Friday, August 27, 2010

Don't be onion-skinned. Think about one tobacco-related death every 6 seconds.

Some weeks ago, President Aquino appointed Atty. Mabel Mamba to the board of PCSO.  For those who are in the tobacco control community, we know her as a spokesperson of the tobacco industry, particularly as the Government Relations Manager of Philip Morris Philippines, though she apparently had resigned earlier this year, as evidenced from the notes below. 

Given her (past?) relationship with Philip Morris, it is quite obvious that her appointment to the PCSO board seems contrary to the vision and mission of PCSO, that is to uplift the quality of life of the Filipino people by providing medical and health services to the disadvantaged sectors of society through a professional workforce with integrity, competence, a deep sense of accountability and transparency in all its official transactions (http://www.pcso.gov.ph/vision-mission.html).  It is also in violation of Article 5.3 of the WHO Framework Convention on Tobacco Control (FCTC), to which the Philippines and 168 other countries are Parties.  Article 5.3 is a general obligation and states: "In setting and implementing their public health policies with respect to tobacco control, Parties shall act to protect these policies from commercial and other vested interests of the tobacco industry in accordance with national law."

Thus Atty. Debby Sy, a staunch tobacco control advocate, wrote a private e-mail to other public health advocates to alert them to this situation.  How a private email ended up in the hands of Atty. Mamba is anybody's guess, but it did, and she was apparently "shocked, offended and upset" when she read it.  In response, she wrote a note on her Facebook page appended with a verbatim pasting of Debby's e-mail.  I have taken the liberty of pasting her note below (including Debby's e-mail), interspersed with my own comments.

Please take time to read up to comment #19.
--------------------------------------------------------

ASK FIRST

by Mabel P. Villarica-Mamba on Wednesday, July 28, 2010 at 7:49pm

I was appointed Member of the Board of Directors of the Philippine Charity Sweepstakes Office (PCSO) by President Benigno Simeon C. Aquino III on July 19, 2010. This is the fourth position I held in government.

After passing the bar, I ran for Vice Mayor of Marilao, Bulacan. It was my first time to participate in the election as a candidate although my family has been in public service since Marilao became an independent Municipality. I won by a large margin and I would have ran for higher office the following election. However, I got married in 1997 and relocated to Cagayan.

In 1998, President Joseph Ejercito Estrada appointed me Presidential Adviser on Youth Affairs. One of the programs we conceptualized which received numerous international awards and made a huge impact on high school student leaders was the “Responsible Students for Active Governance”, an inter-active leadership training workshop given to all public secondary student government officers nationwide. I was appointed concurrent Chairman and Chief Executive Officer of the National Youth Commission (NYC) in 2000 and served until the expiration of my 3-year term in 2003.

[Dr. Yul's comment #1: What do these previous government appointments mean?  These came before her partnership and employment with Philip Morris.  Do they remove the fact that for a long time, she represented the interests of a large, well-resourced, and vile tobacco company, which is primarily a purveyor of disease, disability, and death among Filipinos?]

When I was elected as the first and so far only female National President of the Junior Chamber International Philippines (Philippine Jaycees), I embarked on various projects and activities which sought to give a face and a voice to the more than 200 JC chapters all over Luzon, Visayas and Mindanao. Under my term, we distributed more than 1,000 shallow tube wells to provide potable water to public schools all over the country. Together with PHINMA, we implemented a project to benefit prisoners in provincial, city and municipal jails by providing their basic necessities, livelihood training and counselling. We also partnered with Philip Morris Philippines Manufacturing Inc. (PMPMI) on the Youth Smoking Prevention (YSP) Program in cooperation with the Sangguniang Kabataan National Federation. All projects received major awards in international JC conferences.

[Dr. Yul's comment #2: If she did such a great job, why does she feel the need to emphasize being the "first and so far only female National President of the Junior Chamber International Philippines (Philippine Jaycees)"?  Tooting her own horn...? See below re YSP.]

I was invited to join PMPMI when my term in the NYC ended. PMPMI was looking for a consultant familiar with the tobacco growing areas and Cagayan is one of the leading producers of burley tobacco. Moreover, I got to know more about the company and its principles because of our YSP Program. It sponsored the YSP program, including television advertisements and JC Creed and Prayer billboards, without requiring its company name and products to be acknowledged or included.

