A plea for common sense

    伟大的和良好的减少烟草危害的拦截必威ios下载e the World Health Organization—that sworn enemy of innovationon the eve of the eighth Conference of the Parties.
    By Marina A. Murphy

    Marina Murphy是一家科学的通信和参与专家,拥有20多年的经验,包括烟草部门10年。必威ios下载

    世界卫生组织(世卫组织)表示,它希望减少由其引起的吸烟和死亡和疾病。But its actions would seem to be contradictory to its goals, as it continues to ignore the huge potential of safer products like e-cigarettes and heat-not-burn devices—a fact not lost on 70 of the world’s pre-eminent experts in tobacco harm reduction, who took pen to paper today in一封信urging the WHO to embrace technology and take a leadership role in regulating tobacco in a way that recognizes tobacco harm reduction and the role innovation可以在实现它方面发挥作用。
    “WHO and the anti-tobacco convention have become the sworn enemies of innovation and the result will be more cancer, heart disease and respiratory illness,” says Clive Bates, ex-director of Action on Smoking and Health in the U.K. and a co-signatory of this letter. “We now have technologies like vaping and heated tobacco products that can eliminate almost all the risk faced by smokers, but the WHO seems determined to have these products banned or regulated into oblivion,” he says.
    Today marks the first day of the eighth session of the bi-annual Conference of the Parties (COP) of the Framework Convention on Tobacco Control (FCTC), which is taking place in Geneva, Switzerland, this year. From Oct. 1-6, the COP will meet to discuss how governments should regulate tobacco, including newer products like electronic cigarettes and heat-not-burn products—products that these experts point out are “beyond reasonable doubt” safer than smoking and which many thousands of smokers around the world have already successfully used to quit smoking. But, they say, the WHO is not only ignoring the potential of these products, but also excluding anyone (including these 70 experts) who has pro-harm-reduction views from participating in the discussions.
    “你希望谁和烟草会议欢迎新的思想和技术来解决吸烟的健康威胁,但它们似乎更关心令人难必威ios下载以振奋和战斗烟草行业,”贝茨说。“他们似乎更愿意花时间这样做,而不是实际处理他们在第一次减少吸烟引起的死亡和疾病中处理的问题。”
    The concept of tobacco harm reduction is coded into the definition of “tobacco control” set out by the FCTC, but according to these 70 experts, there is little to no recognition of this in the WHO’s approach to tobacco control—in fact, the WHO seems to be doing just the opposite.
    “It seems to be that they cannot believe that technology can solve the problems they’ve all spend their careers working on. But there are still more than one billion smokers and around six million deaths annually from smoking. Even in Europe, where the dangers have long been understood, more than a quarter of adults still smoke,” according to Bates.
    Bates and his co-signatories urge the WHO to embrace the following principles during their deliberations:

    • Embrace tobacco harm reduction. Harm reduction is a widely practiced strategy in public health and should be integral to tobacco control—helping smokers quit, greatly reducing their risk.
    • 认识到并非所有产品都是一样的。主要区别是它们是否易燃。取出烟雾,你删除了很多伤害 - 这个区别应该是FCTC的设计和实施的一体化。
    • 认识到减少烟草损害有助于提高常必威ios下载规措施减少吸烟的效果。
    • Don’t just focus on the negative.
    • Policies to address youth nicotine use should be based on an understanding of youth risk behaviors, the interactions between use of different products, and pay due regard for the overall balance of harms and benefits to both adults and youth arising from interventions.
    • Uncertainty should not be a reason for paralysis. More information is clearly needed, but we already have sufficient knowledge to be confident that these non-combustion products are much less harmful than smoking.
    • Embrace “risk-proportionate regulation.” It makes sense the stringency of regulation or taxation should reflect the product’s risk to health—for example, high taxes on cigarettes, but low or no taxes on vaping products.
    • 禁止禁令或过度监管的有害意外后果,这将使新颖的产品更加难以获得,而不是吸烟或抑制新的和改进产品的创新和发展。
    • 为更多利益相关者开放,包括消费者,媒体和公共卫生专家,具有补偿减少视图。

    对那些继续吸烟和死亡的人是否会承担责任,因为他们无法获得危害减少的产品?
    这是一个秘书处的问题前一封信由9月份的一些同一个专家。他们说:“我们担心谁和FCTC秘书处对彻底禁令或对吸烟的低风险替代品过度监管的明显支持,”他们说。他们还说,在观察中,“禁止这些产品是不道德,不科学,对公共卫生的不科学以及对卷烟贸易的不合理保护”。
    This letter also decries the misplaced hostility of the WHO to tobacco harm reduction and points out the inconsistency with which the WHO applies the harm reduction principle. Whereas the WHO backs harm reduction in other areas like intravenous drug use, sexual health and HIV/AIDS, it takes a positively ‘hostile approach’ to tobacco harm reduction. Their position is “negative” and “unbalanced.” By careening down this path, the WHO will continue to deny millions of smokers the opportunity to make a safer choice.
    “作者”问:“鉴于这数百万吸烟者现在,作为一个政策问题,故意劝阻或否认有机会从卷烟转向低风险的产品,他们将为那些继续吸烟的人负责,也许是结果,死亡?世界卫生组织是否会接受此责任?“