TODAY -

Tobacco endgame is critical 'cog in the wheel' for sustainable development

Bobby Ramakant *

Tobacco endgame is critical 'cog in the wheel' for sustainable development



Although governments have promised sustainable development by 2030 by adopting UN Sustainable Development Goals (SDGs), but tobacco triggered pandemics threaten to stall or even reverse the progress made. Tobacco is a major risk factor of killer non-communicable diseases (NCDs) such as cardio-vascular diseases, cancers, chronic respiratory diseases, among others. In addition to devastating health, tobacco is also linked to poverty, hunger, adverse environment impact, catastrophic economic impact, and stalling human development.

According to the World Health Organization (WHO), the tobacco industry and the deadly impact of its tobacco products cost the world’s economies more than US$ 1 trillion annually in healthcare expenditures and lost productivity. In India, the direct and indirect costs of tobacco are over INR 1,04,000 crores every year. "It worsens health inequalities and exacerbates poverty, as the poorest people spend less on essentials such as food, education and health care" said Professor (Dr) Rama Kant, WHO Director General's Awardee and former national President of Association of Surgeons of India (ASI).

"Over 7 million (70 lakhs) deaths occur globally every year due to tobacco use. If business as usual continues, then tobacco deaths are projected to shoot up to 8 million (80 lakhs) every year by 2030 - which will fail us on SDGs. India's National Health Policy 2017 promises to reduce premature deaths due to NCDs by 25% by 2025 - a target we will miss if we fail to prevent tobacco diseases and avert tobacco deaths. Each tobacco related disease and death can be averted. Effective tobacco control can save lives and the mountainous economic burden can instead be used for human development" Added Prof Rama Kant, President of Lucknow College of Surgeons and former Director of Tobacco Cessation Clinic at King George's Medical University (KGMU).

"The Sin Tax Reform Law of Philippines is primarily a health measure with revenue implications, but more fundamentally, it is a good governance measure. The Sin Tax Law helps finance the Universal Health Care program of the government, simplified the current excise tax system on alcohol and tobacco products and fixed long standing structural weaknesses, and addresses public health issues relating to alcohol and tobacco consumption" said Michelle Reyes, Technical Advisor, International Union Against TB and Lung Disease (The Union). Raising taxes on tobacco products is an evidence-backed tool to reduce tobacco use, said Reyes. "We appeal to the Indian government to levy highest Goods and Services Tax (GST) on all tobacco products including Beedi" said Professor (Dr) Rama Kant.

Over 180 governments are obligated for implementing the global tobacco treaty (WHO Framework Convention on Tobacco Control), raising taxes is one of its provisions too.

The global tobacco treaty also empowers governments via FCTC Article 5.3 to protect public health policy from tobacco industry interference. In November 2016, governments had agreed to expand the expertise and case studies available to file legal and civil suits against Big Tobacco. The decision, which advances Article 19 of the global tobacco treaty, opens the door for governments to sue the industry and recoup millions of dollars for the health care costs associated with tobacco use.

"It could also provide precedents for people to pursue legal liability for other industries that affect public health and the environment, like the fossil fuel industry" said Cloe Franko, Senior International Organizer, Corporate Accountability International. To date, a handful of countries have utilized the principles contained in Article 19. For instance, Canadian smokers recently won a $15 billion payout from the industry, after an historic 17-year legal suit.

Progress made on tobacco control but not enough

"Government has made considerable progress in advancing tobacco control despite industry interference and other challenges. But this progress is too small to match the required scale to prevent every tobacco disease and avert tobacco deaths. For example, we have to ensure that our tobacco cessation services reach out to every tobacco user and help with tobacco quitting. No child or youth or any person of any age should begin tobacco use. Our health system should detect, diagnose, treat and cure each of the tobacco related diseases and avert premature deaths. Are we truly prepared to walk the talk on tobacco control and sustainable development?" asked Rahul Dwivedi, who leads Vote For Health, a citizens' alliance for health and gender justice.