[Dr. Yul's comment #3: I believe Philip Morris targeted Mamba because she is a bright lawyer with community standing.  They are always on the lookout to hire bright and upcoming professionals, particularly lawyers, as well as people who are looked upon as community leaders, so that their company will appear to be a "socially responsible" company in spite of the many harms that it causes through its manufacture, promotions, and sales of cigarettes.]

[Dr. Yul's comment #4: Tobacco companies are really experts at spinning their Youth Smoking Prevention (YSP) programs, because they are able to fool many people into thinking that these are genuine efforts at preventing youth smoking.  Think about it though: if these YSP programs are really successful, then there will be no future smokers, and tobacco companies like Philip Morris would go out of business!  See my other blog entry regarding the truth about Philip Morris's (and other tobacco companies') YSP program.]

From being a consultant, I was asked to formally join the company in 2004 as Community Relations Manager. I was later promoted to Government Relations Manager in 2006 although I still continued to manage some of our community development projects. Despite the fact that there are a lot of career growth opportunities at PMPMI, I resigned on March 22, 2010 to work full-time on my husband’s campaign. I also felt that I have to devote more time to my family, especially so that our kids are in the formative age. Our eldest son is about to enter Grade 1 and we have a 1.8 year old toddler.

I will always be proud of my 7-year stay at PMPMI. PM is a responsible company although anti-smoking advocates may disagree with me. It has always conducted its affairs within the bounds of the law and its company policies are often stricter than the government’s. It informs the public about the risks and dangers of smoking, and has definite positions on various issues that are levelled against it.

[Dr. Yul's comment #5: Atty. Mamba "will always be proud" of her work with PMPMI.  Can we take this to mean that she will always defend this company and its actions?  If so, then her relationship with the company has not really ended, has it? Her succeeding sentences already show her defending the "legitimacy" of the company.]

[Dr. Yul's comment #6: Philip Morris has not always conducted its affairs with the bounds of the law.  It has been brought to court in the EU and USA and been found guilty in the US federal court on charges of cigarette smuggling and racketeering. In 2004, Philip Morris agreed to pay US$ 1.25 billion in exchange for the dropping of money laundering and smuggling charges against the company.  Sure, it didn't admit liability, but why pay such a big amount if you're innocent?  And what about the famous 1998 US Tobacco Master Settlement Agreement (MSA) that Philip Morris and other US tobacco companies agreed to?]

[Dr. Yul's comment #7: Since when did a tobacco company like Philip Morris support regulatory policies that are stricter than the government's? As a result of the US MSA, millions of internal industry documents from Philip Morris and other companies have been made available to the public, and these show that Philip Morris has and will continue to fight government regulation with all its resources. Very recently, Philip Morris brought the Philippine Department of Health to court to stop DOH from implementing its order requiring tobacco companies to print pictorial health information on its packs.  Also this year, Philip Morris has sued the government of Uruguay over its law requiring large pictorial warnings. (Note: Over 35 countries and jurisdictions now require pictorial warnings on cigarette packs.) All over the world, Philip Morris also continues to fight bans on smoking in public, bans on advertising, tobacco tax increases, as well as a whole range of other evidence-based government regulatory efforts which are included in the WHO FCTC.  Philip Morris is always careful to say that it supports "sensible regulation," but it appears that its own interpretation of what is "sensible" is often not what is good for public health but only what is good for the company's profits.  Of course, the company has "definite positions on various issues that are levelled against it." What company would not come out with "positions" when it is being assailed for the devastating health, social, economic, and environmental harms of its product?]

[Dr. Yul's comment #8: Does Philip Morris really inform the public about the risks and dangers of smoking?  I sincerely doubt that.  The internal documents from the US MSA show that companies like Philip Morris publicly denied for many years the many health harms of smoking, despite knowing about these harms for decades.  And aren't health warnings placed to inform smokers about the harms of smoking, and doesn't Philip Morris have a long history of fighting health warnings?  See: http://tobaccocontrol.bmj.com/content/12/suppl_3/iii13.full for an excellent analysis of how tobacco companies including Philip Morris fought health warning regulations for many years in Australia.  If Philip Morris was sincere about informing the public about the dangers of smoking, it should say "stop smoking" instead of "smoking is an adult choice".  Isn't Philip Morris saying it's okay to smoke as long as you're 18 years old or older?  It's like saying "Here's poison.  Take it if you like.  We only sell it."] 

