REGIONAL ACTION PLAN FOR THE TOBACCO FREE INITIATIVE IN THE WESTERN PACIFIC REGION (201 0-2014)
REGIONAL ACTION PLAN FOR THE TOBACCO FREE INITIATIVE IN THE WESTERN PACIFIC REGION (201 0-2014)
WHO Ubraty Catalogling In Publication Data
Regional Action Plan for the Tobe.oco free Initiative in d"E Wes.iern Pacific Reg;on (2<>10-2014)
t. Tobsa:o US"e cessation. 2. Tobaoco control 3, Wes!P.m Pacif;:;. IS8NQ7S92 906' 4500 {NlM Classification: WM290) @ \Vottd
t-lealth O rgan ization 2009
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TABLE OF CONTENTS
PART 1 : Introduction
1
PART It: Regional Actlon Plan for the Tobacco Free Initiative In the Western Pacific (2010-2014)
5
PART Ill: Conclusions
45
PART IV: Appendix
46
PART V: Acknowfedgements
51
PART I
Introduction
Why we need to act Tobacco use i$1.he leading preventable cause of dealh glOballY'~ killing up to one haff ot the p eople who use it. The health, social and econorn!c b\.lrdenS ollobacx:o use are devastattng, It curcent global trends continue, It is est i mated that tobacco will kill more lhan 8 million p eople annually by 2030, and three quarters o f these deaths will b e In low- and middle-income countries. One third of the world's smokers reside In the Western Pacific Region, where 11 ts esUTTiilted that two people die every minute from a tobacco-telated disease. Compared with the other live WHO Regions. the Western Pacific Region has the greatest number ot smokers, among the hlghesl rates of male smoking prevalence, and the fastest increase ot tobacco use u ptake by women and young people. Recent research shows that more than 60% ot
student$ aged 13-1 5 years surveyed In the Region had bee11 recently exposed to second·hand smoke In their homes and public
pl:aces. All eligible parties In the Western Pe.clfic Region have ralffled the WHO Framework Conv0<11ion on Tobacco Control (WHO FCTC), tho first public heollh treaty nego ~otod under the auspices ot WHO. The tr~ ty i$ a.n Instrument that reaffirms the right of aU people to tho highest standard of health.' All parties ore obligated to Implement the treaty. But to realize our vi$1 on ot people, c;ommunitles and envirooments tree from tobacco. action from all ot us Is needed now. '"Hetl!th ro a slate ot COflli!SiB pl'ry&icai, mental ar.d soci~ \\'tiU·bctt~g and cot meroly the i!b:.enas of disooso or •nfirrr.tty: P!f~arrble lo lhe Coos!ilu!i:ln ol the Wald Hcolth Orga0031lon as aOOpltxl by lfle tntemafunal Hoalltl
Cordeience, tlcw Yak, IS.22June 1946; sgned oo 22 Jlif t946 by !flo !Eprusent:ab.vos ol ill States (OtfidaJRO'"..oJ de of fho W'OIId H"ealth Organizalkln, no. 2. p. 100) and er.1o,od' inlo lo1co on 7 ~dl1948.
What we need to do Society and government can avert millions of unnecessary deaths. reduce expenditures on medical care, and spare smokers and nonsmokers from suffering caused by many diseases. including heart disease, cancer. stroke and respiratory illness. through comprehensive and sustainable tobacco control. Through ratification of the WHO FCTC. all countries in the Region have an obligation to implement the international regulatory framework to confrol tobacco use, To reap the heatth, social and economic benefits of tobacco control, countries need to work for complete implementation of the treaty, The Regional Action Plan for the Tobacco Free Initiative in the Western Pacific Region {20t 0-:!0t 4) calls on Member States to develop and strengthen national coordinating mechanisms and national action plans towards complete impJementation of the WHO FCTC. The Plan emphasizes the importance of sening targets and indicators at all levels for tobacco control. It also highlights the need to protect public health policy processes from the interests Md interference ofthe tobacco industry. Full implementation of the WHO FCTC can only be achieved through engagement of an relevant sectors of government. civil society and nongove:rnmental organizations. as well as new partners, to take action within thetr social, cultural. occupational and political networks and spheres ol influence.
Where we are and where we want to go The ffrst Regional Action Plan for the Tobacco Free Initiative in the Western Pacific Region was developed for 1990-1994. Since then, 1here has been g reat progress in the Region. highlighted by the entry into force of the WHO FCTC in 2005. The Plan was b uilt
on the work of pioneering countries, advocates. nongovernmental organizations and·communities who envisioned a strong and systematic response to the tobacco epidemic two decades ago.
Today. the Regional Action Plan for the Tobacco Free Initiative in the Western Pacific Region (201C).-20 14) reaffirms the utmost importance o f WHO FCTC Implementation in protecting public health in all countries. The Wcstem Pacific Reg ion was the first WHO region to achieve 100% ratification by eligible parties to the WHO FCTC. Parties arc a1 various stages o f implementation, and the challenge is to move towards complete implementation o f the treaty in all countries. In 2008. WHO identified a packag e of six policies for
cos1-effectivo and evidence-based demand reduction for tobacco products. The package (with the acronym MPOWER) is a platlorm to support WHO FCTC implementation in countries and I ncludes: ( 1) monitor tobacco use and p revention policies; {2) protect people from tobacco smoke; {3) offe:r help 10 quittobacoo use; (4) wam about the dangers of tobacco;{$) onfOfce bans on tobaoco advertising, p romotion and sponsorship, and {6) raise taxes on tobacco. The Regional Action Plan for the Tobacco Free ln rtiative in the Western Pacific Region (2010..2014} is the p ro d uct of a series of consultative activities that began w ith the Workshop on Sustaining Action on the WHO FCTC in August 2008. The d raft doct~ment produced was circulated for comments by experts, partners and counterparls in WHO Headquarters and regional offices in December 2008. 1n March 2009, the draft document was circulated to national focal points for in ~oountry discussions. An expert group meeting was informaJiy convened in April 2009 to review tbe indicators of the Plan This We$ fol1ov.•ed by the Consuhation
on the Regional Action Plan 201 0- 2014 for tt\Q Tobacco Free lnltfatlva that was held In Man ila In April 2009, with parllcipation o f
nalional rocar points, repf"senlatlv&s o f civil society, WHO and the Convtmllon Secretariat The final draft Included comments and In put from this process.
The Regional AGtion Plan ·for the Tobacco Free InitiatiVe in the Western Pacific Region {20lo-2014} sets regional targets lhal will
be used by WHO lo monitor and assess progress of the Tobacco Free lnitia~ive programme at regional and country levels. AGtions ror coun tries are provided as a menu that may be used to guide the development of national p lans ol action. Actions for WHO will be used to guide development o f biennial work pJans and lmplemenlation ollhe Medium Term Strategic Plan (2006-2013). O uaJitative and q uantitative Indicators are provided and are highly recomm~ded to stref1g1hen Implementation at
the regional and
coun try levels.
PART II The Regional Action Plan for the Tobacco Free Initiative in the Western Pacific
Vision Tobacco free people, communities and environments.
Mission To advocate, enable and support complete implementation ot the WHO Framework Convention on Tobacco Control.
Goal Attain the lowest possible tobacco use prevalence and the highest level of protection from second-hand smoke.
