Petition to Exclude Tobacco from TPP Negotiations

The following petition was forwarded to the IH leadership by section member Mary Anne Mercer, liaison to APHA’s Trade and Health Forum.


U.S. Trade Proposal Caves to Big Tobacco

U.S. Medical, Public Health, Public Interest Groups Urge Protection for Health & Wealth

Please sign here to protect tobacco controls from attacks by tobacco multinationals and their corporate allies.

The U.S. Trade Representative intends to introduce a proposal on tobacco at negotiations to create the Trans Pacific Partnership (TPP), a trade agreement among 12 nations, at meetings in Brunei this week. The proposal capitulates to multinational tobacco corporations, jeopardizing the nation’s health and economic welfare.

Tobacco companies have recently accelerated their use of trade rules to attempt to delay and reverse tobacco control measures that limit marketing  in the U.S., Australia, Uruguay, Norway, and Ireland. Trade rules grant corporations rights to contest nations’ public health and other policies. Countries that lose trade challenges face stiff financial penalties, payable to the complaining corporation.

Public health and medical advocates in the U.S. and abroad have urged the USTR to exclude tobacco control protections from trade challenges under the TPP.  The USTR informally floated a policy in 2012 that could create a “safe harbor” for some tobacco control regulations. Many legal and medical experts noted that tobacco companies could easily exploit the remaining substantial loopholes.

But the tobacco industry marshaled opposition claiming that the U.S. proposal might actually reduce tobacco use, tobacco-related deaths, and tobacco sales.  Other corporations backed up Big Tobacco, expressing concern that addressing the uniquely lethal effects of tobacco in trade agreements could set a precedent for reining in their own practices. On Aug. 15, USTR announced it would not advance that proposal.

The new proposal offers less than a fig leaf for trade rules that grant corporations rights over public health protections, and often eliminate them.  It proposes simply to refer to the TPP the general health exception described in two multilateral agreements under the jurisdiction of the World Trade Organization (WTO): Article XX of the General Agreement on Tariffs and Trade (GATT), and Article XIV of the General Agreement on Trade in Services (GATS), and inserts a statement into the exception that repeats the self-evident observation that tobacco measures are health measures.These exceptions offer significant loopholes that favor companies asserting trade charges.[1] The exceptions do not apply to investment claims that tobacco companies could bring under the TPP.  Even in trade disputes, the exceptions apply with great uncertainty in very limited situations.  They require multi-year, multi-million-dollar litigation to mount a defense – a burden that many countries cannot afford.  The tobacco industry exploits the cost and uncertainty of using the exceptions. (As a regional agreement, the TPP claims some latitude in varying from WTO rules.)

It also tacks on an additional layer of consultation among Health Ministers in the case of tobacco-related trade challenges between nations, added to the procedures and rules already provided.  In effect, it conscripts health officials to consult in the context of trade rules they had no role in shaping, over trade challenges they did not initiate and have no power to adjudicate.

Tobacco use costs the U.S. far more in lives and health care expenses than tobacco farming or manufacturing contribute to the economy.

  • Tobacco use kills 1,200 Americans daily. Cigarette smoking is responsible for an estimated $193 billion in annual health-related economic losses in the U.S. (nearly $96 billion in direct medical costs and an additional $97 billion in lost productivity).[2]
  • In contrast, total tobacco exports generate 0.10 percent (one tenth of one percent) of total U.S. annual exports (.07% unmanufactured, and .03% manufactured).[3] Tobacco manufacturing has declined exponentially in the U.S., and tobacco farming is also in decline, due in part to U.S. programs intended to facilitate the transition to more sustainable crops.[4]
  • Exports of cigarettes and other U.S.-manufactured tobacco products dropped from $3.9 billion in 1999 to $488 million in 2011, as large U.S. manufacturers sold off their international businesses or formed subsidiaries located abroad.[5] Ninety-eight percent of exported U.S. cigarettes go to 5 countries, only one of which is a TPP partner (Japan). Lower tariffs would lower the price of tobacco products, resulting in cheaper prices and increased consumption and use, especially among younger people. For this reason, international health policy and U.S. law prohibit the U.S. from using trade agreements to promote the sale or export of tobacco products. Yet the U.S. proposes to eliminate tariffs on tobacco products. Other TPP partners can reasonably object to encouraging the import of U.S. brand cigarettes.

Tobacco is the only legal consumer product that kills when used as intended. Tobacco use is the leading preventable cause of death worldwide, accounting for 6 million preventable deaths annually,[6] and is a major contributor to the global pandemic of non-communicable diseases, including childhood morbidity and mortality. As a unique product, it must be treated differently from other products and services that are traded across borders.

