of 32
Current View
Governance of Tobacco
in
T
he 21s
T
c
en
T
ury:
s
trengthening
n
ational and
i
nternational Policy
for Global
h
ealth and Development
f
ebruary 26 –27, 2013
h
arvar
D
u
niversi
T
y
Radcliffe
i
nstitute fo
R
a
dvanced
s
tudy
18 Mason
s
t
R
eet
c
a
M
b
R
idge, M
a
,
usa
c
onference Pro
G
ram
2
Governance of Tobacco in
T
he 21
s
T
c
en
T
ury
Committee
m
embers:
o
rganizing Committee
Monique
b
ertic, M
s
W, MP
h
, MP
a
,
h
arvard
s
chool of Public
h
ealth
a
manda
b
rewster, M
s
c,
h
arvard Global
h
ealth
i
nstitute
Gregory
n
.
c
onnolly, DMD, MP
h
,
h
arvard
s
chool of Public
h
ealth
Glaudine Mtshali, M
bbc
h, LL
b
,
M
ba
h
arvard Global
h
ealth
i
nstitute
a
rmando Peruga, MD, MP
h
, DrP
h
, World
h
ealth
o
rganization
Gemma
v
estal,
JD, MP
h
, M
ba
,
bsn
,
World
h
ealth
o
rganization
s
cientific Committee
Mary
a
ssunta, PhD,
s
outh
e
ast
a
sian Tobacco
c
ontrol
a
lliance
Douglas
b
ettcher, MD, PhD, World
h
ealth
o
rganization
n
eil
c
ollishaw, Physicians for a
s
moke-
f
ree
c
anada
Gregory
n
.
c
onnolly, DMD, MP
h
,
h
arvard
s
chool of Public
h
ealth
Geoffrey
f
ong,
PhD,
u
niversity of Waterloo,
c
anada
Julio
f
renk,
MD, PhD, MP
h
, Dean,
h
arvard
s
chool of Public
h
ealth
Thomas Glynn, PhD,
a
merican
c
ancer
s
ociety
s
ue Goldie, MD, MP
h
,
h
arvard Global
h
ealth
i
nstitute
Greg
h
allen,
i
nternational Development
r
esearch
c
entre,
c
anada
Laurent
h
uber,
f
ramework
c
onvention
a
lliance
b
enn McGrady, PhD, Georgetown
u
niversity
s
uerie Moon, PhD,
h
arvard Global
h
ealth
i
nstitute
Matthew L. Myers, JD,
c
ampaign for Tobacco-
f
ree Kids
b
ungon
r
itthiphakdee,
s
outh
e
ast
a
sian Tobacco
c
ontrol
a
lliance
y
ussuf
s
alooje, PhD, The
n
ational
c
ouncil
a
gainst
s
moking,
r
epublic of
s
outh
a
frica
h
arvar
D
u
niversi
T
y
3
o
ur obje
C
tives:
o
ur motivation in organizing this conference is the sobering prediction that over 1 billion
people will die unnecessarily from smoking in the 21st century – a tenfold in
crease over the
past century. Governments have worked to protect public health by negotiating a set of global
rules to better govern tobacco use, encapsulated in the 2005 World
h
ealth
o
rganization (W
ho
)
f
ramework
c
onvention for Tobacco
c
ontrol (
fc
T
c
).
i
n recent years, governments have begun
to implement this treaty at country-level by adopting policies such as tobacco taxes, bans or
restrictions on advertising, health warnings on packaging, product regulations, and clean air
policies, all of which have been shown to be effective in reducing tobacco use.
h
owever, legal
challenges at both national and international levels have depicted such policies as violations of
countries’ obligations under bilateral, regional or multilateral trade or investment agreements.
f
urthermore, some tobacco-growing or tobacco-exporting countries fear that strengthening
global tobacco control may restrict their opportunities for economic growth.
u
ltimately, the
governance of tobacco falls not only under the remit of health authorities, but also lies within
the sphere of trade, finance and agricultural policy.
