Conflicts and controversies in contemporary tobacco control

Malone, Ruth E.

doi:10.1136/tobaccocontrol-2017-053727

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…Tobacco serves as a significant source of income within a profitable industry, but the addictive nature of the substance leading to health harms, positions it in a unique intersection of multiple, competing interests. The findings here are consistent with other studies, highlighting the complexities within tobacco control 43 as well as the competing interests between tobacco promotion and tobacco control both in India 4 and at a global level. 44 45 However, similar research on policymakers in Turkey highlighted the politicians as crucial players in shaping the narrative and comprehensive policies around tobacco control.…”

Section: Discussionsupporting

confidence: 92%

Diverse and competing interests around tobacco: qualitative analysis of two decades of parliamentary questions in India

2021

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IntroductionIndia continues to enhance tobacco control regulations protecting the public health while housing a widespread tobacco industry. This implies complexities in regulating tobacco. As part of a broader inquiry on the political economy of tobacco, we aimed to understand the concerns of Indian parliamentarians around tobacco.MethodsWe sourced transcripts of tobacco-related questions asked by parliamentarians between the years 1999 and 2019 from the electronic archives of both the houses of Indian parliament. We analysed the frequency of questions during different regimens, segregated by the states and the political parties that parliamentarians belonged to, as well as by the government ministries to which these questions were posed. We also conducted thematic content analysis of these questions, identifying specific themes defining parliamentarians’ concerns.Results729 unique parliamentarians asked 1315 questions about tobacco, conveying varied concerns related to health, commerce, labour and agriculture sectors. Over time, the focus of the questions shifted from majorly trade to majorly health-related concerns. We show how the tobacco regulations in India are multi-institutional and are a result of negotiations of several legitimate and competing, interests. We found important state-level differences in the number and nature of these questions.ConclusionParliamentary questions constitute a useful resource in studying tobacco politics. Tobacco regulations are a product of complex negotiation of varied and competing concerns. We identify core arguments in favour and against tobacco control that would help tobacco control advocates and agencies to better prepare and engage with diverse political voices around tobacco.

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Section: Discussionsupporting

confidence: 92%

Diverse and competing interests around tobacco: qualitative analysis of two decades of parliamentary questions in India

2021

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“…So it would be again if Canada legislated for warnings on individual cigarettes. Although such a move would be challenged, with every innovation in tobacco control policy having its doubters, detractors and critics, 10 Canada would again be at the vanguard of tobacco control, particularly with plain packaging due to be introduced. It would be difficult to predict the impact that such a measure might have, but just as tobacco companies have adeptly exploited every element of the cigarette pack and the appearance of the cigarette to promote their products, governments could do likewise, but with the goal of promoting health and reducing the burden of tobacco-related illness on the medical profession and society.…”

Section: Key Pointsmentioning

confidence: 99%

Warnings on every cigarette: extending health messaging to the consumption experience

Moodie

2018

CMAJ

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“…The knowledge base for controlling use of combustible tobacco is strong, and includes measures such as tobacco display bans, plain packaging, graphic warnings. However, the knowledge base about the risks and benefits of ecigarettes and other non-combustible tobacco products is evolving, and at present the professional community has not reached a consensus about how best to regulate them [11]. Likewise, the social strategy which was carefully developed in the context of Healthy Israel 2020 was years out of date, and did not address either heated tobacco products or e-cigarettes [12,13].…”

Section: The Law and The Richmond Modelmentioning

confidence: 99%

Historic tobacco legislation in Israel: a moment to celebrate

Rosen

Kislev²,

Bar‐Zeev

et al. 2020

Isr J Health Policy Res

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Background: Israel was once a leader in tobacco control, but fell behind other countries, particularly during the past decade, as smoking rates stagnated. Text: Landmark tobacco control legislation, which banned advertising (with the exception of the print press) and limited marketing, was passed in Israel on Dec. 31 rst , 2018. The changes occurred following years of attempts which culminated in successful last-minute efforts to promote the legislation just before the early disbanding of the 20th Knesset (Israeli Parliament). Regulations concerning marketing and advertising were substantially strengthened to address all tobacco, nicotine and smoking products. Digital media was included for the first time. Electronic cigarettes, which were previously largely unregulated, now fall under existing tobacco legislation. The changes overcame intense opposition from the tobacco lobby, and occurred despite the fact that the basic elements for prevention policy postulated by the Richmond model were not in place. Conclusions: This legislation represents an important and long-awaited change in Israeli tobacco control policy. Many deficiencies in existing tobacco control regulation were overcome, and some measures went beyond current international regulations. The cohesive partnership between legislators, public health organizations and professionals, advocacy groups, academia, and leading journalists was critical to this success. The progress was lauded by the World Health Organization with its highest award for tobacco control, which was presented to Smoke Free Israel. This case study provides important lessons for up-to-date tobacco control policy, in the age of rapid global changes in the tobacco, vaping and nicotine landscape.

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Conflicts and controversies in contemporary tobacco control

Cited by 6 publications

References 18 publications

Diverse and competing interests around tobacco: qualitative analysis of two decades of parliamentary questions in India

Diverse and competing interests around tobacco: qualitative analysis of two decades of parliamentary questions in India

Warnings on every cigarette: extending health messaging to the consumption experience

Historic tobacco legislation in Israel: a moment to celebrate

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