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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What we want out of the
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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What we want out of the
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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What we want out of the
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.
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