While I maintain my friendship with the wonderful people I met in the company, I no longer have any ties with PMPMI or with any tobacco company or agency. If there is any remaining link with the tobacco industry, it is the fact that there are tobacco farms in some municipalities of Cagayan, including my husband’s hometown of Tuao. Our farms are planted with rice and corn as far as we are concerned. We are not engaged in any business that has to do with tobacco or cigarettes.

[Dr. Yul's comment #9: Hmm. Sure, technically, on paper, that sounds right, but see comment #5 above. What if PMPMI asks Atty. Mamba to help form a PMPMI-PCSO partnership, in violation of the WHO FCTC, as well as the joint memorandum circular issued by the Civil Service Commission and DOH prohibiting such a partnership?  Have those ties really been cut?]

Ever since we were very young, my father has made sure that my brothers and I know about our family and how it kept the family’s name clean and bereft of any controversy. When I married into the Mamba family, I found out that they also never took advantage of their position or got entangled in corruption. Because of these, my husband and I are starting to educate our own children to be upright, honest and responsible Filipinos.

[Dr. Yul's comment #10: My parents, God-fearing Catholics, also raised us to be upright, honest, and responsible Filipinos.  We can hope then that "upright, honest, and responsible Filipinos" will realize that companies like Philip Morris are only taking advantage of Filipinos in order to make a profit.]

I was, thus, shocked, offended and upset when I was given a hard copy of an e-mail sent by Debby Sy entitled “Pa-forward sa network ni PNoy”. She unfairly criticized the President by alleging that he appointed a representative of the tobacco industry to the PCSO, a government owned and controlled corporation that provides funds to the government’s health programs. She went further on to say that my appointment violates the Framework Convention on Tobacco Control’s provision prohibiting tobacco industry’s interference in government.

[Dr. Yul's comment #11: Atty. Mamba shouldn't be so thin-skinned.  She chose to work for Philip Morris; she should accept the criticism that comes with such a decision.  Furthermore, Debby Sy's email does not make a personal attack on her but rather laments the conflict of interest arising from the appointment of a (former) tobacco industry executive to a health-related government agency.]

[Dr. Yul's comment #12: Was Debby Sy unfairly criticizing the President? I've read her email several times, and I don't think she was.]

According to Debby Sy, ‘Atty Mamba, the PM Government Relations Mgr, is known in the tobacco control community as one who uses her network to defeat 100% Smoke Free initiatives in the local government level. She is the one who clinched the deal between Philip Morris and DOST last year to make it appear that they have a "partnership."

I have some friends in the tobacco control community such as Atty. Theodore Te and Atty. Rudy Quimbo, the former Chief of Staff of the original anti-smoking advocate, Sen. Juan Flavier. Like Debby Sy, I am also a graduate of the University of the Philippines. Teddy and Rudy can attest to who and what I am. I can easily make friends, I am good with names and faces, and I value and treasure friendships. Because of my affiliations, the government positions I have held in the past, my family’s and my husband’s political history and my work in the private sector, I had a chance to meet people from all over the country and around the world.

[Dr. Yul's comment #13: Good for you, Atty. Mamba. I'm also a UP graduate. So was Marcos.]

I do not believe that I am the only friendly person in the entire country whom the tobacco control community would single out to have a network that can defeat her organizations’ multi-million dollar funded projects. There are more than 3,000 municipalities, almost 80 cities and around 79 provinces (plus or minus a few here and there) in the Philippines. Further, the local chief executives and local legislative councils are elected officials. How can I, even with my charm and wit (ehem-ehem), defeat the anti-tobacco community? Who am I to dictate upon the local government units? I can only present the company’s position, if and when allowed, but the decision to pass or not to pass an ordinance is not within my control.

