1. WHO Framework Convention on Tobacco Control

2. Worldwide Projections Leading cause of preventable death in the world Tobacco kills about 13,500 people every day 5 million a year By 2020 it will kill 10 million per year (mostly in lower income countries) Tobacco will kill 1 billion this century

3. The Coming Epidemic

4. BAT personnel handing out cigarettes in the small town of Karcheh along the Mekong River

7. Why a Global Pact? Unique disease vector – multinational industry Transnational issues – advertising, smuggling “Race to the bottom” Trade liberalization Technical assistance/exchange of knowledge Legitimacy – health takes precedence

8. The FCTC... The first international public health treaty negotiated under the auspices of the World Health Organization Objective: to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke...

9. FCTC: Key Provisions Comprehensive Ban on Advertising and Promotion Large Health Warning Labels Required Deceptive Labels Prohibited Nonsmokers Must be Protected Content of Tobacco Products to be Regulated Sale to Minors Prohibited Scientific and Technical Cooperation

10. 192 member states of WHO approved final text on March 1, 2003. The text was adopted by the World Health Assembly in May 2003. Entered into force on Feb. 5, 2004. NOW: 168 Signatories-146 Parties (140 Ratifications/6 Accessions) WHO FCTC

12. Key Holdouts: Signed but not ratified – United States Unsigned – Russian Federation and Indonesia

13. WHO FCTC NEXT STEPS June 2007 - second meeting of the COP June 2007 – COP II February 27, 2008- 40 original ratifying countries must have health warnings on packages February 27, 2010- 40 original ratifying countries must have ad ban in place

14. Protocols Cross-Border Advertising Smuggling Guidelines Product Regulation Smokefree Air