THE FRAMEWORK CONVENTION ON TOBACCO CONTROL & THE UN HLM on NCDs Chris Bostic FRAMEWORK CONVENTION ALLIANCE

1. THE FRAMEWORK CONVENTION ON TOBACCO CONTROL & THE UN HLM on NCDs Chris Bostic FRAMEWORK CONVENTION ALLIANCE

2. The Problem

3. 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 over 8 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

4. 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

5. By 2015, tobacco will cause10% of all deaths

6. The Solution

7. FCTC: an evidence-based treatyto save lives Objective: to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke

8. Status of the FCTC 195 eligible Parties 173 Parties – 87% of world’s population 184 Participants* – 95% of world’s population *Signatories and/or Parties

9. Reducing the Demand • Basic price and tax measures • Protection from exposure to tobacco smoke • Health warning and labelling of products • Elimination of advertising, promotion and sponsorship • Education, communication and public awareness • Regulation of the contents and product disclosures • Tobacco dependence and cessation

10. Reducing the Supply • Curb illicit trade • Sales to and by minors • Economically viable alternatives to tobacco growing

11. Other Measures • Issues of liability • Scientific and technical co-operation • Continual exchange of information • Protection from industry interference

12. Protocol on Illicit Tradein Tobacco Products • Four Intergovernmental Negotiating Body sessions had been held before COP 4 • Illicit Trade Protocol negotiations extended • EU will fund inter-sessional work and cover half of costs for next INB to be held in Geneva in March 2012 • Goal is to have text ready for adoption by COP5 • After adoption, the Protocol will be open for signature and ratification by FCTC Parties

13. Status of Implementation Some progress, but a long way to go …

14. 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

15. 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

16. What we want out of the UN HLM (NCD Summit)

17. What we want out of the HLM/NCD Summit At the national level • Bring relevant government departments together with a strong political mandate to accelerate implementation of the FCTC • Establish a national strategy to achieve continual and substantial consumption reductions from tobacco tax increases, with annual excise tax increases

18. What we want out of the HLM/NCD Summit At 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

19. What we want out of the HLM/NCD Summit At 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 future development goals

20. What we want out of the HLM/NCD Summit At the global level • Set a short-term global target for prevalence of tobacco use that is both ambitious and achievable • Protect public health policy from the vested interests of the tobacco industry

21. Who pays for NCD fight? • Mechanism already exists – tobacco taxation • Reduces tobacco use and uptake while funding health and other government programs

22. 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 don’t do … … microbes do not lobby politicians to allow them to continue to spread … they don’t spend billions of dollars to convince people that it’s cool to be infected … they don’t fund scientists to say it’s not so bad to get that infection or re-brand themselves as ‘light’ bacteria that might be less harmful…”

23. The Best Buy “There is no other best buy for the money on offer” Dr Margaret Chan 27th April 2011 “Our top priority is tobacco control” Priority action for the non-communicable disease crisis. The Lancet6 April 2011

24. Let’s make tobacco controla priority at the HLM Speaking about the HLM in Davos in January 2011: "Let me propose a critical priority: tobacco, tobacco, tobacco ... we must fight it.”