STAKEHOLDERS ROUNDTABLE ON THE IMPLEMENTATION ON THE NATIONAL TOBACCO CONTROL BILL

‘How tobacco firms are hurting our health system’

Ahead of this year’s World No Tobacco Day which is marked every May 31, Akinbode Oluwafemi, director of Administration and Corporate Accountability at the Environmental Rights Action/ Friends of the Earth Nigeria (ERA/FoEN), sheds lights on the strong lobby of tobacco companies and the need to have the National Tobacco Control Bill signed into law in this encounter with Joe Agbro Jr.

A meeting with Mr. Akinbode Oluwafemi of the Environmental Rights Action/ Friends of the Earth Nigeria (ERA/FoEN) is filled with excitement. He talks with so much conviction and knowledge about the dangers of smoking that you are held captive and cannot help but listen and reason along with him.

Asked why he is so concerned about the battle against tobacco in the country, he says it is because tobacco kills about half of its consumers. But regrettably, policies in the country do not address this development. According to him, “when you look at smoking in Nigeria, you’ll think smoking is not a big problem. But, I’ must tell you that it’s a very big problem. And this problem has a link with how the tobacco industry is being regulated in the west. You know, most western governments have put in very stringent measures to regulate the practice of tobacco industry and to ensure that smoking rate is decreasing. And because of those measures and litigation, tobacco companies started looking elsewhere. The developing countries, of which Nigeria belongs, becomes a very prime target.”

Growing epidemic 

He is afraid that this smoking epidemic is very real here. According to a survey conducted in Adamawa, as much as 29percent of the youths in that are smokers, while a survey in 11 Lagos hospitals showed that “at least one person dies a day in each of those hospitals as a result of smoking.”

In the absence of a national statistics on smoking, a 2011 survey by the World Health Organisation (WHO)  shows that there is actually rising smoking among Nigerian girls rising up to the level of 3% a year. “That is alarming and extremely disturbing,” Oluwafemi says.

In the overall picture of insufficient healthcare infrastructure, diseases such as “heart disease, cancers of different types, impotence, heart condition, low birth rate, and loss of man hours at work places” are of serious challenge to the health care sector. 

According to WHO, tobacco currently kills over 5.4 million people yearly, with about 70percent of casualty occurring in developing countries like Nigeria, adding that every stick of cigarette contains over 4, 000 dangerous chemicals with over 40 of them being carcinogenic. 

To combat this disturbing outcome, Senator Olorunnibe Mamora sponsored the National Tobacco Bill which was eventually passed by the National Assembly on May 31st, 2011, a year ago. This Bill, Oluwafemi says, was “happily supported by Environmental Rights Action (ERA), it seeks to domesticate the Framework Convention of Tobacco Control, a global treaty, about the minimum standards that countries must adhere to in terms of legislating about tobacco.

“Nigeria is a signatory as well as a party. And since we are a party to that treaty, we are under obligation to implement the provision of that international treaty. The Bill seeks to end advertisement, sponsorship, and promotion, it prohibits the sale of cigarettes to minors, it recommended pictorial warnings on cigarette packs, and it bans smoking in public places. More importantly, that Bill seeks to create a committee, National Tobacco Control Committee which will serve as an advisory role in terms of reviewing the policy. That essentially is what that Bill is all about. I have heard people say that the Bill wants to close tobacco companies in Nigeria. I don’t know whether they have a separate Bill. This Bill has been passed and we are waiting for the presidential assent so that the Bill can become enforceable in Nigeria. We are worried that the presidential assent is taking too long. And we are very suspicious that some people somewhere may want to compromise public health and we’re calling on the president to see this Bill as an obligation to protect the health of the Nigerian people.”

He faulted the idea of mixing sponsorship with corporate social responsibility (CSR), Oluwafemi said, “Tobacco companies are inflicting monumental health impact on our nation. How do you mitigate that by buying computers or drilling boreholes? Can computers and boreholes make up for the lives of our brothers and sisters dying as a result of smoking? No. So, what we are saying is that let government impose appropriate taxes on those products.  Why is it that a pack of cigarettes is about six pounds (N1, 500) in London, seven dollars (N1, 300) in the US, and the same pack is selling for N200 in Nigeria? Other governments have moved ahead to impose appropriate taxes on tobacco products. Then, you can use those taxes to build the schools and to buy the computers. And this time around, even the way they have conducted themselves with the CSR, it is only another form of advertisement. They only practically move their advert budget into CSR so that they can always call government people to sit on the table and they can win public sympathy.”

