Sunday, January 3, 2021

 

How tobacco industry manipulates corporate citizenship

6 December, 2020

The World Health Organization (WHO) defines Corporate Social Responsibility (CSR) measures in the context of the tobacco industry (TI) as the promotion of “voluntary measures as an effective way to address tobacco control and create an illusion of being a ‘changed’ industry and to establish partnerships with health interests”

The TI uses a wide range of CSR strategies, such as brokering access to public officials, influencing policy preparations, breaking up opposing political coalitions and rebuilding the industry’s reputation for instance, as a provider of reliable information or as a platform of voluntary regulation.

In Sri Lanka, the annual report of the tobacco industry is self-explanatory that they are engaged in CSR activities. Hence they are violating a law.

If a country has banned Article 13 of the Framework Convention on Tobacco Control (FCTC) of the World Health Organization, TI is not permitted to advertise or promote their products by law, and engage in CSR activities offering an alternative route to reach various audiences.

The FCTC of the WHO additionally bans tobacco advertising, promotion and sponsorship of any form. Signatory countries are obligated to “undertake a comprehensive ban on all tobacco advertising, promotion and sponsorship.

As a part of TI’s public relations, CSR and related corporate social investment programs, the TI has a long history of making philanthropic donations.

Tobacco tactics

CSR has been used as an effective political strategy by the tobacco industry to build support for policy positions that favour tobacco industry interests and to weaken opposition. CSR also serves to facilitate access to policymakers, enhance the industry’s reputation as a source of credible information and discourage implementing evidence-based tobacco control interventions.

The tobacco industry also uses CSR to improve its reputation, image and credibility, present the tobacco industry as “good corporate citizen”, increase profits, and prevent health policy and general tobacco control regulation implementation. CSR enables the tobacco industry to mitigate reputational and regulatory risks as well as gain a “competitive advantage” over other brands.

CSR achieves more for the tobacco industry than just image or reputation management. It helps the industry secure access to policymakers and increase its chance of influencing the policy and political agendas. CSR is also used to promote dialogues with policymakers, influence priorities of elected and public officials, advocate for modes of voluntary regulation over extent/government regulation and build trust of public-private partnership with the industry. CSR is used as a platform for “stakeholder management” using “techniques of neutralisation” which are used to “justify, excuse, or in some way rationalise behaviour that flouts social norms.”

Arts sponsorship

Arts sponsorship is a longstanding and effective form of promotion for the tobacco industry. As a form of CSR, association with the arts aids the tobacco industry’s efforts to combine its brands with desirable behaviour, and to improve goodwill among a variety of audiences, from a local to the international level. The industry’s association with glamour, luxury and aspiration, helps them more to combine with arts. TI also uses arts institutions to advocate on their behalf to policymakers.

Experimental marketing through sponsorship of artists and art institutions can help the tobacco industry to increase the appeal of tobacco brands and products and recruit new consumers by “associating its products with fun, excitement, sex, wealth and power and as a means of expressing rebellion and independence.”

Tobacco industry’s associates have received awards for their CSR activities, including human resources, sustainability, community development and supply chain management.

Simultaneously, they get publicity for the awards they receive for CSR practices by highlighting them in their sustainability and annual reports and inviting press attention. This strategy forms one part of the tobacco industry’s larger CSR engagements being made in subtle manner. It helps them mitigate the risk to the industry’s reputation as a result of historical and current social wrongdoings.

Numerous academic studies have questioned the industry’s stated aim for its CSR policies of improving social and environmental outcomes. Such studies have queried of some cynical motivation that facilities ‘business as usual’ and unknown hides ‘the structural disparities through which exploitation takes place.

The awards ceremonies enable spaces for tobacco industry to gain access to senior government officials, such as finance, commerce and trade. They are most vulnerable to creating tobacco industry interferences.

Awards ceremonies

The tobacco industry is mostly recognised for their involvement with tobacco farmers who are really employed through contracts, rather than directly by the industry with poor working conditions, including exploiting child labour, high health risk and creating a continued cycle of poverty of people.

