1. Integrating human right norms into tobacco litigation Oscar A. Cabrera O’Neill Institute for National and Global Health Law Georgetown University 15 th World Conference on Tobacco or Health Singapore - March 2012 Putting the Human Rights-based approach to Tobacco Control into practice

2. Structure of the Presentation 1. Human Rights 2. Why human rights and tobacco control 3. Example of human rights arguments 4. Example of successful litigation: Jaime Barco Rodas case in Peru

3. 4 1. Universal Human Rights System

4. Human Rights - Subjects in Human Rights Law 5 UNFPA

5. Human Rights - States Obligations States (that have ratified human rights treaties) have legal obligations to  Respect  Protect  Fulfill Human rights and individual freedoms 6

6. Human Rights - The Right to Health The International Covenant on Economic Social and Cultural Rights (ICESCR) addresses the right to health in the following terms (article 12): “The States Parties to the present Covenant recognize the right of everyone to the enjoyment of the highest attainable standard of physical and mental health…” 7

7. Human Rights - The Right to Health The ICESCR imposes states the obligation to adopt the necessary measures to protect the public’s health (ICESCR, article 12) In General Comment 14, when interpreting this article (article 12) the Committee on Economic, Social and Cultural Rights (the body that monitors the implementation of the ICESCR) expressly stated that States have the duty to “respect, protect and fulfill the right to health” 8

8. 18 2. Why Human Rights and Tobacco Control

9. Why is a human rights approach relevant for tobacco control litigation? To shift a trend: the tobacco industry has more effectively used human right arguments. –Such as freedom of speech To strengthen a political position: human rights law has a prominent role in political and policy discourses. –Once a relevant societal issue acquires the status of a human right, it has special consideration in public policy.

10. Why is a human rights approach relevant for tobacco control litigation? To link FCTC provision with existing human rights obligations –Strengthening the FCTC implementation

11. Types of Litigation –Defensive: Protect tobacco control regulations (i.e. against industry attacks) Example: case before the Const. Court of Colombia –Offensive: Lawsuits against the State for failing to comply with the duty to protect (i.e. when the minimum standards for the protection of the right to health are not met) Example: amparo against the General Law for Tobacco Control in Mexico Litigation onTobacco Control

12. 18 3. Human Rights Arguments in Tobacco Control

13. Limitations on Commercial Freedoms The right to health permits and requires restrictions on commercial freedoms –The measures, based on scientific studies, are proportionate and legitimate in that they do not affect the essential nature of the limited rights Ex: Regulations on the activities of medical providers, pharmaceutical products, food, etc.

14. Limitations on Commercial Freedom Legal limitations on advertising and consumption do not interfere with the economic activity itself, that is to say, the production, sale, and purchase of tobacco Passive Market –Tolerated but discouraged by the State, which has an obligation to protect health

15. The FCTC and human right treaties Could the FCTC be considered a standard to interpret human rights treaties? –CESCR report on Brazil, 2009 The Committee notes, however, that the State party has taken important steps to reduce the threat tobacco poses for life, health, the environment and the general population by ratifying the WHO FCTC and developing public policies to reduce tobacco use. (art. 12, para. 1)

16. 5. Example: Constitutional Tribunal in Peru

17. Plaintiff's Arguments Unconstitutionality of article 3 of law 28705 –Establishment of smoke-free environments –Prohibition of public places exclusively for smokers (including the employees) –Prohibition of smoking on open areas of educational institutions

18. Tribunal's Decision “In the criterion this Court shares, the Georgetown University School of Law’s O’Neill Institute for National and Global Health Law, Campaign for Tobacco Free Kids and Framework Convention Alliance have upheld in their report that the questioned legislative measure in this proceeding “is not just a constitutionally valid measure, but also mandatory from the International Human Rights Law perspective and the obligation to protect the right to health”

19. Tribunal's Decision Progressive realization / Prohibition of retrogressive measures “It is found constitutionally prohibited that in the future legislative steps or those of any other nature be taken that protect in a lesser degree the fundamental right to health in face of the smoking epidemic in comparison with the way current legislation does so.”

20. Thanks. Oscar A. Cabrera O’Neill Institute for National and Global Health Law Georgetown University