Framework convention on tobacco control...in search of outcomes. The responsibility to protect.

摘要

The WHO'S Framework Convention on Tobacco Control (FCTC) is an international treaty designed to respond to the tobacco pandemic. It specifies the measures that governments should implement (e.g. advertising bans, taxation, smoke-free policy, health promotion, and cessation support). Wipfli and Huang evaluated the FCTC as "effective, even when the outcomes are unclear from the start" [1 ].Sadly, the facts tragically belie this paradox. The FCTC came into force in 2005, being the international treaty ratified by the biggest number of countries at the quickest rate, and by 2008 at most 5% were implementing the measures. Among countries in Europe, implementation is at best incomplete, and in most developing countries, implementation is minimal [2].Below, we develop the example of France to stress that a treaty based upon policies but not on goals is fake which allows for concealment.In European Union, France was the first of the old Member to ratify the FCTC treaty in October 2004. From 1991 to 2005, mainly due to important and repeated increases in excise tax, prices almost tripled and cigarettes sales nearly halved from 9.7 billion to 5.5 billion.