The tobacco industry’s CSR involvements include donations and programs that often focus on education. This is a longstanding industry strategy which the World Health Organization defines as ‘no beneficial outcomes for youth’, but enables the tobacco industry to ‘gain the mantle of good corporate citizenship.’ The tobacco industry publicly always maintains that it does not target children. On the contrary, the sustainability of the tobacco industry in the future solely relies on acquiring new users or the potential users. It is to replace their dead customers by enrolling youth through diverse capturing. Since advertising for cigarettes is increasingly regulated, and targeting children is illegal, the industry needs other ways to reach the young.

Another subtle and less known way to gain access to children is by setting up and running ‘anti-smoking’ education programs, or youth smoking programs for schools, the media, young people and parents. The industry educational interventions depict smoking as an ‘adult choice’ and as ‘uncool’, at the same time they involve intensive efforts to recapture recent quitters and refine marketing techniques.

Educational campaigns

These educational campaigns along with philanthropy as part of its reputation management strategy are implemented by the tobacco industry to ward off allegations by anti-tobacco movements. The industry’s CSR role is wide. They fund universities to negate scientific evidence to the effect that smoking is harmful, but also in favour of tobacco industry interests. There are ample examples to prove such attempts.

The World Health Organization states that CSR programs of the tobacco industry focus on health, both public and personal, and they are a key aspect of their strategies. They are more ‘cynical’ or more of an ‘inherent contradiction’. CSR activities in the field of health enable the industry to gain reputational legitimacy, to approach policy makers and even challenge public health bodies and tobacco control advocates.

The tobacco industry has employed their agents by the informal name, ‘Front Groups’. People are unaware of these subtle attempts. But we know well of them and their motives behind. When somebody writes to the media in favour of tobacco control, a few days after an article would appear on the same subject against the facts or proposals highlighted in favour of health. Such people are hired by the tobacco industry to mislead the public as well as policy makers. This is very much happening in Sri Lanka. On the other hand, when an article is appeared against tobacco promotions and in favour of a good health policy ‘pro-tobacco people’ presumably, hired by the tobacco industry would write to ‘government officials engaged in tobacco control’ about the contents of the article requesting under clause ‘the right to know information’. This too happens often in Sri Lanka.

In the context of tobacco industries’ CSR activities in response to Covid-19 pandemic, they have used the situation to promote themselves as pharmaceutical and public health organisations, rather than cigarette manufacturers. In such attempt, a wholly owned subsidiary of the industry has received international press coverage for its ongoing development of Covid-19 vaccine using tobacco plants. The industry led companies have made donations of either money, food or medical equipment, including ventilators to Covid-19 relief efforts. One such company has stated they donated over US$ 30 million during the crisis. These figures are far outweighed by the economic costs of tobacco as a result of tax avoidance and the impact of smoking on healthcare systems.


3/1/2021 SUNDAY OBSERVER 

How important is media contribution in building a healthy nation? 

by MANJARI PEIRIS




A program titled Niyamuwo - Nidahas Aragalaya - guiding a countr y to be free from tobacco and alcohol, was organised by the National Authority of Tobacco and Alcohol (NATA), the focal point for tobacco and alcohol control, functioning under the Ministry of Health, on December 23, 2020.

The Chief Guest at this event was Health Minister, Pavithra Wanniarachchi. This was the first occasion in the history of NATA that a ceremony was held to felicitate media personnel striving to create a healthy nation by highlighting information on the hazards of tobacco and alcohol use. At this event, the Minister gave away awards to a number of electronic and print media personnel who had contributed towards tobacco control during 2020.

The program included comprehensive and fruitful discussions with media heads as to how they could improve the commitment while enhancing people’s knowledge and supporting policies to be implemented.

Chairman of the National Authority on Tobacco and Alcohol (NATA) Dr. Samadhi Rajapaksa welcomed the media and out lined the future plans of NATA. “As a responsible authority we are taking measures to reduce the enormous health, economic and social burden on the people and the country caused through use of tobacco and alcohol.”, he said.

