Session 1: Priorities and policymaking for tobacco control in ASEAN

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Transcript Session 1: Priorities and policymaking for tobacco control in ASEAN

Southeast Asia Tobacco Control Alliance
Priorities and policy making
for tobacco control in ASEAN
Ulysses Dorotheo, MD, FPAO
29 August 2014
Southeast Asia Tobacco Control Alliance
• Vision: Towards a healthy, tobacco-free ASEAN
• Mission: Working together to save lives by
accelerating effective implementation of the FCTC
• Approach to mission: collaborative and strategic
partnerships, capacity building, and evidence-based
policy advocacy
• Partner countries: Cambodia, Indonesia, Lao PDR,
Malaysia, Myanmar, Philippines, Thailand, Vietnam,
(Brunei and Singapore)
Costs: TC makes sense
• Cost of inaction
Lives lost
Healthcare costs
Disability costs and productivity losses
Environmental costs
• Cost of FCTC implementation
• USD 0.14 per person per year in China, USD
0.16 in India, and USD 0.49 in Russia
Tobacco control policy
Win – Win
Win – Lose
Lose – Lose
How priorities are decided
• National health agenda
• Role of civil society
• Role of tobacco industry
“Economically, there may be many alternatives
available, but where health and life are concerned,
do we have any alternative? The answer is clearly
no. There are no alternatives as far as health
and life are concerned, because health and life
are all that we have.
“Therefore, the issue before us is really quite
obvious, whether we want to survive with smoking
from the economic viewpoint, which has many
alternatives, or do we choose one that totally has no
alternative, that is to safeguard health and save
His Majesty Sultan Haji Hassanal Bolkiah
Mu'izzaddin Waddaulah, Brunei Darussalam,
11 July 2002
Policymaking considerations
• Lack of capacity: human, technical, financial
• Government conflict of interest: stateowned TI
• Politicians’ personal COI
• TI interference
• Misinformation, corruption, front groups
• Litigation
• Legal and illicit trade
Evidence is not enough
• Capacity building
• Monitoring and countering TI interference
• Media advocacy
179 Parties as of August 2014
• Art. 2(1) - Introduction
• In order to better protect human health,
Parties are encouraged to implement
measures beyond those required by this
Convention and its protocols, and nothing in
these instruments shall prevent a Party from
imposing stricter requirements that are
consistent with their provisions and are
in accordance with international law.
Tobacco harms
The objective of this Convention and its protocols is to
protect present and future generations from the
devastating health, social, environmental and
economic consequences of tobacco consumption
and exposure to tobacco smoke by providing a
framework for tobacco control measures to be
implemented by the Parties at the national, regional
and international levels in order to reduce continually
and substantially the prevalence of tobacco use and
exposure to tobacco smoke.
(FCTC Article 3)
”What gets measured gets done.”
Dr. Margaret Chan
WHO Director-General
Article 5.3
• Art. 5(3) – General Obligations
• to “protect these [public health] policies
from commercial and other vested interests
of the tobacco industry”
Demand reduction measures
Art. 6 – Price and tax measures
Art. 7 – (Non-price measures)
Art. 8 – Protection from exposure to tobacco smoke
Art. 9 – Regulation of the contents of tobacco products
Art. 10 – Regulation of tobacco product disclosures
Art. 11 – Packaging and labeling of tobacco products
Art. 12 – Education, communication, training and public
Art. 13 – Tobacco advertising, promotion and
sponsorship (TAPS)
Art. 14 – Demand reduction measures concerning tobacco
dependence and cessation
Supply reduction measures
Art. 15 – Illicit trade in tobacco products
Art. 16 – Sales to and by minors
Art. 17 – Provision of support for economically viable alternative
Protection of the environment
Art. 18 – Protection of the environment and the health of
Questions pertaining to liability
Art. 19 – Liability
Scientific and technical cooperation and communication of
Art. 20 – Research, surveillance and exchange of information
Art. 21 – Reporting and exchange of information
Art. 22 – Cooperation in the scientific, technical, and legal fields
and provision of related expertise
Monitor tobacco use & prevention policies
Protect people from tobacco smoke
Offer help to quit tobacco use
Warn about the dangers of tobacco
Enforce bans on tobacco advertising,
promotion, & sponsorship
Raise taxes on tobacco
16 |
• Conference of Parties, 1 to 5
• Guidelines for implementation
5.3: TI interference
6: tax and price (draft)
8: smoke-free
9&10: product regulation and disclosure (partial)
11: packaging and labeling
12: Education and awareness
13: TAPS ban
14: cessation
• Protocol
• Art 15: illicit trade
WHO, 2013 Global Tobacco Control Report
• Passage of the TC Law
• Enforcement and monitoring of subdecrees
• Increasing tobacco tax
• Partial SFE
• Partial TAPS ban
• FCTC accession
• Rejecting the proposed Tobacco Bill (that
will weaken PHW articles to text warnings
• Enforcement of PHWs
• Effective tax increases
• Implementation of earmarked local tax
• Collection of LAK 200/per pack for TC Fund
• International campaign to end the
Investment License Agreement with TI
• Revision of TC Law
• Good governance seminar (Art 5.3)
• Inclusion of trade agenda in COP 6
• Amendment of TC regulations: SFE, POS
• Utilisation of tobacco tax revenues
• Further tax increase in 2017
• Implementation of the GHW law
• Expanding SFE
• Tobacco industry interference
• 85% PHW
• Tax increase for RYO
• Countering fake TI CSR (amend the law to
push for total ban)
• Tobacco tax increase
• TC Fund and TC Law implementation
Thank you
Email: [email protected]