Strategic actions 1. Promote and actvocate at the highest levels of government for complete implementation o f tile WHO FCTC and ratffication
of its protocols. 2. Mobilize and empower pollcy·makers, tobacco control advocates and communhies towards compfete implementation of the WHO FCTC through legislation and policies, tobacco taxation, governance and enforcement, and alliances am~ partnerships for cha!lging social nonns.
3,
S treng then org anizational capacity o f governmen t tobacco control programmes to p rotect p4.1blic health p olicy p rocesses from tobacoo industry interests and interference and to move towards complete implementation of the WHO FCTC through improvements in : • • • • • investment planning and resource management: leadership training and human resources devolopment~ surveillance, monitoring and knowledge management: public education, communication and advocacy: and: treatment o f tobacco depend ence.
Approaches 1. Development and/or updating ot national action plans. Eslabllshment and/Of strengthening o f national COO(dinating mechanisms: fOf tobacco eontrol. 3. Adoption or targ~ts Md preval~nce md tcato(s to monitor p rogress.
2..
Overall indicators: By 2014 1. All countries have developed national action plans. or equivalents. and established or strengthened national coordinating mechanisms, as appropriate. All Parties in the Region have ratified all Wl-10 FCTC
2.
pro1 ocols . 3. Reliable adult and youth tobacco use data are available in all coun tries. Prevalence ol adults {m en and women) and youth (boys and girls) current tobacco use {smoking and smokeless) is reduced by 10% from the most recent baseline
4.
Flgi.Jfe 1. Three+point strategy of lh& RagionaJ Action Plan for the Tobacco Free Initiative in the Western Pacifio (2010-20 14}
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Specific Objectives, Action Points and Indicators
LEGISLATION AND POLICIES To develop legislation and related poliCies, regulations, ordinances. administrative issuances and other measures to ensure timely compliance w~h aJI provisrons of the WHO FCTC, with specific reference to WHO FCTC articles that have deadlines, approved guidennes or protocols.
REGIONAL PROGRAMME TARGETS a. 100% ot countries have le,gislation end policy components
clearly articulated in their nationaJ action ptans. b. 100% of countries have adopted measures to protect their public health policies from interests and interference of tho tobacco industry in accOt"dance wtth WHO FCTC Article 5.3 and its guidcnncs. 1()()% o1 countries have lcglSiation and policies compliant
c.
with WHO FCTC Articles
a. 11 and 13 and their respective
guidelines.
d.
100% of countries meet "timeframes for current and upcoming
provisions of tho WHO FCTC guidelines and protocols.
ACTIONS FOR COUNTRIES a. Develop national action p lans tha1include a stroog lcglSlative
and policy development component for tobacco con1rol to meet deadU nes and comply w ith WHO FCTC provisions. b. Consider gender and equity issues in the formulation of leg islation and policies. c. Actively particip ate in the WHO FCTC process and
activities of the Conference of Parties and coocdinatc \\lith othef relevant sectors, particularly on the negotiation and ratification of the Protocol on Illicit Trade of Tobacco Products through the Intergovernmental Negotiation Body process d. Deter persons emp loyed by th e tobacco industry o r any entity
working to furlher i1s interests from serving on delegations to mee1ings or the Conferenc::e ol Parties, its subsidiary bodies or any other bodies established pursuant to the Confetenco of Parties, llle Wortd Health Assembly and olher WHO mee1ings. e. Identity champK>ns in legislative bodies and p arfiaroonts Md prOVId e 1hcm with tech nical assistance andsvpport for the passage of tobacco con1rol taws
f.
Articulate clear ruJes for government officials on avoiding conflicts of interest with the tobacco ind ustry, e.g. reject donations for p rogrammes. avoid participation in joiru activities. avoid in\liting the industry for consultations on policies. and refrain from attending meetings organized by
the tobacco industry. g. Work with IT!inistries of agriculture. trad e and commerce and othef relevMt ministries and agencies to address supply~side issues related to tobacco.
COUNTRY AND AREA INDICATORS a. Legislative and policy components clearly stated In national
action plans, b. Measures in p lace co protect public health policies from
commercial and vested interests of the tobacco industry in accordance w ith WHO FCTC Article 5.3 and i1s guidelines. c. Legislation and policy on protection from exposure to
second{land smoke are compliant with 'the de-finition of 100% indoor smoke-free settings (e.g ~, o.yori<placos. pubhc trat~sport,
indoor public places and. as appropriate. other
public places) in accordance with WHO FCTC Article 6 and its guidelines. d. Legislation and policy on regulation of tobacco product packaging and labelling are in accordance with deadlines for
compliance and in accordance 'Ntth the provisions of WHO FCTC Article 11 and its guidelines. e. Legislation and policy on the comprehensive ban ot all tobacco advertising, p romotion and sponsorship arc ln
accordance with deadlines for compfiMce and in aocordancc with the provisions of WHO FCTC Article 13 and its guidelines.
ACTIONS FOR WHO
a.
Provide technical guidance, tools and assistance for countries to comply with WHO FCTC provisions end guidelines
b.
Provide techntcal guidance, tools and assisUU'lce for countries to consid« social determinants and equity issues (e.g., poverty, gender. urban-rural residence) in relation to tobacco control.
c.
Advocata, fadhtate and negoliat& for financial support for
WHO FCTC Implementation In oountues. d. Provide techn5caf guidance, tools and assistance fo1
country-speeiflc advocacy eUorts for leglslabon and policy development consistent with the WHO FCTC. e. Facllitale sharing ol best pr~cllces on \'VHO FCTC across counlrles. Faclhtate country pa~clp.allon In the WHO FCTC aclivl!ies with specific f'efefence to the Wort<mg Groups and negoUauon and tatHicatio.n process of the Protocol on lllldt Trade in Tobacco. Products (INB} and meeling_s of tho Conference of Parties (COP).
f.
WHO INDICATORS a. TooJs developed and d isseminllted to support WHO FCTC
lmpf&mentallon In countries,
b.
Petcentage of countnes that receive techntcal guidance, tools and asskstanctJ lor WHO FCTC lmplemeotatlon.
c.
Mechanism established for sharlnglnformauon on best practices o n WHO fCTC.
d.
Suppotl provided for aU Patlles towtttds ratification of the Protocol on Illicit Trade of Tobacco Products and meetings ol the COP.
TOBACCO TAXATION To introduce and impletnent tax and price measures that W111 result in reduction of tobac co consumption; and to dechcate a significant proportion of the revenue from
tobacco taxes to hearth promotion and tobacco c o ntrol, Including treatment for tobacco d ependence.
REGIONAL PROGRAMME TARGETS a. 100% of countries are worklng towards having ail tobacco
products subject to exo•se watloo, b. 50% of countrJes where excise laX on tobacco products ts less thM 60% of retail pnce ate worKing toward s mcreaslng this until tt reaches 60%.
c.
Counttfes where exdse tax on tobacco is equal to 60o/o ot greater a!'e wotf<lng towards malnta!nl.ng or Increasing this further.
d.
100% of Partiesadop~ sign and ra41y lhe WHO FCTC Protocol on Ulld t Trade In Tobacco Products, 30% of coontrles are working towards dedicating a significant part o1 revenue lrom tobacoo taxes to health promotion and tobaec:::o controllnclud1 ng treattnent of tobacco dependence.
e.
