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RNZ has obtained Ministry of Health documents sent to Costello, in which health officials say the law she is repealing would have generated health gains for MΔori which were five times that of the general population.
Health officials also warned the minister that overturning the smokefree law could inflict serious reputational damage on New Zealand.
The documents say that under the Pae Ora (Healthy Futures) Act the minister and health agencies must be guided by health sector principles, which include improving health outcomes for MΔori.
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Article 2 of the Treaty guarantees "active protection of taonga, including wellbeing," health officials told Costello.
"The right to be smoke free is entrenched in Te Tiriti o Waitangi," the advice to Costello said. "Removing measures that were modelled to reverse inequity and improve health and wellbeing by changing the broader environment to support people to quit, to stay quit, and to never start to smoke is likely to be viewed as a breach of Te Tiriti."
The warning, sent in early December, proved prescient as a group of MΔori health experts and advocates filed an application with the Waitangi Tribunal in late January, asking for an urgent hearing of their complaint about the government's plans to repeal the law.
The government is pushing on with the repeal anyway, introducing legislation under urgency on Tuesday. It will not be subject to select committee scrutiny, which normally includes hearing submissions from those affected by the law.
Overturning the law scraps moves to reduce tobacco retailers from 6000 to 600, remove 95 percent of the nicotine from cigarettes and create a smokefree generation by banning sales to those born after 2009.
RNZ reported yesterday that health officials urged Costello to retain key aspects of the law, which they described as an "endgame" for the tobacco industry in New Zealand.
Outsized impact of smokefree laws on MΔori
In the briefings obtained by RNZ, health officials lay out how MΔori will be affected by repealing the law, given the MΔori population is younger and has much higher smoking rates than non-MΔori.
Health officials told Costello that reducing the level of nicotine in cigarettes from about 15 mg/g to 0.8mg/g from April 2025 would almost wipe out smoking for the biggest group of smokers: MΔori women.
It says that if implemented in 2023 reducing nicotine alone would have reduced daily smoking rates for MΔori women from 37 percent to 10 percent by 2025 and down to just 1.3 percent by 2030.
The papers show that smoking is the "leading cause of avoidable morbidity and mortality" in New Zealand with 12-13 deaths every day caused by smoking or exposure to second-hand smoke.
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Reputational risk to NZ
The documents also warn that New Zealand faces reputational damage from repealing the smokefree law.
Health officials told the minister that the strategy followed in the smokefree law was ranked highest among 25 other international models, in a peer reviewed study published in the journal Tobacco Control.
"There is significant reputational risk with repealing the smokefree amendments and there is very strong support for the legislation within the health sector," Costello was told. "Many countries have looked to New Zealand as a leading example in tobacco control."
Officials said the UK would soon introduce a smokefree generation bill that reflects the New Zealand model and America's Food and Drug Administration (FDA) was looking at low-nicotine requirements.
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