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The ITC Project) at the University of Waterloo, Canada NOTE This report was prepared by the International Tobacco Control Policy Evaluation Project (the ITC Project) at the University of Waterloo, Canada. The report aims to provide a global evidence review on the impact of the WHO FCTC on the implementation of tobacco control legislation and the effectiveness of those implementations. Working drafts of the report served as a reference document to support the preparation of the Impact Assessment Expert Group’s Report to the COP. The content in this report is current as of 29 June 2016, which corresponds with the time of completion of the Expert Group’s Impact Assessment Report to COP7. Any major updates that occurred between the completion of the report (29 June 2016) and October 2016 are indicated in footnotes, where appropriate. Please note that the Convention Secretariat is placing this report on its website for informational purposes. Neither the Convention Secretariat nor the Impact Assessment Expert group guarantees the accuracy or completeness of information found in this report. The International Tobacco Control Policy Evaluation Project Impact of the WHO Framework Convention on Tobacco Control on the Implementation and Effectiveness of Tobacco Control Measures: A Global Evidence Review Janet Chung-Hall, Lorraine Craig, Shannon Gravely, June 29, 2016 Natalie Sansone, and Geoffrey T. Fong University of Waterloo, Waterloo, Canada Suggested Citation: Janet Chung-Hall, Lorraine Craig, Shannon Gravely, Natalie Sansone, and Geoffrey T. Fong (June 2016). Impact of the WHO Framework Convention on Tobacco Control on the Implementation and Effectiveness of Tobacco Control Measures: A Global Evidence Review. ITC Project. University of Waterloo, Waterloo, Ontario, Canada. Table of Contents Acknowledgements ...................................................................................................................................... 2 Executive Summary ...................................................................................................................................... 7 Article 5.3—Protection of public health policies with respect to tobacco control from commercial iand other vested interests of the tobacco industry ............................................................. 14 Article 6—Price and tax measures to reduce the demand for tobacco ................................................... 23 Article 8—Protection from exposure to tobacco smoke .......................................................................... 28 Article 9—Regulation of the contents of tobacco products ..................................................................... 37 Article 10—Regulation of tobacco product disclosures ............................................................................ 39 Article 11— Packaging and labelling of tobacco products ........................................................................ 41 Article 12— Education, communication, training, and public awareness ................................................ 52 Article 13— Tobacco advertising, promotion and sponsorship (TAPS) .................................................... 60 Article 14— Demand reduction measures concerning tobacco dependence and cessation ................... 67 Article 15—Illicit trade in tobacco products .............................................................................................. 75 Article 16—Sales to and by minors ............................................................................................................ 81 Article 17—Provision of support for economically viable alternatives .................................................... 87 Article 18— Protection of the environment and the health of persons ................................................... 96 Article 19—Liability .................................................................................................................................. 104 Article 20— Research, surveillance, and exchange of information ........................................................ 109 Article 21—Reporting and exchange of information .............................................................................. 112 Article 22—Cooperation in the scientific, technical, and legal fields and provision of related expertise ................................................................................................................... 115 Conclusions ............................................................................................................................................... 120 References ............................................................................................................................................... 