ACTIONS FOR COUNTRIES a. Work towards excise
•ax on all tobacco products to be 60%
ol tho retail price and to maintain or increase this level once acllicved by:
1.
Consulting and working with technical experts. such as health economists~ and othe-r relevant units to review existing tobacco prices. tax structure and polic-y' options: Organizing a multidisciplinary group to develop, implement and monitor a strategy for effective tobacco taxation and pricing that would result in reduction of tobacco consumption; reinforcing the capacity of the Ministry of Finance to design such strategy and build tho capacity of the Ministry of Health to djalogue with the Ministry of f inance on tax jssues; Working witll the ministries of iinancc and other re!evan1
2.
3.
departments and organizations towards achieving tax policy objectives and moniior their impact; and 4. Collaborating with oJher partners. especially
nongovernmental organizations and media, to gain support for tobacco tax measures. b. Wori( tow8Jds dedicating a significant proportion of the revenue from tobacco taxes to health promotion and tobacco control. including treatment for tobacco dependence
COUNTRY AND AREA INDICATORS a. b.
All tobacco products are subject to excise taxation. Policies and action are focused on achieving, maintaining or increasing excise tax on tobacco to 60% or more of the retail price.
c.
Significant proportion of the revenue from tobacco taxes is
dedicated to health promotioo and tobacco control, including treatrnent for tobacco dependence d. Protocol on Illicit Trade of Tobacco Products is ratified.
ACTIONS FOR WHO a. Provide technical guidance, support tools and assistance
for countries for etfective design. implementation and administration o1 tobacco tax and price strategies.
b.
Create opportunities to dialogue on tobacco taxes and prices with th-e ministries of finance at the regional level in collaboration 'Mth appropriate United Nations agencies.
WHO INDICATORS a. Percentage of countries that receive technical guidance, tools and assistance fof effective tobacco tax and price strategies. At least two consultations convened and opportunities acatcd for regional diaJoguc with Ministries o f Finance and appropriate United Nations agencies.
b.
GOVERNANCE AND LOCAL ENFORCEMENT T o implement and enforce laws and policies through national coordinating mechanisms or their equivalent, protect PQiicies and programmes from the innuence and interference of the tobacco lndusuy, and promote good governance measures (i.e., strategic vision, participation. transparency and accountabili!y. with specific reference to healthy cities and Islands, communities and settings) to achieve tobacco control.
REGIONAL PROGRAMME TARGETS a.
100% of countries with national action plans ot equivalent tmpiOfnontGd. 100% of countrlos !UO monitoring and evaluating their national and S ocal ooforcomont of provisions related to Articles 5.3, 8, 11. 13, 15 and 17 and g1.1!deline:s. wheto available. 101)% of countries with clear 9ufdancs on &\/oidlng confficts of
b.
c.
lnte(ost with tho tobacco Industry. d.
100% of countrios with demonstrated Increasing capacity of national coordinating mochanlsms.
ACTIONS FOR COUNTRIES a. Implement national action plallS for tobacco control or lhcir country equivalent. b. Strengthen and enhance existing national or subnationaJ
coordinating mechanisms and plans for tobacco control. highlighting the critical rote of local govcmmems. cities, islands. settings a!ld communities. c. Enforce smoke-free indoor settings consistent with WHO
FCTC Article a provisions and guidelines. d.
Enforce measures for a comprehensive ban of all tobacco advertising, promotion and sponsorship in accordance with the provisions of WHO FCTC Ariicle 13 provisions and guidelines
e.
Enforce packaging Md labelling consistent wi1h WHO FCTC
Article 11 provisions and gutdennes.
f.
Promote the application ol good governance principles at
national: and Jocal levels {e.g .. participation. stra:tcgic \fision, rule of law and accountability) to achieve effective tobacco controL
g.
Enforce measure$ to protect public health policies from commercial and vested interests ot the tobacco industiy in accordance with the WHO FCTC Article 5.3 provisions and guidelines. includin-g the folk11Ning specific actions;
1.
Work towards full public disclosure by pofidcal leaders an d pol icy ~makers on any interaction wtth the
tobacco industry in Otder to achieve transparency and accountability.
2.
Advocate to private organizations, pattieularly organizations with close ties to politleal leade,s, to refuse direct or Indirect tobacco Industry funding for proJects and political campaigns. Articulate and disseminate rules for aU government agendas (e.g., heaHh. arts. education, spons and ttada) to rerect pat'tnershlps as weU as non-blndfng or non· enforceable agreements with the tabaoco Industry.
3.
h.
Address equity Issues, e.g. gender, poverry, and urban-rural dance disparities among othe(s, In accordance with guJ documents such as the United Nallons M ~lennlum Deolara.Uon Engage atfecte-d groups fn the development of programmes and seNices on tobacco control (e.g. the urban poor, worka..s, women. children, migrant populations and floating populations) and/or other prlonty target populaltons that are vulnerable and et risk. Promote economicalty viable alternaliV{M> fot tobacoo wotke(S, growers and sella's In accordance W 'llh WHO FCTC Ar1icle 17 provisions.
i.
j.
k.
Woric towards ellmlnabon of all forms of lllk:lt trade.
COUNTRY AND AREA INDICATORS a. National action plans or eqtJivaJsnts lmplementad. and strive 10 evatuat~ progress as defined by the following measure$:
1.
Percentage of heallhy Islands, dtles, settings atld communllles with enforcemenl ol 100% toba,cco-tree regulations, and that also addre:ss equity issues,
2.
Percentage of government departments, officials and government projects that have refu&ed d irect or indirect voluntary eonnibulloo from the tobacco lndustf)', wllh feferooce to WHO FCTC Article 5.3 provisions and guidelines:
3.
Reduction of adult exposufe to second-hand smoke In enclosed wOikplao&s and buildings to 0%, with refefence to WHO FCTC Artlcfe B provisions and guidelines:
4.
Reduction ol yoc.Hh exposure to se-cond·hand smOke In public places toO%. w.th reference to WHO fCTC Article B pro\lfsions and guldellnes;
5.
Redue.t10n fn youth exposure co tobacco adveftlsu'lg, promotion and sponsomhlp to 0%, with feterer.oo to WHO FCTC Atticle 13 pfovis10ns and gu~eUnes;
6.
100% compliance with WHO FCTC Artlcl'9 11 provisions and gulde!Jnes;
7.
100% compi!Anoe with WHO FCTC Article 15 provisions and Its lutute protocol; and Actions lhllt support economically viable altemallves for tobacco wcxkers, growers and, as the case may
8.
be, Individual sellers In accordance with WHO FCTC Article 17 provisions
ACTIONS FOR WHO a. Provide technical guidance. tools and assistance for
countries for irl'1plcmcntation of national action plans and enforcement of legislation and policies. b. Provide technical guidance, tools and assistance for
countries for strengthening and enhancing national coordinating mechanisms for tobacco control c. Support and djsseminatc good practices ol na6onaJ action
plallS and national coordinating mechanisms for tobacco control. d. Disseminate information and examples of how good
governance can be used to improve tobacco control (e.g .. citioo. islands, metropolitan authorities that are able to use citizen's participation, strategic vision, rule of law, transparency and accountabirlty to achia"e effective 1obacco control in localities), e. Promote and advocate for lhe implementation of WHO
FCTC Article 5.3 provisions and guidelines 10 avoid conflicts of interest with the tobacco lndustrj by political leaders, po-licy-makers. government agencies as weU as private organizations tha' are associated wi1h polltical leadCfS.
f.
