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Tobacco Control: Progress and Challenges
Dr. Ehsan Latif
The Unions role in delivering health solutions in tobacco control
Since 2006, The Union has been providing support for a rising number of low- and middle-income countries under the Bloomberg Initiative to Reduce Tobacco Use.
The main components of our work consist of: A Grants programme that awards funding for projects that aim to deliver
high-impact interventions and lead to sustainable improvements in TC laws, regulations, policies at the national or sub-national level
Capacity building and technical support
Developing cessation models and integrating cessation with existing facilities like Tuberculosis and Asthma clinics
Progress: WHO Framework Convention on Tobacco Control
The Tobacco Atlas, 5th Edition 2015
Progress: Protecting from Smoke
WHO Report on the Global Tobacco Epidemic,World Health Organization 2013
Progress: Protecting from Second Hand Smoke
WHO Report on the Global Tobacco Epidemic,World Health Organization 2013
Comprehensive smokefree legislation is the most widely adopted measure, with 1.1 billion people covered.
Progress: Protecting from Smoke
The Tobacco Atlas, 5th Edition 2015
Progress: Graphic Health Warnings
The Tobacco Atlas, 5th Edition 2015
Progress: Advertising, Promotion and Sponsorship Bans
The Tobacco Atlas, 5th Edition 2015
Progress: Advertising, Promotion and Sponsorship Bans
The Tobacco Atlas, 5th Edition 2015
Progress: Increasing Taxes
The Tobacco Atlas, 5th Edition 2015
Weve come so far
What is stopping further progress?
Challenges
Despite successes, many challenges remain including:
Keeping tobacco control on the political agenda
Lack of established tobacco control infrastructures in low-and middle-income countries
Availability of resources to tackle the tobacco epidemic
Introduction of new products that use tobacco or nicotine
Linking tobacco control with development agendas of the country - UNDAFs
Evidence from tobacco industry documents reveals that tobacco companies have operated for many years with the deliberate purpose of subverting the efforts of the WHO to control tobacco use. The attempted subversion has been elaborate, well financed, sophisticated, and usually invisible. - WHO Report of the Committee of Experts on Tobacco Industry Documents
They participate in corporate social responsibility and influence politicians to promote their brand and drive profits. The industry has 161 lobbyists working in the European parliament.
In the USA, over USD26 million was spent on tobacco lobbying in 2012, with 23 tobacco companies employing 174 lobbyists.
Tobacco companies spend tens of billions of dollars (USD) each year on tobacco advertising, promotion and sponsorship.
Challenges: The Tobacco Industry
The Tobacco Atlas, 5th Edition 2015
Were trying to bring back the chic attitude, THE SEXINESS IN SMOKING. Oliver Girard, CEO of Smarty Q E-Cigarettes, 2013
Products may be subject to heavy marketing, including promotion to young people and use of flavourings. Potential gateway to conventional cigarettes.
Could undermine the implementation of the FCTC: Article 12, de-normalising tobacco use Article 8 (protection from exposure to smoke)
Challenges: E-cigarettes
Position Statement on Electronic Cigarettes [ECs] or Electronic Nicotine Delivery Systems [ENDS], The International Union Against Tuberculosis and Lung Disease, 2013