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Global Health Watch 1 in one file

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Hold<strong>in</strong>g to account | E4<br />

powerful and deadly <strong>in</strong>dustries <strong>in</strong> the world. The WHO Framework Convention<br />

on Tobacco Control (FCTC) is a critical tool for protect<strong>in</strong>g and promot<strong>in</strong>g<br />

public health and corporate accountability and its implementation would help<br />

to end the global tobacco epidemic. Its history to date provides lessons that<br />

may be applicable when challeng<strong>in</strong>g other <strong>in</strong>dustries that threaten health, environmental<br />

and human rights. This was recognized <strong>in</strong> a 2003 issue of Tobacco<br />

Reporter, a prom<strong>in</strong>ent <strong>in</strong>dustry journal: ‘Tobacco executives caution other <strong>in</strong>dustries<br />

about allow<strong>in</strong>g WHO to assume such control over their global market.<br />

BAT po<strong>in</strong>ted out that as the world’s first <strong>in</strong>ternational health agreement, the<br />

tobacco control treaty sets a precedent that could affect many other <strong>in</strong>dustries’<br />

(Tobacco Reporter 2003).<br />

Overview of the FCTC The FCTC is a milest<strong>one</strong> <strong>in</strong> the history of corporate<br />

accountability and public health. As an <strong>in</strong>ternational agreement adopted by<br />

the 192 member states of WHO, it could change the way tobacco giants like<br />

Philip Morris (now Altria), British American Tobacco (BAT) and Japan Tobacco<br />

International (JTI) operate. Between the first negotiat<strong>in</strong>g session <strong>in</strong> 2000,<br />

and February 2005 when the treaty took effect as <strong>in</strong>ternational law, at least<br />

20 million people died from tobacco-related illnesses. If current trends<br />

cont<strong>in</strong>ue, these illnesses will become the world’s lead<strong>in</strong>g cause of death by<br />

2030, with 70% of the deaths occurr<strong>in</strong>g <strong>in</strong> the global South.<br />

The World <strong>Health</strong> Assembly had called <strong>in</strong> 1996 for development of the<br />

world’s first public health treaty to control the spread of tobacco addiction,<br />

and set the negotiat<strong>in</strong>g process <strong>in</strong> motion <strong>in</strong> 1999. Director-general Gro Harlem<br />

Brundtland put it on a fast track with the goal of adoption by 2003. WHO<br />

and member states convened work<strong>in</strong>g groups to prepare the draft elements<br />

and an <strong>in</strong>ter-governmental negotiat<strong>in</strong>g body began talks. The 192 countries<br />

of the WHA adopted the treaty unanimously on 21 May 2003.<br />

From the beg<strong>in</strong>n<strong>in</strong>g of the process develop<strong>in</strong>g countries pushed for effective<br />

measures to reverse the global tobacco epidemic and hold tobacco<br />

transnationals accountable for their abuses. India, Iran, Jamaica, Palau, Senegal,<br />

South Africa and Thailand played key leadership roles dur<strong>in</strong>g the negotiations.<br />

Early <strong>in</strong> the treaty’s development, evidence from once-secret corporate<br />

documents showed that the tobacco <strong>in</strong>dustry had operated for years with the<br />

expressed <strong>in</strong>tention of subvert<strong>in</strong>g the role of governments and WHO <strong>in</strong> implement<strong>in</strong>g<br />

health policies. The WHA responded <strong>in</strong> 2001 with a precedentsett<strong>in</strong>g<br />

resolution, WHA54.18, call<strong>in</strong>g on WHO to monitor the global impact<br />

of the tobacco <strong>in</strong>dustry’s political activities and urg<strong>in</strong>g governments to ensure<br />

the <strong>in</strong>tegrity of health policy development. This paved the way for the treaty<br />

308

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