Engage with regional healthy cities, healthy islands and other settings networks and alliances and advocate fOJ adoption a!ld enforcement of 100% smoke·ffec policies. Provide technical guidance, tooJs and assistance foJ countries to help assess and monitOf' en1orcement and ensure that equity issues are adequately addressed.
g.
WHO INDICATORS a. Peccentage of countries that receive technical guidance, tools and assistance for development and implementation of national action plans and national OOOfdinating mechanisms. Regional m<tehanism establis-hed for sharing best practices on national action plans, national coordinating mechanisms and good governance. Technical guidance, tools and assistance developed to support the work o1 countries in assessing and monitoring enforcement and to address equity issues. Development of guidance and recognition for 100%
b.
c.
d.
smoke·free cities and o1her settings. as appropriate.
ALLIANCE AND PARTNERSHIPS To work with relevant tobacco control stakeholders to
achteve comprehensJVe and sustainable tobac co control and avoid interference from the tobacco industry.
REGIONAL PROGRAMME TARGETS a. 100% of countd"s have a current hst of e'XIttltlg tmd pO!enual relevant tobacco cor1trol pat'lrters in thelr nahOoal action plans.
b.
50% of countries convane annlJ.aJ meebngs. a1 a minimum. w1th m u1Usec1oral partners .aod relevant tobacco con LJol
s!akehok:tars to plan and evaluate their nati-onal aeuon plans. c. 50% of countries conduct, at a m1nlmum, annual public
recognition of outs-UU'ldlng contributions of allies and pMtners In the Implementation o1 the national action plans for tobaoco control.
ACTIONS FOR COUNTRI ES a. Identify and map relevant stakeholders according to their
intefcsts. capacities and influence. b. Establish or strengthen coordinalioo and engagemoot with retevant stakeholders and partners in accordance with WHO
FCTC Article 5.3 guidelines. c. Actively engage relevant tobacco control stakeholders in the development. implementation, assessment M d evaluation o f
tho national action plan..
d . Ac.Uvely share information on tobacco control issues and initia6vcs wi1h relevant stakeholders.. e. Develop. dlss~minate and implement measures and
guidelines to keep alliances and partnerships (roo from tobacco industry interference.
f.
Support multisectoral activities on tobacco control and facilitate the participatio-ll of and action by organized groups and communities. Develop a system to publicly recognize outstanding contributions of allies and partners, and reinforce social mobilization efforts
g.
COUNTRY AND AREA INDICATORS a. Updatod list ofexisting and potential stakeholdets relevant to tobacco control. b.
Annual meetings. at a minimum, conducted with m ultisectoral partners and relevant tobacco control stakeholders to plan and evaluate- their national action plan..
c.
Annual public r&.COgnltJon. at a minimum, of th e outstanding es and partners in the implementation of contribution o f a lla national action p lans fOf tobacco eonlfol.
ACTIONS FOR WHO
a.
Provide technical g uidance, lOOts and ass~stanco for countsles on how to mobilize and Include televant
stakeholders ln the lmplemen1ntlon of naUonaJ action plans. b. Provide technlcol guidance, tools and assistance for counules to strengthen Interaction within and between stues. government mln1 c. Provide techn5caf guidance, tools and assistance for countries: and partnflf's to more effectively engage wilh pattners from nongovernmental orga.nlza.troos. clvrl sodety and other sectors relevant to tobacco conllol,
d.
Provide technk:al guidance, tools and assistance lor countrie-s for the d evelopment of measures 10 pt.even t tobacco Industry lnter1t!rence In act.Mlles ot tobacco oonttol a!Hances and p artners.
e.
CreaiG opportunttl&s to expand partnGJSh.lps and buUd
stronger alhanees and coalitions toe tobacco control at the regional and sub1eg!ooa11evels.
f.
Shere fnrormatlon t&gularty a.ctoss a netwotk of pattnetsln lhe Region.
WHO INDICATORS a. Peccentage of countries that receive technical guidance, tools and assistance to s1rengthcn participation ot dlffeccnt sectors and partners in the development, implementation an-d monitorin-g of nruional action plans In
countries. b. Number of partnerships, alliances and coaiR ion-building activities that WHO supports and participates in. Mechanism developed for sharing in1ormation across a network ol partners in the Region
c.
INVESTMENT PLANNING AND RESOURCE MANAGEMENT To develop m ulti·yaar financial plans for government· supported tobacco control programmes, inCluding mechanisms that raise levels of funding through m ultiple sources, e.g. tobacco taxes, private sector supper~ donor aid, CM!munity funds, and social health insurance.
REGIONAL PROGRAMME TARGETS a.
50% of countries havo developed multi·year tobacco control budgetary needs estimates
b.
60% of countries have legislative and policy mechanisms to establish sustainable infrastructure and financing for tobacco control.
ACTIONS FOR COUNTRIES a. Use evidence to estimate muhi-year budgetary needs and
prioritize: budget items that contribute to sustainable tobacco control programmes. b. Map the amounts and sources of funds for tobacco control at
1he national and local levels. c. Work towards and advocate for ineteasing the current levels of funding for tobacco control and expanding the sources
of funds, to include but not limited to, national and local governments budgets, contributions from external support organizations, funds from tho private sector. community funds and social health insurance. d. Enact laws and policies that contribute to sustainable intrasuucwre and finen-cing for tobacco control.
COUNTRY AND AREA INDICATORS a. b. Multi-year tobacco control budgetary needs estimated Increased allocation of dedicated taxes or other revenues for tobacco control. Increase in lhe proportion of GNP or GOP allocated for tobacco control.
c.
ACTIONS FOR WHO a. Provide technical guidance. tools and assistance for
countries to assess and estimate multi·year budgetary needs for tobacco control. b. Provide technical guidance, tools and assistance for counuies to strengthen the arguments for governmen1 investments in 1obacco control (e.g. assess the proportion of GOP spent on health care costs refated to tobacco use a!ld show how aJtemative use of this molley could resuft in healthier populations) Work with other agencies, financial institutions and donors to secure addi6onaJ and new funding for tobacco control work in countries.
c.
WHO INDICATORS a. Percentage of countries that receive technical guidance. tools a!ld assistance to assess multi-year budgetary needs. Opportunities created tor sharing of best practices. PCfcentage ol c ountries that receive technical guidance. tools and assistance for increasing investments, sources and levels ol funding for tobacco control.
b. c.
LEADERSHIP TRAINING AND HUMAN RESOURCE DEVELOPMENT To support implementation of WHO FCTC provisions by developing and enabling champions. leaders and advocates at m ultiple levels to lead tobacco control efforts and to continuously train and provide tobacco control programme implem enters with appropriate skills and competencies.
REGIONAL PROGRAMME TARGETS a. 50% o1 countries participating in regional leadership training
programmes for tobacco control. b. 100% of countries with multi-year naliQnaJ plans for human
resources dcvelopmenl tor heahh that direc:tty add ross tobacco control human resource n eeds.
ACTIONS FOR COUNTRIES a. Identity agencies and individuals (e.g. tobacco control programme managers, health workers and professionals, community leadctS.Iocal govemment officials, media practiti-oners. legislators. policy-makers and enforcers,
advocates. etc.) who need training in tobacco control ancl determine how to further develop skills and competencies required to implement the provisions ot the WHO FCTC
b.
