WHO Framework Convention on Tobacco Control: Difference between revisions

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=Overview=
=Overview=
The<span></span>'''World Health Organization Framework Convention on Tobacco Control'''<span></span>('''WHO FCTC''') is a<span></span>[https://en.wikipedia.org/wiki/Treaty treaty]<span></span>adopted by the 56th<span></span>[https://en.wikipedia.org/wiki/World_Health_Assembly World Health Assembly]<span></span>held in Geneva, Switzerland on 21 May 2003.<sup id="cite_ref-who-fctc_1-0" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-who-fctc-1 [1]]</sup><span></span>It became the first<span></span>[https://en.wikipedia.org/wiki/World_Health_Organization World Health Organization]<span></span>treaty adopted under article 19 of the WHO constitution.<sup id="cite_ref-ajil_2-0" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-ajil-2 [2]]</sup><span></span>The treaty came into force on 27 February 2005.<sup id="cite_ref-who-fctc-p_3-0" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-who-fctc-p-3 [3]]</sup><span></span>It had been signed by 168 countries and is legally binding in 181<span></span>[https://en.wikipedia.org/wiki/Ratifying ratifying]<span></span>countries.<sup id="cite_ref-who-fctc-p_3-1" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-who-fctc-p-3 [3]]</sup><span></span>There are currently 15<span></span>[https://en.wikipedia.org/wiki/United_Nations_member_states United Nations member states]<span></span>that are non-parties to the treaty (nine which have not signed and six of which have signed but not ratified).<sup id="cite_ref-who-fctc-np_4-0" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-who-fctc-np-4 [4]]</sup>The FCTC, one of the most quickly ratified treaties in United Nations history,<sup id="cite_ref-Nikogosian,_Haik_2010_5-0" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-Nikogosian,_Haik_2010-5 [5]]</sup><span></span>is a supranational agreement that seeks "to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to<span></span>[https://en.wikipedia.org/wiki/Tobacco_smoke tobacco smoke]" by enacting a set of universal standards stating the dangers of tobacco and limiting its use in all forms worldwide.<sup id="cite_ref-who-fctc_1-1" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-who-fctc-1 [1]]</sup><sup id="cite_ref-Brandt,_Allan_M_2007_6-0" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-Brandt,_Allan_M_2007-6 [6]]</sup><span></span>To this end, the treaty's provisions include rules that govern the production, sale, distribution, advertisement, and taxation of tobacco. FCTC standards are, however, minimum requirements, and signatories are encouraged to be even more stringent in regulating tobacco than the treaty requires them to be.<sup id="cite_ref-Brandt,_Allan_M_2007_6-1" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-Brandt,_Allan_M_2007-6 [6]]</sup>The FCTC represents a watershed moment for international<span></span>[https://en.wikipedia.org/wiki/Public_health public health]; not only was the treaty the first to be adopted under WHO's Article 19, but it also marks one of the first multilateral, binding agreements regarding a chronic,<span></span>[https://en.wikipedia.org/wiki/Non-communicable_disease non-communicable disease].The FCTC was furthermore a watershed moment for the European Union. According to Mamudu and Studlar, since the adoption of the FCTC in 2003, "shared sovereignty through multilevel governance has become the norm in the tobacco control policy area for EU members, including having one international organization negotiate within the context of another."<sup id="cite_ref-MamuduStudlar2009_7-0" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-MamuduStudlar2009-7 [7]]</sup><span></span>Worldwide<span></span>[https://en.wikipedia.org/wiki/Tobacco_control tobacco control]<span></span>set a precedent for EU Commission participation and negotiation in multilateral treaties, and further defined the powers and capabilities of the EU as a supranational entity.The perceived success of the FCTC has fueled calls for many other global health treaties, although a recent review of 90 quantitative impact evaluations of international treaties broadly raises questions about their real-world impact.<sup id="cite_ref-8" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-8 [8]]</sup><span></span>Four criteria have been put forward to guide the development of follow-on global health treaties.<sup id="cite_ref-9" class="reference">[https://en.wikipedia.org/wiki/WHO_Framework_Convention_on_Tobacco_Control#cite_note-9 [9]]</sup>
The World Health Organization Framework Convention on Tobacco Control ([https://www.who.int/fctc/en/ WHO FCTC]) is a treaty adopted by the 56th World Health Assembly held in Geneva, Switzerland on 21 May 2003. It became the first World Health Organization treaty adopted under article 19 of the WHO constitution. The treaty came into force on 27 February 2005. It had been signed by 168 countries and is legally binding in 181 ratifying countries. There are currently 15 United Nations member states that are non-parties to the treaty (nine which have not signed and six of which have signed but not ratified).


