Tag: World Health Organization

  • Tension in Panama

    Tension in Panama

    Photo: Claudio Teixteira

    The exclusion of Brazilian representatives from the recent WHO event sparks a debate on transparency.

    By Claudio Teixeira

    At the recent Conference of the Parties (COP10) to the World Health Organization Framework Convention on Tobacco Control (FCTC), held in Panama Feb. 5–10, the exclusion of Brazilian representatives from the state of Rio Grande do Sul, the epicenter of the tobacco industry, generated a wave of criticism for secrecy, exclusion and a lack of democratic transparency. The incident, marked by the refusal to accredit deputies, a state secretary and the press, reveals deep tensions in the global debate on tobacco control, casting doubt on the inclusiveness and openness of the international decision-making process. The controversy at COP10 underscores the challenge of redefining the fight against smoking concerning people, economies and local traditions.

    On the first day of COP10, an incident involving a group of parliamentarians from Rio Grande do Sul, a state in the extreme south of Brazil, highlighted the exclusionary, opaque and nontransparent nature of this important international event in addition to tensions between global health policy and the multiple interests at stake.

    The event aims to advance tobacco control policies, a topic of global importance given the impact of smoking on public health. Delegations from the state parties can participate. However, according to its regulations, the COP can invite other interested parties, such as intergovernmental and nongovernmental organizations, to participate as observers in its meetings. The exclusion of official representatives and the Brazilian press from the meeting generated controversy and heated discussions about democracy, transparency, the need for dialogue and the future of an entire production chain.

    Rio Grande do Sul, a region with a long tradition in tobacco production, found itself at the epicenter of this debate. In this southern state of Brazil, tobacco is not just an agricultural crop; for many rural families, it represents the backbone of their livelihoods, with the sector generating $2.4 billion in exports in 2023. Tobacco is strategically positioned in the regional economy, surpassed only by soy in export volume.

    The exclusion of political representatives and the Brazilian press from COP10 triggered a wave of outrage, highlighting a clash between those who can decide how global public health efforts will proceed and local communities’ social and economic realities.

    ‘Regrettable, Authoritarian and Intransigent’

    State and federal deputies along with the secretary of rural development of the government of Rio Grande do Sul, Ronaldo Santini, expressed their frustration, describing the WHO’s action as “regrettable, authoritarian and intransigent.” The refusal to allow their participation in the event was seen not only as an anti-democratic act but also as a sign of contempt toward communities that economically depend on tobacco cultivation.

    Federal legislator Marcelo Moraes was emphatic in his statement, underscoring the need to expand the debate to include additional dimensions, such as the economy and social aspects. He cited the situation in his region, where the livelihood of more than 70,000 households is sustained by tobacco production and more than 40,000 jobs are generated in its industry.

    Moraes expressed his skepticism about the seriousness and democracy of the convention, criticizing its tendency to marginalize sectors directly involved in the discussion. “This debate needs to be broader,” he said. “I don’t believe this convention is serious, I don’t believe this convention is democratic … it simply excludes those who have a direct interest in this discussion happening here.”

    The congressman also expressed his concern about the ongoing ban on electronic cigarettes in Brazil, noting the considerable number of users who turn to the illegal market to obtain these devices. He highlighted how this situation results in a loss of revenue for the country, which could even benefit from the export of these products. Moraes argued that the ban does not reduce the number of users and advocated for regulation that allows adjusting aspects of the product, which in turn could mitigate health risks and make it less attractive to minors and nonsmokers.

    Regarding the refusal to grant accreditations to participate in the event, the deputy pointed to the organization of the event as responsible, highlighting the role of Vera Costa e Silva, the former general secretary of the event and current leader of the National Commission for the Implementation of the Framework Convention on Tobacco Control in Brazil. The deputy suggested, with a sense of certainty, that her influence within the organizing group could be the reason for the exclusion, given her refusal to allow opposing voices in the discussion.

    Voices Unheard: The Exclusion of Rural and Worker Rights in Global Tobacco Control Dialogues

    Heitor Schuch, a federal deputy respected for his dedication to the rights and interests of workers and rural communities, seems to have a deep commitment to these sectors due to his frequent participation in various legislative commissions, addressing crucial issues such as family agriculture, rural development and environmental conservation.