He blames the non-passage of the National Tobacco Control Bill on the interference of the tobacco companies. “In fact, we have it on authority that they have started calling reporters not to run stories on World No Tobacco Day and stories around the Bill. They know that if this Bill is signed they would not be able to do those things that bring in more consumers the way they’ve always been doing. So, when this  is dragging for too long, our suspicion would certainly be that the tobacco industry has been moving underground as they’ve always been doing, not only  in Nigeria, but all around the world to undermine public health and to ensure that legislation that are for public health are never enacted.”  He punched holes in the industry’s argument that it has a large work force in the country, saying, “the tobacco companies are not employing up to 1, 000 people. That is the reality,” he said. 

He believes that the true nature of the industry is hidden from most Nigerians because “their business thrives on deception. They make people to think that when you smoke, it’s good. And they will never tell you the health implications. So, those deceptions were the basis of their objections which were completely irrelevant because whatever section that you have in this Bill are provisions that are just the basic in NTC Bill. Take for instance, in our Bill, we are seeking 50percent pictures on cigarette packs. A country as close as Mauritius is already enforcing 70percent. Ghana is already thinking of about 60 percent. In fact, some countries like Australia has even gone beyond the pictures and talk about plain packaging. They know it that they cannot debate this because the international community have moved way beyond what is even in this Bill as at today.”

He appealed to the president to sign the bill and save Nigerian youths from the looming tobacco epidemic.


SOURCE

Doctors urge FG to adopt smoking cessation programmes

In a bid to reduce the ever in-creasing number of diseases and deaths caused by smok-ing, doctors under the auspices of the World Association of Family Doctors (WONCA) have charged government at all levels to adopt preventive comprehensive health education programmes on smok-ing cessation and control. The Africa Regional President, WONCA, Dr Sylvester Osinowo made this charge in Lagos at the commemoration of the 2012 WONCA World Family Doctor day themed “Healthy Living: The Role of the Family Doctor, Smoking Cessation Among Doctors and in the Community”. Osinowo said that the theme was chosen due to findings that smoking is one of the leading causes of morbidity in Nigerian compared to other risk factors. He added that the estimated death rate of 4.9m people in 1999 is expected to rise to 10m by 2020, out of 7m peoplewould be affected in developing countries including Nigeria. Osinowo who emphasized that smoking caused coronary heart diseases, cancer and reduction in fertility for women, added that it also posed adverse social, econom-ic and developmental effects in the lives of individuals, their families and the community at large.

“Tobacco consumption causes multiple health risks as cigarette smokers are 2.4 times more likely to develop coronary heart disease than non-smokers.“W.H.O cancer agency also indicates that smoking has been linked to about 90 percent of all lung cancer cases.“

The economic burden in-cludes direct medical care cost for tobacco-induced illnesses, absence from work, reduction in productivity and death.”he said.

He added that the primary health care centers being the near-est to the people should be empow-ered to do “push” programmes with vigour to catch the youths before they adopt the “severe haz-ardous-to-health- habit”.

He also suggested that anti-smoking clinics be established in Primary Health Centres and sick bays of colleges and tertiary institutions to rehabilitate those who are already enmeshed in the habit.

Osinowo however appealed to family physicians and general medical practitioners to as well disengage themselves from hab-its such as smoking in order to be good role models for the society.

In his speech, the National President of the Association of General Private Medical Practi-tioners of Nigeria (AGPMPN), Dr Anthony Omolola said that preventive health care through annual check up by a doctor re-mains the best healthy living strategy.

Omolola added that the im-portance of a family doctor in a patient’s life could not be over emphasized as they are the ones who are close to the patient, have a personal relationship with him thereby making it easier to treat him or her.

SOURCE

Who wants Tobacco Control Bill dead?

In one week, it will be exactly one year since the National Assembly passed the National Tobacco Control Bill. But as the world awaits another No Tobacco Day, many are worried that President Goodluck Jonathan is yet to sign the Bill into law, reports OLUKOREDE YISHAU

Minister of Health Prof. Onyebuchi Chukwu appeared serious on Monday while addressing the World Health Assembly in Geneva, Switzerland. The minister said Nigeria was dedicated to domesticating the Framework Convention on Tobacco Control (FCTC), a World Health Organisation (WHO) treaty, which the country ratified several years back. 