Dr. Rajapaksa was very hopeful. He expressed his gratitude to Health Minister, Pavithra Wanniarachchi, for her readiness and commitment to help NATA with a far sighted vision to protect people’s health, especially the potential users from getting addicted to tobacco and alcohol use.

Discussions

NATA has already begun discussions with the Ministry of Education to enlighten school children on the fact that they are facing a big threat with the tobacco industry trying to lure them with various means and ways.

In Sri Lanka 60 people die of tobacco - related diseases each day. Thus, the TI needs to lure new users to replace those who die of tobacco - related diseases such as heart disease, lung cancer and respiratory diseases. The industry has even called children ‘replacement smokers’ for those killed by tobacco use. If large numbers of children do not try smoking and go on to become regular users, the tobacco companies eventually would not have enough adult customers to make staying in business worthwhile.

Empowering children to recognise industry strategies is vital. Thus, all the Government institutions under the purview of the Ministry of Education need to collaborate ion this program. NATA has already developed a circular about the program and submitted it to the Ministry of Education. Every year an audit to ascertain the progress in relation to different aspects of the program would be carried out.

The NATA Chairman said that his mission would be to ‘close up NATA’ in the sense that tobacco and alcohol would not be a burden to the country anymore.

“Prevalence of tobacco and alcohol will not be a challenge for us. We are determined to continue our struggle and strengthen the President’s Saubhagyaye Dekma – ‘Vision of Prosperity’, “ Dr. Rajapaksa said.

National need

Eradication of tobacco and alcohol use is a national need as it affects the health, economy, social background and spirituality of the nation.

Currently, the cost of tobacco and alcohol consumption per day in Sri Lanka is more than a hundred million rupees. The health expenditure which the Government incurs treating diseases caused through consumption of these products is about three times more than the ‘so-called’ revenue that comes to the Government treasury from these two industries.

Therefore, NATA has already developed a feasible tax formula for tobacco products to be submitted to the Government. “This a golden opportunity for the country to gain extra revenue”, the NATA Chairman said.

The NATA Chairman briefed media heads about the ‘Framework Convention of Tobacco Control’ (FCTC) of the WHO, to which Sri Lanka is a party. Since Sri Lanka implemented Article 13 of the FCTC in 2006, which prohibits advertising, promotion and sponsorship of tobacco products, the media has no authority to promote using tobacco even in indirect manner. A guideline in this regard was distributed among media heads. “We would conduct a survey on this and if there are violations, we would certainly take legal action against such media institutions.” Dr. Rajapaksa said.
Ven. Elle Gunawansa Thera said that since NATA is implementing regulations and policies of the Government, more than private media, government media institutions have an obligation to give due priority and publicity through their publications. Therefore, the Ven. Thera called upon government media heads to pay more attention on this matter.

Commitment

Health Minister Pavithra Wanniarachchi said she was committed to bring in necessary regulations to amend the NATA Act to enable NATA implementation of important laws and regulations pertaining to tobacco and alcohol. She said; “I wish to see less hospitals in the country which is an indication that more healthy people are living in the country. I am fully committed to reducing the burden of non-communicable diseases. The main barrier to reducing non-communicable diseases is tobacco and alcohol use.

We should start it from school children who are the foundation to eradicate tobacco and alcohol use and promote health. We have a duty to guide people away from wrong unhealthy lifestyles and practices. As a mother and a sister extending loving kindness towards others - I would like to render my complete contribution to this worthy cause - to shun tobacco and alcohol use. I respect the media personnel who have been shouldering this massive task by making every effort to educate people. “

Chief of Public Health Inspectors Upul Rohana said how they set up 156 Tobacco Free Zones. According to him, the tobacco industry had become a huge challenge when the PHIs took steps to create smoke-free zones. The industry had attempted to discourage the PHIs activities. “However, we will continuously do this job.” he said.