    Under the scorching sun, outside the premises of the Panama Convention Center, the current leader of the Industry, Commerce and Services Commission in the Chamber of Deputies, Schuch did not hide his discontent and discomfort due to the refusal to allow him access to COP10 as an observer. The Gaucho legislator has clearly expressed his perception of a lack of welcome toward them, reflecting the climate of tension and exclusion that surrounded the event.

    Schuch highlighted that the World Health Organization, through the Secretariat of the FCTC, seems to focus unilaterally, ignoring the critical need for dialogue and transparency in international conversations on tobacco control, where all voices, especially those directly affected, should be heard and considered. He stressed that the WHO is omitting the voices of rural producers, industrial workers and residents of the municipalities where the tobacco-producing companies are located. For Schuch, the exclusion of these important sectors from the conversation is not surprising as it once again evidences a disinterest in including multiple perspectives in the debate.

    On the same day, the deputies’ nighttime visit to the Embassy revealed a complex stance by the Brazilian ambassador, Carlos Henrique Moojen de Abreu e Silva, regarding the exclusion of the delegation.

    Initially, Abreu e Silva offered his support to the delegation, but later, at the COP10 plenary, he emphasized the importance of adopting policies aimed at reducing tobacco production, including tax reforms and the continuation of the vaping ban in Brazil.

    These statements added a new dimension to the already tense debate on tobacco control policies, demonstrating the complexity of reaching a consensus on an issue that requires inclusive and thoughtful dialogue, taking into account both nicotine consumers and those involved in the tobacco production chain.

    Silencing the Press: The Unprecedented Exclusion of Journalists from COP10 and the Quest for Transparency

    Deputy Heitor Schuch shared that, although he had faced similar situations in the past, the recent exclusion of eight Brazilian journalists took him by surprise. He underscored a critical difference this time, highlighting that, unlike previous occasions, in Panama, there was an explicit prohibition against the presence of media.

    This fact highlights a new layer of opacity and control over information emanating from crucial events like COP10, where transparency and access to information should be fundamental pillars. The decision to block press access affects not only freedom of expression but also questions the openness and accountability of international discussions on public health policies.

    Schuch expressed his discontent with this measure, describing it as “regrettable,” especially because Brazil actively engages in promoting press freedom, ensuring its access to all kinds of events and activities. The participation ban in this context, according to the deputy, represents a clear concern that deserves serious and urgent dialogue with Brazil’s Ministry of Foreign Affairs.

    This call to action underscores the need to uphold the principles of transparency and freedom of information, fundamental in any society that prides itself on being democratic, especially in international forums where policies with significant global impact are debated.

    Among the media outlets whose accreditation remained “pending” are names like Ola Jornal, Folha do Mate, Radio Acustica FM, GZH, RBS TV and C3PRESS/The Vaping Today. This uncertainty regarding press participation reflects a broader conflict surrounding access to information and freedom of expression, essential in any debate of public relevance.

    The withholding of accreditations for these media further highlights the opacity with which the event was handled, raising questions about the willingness to facilitate an open dialogue and broad media coverage on public health issues and global tobacco control policies.

    One of the journalists excluded is Leticia Wacholz, the respected editor of Folha do Mate, a newspaper deeply rooted in the life of Venancio Aires city for its dedicated coverage of local interest issues. Her exclusion sets a disconcerting precedent, especially considering her previous participation in COP7 in India and COP8 in Switzerland, where she was accredited without any issues.

    This time, at COP10, the lack of a clear justification from the organizers leaves a void of uncertainty about the basis of this decision. “We meticulously fulfilled all the requirements, submitting the necessary documentation within the established deadlines, and yet, we have been denied entry,” explains Wacholz, visibly frustrated by this unexpected barrier that prevents them from carrying out their journalistic work from Panama, where they moved intending to inform their community about critical developments.

    The journalist underscored the importance of representing a region known for its tobacco industry, insisting on her commitment to offer balanced coverage that includes both public health implications and the interests of her community. “We know, of course, that we are journalists from a tobacco-producing region, but we also want to listen to the health side; it is very important to listen to the health side as well,” added Wacholz. She is aware that the decisions made in Panama will significantly impact her community.

