2.1. Brief History of Counteracting TTCs in Thailand
|Dates||Factors Driving Policymaking||Policies||Accomplishments|
|1985–1989||Government recognition that tobacco control is a high priority public health issue.||Exclusion of all tobacco industry representatives from policymaking.||FCTC Article 5.3; broader understanding and advocacy in tobacco policymaking.|
|1990||Public health community’s recognition that TTCs’ interests compete and conflict with the public health mission.||National Committee for the Control of Tobacco use maps of interests.||FCTC Article 5; national coordinating mechanism.|
|1992||Recognition that TTCs cannot be trusted to voluntarily limit their interactions with government agencies.||Legislation regulating TTC interactions with government agencies.||Laws and regulations on tobacco products and protection of non-smokers. National framework for tobacco control.|
|1993||Recognition that fiscal resources are necessary to implement comprehensive tobacco control and reduce tobacco use.||Tobacco tax for health.||FCTC Article 6; demand reduction through taxes.|
|1996||Recognition that TTCs should disclose cigarette ingredients.||Failed attempt to implement ingredient disclosure law, delayed by 5 years of negotiations with TTCs.||-|
|2000||Recognition that systems management is important.||Thailand Health Promotion Foundation.||Improve effectiveness in implementation.|
|2001||Recognition that substantial human and financial resources are needed to build comprehensive tobacco control.||Legislation establishing the Thailand Health Promotion Fund through a 2% tobacco and alcohol surcharge.||FCTC Article 26-sustainable funds and advocacy.|
|2002||Recognition of the need to strengthen regulations.||Improved smokefree policy. New pack warnings proposed.||Extend existing laws.|
|2003||Recognition of the importance of international commitment.||Thai government ratifies FCTC.||Government and NGO commitment to FCTC.|
|2004||Recognition that TTCs continue to interfere in government policymaking.||Cabinet directive barring TTCs from making financial or material contributions to government officials, or engaging in political activities.||FCTC Article 5.3; regulation of TTC political interference.|
|2005||Recognition of a need to close advertising loopholes.||Point-of-sale ban fully implemented.||FCTC Article 13; stronger enforcement.|
|2008||Recognition of the need to strengthen cessation efforts.||Policy to allocate substantial funding for a national telephone quitline.||FCTC Article 14; smoking cessation support.|
|2009||Recognition that cigarettes are still not sufficiently expensive to dissuade some smokers from smoking.||Legislation increasing tax on cigarettes.||FCTC Article 6; demand reduction through taxes.|
|2010||Recognition of the need to coordinate organizations, experts and researchers.||National Strategic Plan on Tobacco Control.||FCTC Articles 21 and 22, Articles 5.3 and 6.|
2.2. Pioneering Tobacco Control NGOs
2.3. The Thai Health Promotion Foundation (ThaiHealth)
4.1. TTC Strategies
4.1.1. Doing Business with ‘Two Faces’
4.1.2. Seeking to Influence People in High Places
4.1.3. ‘Buying’ Advocates in Grassroots Organizations
4.1.4. Putting up a Deceptive Front
4.1.6. Undermining Controls on Tobacco Advertising, Promotion and Sponsorship (TAPS)
If one takes the pessimistic view of present trends, the tobacco industry could lose all its political clout within two years. Overstated? Not really. If you take away all advertising and sponsorship, you lose most, if not all, of your media and political allies. If you take away those freedoms, there is hardly any barrier to a punitive tax regime, part of it going to fund our complete anathematization through the funding of ever more extreme anti-campaigns courtesy of ‘social levy’ foundations, of which there is a growing fashion .
4.2. Case Examples
4.2.1. A Donation to the Ministry of Education
4.2.2. TabInfo Asia 2009
4.2.3. Bribing Thai Officials
5. Policy Implications
5.1. Policy Innovations to Counteract and Prevent TTC Interference
- Increasing public awareness of regulations prohibiting TTC interference.
- Monitoring public relations, government and TTM contacts with the TTCs, and TTC CSR activities.
- Monitoring vested interest groups that work with TTCs.
- Issuing notifications of regulations prohibiting importation, manufacturing, or sale of new types of tobacco products.
- Informing the public of marketing and other threats from TTCs.
- Establishing surveillance networks of TTC activities down to the community level.
