Policy progress of health warnings on tobacco products as per Article 11 of WHO FCTC: a global analysis
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1
National Institute of Cancer Prevention and Research, WHO FCTC Global Knowledge Hub on Smokeless Tobacco, India
2
Healis - Sekhsaria Institute of Public Health, India
3
National Institute of Cancer Prevention and Research, India
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A3
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ABSTRACT
Background:
This paper evaluates the coverage and
quality of global implementation of Article 11 of the WHO Framework Convention
on Tobacco Control (WHO FCTC), for Cigarettes (CIG) and Smokeless Tobacco
(SLT).
Methods:
A cross-sectional database of policies
with implementation dates in FCTC ratified countries (n = 179) was prepared. Information
was validated by two sources. World Bank Income groups were used for
categorizing countries. Notified warnings were scored according to topics
specified at FCTC Warning database website. Data was analyzed using SPSS.
Results:
By December 2016, of ratified countries,
94% and 48% population (≥15 years) were covered with ≥30% Health warning (HW)
on CIG and SLT respectively. Population coverage by HW on CIG packages in high
income countries (HICs), middle-income countries (MICs) and low-income
countries (LICs) were 98.6%, 95% and 64% respectively, however, such coverage
for SLT was < 50% population in all income-group countries. Global population
coverage of Pictorial Health Warnings (PHW) (≥30% size) on CIG and SLT were 62%
and 37% respectively. Global population coverage with 'high content' was 60%
for CIG and only 5.2% for SLT. High
content information on CIG covered 90%, 55% and 33% population in HIC, MIC and
LIC respectively. However, this coverage for SLT in HIC, MIC and LIC was 4.6%
4.5% and 12% respectively.
Conclusions:
There is unequal attention on
implementation of Article 11 on different tobacco products. Countries need to
provide quality information with equal focus on all tobacco products.
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