Daily Mirror (Sri Lanka)

TOBACCO CONTROL INITIATES SUSTAINABL­E DEVELOPMEN­T

May 31-World No Tobacco Day

- By Manjari Peiris

Government­s must implement strong tobacco control measures to ensure good health of their citizens and promote sustainabl­e developmen­t.

Everyone has a role and right to play to promote and establish sustainabl­e developmen­t goals. The United Nations agencies, the World Bank, internatio­nal developmen­t banks and other public and private donors should assist government­s to reach the sustainabl­e developmen­t goals.

Tobacco use undermines public health and sustainabl­e developmen­t in a country. Almost 70 percent of global deaths are caused by non-communicab­le diseases (NCDS) such as cardiovasc­ular diseases, cancer, diabetes and chronic lung diseases. These diseases have one major risk factor in common, it is tobacco use. Over 1 billion people use tobacco today. Unless we take action now, tobacco will cause 1 billion deaths worldwide this century and 80 percent of this would occur in low and middle-income countries.

Tobacco use also costs national economies enormously through increased healthcare costs and decreased productivi­ty. It is estimated that over the next 20 years, the economic loss associated with tobacco related disease will be US$12 trillion.

Tobacco use also worsens health disparitie­s and aggravates the problem of poverty since the poorest people spend less on essentials such as food, education and healthcare.

Tobacco control is inexpensiv­e and highly effective. At an average cost of US$.05 per person to implement in low-and middle-income countries, tobacco taxation is the least costly of all tobacco control policies

In this context, there is a clear roadmap for effective, feasible and globally endorsed action. The World Health Organizati­on’s WHO - Framework Convention on Tobacco Control (FCTC) has been recognized in the Sustainabl­e Developmen­t Goals (SDGS) as a critical tool to help achieve wellbeing for all - at all ages.

The FCTC is one of the only three internatio­nal convention­s explicitly referenced in the SDGS appearing as target 3a - “a means of implementa­tion” for Goal 3.4 on NCDS.

Similarly, raising tobacco taxes is the single most effective way to reduce consumptio­n of tobacco products and in turn it diminishes detrimenta­l effects

Tobacco control is inexpensiv­e and highly effective. At an average cost of US$.05 per person to implement in low-and middle-income countries, tobacco taxation is the least costly of all tobacco control policies. And tobacco taxation creates more revenue for government­s than it costs to implement. Similarly, raising tobacco taxes is the single most effective way to reduce consumptio­n of tobacco products and in turn it diminishes detrimenta­l effects of tobacco use on health and developmen­t.

Globally raising the tax on a pack of 20 cigarettes by the equivalent of one dollar would increase average price by 42 percent and results in 81 million fewer deaths. Higher taxes also discourage minors from taking up smoking in the first place.

While increased tobacco taxes boost good health, they can also provide government­s with significan­t additional revenue. It is estimated that a global increase in tobacco tax of the equivalent of one dollar would result in an extra US$141 billion in revenue for government­s. The extra revenue generated by tax increases can, in turn, be used to finance other developmen­t priorities. In fact tobacco taxes are a key tool to finance Sustainabl­e Developmen­t Goals.

Evidence suggests that the availabili­ty of single cigarettes poses a potential threat to public health because they may be more affordable and accessible than packs especially to youth and people with fewer resources. As countries implement tobacco-control policies proven to reduce tobacco use, the availabili­ty of single cigarettes could potentiall­y undermine the effectiven­ess of strong policies.

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