Chukwu’s claim angered many tobacco control advocates. As far as they were concerned, the minister was not being sincere. Their reason: almost one year after the National Assembly passed the National Tobacco Control Bill, which is meant to domesticate the FCTC, President Goodluck Jonathan has not signed it into law. So, they believe only through the signing into law of the Bill which in can the country claim dedication to the FCTC. 

Following the minister’s statement in Geneva, the Environmental Rights Action/Friends of the Earth Nigeria (ERA/FoEN) urged him to ensure the Bill  is signed into law.

The group said the Bill, when it becomes an Act, will prevent an imminent tobacco epidemic.

ERA/FoEN, in a letter to the minister, said the failure of the President  to assent the Bill would not only reverse efforts to wean the youth off smoking, but also threaten the country’s leadership position in global tobacco control efforts.

The group said Nigeria having signed and ratified the FCTC is bound to domesticate it through the Bill.

The tobacco bill, sponsored by Senator Olorunnimbe Mamora, was passed by the Senate on March 15, 2011 and concurred by the House of Representatives on May 31, last year. The signature of the President is required to make the bill law.

ERA/FoEN, in a statement by its Executive Director, Nnimmo Bassey, said: “Our plea for the minister to intervene at this crucial time is a patriotic call to save Nigerians from the tobacco industry’s commitment to advocating weak legislation that will ensure they continue business as usual thereby worsening our health burden.

“After the overwhelming support the bill received in the Senate and House of Representatives, it is sad that till date, it has not been signed by the President. The intervention of the Health Minister is a singular action that generations of Nigerians will not forget. Giving Nigerians this gift as we mark the 2012 World No Tobacco Day will be remarkable.” 

Bassey reminded the minister of his promise during last year’s World No Tobacco Day to ensure the Bill gets presidential assent speedily. 

Does anyone want the Bill dead?

Tobacco Control advocates believe that tobacco giants such as the British American Tobacco (BAT) and  Phillip Morris (Altria), which partially acquired the International Tobacco Company (ITC) based in Ilorin, Kwara State, do not want the Bill to become law. 

A source said: “There are speculations that the British American Tobacco Nigeria has also gotten in touch with some key government people especially in the Standards Organisation of Nigeria and the Ministry of Trade. The tobacco industry is said to be in disagreement with two important sections of the bill, which they want expunged. One of the sections is the non inclusion of the Manufacturers Association of Nigeria in the membership of the National Tobacco Control Committee as provided for in the bill. Recently, there were talks of meeting between the Health Minister and his Trade counterpart, to iron out issues of concern on the bill, but the meeting didn’t hold. Our position is that if there is anything to be done on the bill, it can always go for amendments. That is what the National committee is there for. The SON also is in disagreement with some of the oversight functions it was allotted in the bill. Now, the SON wanted to be the chief implementation agency for the bill. We believe that the tobacco industry may be using all of these issues against the bill.”

ERA’s Director, Corporate Accountability, Mr. Akinbode Oluwafemi, said the big tobacco companies are working against the Bill. 

Oluwafemi said: “The big tobaccoare doing their best to ensure regulations are not enforced in line with the FCTC by using tactics hidden under  Corporate Social Responsibility (CSR) to hoodwink people in government into toeing their way at the risk of the people’s health. These tactics include: partnership agreements between government and industry; industry-run programmes claiming to prevent youth smoking; and training for farmers.”

Really, the Bill, when it becomes law, has the potential to reduce the population of smokers and thus decimate the profits of the tobacco giants. This, said a source, is enough reason for them to frustrate it.

Some of the potentially ‘damaging’ parts include: creating smoke free public places,  banning of all forms of advertisement,  promotion, marketing and sponsorship of tobacco products, restricting the sale of tobacco products to persons under the age of 18, compelling the tobacco industry to disclose the level of nicotine in cigarettes, inscribing health warnings on every pack of cigarettes in accordance with FCTC requirement of 50 per cent total display area and ban on sale of single sticks cigarettes and the ban on sale of cigarettes less than 20 pieces in a single pack.

Loud silence from BATN?