'Business as usual' will fail us on #SDG

"Urgent, intensified and unprecedented efforts are mandatory if we want to turn the tide of tobacco pandemic and make sustainable development a reality for every human with 'no one left behind'. Failure to act will only serve tobacco industry's markets. We have no choice but to ensure endgame of tobacco so that progress on each of the 17 SDGs can be accelerated without hindrance" said Shobha Shukla, Executive Director of CNS and Advisor to Vote For Health.

"Coordination between specific health programmes and inter-sectoral collaboration is fundamental to deliver on the Sustainable Development Goals (SDGs). We cannot end TB unless we also reduce tobacco use. We cannot avert premature deaths caused by NCDs unless we decimate tobacco. Progress on each of the 17 SDGs is entwined and interdependent on each other. All different health and non-health sectors need to unite for tobacco endgame" rightly stressed Shobha Shukla, who has taught in India's prestigious Loreto Convent for several decades.


* Bobby Ramakant, CNS (Citizen News Service), wrote this article for e-pao.net
Bobby Ramakant is the Director (Policy) at CNS (Citizen News Service) and recipient of the WHO Director General's WNTD Award 2008. Follow him on Twitter @bobbyramakant or visit: www.citizen-news.org
This article was posted on June 03, 2017.


* Comments posted by users in this discussion thread and other parts of this site are opinions of the individuals posting them (whose user ID is displayed alongside) and not the views of e-pao.net. We strongly recommend that users exercise responsibility, sensitivity and caution over language while writing your opinions which will be seen and read by other users. Please read a complete Guideline on using comments on this website.