For some background to the establishment see [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1449287/ Origins of the WHO Framework Convention on Tobacco Control]


<sup class="reference"></sup>
The FCTC, one of the most quickly ratified treaties in United Nations history, is a supranational agreement that seeks "to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke" by enacting a set of universal standards stating the dangers of tobacco and limiting its use in all forms worldwide. To this end, the treaty's provisions include rules that govern the production, sale, distribution, advertisement, and taxation of tobacco. FCTC standards are, however, minimum requirements, and signatories are encouraged to be even more stringent in regulating tobacco than the treaty requires them to be.
=<sup id="cite_ref-9" class="reference"></sup>


[https://www.clivebates.com/who-tobacco-meeting-could-the-fctc-do-something-useful-on-vaping/ The FCTC would best serve public health by doing some or all of the following:]
=[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1564445/ The Fourth Pillar of the Framework Convention on Tobacco Control: Harm Reduction and the International Human Right to Health]=
The Framework Convention on Tobacco Control (FCTC), while successful in its execution, fails to acknowledge the harm reduction strategies necessary to help those incapable of breaking their dependence on tobacco. Based on the human right to health embodied in Article 12 of the International Covenant on Economic, Social and Cultural Rights, this article contends that international law supports a harm reduction approach to tobacco control. Analyzing the right to health as an autonomy-enhancing right, countries must prioritize health interventions to promote those treatments most likely to increase autonomy among those least able to control their own health behaviors. Harm reduction can involve the use of novel, purportedly less hazardous tobacco products. By dissociating nicotine from the ancillary carbon monoxide and myriad carcinogens of smoking, these tobacco harm-reduction products may allow the individual smoker to retain addictive behaviors while limiting their concomitant harms. These less hazardous products, while not offering the preferred benefits of abstaining from tobacco entirely, might nevertheless become a viable strategy for buttressing individual autonomy in controlling health outcomes. Working through the FCTC framework, countries can create the international regulatory and research capacity necessary to assess harm-reduction products and programs.


=
=[https://www.clivebates.com/who-tobacco-meeting-could-the-fctc-do-something-useful-on-vaping/ The FCTC would best serve public health by doing some or all of the following]=
Excellent piece from The Counterfactual by Clive Bates as he explains: Options for WHO FCTC involvement in ENDS to be positive for global public health


* '''Recognise the opportunity, not just a threat'''. <ref name="Clive Bates">https://www.clivebates.com/who-tobacco-meeting-could-the-fctc-do-something-useful-on-vaping/</ref>
= Latest News and Reports =
** ENDS do not pose a threat to tobacco control but a huge opertunity.


* '''Call for more research and of higher quality'''. <ref name="Clive Bates"></ref>
==== The FCTC has failed to make measurable progress on its core mission, to reduce smoking. Indeed smoking rates have increased by 500 cigarettes per person in many LMICs (Acording to this report https://www.bmj.com/content/365/bmj.l2287) . ====
** Research to date is lacking in both quality and quantity


* '''Make more of TobReg for scientific assessment'''. <ref name="Clive Bates"></ref>
 
* '''Refashion the surveillance system to reflect changes in the nicotine market.''' <ref name="Clive Bates"></ref>
Something clearly needs to be done differently. Embracing THR would likely help, but institutional change is required before this can happen. Pressure is being put on UK and NZ particularly, to both use their influence to change the direction of the WHO. The UK is uniquely placed to apply leverage, as a major funder of the FCTC operation, to the tune of £4 million<ref>{{Cite web|URL=https://www.gov.uk/government/publications/tobacco-control-measures-overseas|title=Tobacco control measures overseas|date=22 Aug 2017|website=gov.co.uk|last=UK Government|url-status=live|publisher=UK Government Department for Health and Social Care}}</ref> per year. In addition the UK Government has provided staff (on secondment) and additional grants to the WHO for the FCTC. <references />
* '''Track and summarise the evolving policy environment'''. <ref name="Clive Bates"></ref>
 
