The Framework Convention on Tobacco Control and The Global Tobacco Surveillance System Rosa C. Sandoval Advisor, Tobacco Control PAHO/WHO Washington DC, January

¿What is the FCTC? Legally binding. Ratification approved by Congress or equivalent. It is a new approach in international health cooperation: – Traditional methods no match for the tobacco industry’s power and transnational reach – Evidence-based strategies to decrease demand rather than only focusing on the supply. Ratified by 180 countries in the world. Ratified the FCTC

FCTC - Mandates DEMAND  Art. 6. Price and tax measures  Art. 8. Effective legislation to protect people from exposure to tobacco smoke in indoor workplaces and public places (no exceptions for bars and restaurants)  Art 9 and 10. Regulation of contents of tob products and disclosure of contents/emissions  Art. 11. Mandatory regulation on packaging and labelling of tobacco products (strong and big images)  Art 12. Education, communication, training and public awareness  Art. 13. Ban of tob advertising, promotion and sponsorship.  Art 14.Cessation SUPPLY Art 15. Eliminate Illicit trade Art. 16 Sales to and by minors. Prohibition of sale of cig individually or in small packages Art 17. Support fo economically viable alternative activities GENERAL MANDATES :  Art 2. FCTC as global minimum standard  Art Set up a multisectorial national coordinating mechanism  Art 5.3 : Protect policies from commercial and other vested interests of the tobacco industry  Art 20. Research, Surveillance and exchange of information  Art Reporting, Int. cooperation

“The Parties shall establish, as appropriate, programmes for national, regional and global surveillance (…) Towards this end, the Parties should integrate tobacco surveillance into national, regional, & global health surveillance programs so that data are comparable & can be analyzed at the regional & international levels, as appropriate.” FCTC Art. 20

Título de la presentación5

2014 (1) FCTC Art. 8 (2) FCTC Art.11. (3) FCTC Art. 13 (1)(2)(3)

 A set of globally standardized surveys  Monitoring not only the problem of tobacco use, but also tobacco control solutions  Enhance capacity to design, implement, monitor and evaluate tobacco control policies GTSS: Global Tobacco Surveillance System Global Tobacco Surveillance System (GTSS)

GLOBAL YOUTH TOBACCO SURVEY GLOBAL ADULT TOBACCO SURVEY TOBACCO QUESTIONS FOR SURVEYS GTSS: Global Tobacco Surveillance System Global Tobacco Surveillance System (GTSS)

 Largest public health surveillance system  School-based surveys of students 13–15 years  Self-administered using global standard protocol  National, state or provincial  180 countries/sites completed GYTS: Global Youth Tobacco Survey 1999–2012

GATS: Global Adult Tobacco Survey 2008–2012 Global Adult Tobacco Survey, ,  Nationally representative household surveys  Active in 31 countries  Covers 66% of world’s population  Covers 68% of world’s smokers  50 languages & dialects Bangladesh, Brazil, China, Egypt, India, Mexico, Philippines, Poland, Russian Federation, Thailand, Turkey, Ukraine, Uruguay, Viet Nam Argentina, Indonesia, Malaysia, Nigeria, Panama, Qatar, Romania Thailand, Turkey Cambodia, Cameroon, Colombia, Kazakhstan, Kenya, Laos, Pakistan, Senegal, South Africa, Uganda

 3 to 22 questions  MPOWER focus  Integration, standardization, and comparability TQS: Tobacco Questions for Survey 2010–2012

 Strategic  Scientific  Standardized  Systematic & efficient  Sustainable & country owned  Partnerships  Sharing data for public use GTSS Guiding Principles

Vision for GYTS  Global Core Questionnaire and Optional Questions  Nationally representative  Simple instructions  Focus on data dissemination and policy impact  Systematic technical exchange- utilize national/ regional experts- centers of global expertise  Globally standardized surveillance system

“What gets measured, gets done. What gets measures and fed back gets done well”  Globally standardized survey data on tobacco control is available for 180 countries – Unprecedented cross-country comparisons – Tracking not only the problem, but also the solutions

Are you in? 15