Fighting Tobacco (Chris Bostic)

8/6/2019 Fighting Tobacco (Chris Bostic)

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THE FRAMEWORK CONVENTION ONTOBACCO CONTROL

& THE UN HLM on NCDs

Chris BosticFRAMEWORK CONVENTION ALLIANCE


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The Problem


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The Tobacco Epidemic is about to

Get Much Worse Second-hand smoke causes ~600,000

deaths/year

Tobacco currently kills more than 5 million/year,increasing to over8 million/year in 2030

If current smoking patterns continue, the death

toll from tobacco use will be:

2000 2025 ~ 150m

2025 2050 ~ 300m

2050 2100 > 500m


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Tobacco and NCDs

Tobacco causes 1 in 6 of all NCD deaths

1 in 4 of all cancer deaths

1 in 3 of all respiratory disease deaths

1 in 3 deaths from NCDs, often slow and

painful, occur before age 60


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By 2015, tobacco will cause

10% of all deaths


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The Solution


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Objective: to protect

present and futuregenerations from the

devastating health, social,

environmental and

economic consequences oftobacco consumption and

exposure to tobacco smoke

FCTC: an evidence-based treaty

to save lives


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Status of the FCTC

195 eligible Parties

173 Parties 87% of worlds population

184 Participants* 95% of worlds population

*Signatories and/or Parties


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Reducing the Supply

Curb illicit trade

Sales to and by minors

Economically viable alternatives to tobaccogrowing


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Other Measures

Issues ofliability

Scientific and technical co-operation

Continual exchange of information Protection from industry interference


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Protocol on Illicit Trade

in Tobacco Products Four Intergovernmental Negotiating Body

sessions had been held before COP 4

Illicit Trade Protocol negotiations extended EUwill fund inter-sessional work and cover half of

costs for next INB to be held in Geneva in March 2012

G

oal is to have text ready for adoption by COP5 After adoption, the Protocol will be open for

signature and ratification by FCTC Parties


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Status of Implementation

Some progress,

but a long way to go


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The Good News

17 countries have instituted smoking bans in

virtually all indoor public and work places

41 countries have graphic warning labels

Australia and others moving forward on plain

packaging

Several countries have comprehensive bans on

tobacco marketing


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Treaty Barriers

Implementation is not adequate

Funding and resources for FCTC

implementation are scarce

Outside of health, governmental agencies are

unaware of the FCTC and tobacco issues

The tobacco industry is getting wealthier and

working harder to influence governments


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What we want out of the UN HLM

(NCD Summit)


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What we want out of the

HLM/NCD SummitAt the national level

Bring relevant government departments together

with a strong political mandate to accelerateimplementation of the FCTC

Establish a national strategy to achieve continual

and substantial consumption reductions from

tobacco tax increases, with annual excise taxincreases


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HLM/NCD SummitAt the national level

Identify resource and technical capacity needs

for effective implementation Integrate tobacco control into all relevant

national plans for health, development and

poverty reduction

Protect public health policy from the vested

interests of the tobacco industry


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HLM/NCD SummitAt the global level

Encourage countries that have not yet done so

to ratify the FCTC Integrate FCTC implementation into the

development assistance programmes and

planning of UN, bilateral and multilateral

development agencies and futuredevelopment goals


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HLM/NCD SummitAt the global level

Set a short-term global target for prevalence

of tobacco use that is both ambitious andachievable

Protect public health policy from the vested

interests of the tobacco industry


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Who pays for NCD fight?

Mechanism already exists tobacco

taxation

Reduces tobacco use and uptake while

funding health and other government

programs


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Vector of Disease

In speaking recently about the difference between

fighting communicable disease and NCDs caused

by tobacco, CDC Director Tom Frieden said:

There are certain things that microbes dont do

microbes do not lobby politicians to allow them to

continue to spread

they dont spend billions of dollars to convince people

that its cool to be infected they dont fund scientists to say its not so bad to get that

infection or re-brand themselves as light bacteria that

might be less harmful


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The Best Buy

There is no other best buy for the money on offer

Dr Margaret Chan 27thApril 2011

Our top priority is tobacco control

Priority action for the non-communicable

disease crisis. The Lancet 6 April 2011


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Lets make tobacco control

a priority at the HLMSpeaking about the HLM in

Davos in January 2011:

"Let me propose a criticalpriority: tobacco, tobacco,

tobacco

... we must fight it.

Fighting Tobacco (Chris Bostic)

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