As noted previously, cigarette additives have a range of purposes: to facilitate manufacture, increase shelf life, control burn rates, nicotine delivery, flavour and harshness/irritation.18, 4 The main classes of additives and some examples of each are as follows:
It should also be noted that many additives are used for combinations of the aforementioned purposes. For instance, humectants, such as glycols, function both to make tobacco more pliable, to increase the shelf life of cigarettes and to make the smoke taste smoother.19 Ammonia compounds make reconstituted tobacco sheet more pliable, improve flavour by reacting with compounds in tobacco to produce a number of pleasant tasting sugars and increase the level of unprotonated nicotine in the smoke.18
Since 2000 there has been a voluntary agreement on the disclosure of the ingredients of Australian cigarettes.3 However, the information disclosed under the voluntary agreement is of dubious utility. There are composite disclosures of hundreds of ingredients that the industry says it may potentially use. There are also brand-by-brand disclosures that list the major ingredients in descending order by weight. Thus, it is not possible to know all of the ingredients that are used in each brand in practice or the levels at which they are added.
The tobacco industry claims that all of the potential ingredients in Australian cigarettes are 'generally regarded as safe' (or 'GRAS') for use as food and beverage ingredients by toxicologists. However, labelling cigarette ingredients as 'GRAS' glosses over the fact that these ingredients are vaporised or combusted and inhaled into the lungs, rather than ingested, as with food and beverages. It also glosses over the fact that these ingredients are generally used to facilitate the delivery of toxic and addictive smoke products by making cigarettes more attractive.
During the period when 'low tar' cigarettes were believed to reduce intakes of harmful smoke constituents, there was some hope within tobacco control circles that flavour additives would help make 'low tar' cigarettes more acceptable and thus reduce smokers' harmful intakes.18 Now that this hope has proved illusory, any additives that are used to make cigarettes more acceptable or attractive arguably only impact negatively on public health insofar as they deter quitting and facilitate initiation.