[Dr. Yul's comment #14: Doesn't being a Philip Morris Community Relations Manager and then Government Relations Manager require fostering vast networks as part of the job?  Anyway, I also don't believe that Atty. Mamba is the "only friendly [sic] person in the entire country" to be singled out by the tobacco control community.  That is because, unlike multi-million dollar transnational tobacco companies (and Philip Morris is the biggest one of them all), tobacco control advocates do not have money to waste on a single individual (some NGOs and individuals even have no money but depend on voluntary contributions).  Tobacco corporations, however, have millions/billions of dollars to spend on campaigns that include lunches and dinners with politicians and media practitioners, promotions of the company's so-called CSR, crafting sophisticated plans to circumvent tobacco advertising bans, visiting local chief executives to defeat smoke-free local legislation, etc.  I dare Philip Morris to publicly disclose how much they spend on advertising, promotions, sponsorships, CSR, and lobbying.  True, Atty. Mamba's "charm and wit" will not defeat the tobacco control community (we've been around long enough not to be fooled, and while we do not have millions like Philip Morris, we have the truth and public good on our side), but coupled with the distorted views the company presents to local government councils, they could unduly influence local government officials, who are not familiar with the many disguises and tactics employed by the industry.  For an overview and more info about tobacco industry interference, see: http://tobaccofreecenter.org/industry_watch/facts.]

With respect to the DOST (Department of Science and Technology), Debby Sy is again gravely mistaken. Our only partnership with DOST is limited to doing a research on possible uses of used cigarette butts. Since cigarette butts is said to be one of the leading polluters in the world, we designed a project which includes collection of used cigarette butts, recycling and education. DOST conducted tests to analyze the materials that make up the cigarette butt and what can be done with it. There is another project involving grants to health research in the provinces but it is not in partnership with DOST, but with some Regional Health Research and Development Consortia outside Metro-Manila.

[Dr. Yul's comment #15: Debby Sy talked about a PMPMI-DOST partnership, and Atty. Mamba confirmed it.  How can Debby Sy be "gravely mistaken"?  Additionally, the best way to deal with cigarette butts (which indeed are the #1 polluters of coastlines and other environments) is to encourage smokers to quit smoking.  This is why Philip Morris is looking into "recycling, education, etc.", because it wants to deceive the government and the public into thinking that these are the proper solutions and that it is being a "responsible" company.  This is the same for health research.  Why else would a company that is the cause of so much disease and death want to support health research?  Because it wants people to think it is "responsible".  The truth is that smoking, promoted by Philip Morris, is responsible for the deaths of at least 10 Filipinos every hour and 5.4 million deaths worldwide every year.]

Early in Debby Sy’s discussion, she avers that “I am sure PNoy, an advocate of anti-corruption, did not intend any of these violations, nor did he intend to be associated with an industry that has historically, even globally, been associated with corrupt officials. And that as soon as he realizes this, he would revoke the appointment of Atty Mamba.” If I understand Debby Sy’s argument correctly, she seems to be saying that the President should revoke my appointment because I am connected with PMPMI which belongs to an industry that she alleges is associated with corrupt officials. Where is the logic here?
Actually, I do not even have to expound on my discussion. It would have been enough to defeat (yet again?) her entire argument by simply saying that I am not the Government Relations Manager of PMPMI since March 22, 2010. After all, the whole point of her malicious, baseless and poorly researched e-mail is that I am an employee of PMPMI and therefore, I should not be appointed.

[Dr. Yul's comment #16: Technically, Atty. Mamba appears to be correct, having resigned from PMPMI in March 2010.  But as I said above, does her resignation mean that she will no longer promote the interests of Philip Morris? How can we be sure?]

[Dr. Yul's comment #17: Atty. Mamba is missing the point of Debby Sy's email, which is the issue of conflict of interest on the part of a government official, who had (?) ties to a tobacco company.  There is a basis.  And is Atty. Mamba sure the email was sent with malice?  Is this a real accusation, or simply a venting of seeming frustration? See comments #18 and 19 below.]

One does not have to be a lawyer to know that before we assume anything, ask first. How hard is it to do?

[Dr. Yul's comment #18: What if I, a non-lawyer, had wanted to write such an email?  Who would I ask?]

Unfortunately for Debby Sy, she failed to ask. And unfortunately for me, I am having sleepless nights, anxiety attacks and unproductive working hours due to Debby Sy’s recklessness (or is it intentional on her part to besmirch my reputation?). This is even made much worse when a certain Anna Leah posted Debby Sy’s e-mail on her Facebook Account. Now, it is not only the President’s network that is being misled by Debby Sy. It also includes Anna Leah’s Facebook friends, and who know who else’s, and on which social networking site.

