Enforce global tobacco treaty

Madhya Pradesh

April 24 2007

Personal Thought: Enforce global tobacco treaty

By - Bobby Ramakant

[ It is the first legal instrument designed to reduce tobacco-related deaths and disease around the world.] No More Tobacco please...... read more. thanks

Why do we need a global tobacco treaty to prevent needless diseases, disabilities and deaths attributed to tobacco use in India and national legislation wasn't enough?

India ratified the global tobacco treaty, better known as Framework Convention on Tobacco Control (FCTC), on 5 February 2004. FCTC was developed as a global response to the globalization of the tobacco epidemic. Adopted in May 2003 by the 56th World Health Assembly, FCTC quickly became one of the most widely embraced treaties in history, becoming international binding law on 27 February 2005.

Increased trade, foreign investment, global marketing and other complex international phenomena have led to the globalization of the tobacco epidemic. As the epidemic transcends national borders, its control requires international cooperation and multilateral regulation.

Tobacco is the leading preventable cause of death in the world, with an estimated 4.9 million deaths a year. If current smoking patterns continue, the toll will nearly double by 2020. A high percentage of deaths (70%) will occur in developing countries. Tobacco kills people at the height of their productivity, depriving families of breadwinners and nations of a healthy workforce.

There is no doubt that reducing the rates of uptake and consumption of tobacco will save lives and that the FCTC is the evidence-based tool with which to do it. It has been projected that with a progressive 50% reduction in uptake and consumption rates, as many as 200 million lives could be saved by the year 2050 AD and hundreds of millions more thereafter.

By becoming Parties (signing and ratifying FCTC by national parliaments) and implementing the provisions of the treaty where it counts most ¨C at country level ¨C countries are working towards a tobacco-free world and towards millions of lives saved. 146 countries have signed and ratified the treaty so far.

It is the first legal instrument designed to reduce tobacco-related deaths and disease around the world.

Among its many measures, the FCTC treaty requires countries to impose restrictions on tobacco advertising, sponsorship and promotion; establish new packaging and labelling of tobacco products; establish clean indoor air controls; and strengthen legislation to clamp down on tobacco smuggling.

Tobacco products are advertised through sports events, music events, films, fashion - in fact, any place where the tobacco industry can target potential new smokers (young people). The treaty obliges Party States to undertake a comprehensive ban on tobacco advertising, promotion and sponsorship, as far as their constitutions permit.

online available at - http://www.centralchronicle.com/20070424/2404303.htm

Asia's Cancer Rate May Pose Threat to Economic Growth (Update1)

Bloomberg.com

23 April 2007

London

News - Asia's Cancer Rate May Pose Threat to Economic Growth (Update1)

April 23 (Bloomberg) -- Asia's cancer rate may jump by almost 60 percent to 7.1 million new cases a year by 2020, straining the region's ill-prepared health systems, said Richard Horton, editor of the British medical journal Lancet.
Aging populations, tobacco use and increasing rates of obesity are fueling the incidence of deadly tumors in Asian patients too poor to afford the most advanced treatments including Herceptin and Avastin, sold by Roche Holding AG, the drugmaker based in Basel, Switzerland, Horton said April 21 at an international cancer meeting in Singapore.
Asia's prevalence of cancer deaths may climb 45 percent to 163 per 100,000 people by 2030 from about 112 per 100,000 in 2005, according to the World Health Organization. At that rate it would overtake the Americas, where cancer-related mortalities are expected to rise to 156 per 100,000 from 136 over the same period. Europe, which has the highest prevalence at 215 per 100,000, may increase about 9 percent to 234 per 100,000.
``There really is going to be an incredible pandemic of cancer like we've not seen -- we couldn't have imagined it -- over the next 20 years,'' Horton said in an interview in Singapore, where he spoke at the Lancet Asia Medical Forum. ``We barely have the health systems to handle infectious diseases, so how on earth are we going to deal with this?''
Cancer already kills more people worldwide than AIDS, tuberculosis and malaria combined. Spending to prevent and treat chronic diseases such as cancer and diabetes may slow the expansion of China and India, the world's two fastest-growing major economies, researchers said at the meeting in Singapore.
`A Fortune'
``It is going to cost them a fortune in terms of health care expenditure,'' Horton said, adding that it will ``eliminate a huge number of people from the labor market. We think AIDS is a disaster to the world now. You have seen nothing yet.''
It costs close to $50,000 in Great Britain to treat a breast cancer patient using Herceptin, which generated $3.2 billion in sales last year for Roche and its partner South San Francisco, California-based Genentech Inc. In comparison, per capita government expenditure on health was $4 in Bangladesh, $7 in India, $11 in Indonesia and $22 in China in 2003, according to data compiled by the WHO.
Asia accounted for about half the 7 million cancer deaths worldwide in 2002, with 23 percent in China alone, D. Maxwell Parkin, a visiting research fellow at the University of Oxford's clinical trial service unit, told the two-day forum.
Health Insurance
``Historically in developing countries, people died before they could get cancer,'' said You-Lin Qiao, a professor of cancer epidemiology at the Chinese Academy of Medical Sciences in Beijing. ``Now they are living longer, we're seeing more cancer'' and degenerative diseases of the brain, he said.
The majority of China's rural dwellers don't have health insurance, Qiao said in an interview. The cost of treatment, therefore, is borne by the entire family.
Attacks on China's medical personnel almost doubled last year to 9.83 million cases, with 5,519 staff injured, causing 200 million yuan ($26 million) in costs, the official Xinhua News Agency reported last week, citing Vice Minister of Health Chen Xiaohong.
The violence reflects the growing frustration in China over a health system struggling to provide affordable medical care, said Tony Mok, professor of clinical oncology in Hong Kong's Prince of Wales Hospital, who consults in the southern Chinese city of Guangzhou.
Doctor Shortage
``The doctor treats the patient,'' Mok said. ``The family thinks it is going to work. They get all their money, sell their cow, sell their house, and then the patient dies. They get very angry.''
About 1.1 million doctors and nurses are urgently needed in Southeast Asia alone, where shortages of health-care workers exist in six of the region's 11 countries, according to the WHO's 2006 World Health Report. Developing countries make up 85 percent of the world's population, but have a third of the world's radiotherapy machines, which are used to treat cancer.
``If nothing happens, there will be a disaster,'' said Franco Cavalli, president of the Geneva-based International Union Against Cancer. ``For the time being, governments don't realize, or do not want to realize, that this is a bomb which is going to explode.''
Developing nations in Asia have little access to anti- cancer drugs now, with the U.S., Europe and Japan absorbing 95 percent of the global supply, Cavalli said.
`Westernization' of Diets
Lung cancer, Asia's biggest cancer-killer and driven by tobacco-smoking, may increase 42 percent to almost 1 million deaths a year between 2005 and 2015, the Geneva-based agency reports. Stomach cancer, the second-biggest type of the disease in Asia, may grow 25 percent to 1.2 million deaths a year over the same period, the WHO says.
Still the ``Westernization'' of Asian diets, including rising consumption of alcohol and red meat, is causing higher rates of breast, colon and rectum cancer, Oxford's Parkin said.
Pursuing sophisticated drugs and technologies for treating cancer patients ``is incredibly high-cost and probably beyond the bounds of most countries'' in Asia, the Lancet's Horton said. Instead, priority should be given to a campaign to stop smoking, increase exercise and consumption of fruit and vegetables, prevent obesity and reduce salt.
``These seem simple things, but they would eradicate a vast proportion of the potential cancer burden,'' he said

online available at - http://www.bloomberg.com/apps/news?pid=20601101&sid=ajEasGsZx8R8&refer=japan