Invest in and conduct tobacco control leadership development at muttiple lewis and in drtferent sectors.
c.
Organize, facilitate and conduct tobacco control trainin-g
programmes. d. Develop a multi·ycar national human resources plan for meeting fluman resource needs of the government tobacco control programme at national and subnatiooallevels, (including mapping staff positions. competencies, functions, roles and respoosibltities-and developing strategies and plartS to mee1 human resource needs), and to integrate this into overall national plans for human resource development for healt11, as applicable.
e.
Expand access to uaining on WHO FCTC guidelines and requirements. Expand access ol tobacco control managers and implementefs in the health sectoc- to train with MPOWER.
f.
g.
lncorpOfate. integrate and expand tobacco control in tho course curriculum foe heatth workers and protessionaJs and othef relevant sectors.
COUNTRY AND AREA INDICATORS a. Availabltity of and at least 8fl annual evaluation o f a national plan for h uman resource development tor tobacco control, including the assessment of training needs and the availability o f training resources.
b . Conduct of priorily trainings in. tobac<:o control.
ACTIONS FOR WHO a. Develop and implement a regional lead ership training programme for tobacco control b. Provide technical guidance. tooJs and assistaoce for countJies to develop trainfng for tobacco control p rogramme
managers, health workers: and professionals. legis~ators. policy-makers and enforcers, advocates. etc, c. Work with RCademic institutions and networks to establish a regional consortium for training on tobacco control d. Provide technical guidance, tools and assistance for countries to formulate and implement national plans for human resources develop ment for tobacco control. e. Advocate to academic institutions and networks for integration of tobacco control in the course cuiTiculum ror
health workers and professionals. as well as o1hcr relevant sectors..
WHO INDICATORS a. Regional programme for leadership training on tobacco control developed. Consortium for training on tobacco control established a!ld composed of training and academic institutions in the
b.
Region.
SURVEILLANCE AND KNOWLEDGE MANAGEMENT To generate reliable and updated information and evidence to guide programme planning, implementallon, monitoring and evaluation, as well as to gather intelligence and monitor Industry actions.
REGIONAL PROGRAMME TARGETS a. 100% of countries with I&Uable and comparable
population-level adult tobacco use (smok1 ng and smokeless) ptevalence data by gend&r and age. b. 100% of countties with rehaJlle and comparable youth
tobacco use (smokJng and smokeless} pl'tWatence data by
gender aod age. c. 100% of countries vtJth mortality. and, if available, morbldlty
data attributable to tobacco use.
d.
1()()% of countries with Information on tobacco mdustry
ma.rketmg, product development and other actlvib'es. e. 100% of countries hnk tobacco control data to programmes,
po!ic$S and health outcomes.
ACTIONS FOR COUNTRIES B. Establish, Implement. st.reogthen and sustain surveillance
systems and activit!os for tobaoco control at tho populatfoo level (e.g., Global Tobacco Surveinahce System, WHO FCTC COP Reporting Instrument, STEPs. tobacco control indfcators Incorporated Into national health .and consus daia.. etc.). b. Monitor the tobacco epidemte. including mortafity and morbidJty, and the Impact ot tobacco controllnterveotlo!U.
c.
Ma.p the soaal and economic determinants of tobacco u&&, analyse behavioural and onv~tonmontal nsk data on tobacco,
and usc thts information for noncommunicable disease prevention artd cor1trol programmes. d. Adapt and adopteVJdence-.basod systems and best p facticas
in survo~l an<::e, knowledge management. information dissemination end exchange for effec;tJve lobacoo control e. Oeva:top and lmplemaC'It national tobacco control research agenda to include intcrventiona! evaluation and outcomes research (e.g .. tobacco control data application p rojects) tn partnert:hlp with reJevant local and rntetnaUon.aJ research stakeholders 1n the country. Strengthen usc of evidence for poticy and action that target decisloi'Hnaket"s, partners tlnd the gena,al public (e.g.,
f.
through data application prefects).
g.
Ensure that academic and research institutions do not accept financial, technical and In-kind support lor research actiVflie$ hom the tobacco 1ndustty or any organization affiUatad with the tobacco industry.
h.
Develop, implement and evaluate a strategy •o monitor tobacco lnduslfy actMtles (e.g .. tobacco Industry marketing. product development and attempts to influence political docision.making).
COUNTRY AND AREA INDICATORS a. Reliable and comparable population·&evcl adult tobacco Use
(smoking and smokeless) preva.looce data by gender and age available and reported in national health statistics. b. Reliable and comparable youth tobacco use (smoking and
smokeless) prevalence data by gender and ago available and reported in national health statistics. c. Mortality data. and if available, morbidity data atuibutable to tobacco use reported lrt nalionaJ health statistics. d. Tobacco industry marketing, product development ancJ other activities mooitorcd and reported,
e.
Data cleart>, linked to p rogramme and polfcy eHorts (e.g .. tobacco data application projects).
ACTIONS FOR WHO a. Develop and provide technical guidance, support tools and assistance for countries for capacity-building to implement
and scale· up surveHiance systems and activities for tobacco con1rol (e.g .. Global Tobacco Surveillance System, WHO
FCTC COP Aepooing Instrument. STEPs, tobacco control indicators incorporated into national health and census data. etc.).
b.
Regularly update web-basad WHO Wastern PaCific Region Tobacco Control Data. Centre. (WTCOC).
c.
Davelop and p rovide teehnicalguldanoo, tools and assistance for countries to demonstrate the contribution o f tobacco control to
overall reduction ol noncotrtmunlcable
disease burden, consistent wtth the Westem Pacific R&gionaJ Action Plan lor Noncommunicable Diseases.
d.
Contribute to the fu nhe~ development of Instruments and tools, training, d !ssemlnaUon of evidence-basad best practices, end evaluation activities to Improve quaJity of tobacco sufVeUI.ance systems. Develop and Implement
e.
a. reglor'lal tobacco control research
agenda In partnership with relevant research stakeholders in tha reg1on and countnes.
f.
Oev&top and ptovlda technical gu!danoa, support tools atld
essistMee for countries to strengtha.n the use o f evidence for policy and action lhattatget declsloo~makers, partners and the ge.naraJ pubtic through 1ecflnlcal suppon and guidance (e.g., thrOtJgh data application projects) .
g.
Streogthtm effective knowledge managemel"lt at Jeglonal and country offices.
h.
Standardize data slrtJcture :md promote llmely and 1elevan1 Information e.xohange among and between countries.
i.
Develop and pfovide technical gu!dane0. support tools and asslstattce for counul&s to Implement and evaluate strategies lor tobacco Industry monltollng.
WHO INDICATORS a. Peccentage of countries that receive technical guidance, tools
and assistance for strengthening the use of evidence for policy and action. b. Percentage of countries that receive technical guidance, t· o ols and assistance for standardization of data and preparation of
COP reporting instruments. c. Strategies for monitoring the tobacco industry arc developed,
implemented and evaluated
PUBLIC AWARENESS, EDUCATION, COMMUNICATION AND ADVOCACY To inform different audiences of the hazards of tobacco use and exposure. as well as effective intE!fVentions; and to moblli:ze stakeholders to change social norms and eventually eliminate tobacco use In society.