This conference brings together representatives from governments, intergovernmental
organizations, civil society, business, and academia to explore these questions, with the
objective of:
e
nhancing knowledge, information-sharing, network-building and learning across
countries, contexts and policymaking arenas;
i
dentifying strategies to strengthen the governance of tobacco at national and
international levels; and
f
ostering greater policy coherence among actors working in health,
trade and investment
to ensure the protection of global health
We seek to answer some essential questions related to the global governance of tobacco:
h
ow do international laws and institutions regarding tobacco, trade, investment,
agriculture and economic development intersect?
What are the implications for global tobacco control efforts?
h
ow should public health concerns be taken into account in international economic
policymaking?
What is the proper balance between a government’s obligations to protect the health of
its citizens and other international agreements to which it has subscribed?
What are the broader implications for global governance and health?
4
Governance of Tobacco in
T
he 21
s
T
c
en
T
ury
o
ur deliverables:
We seek to make a significant and lasting impact on advancing issues of global governance
and tobacco.
o
ur deliverables will include formal published proceedings, a meeting report,
research papers, as well as educational materials for policymakers, students and the general
public.
o
ur sponsors:
We are grateful to our cosponsoring organizations for their guidance and support.
World Health
o
rganization
Harvar
d
s
chool of
p
ublic Health
Harvard Global Health
i
nstitute
a
merican
l
egacy Foundation
i
nternational
d
evelopment
r
esearch Centre, Canada
t
he
m
edical
u
niversity of
s
outh Carolina
a
merican Cancer
s
ociety
i
nternational
t
obacco Contr
ol
p
olicy
e
valuation
p
roject,
u
niversity of Waterloo (
it
C)
o
n
eill
i
nstitute for
n
ational and Global Health
l
aw,
Georgetown
u
niversity
i
nstitute for Global
t
obacco Contr
ol,
j
ohns Hopkins
u
niversity
Framework Convention
a
lliance
a
ction on
s
moking and Health
Campaign for
t
obacco-Fr
ee Kids
Harvard
l
aw
s
chool
s
outheast
a
sian
t
obacco
a
lliance (
seat
C
a
)
h
arvar
D
u
niversi
T
y
5
d
ay 1
F
eb. 26
Harvard
u
niversity,
r
adcliffe
i
nstitute for
a
dvanced
s
tudy
18
m
ason
s
treet, Cambridge,
ma
d
ay 1
o
bjective:
t
he
s
cience,
l
aw,
e
thics and
e
conomics of the Governance of
t
obacco
8:30-9:00
Coffee and
r
egistration
9:00-9:15
Welcome
Gregory
n
.
c
onnolly, DMD, MP
h
,
h
arvard
s
chool of Public
h
ealth
Douglas
b
ettcher, MD, MP
h
, PhD, World
h
ealth
o
rganization
s
ue Goldie, MD, MP
h
,
h
arvard Global
h
ealth
i
nstitute
9:15-9:30
Global Governance for Health and
t
obacco Contr
ol
Julio
f
renk,
MD, PhD, Dean,
h
arvard
s
chool of Public
h
ealth
c
o-
c
hair:
f
orum on Global Governance for
h
ealth,
h
arvard Global
h
ealth
i
nstitute
9:30-9:50
t
he
n
eed to
s
trengthen Global Governance of
t
obacco in the 21st Century
Margaret
c
han, MD, M
s
c, Director-General, World
h
ealth
o
rganization
9:50-10:10
t
obacco
, Health and
s
ocial
j
ustice in the
d
eveloping World
n
kosazana Dlamini-Zuma, MD,
c
hairperson,
a
frican
u
nion
c
ommission
10:10-10:30
n
ational
s
overeignty in a
t
ime of Globalization
The
h
onorable
n
icola
r
oxon, MP,
f
ormer
a
ttorney General and Minister of
h
ealth,
a
ustralia
10:30-10:50
Creating Common
s
pace for Global
p
olicy on Health and
i
nternational
t
r
ade
v
esile K
ulaço ̆glu, Director, Trade and
e
nvironment Division, World Trade
o
rganization
10:50-11:00
Questions and
a
nswers
Moderator: Gregory
n
.