    Her determination to gain access reflects a widespread concern for transparency and the right to information, cornerstones in public debate and the democratic exercise. Wacholz noted that she still hoped for a definitive resolution regarding her exclusion. She commented that the delegation of deputies was in the process of establishing communications that could pave the way for dialogue, possibly with the National Implementation Commission of the Framework Convention, representing the country’s delegation at the conference.

    The possibility of a meeting that opens doors to an understanding could not be confirmed, leaving in suspense the opportunity for excluded representatives and media to participate as observers and cover the global dialogue on tobacco control.

    This uncertainty underscores the critical importance of a firm commitment to inclusivity and transparency for the press in international forums, where policies affecting communities and economies worldwide are discussed. The lack of access for the Brazilian press at COP10 highlights the critical need for a review of the “approval” procedures by the FCTC Secretariat.

    Exclusion and Silence: The Controversial Interpretation of Conflicts of Interest at COP10 and Its Impact on Tobacco Control Dialogue

    A journalist who preferred to remain anonymous commented: “It’s not just individuals considered persona non grata, but all opposing voices are labeled under Article 5.3 of the FCTC, which excludes the participation of organizations or representatives with any connection to the tobacco industry. A journalist coming from a tobacco agricultural and industrial region like Rio Grande do Sul, who wishes to work and inform their community about what is being debated here, seems automatically placed in that conflict of interest, even if they have nothing to do with the tobacco industry.”

    This statement highlights the complexities and sensitivities around debates within the framework of the COP, illustrating how the interpretation of conflicts of interest can not only limit the diversity of perspectives but restrict the essential media coverage for a complete understanding of the topics under discussion.

    In Rio Grande do Sul, where these journalists and official parliament representatives originate, tobacco cultivation is at the pinnacle of family farming enterprises. The region boasts 65,000 producers dedicated to this crop, who in the 2022/2023 season achieved an impressive production of 300 tons, translating into revenues of BRL4.6 billion ($928.61 million). Additionally, the tobacco industry provides direct employment to approximately 25,000 individuals, underscoring its predominant influence on the local economy.

    The incident at COP10 highlights a global dilemma in the redefinition of Tobacco Control: the pressing need to rethink strategies worldwide and incorporate innovations in tobacco control that generate a tangible impact on the reduction of the global rate of diseases attributed to tobacco use. The organizers, under the pretext of avoiding the influence of the tobacco industry, have chosen to silence any critical or divergent voice and requests for debate, thus evading democratic scrutiny.

    The question spontaneously arises: How is it possible to implement effective public health policies in a framework of lack of transparency, closed dialogue and total secrecy?

    The challenge lies in finding a balance that benefits public health without compromising local economies, especially those revolving around controversial crops like tobacco. The exclusion of representatives from Rio Grande do Sul at COP10 uncovers not only a lack of commitment to democratic principles and diplomacy but also underscores the urgency for the WHO to foster open dialogue and develop policy strategies that harmonize global health goals with the economic needs of communities.

    This entails the implementation of integrative strategies that encompass the realities of people. It involves investing in education, ensuring the right to information, promoting safer alternatives to cigarettes and establishing an open and constructive dialogue forum, where all stakeholders, from nicotine consumers to small tobacco farmers and politicians representing thousands of people, are assured that their voices and needs are considered.

    In response to this situation, federal deputies Heitor Schuch, Marcelo Moraes and Rafael Pezenti along with state legislators like Edivilson Brum, Ze Nunes, Marcos Vinicius and Silvana Covatti expressed their protest through a note of repudiation, officially and firmly positioning themselves against the undemocratic stance of the FCTC Secretariat, since the event is financed with public funds. The WHO did not provide a specific justification for why the Brazilian deputies were prevented from attending COP10.

  • Panama Anti-Illicit Trade Meeting Kicks Off

    Panama Anti-Illicit Trade Meeting Kicks Off

    Photo: Europol

    The Meeting of the Parties to the Protocol to Eliminate Illicit Trade in Tobacco Products kicks off today in Panama City.

    The gathering brings together 68 parties that have been working together to halt illegal trade in tobacco products. The meeting, which will run until Feb. 15, is the third such gathering of the Parties to the Protocol and the first since 2021.

    According to the World Health Organization, illicit trade accounts for about 11 percent of total global tobacco trade, and its elimination could increase global tax revenues by an estimated $47.4 billion annually.

