Paying Attention to the Global Tobacco Industry: It’s Paying Attention to You! Global Public Health Unit University of Edinburgh Nathaniel Wander, PhD.

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Paying Attention to the Global Tobacco Industry: It’s Paying Attention to You! Global Public Health Unit University of Edinburgh Nathaniel Wander, PhD

Think Global, Act Local Ending exposure to smoking promotion Keeping children from starting to smoke Helping smokers to quit smoking Reducing population exposure to smoke

Think Global, Act Local Capturing Upstream Regulation Smuggling ‘Em If You Got ‘Em Hijacking Health Agendas Legally Undermining Science

Capturing Upstream Regulation ‘‘Working the System’’—British American Tobacco’s Influence on the European Union Treaty and Its Implications for Policy: An Analysis of Internal Tobacco Industry Documents (Smith et als, 2010, PLoS Med 7: doi: /journal.pmed ) BAT combined with 40+ companies: Coca Cola, Marks & Spencer, Diagio, Rolls Royce … Lobbied to require Risk- & Impact-Assessment in EU policy-making EU policy-making privileges corporate ‘costs’ above public ‘benefits’ BAT working to replicate in other jurisdictions

Smuggling ‘Em If You Got ‘Em The Impact of Regional Trade Integration on Firm Organization and Strategy: British American in the Andean Pact (Holden et als, under review, Business & Politics) Penetrate new markets Squeeze out local/regional brands Out-compete other multinational brands Increase smoking rates Argue against enhanced taxation

Hijacking Health Agendas Uneasy money: the Instituto Carlos Slim de la Salud, tobacco philanthropy and conflict of interest in global health (Burch, Wander, Collin, in press, Tobacco Control) ICSS’ $$ come from Mexican tobacco sales and Carlos Slim’s work for Philip Morris ICSS aims to overcome “challenges due to the globalisation of health risks” ICSS never engages with effective tobacco control strategy — Tobacco is #1 risk ICCS’ partnerships (govts/NGOs) defeats 5.3

Legally Undermining Science Legislating "Sound Science": The Role of the Tobacco Industry (Baba et als, 2005, AJPH 95:S20-27) 1999 US Data Access Standards (via FOIs) 2001 US Data Quality Standards (by OMB) Masterminded by Philip Morris (+ partners like AMA) Potential to block research from use in policy- making In concert with Daubert vs Merrill Dow 1993 …

Tobacco Exceptionalism ─ Product — uniquely deadly & addictive ─ Promotion — unusually dishonest & deceptive Tobacco Control has used exceptionalism to denormalize product and delegitimize the TI Other industries, however, haven’t climbed on the bandwagon They collaborate with and adopt strategies from the TI — Negative policy-transfer

“What Is to Be Done?” Watch the industry not just the pack Beware when the industry allies with others Focus on global issues: intellectual property rights, trade treaties, labour initiatives, FCTC Engage with Endgame Join Globalink: