaster, WA Today, 21 June 2022, accessed March 2024 (paywall)
  48. abFour Corners, ABC News in Depth, The fierce battle over vaping in Australia, YouTube, 29 June 2022, accessed February 2024
  49. C. Mendelsohn, ‘You can do something practical to support vaping in 2 minutes. Go to Responsible Vaping and 1. Sign the Petition 2. Send an email to your local federal MP with an easy to use template’, tweet, 5:02AM Jan 20, 2023, archived July 2024
  50. C. Mendelsohn, Presentations: Australian Association of Convenience Stores (AACS): Nicotine vaping products and the role of convenience stores, Melbourne, website, undated, archived May 2023, accessed October 2024
  51. ATHRA, Submission to the Tobacco Control Legislation Amendment Bill 2018, 17 September 2018, archived March 2019, accessed October 2024. Available from parliament.gov.au
  52. ATHRA, Northern Territory Misses an Opportunity to Reduce Smoking Rates, 27 November 2018, website, archived March 2020, accessed October 2024
  53. West Australian Parliament, West Australia Inquiry on Personal Choice and Community Safety (2018), Inquiry Submissions: Australian Tobacco Harm Reduction Association, 3 October 2018, accessed September 2019. Available from parliament.wa.gov.au
  54. Siggins Miller, Consultation and development of the next National Tobacco Strategy – Consultation Report 2018. Available from consultations.health.gov.au
  55. National Tobacco Strategy 2022-30 consultation submission, ATHRA, Response 232718446, 21 March 2022. Available from consultations.health.gov.au
  56. ATHRA, Submission to the Joint ACMS-ACCS#24 (Therapeutic Goods Administration), 30 January 2020, accessed February 2024. Available from athra.org.au
  57. Standing Committee on Health, Aged Care and Sport, Submissions to the Inquiry into the Use and Marketing of Electronic Cigarettes and Personal Vaporisers in Australia, Australian Parliament, undated, accessed September 2019
  58. Standing Committee on Health, Aged Care and Sport, Hearing on use and marketing of electronic cigarettes and personal vaporisers in Australia, Australian Parliament, 12 September 2017, accessed March 2024