Sri Lanka Broadcasting Corporation Chairman Visharada Jagath Wickremasinghe promised to shoulder their responsibility as a national media network, no matter that it would be a challenging campaign.

Marketing strategies

Director of the National Cancer Control Program Dr. Janaki Vidanapathirana said that the marketing strategies of the tobacco and alcohol industries are less spoken about in society. She said that the behavioural style of both industries and the vulnerable groups should be clearly studied first and then reaction strategies should be developed to overcome the problems.

She said that soft skills and personality development measures for children would be initiated and ensured from school level to keep the children to be away from tobacco and alcohol use. In this manner, the parents have a golden opportunity to communicate with their children and empower them to make wise decisions by themselves. In this regard attractive and creative messages should be developed to reach children, instead of giving “dreadful concepts about health consequences”, she said.

President of the Government Medical Officers Association Dr. Anuruddha Padeniya said that the biggest problem caused through alcohol and tobacco are non-communicable diseases. It is the main cause for NCDs. It has risen from 70 percent to 82 percent. Therefore, tobacco and alcohol use should be banished from society. “We are introducing an ongoing program for inquiring from every patient who consults doctors for NCD related diseases, whether they are in the habit of using these products”. A survey should be conducted to ascertain the progress,” he said adding, that he was happy to work with the new Health Minister.

Sri Lanka Rupavahini Corporation Chairman Dr. Nihal Jayathilaka said as a responsible media institution they are determined to give ‘prime time’ for programs that help the prevention of tobacco and alcohol use.

Challenges

Media veteran, Ariyasiri Dombagahawata, spoke about the challenges that media personnel encounter both from the tobacco and alcohol industries and high profiles associated with them, when getting their write ups on these two issues published in newspapers. “This is a huge burden and challenge for the media”, he said. He said that the media is the fourth estate of a country who have the responsibility to give ethics to society and direct people to the correct paths. Everybody responsible should understand the reality of this fact clearly and allow media freedom to give the best to society.

Additional Secretary, Ministry of Health Dr. Lakshmi Somatunga presented details as to how tobacco use becomes a health burden to society and increases health budgets.

Psychiatrist Dr. Venura Palihawadena said how tobacco industry influences the youth and called upon the media to expose those strategies and help youth not become a victim of the industry. Psychiatrist Dr. Danujaya Mahesh said that introducing programs to study school children’s behavioural patterns and changes is important. It should be done in an attractive and inspiring manner and the 2020 circular submitted by NATA to the Ministry of Education can hopefully help gain much benefit. Parents, old boys and teachers should collaborate in these programs.

Wednesday, May 30, 2018














TOBACCO BREAKS HEARTS


by Manjari Peiris
Every year the campaign for World No Tobacco Day (WNTD)  aims to increase awareness on feasible actions and measures that key audiences, including governments and the public, can take to reduce the risks to heart health posed by tobacco.
In 2018, World No Tobacco Day (WNTD) will focus on "tobacco and heart disease". Cardiovascular diseases (CVD), including stroke, which are the world’s leading causes of death, and tobacco use being the second leading cause of CVDs, after high blood pressure.

They say for ‘’every one cigarette smoked you will lose around 11 minutes of your life’’…and ‘’if you have some 1000 20 year old current smokers around 250 will die in middle age (not old age) from smoking-related condition’’, said Dr Sandy Gupta MBBS MD FRCP, Consultant Cardiologist, Whipps Cross/Barts NHS Hospitals, London, UK.