    Adriana Blanco Marquizo, head of the Secretariat of the World Health Organization Framework Convention on Tobacco Control said that, despite its claims to the contrary, the tobacco industry profits from the illicit trade. “Implementing the protocol generates substantial funds for parties as it safeguards important tax revenues that can be utilized by governments to finance sustainable development,” she said in a statement.

    The Meeting of the Parties will review the efforts underway to implement a tracking and tracing system.

    A key component of the global tracking and tracing regime is the global information-sharing focal point, and the first phase of that initiative will begin to become available to parties once the meeting concludes. 

    Following an initial pilot phase, the new system will be open to all parties to the protocol, helping them to further secure the tobacco supply chain and assist in investigations. 

    The Meeting of the Parties will also consider ways to improve implementation of the protocol, determine the road ahead and highlight the need for additional evidence-based research. Reporting and information-sharing mechanisms will also be considered, as the sharing of experiences and best practices among parties is key to advancing the fight against illicit trade.

    In addition to the parties that are signatories to the protocol, which is an international treaty, the meeting will host observers, including countries that are not yet parties to the treaty.

  • COP Concludes

    COP Concludes

    Photo: Maksym Yemelyanov

    The 10th session of the Conference of the Parties (COP10) to the World Health Organization Framework Convention on Tobacco Control (FCTC) concluded on Feb. 10 with a commitment to strengthen protections against the impact of tobacco on the environment and health.

    “We have taken a historic decision on Article 18,” said Adriana Blanco Marquizo, head of the FCTC Secretariat, in a statement, describing action to strengthen the article of the FCTC focused on the protection of the environment and the health of all people.

    “The decision urges parties to take account of the environmental impacts from the cultivation, manufacture, consumption and waste disposal of tobacco products and to strengthen the implementation of this article, including through national policies related to tobacco and protection of the environment,” Blanco Marquizo said.

    Representatives from 142 parties gathered in Panama City Feb. 5–10 to tackle a range of issues from progress on implementation of the treaty to the regulation of tobacco advertising, promotion and sponsorship.

    According to the WHO, some 200,000 hectares of land are cleared every year for tobacco cultivation, accounting for up to 20 percent of the annual increase in greenhouse gases.

    The decision also addresses the issue of cigarette filters. According to the WHO, an estimated 4.5 trillion cigarette butts are thrown away annually worldwide, representing 1.69 billion pounds of toxic trash containing plastics.

    “Under specific circumstances—such as sunlight and moisture—cigarette filters break down into smaller plastic pieces, eventually leaching out some of the 7,000 chemicals contained in a single cigarette,” the WHO wrote on its website. “Many of those chemicals are environmentally toxic. The decision on Article 18 is very timely given the ongoing intergovernmental negotiation committees working to develop an international legally binding instrument on plastic pollution, including in the marine environment.”

    COP10 delegates also agreed to strengthen guidelines on cross-border tobacco advertising, promotion and sponsorship and the depiction of tobacco in entertainment media.

    In addition, two expert groups were established—one to work on forward-looking tobacco control measures under Article 2.1 of the FCTC and the other to focus on Article 19, which concerns liability.

    Other decisions adopted by COP10 relate to the promotion of human rights through the WHO FCTC as well as strengthening the FCTC Investment Fund.

    The parties also agreed to extend by five years the mandate of the Global Strategy to Accelerate Tobacco Control 2019–2025: Advancing Sustainable Development Through the Implementation of the WHO FCTC 2019–2025 so that it fully aligns with the 2030 Agenda for Sustainable Development.

    COP10 also adopted the Panama Declaration, which draws attention to the “fundamental and irreconcilable conflict” between the interests of the tobacco industry and the interests of public health. The declaration also makes clear the need for policy coherence within governments to comply with the requirements of Article 5.3 of the WHO FCTC, which aims to protect public health policies from commercial and other vested interests of the tobacco industry.

    Contradicting the observation of tobacco grower and consumer groups that traveled to Panama, the WHO insisted that COP10 was open to the media, which it said had the opportunity to observe all public and open sessions.

    COP10 is followed by the Meeting of the Parties to the Protocol to Eliminate Illicit Trade in Tobacco Products, which will meet in Panama City Feb. 12–15.

