{"id":28374,"date":"2022-09-30T08:01:54","date_gmt":"2022-09-30T08:01:54","guid":{"rendered":"https:\/\/news.cancerresearchuk.org\/?p=24706"},"modified":"2024-11-03T15:13:14","modified_gmt":"2024-11-03T15:13:14","slug":"why-we-need-to-continue-to-advocate-for-global-tobacco-control","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/why-we-need-to-continue-to-advocate-for-global-tobacco-control\/","title":{"rendered":"Why we need to continue to advocate for global tobacco control"},"content":{"rendered":"<div class=\"image hero-image\"> <img decoding=\"async\" width=\"620\" height=\"348\" src=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/09\/Global.jpg\" class=\"attachment-featuredImage size-featuredImage\" alt=\"A photo of a person with their back to the camera, standing in front of a cigarette dispenser.\" loading=\"lazy\" srcset=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/09\/Global.jpg 620w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/09\/Global-300x168.jpg 300w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/09\/Global-220x123.jpg 220w, https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/09\/Global-150x84.jpg 150w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" data-attachment-id=\"24707\" data-permalink=\"https:\/\/news.cancerresearchuk.org\/2022\/09\/30\/why-we-need-to-continue-to-advocate-for-global-tobacco-control\/global\/\" data-orig-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/09\/Global.jpg\" data-orig-size=\"620,348\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Global\" data-image-description data-image-caption data-medium-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/09\/Global-300x168.jpg\" data-large-file=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2022\/09\/Global.jpg\"><\/div>\n<h4 class=\"series-part-title\" readability=\"-3.1372549019608\"><\/h4>\n<p><span data-contrast=\"none\">Over the past 20 years, the use of tobacco has <\/span><a href=\"https:\/\/www.who.int\/news\/item\/19-12-2019-who-launches-new-report-on-global-tobacco-use-trends\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">fallen from 1.4 billion to 1.3 billion people<\/span><\/a><span data-contrast=\"auto\"> globally. <\/span><span data-contrast=\"none\">This progress is thanks to the efforts of advocates around the world enacting the policy change needed to protect individuals from tobacco\u2019s harmful effects. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">We want to ensure that policy changes around tobacco control in the UK, that we have helped work towards, are achievable in other countries, especially those facing a growing tobacco epidemic. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">It\u2019s important to be part of the international effort to reduce the burden of cancer globally. So we are working with partners in other countries to advocate for policy change \u2013 especially low and middle-income countries (LMICs). This is to help ensure tobacco<\/span> <span data-contrast=\"none\">policy change that protects individuals from this health-harming product can become a reality in all settings, and more cancer cases are prevented. Our partners are starting to see the results of their work, especially the <\/span><a href=\"https:\/\/ndri.org.np\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Nepal Development Research Institute,<\/span><\/a><span data-contrast=\"auto\"> who have successfully advocated for increases in tobacco tax in Nepal. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<h2>The global tobacco landscape<\/h2>\n<p aria-level=\"2\"><span data-contrast=\"none\">Smoking is known to cause over 15 types of cancer. Campaigns, <\/span><a href=\"https:\/\/www.cancerresearchuk.org\/get-involved\/campaign-for-us\/our-campaigning-successes\/setting-the-standard\"><span data-contrast=\"none\">including our own<\/span><\/a><span data-contrast=\"none\"> call for plain cigarette packaging<\/span><span data-contrast=\"none\">, have been key to motivating governments to act against a product that kills up to <\/span><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/tobacco#:~:text=Tobacco%20kills%20up%20to%20half,exposed%20to%20second%2Dhand%20smoke.\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">half of its consumers<\/span><\/a><span data-contrast=\"none\"> when used as intended.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:40,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p aria-level=\"2\"><span data-contrast=\"none\">Progress has undoubtedly been achieved across the world. In fact, <\/span><a href=\"https:\/\/www3.paho.org\/hq\/index.php?option=com_content&amp;view=article&amp;id=15338:who-launches-new-report-on-the-global-tobacco-epidemic&amp;Itemid=1926&amp;lang=en#gsc.tab=0\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">3.9 billion<\/span><\/a><span data-contrast=\"none\"> people live in countries that benefit from the large graphic warnings on cigarette packs that we are familiar with in the UK. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">Plain packaging and graphic images make up a small portion of the policies recommended by the World Health Organisation to reduce tobacco consumption. The policies are outlined in the <\/span><a href=\"https:\/\/fctc.who.int\/who-fctc\/overview\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Framework Convention on Tobacco Control<\/span><\/a><span data-contrast=\"none\"> (FCTC). The FCTC was the fastest ratified treaty in the history of the United Nations. And with 168 countries as signatories, it was also the most widely ratified. It\u2019s been estimated that <\/span><a href=\"https:\/\/innovations.bmj.com\/content\/8\/1\/4\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">37 million lives<\/span><\/a><span data-contrast=\"none\"> have been saved because of the tobacco control policies included in the FCTC framework. