Tobacco Companies Targeting Health Professionals: The Tactics
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Tobacco companies use a wide range of strategies and tactics designed to keep people using their products and disrupt efforts to protect public health.123
Here we detail tactics used to target health professionals, and the professional environment in which they operate. These include direct approaches by tobacco companies and indirect approaches conducted by other organisations linked to them. As indirect tactics are a way for tobacco companies to distance themselves or conceal their involvement, this article is organised by topic and activity rather than method, but we note where the tactic used is direct or indirect.
For background on the long history of this strategy, and how it relates to tobacco companies more recent adoption of ‘harm reduction’ narratives in the service of product sales, see our long read: Tobacco Companies Targeting Health Professionals
Funding academic medical centres & groups
Tobacco companies have engaged with and funded research centres, groups and individuals, both directly and via other organisations.
In the 2010s Philip Morris ran an initiative with computer firm IBM called ‘sbv IMPROVER’ and sought endorsement from staff of US medical schools and a cancer institute, with some also speaking at a conference for the initiative.45
Swedish Match (now owned by PMI) and the US Smokeless Tobacco Company endowed a chair at the University of Louisville in Kentucky.6 This is currently held by Brad Rodu, a professor of medicine whose research has been supported by unrestricted grants from tobacco companies.7
Duke University in the US has had a long relationship with the tobacco industry, with a chair in medicine endowed by RJ Reynolds (now owned by BAT). It also hosts the Center for Nicotine and Smoking Cessation Research (CSNCR) whose director is Jed E.Rose, which has received indirect funding from the PMI-financed Foundation for a Smoke-Free World (FSFW, now renamed Global Action to End Smoking, GAES. As of its last financial statements GAES remains funded by PMI).
There is also evidence that PMI has invited medical professionals to visit its own research and development facility in Switzerland.8
Publishing in journals aimed at health professionals
Tobacco companies try to publish favourable research in books and journals, and via letters to journal editors.9 There are various standards for publishing in medical journals,101112 including those produced by the International Committee of Medical Journal Editors (ICMJE), which require transparency around authorship and conflict of interest.131415 However tobacco companies continue to publish their own research, or research they have funded, in journals read by health professionals.1617
Some publications aimed at the medical community continue to accept advertising or sponsorship from tobacco companies, a key dissemination route for PMI:
- A publication aimed at dentists in Japan published an advertisement for PMI’s heated tobacco product (HTP) IQOS.18
- A European journal published an article on pneumology, paid for by PMI.19
- A publication in Bulgaria aimed at doctors with content – and multiple events – sponsored by PMI.2021
Recruiting doctors to participate in research
In addition to funding research centres, tobacco companies try to recruit doctors to participate in funded studies relating to their products.
In 2020, the Organized Crime and Corruption Reporting Project (OCCRP) reported how PMI had approached doctors in Romania, via an intermediary, to ask them to collaborate on research relating to its HTP IQOS.22 The study would have involved recruiting patients with mild to moderate Chronic Obstructive Pulmonary Disease (COPD) and testing the outcomes of them using an HTP compared to continuing to smoke. The outline of the pitch listed four authors, one a pulmonologist, who were all contracted by PMI.22
In June 2021, FSFW funded the private social media network SERMO (which at the time described itself as the “World’s leading social platform for physicians”)23 to recruit doctors for an eight-month international study on “cessation and tobacco harm reduction around the world”.2425 SERMO invited “key stakeholders” and “thought leaders” in healthcare to join an advisory board for its “Doctors and Health Professionals Global Poll 2021”, and later to inform their networks about the subsequent findings.2425
In 2022, Sermo also conducted online interviews with physicians recruited through its own networks.26 This survey is cited on the PMI Science website, saying that it “demonstrated that nearly 80% of doctors worldwide believe nicotine causes lung cancer”.27 Findings from independent research (not funded by the tobacco industry) differ from PMI’s summary.28293031 In 2025, PMI commissioned research company Povaddo to again survey medical professionals in the US on perceptions around nicotine.3233
In 2022, FSFW gave a grant to the Centre for Substance Use Research (CSUR) to develop a protocol “to assess the long-term health effects of switching from combustibles to tobacco harm reduction products among Type 2 diabetic smokers in Bangladesh”.3435 CSUR is a UK company which provides consultancy to tobacco companies, including PMI. A randomised controlled trial was designed in collaboration with a doctor at a medical college in Bangladesh and a local development NGO.36373839 As of March 2025 it was not clear if the trial had begun.36
Sponsoring medical conferences and events
Tobacco companies have long sponsored medical conference and events (see the long read for details)940 and continue to do so, although not always successfully.