Attempt by The Nation to get BATN’s reactions to its ‘grouses’ with the Bill as passed by the National Assembly and the allegation that it was stalling the signing of the Bill yielded no result. Its spokesman, Aliyu Lawal, acknowledged receipt of questions sent to him on Monday  and promised to get back the following day. As at the time of going to press yesterday, he shifted the goalpost again by saying the ‘clean copy’ of the responses would be ready today. 

The terms of BAT’s Memorandum of Understanding (MoU) with BAT allow the company to build a $150 million cigarette manufacturing factory in Ibadan. The factory, which was commissioned on June 17, 2003, was seen by the government as a huge Foreign Direct Investment (FDI) into the country. BATN also sees it as such, a fact attested to by its Managing Director, Beverly Spencer-Obatoyinbo in a paper she presented last March at a breakfast meeting organised by the Nigerian British Chamber of Commerce. 

 Prior to BATN’s formal entry into the Nigerian market, it acquired the shares of the moribund Nigerian Tobacco Company (NTC) in 2000. The deal granted the company access to the infrastructure and manpower of the NTC. It also included the take-over of the thousands of tobacco farmers. BATN also upgraded its Zaria factory with a new GDX1 machine capable of producing 7,200 sticks per minute. 

Losses to cigarette smoking

But as BATN smiles to the bank, Akinsola Owoeye, a tobacco control advocate with the Nigeria Tobacco Control Alliance (NTCA), said many are frowning either to the graves or hospitals.  

Owoeye  said:  ”Despite the promises made by the government and tobacco industry, death toll began to rise in Nigeria after BATN came in. A survey in Lagos State showed an increase in smoking prevalence from 8.9 per cent to 10 per cent, and prevalence of heavy smoking which rose to 16.3 per cent. It also shows that two persons die in the state daily from tobacco related diseases. Using the conservative estimates of Lagos State, it means each state in Nigeria has spent at least N2,847,000,000 ($ 18,058,992) to treat smokers in hospitals. Multiply that amount by the 37 states in Nigeria, it also means that Nigeria lost N105,339,000,000 ($668,182,708) in one year. If this figure is justifiable, it clearly makes nonsense of the 10 billion naira ($6,343,165) per year, tax paid by BATN.” 

The latest edition of the Tobacco Atlas shows that two per cent of men’s deaths in the country are linked to tobacco use. It says the country loses $591 million annually to tobacco use in terms of health care and related expenses. About 17 million sticks of cigarettes are smoked in the country annually. 

No wonder the  President of the Washington DC-based Campaign for Tobacco Free Kids (CTFK), Matt Myers, said the country is losing a lot by not domesticating the FCTC. Myers, who spoke with this reporter at the World Conference on Tobacco or Health in Singapore, said: “If I meet President Goodluck Jonathan, I will tell him that one thing he needs to do quickly that will save the lives of many Nigerians is to sign the Tobacco Control Bill and guarantee that the country will implement it right away. If the Tobacco Bill is signed and implemented, it will save literally over the course of time millions of Nigerians from death. Most importantly, it will protect Nigerian young people from lifetime tobacco addiction and premature deaths.”

Senate President David Mark, during deliberations on the Bill, said the damage tobacco use does to the country is enough for health to take precedence over any other considerations. 

Will Jonathan play ball?

Will Jonathan heed the call of the tobacco control advocates, the WHO and others to sign the Bill into law or will he, as alleged, dance to the tune of the tobacco giants--- which appear unhappy with some of its provisions?  It is a matter of time.


SOURCE

ERAFoEN demands presidential assent on Tobacco Bill

President Goodluck Jonathan

As governments and public health advocates plan towards this year’s World No Tobacco Day (WNTD) which holds on May 31, the Environmental Rights Action/Friends of the Earth Nigeria has sent a strong appeal to President Goodluck Jonathan to use this year’s commemoration to sign the recently passed National Tobacco Control Bill. 

In a statement issued in Lagos and signed by ERA/FoEN Director, Corporate Accountability & Administration, Akinbode Oluwafemi, the organisation urged President Jonathan to sign the National Tobacco Bill (NTCB) to celebrate the global event.ERA/FoEN also asked the Health Minister, Prof Onyebuchi Chukwu to take the lead in the processes that will lead to the signing of the bill ahead of the World No Tobacco Day. 

The 2012 WNTD has as theme: Industry Interference, and urges governments to protect their public health policies from vested and other tobacco industry interests.