REGIONAL PROGRAMME TARGET a. 100% of countd"s have 1 tnplemented national comnwnk:atton and advocacy plans.
ACTIONS FOR COUNTRIES a. Deve!op, lmplemant and secure approprlate funding for an evldence-bas&d communteauon and advocacy plan for tobacco control, lnelud•ng amen1 and appropriate methodology for daveJoplng media as part at the national acbon plan on tobacco control and coo.sl.stent wlth WHO FCTC A11lcle 12 pro\lfstons and gutdeUn~ (odu~tion. communl~6on, tremlng and public awareness) through the followmg: 1. strengthening cornmunlcatlon and advocacy activities in relation to: {a) chiJngtng social norms: and (b) counteractmg tobaec:::o Industry tactics that hH) dB toba. coo control measuras;
2.
advocacy for •mplemantat1on or health and pictorial warning& on tobacco products in QCCOrdance With Articfe 11 provls.ons and guid~fin~s :
3.
advocacy for implementation o f compfehensive bans on tobaoco adverusing, p10~t~otlon and sponsorship in accordance ~o\lith Article 13 provisions and guldollnoo.
4.
counterac1ing subliminal advertising o f tobacco use In movies, lelevls1on shows and o1her forms of entertainment, recognalng rts p rofoun d Impact on youth;
5.
advocacy for Implementation o f 100% stnoke-ftee public placos in accordance with Article 8 pro"'isions and guidelines; and
6.
encouraging cltlz.ens to monitor and repor1 violations of these bans In accordance WTth Articles a. 11 Md 13 provisions and guidelines.
b.
Cons1stont with appltcablc WHO FCTC proVIsions .and guid elines. mobiliZe communities in advocacy campaigns lor comprehellslve tobacco control, and role models such as health pfofesSJO(tals, policy-makers. celebrities, athletes, OOucators and othefs who can s.peak out In suppoct of tobacco.froo social nonns.
c.
Develop and implement training p rogrammes on strategic <:ommumcauon and advocacy lor tobacco control.
d.
Support educallon and lnformallon campaigns that terge1 youth and child ren.
e.
Work with tho media and strategic communication spociallsts such as schools of mass communication to sensitize joumafists on tobacco cootrol issues and Industry tactics In Influencing policy- and declsior'H'na~ing .
f.
Implement mass media (lneludlng pald media) and community anti-tobacco campaigns.
g.
Use World No Tobacco Day activities ro highfight tobacco control issues and progress in the country.
COUNTRY AND AREA INDICATORS a. Strategic communicalion Md advocacy plans developed and implemented, Effectiveness and reach of strategic communication and
b.
advocacy campaigns increased and evaluated. c. Hi{Jh·profile activities conducted during World No Tobacco
Day. d. Measures to counteract subliminal advertising and promotion
ot tobacco use in mov;es, televisfon shows and other forms of mass media are in place.
ACTIONS FOR WHO a. Develop a regionaJ support strategy fof the needs o1
countries relevant to strategt.c communication and advocacy, b. Develop and provide technical guidance. tools and
assistance for countries to evaluate reach and effectiveness of strategic communication and advocacy activities. c. Organize regional events and support World No Tobacco Day
activities in countries. d. Advocate for inclusion of tobacco control in the global,
regional and national heatth and development agendas (e.g... Convootio-ll on the Rights of the Child, Convention for tho Elfmination of AU Forms of Discrimination Against Women a!ld the Millennium Dcveropmcnt Goals). e. Develop and provide technicaJ guidance, tooJs and assistance for countries to counteract tobacco industry interference with public health policy processes,
WHO INDICATORS a. Regional strategic communicruion and advocacy plan developed. Implemented and regularly evaluated. Percentage of countries that receive guidance. tools and assistance for evaluating effectiveness of strategic communication and advocacy activities. Percentage of countries that receive support for World No Tobacco Day acti\lities. Percentage o1 countries that receive guidance, toots and assistance for advocating inctusion of tobacco control in global, regional and national health and development agenda
b.
c.
d.
in aJI countries. e. Peccentage of countries that receive guidance, tools ancl assjstMce on counteracting tobacco industry interference with public heahh policy·making processes.
f.
Percentage of countries that receive guidance. assistance and support 1ools fOC' co\mteracting tobacco use in movies and television shows.
TOBACCO DEPENDENCE TREATMENT To develop and integrate treatment of tobacco dependence in the nealth care system v.nth particular emphasis on prima.y health care.
REGIONAL PROGRAMME TARGETS a. 100% of countdes have developed and disseminated national tobacco dependance trea_ tment consensus guideUnes natlonalfy.
b.
100% of countries have train~ pnmruy health cate wOJk&l's to offet bnef cassation adVice.
ACTIONS FOR COUNTRIES a. Davelop with !&levant sectots and effectively Implement national consensus gu!d.eUnes lor tobacco dt:!'pandence lfet~ tment Wlth particular emphasis on prlm~ry health cmo, and a plan to seale up serviCQS. Establish or strengthen bGhaVIoural •ntervenuon services for the treatment of tobaoco dependehce. lnc1ease availab1 llty, accessibility and affordabiUty o1
b.
c.
Nloobne R6placement Th~apy {NRT) and other effective pharmaceutlcal interventions, aocording to hatlonal conser'lSos guidelines tor the treatment of tobacco dep&ndenoo.
d.
Train p rlmaty health care workers and oth~r stakeholders to provid e brief cessation advice.
e.
Work towards sact.JJfng appropriate haallh f1 nan d!'g for tobacco depertd ence tJeatment services cotnpllMt \1/lth national consensu s guidelines (e.g. social health knsuJMCe coverage).
f.
Dev elop, adopt and evaluate elre<::twe lobecco dependence treatment programmes lor youth, ad ults, and other high p ~lonty g roups based on felevanl p rovisions and guidelines
ol lhe WHO FCTC. g. Integrate c obacco dependence treatment lnteNentlons Into appropriate strategte programmes, e.g ~ n oncommu n-Icable disease prevention and contro l, tuberculosrs control and sale motherhood.
h.
Work to create synEKgies between tobacco dependenef! treatment services and o ther cessation approaches. particularly mass madla and education Interventions.
COUNTRY AND AREA INDICATORS
a.
National consensus g u id elines for tobacco dependence
treatment developed and d lssem1nated ntulonalty, b. AI least 70% or health professionals and health eat6 workers working In p rlrnaty llaallh Cllfe trained to pro\lide bfiet cessation adlke.
ACTIONS FOR WHO a. Provide technical support to countries to develop, implemen1.
monitor and evaluate national consensus gufdennes for tobacco dependence treatment.
b.
Sc-ale up and integrate tobacco depelldence treatment interventions into appropriate strategic programmes
particularly noncommunicable disease prevention and control. tuberculosis control and safe motherhood c. Collect data o.n avaiJability ol and accessibility to tobacco
dependence treatment services d. Develop training modules 1 or countries to enable health care
workers and other .stakeholders to provide brief cessation advic:e in primary health care services e. Analyso and disseminate mformation on effective and efficient
tobacco dependence treatmen1practices across the Western Pacific Region.
WHO INDICATORS a. Toots and guidance developed to suppon development and
implementation of national consensus-guidelines for iobacco dependence trcatrnon1 b. Training materials developed and disseminated on offering
brie1 cessation advice.