Dean Marvic Leonen and I have a common friend, Atty. Kenneth Benedicto. Kenneth is a good friend from the Jaycees. He suggested I add Dean Leonen as a friend on Facebook. I did not and I just let Dean Leonen’s picture and name stay in the list of suggested friends for so many months. At that time, a group of UP Law Students filed a case against PMPMI. I believed it was improper to add him as a friend because it might be misunderstood that I was trying to get him on the side of PMPMI. I never post anything about PMPMI’s positions on my Facebook account but I do not want to be misinterpreted of improper behavior. It was only when Dean Leonen himself added me as a friend that I clicked on the confirm button. I thought that this cannot be taken against me anymore even if I was a PMPMI employee when I made the confirmation. My profile includes my employment history.

[Dr. Yul's comment #19: I can't speak for Debby Sy, but I would never have thought to look up Atty. Mamba (or any other tobacco industry executive) on Facebook! And unfortunately, it seems that her FB page is the only place on the internet where anyone might see that she stopped working for PMPMI last March.  Anyone else who was not a friend of Atty. Mamba would have come to the same conclusion that she was still working for PMPMI as its Government Relations Manager.]

I have informed Dr. Jaime Montoya of the DOST about Debby Sy’s e-mail, as well as Teddy, Atty. Jay-jay Disini, Atty. Lindeza Rogero-Gavino, Atty. Glenda Biazon and Atty. Rowie Morales. Teddy asked me if I want to talk to her. I declined. I told Teddy that I do not want to be difficult but Debby Sy wrote and spread her e-mail before she even bothered to ask. How sure am I that she won’t concoct a different story about our meeting, if I agree to meet with her.

[Dr. Yul's comment #20: Interesting, since it is tobacco companies like Philip Morris that have a reputation for spinning half-truths out of the whole truth.  This is why tobacco control advocates worldwide refuse to meet with tobacco executives outside of a public hearing.  This is also why the Article 5.3 of the FCTC calls for protection of public health policies from the commercial and other vested interests of the tobacco industry.] 

I hope that her network will find out what she has done to me and my family. I am still not sure if I will file a case against her. This is serious business which can potentially ruin her career, both as a lawyer and as an anti-smoking activist. I do not want to do this to a fellow female lawyer. That is why I am taking the time to ASK FIRST my lawyer-BFFs .

[Dr. Yul's comment #19: It's very easy to claim emotional and psychological distress (sleepless nights, anxiety attacks and unproductive working hours), but since I do not know Atty. Mamba and her family, I can't comment on the veracity of the claim.  But what about the emotional and psychological distress brought about by more than just a single email?  I'm talking about putting oneself in the shoes of the wife or child of a smoker who is suffering from emphysema or lung cancer, or is debilitated from a heart attack or stroke brought about by smoking cigarettes made by Philip Morris?  It's not just the thought of the high cost of his medications, the debts incurred to pay his hospital bill, or the loss of income when the family breadwinner dies...it's the loss of a husband, father, and brother.  Multiply that by the thousands and millions every year.  That's what we should be distressed about.]

Here is Debby Sy's letter:

What is worse than Philip Morris offering help to PNoy..... is PNoy appointing the Philip Morris (PM) Government Relations Manager to the Board of Philippine Charity Sweepstakes Office (PCSO)!

Appointing such a prominent person from the tobacco industry to a government post that provides funds for health programs, violates the treaty obligation to protect public health policies from the vested interests of the tobacco industry(Article 5.3 of the WHO FCTC).

It also violates the principle behind the recent issuance of the Civil Service Commission to protect the government from tobacco industry interference in order to promote transparency and integrity in government.

I am sure PNoy, an advocate of anti-corruption, did not intend any of these violations, nor did he intend to be associated with an industry that has historically, even globally, been associated with corrupt officials. And that as soon as he realizes this, he would revoke the appointment of Atty Mamba.

In the past months, the government has been clear about its position against tobacco industry interference. Early this year, the DOH warned government agencies of the dangers and conflict of interest of "partnering with or receiving contributions from the tobacco industry." Early this month, the CSC-DOH Joint Memo to Protect the Bureaucracy from Tobacco Industry Interference took effect. The DOH Memo on the same topic has also been in effect since last month. Both Orders, consistent with Article 5.3 of the FCTC, prohibit government personnel from interacting with the tobacco industry unless strictly necessary for its regulation or control.