Oluwafemi said: “Countries all over the world have made specific and strategic efforts to combat the dangers of smoking especially among the youths by putting laws in place to regulate the production and marketing of tobacco products.

The enactment of national laws and the domestication of the World Health’s Organization (WHO) Framework Convention on Tobacco Control (FCTC) are singular efforts in this direction.

“Nigeria has made giant strides in fulfilling our international obligations by attempting to domesticate the FCTC through the National Tobacco Control Bill, but we are afraid these gains that we have worked for as civil society organizations, legislators and the Ministry of Health will be reversed if the President does not sign this bill to commemorate the WNTD 2012.

“The theme for this year, Preventing Industry Interference in Tobacco Control policies is very instructive because Nigerians are worried that the bill which was passed with overwhelming public support is yet to be signed into law by the President. This is a bill that would have direct impact on Nigerians. It is the dividend of democracy for Nigerians.

“The group also called on the President to ensure that Nigeria does not renege on its international commitments to the FCTC, as this could damage the country’s international reputation while it can irreparable damage in the country’s public health.

“We call on President Jonathan to demand today for the National Tobacco Control Bill.  The President cannot allow the tobacco industry to influence and derail his transformation agenda by providing qualitative healthcare for Nigerians. The whole world is waiting for Nigeria, the African continent is awaiting our leadership. The President should provide this leadership,” he stressed.

SOURCE

Doctors seek robust campaign against smoking

The World Association of Family Doctors (WONCA) in Lagos State on Sunday urged governments to adopt a comprehensive health education programmes that would enhance the campaign on the dangers of smoking. The Africa Regional President of WONCA, Dr Sylvester Osinowo, made the call at an event to commemorate the 2012 WONCA’s World Family Doctor Day. According to Osinowo, smoking causes the highest number of sickness and death of Nigerians.

He said the commemoration theme, “Healthy Living: The Role of the Family Doctor, Smoking Cessation among Doctors and in the Community,” was chosen to highlight the effects of smoking.

Osinowo said the effects of smoking included coronary heart diseases, cancer and reduction in fertility for women.

Smoking also “has negative social, economic and developmental effects on the lives of individuals, families and the community at large.”

SOURCE

Health experts want smoking cessation at all levels

Irked by rising number of deaths and diseases associated with smoking, health experts have stressed the need for government at all levels to adopt preventive comprehensive health education programmes on smoking cessation and control.

The experts under the auspices of the World Association of Family Doctors, WONCA, noted that the estimated death rate of 4.9m people in 1999 was expected to rise to 10m by 2020, out of which would affect 7m people in developing countries including Nigeria.

In his submission at a lecture to commemorate this year’s World Family Day with the theme: “Healthy Living: The Role of the Family Doctor, Smoking Cessation Among Doctors and in the Community,” the Africa Regional President of WONCA, Dr. Sylvester Osinowo pointed out that smoking had been identified to cause the heaviest burden of morbidity and mortality on Nigerians compared to any other risk factor

Osinowo stated that smoking caused coronary heart diseases, cancer and reduction in fertility for women added that it also posed adverse social, economic and developmental effects on the lives of individuals, their families and the community at large.

His words, “Tobacco consumption causes multiple health risks as cigarette smokers are 2.4 times more likely to develop coronary heart disease than non-smokers. WHO cancer agency also indicates that smoking has been linked to about 90 percent of all lung cancer cases”

“The economic burden includes direct medical care cost for tobacco-induced illnesses, absence from work, reduction in productivity and death.”he said.

He said “the primary health care centers being the nearest to the people should be empowered to do push programmes with vigour to catch the youths before they adopt the serious health hazard habit.

The President recommended that anti-smoking clinics be established in the PHCs and sickbay of colleges and tertiary institutions to rehabilitate those who were enmeshed already in the habit.

He also appealed to family physicians and general medical practitioners disengage themselves from habits such as smoking so as to be good role models for the society to follow.

Speaking,the National President of the Association of General Private Medical Practitioners of Nigeria, AGPMPN, Dr Anthony Omolola said that preventive healthcare through annual check up by a doctor was the best healthy living strategy.

On the importance of family doctor, Omolola notes that their roles could not be over emphasized in the medical treatment as family doctors are the ones closer to the patient, have a personal relationship with him thereby making it easier to treat him or her.

By Chioma Obinna