We urge TPP Partner countries to advance proposals that promote public health and stem preventable deaths from diseases related to tobacco, by guaranteeing nations’ sovereign domestic rights and abilities to adopt or maintain measures to reduce tobacco use and to prevent tobacco-related deaths and diseases:

  1. Exclude tobacco control measures from existing and future trade agreements.
  2. Do not request or agree to lower tariffs on tobacco leaf or products.
  3. Remove investor-state dispute settlement (ISDS) provisions; these grant tobacco corporations rights to contest nations’ public health and other policies directly for financial damages through the global trade arena.
  4. Set trade policy through a transparent public process.

President Obama’s 2013 State of the Union message promised to lead an economy for the 21st Century, to reduce preventable deaths among youth, and to conduct policy transparently. Trade negotiations that expand corporate rights and powers, while undermining the public’s health, cannot advance sustainable economic growth or wellbeing.

PleaseSign the petition to protect tobacco controls from attacks by tobacco multinationals and their corporate allies – and send this note to your lists. 

If the link does not work for you, please go to this web address: http://trustwomen.civicactions.org/CPATH/smoke_out_tobacco_from_the_tpp

Post on Facebook:  Sign the Open Petition to Smoke Out Tobacco from the TPP!

Twitter: Sign on to protect tobacco controls from attacks by tobacco multinationals and their corporate allies.  Please sign here: http://bit.ly/171EnTD #StopTPP #TobaccoOutTPP #SmokeOutTPP@CPATH @USTradeRep @CouncilofCDNs

Initial Sponsoring Organizations:

Action on Smoking and Health (ASH), Chris Bostic, MSFS, JD, Deputy Director for Policy

American College of Obstetricians and Gynecologists, Barbara S. Levy, Vice President, Women’s Health Policy

American College of Physicians

Center for Policy Analysis on Trade and Health (CPATH), Ellen R. Shaffer, PhD, and Joe Brenner, MA, Co-Directors

Corporate Accountability International, John Stewart, Campaign Director, Challenge Big Tobacco

Human Rights and Tobacco Control Network (HRTCN), Carolyn Dresler, MD, Chair

International Association for the Study of Lung Cancer, Mike Cummings, MD, Chair, Tobacco Control Committee

Initial Sponsoring Individuals:

Tom Houston, MD, McConnell Heart Health Center, Columbus, Ohio

Don Zeigler, PhD, Adjunct Associate Clinical Professor, UIC School of Public Health

[1] R. Stumberg, Safeguards for Tobacco Control: Options for the TPPA. America Journal of Law and Medicine, 39 (213); 382-441.
[2] Centers for Disease Control and Prevention. Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses—United States, 2000–2004. Morbidity and Mortality Weekly Report 2008;57(45):1226–8 [accessed Aug. 17, 2013].
[3] FDA, Report to Congress. United States Tobacco Product Exports That Do Not Conform to Tobacco Product Standards. 3/8/13.
[4] http://www.fsa.usda.gov/FSA/webapp?area=home&subject=toba&topic=landing
[5] U.S. Government Accountability Office report, “Illicit Tobacco: Various Schemes are Used to Avoid Taxes and Fees,” accessed August 18, 2013, from http://www.gao.gov/assets/320/316372.pdf
[6] Thomas H. Frieden. http://www.upi.com/Health_News/2012/06/14/US-smoking-related-diseases-cost-96B/UPI-56571339724113/#ixzz2cH5erl4c

Conference Calls and Radio Shows of Interest

Our very own Mini Murthy and Elvira Beracochea are co-hosting a radio show on the MDGs! The inaugural episode aired last week, but you can listen to it in the archives and tune in for future episodes. They will be on every Thursday at 12 p.m. EST. More information can be found below.

Millennium Development Goals: Progress and Challenges

A NEW AND EXCITING PROGRAM DEBUTS THIS WEEK ON AV RADIO
PROGRAM: Millennium Development Goals
TOPIC OF DISCUSSION: Millennium Development Goals: Progress and Challenges
PLEASE JOIN THIS WEEK’S DISCUSSION LIVE BY PHONE OR SKYPE
WHEN: THURSDAY, MARCH 15TH, 2012
TIME: 12: 00 P.M. to 1: 00 P.M. EASTERN STANDARD TIME
TO PARTICIPATE BY PHONE: CALL THIS NUMBER DURING SHOWTIME: (760) 283-0850
TO JOIN BY SKYPE ADD: AFRICANVIEWS (CALL IN DURING SHOWTIME)

TOPIC’S BACKGROUND:

In 2000, 189 nations made a promise to free people from extreme poverty and multiple deprivations. This pledge became the eight Millennium Development Goals to be achieved by 2015. The MDGs provide a framework for the entire UN system to work coherently together toward a common end. UNDP, global development network on the ground in 177 countries and territories, is in a unique position to advocate for change, connect countries to knowledge and resources, and coordinate broader efforts at the country level. In September 2010, the world recommitted itself to accelerate progress towards these goals.