As a Cardiologist I see on a daily basis premature and ‘avoidable’ cardiac events (and sadly deaths at times) and tobacco is often a strong factor. Even a single cigarette may be harmful.
How does  tobacco smoking damage your heart?
CVDs kill more people than any other cause of death worldwide, and tobacco use and second-hand smoke exposure contribute to approximately 12 percent  of all heart disease deaths. In the WHO European Region, CVDs cause around half of all deaths. Of the 6 WHO regions, the highest overall prevalence for smoking in 2017 was estimated to be in the European Region, at 28 percent.
Smoking increases the risk of developing cardiovascular diseases, which includes coronary heart disease and stroke. Smoking damages the lining of your arteries, leading to a buildup of fatty material (atheroma) which narrows the artery. This can cause angina, a heart attack or a stroke
Cigarette smoking increases the risk of coronary heart disease by itself. When it acts with other factors, it greatly increases risk. Smoking increases blood pressure, decreases exercise tolerance and increases the tendency for blood to clot.
Chemical effects
Thirty percent of all heart disease deaths are caused by cigarette smoking. Smoking is the single largest preventable cause of heart disease in the United States. Tobacco smoke contains high levels of carbon monoxide. Carbon monoxide affects the heart by reducing the amount of oxygen the blood is able to carry.
The chemicals in tobacco smoke harm your blood cells. They also can damage the function of your heart and the structure and function of your blood vessels. This damage increases your risk of atherosclerosis. Atherosclerosis is a disease in which a waxy substance called plaque builds up in the arteries.
A third mechanism is through hemodynamic effects of nicotine. These include an increase in heart rate and blood pressure, which in turn increase myocardial work and oxygen demand, as well as constriction of coronary arteries, which would impair blood flow and oxygen supply to the heart.
Some forms of smokeless tobacco too increase your heart rate and blood pressure. Evidence suggests that long-term use of smokeless tobacco increases your risk of dying of heart disease and stroke.


Does secondhand smoking bring in detrimental effects to your heart?
Exposure to secondhand smoke damages the heart and blood vessels in many ways.  Quitting smoking and avoiding secondhand smoke can help reverse heart and blood vessel damage and reduce heart disease risk. Therefore non-smokers should ask smokers not to smoke in your home or car or public transport. If you are near someone who is smoking, politely ask him not to smoke around you.
Secondhand smoke is a mixture of two forms of smoke that come from burning tobacco  which is mainstream smoke, the smoke exhaled by a smoker and side-stream smoke which is smoke from the lighted end of a cigarette, pipe, or cigar, or tobacco burning in a hookah.
Influence of parents to children
Children who grow up watching their parents smoke are also more likely to become smokers as teens.
The best and wise decision for a human being is not to initiate smoking and be away from smokers  as much as possible. Moreover, engage yourself as a responsible and kind citizen to educate, encourage and empower  people not to become a prey of the tobacco industry strategies of whatsoever and refrain from  taking up smoking and contribute your precious time and energy for saving others well from this  global disaster.
As regards prevention, Dr. Gupata emphasized the fact that it is never too late to help people stop smoking; and it is indeed  a priority to deter people from starting.

Two things we need to change now with the  approach  of  WNTD 2018 -
1) for current smokers…ask, assess, assist, advise and arrange for them to enroll into stop smoking services. And

2) provide  education to prevent people, especially the young from taking up smoking (in all its forms…shisha, cigarettes, vaping..)




Today 31st May, is World No Tobacco Day - Protect your heart from tobacco smoking

By Manjari Peiris
In Sri Lanka tobacco industry is owned by trans-national corporations which takes almost all of its profits to their countries in the West. Therefore the wealth is drained from a poor country to a rich country.

While the tobacco products sold is said to have decreased, the profits of the industry have increased almost tenfold within 10 years.

Even the senior citizens are taxed on their miserable  interest income plus on their medical needs, and even the poorest of the poor are heavily burdened by more and more taxes while the taxation of tobacco has not changed over 18 months. There must be a significant reason for this!

There are certain laws and regulations to control tobacco promotions and consumption, but action for monitoring  of  law enforcement is very weak.

One strategy the tobacco industry seems to adopt is to influence decision makers to  be inactive or very slow in the implementation of TC measures approved for implementation. Thus we observe several important TC related regulations  have not been  implemented/amended for years in Sri Lanka.

Governments and government institutions that exist with the cost of people's taxed money are meant to protect people. But we observe people's  money is sucked in two ways, i.e. to maintain these institutions and the tobacco industry's engagement in sucking people's blood through cigarette smoking which is detrimental to health.