PART Ill
Conclusions
To attain complete implementation of the WHO Framawot'k Convootion on Tobacco Control (WHO FCTC) in tho Western Pacific Region. new ways of thinking and WO(king aro of the oo:senoo. A whole·of~governmoot approach is nacGSsaf)f. Ministries of Health play an lmpo nMt role In ensuring synOfgy, harmoolzation and alignmoot of the tobacco control agenda with the work of many dlfferent technical units in other parts of government, as woll as with other soctofs. Prot&etion of public
hoalth policy dcwelopmont and Implementation from Interference of tho tobacco Industry is a koy goal. The WHO FCTC has provided tho ovorarching palhway that would ultimately lead us to tho ebmtnatlon of ono or tho world's deadi!QS:t health ha.zards. Through public action and sttengthenOO government In frastructure an d capacity, lobaceo u se will b e reduced, axpc;>sure to second-hand smoke can be avoided, deaths will ba prevented and succeeding generations wlll llv& In a wortd whare smoking Is no lot~ger an acc-eptable social notm. Within lhe ne)(t ffve years, the cntlcal steps to make this happen wnl be In our hands. It Is hop«! tl1at the Reglooal Action Plan IO< the Tobacco Free lnitlatlve In the Westem Pacllic Region (20t~20t 4) Inspires countries lo locus on the key aetions that W'ill brlng us closer to a tobaeco-froo Regloo, where people and communities can live loogm and healthlet liv-es.
PART IV
Appendices
References frOm tho WHO framework ConvenUon on Tobacco Control (Artlclos 5.3, 8, 11 and 13)
Article 5.3: Protection of public health poUcles from tobacco industry interference In sorting and implementing their pubOc health polk:t.es wnh respoct to tobacco control. Paruos shall act to protect those polk:ies from comm&rclal and other vested lntotosts of the tobacco Industry l.n accordance with national law.
Article 8: Protection from exposure to tobacco smoke p-anios rocognize thatsciootlfic evidence has unoqulvocnlly &s:tablished that e:xposuro to tobacco smoko causes death, diseaso o.nd disability. (1} (2) Each Patty shall adopt and lmplomont In aroas o f
o-,dsting nauooal jurisdiction as determined by national J aw and acWoly promote at other J urlsdfctlooal Jovols tho adoption and lmplemenU:Ilion of etfoctfve loga statlve, e:xecutiVG, admlna sllatlve and/or other moosures, prov.dlng for protection from exposure to tobacco smoke ln Indoor workplaces, pubUc lfansporl, Indoor public places and, as appropnate, other pub.lk: places.
Article 11: Packaging and labelling of tobacco products (1) Each Party shoJI, within a pmiod of three yeats afta< enlly
Into foroe of thl:s ConventiOn for that Party. adopt atld lmplemant, In accordance with Its national law. effect!~ measures to ensure th~t: (a) tobacco product pacl<ttglng and labelling do not promote a tobacco product by any means that rue false, misleading, deceptive or likely to Cfe~te an erroneou$ impression about its characteristics, health elfects, hazards or emlSslons. lnclv-dlng
any term, descriptor, l1t11demark. figurative or any other sign that directly or Indirectly creates the false Impression that a particular tobacco p roduct Is less hwmtul than other tobacoo products. The$e may lnclv-de terms svch as " low tar'", "lig ht~ , "uHra-llght". o r "mid"; and (b) each unit packeland package of tobacco p roducts and any outside packaging and labelling of suc:h products also carry
health wam1ngs describing the harmful elfects of tobac;:cQ use, and may include other appropriate messages. These warnings and me$s&ges: • shall be appro.vad by the competent n ational authority, • shall be rotating, • shall be large, cle-ar, visible and leg1 ble, • should be 50% or more ot the principal d isplay areas but shall be no loo.s than 30% of the pdncipal dlsptay areas, • may be In the form o f or Include p ictures or plctogcams. (2} Each unit packet and package of tobacco prod uets and any
outside packaging and labetllng of such products shall, in addition
10 the warnings specified In paragraph 1 {b) of this Article. contain Information on relevant constituents and emissions of tobacco produots as defined by national authOflties.
(3) Each Patty shall require that thE) warnings and other textual information sp&dfied In paragraphs 1(b) and paragraph 2 of this Article will appear on eacl1 unit pru::ket and package of tobacco products and any outside packaging and labelling of such products in rls principal language or languages. For the purposes of this Article, the term " outside packaging and labelling" in refalion to tobacco products applies lo any packaging and labelling used In the retcUI sale of the product.
(4)
Article 13: Tobacco advertisin g, promotion and $ponsorship ParUes recognize thai a comprehensive ban on advertising, ( 1) promotion 8/ld sponsorship would reduce the consumption of tobacco products. (2) Each Party shall, in accordance with Its con stitution Of constitutional principles, undertake a comprehensive b811 of aU tobacco advertising, promotion and sponsorship. This shall In clude, subject to the legal environment and technical means available to that Party, a comprehensive ban on eross border advertising, promotion and sponsorship originating hom Its territory. In this respect. WTthin the period at five ye81S after entry lnlo foroe of this Convenhon for that Par1y, each Party shall undertake appropriate legislatiVe. exe<;utive, administrative and(or other measures and repor1 acoordJngly in confcfmity with 4
Ar1iole 21 . A Party that Is not In a position to undertake a comprehenstve ba.n due to its consbtu\JQn or constitutional principles shall apply restrictions on all tobacco adverlising, promotion and sponscxship. This shall ind ude, $Ub}ect to the le!i!al environment and technical means available to that Party, restnctloos or a comprehensive ban on advertising ~ promotion and sponsorship orlg ln~hng from lis territol)' with cross-border effects. In this respec1, each Party shall undertake appropriate leglslaUve, exee-utlve, administrative and/cx other measures Emd report (3}
accordingly lt1 coniQfmlty with Article 2 t.
(4}
As a minimum, end In aceo(dance Wtth its cooslilutton or
eonstltutional principles, each
Patty shall:
(a) ptohibU all forms ot tobacoo advertismg, promotion and
sponsorship that p romote a toba,cco p roduct by any rneans that are raJSQ, misleading or deceptive or likely to C(e.ate an erroneous impression about Its characteristics, hea.llh effects.
hazard5 or emissions; (b) require that health or other appropria-te warnings or
messages accompany aU tobacco advertising and. as appropriate, p romotio n and sponsorship;
(c;:) restrict the use of d irec-t or indirect incentives thal encourage the pu rchase of tobacco products. by the public: (d) require, if it does nol have a. oomprellenslve ban , the disclosure to relevanl govemmentaJ authorities o1 ex.penditvres by the tobacoo Industry on advertiSing, promotion and sponsorship not yet prohibited. Those authOf'ilies may deoide to make those figu res avail able, subject to naU onallaw, to the public and to the Conference of the Parties, purst~ant to
Ar1iole 21 ; (e) under1a)(e a comprehensive ban o r, in the case ot a Party that Is not In a position to undertake a comprehensive ban d ue to Hs constitution or coos,itulional principles, restrict tobacco adver1ising, p (omolion and sponsorship on radio , television , print media and, as appropriate, olher media, sUch as the internet, wrth1 n a period of five years; and
(f) proh•brl, or In the case of a Party that Is not In a posiUon to prohibit due to Its constitution or oonstl1utlonal princip les restrict, tobaoco sponsorship ot lntemallonal event~ . activities and/or partk:lpants thefeln. (5} Parties are enoouraged to implemenl measures beyond the
obligations set out in paragrap h 4.