  • Past WHO Officials Highlight THR Strategy

    Past WHO Officials Highlight THR Strategy

    Photo: Alexander Ovsyannikov

    Harm reduction should be a central strategy of the Framework Convention on Tobacco Control (FCTC) in addition to the measures for demand and supply reduction, according to Robert Beaglehole and Ruth Bonita.

    Writing in The Lancet, the two former World Health Organization directors argue that while the FCTC has been influential in encouraging a global response to tobacco control, it has been challenging to show a strong and consistent association between the implementation of FCTC measures and smoking prevalence and cigarette consumption outcomes.

    The FCTC does not prohibit harm reduction approaches but leaves it up to member states to decide how to regulate e-cigarettes and other novel nicotine products. The WHO’s lack of endorsement of tobacco harm reduction limits healthier choices for the 1.3 billion people globally who smoke and who are at an increased risk of early death, according to Beaglehole and Bonita.

    The authors note that there is no scientific justification for WHO’s position that e-cigarettes and other novel nicotine products should be treated in the same way as tobacco products. This position, they argue, overlooks a risk-proportionate approach.

    “We believe WHO needs to provide positive leadership and technical support to countries as they consider the use of e-cigarettes and other nicotine delivery devices,” the authors write. “WHO’s current approach to these lower-risk product is to reward countries, such as India, for banning e-cigarettes; thirty-four countries, primarily low-income and middle-income countries, now ban e-cigarettes.”

    Beaglehole and Bonita note that, in some countries, substantial reductions in smoking prevalence have coincided with the uptake of novel nicotine products. In New Zealand, for example, the prevalence of adult daily smoking plummeted from 13.3 percent in 2017–2018 to 6.8 percent in 2022–2023 after e-cigarettes became widely available, a 49 percent decline in five years.

    In the same period, and with the support of the government and regulation of vaping, the prevalence of adult daily vaping increased from 2.6 percent to 9.7 percent. New Zealand’s recent decline in smoking occurred in the absence of any other major tobacco control policy, apart from the annual cost-of-living price increases, according to the authors. “The decrease in smoking during this period in New Zealand shows what can be achieved, and exceeds the WHO smoking prevalence reduction goals of 30 percent over 15 years from 2010 to 2025,” they write.

    The New Zealand 2022 smoke-free legislation includes a “tobacco-free generation”, a 90 percent reduction in smoked tobacco retail outlets, and compulsory denicotinization of retail tobacco. The New Zealand government, elected in November 2023, is committed to reaching the Smokefree 2025 goal of 5 percent (or less) smoking prevalence for the adult population, but intends to repeal the 2022 smoke-free legislation.

    However, because of the implementation timelines, fears that this repeal would jeopardize the Smokefree 2025 goal can be allayed, according to Beaglehole and Bonita. This is because none of the three headline measures would be expected to have an impact before 2025 and might have had negative unintended consequences. “Based on recent progress, New Zealand’s Smokefree 2025 goal looks likely to be reached by consent rather than coercion and by further support for switching to smoke-free nicotine products,” the authors note.

    Beaglehole and Bonita also highlight the success of other high-income countries in reducing smoking prevalence in association with the use of a range of lower-risk nicotine delivery devices to complement FCTC demand and supply reduction measures.

    Sweden, with a long tradition of snus use, has the lowest prevalence of adult daily smoking in the world, down to 6 percent in 2022, accompanied by low mortality from tobacco-related diseases.

    Norway has had similar success with reducing smoking prevalence in the context of increased use of snus and e-cigarettes, and in England vaping is helping adults to quit smoking. The substantial decline in cigarette consumption in Japan is associated with the rapid uptake of products that heat, rather than burn, tobacco.

    Less progress has been made in low-income and middle-income countries where tobacco control capacity and political will to advance tobacco control measures are weaker, and the potential of tobacco harm reduction is not being realized, according to the authors.

    Beaglehole and Bonita say two concerns suggest why tobacco harm reduction is not more actively embraced, despite its association with reduced smoking prevalence. The first is that, compared with cigarettes, where the damage has been known for more than half a century, the long-term effects of e-cigarettes are unknown.

    Although vaping may not be risk-free, especially for people who do not smoke, the risks of there being substantial long-term harm from the constituents of e-cigarettes are likely to be low, especially when compared with the damage caused by smoked tobacco, the authors point out.