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">However, progress in tobacco control policy and the implementation of the framework has not been equal. As high-income countries successfully introduced tobacco control policies, LMICs have become a target for an industry that seeks to maintain its profits. It\u2019s known that <\/span><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/tobacco\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">80% of the world\u2019s 1.2 billion smokers live in LMICs<\/span><\/a><span data-contrast=\"none\"> and <\/span><a href=\"https:\/\/theunion.org\/sites\/default\/files\/2020-08\/FS8%20-%20Tobacco%20and%20Poverty%202015.pdf\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">one tobacco company sells 70% of its products<\/span><\/a><span data-contrast=\"none\"> in Asia, Africa, Eastern Europe, and Latin America. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">Tobacco use <\/span><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/tobacco#:~:text=Tobacco%20kills%20up%20to%20half,exposed%20to%20second%2Dhand%20smoke.\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">still kills 8 million people per year<\/span><\/a><span data-contrast=\"none\"> and LMICs bear the greatest burden of the tobacco epidemic. In fact, <\/span><a href=\"https:\/\/eprints.whiterose.ac.uk\/152587\/#:~:text=By%25202030%252C%2520more%2520than%252080,building%2520research%2520capacity%2520in%2520LMICs.\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">by 2030, it is predicted that 80% of all tobacco-related deaths will occur in LMICs<\/span><\/a><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<h2>Investing in civil society<\/h2>\n<p aria-level=\"2\"><span data-contrast=\"none\">Our role in progressing tobacco control in the UK has exemplified the role that civil society, and a strong evidence base, can play in supporting the implementation of policies to improve health. Our global work invests in civil society organisations such as non-governmental organisations, and research institutions including universities and think tanks in LMICs. Funding these organisations enables them to conduct the research needed to generate evidence and importantly, use the evidence to advocate for tobacco control policies. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:40,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p aria-level=\"2\"><span data-contrast=\"none\">However, there is not a one-size-fits-all approach to policy change. It must be context specific, especially when there are greater barriers. <\/span><a href=\"https:\/\/tobaccotactics.org\/\"><span data-contrast=\"none\">The tobacco industry fights hard to preserve the regulatory environment it profits from<\/span><\/a><span data-contrast=\"none\">, and often uses misinformation and other tactics to interfere with policy making processes and deter politicians from introducing life-saving tobacco control policies. <\/span><a href=\"https:\/\/www.researchgate.net\/publication\/273785250_Exposing_and_addressing_tobacco_industry_conduct_in_low-income_and_middle-income_countries\"><span data-contrast=\"none\">These behaviours are seen more often in LMICs where there is more for the industry to lose if tobacco control policy is strengthened.<\/span><\/a> <span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">Investing in civil society and generating the evidence required to achieve and implement tobacco control policy helps to counter the industry\u2019s actions, and to advocate for the policies of the FCTC to be implemented. Involving as many stakeholders as possible, across all sectors that are harmed by tobacco, creates a cohesive and powerful voice that can drown out the noise from the tobacco industry. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<h2>Tobacco tax in Nepal<\/h2>\n<p aria-level=\"2\"><span data-contrast=\"auto\">One example of our impact globally is the success of our partners in Nepal. <\/span><span data-contrast=\"none\">We fund the <\/span><a href=\"https:\/\/ndri.org.np\/\"><span data-contrast=\"none\">Nepal Development Research Institute<\/span><\/a><span data-contrast=\"none\"> (NDRI) in Nepal, who along with the support of the international thinktank <\/span><a href=\"https:\/\/www.kivu-international.org\/\"><span data-contrast=\"auto\">Kivu International<\/span><\/a><span data-contrast=\"none\">, have contributed to an increase in tobacco tax of 50%. Taxing tobacco is regarded as a best-buy intervention to reduce tobacco consumption; <\/span><a href=\"https:\/\/fctc.who.int\/who-fctc\/development-assistance\/fctc-2030\/areas-of-work\"><span data-contrast=\"none\">for every 10% increase in the cost of tobacco, there is a decrease in consumption of 4-8%.<\/span><\/a><span data-contrast=\"none\"> The WHO recommended tax level on tobacco is 75%.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">Dr Jaya Gurung, Senior Research Specialist at NDRI outlined the importance of introducing such measures in Nepal;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\"> <\/span><\/p>\n<p>\u2018\u2018When the project started, tobacco was very much a \u2018second order issue\u2019 \u2013 Nepal had high smoking prevalence rates, the lowest tobacco tax rate in the region, and tobacco control was not an issue at the forefront of anyone\u2019s mind. With CRUK\u2019s support, this has started to change.