124 1 Acknowledgements This report was prepared by the International Tobacco Control Policy Evaluation Project (the ITC Project) at the University of Waterloo, Canada. Dr. Janet Chung-Hall led the writing of the report. Lorraine Craig led the management of the project, and provided primary assistance with the review and editing of the report. The following colleagues from the ITC Project contributed to drafting various sections of the report: Dr. Shannon Gravely (Articles 8 and 13), and Dr. Natalie Sansone (Articles 11 and 14). Support with the editing and review of this report was provided by: Dr. Geoffrey T. Fong, University of Waterloo (Articles 5.3, 6, 8 to 22); Dr. Gary J. Fooks, Aston University (Article 5.3); Dr. Anna B. Gilmore, University of Bath (Articles 5.3, 12, 13, and 15); Dr. Richard J. O’Connor, Roswell Park Cancer Institute (Articles 9 and 10); Rob Cunningham, Canadian Cancer Society (Article 11); Dr. Martin Raw, International Centre for Tobacco Cessation and University of Nottingham (Article 14); Dr. Jeffrey Drope, American Cancer Society (Article 17); and Dr. Natacha Lecours, International Development Research Centre (Article 18). Additional support with reference management for this report was provided by Michelle Bishop, University of Waterloo. Content from a background paper for the WHO FCTC Impact Assessment Expert Group, prepared by Jonathan Liberman and Anita George from the McCabe Centre for Law and Cancer, in collaboration with Patricia Lambert, Monique E. Muggli, and other colleagues from the International Legal Consortium (ILC) of the Campaign for Tobacco-Free Kids (CTFK), was included in the section on Article 19. 2 Abbreviations ACS Acute coronary syndrome ACT Alliance for Tobacco Control and Health (Brazil) AFR African Region AFUBRA Brazilian Tobacco Growers’ Association AMI Acute myocardial infarction AMR Region of the Americas AMTI Tobacco Community Alliance Indonesia ANVISA National Health Surveillance Agency (Brazil) BIT Bilateral investment treaty BAT British American Tobacco BATK British American Tobacco Kenya Limited BBC British Broadcasting Corporation CACORE Costa Rican Chamber of Restaurants CDC Centers for Disease Control and Prevention (United States of America) CNTC China National Tobacco Corporation CO Carbon monoxide CONICQ National Commission for the Implementation of the WHO FCTC (Brazil) COP Conference of the Parties COTPA Cigarette and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act (India) CSR Corporate social responsibility CTFK Campaign for Tobacco-Free Kids DH Department of Health (United Kingdom) EC European Commission 3 ELONS Evaluating Long-term Outcomes of NHS Stop Smoking Services (United Kingdom) EMR Eastern Mediterranean Region EU European Union EUR European Region GATS Global Adult Tobacco Survey GATT General Agreement on Tariffs and Trade GCGH Giving Cigarettes is Giving Harm (China) GHPSS Global Health Professions Student Survey GP General practitioner GRPs Gross rating points GTS Green tobacco sickness GYTS Global Youth Tobacco Survey HICs High-income countries HWL Health warning label ICSID International Centre for Settlement of Investment Disputes IDRC International Development Research Centre (Canada) IGTC Institute for Global Tobacco Control (United States of America) ITB Indian Tobacco Board ITC Indian Tobacco Company ITC Project International Tobacco Control Policy Evaluation Project ITGA International Tobacco Growers’ Association ITIC International Tax and Investment Center ITL Imperial Tobacco Limited JTI Japan Tobacco International KRA Kenya Revenue Authority KRW Korean Won 4 LICs Low-income countries LMICs Low- and middle-income countries MICs Middle-income countries MOP Meeting of the Parties NHS National Health Service (United Kingdom) NRT Nicotine replacement therapy NTC National Tobacco Campaign (Australia) NY TCP New York Tobacco Control Program OECD Organization for Economic Cooperation and Development OLAF European Anti-Fraud Office OMSC Ottawa Model for Smoking Cessation POS Point of sale PMA Philip Morris Asia PMI Philip Morris International PPE Personal protective equipment RCMP Royal Canadian Mounted Police SEAR South East Asian Region SDGs Sustainable Development Goals SDPC Singapore duty-paid cigarette SES Socioeconomic status SHS Second-hand smoke SPR Single presentation requirement SRNT Society for Research on Nicotine and Tobacco STMA State Tobacco Monopoly Administration (China) TAPS Tobacco advertising, promotion, and sponsorship TBT Technical Barriers to Trade TII Tobacco industry interference 5 Tips Tips From Former Smokers (United States of America) TPD Tobacco Products Directive (European Union) TPP Trans-Pacific Partnership TRIPS Trade-Related Aspects of Intellectual
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