    The second concern is that the widespread availability of e-cigarettes in the absence of adequate controls and regulations encourages youth nicotine dependence and enables the vaping industry to act unethically. Beaglehole and Bonita say there is little evidence to suggest that vaping leads to smoking among youth, and although the proportion of non-smoking youth who vape is increasing, it remains at a fairly low level.

    Stricter regulations, including enforcing sales restrictions, and appropriate health promoting campaigns are needed to prevent vaping by young people, according to the authors, but these measures must be balanced with the health needs of older adults who smoke and require support to quit.

    Beaglehole and Bonita acknowledge that there is understandable skepticism about the motives of the tobacco industry in selling smoke-free products while continuing to expand tobacco markets in low-income and middle-income countries. To remain profitable, they say, the tobacco industry will eventually need to migrate its global business to less harmful alternatives since cigarettes will no longer monopolize the delivery of nicotine.

    The authors express concern about the recommendations, found in COP10 background papers, to treat nicotine products as equivalent to cigarettes and regulating them in a similar way. This approach, they argue, is a retrograde step because they are not comparable products in terms of the damage they cause; after all, it is the burning of tobacco that causes harm, not nicotine. Worse, such a strategy would ultimately favor the global cigarette market and may discourage vaping, according to Beaglehole and Bonita.

    The focus, they insist, must remain on the central public health problem—the damaging health effects of tobacco consumption. “Reducing cigarette smoking is the most effective way to prevent tobacco-related deaths and tobacco harm reduction is the fastest and fairest way to lower smoking prevalence,” the authors write.

    “WHO needs to embrace these innovations in nicotine delivery. Countries that are reaping the benefit of tobacco harm reduction, such as New Zealand, Sweden, Norway, England and Japan, should encourage participating countries at COP10 to support proposals that will quickly reduce smoking rates. The world’s 1.3 billion people who smoke, half of whom will die early, deserve this leadership.”

     

  • Taxpayers Group Holds ‘Counter COP’

    Taxpayers Group Holds ‘Counter COP’

    Photo: TPA

    Concurrent with the 10the Conference of the Parties (COP10) to the World Health Organization Framework Convention on Tobacco Control (FCTC), which takes place in Panama City this week, the Taxpayers Protection Alliance (TPA) is hosting an event at the Central Hotel Panama under the name “Good Cop/Bad Cop.” The event will be livestreamed on TPA’s YouTube channel.

    Good COP will feature nearly two dozen tobacco harm reduction experts, representing 14 different countries and highlighting some of the leading experts on consumer issues, national and global policies, and the science surrounding harm reduction.

    Throughout the event, TPA and the Good COP participants will be monitoring the WHO’s meeting and providing running commentary via livestreams, media interviews, blogs, and social media.

    “The taxpayer-funded WHO ignores science and puts billions of smokers at risk of not having access to life-saving technology to quit smoking,” said TPA’s President, David William in a statement.

    “The participants of Good COP will hold the WHO accountable for denying life-saving access to tobacco harm reduction products and denying access to the public and media to these meetings. “In real time, harm reduction experts from around the globe will be fact-checking and providing commentary on the WHO’s anti-science agenda at COP10.”

  • COP10 Warns Against New Products

    COP10 Warns Against New Products

    Image: SL-Photography

    Delegates from around the world gathered in Panama City on Feb 5. to open the 10th Conference of the Parties (COP10) to the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC).

    Adriana Blanco Marquizo, head of the FCTC Secretariat, welcomed attendees and warned of the increasing availability of novel and emerging nicotine and tobacco products.

    These are “becoming a very troubling problem with an alarming increase in the use of these products by young people,” Blanco Marquizo said in her opening address.

    “Part of this increase is due to disingenuous tobacco industry messages portraying these products as a replacement for real tobacco control measures as the industry again tries to claim a seat at the table—as part of the solution to an epidemic that the industry created and continues to sustain.”

    She also asked everyone to be alert to what she described as “the relentless interference of the tobacco industry in every corner of the world.”

    At COP10, delegates will consider a wide range of work to direct the FCTC in its work.