* '''Promote high quality regulation and standard-setting by Parties'''. <ref name="Clive Bates"></ref>
==== October 8th 2023 ====
* '''Focus on the relationship between the state and citizen'''. <ref name="Clive Bates"></ref>
The agenda for COP10 in Panama has been published - you can access the files here - "https://storage.googleapis.com/who-fctc-cop10/Main%20documents/index.html"
* '''Improve the tone and be more inclusive'''.  <ref name="Clive Bates"></ref>
[[Category:Regulations]]
* '''Reframe the UN/WHA non-communicable disease targets.''' <ref name="Clive Bates"></ref>
[[Category:Tobacco control groups]]
* '''Reshape the FCTC to recognise the range of risk within tobacco products.''' <ref name="Clive Bates"></ref>
* '''Let FCTC Parties learn from ENDS and other harm reduction policies before bringing into the FCTC'''. <ref name="Clive Bates"></ref>
* '''Focus on obligation to ‘do no harm’ and the dangers of unintended consequences.''' <ref name="Clive Bates"></ref>

Latest revision as of 14:00, 2 August 2023

Overview

The World Health Organization Framework Convention on Tobacco Control (WHO FCTC) is a treaty adopted by the 56th World Health Assembly held in Geneva, Switzerland on 21 May 2003. It became the first World Health Organization treaty adopted under article 19 of the WHO constitution. The treaty came into force on 27 February 2005. It had been signed by 168 countries and is legally binding in 181 ratifying countries. There are currently 15 United Nations member states that are non-parties to the treaty (nine which have not signed and six of which have signed but not ratified).

For some background to the establishment see Origins of the WHO Framework Convention on Tobacco Control

The FCTC, one of the most quickly ratified treaties in United Nations history, is a supranational agreement that seeks "to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke" by enacting a set of universal standards stating the dangers of tobacco and limiting its use in all forms worldwide. To this end, the treaty's provisions include rules that govern the production, sale, distribution, advertisement, and taxation of tobacco. FCTC standards are, however, minimum requirements, and signatories are encouraged to be even more stringent in regulating tobacco than the treaty requires them to be.

The Fourth Pillar of the Framework Convention on Tobacco Control: Harm Reduction and the International Human Right to Health

The Framework Convention on Tobacco Control (FCTC), while successful in its execution, fails to acknowledge the harm reduction strategies necessary to help those incapable of breaking their dependence on tobacco. Based on the human right to health embodied in Article 12 of the International Covenant on Economic, Social and Cultural Rights, this article contends that international law supports a harm reduction approach to tobacco control. Analyzing the right to health as an autonomy-enhancing right, countries must prioritize health interventions to promote those treatments most likely to increase autonomy among those least able to control their own health behaviors. Harm reduction can involve the use of novel, purportedly less hazardous tobacco products. By dissociating nicotine from the ancillary carbon monoxide and myriad carcinogens of smoking, these tobacco harm-reduction products may allow the individual smoker to retain addictive behaviors while limiting their concomitant harms. These less hazardous products, while not offering the preferred benefits of abstaining from tobacco entirely, might nevertheless become a viable strategy for buttressing individual autonomy in controlling health outcomes. Working through the FCTC framework, countries can create the international regulatory and research capacity necessary to assess harm-reduction products and programs.

The FCTC would best serve public health by doing some or all of the following

Excellent piece from The Counterfactual by Clive Bates as he explains: Options for WHO FCTC involvement in ENDS to be positive for global public health

Latest News and Reports

The FCTC has failed to make measurable progress on its core mission, to reduce smoking. Indeed smoking rates have increased by 500 cigarettes per person in many LMICs (Acording to this report https://www.bmj.com/content/365/bmj.l2287) .

Something clearly needs to be done differently. Embracing THR would likely help, but institutional change is required before this can happen. Pressure is being put on UK and NZ particularly, to both use their influence to change the direction of the WHO. The UK is uniquely placed to apply leverage, as a major funder of the FCTC operation, to the tune of £4 million[1] per year. In addition the UK Government has provided staff (on secondment) and additional grants to the WHO for the FCTC.

  1. ^ UK Government (22 Aug 2017). "Tobacco control measures overseas". gov.co.uk. UK Government Department for Health and Social Care.{{cite web}}: CS1 maint: url-status (link)

October 8th 2023

The agenda for COP10 in Panama has been published - you can access the files here - "https://storage.googleapis.com/who-fctc-cop10/Main%20documents/index.html"