PMI was listed as a direct sponsor of:
- the Israel Medical Convention, 2016 – but was removed before it took place4142
- the Bologna Medical Science Festival, Italy, 201822
- a conference for Romanian doctors, as IOQS, 201822
- the 11th International Sophia Dental Meeting, Bulgaria, 2018.4344
- the Congress of Mediterranean League of the Angiology and Vascular Surgery, 201945
- the 50th Annual Panhellenic Medical Congress – the largest medical conference in Greece, organised by the Athens Medical Society – Athens, 2024464748
BAT has sponsored:
- the national congress of the College of University Teachers of Dentistry, 2019, as ‘bat-science.com’.49
Sponsorship may also be indirect.
- In 2022, the not-for-profit sponsor of the seventh South Africa Tuberculosis (TB) Conference in was found to have accepted money from FSFW, leading to the withdrawal of the WHO and other organisations.50
Presenting at medical conferences & events
A 2023 TCRG study found that BAT and PMI attended over 200 scientific events between 2012 and 2021, including medicine (nearly 12% of the total), pharmaceutical science and dentistry (both around 4%, all figures rounded).51
Although less welcome at cancer research conferences,2251 since 2018 PMI states that it has presented at multiple events relating to cardiovascular disorders and lung health, as well as neurology, ophthalmology, gastroenterology, and family medicine.51 Many have been detailed on the PMI Science website, including:
- Atherosclerosis: conferences in 2018, in Canada,52 France,53 and Portugal.54
- Pulmonology: Congress of the Asian Pacific Society of Respirology in 2018,55 and the World Congress for Bronchology & Interventional Pulmonology in 2020.56
- Haematology: Congress of the International Society on Thrombosis and Haemostasis (ISTH) in Australia.57
- Cardiology and vascular diseases: the Congress of the Mediterranean League of the Angiology and Vascular Surgery, Croatia, in 2019;58 Annual Scientific Meeting of the Cardiac Society of Australia and New Zealand;59 the International Conference of the European Society of Cardiology Council on Stroke in 2020.60 and Pecsi Cardiology Congress, Hungary, in 2023.6162 (PMI is also a strategic partner of Hungary’s Comprehensive Healthcare Programme, see CSR below).
Tobacco companies have also attended conferences on dentistry and oral health. PMI has presented at:
- International Association for Dental, Oral, and Craniofacial Research (IADR) conference, in the US in 2017,63 in Canada in 2019,64 and online in 2021.65 (BAT also attended in 2017, 2018 and 2019.)51
- 15th Symposium of Oral Surgeons and Implantology in Serbia,66 and the International Sofia Dental Meeting (SDM) in Bulgaria, in 2018.67
- Cenacolo Odontostomatologico Italiano, Italy, 2019.68 See also BAT’s sponsorship of the national congress of the College of University Teachers of Dentistry, detailed above.
