Act globally, think locallyAct globally, think locally

Tobacco control in the PacificTobacco control in the Pacific

Matthew AllenMatthew AllenAllen & Clarke, New ZealandAllen & Clarke, New Zealand

Tobacco control in the PacificTobacco control in the Pacific

The FCTC and the ‘power The FCTC and the ‘power of the process’of the process’

The role of the FCTC in The role of the FCTC in sparking tobacco control sparking tobacco control efforts in the Pacificefforts in the Pacific

Opportunities for, and Opportunities for, and threats to, regional threats to, regional tobacco control tobacco control

Future directions for Future directions for tobacco control in the tobacco control in the PacificPacific

What is a Framework What is a Framework Convention?Convention?

An international treatyAn international treaty

Can be enabling: sets goals Can be enabling: sets goals and objectivesand objectives

Can have detailed provisions Can have detailed provisions tootoo

Protocols can be developed Protocols can be developed to set specific details of to set specific details of implementationimplementation

Just as important: Just as important: The Power The Power of the Process ……of the Process ……

The process …The process …

1996 WHA agrees to develop the 1996 WHA agrees to develop the FCTCFCTC

Meetings, consultationsMeetings, consultations Regional groupings developRegional groupings develop Domestic initiatives are sparkedDomestic initiatives are sparked Support buildsSupport builds An International Alliance of NGOs is An International Alliance of NGOs is

bornborn

The FCTC: breadth of requirementsThe FCTC: breadth of requirements National policy setting, funding domestic tobacco National policy setting, funding domestic tobacco

controlcontrol Taxes on tobaccoTaxes on tobacco Restriction of duty free sales of tobaccoRestriction of duty free sales of tobacco Controls on second hand smokeControls on second hand smoke Controls over testing, content of tobacco Controls over testing, content of tobacco

productsproducts Requirements for tobacco packaging and labelling Requirements for tobacco packaging and labelling Health promotion, education, public awarenessHealth promotion, education, public awareness Advertising, promotion & sponsorship banAdvertising, promotion & sponsorship ban Support for quitting tobacco useSupport for quitting tobacco use Controls over illicit tradeControls over illicit trade Sales to minorsSales to minors Guidelines on technical mattersGuidelines on technical matters Collaboration on researchCollaboration on research

The Pacific ….The Pacific ….

Slide from: Dr. Annette M. David, Health Partners, LLC, Guam

And New Zealand: from 2008And New Zealand: from 2008

Threats to Pacific Threats to Pacific tobacco controltobacco control

1.1. Capacity and Capacity and leadership issuesleadership issues

2. 2. Domestic resource restraintsDomestic resource restraints

3.3. Potential for duplication and Potential for duplication and fragmentation of effortfragmentation of effort

4.4. Increasing tobacco industry Increasing tobacco industry presencepresence

Threats to Pacific tobacco controlThreats to Pacific tobacco control

5. 5. Some continued acceptance of Some continued acceptance of tobaccotobacco

6.6. Lack of domestic evidence base Lack of domestic evidence base

7.7. Smuggling of tobaccoSmuggling of tobacco

8.8. Economic and trade liberalisation Economic and trade liberalisation (eg: PICTA)(eg: PICTA)

PICTA report Conclusion:

“Don’t include Tobacco & alcohol”

However, if a decisionis made to include, itis crucial that countries implement tax and otherpolicies to ensureminimise effects.

What makes for effective tobacco What makes for effective tobacco control in the Pacific?control in the Pacific?

1. Local ownership and drive1. Local ownership and drive

2. Build on existing activities2. Build on existing activities

3. Identify a champion3. Identify a champion

4. Consider local context4. Consider local context

5. Build both domestic government – 5. Build both domestic government – and non-government capacity and and non-government capacity and partnershipspartnerships

What makes for effective tobacco What makes for effective tobacco control in the Pacific? control in the Pacific? (cont.)(cont.)

6. External support6. External support

7. Promote regionalisation7. Promote regionalisation

8. Ensure / promote Sustainability! 8. Ensure / promote Sustainability!

9. Monitor and Evaluate on an ongoing 9. Monitor and Evaluate on an ongoing basisbasis

The Way ForwardThe Way Forward

Regionalisation and mutual Regionalisation and mutual supportsupport

Further development assistanceFurther development assistance

Sustainable funding mechanismsSustainable funding mechanisms

A Tobacco Free Pacific ChallengeA Tobacco Free Pacific Challenge

First steps to a Tobacco-free Region ….First steps to a Tobacco-free Region ….Country self-identifies …

Consultation with entire country

Design comprehensive intervention

Community mobilisation

Health promotion & education

Extensive dependency treatment

Progressively more restrictive legislation

Increased taxes over time

Total ban phased on import & sale phased in

Strict enforcement regime

Ongoing monitoring & evaluation