    Discussions at COP10 will include:

    • implementation of FCTC Articles 9 and 10 (regulation of contents and disclosure of tobacco products): reports by the Bureau, by the Expert Group and by the WHO; 
    • tobacco advertising, promotion and sponsorship: depiction of tobacco in entertainment media: report by the Working Group;
    • novel and emerging tobacco products;
    • forward-looking tobacco control measures (in relation to FCTC Article 2.1);
    • implementation of FCTC Article 19, which relates to liability;
    • improving the reporting system of the FCTC; 
    • Implementation Review Mechanism; 
    • contribution of the FCTC to the promotion and fulfillment of human rights; and
    • the FCTC Investment Fund.

    COP10 runs from today until Saturday, Feb. 10.

    It is followed by the third Meeting of the Parties to the Protocol to Eliminate Illicit Trade in Tobacco Products, Feb. 12–15, 2024. 

  • Diversification in Africa: FCTC No Help

    Diversification in Africa: FCTC No Help

    Photo: Taco Tuinstra

    While participants in the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) are keen for tobacco growers to abandon the golden leaf, farmers around the world say they receive little support in switching to alternative livelihoods.

    Interviewed by the International Tobacco Growers’ Association, Ryan Swales, president of the Zimbabwe Tobacco Association (ZTA), said he has not witnessed any attempts from the global health body to assist with diversification.

    “I do not see any help from the WHO FCTC helping the diversification of tobacco farmers in Zimbabwe,” he was quoted as saying. “We are on our own, and a big proportion of large-scale growers have diversified on their own, with no help from anyone else, be it the tobacco companies or the WHO FCTC. If you ask many growers if they know who the WHO FCTC are, you will be met with a blank stare!”

    This sentiment was echoed by ZTA CEO Rodney Ambrose, who noted that for Zimbabwe’s tens of thousands of small-scale farmers, there simply are no viable diversification options. “Our ministry engaged in a study on behalf of WHO FCTC some years back, which clearly concluded that there are no economically viable crops other than tobacco for our small-scale farmers. Tobacco is their livelihood.

    “However, we are always willing to further explore diversification options that the WHO FCTC may propose.”

    In Malawi, tobacco growers have received support from the Foundation for a Smoke-Free World as the country seeks to broaden its economic base.

  • COP10: Activists Demand Evidence-Based Approach

    COP10: Activists Demand Evidence-Based Approach

    Nancy Loucas (Photo: CAPHRA)

    The Coalition of Asia Pacific Tobacco Harm Reduction Advocates (CAPHRA) has called on the World Health Organization and the Framework Convention on Tobacco Control (FCTC) to adopt a more transparent, open and evidence-based approach to tobacco harm reduction.

    “This demand comes in light of the upcoming Conference of the Parties (COP10) in Panama, where governments will discuss global strategies to address the tobacco epidemic”, said Nancy Loucas, executive coordinator of CAPHRA. 

    CAPHRA’s critique aligns with the insights of Clive Bates, a renowned tobacco control expert, who has highlighted the WHO’s counterproductive stance on safer nicotine alternatives such as vaping and heated tobacco products. Bates argues that the WHO’s approach, which often leans towards prohibition, inadvertently protects the cigarette trade, fosters black markets, and prolongs the epidemic of smoking-related diseases. 

    “CAPHRA emphasizes the need for the WHO and FCTC to engage with all stakeholders, including consumer groups, and to consider the full spectrum of scientific evidence when formulating policies,” said Loucas. 

    “We believe that the focus should be on reducing the harm caused by smoked tobacco, which is the primary contributor to tobacco-related health issues.”

    CAPHRA also calls for webcasting and public access to the entire COP10 meeting to ensure transparency and accountability.  

    “The positions adopted by delegates and observers should be open for all to see, fostering a more inclusive and evidence-driven dialogue”, said Loucas. 

     In the spirit of the 20th anniversary of the adoption of the FCTC treaty, CAPHRA advocates for a re-evaluation of the treaty’s approach to tobacco harm reduction, urging parties to consider the potential benefits of risk-proportionate regulations that protect public health while ensuring the availability of safer nicotine alternatives. 

  • COP10 Kicks Off

    COP10 Kicks Off

    Tobacco growers demanding to be heard during COP4 (Photo: ITGA)

    The parties to the World Health Organization’s Framework Convention on Tobacco Control will meet this week in Panama for their 10th gathering (COP10). Originally scheduled for November 2023, the event was postponed to Feb 5-10, 2024, due to civil unrest in the host country.