It is high time to stop allowing this intentional, targeted and heartless carnage that is freely going on  right now. We understand that WNTD is not meant for one particular day, i.e. to celebrate it by authorities concerned by again wasting people's money at 5 star hotels to scratch each others' back for no creditable work whatsoever, but for show-off!


Why should I quit smoking?

Quitting smoking is the single best thing you can do for your heart health.
If you're a smoker, stopping smoking is the single most important step you can take to protect the health of your heart, states the British Heart Federation.

Smokers are almost twice as likely to have a heart attack compared with people who have never smoked. A heart attack happens when there is a sudden loss of blood flow to a part of your heart muscle. Most heart attacks are caused by coronary heart disease. A heart attack is life-threatening and while stopping smoking is the single best thing you can do for your heart health, and the good news is that the risk to your heart health decreases significantly soon after your stop. By quitting you will be improving your own health by dramatically reducing your risk of coronary heart disease, stroke and a variety of cancers, as well. You will feel better, and have more money to spend on other things that you enjoy. Thus quitting has huge benefits and it is never too late to give up.

How does smoking damage your heart?
Smoking increases the risk of developing cardiovascular diseases,  which includes  coronary heart disease and stroke.
  • Smoking damages the lining of your arteries, leading to a build up of fatty material (atheroma) which narrows the artery. This can cause  angina, a heart attack or a stroke.
  • The carbon monoxide in tobacco smoke reduces the amount of oxygen in your blood. This means your heart has to pump harder to supply the body with the oxygen it needs.
  • The nicotine in cigarettes stimulates your body to produce adrenaline, which makes your heart beat faster and raises your blood pressure, making your heart work harder.
  • Your blood is more likely to clot, which increases your risk of having a heart attack  or stroke. 
  • Raise triglycerides which is (a type of fat in your blood.
  • Damage cells that line the blood vessels.
  • Increase the buildup of plaque -fat, cholesterol, calcium, and other substances in blood vessels.
  • Cause thickening and narrowing of blood vessels.

Secondhand smoke
When non-smokers breathe in secondhand smoke - also known as passive smoking - it can be harmful. Research shows that exposure to secondhand tobacco smoke is a cause of heart disease in non-smokers, which means you could be harming the health of your children, partner and friends.
Breathing secondhand smoke can cause coronary heart disease, including heart attack and stroke.
·         Secondhand smoke causes nearly 34,000 early deaths from coronary heart disease each year in the United States among nonsmokers.
·         Nonsmokers who breathe secondhand smoke at home or at work increase their risk of developing heart disease by 25–30 percent. Secondhand smoke increases the risk for stroke by 20−30 percent.
·         Each year, secondhand smoke exposure causes more than 8,000 deaths from stroke.
·         Breathing secondhand smoke interferes with the normal functioning of the heart, blood, and vascular systems in ways that increase your risk of having a heart attack.
·         Even briefly breathing secondhand smoke can damage the lining of blood vessels and cause your blood to become stickier. These changes can cause a deadly heart attack.

"The cigarette is the deadliest artifact in the history of human civilization. It is also one of the most beguiling. Thanks to more than a century of manipulation at the hands of tobacco industry chemists - the author of Golden Holocaust, Robert N. Proctor draws on reams of formerly secret industry documents to explore how the cigarette came to be the most widely used drug on the planet, selling six trillion sticks per day. He paints a harrowing picture  of tobacco manufacturers conspiring to block the recognition of health hazards of while ensnaring legions of scientists and politicians in a web of  denial."

"Smokers may think they are smoking cured tobacco leaf, but there is actually quite a bit of other stuff in  cigarettes - some of which enters just by chance. The tobacco industry doesn't like to admit it, but we know from their internal archives that unwanted filth  sometimes makes its way into cigarettes. This includes shards of metal or glass but also substances that enter through rough handling in the growing stage - dirt, sand, and pesticides, for example, but also grease from the machines and even chemicals that gas off from the cellophane." Golden Holocaust