- Taking legal action on new or “below the line” marketing techniques.
- Researching, regulating, and campaigning against tobacco industry CSR activities.
- Monitoring TTC glamorization of tobacco.
- Educating the public to understand that tobacco use is a non-normative behavior.
- Monitoring TTC legal violations, taking legal action, and publicizing prosecutions and penalties.
5.2. Guidance for LMICs
5.3. Recommendations and Options for Low- and Middle-Income Countries
- Establish legal mechanisms to regulate and monitor TTC all interactions with all government agencies. Since tobacco control is a public health issue, legal mechanisms often focus on public health law. Codify in law restrictions on interactions with TTCs that apply to all government agencies and officials. Develop a proactive legal framework that anticipates TTC interference strategies seeking to influence people in high places.
- Ensure transparency and accountability in government. Working transparently with partners inside and outside of government is essential to maintaining a united front for prohibiting TTC efforts to influence people in high places. It is important to establish specific policies limiting TTC interactions with government agencies through publically disseminated rules of engagement for all government and public-supported agencies, including the rejection of TTC-sponsored CSR projects.
- Seek robust, transparent policymaking to avoid TTC stalling tactics and efforts to dilute legislation. Opportunities to take action against TTCs are often time-sensitive, so it is important to act quickly when favorable political conditions for strong action are present. Establish an advocacy plan and timetable that does not give TTCs opportunities to use intimidation to derail strong legislation and regulation.
- Establish sustainable funding for research and surveillance. It is important to identify, study and expose TTC interference. Sustained research and surveillance are cost effective for society. Earmarked taxes on all types of tobacco products equivalent to at least 75% of the retail price are an effective way to support tobacco control research, guarantee resources for tobacco control projects, and build tools to minimize TTC political interference.
- Squelch influence buying in academia and civil society. Work to gain cooperation from partners to follow rules limiting interactions with TTCs to reduce their influence on important people, reduce their ability to buy advocates in grassroots organizations, and put up a deceptive front. Establish consequences for groups and individuals who accept money or other support from TTCs, or who work as surrogates for TTCs.
- Build public support for tobacco control. When official enforcement is weak, an effective alternative can be to engage the general public in monitoring of TTC non-compliance with laws and policies. Build a cadre of watchdogs in the public and constantly highlight the benefits of tobacco control in the media while exposing TCCs’ subversive practices in public.
- Promote innovation and broad implementation through strategic partnering. Tobacco control measures often result in important societal benefits in addition to the improvement of the public’s health. Tobacco control advocates should seek to identify a wide range of stakeholders beyond the field of tobacco control who will be willing to integrate tobacco control into their projects from the national level to the community level. It is important to enlist experts and authorities who support innovative tobacco control measures and who will champion the benefits of confronting TTC interference.
- Denormalize tobacco use to counteract TTC image-making. Counteract TTCs by working on actions that reduce the overall acceptance of tobacco and diminish the credibility of TTCs. Work through these actions to counteract TTC attempts to undermine controls on TAPS. Such actions should include establishing 100% smokefree places, requiring large picture pack warnings, and prohibiting store displays of cigarettes. Use research and advocacy to educate policymakers so that denormalization measures are adopted.
- Upgrade laws to meet all WHO FCTC requirements and guidelines. Understand the political process and map out a political strategy to establish laws for implementing FCTC measures. Building legal support for FCTC provisions may require informing and lobbying policymakers over a long period of time. Work on multiple fronts to show policymakers your determination to move tobacco control through the legislative process. Seek out political supporters regardless of their political affiliation.
- Monitor TTC activities. Build a coalition of marketing, economic, legal and public health experts to monitor TCCs and take preemptive action against TCC interference. Identify front groups and individuals who are likely to be complicit in TTC practices of doing business with two faces by misrepresenting the consequences of tobacco control measures or acting subversively to allow TTCs to put up a deceptive front.
- Foster cooperative efforts among interested parties while excluding TTCs. TTCs often try to pit tobacco control advocates and organizations against each other on important policy issues. Building cooperation therefore comes from being aware of how TTCs seek to manipulate tobacco control partners and interested parties in policymaking. Constantly educate partners and interested parties by providing current examples of TTC interference, and highlight successful strategies for counteracting interference.
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