LATEST IN E-PAO.NET
  • Thanga Ningol to mapam #3 : Gallery
  • Xmas shopping @CCpur [Dec 6] : Gallery
  • Irawat and 1939 Women's War
  • Naga Peace Process :: News Timeline
  • Cannot end AIDS without combating AMR
  • Power of Pranayama #2
  • Jobs @ Birla Emporiums, Khurai
  • Memo to BOSEM, Manipur
  • Appreciation to Kuki Iron Lady
  • Questions over 'instant justice'
  • Optimist perspectives
  • NE bandh call on Dec 10 against CAB
  • Football: Manipur vs Mandalay #2: Gallery
  • Flower festival at Mao : Gallery
  • #iWill :: Poem
  • H Nageshwar : Expedition to Antarctica
  • Relevance of Nehru today #2
  • Climate Change & Agricultural hurdles
  • The Rat on the Run :: Poem
  • Info from Delhi; Reading ILPS idea
  • Confusing the constitution
  • Finding on Yek of Meitei & Hao #1
  • Miss Kut at Imphal #4: Gallery
  • Inner Line Permit (ILP) Demand : Timeline
  • A Girl with Golden Hair :: Poem
  • NEP for Skill India
  • The great cosmic discovery - III
  • Interference by TA & Hills official
  • A one line statement from Amit Shah
  • Insertion of a clause to Peoples' Bill
  • RK Meghen at Imphal [28 Nov] #2: Gallery
  • Midnight drama, hush-hush swearing-in
  • Plight of peasants in the hills #2
  • Jobs @ Kanglei Khoni, Langthabal
  • Drones can be an innovative career
  • Winners @ South Asian Games
  • Winners @ Asian Athletic C'ship
  • Waiting for CBI probe
  • When the savior turns perpetrator
  • Tapta: Jayenta Loukrakpam :: A Profile
  • Destination North East @ Vanarasi : Gallery
  • Winter Book Sales at Manipur University
  • The Vow :: Poem
  • Written assurance is still not tenable
  • Protest against rape of woman vet
  • From 2012 to 2019 no change
  • The 'Trust' factor
  • NSCN (IM) clarifies on 'calendar' issue
  • Centre assures flights betn IMF & Mandalay
  • Sanathong Water Fall, Chandel : Gallery
  • Jangsat, Aton Kharaoba : eMing
  • Facts about Naga insurgency #2
  • CC Meet 2019 : Match Fixture
  • Commemoration Kuki Rebellion 1917-1919
  • Moirangthem Sushilkr : Honorary Doctorate
  • Power of Pranayama #1
  • Khumang: 'Science for Society' Report
  • A fresh look at ST demand
  • Wakching Thana Lakpada #1 :: eRang
  • Football: Manipur Vs Mandalay : Gallery
  • December Calendar for Year 2019 : Tools
  • Why not carve out a future in Chakhao ?
  • Relevance of Nehru today #1
  • The great cosmic discovery - II
  • The Killing Fields 2013-19 : News Timeline
  • Diversion - the age old shrewd game
  • Lamhui amashung Keishal : Funga
  • Eyek Tamba :: Learn Manipuri script
  • Kut : State level @Imphal #4: Gallery
  • Sangai Festival: Extended till 2nd Dec
  • 133 months left to make U=U (on HIV)
  • Galaxy Roy & my Sainik memories
  • Need to silence the loud mouth
  • CAB issue raise in Zero Hour
  • RK Meghen at Imphal [28 Nov] #1: Gallery
  • Plight of peasants in the hills #1
  • Nawa Loude :: Poem
  • Awarded, outdated currencies & MCS/MPS
  • Social Unrest in N-E Regions
  • Winter care for beautiful hair
  • No harm but a clause needed: The absurdity
  • A blow to survival
  • Leirum- used in Luhongba : Gallery
  • Ningol Chakkouba Shopping #2 : Gallery
  • Road safety in Manipur: need to plug gap
  • AAI steps up effort for gender equality
  • Preparing children before diagnostic test
  • Licypriya Kangujam embarks on 5 Nations
  • One Word of Truth :: Poem
  • Riders in the assurance of Amit Shah
  • GK Pillai's way out and today's Manipur
  • Mera Houchongba @Kangla #5: Gallery
  • Facts on Naga insurgency & its impact #1
  • Binodkumar: public urinal with plastic waste
  • Joining Indian Navy as sailors
  • National Constitution Day observed
  • Condemn incident of molestation in CCpur
  • After a date with Amit Shah
  • Sustaining Evening daily- challenging task
  • Culturals @ Shirui Fest #3: Gallery
  • Banana Festival @ Noney #2 : Gallery
  • Air pollution rise what do common man do
  • Conversation with Prof Rajendra Kshetri
  • 'It is a unique experience to play polo here'
  • The great cosmic discovery - I
  • Make Delhi trip meaningful !
  • Confusing stand; confusing act
  • Manipur Polo International: Opening: Gallery
  • Kut : State level @Imphal #3: Gallery
  • Kalum Kai: House of worship of Zeliangrong
  • Christian virtues
  • Blame it on Farmers for Pollution
  • Title: Square one ? :: Poem
  • Bucket of cold water after a hot shower
  • Radio-tagged Amur falcon flies to Africa
  • Myanmar Air KBZ flight to Imphal: Gallery