The declaration established eight Millennium Development Goals (MDGs) and time-bound targets by which progress can be measured. With the 2015 deadline looming, how much progress has been made? And is the pace of progress sufficient to achieve the goals? The MDGs break down into 21 quantifiable targets that are measured by 60 indicators.

In our inaugural episode we hope to give a brief over view of the progress and challenges made from the year 2000- 2005 and focus on Sub Saharan Africa to review the progress made with reference to MDGs 1 and 4.

Join us as we explore this very important topic on MDGs.

HOST: DR. PADMINI MURTHY
Padmini (Mini) Murthy is a physician and an activist who did her residency in Obstetrics and Gynecology. She has practiced medicine in various countries. She has a Master’s in Public Health and a Masters in Management from New York University (NYU). Murthy has been on the Dean’s list at NYU stein hart School of Education and named Public service scholar at the Robert F Wagner Graduate School at New York University. She is also a Certified Health Education Specialist.

CO-HOST: DR. ELVIRA BERACOCHEA
Elvira Beracochea, MD, MPH, has more than 25 years of experience that encompass her work as physician, public health and international development expert, human rights advocate, epidemiologist, health policy advisor, researcher, health systems and hospital manager, consultant, professor and coach. She has worked in over 30 countries in Latin America, Africa, Asia, Eastern Europe and the South Pacific. Dr Elvira is committed to helping realize the right to health and the right to development and to improving the effectiveness of development assistance. For this reason, in 2005, she founded MIDEGO, an organization with an urgent rights-based mission: accelerate the achievement of the Millennium Development Goals (MDGs) approved by the United Nations in the year 2000.

ABOUT THE PROGRAM:
The Millennium Development Goal is a weekly discussion on AV Radio based on the Millennium Declaration, adopted by all 189 United Nations Member States in 2000, promised a better world with less poverty, hunger and disease; a world in which mothers and children have a greater chance of surviving and of receiving an education, and where women and girls have the same opportunities as men and boys. It promised a healthier environment and greater cooperation-a world in which developed and developing countries work in partnership for the betterment of all.

LISTEN TO THIS RADIO PROGRAM ARCHIVES AT: http://www.africanviews.org/index.php/av-radio/av-radio/AV-Radio/womens-education_c1021_m157/


Next month, APHA’s Trade and Health Forum will be holding an open Educational Session on Tobacco and International Trade Agreements. It will take place on April 12 at 2:30 PM Pacific/5:30PM Eastern.

The first 30 minutes of the call will be an educational session about recent activity pertaining to alcohol and tobacco in trade agreements and the question of “carve outs”. Donald Zeigler, PhD, Director of Prevention and Healthy Lifestyles at the American Medical Association (AMA) will lead the session. Dr. Zeigler has been active in the Trade and Health Forum, representing the Alcohol, Tobacco and Other Drug Section of the American Public Health Association and has been interested in trade and health issues for almost a decade. He was instrumental in getting the AMA to adopt policy on trade and has worked with other medical specialty societies to adopt policy, as well. The AMA recently called on the US Trade Representative to carve out tobacco and alcohol from the proposed Trans-Pacific Partnership agreement.
The second 30 minutes of the call will be dedicated to Trade and Health Forum business. You are welcome to join for the full call, and we welcome your input.

To dial in, please call (605) 475-4850 and use the following access code: 810329#. If you have questions, please direct them to Natalie Sampson (nsampson@umich).

Very best,

American Public Health Association’s
Trade & Health Forum Leaders

Best of the Best

There was much to appreciate about the APHA 2008 meeting in San Diego, but two sessions that started off the meeting will stand out in my mind for a long time.

On Saturday we were supposed to have a Trade and Health tour of Tijuana, but because of increased violence there the trip was called off.  Instead, Tijuana came to us.  Over the course of three hours we heard from some inspiring environmental health efforts (a successful community effort to clean up a disgusting toxic waste dump) and occupational health work (a maquila worker-turned-activist).  The last hour was a fantastic film that I highly recommend to anyone interested in either or these topics:

Maquilopolis

Continue reading “Best of the Best”

Are you interested in the APHA Trade and Health Forum?

The APHA Trade and Health Forum was formed last April.  Some of you have asked for an update as to what the forum is, what it has done, and plans for the coming year.   

This past year’s APHA conference in Washington DC included the first face-to-face business meeting of the new Forum on Trade and Health. Over 25 people from a variety of sections gathered to discuss how global trade affects public health, and what we can do about it. The Forum sponsored three oral sessions and one poster session, and co-sponsored several other events. The Forum welcomes new participants from any section! Continue reading “Are you interested in the APHA Trade and Health Forum?”