From Dorfman et al:

"Tobacco companies launched CSR campaigns to rehabilitate themselves with the public when their image had been tarnished [20]. Because the most comprehensive initiatives were introduced well after intense public outcry, however, their CSR efforts struggled to achieve their aims [42]. As soda denormalization is nascent, soda companies may enjoy benefits from CSR that Big Tobacco labored to accomplish. In addition to effectively preempting regulation and maintaining its favorable position with the public, the soda industry's CSR tactics may also entice today's young people to become brand-loyal lifetime consumers, an outcome that current social norms dictate Big Tobacco cannot explicitly seek.

Without sustained denormalization of soda, it will be harder for public health advocates to see why partnering with industry may further the companies' goals more than their own. While tobacco denormalization was facilitated by litigation, which used the discovery process to procure internal documents revealing the industry's duplicitous intent, it is possible to respond to the soda industry without a “smoking gun.”

For example, one instance of tobacco industry denormalization that did not rely on internal documents was the revelation that PM spent more on publicizing its charitable efforts than it spent on the charities itself, which exposed the cynical nature of Big Tobacco's CSR [114]. The Refresh Project's $20 million price tag, and the statements from company representatives, give public health advocates a similar opportunity to argue that this is marketing, not philanthropy [115].

Such criticism appeared in a Lancet editorial, which stated that the U.K.'s Change4Life should have avoided “ill-judged partnerships with companies that fuel obesity” [116]. Research on the health harms of sugary beverages can help advocates name these products as one of the “biggest culprits” [117] behind the obesity crisis.

Emerging science on the addictiveness [118] and toxicity [119] of sugar, especially when combined with the known addictive properties of caffeine found in many sugary beverages, should further heighten awareness of the product's public health threat similar to the understanding about the addictiveness of tobacco products.

Public health advocates must continue to monitor the CSR activities of soda companies, and remind the public and policymakers that, similar to Big Tobacco, soda industry CSR aims to position the companies, and their products, as socially acceptable rather than contributing to a social ill."