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WHO FCTC: Text, Commitments, and TimelinesWHO FCTC: Text, Commitments, and Timelines
Gemma Vestal, JD, MPH, MBA, BSNTobacco-Free Initiative, World Health Organization
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Learning Objectives
Specifically identify relevant articles that are due for implementation
Commitments of parties in upholding the Framework Convention on Tobacco Control (FCTC)
Timelines of the FCTC
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Terminology
The WHO FCTC is the World Health Organization’s Framework Convention on Tobacco Control It is also known as the “FCTC,” “Treaty,”
“Framework Convention,” or the “Convention”
Parties (currently 147): countries bound to follow the provisions of the Treaty
Member states (currently 193): countries that are members of the World Health Organization Forty-seven member states are not current
contracting parties to the Treaty
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Source: World Health Organization. (2005).
Understanding the WHO FCTC
The obligation on parties to implement the Treaty in good faith
The WHO FCTC sets a floor, not a ceiling “… Parties are encouraged to implement measures
beyond those required by this Convention and its protocols …”
— FCTC Article 2
“Effective” means evidence based “… effective legislative, executive, administrative
or other measures should be contemplated …”
— FCTC Article 4
“In accordance with national law"
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Source: World Health Organization. (2005); Image Source: World Health Organization. (2005).
The Text: An Evidence-Based Tool to Save Lives
Overall objective of the FCTC: “To protect present
and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke … to reduce continually and substantially the prevalence of tobacco use and exposure to tobacco smoke.”
— FCTC Article 3
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General Obligations
Article 5: establishes the basic obligations of parties under the Convention to advance tobacco control efforts through national action and international obligations
Article 5.3: requires parties to undertake measures to protect tobacco control policies from the interests of the tobacco industry, including the adoption of new legislation when necessary
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Uniqueness of the WHO FCTC
Includes provisions related to questions of the liability of contracting parties
Includes provisions related to the potential saboteurs of its implementation, the tobacco companies
Addresses tobacco control from both the supply-side and demand-side perspectives
Reflects measures that have proven effective in reducing tobacco consumption—an evidence-based treaty
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An Evidence-Based Strategy
Reduces demand: Articles 6–14
Reduces supply: Articles 15–17
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Section ASection A
Demand Reduction: Articles 6–14
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Article 6: Price and Tax Measures to Reduce Demand
Tobacco price and tax increases
Specifically, youths are price sensitive, price inelastic Price and tax increases are effective means of
decreasing tobacco consumption among youths
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Article 8: Protection from Exposure to Tobacco Smoke
According to WHO, secondhand smoke (SHS) is a carcinogen for which there is no “safe” level of exposure
No “safe” level is achieved via ventilation and/or separate non-smoking areas as an alternative to smoke-free environments
Good faith implementation of this article requires parties to implement smoke-free policies in public places, workplaces, and public transport in areas under national jurisdiction and to actively promote smoking bans at other jurisdictions
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Article 9: Regulation of Tobacco Products
The Conference of the Parties (COP) The highest governing body of the WHO FCTC Comprised of the parties present and voting
during a session COP1, held in February 2006, was charged under
Article 9 with developing guidelines for testing, measuring, and regulating the contents and emissions of tobacco products
COP1 mandated the Convention Secretariat/Tobacco Free Initiative (TFI) to convene a working group to develop the guidelines
The working group presented a progress report to COP2 in June/July 2007
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Article 9: Regulation of Tobacco Products
The work on these guidelines will most likely continue until COP4, most likely in October 2010
The tobacco industry has the ironic privilege of selling tobacco products, which kill half their consumers
With this non-deserved privilege should come the burden of responsibility The burden of the testing and measuring of the
contents and emissions of tobacco products should lie on the industry
This is a complex area and it is strongly recommended that the ongoing work by the WHO Study Group on Tobacco Product Regulation (TobReg) and other public health practitioners be fed into the process of guidelines development
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Article 10: Regulation of Tobacco Product Disclosures
Requires parties to require manufacturers to disclose information derived from their testing and measuring of tobacco contents and emissions
Verification of the disclosed results via established sampling methods should not be entrusted to the industry It should be done by an independent
laboratory, by a regional reference center, or by a national government lab
The cost of the verification process should be recouped from the manufacturers where possible
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Article 10: Regulation of Tobacco Product Disclosures
To minimize the work involved for any individual country, a standardized system for collecting, reporting, and analyzing the required information should be established
A harmonized reporting format should be established to obtain trend information regarding the monitoring of product performance, including contents, additives, design changes, emissions, etc., which can be comparable across countries and over time
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Images source: Physicians for a Smoke-Free Canada. (2007).
Article 11: Packaging, Labeling of Tobacco Products
Obligates parties to require government-approved rotating health warnings on tobacco packaging that cover at least 30%—preferably 50%—of the principal display area and may include pictures or pictograms
Firm deadline: each party is required within three years of entry into force to adopt and implement the above measures
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Image source: Trinkets & Trash. (2007).
Article 11: Packaging, Labeling of Tobacco Products
Ensures that packages and labels are not false, mis-leading, deceptive, or likely to create an erroneous impression about its characteristics, health effects, hazards, or emissions
Bans the use of terms such as “mild,” “light,” or “ultra-mild”
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Articles 9, 10, and 11: Product Regulation Provisions
Regulation of tobacco products is encompassed within a set of provisions contained in Articles 9, 10, and 11 of the FCTC Targeted at the regulation of the manufacture,
packaging, labeling, and distribution of tobacco products
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Articles 9, 10, and 11: Product Regulation Provisions
The scientific basis for the principles guiding the implementation of Articles 9 and 10 establishes the rationale for the principles guiding the implementation of Article 11
For this reason, and in order to achieve the synergistic effect of these provisions, all three articles should be treated as a single set of interrelated and mutually reinforcing regulations
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Article 12: Education, Training, and Awareness
Requires parties to: Promote broad access to comprehensive public
awareness programs on the health risks of tobacco
Promote effective training and awareness programs, including those on the strategies of the tobacco industry to market a lethal product
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Article 13: Advertising, Promotion, and Sponsorship
Requires parties to undertake a comprehensive ban on tobacco advertising, promotion, and sponsorship within five years after the Treaty’s coming into force for that country
Prohibits all forms of tobacco advertising, promotion, and sponsorship that promote a product by any means that are false, misleading, deceptive, or that create an erroneous impression about its characteristics
Prohibit or, in the case of a party that cannot prohibit due to its constitution or constitutional principles, restrict tobacco sponsorship of international events, activities, and/or participation therein
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Article 13: Advertising, Promotion, and Sponsorship
Requires that health or other appropriate warnings or messages accompany all advertising An expansion of the obligation specified in
Article 11 to use health warnings and messages by extending it to all tobacco advertising, promotion, and sponsorship
Requires the tobacco industry to disclose expenditures on tobacco advertising, promotion, and sponsorship to relevant government authorities
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Article 14: Tobacco Dependence and Cessation
Helping adults to quit smoking is universally recognized as a cost-effective method of preventing disease
However, depending on a party’s economic resources, health care systems, and level of tobacco use, the appropriate means of providing meaningful cessation assistance vary widely
Accordingly, Article 14 requires each party to first develop cessation and treatment guidelines that are tailor-made to its circumstances, but that are also evidence based