ITEM 2. 7 OVERVIEW OF INTERNATIONAL ISSUES AND DEVELOPMENTS The Secretariat does not yet have a complete picture of tobacco issues and industry activity worldwide and will not have until it is able to call in and analyse information from around the world. However, enough information and intelligence has been obtained or received by the Secretariat to make certain assumptions and generalizations. International Organizations 1. WHO and other UN/related agencies The WHO will increase its smoking control activities. Its budget for these activities has been raised substantially for 1982 and 1983 and it is being helped increasingly by national agencies. It remains to be seen what the future thrust of its program will be, since two events have caused WHO to reexamine its priorities. It did not receive the favourable response it had hoped for from other UN agencies at a special meeting last February. It was bruised by the aggressive tactics of the infant fcrmula industry before and during the World Health Assembly in May. The WHO must report to the 1982 World Health Assembly on its work since the 1980 WHA at which a resolution was approved (orchestrated by WHO), calling on WHO to "further develop an effective WHO action program on smoking and health". The Secretariat will receive an in-depth report by the end of September which should indicate future plans. On the action side, WHO is being aided by the UICC, which is running smoking control workshops around the world in which issues and strategies are being discussed by government bureaucrats and private health agency officials. 2. EEC CD (See Secretariat report of August 18, 1981 and EC Task Force report in this binder). Ccd _j 1 _-0 \40 CD NJ BATCo document for Province of British Columbia 27 October 1999 3. Council of Europe The Health Ministers of the member governments will meet in September to start formulating policies on prevention of illness and education for health. References to smoking appear frequently in preparatory papers. This will be a long-term effort, but it can be expected to provide encouragement to those pursuing anti-smoking programs in other international organizations and at the national level. Issues and Strategies The social acceptability issue is being broadened beyond "passive" smoking and alleged costs to society. In indus- trialized countries particularly, smoking is seen increasingly as socially unacceptable because, it is said, it runs contrary to modern app~:oaches to health and particularly prevention of illness. Lighter diets, less alcohol, regular exercise, etc., form a positive pattern of behavior in which, it is alleged, smoking is a harmful contradiction. All strategies and restrictions stem from this assumption: Cigarette advertising, which by its existence implies social acceptability, must be restricted or banned. Education and propaganda programs must convince people that smoking is harmful to them and to others. These programs must be reinforced by stronger, more clever caution notices; punitive taxation; tar, nicotine and CO ,information; and public smoking bans. Business and governments must be persuaded that smoking represents a net cost to their treasuries and the public must be made aware that inevitably they pay for this cost. Tobacco Industry Record Generally speaking, the tobacco industry has been entirely on the defensive. It has steadily (and sometimes, dramatically) lost ground- On only a few occasions has it managed to maintain the status quo. In most countries, it has no ongoing program of strategies to enable it to stay ahead or abreast of developments and to prevent unreasonable restrictions. These national programs are lacking because national managers: 1) do not think they are necessary or, 00 2) cannot reconcile them with competitive, short-term, bottom- line concerns. C-j BATCo document for Province of British Columbia 27 October 1999 2.8 Proposals for Steps to Strengthen the Industry's Public Position This is a plea, amongst other things, to solve the problems outlined in the last sentence of the previous section. Basically, what is being said is that the Industry should unite and put money behind its efforts, One of the most notable elements of disunity at the moment is the Barclay case in the USA. This has, in fact, inhibited the work of one of the project teams inside SAWP to a certain extent. The White Paper on Primary Health Issues This may be an attempt to streamline and produce a common document based on the type of concepts that are being put forward in our own new stance and Lionel Blackman's blue booklet. Marketing Code with Self-Regulation Mechanism We have already drawn up an acceptable draft with Philip Morris. We could consider feeding this into IVOTAB, either as individual companies or acknowledging that we have made a joint start. Caution Notice I have not had a chance to show this item to Alec Morini because he is away. I think, however, he would see some merit in it because it re- inforces the position that the public cannot claim to be ignorant. This is in line with the Volenti defence. I am not quite sure how Imperial would view this proposal. Scientific Research on Passive Smoking This seems to me to be a good propcsal. In the USA a further seminar has been planned on passive smoking. Presumably, one of the things that could come out of such a seminar is the suggestion of where further research might go. INFOTAB 'Position Paper" (Lausanne Declaration) We have already put forward one suggestion under the next item, namely no. 3 on the Agenda, for the att16ae on legislation on advertising to be re-considered. I think perhaps the paper could be tidied up, but, apart from the suggestion made above, have no particular recommendations for its improvement. I believe the suggestion of the Secretary General to re-draft it should be agreed. CD \-0 cc -Ili 1 ~0 1-0 C=) BATCo document for Province of British Columbia 27 October 1999