WHO Framework Convention on Tobacco Control

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Overview

TheWorld Health Organization Framework Convention on Tobacco Control(WHO FCTC) is atreatyadopted by the 56thWorld Health Assemblyheld in Geneva, Switzerland on 21 May 2003.[1]It became the firstWorld Health Organizationtreaty adopted under article 19 of the WHO constitution.[2]The treaty came into force on 27 February 2005.[3]It had been signed by 168 countries and is legally binding in 181ratifyingcountries.[3]There are currently 15United Nations member statesthat are non-parties to the treaty (nine which have not signed and six of which have signed but not ratified).[4]The FCTC, one of the most quickly ratified treaties in United Nations history,[5]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 totobacco smoke" by enacting a set of universal standards stating the dangers of tobacco and limiting its use in all forms worldwide.[1][6]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.[6]The FCTC represents a watershed moment for internationalpublic 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,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."[7]Worldwidetobacco controlset 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.[8]Four criteria have been put forward to guide the development of follow-on global health treaties.[9]The FCTC would best serve public health by doing some or all of the following:

  • Recognise the opportunity, not just a threat. [1]
    • ENDS do not pose a threat to tobacco control but a huge opertunity.
  • Call for more research and of higher quality. [1]
    • Research to date is lacking in both quality and quantity
  • Make more of TobReg for scientific assessment. [1]
  • Refashion the surveillance system to reflect changes in the nicotine market. [1]
  • Track and summarise the evolving policy environment. [1]
  • Promote high quality regulation and standard-setting by Parties. [1]
  • Focus on the relationship between the state and citizen. [1]
  • Improve the tone and be more inclusive. [1]
  • Reframe the UN/WHA non-communicable disease targets. [1]
  • Reshape the FCTC to recognise the range of risk within tobacco products. [1]
  • Let FCTC Parties learn from ENDS and other harm reduction policies before bringing into the FCTC. [1]
  • Focus on obligation to ‘do no harm’ and the dangers of unintended consequences. [1]
  1. ^ a b c d e f g h i j k l https://www.clivebates.com/who-tobacco-meeting-could-the-fctc-do-something-useful-on-vaping/
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