- Annual meeting of the Japan Society of Esthetics and Dentistry, 2021.69
At the World Dental Federation (Federation Dentale Internationale, FDI) World Dental Congress, held virtually in 2021, where PMI’s Gizelle Baker was initially listed as a speaker.70 The FDI adopted a new Policy Statement at the World Dental Congress in 2021, which asserted that oral health practitioners should not recommend the use of e-cigarettes or HTPs.1871
PMI has more recently attended conferences on bad breath.7273
In 2022 and 2023 Altria attended the American Association for Dental, Oral, and Craniofacial Research Annual Meeting and Exhibition, giving presentations focussing on the impact of nicotine pouches on oral health.747576 It also presented at the American Association for Cancer Research in 2022. 7477
The industry also funds (directly or indirectly) annual events which are attended by researchers, health professionals and company representatives. These include the Global Tobacco and Nicotine Forum (GTNF) which is funded directly by the tobacco industry.78
Sponsoring medical training courses
In 2024, PMI sponsored a planned series of online Continuous Medical Education (CME) courses for physicians run by Medscape, a US medical education company.79808182 Medscape’s website stated that this training was “supported by an independent educational grant from Philip Morris International”.8384858687 Brad Rodu, a Professor of medicine, was named as author on two training modules,8384 but did not disclose his history of tobacco industry funding.88
The training related to smoking cessation, but focussed on the ‘smoke-free’ approach favoured by PMI, and product switching rather than quitting outright, and an internal Medscape document referred to the “PMI curriculum”.808889 A reported 16,000 doctors and health care providers attended the training between February and April 2024.80
After widespread criticism from doctors and the public health community, 79688 Medscape ended the sponsorship arrangement, and removed the PMI content.8890 It also adopted a new policy to not work with or accept funding from the tobacco industry or its affiliates.7990
PMI had previously:
- sponsored courses run in South Africa by Emerging Market Healthcare in 2022;8891
- sponsored webinars run by the Alliance of South African Independent Practitioners Associations (Asaipa), in November 2023,88 and April 2024;9293
- and contracted Middle East Medical to deliver online training to “healthcare/research professionals in the Gulf Council Countries” in 2022 and 2023.88949596
PMI states that it supports certified medical education because it believes that “a science-based education on the topic of tobacco harm reduction (THR) is vital to improve public health.”97
- See also the BMJ Editorial,10 and TCRG announcement98
Funding for these activities can also be indirect. In 2022 FSFW awarded a grant to the Physicians Research Institute (PRI), a US not-for-profit which stated (as of July 2022) that it was set up to counter biased studies on worker compensation and to “conduct unbiased research into proper therapy”.99 In the 1980s and 1990s PRI’s President collaborated with the tobacco industry opposing smoke-free laws.40 Since 2022, it states that one of its roles is to provide “detailed and other unavailable information with respect to (…) vaping as a harm reduction method with respect to tobacco dependence”.100 The FSFW funding was to “develop a web-based presentation on tobacco harm reduction for distribution to state medical societies and member physicians”.101 Two articles were published on the PRI website, but it is not clear whether a presentation was delivered.101102103 FSFW awarded PRI another grant in 2024 to “Develop a course curriculum to educate physicians about tobacco harm reduction alternatives, which will be presented to the Accreditation Council for Continuing Medical Education”.104 As of January 2024 tobacco companies (or grantees) were not included in the list of those ineligible for accreditation.40105
In 2024, FSFW/GAES funded a consultancy to develop and evaluate harm reduction training programmes for healthcare providers in Malawi.106
- For more information see Foundation for a Smoke-Free World Grantees.
Grants and scholarships for medical students and staff
Tobacco companies have offered direct grants to medical students:
- BAT offered to sponsor medical students in the UK in the early 2000s.107
- PMI offered grants to students in Israel in 2019.108
Grants have also been awarded to health professionals indirectly via other funded organisations, such as the FSFW funded K-A-C scholarship programme, including:
- a GP in Australia operating a telehealth service providing e-cigarettes.109110
- a dentistry professor in Romania, awarded an ‘enhanced’ scholarship for research on the effects of IQOS on oral health.111112
Working through other organisations
The tobacco industry works with and through various organisations to get its messages out to policy makers, stakeholders and the public, including consultancies, front groups and think tanks. See Third Party Techniques for more background on this tactic. Detailed below are some examples of organisations linked to tobacco companies, or funded by them (directly or indirectly), targeting health professionals.
“Secret” consultancies
Some activities may be run via consultancies, where health professionals are invited to attend events, or promote products, without the involvement of tobacco companies being made clear.
PMI employed a consultancy to build a network of Key Opinion Leaders (KOLs) in Japan, including specialist in psychiatry and pain management, to disseminate its research and messaging around harm reduction and newer products.113114
PMI set up a “Less Harmful Coalition” in Canada in 2022, but did not initially reveal its involvement. It used a PR company to recruit addiction practitioners, including First Nations people, for a conference on “less harmful approaches to substance use and restoring human resilience”.115
Third parties
FSFW / GAES
FSFW’s July 2020 country report on India featured an expert endorsement from three medical doctors and a dentist.116
In addition to directly commissioning research, FSFW/GAES funds several ‘Centres of Excellence’, some of whose activities are aimed at medical professionals:
CoEHAR
The Center of Excellence for the Acceleration of Harm Reduction (CoEHAR) was founded in 2018 by Riccardo Polosa at the University of Catania, Italy.117118 In addition to lobbying LMIC governments to adopt tobacco harm reduction approaches,119120121 and running events for journalists and KOLs,122 Coehar has approached healthcare organisations, for example:
- meeting with the Heartcare Foundation of India and the Director General of the Indian Council of Medical Research, calling for the Indian government to reconsider its ban on e-cigarettes.119
- developing a project on oral health, also funded by FSFW, in a collaboration with a dental hospital in Indonesia.123124 For more information see Tobacco Companies Targeting Health Professionals: Dentistry and PMI.