c
onnolly, DMD, MP
h
,
h
arvard
s
chool of Public
h
ealth
11:00-11:30
b
reak
11:30-11:50
t
he
e
uropean
u
nion’s
p
roposed
d
irective on
t
obacco Contr
ol
b
ernard Merkel, PhD, Delegation of the
e
uropean
u
nion to the
u
nited
s
tates of
a
merica
11:50-12:10
t
he Global Health
b
urden of
t
obacco
u
se in the 21st Century
John
s
effrin, PhD,
ceo
,
a
merican
c
ancer
s
ociety and
a
merican
c
ancer
s
ociety
c
ancer
a
ction
n
etwork
12:10-12:30
t
he
s
cience of
t
obacco Contr
ol
Jeffrey
e
.
h
arris, MD, PhD, Massachusetts
i
nstitute of Technology
12:30-1:40
l
uncheon
s
peaker:
c
heryl
h
ealton, PhD,
a
merican Legacy
f
oundation
1:40-2:00
t
obacco
,
e
conomics and
d
evelopment in the 21st Century
f
rank
c
haloupka, PhD,
u
niversity of
i
llinois
2:00-2:20
t
he
e
mergence of the Global
t
obacco
e
mpire:
p
rogress,
p
rofits
and
s
trategies for
t
r
ansferring
d
isease
Gregory
n
.
c
onnolly, DMD, MP
h
,
h
arvard
s
chool of Public
h
ealth
Con
F
eren
C
e
aG
enda
Febr
uary 26-27, 2013
6
Governance of Tobacco in
T
he 21
s
T
c
en
T
ury
2:20-2:40
t
he Critical
i
mportance of
i
mplementing the WH
o
FC
t
C on a
Country-by-Country
b
asis
Matthew Myers, JD, The
c
ampaign for Tobacco-
f
ree Kids
2:40-3:00
b
reak
3:00-3:15
t
he
n
orwegian
e
xperience:
s
uccesses and Challenges
b
ente Mikkelsen, MD,
n
orwegian Ministry of
h
ealth
3:15-4:15
p
anel
o
ne: Challenges in the Governance of
t
obacco
Moderators:
a
rmando Peruga, MD, MP
h
, DrP
h
, World
h
ealth
o
rganization and
Debby
s
y, LL.
b
.,
LL.M.,
h
arrison
i
nstitute, Georgetown
r
ichard Daynard, JD, PhD,
n
ortheastern
u
niversity
e
duardo
b
ianco, MD, Tobacco
e
pidemic
r
esearch
c
enter,
u
ruguay
r
ima
n
akkash, DrP
h
,
a
merican
u
niversity of
b
eirut, Lebanon
Mary
a
ssunta, PhD,
s
outh-
e
ast
a
sian Tobacco
c
ontrol
a
lliance
c
onstantine
v
ardav
as, MD, PhD,
e
uropean
r
espiratory
s
ociety
4:15-5:00
p
anel
t
wo:
a
dvances in the Governance of
t
obacco
Moderators:
a
driana
b
lanco, MD, M
a
, World
h
ealth
o
rganization/P
aho
and
Monika
a
rora, PhD, Public
h
ealth
f
oundation of
i
ndia
Dmitry
y
anin,
K
onfo
P,
r
ussian
f
ederation
a
mit
y
adav
, LL.M, M
a
, Public
h
ealth
f
oundation of
i
ndia
Dorcas Kiptui, Ministry of
h
ealth, Kenya
Tania
c
avalcante, MD, MP
h
,
b
razilian Programme to
c
ontrol Tobacco
5:00-5:15
Questions and
a
nswers
n
untavarn
v
ichit-
v
adakan,
Dr.P
h
, Thammasat
u
niversity, Thailand
5:15-5:30
r
esponse and
s
ummary of the
d
ay
s
uerie Moon, MP
a
, PhD,
h
arvard Global
h
ealth
i
nstitute
c
o-
c
hair and
r
esearch Director,
f
orum on Global Governance for
h
ealth,
h
arvard
Global
h
ealth
i
nstitute
6:30-8:00
Harvard
r
eception
h
arvard
u
niversity,
r
adcliffe
i
nstitute for
a
dvanced
s
tudy, 18 Mason
s
treet,
c
ambridge, M
a
d
ay 2
F
eb. 27
Harvard
u
niversity,
r
adcliffe
i
nstitute for
a
dvanced
s
tudy
18
m
ason
s
treet, Cambridge,
ma
d
ay 2
o
bjective:
Working
t
ogether to
s
trengthen Cohesion for
t
obacco Contr
ol
8:30-9:00
Coffee
9:00-9:40
p
anel
d
iscussion:
e
valuation of
p
assage and
i
mplementation of
t
obacco
Contr
ol in
lmi
Cs
Moderator:
s
onia
c
ovarrubias, Tobacco-
f
ree
c
hile
Geoffrey
f
ong,
PhD,
u
niversity of Waterloo,
c
anada
Lekan
a
yo-
y
usuf
, DD
s
,
M
s
c, MP
h
, PhD,
u
niversity of Pretoria,
s
outh
a
frica
8
Governance of Tobacco in
T
he 21
s
T
c
en
T
ury
2:30-4:00
d
ay 2
F
eb. 27
Working
s
essions (
d
ay 2)
f
acilitator:
John McDonough, M
a
, M
s
,
DP
h
,
h
arvard
s
chool of Public
h
ealth
s
ession 1 Question:
i
s the public health science base sufficient to support
effective tobacco control?