  • Alert Rally @ Sagolband : Gallery
  • 50th International Film Festival
  • World Antibiotics Awareness Week (WAAW)
  • CAB : Indians are not foreigners
  • Dissolution of TSA Imphal Branch
  • Anti-corruption crusade at time of CAB
  • Gandhari (Dance Drama) #2 : Gallery
  • Epilogue to Nambul Nostalgia :: Poem
  • Hostile education system in Northeast
  • Stigma and mental illness
  • Paulallungmuan: 12 yr-old at Class X exam
  • 3 from Manipur named Unsung Heroes
  • Raids at Imphal, Aizawl, Gurgaon
  • Make sure that Sangai fest is successful
  • Laonii Festival, Poumai #2 : Gallery
  • Khamba Thoibi Museum #2 : Gallery
  • Enigma of Unique Histories
  • When God's people humble
  • The great cosmic discovery - V
  • TB prevention is no longer a choice..
  • Stakeholders to be consulted: Final pact
  • The unresolved crisis
  • IM leaders camping along India-Myanmar
  • Trekking to Dzukou Valley #3 : Gallery
  • Licypriya- SDG Ambassador Award: Gallery
  • Featured Front Page Photo 2019 #5: Gallery
  • Whither Pangals ?
  • Licypriya Kangujam: SDG Ambassador
  • Blood Donation Camp at Benguluru
  • The Sun on the Western Horizon :: Poem
  • Rejoinder to NDPP [20 November]
  • Regarding resignation of NPF Youth Wing
  • Rider to be exempted from CAB: ILP
  • Truth, sincerity & commitment ...
  • CAB : Total Shutdown - Nov 19 : Gallery
  • CAB : Sit In Protest - Nov 19 : Gallery
  • Dr Sanajaoba (Dr KS Singh): Reminiscence
  • Career option in technical writing
  • What Mindset does Govt of Manipur have ?
  • 12 Members resigned from NPF
  • Where is the special clause in CAB?
  • Please understand CAB; future is at stake
  • CAB protest - Nov 18 : Gallery
  • Children's Day @CM Bungalow : Gallery
  • Why CAB is being opposed in North East
  • Meeteis' paradox
  • A Vision :: Poem
  • NE development: Lean on regional planning
  • Sand War- deadly war against mother Earth
  • From 'ahead of final pact' to CAB
  • Can Meitei, Naga & Kuki jointly resist CAB?
  • Mera Houchongba @Kangla #4: Gallery
  • Ningol Chakouba Fish Fair #2: Gallery
  • History - from Obscurity to Visibility ?
  • Manipur State Journalist Awards, 2019
  • Was it a Hindu Day in Assam book season
  • Kerala's multi-layered approach to #endTB
  • Being vegetarian can fight climate change
  • Let the rivers flow uninterrupted
  • Cry of a Dying River : 100 Poems
  • MANITEX & the poor fate of weavers
  • Anecdote, Fable & Refugee Blues : Poem
  • What is pollution doing to your skin
  • Dispensation in Nagaland is rudderless
  • Resistance to CAB may fail
  • Culturals @ Shirui Fest #2: Gallery
  • Gender, Power in South Asia :: Book Rvw
  • Stop Burning of Hay- uplift Rural Economy
  • Disoriented mind :: Poem
  • What is all about a flag ?
  • Cannabis plant : Myths and facts
  • Need to be on guard against rumours
  • Smart city or smart earning...
  • Ningol Chakouba @ Pune : Gallery
  • Khumang: Conference- Science for Society
  • 7th NE Students Sports Meet at Jalandhar
  • Ningol Chakouba at Pune :: Report
  • Hospitality at One Horn Nation
  • Henjunaha , masculinity redefined
  • World Diabetes Day 2019
  • Tension filled days for over 2 weeks
  • Subdued voice
  • Rani Hingchabi :: Funga Wari
  • Miss Kut @Imphal #3 : Gallery
  • Rejoinder to Lamcha Chongloi's piece
  • Salt brines : Source of Meitei Thum
  • Hibernating animals and climate variable
  • Combined Defence Services Exam (I) 2020
  • Rare good news : NMA reaching out
  • Forgotten pledge - a reminder
  • Children from Noney #1: Gallery
  • 7 NE entrepreneurs wins National Awards
  • Identity of Pangal in Manipur: Counter-points
  • Recharging the World with Li-ion Battery
  • Achoubi in Love, Bloody Phanek : Southasia
  • When the man is silent :: Poem
  • Chekshin Meepham at Kakching
  • Arrested, released, 'escorted' to Delhi
  • CM has every reason to believe..not public
  • Ema Keithel (Khwairamband) #2: Gallery
  • Argentina hosts Manipur Cup (Polo)
  • Cry of a Dying River - 100 :: Poem
  • Nazareth @ Shirock #2 : Gallery
  • Ningol Chakkouba : A beautiful tradition
  • Thanga Ningol to mapam #2 : Gallery
  • Lungpuiga Remei : Natyabhusan
  • World Tourism Day @Noney #5 : Gallery
  • Ningol Chakkouba @ Korea : Gallery
  • Ningol Chakkouba @ Mysore #2 : Gallery
  • Ningol Chakouba & Kut at Korea
  • Ningol Chakkouba by Journalists : Gallery
  • Ningol to her mapam lamdam : Gallery
  • Tolloi, Ukhrul :: 360 Panorama View
  • SPONSORED ADS