CHRE
The UK based Centre for Health Research and Education (CHRE) states that it is “A health research and education company run by medical doctors in service of public health”.125 One of the two directors previously worked for BAT, in a role relating to the development of its e-cigarettes.126127 CHRE has also received funding from FSFW to run programmes relating to smoking cessation and mental health. For more information see the CHRE page.
Opaque think tanks
A number of organisations which present themselves as independent think tanks are known to have received money from tobacco companies. Others have opaque funding but are known to have received funding in the past. Many of these organisations publish information relating to tobacco, health and harm reduction which is in part targeted at health professionals. Such organisations include:
- The Institute for Competitiveness (I-com) partnered with BAT, and attempted to influence the EU Beating Cancer Plan.
- R Street Institute, funded by tobacco companies, developed a ‘Safer From Harm Coalition’.
- The US Independent Women’s Forum (see Think Tanks), which has received funding from tobacco companies, published an article about PMI’s 2025 doctors survey on its website, but did not refer to PMI.128
Health Related CSR
Despite the introduction of regulations restricting tobacco company sponsorship direct donations to government-run organisations and health programmes continue under the banner of Corporate Social Responsibility (CSR). Donations may also be indirect via third parties such as local or international NGOs. With often positive coverage in local media, these activities can gain tobacco companies considerable reputational advantage, and access to policy makers.
For example, PMI is a ‘strategic partner’ in Hungary’s Comprehensive Health Screening Program, which includes screening for smoking-related diseases.129130131132133 and dental equipment to the Philippine Army.134
BAT provides mobile clinics in Pakistan,135 and involved itself in a vaccine drive in Bangladesh, despite having lobbied the government to keep its business running during pandemic during the COVID-19 pandemic. BAT lent the UK government equipment from its research and development laboratory for use in COVID testing centres, following a request from government.136For more details and examples of health-related CSR activities see the Tobacco Tactics COVID-19 monitoring database and the Global Tobacco Industry Interference Index (coordinated by the Global Centre for Good Governance in Tobacco Control and published by STOP)
Relevant Links
- World Medical Association: WMA Resolution on the Implementation of the WHO Framework Convention on Tobacco Control
- World Dental Federation/Fédération Dentaire Internationale, Code of Practice on Tobacco Control for Oral Health Organizations
- UK National institute for Health and Care Excellence (NICE): Statement on engagement with tobacco industry organisations
- Global Tobacco Control: A Course for Healthcare Professionals
Tobacco Tactics Resources
- Tobacco Companies Targeting Health Professionals
- Tobacco Companies Targeting Health Professionals: Dentistry and PMI
- Harm Reduction
- Influencing Science
- Framework Convention on Tobacco Control
TCRG Research
“Let us all work together for the larger public health good.” Philip Morris targeting German dental professionals, B.K. Matthes, L. Graen, K. Schaller, Tobacco Control, Published Online First: 22 July 2025, doi: 10.1136/tc-2025-059527
“Keep it a secret”: leaked documents suggest Philip Morris International, and its Japanese affiliate, continue to exploit science for profit, S. Braznell, L. Laurence, I. Fitzpatrick, A.B. Gilmore, Nicotine and Tobacco Research, Published Online First: 27 June 2024, doi:10.1093/ntr/ntae101
Seeking to be seen as legitimate members of the scientific community? An analysis of British American Tobacco and Philip Morris International’s involvement in scientific events, B. K. Matthes, A. Fabbri, S. Dance, L. Laurence, K. Silver, A. B. Gilmore, Tobacco Control, 2023, doi: 10.1136/tc-2022-057809
The Science for Profit Model—How and why corporations influence science and the use of science in policy and practice, T. Legg, J. Hatchard and A.B. Gilmore, Plos One, 2021, 16(6), doi:10.1371/journal.pone.0253272