1. Priorities and policy making for tobacco control in ASEAN
Ulysses Dorotheo, MD, FPAO
29 August 2014

2. Southeast Asia Tobacco Control Alliance (SEATCA)
Vision: Towards a healthy, tobacco-free ASEAN
Mission: Working together to save lives by accelerating effective implementation of the FCTC in ASEAN
Approach to mission: collaborative and strategic partnerships, capacity building, and evidence-based policy advocacy
Partner countries: Cambodia, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Thailand, Vietnam, (Brunei and Singapore)

3. Costs: TC makes sense Cost of inaction Cost of FCTC implementation
Lives lost
Healthcare costs
Disability costs and productivity losses
Environmental costs
Cost of FCTC implementation
USD 0.14 per person per year in China, USD 0.16 in India, and USD 0.49 in Russia
seatca.org

4. Tobacco control policy
Win – Win
Win – Lose
Lose – Lose
seatca.org

5. How priorities are decided
National health agenda
Role of civil society
Role of tobacco industry
seatca.org

6. “Economically, there may be many alternatives available, but where health and life are concerned, do we have any alternative? The answer is clearly no. There are no alternatives as far as health and life are concerned, because health and life are all that we have. “Therefore, the issue before us is really quite obvious, whether we want to survive with smoking from the economic viewpoint, which has many alternatives, or do we choose one that totally has no alternative, that is to safeguard health and save lives?”
His Majesty Sultan Haji Hassanal Bolkiah Mu'izzaddin Waddaulah, Brunei Darussalam, 11 July 2002

7. Policymaking considerations
Lack of capacity: human, technical, financial
Government conflict of interest: state-owned TI
Politicians’ personal COI
TI interference
Misinformation, corruption, front groups
Litigation
Legal and illicit trade
seatca.org

8. Evidence is not enough Capacity building
Monitoring and countering TI interference
Media advocacy
seatca.org

9. 179 Parties as of August 2014

10. Art. 2(1) - Introduction
In order to better protect human health, Parties are encouraged to implement measures beyond those required by this Convention and its protocols, and nothing in these instruments shall prevent a Party from imposing stricter requirements that are consistent with their provisions and are in accordance with international law.

11. Tobacco harms
The objective of this Convention and its protocols is to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke by providing a framework for tobacco control measures to be implemented by the Parties at the national, regional and international levels in order to reduce continually and substantially the prevalence of tobacco use and exposure to tobacco smoke. (FCTC Article 3)

12. ”What gets measured gets done.”
Dr. Margaret Chan
WHO Director-General

13. Article 5.3 Art. 5(3) – General Obligations
to “protect these [public health] policies from commercial and other vested interests of the tobacco industry”

14. Demand reduction measures
Art. 6 – Price and tax measures
Art. 7 – (Non-price measures)
Art. 8 – Protection from exposure to tobacco smoke
Art. 9 – Regulation of the contents of tobacco products
Art. 10 – Regulation of tobacco product disclosures
Art. 11 – Packaging and labeling of tobacco products
Art. 12 – Education, communication, training and public
awareness
Art. 13 – Tobacco advertising, promotion and sponsorship (TAPS)
Art. 14 – Demand reduction measures concerning tobacco
dependence and cessation
IN bold are pop based measures.
9 and 10 – is a growing field. There are no complete evidence based guidelines on HOW tob products should be manufactured, regulated.

15. Supply reduction measures
Art. 15 – Illicit trade in tobacco products
Art. 16 – Sales to and by minors
Art. 17 – Provision of support for economically viable alternative activities
Protection of the environment
Art. 18 – Protection of the environment and the health of
persons
Questions pertaining to liability
Art. 19 – Liability
Scientific and technical cooperation and communication of information
Art. 20 – Research, surveillance and exchange of information
Art. 21 – Reporting and exchange of information
Art. 22 – Cooperation in the scientific, technical, and legal fields and provision of related expertise
Protocol on illicit trade. It’s a policy but not enfored. Only one country ratified it.

16. Monitor tobacco use & prevention policies
Protect people from tobacco smoke
Offer help to quit tobacco use
Warn about the dangers of tobacco
Enforce bans on tobacco advertising, promotion, & sponsorship
Raise taxes on tobacco

17. Conference of Parties, 1 to 5 Guidelines for implementation
Art 5.3: TI interference
Art 6: tax and price (draft)
Art 8: smoke-free
Art 9&10: product regulation and disclosure (partial)
Art 11: packaging and labeling
Art 12: Education and awareness
Art 13: TAPS ban
Art 14: cessation
Protocol
Art 15: illicit trade

18. Are we really winning? 195 seatca.org
WHO, 2013 Global Tobacco Control Report

19. Cambodia Passage of the TC Law
Enforcement and monitoring of sub-decrees
Increasing tobacco tax
Partial SFE
Partial TAPS ban
seatca.org

20. Indonesia FCTC accession
Rejecting the proposed Tobacco Bill (that will weaken PHW articles to text warnings only)
Enforcement of PHWs
Effective tax increases
Implementation of earmarked local tax
Only 20% of indon tbc has no pictoral wanring even though it is passed the deadline 2 months ago..
seatca.org

21. Lao PDR Collection of LAK 200/per pack for TC Fund
International campaign to end the Investment License Agreement with TI
Revision of TC Law
seatca.org

22. Malaysia Good governance seminar (Art 5.3)
Inclusion of trade agenda in COP 6
Amendment of TC regulations: SFE, POS
Pioneering work.. To remove tobacco from trade agreements. COP 6 conference in Moscow. Conference of Parties.
seatca.org

23. Philippines Utilisation of tobacco tax revenues
Further tax increase in 2017
Implementation of the GHW law
Expanding SFE
Tobacco industry interference
seatca.org

24. Thailand 85% PHW Tax increase for RYO
Countering fake TI CSR (amend the law to push for total ban)
seatca.org

25. Vietnam Tobacco tax increase TC Fund and TC Law implementation
seatca.org

26. Thank you