r
apporteurs:
f
rank
c
haloupka, PhD,
u
niversity of
i
llinois and
Geoffrey
f
ong,
PhD,
u
niversity of Waterloo,
c
anada
s
ession 2 Question:
i
s tobacco compatible with human rights and social
justice in the 21st Century?
r
apporteurs:
r
achel Kitonyo,
a
frican Tobacco
c
ontrol
a
lliance (
a
T
ca
) and
o
scar
a
.
c
abrera, JD,
o
n
eill
i
nstitute for
n
ational and Global
h
ealth Law,
Georgetown
u
niversity
s
ession 3 Question: How can development agencies strengthen the global
governance of tobacco?
r
apporteurs: Laurent
h
uber,
f
ramework
c
onvention
a
lliance and
Mary
a
ssunta, PhD,
s
outh-
e
ast
a
sian Tobacco
c
ontrol
a
lliance
s
ession 4 Question: How do we enhance national cohesion in the
governance of tobacco in the 21st Century?
r
apporteurs:
a
kinbode
o
luwafemi,
e
nvironmental
r
ights
a
ction,
n
igeria and
Toker
e
rgüder, PhD, World
h
ealth
o
rganization Turkey
o
ffice
s
ession 5 Question: How can we find capacity within the WH
o
FC
t
C and trade
treaties for effective governance of tobacco in the 21st Century?
i
ntroductory
r
emarks:
c
ynthia
c
allard, Physicians for a
s
moke-free
c
anada
r
apporteurs:
a
rmando Peruga, MD, MP
h
, DrP
h
, World
h
ealth
o
rganization,
r
obert
s
tumberg, JD, LLM, Georgetown
u
niversity and
b
enn McGrady, PhD,
o
n
eill
i
nstitute for
n
ational and Global
h
ealth, Georgetown
u
niversity
s
ession 6 Question: How do we strengthen
us
tobacco trade policy?
r
apporteurs:
c
hris
b
ostic, J.D.,
a
ction for
s
moking and
h
ealth
Debby
s
y, LL.
b
.,
LL.M.,
h
arrison
i
nstitute, Georgetown and
Gregg
h
aifley, JD,
a
merican
c
ancer
s
ociety
c
ancer
a
ction
n
etwork
s
ession 7 Question: How do we achieve a tobacco-free 21st Century?
r
apporteurs:
y
ussuf
s
alooje, PhD, The
n
ational
c
ouncil
a
gainst
s
moking,
r
epublic of
s
outh
a
frica and
a
mos
h
ausner, JD,
i
sraeli
c
ouncil for the Prevention of
s
moking
s
ession 8
p
resentation: How do we strengthen our tobacco treatment
interventions globally?
Presenter:
s
cott Leischow, PhD, Mayo
c
linic
s
ession 9
p
resentation:
i
nnovating Funding
p
roposal for
t
obacco Contr
ol
Presenters: German
v
elasquez,
PhD, The
s
outh
c
entre and
n
eil
c
ollishaw, Physicians for a
s
moke-
f
ree
c
anada