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Advocating Policies for Waterpipe & Cigarettes

Advocating Policies for Waterpipe & Cigarettes. Cynthia Callard October 2013. Since 1962: A steady decline!!. Adult per capita cigarette consumption, the United States, 1900–2006. USA annual adult per capita cigarette consumption . Warner K E , Mendez D Nicotine Tob Res 2010;12:876-887.

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Advocating Policies for Waterpipe & Cigarettes

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  1. Advocating Policies for Waterpipe & Cigarettes Cynthia Callard October 2013

  2. Since 1962: A steady decline!! Adult per capita cigarette consumption, the United States, 1900–2006. USA annual adult per capita cigarette consumption Warner K E , Mendez D Nicotine TobRes 2010;12:876-887

  3. After 50 years, we’re back where started 1987 = 1,537 1960 = 1,129 2010 = 1,141 Global annual adult (15+) per capita cigarette consumption Sources: Averaged values, Maxwell, Euromonitor, USDA: population over 15 years from World Bank.

  4. A shifting epidemic *new communities *new patterns of use

  5. So many similarities • Health Rationale • Political systems • Legal structures • (FCTC and related regulation) • Societies • Public health community • Tobacco users

  6. Same vector?

  7. Same proven tools available • Warnings • Youth Access • Tax/Prices • Advertising bans • Smoke-free spaces • Flavour bans • Mass media • Public education • Clinical practice

  8. Yet so many aren’t used * • Warnings • Youth Access • Tax/Prices • Advertising bans • Smoke-free spaces • Flavour bans • Mass media • Public education • Clinical practice *(Canada)

  9. Different outcomesCigarette use & exposure go down CTUMS

  10. Different outcomesWaterpipe trials increase CTUMS

  11. Victory or Defeat? ? ?

  12. Brazil: RESOLUTION - RDC Nº 14, OF MARCH 15, 2012 • Additive ban covers all tobacco products. • “Art. 2 This Resolution applies to all tobacco products sold in Brazil, whether made in Brazil or imported.” • BUT Currently challenged at Supreme Court. ? http://www.tobaccocontrollaws.org/files/live/Brazil/Brazil%20-%20RDC%20No.%2014_2012.pdf

  13. European Union Tobacco Directiveoriginal • Considering the Directive's focus on young people, tobacco products other than cigarettes, roll-your-own tobacco and smokelesstobacco which are mainly consumed by older consumers, should be granted an exemption from … ? http://www.tobaccocontrollaws.org/files/live/Brazil/Brazil%20-%20RDC%20No.%2014_2012.pdf

  14. European Union Tobacco Directiveas amended by EP. • Considering the Directive's focus on young people, tobacco products other than cigarettes, roll-your-own tobacco and water-pipetobacco which are mainly consumed by older consumers, should be granted an exemption from … ? http://www.europarl.europa.eu/sides/getDoc.do?type=TA&reference=P7-TA-2013-0398&language=EN&ring=A7-2013-0276

  15. LOBBYING

  16. SameUNITY Widespread TC consensus: • Science • Policy • Strategy Broad-based TC community • Pan-partisan • Multi-sectoral • International

  17. SameORGANIZING PRINCIPLES • What do we want? • Who can give it to us? • What do they need to hear? • Who do they need to hear it from? • How can we get them to hear it?

  18. SameMODUS OPERANDI #1: Get on the Agenda #2: Get Favourable Decisions #3: Protect gains/ address vulnerabilities (repeat as necessary)

  19. SameVulnerabilities

  20. same, same Publish or Perish #1

  21. same, same Need Multiple Points of Contact Multisectoral • Finance • Health • Education Multi-jurisdictional • International, National, subnational • Corporate, CSO & home

  22. same, same Need to under-stand the decision maker Canadian MPs: • Live in the moment • Are competitive and tribal • Don’t want to be disliked • Barter policies • Think locally • Are not overly numerate “Which side are you on?”

  23. same, same Need for sustained resources It’s not a part-time job.

  24. same, same Need to take risks There is a reason we are an unbranded movement.

  25. Same Same Barriers The capacity of decision makers to: • Deflect responsibility • Deny the problem • Discredit the evidence • Delay action

  26. Somewhat different Barriers (perception is reality) Tobacco control is understood to mean “cigarette control” Prevents instant adoption of Economic rationale, health rationale, cultural acceptance, priority over other health concerns.

  27. Same same Mutable Problem Money is the root of all smoking! Suppliers are driven to adapt or overcome regulatory and other barriers.

  28. same, same Challenge to find the right “ask” What do we want NOW? What will we want NEXT?

  29. “Tobacco Control is a changing game.” Scott Sherman, October 21, 2013

  30. “We face the challenge of … unimpeded emergence of new products.” Cheryl Healton October 21, 2013

  31. “If we can’t do it, no one can.” Omniyat Al Hajeri October 21, 2013

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