(6) Patties sM11 eooperate In the devalopment of technologies and other means necessary to fadlitate the e!lmlnntion of cross-bordm advertising. ParUes which have a ban on cert.ai-n forms ot tobacco adverti-sing, promotion and sponsorship have the soveretgo right to bal'l those fOfms of cross-border lobacco advertising, promo tion and sponSOrsh(p efllering their territory and to Impose equal penalties as those appllc-able to domestic advertising, promotion and sponSOrsh(p onginating from their territory In accordance with their nabonal la.w. This paragraph doe$ not endorse or approve of any parUcular penalty.
(7)
(8} Parties shall consider the elaboration ot a protocol setting out appropriate measures that require internation al collaboratiOC1 ror a comprehe!lSiVe ban on cross-border advec1fsing, promotion and sponsorship.
PARTV
Acknowledgements
The Tobacco Froo lnltJeJMI Rogoonal Acoon Plan (2010.2014)1s lhG product of lnlOnSM> ~L diSCUSSJ()tl and eonsu1WJon Wl1h Westorn Paallc Rogoon Mornber SlaJOO. oxpecu end many olhors. R<Mc!w ollho droll o b , - - and suatog•OS, and do1101opman1 of spoafic objoc1ivos and ind4~ was dono dufong lho Rogoonal Action Plen lnd•cetor• Mooting and tho Consul!ellve MOOting on lhG Droll Rog10nal Action Plen 2010 201410< lhG Tobacco Froo lniliatiw. both hold in Manrla rn Aprl 2009 In 111ls rogazd, we rocognizo tho outstand.ng contributiOns oC tho folloWing'
NATIONAL FOCAL PERSONS Dr Um Thofphoang National Contra tor Health Promotion CAMBODIA Or Sung Vlnntok
Natiooal Contra lor Hoalth Promotion CAMBODIA Dr Yang Jlo ctunoso Cantor for Dlsoaso Control and ProvonbOn PEOPLE'S REPUBUC OF CHINA Or lam Man-kin Departmont ol Hoalth HONG KONG (CHINA)
Or Ma lo Leng
Cootor lor Olsoaso Conttol end ProV«lllon MACAO (CHINA)
Or Josephine Aumea Herman Ministry ot Health
COOK ISLANDS Ms Shra Allk Department of Health and Social Affairs
FEDERATED STATES OF MICRONESIA Mr Naibuk.a Wainibukawaqa Luvenlyall Minis tty of Health, Women and Social Welfare
FIJI Mr Gil Suguitan Department of Public Health and Social Services
GUAM Or ltsuro Voshimi Nationalln s.t itute of Public: Heallh
JAPAN Mr Kireata Ruteru
Ministry of Heallh and MechcaJ Ser111ces KIRIBATI
Prof. Dr Sithat fnsis iengmay Ministry of Health
LAO PEOPLE'S DEMOCRATIC REPUBliC Mr Ooi Poh Keong Ministry ot Heahh Mal aysi~
MALAYSIA Mr Russell Edwards Ministry of Health
MARSHAll ISLANDS Or Gombodorj Tsetoegdery Ministry ot Heallh
MONGOliA M r Bob Tunifo TaJagi Niu e Heallh Oepatlment
NIUE Ms Rebecca Ann Covarrubi as Department of Public Health
COMMONWEAlTH OF THE NORTHERN MARIANA ISLANDS
Mr Roman Oseked
Mlno slly ol Hoallh
PALAU Dr Thomas Vlnlt National Department of Health
PAPUA NEW GUINEA Dr Asunc-ion Anden Department of Health
PHILIPPINES Or Ernie Vera Deparlmen1 or Health
PHILIPPINES Or Sean Kui Lee Ministry for HeaUh. Welfare and Family Affairs
REPUBLIC OF KOREA Ms Kyoung Nim Kim Ministry for Health, Welfare and Family Affairs
REPUBLIC OF KOREA Ms Perlve Lelevag.a Ministty ot Health
SAMOA Ms JoAnn Taylor Heal1h Promotion Soard
SINGAPORE Mr Alby Lovi
Ministry ot Health and Medical Services
SOLOMON ISLANDS Ms Leone Pearce Department of Health
TOKELAU Or Lopeti Paula Vlvili Ministry ot Health
TONGA Mr Kakee Pe.se Kaitu
Ministry ol Health
TUVALU
Mr J.eart-Jacqu·es Alberlek Rory Ministry ot Health
VANUATU
TEMPORARY ADVISERS AND CONSULTANTS Mr Luke Atkin Quit Victoria, Austiaha Prof&asor Rahmat Awang Natlooal Poison Centre, Unlve,slti Salns Malaysits Or Anni!lte David Health Partners, Guam Mr Burke Fishburn lntem.atlonal Un~on Against TubQfculosis and Lung Dls&ase United States of Amet"ica
Or Chuck Gollmar Natiooal Association of Ch ronic Disease Directors United States of America Or Pra_ k ash C. Gupta Heafis·Sekhsaria Institu te for Public Health India
Or Min·Kyung U m NatiOf'lal Cancer Center, Republic ot KOC'ea Or Judilh Mackay Asian CQn ~l tancy on Tobacco Control, Hong Kong {China}
Or Heyden McRobbie Inspiring Limited, New Zealand Or Caleb Otto Council for Substance Abuse Prevention, Palau Or Jae~Gahb Park Seoul National Univetsity, Republic of Kore-.a
Mr Stephen Tamplin Johns Hopkins Bloomberg School of Public Health
Or Charles (Wick) Warren Ce11ters for Disease Conlrol and Prevention United States of Arnerics
OBSERVERS Ms Bungon Ritthiphakdo.o
Southeast Asia Tobacco Control Alliance, ThaJland Or Mary As:s-unta Kolandai
The Cancer Council. Australia Or Ulysses OorothGo
Framework Convention Alliance, Phifippines Ms Mary Ann Go Framework Convention Alliance. Philippines
SECRETARIAT Or Susan M ercado
WHO Western Pacific Regional Office Ms Liu Guangyuan WHO Western Pacific Regional Office Dr All Akbar
WHO Western Pacific Aegionai Office Ms Trinotte Loe
WHO Western Pacific Regional Office Or Francis Grenier WHO Western Pacific Regional Office Or Joan·Marc OlivO WHO VietNam Or Vel Oaravuth WHO Cam bodia
OrWuYanwoi WHO China Or Bounlonh Kctsouvannas.ane WHOLao PDR Or Tsogzolmaa Bayandorj WHO Mongolia Or Marina Baquilod
WHO Philippines
Or Florante Trinidad
WHO Phlllpp<nes
DrU Dan WHO South Pacific Or Armando Peruga WHO Headquarters. Geneva Or Edouard Turaan d'Espaignel WHO Headquarters, Geneva Or Ezra Ogwefi·Ouma Convention Secretariat Finally. we wish to acknowtedge th e outstanding commitment and suppor1 ollhe Ministers of Health. wh o endorsed lhis plan at the sixtieth session of the WHO Regiooal Commrttea for the
Western Pacific In Hong Kong (China). 21·25 September 2009.
WHO Western Pacific Region PUBLICATION
978 92 9061 450 0