    Experts who have been following the preparations expect debates this week about the “tobacco endgame,” which includes nicotine reduction, retailer quotas and generational tobacco purchasing bans. They also anticipate talks on contents and emissions testing and measurements, filters and ventilation, and pricing and tax increases.

    In the runup to the event, documents have been released for discussions about extending advertising/sponsorship restrictions to corporate campaigns and newer media; supporting anti-tobacco litigation; and discouraging industry diversification into pharmaceuticals and other areas. Also on the agenda: a proposal to redefine aerosol from tobacco-heating products as smoke—a move that critics have described as an attempt to rewrite basic scientific principles.

    In addition, the COP delegates will consider recognizing tobacco control as fundamental to the right to health, clearing the way to attack the industry as a violator of human rights and subject it to additional liability. Participants in the Panama event will likely also debate emerging evidence on new products. They may push for e-cigarettes and tobacco-heating products to be regulated like combustible cigarettes, a development that critics say is not based on science and would discourage the tobacco harm reduction efforts that have been underway in many countries.

    Industry officials, grower representatives and consumer groups have criticized the COP for its exclusionary practices and what they view as a prohibitionist agenda. While FCTC Article 5.3 instructs member states to protect policymaking from undue industry influence, critics say this provision has been used as an excuse to shut down all communications.

    “The [FCTC] treaty, which came into force in 2003 and held its first COP in 2005, originally had the very legitimate aim of controlling tobacco consumption in order to counter its harmful effects on health,” said Jose Javier Aranda, president of the International Tobacco Growers Association, in a statement.  

    “Since then, its objectives have been radically modified. Throughout the treaty’s long history, tobacco growers and their legitimate representatives at global level, the International Tobacco Growers’ Association have observed an increase in the radicalization of the methods applied by the FCTC, in which exclusion and lack of transparency have set the tone.”

    “At COP10, decisions are being made without the input of those most affected—the consumers. This exclusion is unacceptable. Harm reduction saves lives, and it’s imperative that this is recognized and integrated into global tobacco control policies, said Michael Landl, director of the World Vapers’ Alliance, in a statement.

    “By sidelining the voices of those directly impacted, the WHO FCTC is ignoring a fundamental human rights issue,” said Nancy Loucas, executive coordinator of The Coalition of Asia Pacific Tobacco Harm Reduction Advocates. “Individuals seeking to protect their loved ones and themselves from the harms of smoking are being denied access to less harmful alternatives. This is not just a failure in policy but a failure in compassion.”

    COP10 will be followed the third session of the Meeting of the Parties to the Protocol to Eliminate Illicit Trade in Tobacco, Feb 12-15.

  • Philippines Urged To Support Farmers at COP

    Philippines Urged To Support Farmers at COP

    Photo: Phiilip Morris Fortune Tobacco Co.

    Filipino tobacco growers are asking their government to advocate for their livelihoods at the 10th Conference of the Parties (COP10) to the World Health Organization’s Framework Convention on Tobacco Control (FCTC), which is scheduled to take place Feb. 5-10 in Panama.  

    “Our lives are deeply intertwined with tobacco farming,” Leonardo Montemayor, a former agriculture secretary and board chairman of the Federation of Free Farmers, told The Manila Standard. “It is a way of life and our means of survival amid harsh economic headwinds. With the Department of Agriculture roadmap affirming its long-term support for tobacco farming, we hope that the Philippine government will take that commitment to heart when championing our industry in this upcoming COP. 

    The National Tobacco Administration (NTA) recently launched the Sustainable Tobacco Enhancement Program (STEP), an initiative aimed at boosting indigenous tobacco cultivation, particularly in Mindanao.

     Saturnino Distor, president of the Philippine Tobacco Growers Association, said STEP would improve tobacco farmers prospects, especially with the regulation of safer alternatives to cigarettes like vapes and e-cigarettes. “Studies and science show these are better than cigarettes. That’s where the industry is headed, so we have hope that tobacco farming will continue,” he said.  

    “Tobacco farming sustains millions of farmers and their families, as well as workers in the industry,” Distor said. “Switching crops requires significant investment in new infrastructure. If the future of alternative products is uncertain, what about the future of farmers? We appeal for compassionate and humane policies.” 

    The Philippine tobacco sector employs more than 2.1 million people and contributes significantly to government income, with PHP160 billion ($2.86 billion) collected in excise taxes in 2022, according to the NTA.