Advocating Policies for Waterpipe & Cigarettes Cynthia Callard October 2013

Adult per capita cigarette consumption, the United States, 1900–2006. Warner K E, Mendez D Nicotine Tob Res 2010;12: USA annual adult per capita cigarette consumption

Sources: Averaged values, Maxwell, Euromonitor, USDA: population over 15 years from World Bank. Global annual adult (15+) per capita cigarette consumption 1960 = 1, = 1, = 1,141

A shifting epidemic *new communities *new patterns of use

 Health Rationale  Political systems  Legal structures  (FCTC and related regulation)  Societies  Public health community  Tobacco users

 Warnings  Youth Access  Tax/Prices  Advertising bans  Smoke-free spaces  Flavour bans  Mass media  Public education  Clinical practice

 Warnings  Youth Access  Tax/Prices  Advertising bans  Smoke-free spaces  Flavour bans  Mass media  Public education  Clinical practice *(Canada)

CTUMS

Victory or Defeat? ? ?

Brazil: RESOLUTION - RDC Nº 14, OF MARCH 15, 2012 ?  Additive ban covers all tobacco products.  “Art. 2 This Resolution applies to all tobacco products sold in Brazil, whether made in Brazil or imported.”  BUT Currently challenged at Supreme Court. %20RDC%20No.%2014_2012.pdf

European Union Tobacco Directive original ?  Considering the Directive's focus on young people, tobacco products other than cigarettes, roll-your-own tobacco and smokeless tobacco which are mainly consumed by older consumers, should be granted an exemption from … %20RDC%20No.%2014_2012.pdf

European Union Tobacco Directive as amended by EP. ?  Considering the Directive's focus on young people, tobacco products other than cigarettes, roll-your-own tobacco and water-pipe tobacco which are mainly consumed by older consumers, should be granted an exemption from … &language=EN&ring=A

LOBBYING

Widespread TC consensus:  Science  Policy  Strategy Broad-based TC community  Pan-partisan  Multi-sectoral  International

 What do we want?  Who can give it to us?  What do they need to hear?  Who do they need to hear it from?  How can we get them to hear it?

#1: Get on the Agenda #2: Get Favourable Decisions #3: Protect gains/ address vulnerabilities (repeat as necessary)

Same Vulnerabilities

#1 same, same Publish or Perish

Multisectoral Finance Health Education Multi-jurisdictional International, National, subnational Corporate, CSO & home same, same Need Multiple Points of Contact

Canadian MPs: Live in the moment Are competitive and tribal Don’t want to be disliked Barter policies Think locally Are not overly numerate “Which side are you on?” same, same Need to under- stand the decision maker

It’s not a part-time job. same, same Need for sustained resources

There is a reason we are an unbranded movement. same, same Need to take risks

The capacity of decision makers to:  Deflect responsibility  Deny the problem  Discredit the evidence  Delay action Same Barriers

Tobacco control is understood to mean “cigarette control” Prevents instant adoption of Economic rationale, health rationale, cultural acceptance, priority over other health concerns. Somewhat different Barriers (perception is reality)

Money is the root of all smoking! Suppliers are driven to adapt or overcome regulatory and other barriers. Same same Mutable Problem

What do we want NOW? What will we want NEXT? same, same Challenge to find the right “ask”

“Tobacco Control is a changing game.” Scott Sherman, October 21, 2013

“We face the challenge of … unimpeded emergence of new products.” Cheryl Healton October 21, 2013

“If we can’t do it, no one can.” Omniyat Al Hajeri October 21, 2013