\u2019\u2019<\/p>\n<p><span data-contrast=\"none\">The change comes as a result of an advocacy campaign that centred around the expected announcement of a new budget by the government. The advocacy campaign was a highly organised initiative that utilised connections with the government and partnered with other civil society organisations to publish multiple media pieces to raise public awareness.<\/span><\/p>\n<p><i><span data-contrast=\"none\">\u2018<\/span><\/i>\u2018My proudest achievement so far on this project is that tobacco tax has increased by 50% over the past two years. Through a combination of locally tailored research and politically informed advocacy, we have successfully convinced policy makers of the benefits of tobacco tax,\u201d says Gurung.<\/p>\n<p>\u201cOf course, there is still much to do. There will be an election in Nepal in November this year so we will have a new set of politicians and policy makers to engage with. At the same time, the tobacco industry continues to fight back against efforts to tackle tobacco with misinformation and political lobbying. That is why this year we have built a coalition of organisations who are collectively working to raise the salience of tobacco control amongst the public, ensure that electoral candidates are committed to improving tobacco control, and advocate for policy makers to continue to take action in line with NDRI\u2019s locally tailored, evidence-based recommendations. With another 18 months left of the programme, I\u2019m excited to see what more we can achieve.\u2019\u2019<\/p>\n<h2>Adapting and amplifying our impact, globally<\/h2>\n<p><span data-contrast=\"none\">Our work on tobacco has been a key component of the International Cancer Prevention (ICP) programme since 2016. In that time, it has evolved from funding the generation of evidence for tobacco control, to investing more broadly in civil society organisations that can translate that evidence into meaningful policy change, as exhibited by NDRI in Nepal. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">To date, our work has spanned over 30 countries.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">But it\u2019s not always been plain sailing. We\u2019ve had to change our approach in response to an ever-changing global environment. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">Despite tobacco consumption costing the worldwide economy <\/span><a href=\"https:\/\/www.who.int\/news\/item\/12-04-2021-1.4-trillion-lost-every-year-to-tobacco-use-new-tobacco-tax-manual-shows-ways-to-save-money-and-build-back-better-after-covid-19\"><span data-contrast=\"none\">$1.4 trillion in healthcare expenditures and lost productivity each year<\/span><\/a><span data-contrast=\"none\">, tobacco control has become less of a priority for many governments as they grapple with urgent problems. We\u2019ve even <\/span><a href=\"https:\/\/tobaccotactics.org\/wiki\/covid-19\/\"><span data-contrast=\"none\">witnessed tobacco companies utilise the Covid-19 pandemic<\/span><\/a><span data-contrast=\"none\"> to gain access to policymakers through inappropriate \u2018corporate social responsibility\u2019 campaigns. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><span data-contrast=\"none\">However, we\u2019re well-placed to champion global tobacco control efforts, and support organisations to deliver incredible advocacy campaigns that will result in life-saving policies being implemented. We\u2019re a formidable presence in the tobacco control community, and we have our supporters to thank for giving us the mandate to improve the cancer burden for everyone. <\/span><span data-contrast=\"auto\">To reiterate our mantra, we cannot say we have beaten cancer until we have beaten it everywhere.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <\/span><\/p>\n<p><em>Beth Turner is a policy and advocacy advisor, in Cancer Research UK\u2019s Global team<\/em><\/p>\n<p><h3 class=\"panel-title\">More on this topic<\/h3>\n<\/p>\n<p><a href=\"https:\/\/news.cancerresearchuk.org\/2022\/09\/30\/why-we-need-to-continue-to-advocate-for-global-tobacco-control\/\">Source<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Over the past 20 years, the use of tobacco has fallen from 1.4 billion to 1.3 billion people globally. This progress is thanks to the efforts of advocates around the world enacting the policy change needed to protect individuals from tobacco\u2019s harmful effects. We want to ensure that policy changes around tobacco control in the [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[5137],"tags":[],"class_list":["post-28374","post","type-post","status-publish","format-standard","hentry","category-world-news"],"_links":{"self":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/28374","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/comments?post=28374"}],"version-history":[{"count":1,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/28374\/revisions"}],"predecessor-version":[{"id":44836,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/28374\/revisions\/44836"}],"wp:attachment":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/media?parent=28374"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/categories?post=28374"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/tags?post=28374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}