The Framework Convention on Tobacco Control
Tobacco is a uniquely dangerous consumer product. One in two long-term smokers will die from a smoking-related illness. This makes smoking the single biggest cause of preventable death in England, causing nearly 64,000 premature deaths each year. It is also one of the most significant causes of health inequalities. For these reasons, tobacco warrants special regulatory treatment and is regulated differently to other goods, for example through packaging requirements and specific taxes.
There is a natural tension between the public health aim to reduce smoking prevalence and the vested interests of businesses that profit from making and selling tobacco products.
These factors have led to the FCTC, to which the UK is a party. The FCTC was adopted by the World Health Assembly on 21 May 2003 and ratified by the UK in 2004. The FCTC entered into effect in 2005 and today over 180 countries are parties to the treaty. The FCTC is the world’s first public health treaty.
The FCTC is an evidence-based treaty that sets out obligations across a wide range of areas, including:
- taxation
- packaging and labelling
- education
- tobacco cessation
- illicit trade
- sales to minors
- protection from exposure to second-hand smoke
- the need to protect tobacco control policies from the financial and other vested interests of the tobacco industry.
The FCTC guidelines
Parties to article 5.3 agreed the WHO Guidelines for implementation of article 5.3 to help them meet their obligations. These guidelines reflect the parties’ consolidated views of how best to implement the FCTC. The guidelines draw on evidence and the practical experience of the parties in handling tobacco industry tactics. They aim to ensure that efforts to protect tobacco control from the commercial and other vested interests of the tobacco industry are comprehensive and effective.
All parties to the FCTC, including the UK, agreed the text of the guidelines through consensus and that they should be implemented by all relevant branches of government. The agreed position is set out in the introduction to the guidelines and states:
The guidelines are applicable to government officials, representatives and employees of any national, state, municipal, local or other public or semi/quasi-public institution or body within the jurisdiction of a Party, and to any person acting on their behalf. Any government branch (executive, legislative and judiciary) responsible for setting and implementing tobacco control policies and for protecting those policies against tobacco industry interests should be accountable.
The tobacco industry and social responsibility
Recommendation six of the guidelines addresses the issue of how the tobacco industry use activities that can be described as “socially responsible” as part of their marketing and public relations strategies, which are ultimately aimed at the promotion of tobacco consumption. The recommendation is:
Denormalize and, to the extent possible, regulate activities described as “socially responsible” by the tobacco industry, including but not limited to activities described as “corporate social responsibility.
Under this recommendation, the guidelines explain that:
The corporate social responsibility of the tobacco industry is, according to WHO, an inherent contradiction, as industry’s core functions are in conflict with the goals of public health policies with respect to tobacco control.
The guidance makes a number of recommendations under recommendation 6, including that:
Parties should not endorse, support, form partnerships with or participate in activities of the tobacco industry described as socially responsible.
How article 5.3 obligations affect you
The UK government takes its international obligations under the FCTC very seriously. These obligations have a wide reach into the work of both central government (and its arm’s length bodies) and local government, especially given local councils’ responsibilities for public health.
The international lobby promoting tobacco control is increasingly well organised. The article 5.3 guidelines recognise that civil society can play an important role in monitoring the activities of the tobacco industry. In the UK, the public health lobby (for example, Action on Smoking and Health and the Smokefree Action Coalition) seek to highlight any activity that appears to conflict with the FCTC.