The tobacco industry on the other hand, has been clear about its position against the government. Philip Morris and Fortune Tobacco sued the government for issuing an order to require that Tobacco Industry to place Graphic Health Information on cigarette packs to promote the right to health information. These cigarette companies also threatened to sue local governments which try to implement laws to promote the right to health.

So I am almost certain that PNoy did not mean to ignore the government position to protect the bureaucracy against tobacco industry interference by promoting a high ranking tobacco industry official to a government position. He may have just overlooked Atty Mamba's credentials.

Atty Mamba, the PM Government Relations Mgr, is known in the tobacco control community as one who uses her network to defeat 100% Smoke Free initiatives in the local government level. She is the one who clinched the deal between Philip Morris and DOST last year to make it appear that they have a "partnership."

By definition, "tobacco industry" is one who works to further the interests of the tobacco industry and this includes Atty Mamba. This appointment exposes public officials and employees to possible violation of the CSC Memo by forcing them to deal with this member of the tobacco industry.

Because of the nature of PCSOs work in the health field ( providing funds for health programs), there is apparent conflict of interest and bad taste in putting an official known to be from an industry responsible for death/diseases in the said agency.

The Philippine Charity Sweepstakes Office (PCSO) is the principal government agency for raising and providing funds for health programs, medical assistance and services, and charities of national character.

We need to take immediate action on this to have the appointment revoked. I hope someone can start a petition or send a letter to PNoy...

Best,
debby 
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Friday, August 20, 2010

Youth are targets of tobacco companies

This is copied from
http://www.preda.org/main/archives/2010/r10081801.html




Youth Are Prime Target of Killer Cigarettes  

(republishing, copying, no restrictions)
By: Father Shay Cullen


Cigarette Smoking can cause
cancer in the neck.
It’s when the frightening desperate gasping for breath fills the house and the fifty-five year Pedro Galmanan, father of five, struggles to suck oxygen into his lungs to stay alive and his children realize the terrible effects cigarette smoking has on their father.
His addiction to cigarettes cost him his job, drove the family into poverty and his withdrawal symptoms were an agony to witness. They now watch their father slowly die wheezing as the emphysema consumes his life.
Tobacco is a killer, a poison of mind and body, its addicting and destructive of families. Besides causing cancer, especially lung cancer, and other diseases such as cardiovascular, pulmonary, metabolic diseases, the smoke causes heath problems to bystanders too.
In the Philippines, it is estimated that cigarette smoking kills as many as 250 people a day, 90,000 a year. The greatest evil is that tobacco companies are targeting the youth and succeeding in addicting them in their thousands every year.
The tobacco industry must recruit new young smokers and addict them for life to continue its profit making business since it is aggressively killing off its customer base with its poison product. The dead have to be replaced with the living. In Indonesia alone cigarette smoking kills as many as 400,000 people a year and costs the nation billions of dollars in health costs.
The Philippine tobacco industry, whose interests are represented by the Philippine Tobacco Institute (PTI) are a powerful and influential lobbying body. Members and supporters include the Philippines’ biggest tobacco firm, Lucio Tan’s Philip Morris-Fortune Tobacco Corporation, and other corporations like the Anglo-American Tobacco Corporation, La Suerte Cigar and Cigarette Manufacturing Inc., and Mighty Tobacco Corporation.
As the name suggests they have mighty influence in the Philippine congress and allegedly donate to politicians. Influential lobbyists allegedly manipulated the congress to water down the stronger provisions of the proposed anti-smoking law (RA 9211 passed in 2003), with words that they can now use to their advantage to prevent stronger health warnings on cigarette packs such as graphic pictures.
The newly appointed Department of Health (DOH) Secretary Enrique T. Ona has vowed to implement the departments order (AO 2010-13) issued by the previous health secretary Esperanza Cabral to have the tobacco companies print graphic images on their cigarette packs as health warnings as they do on there export packs as required by Singapore and Thai law.
The DOH order was immediately and aggressively opposed by the tobacco lobby led by the president of the Philippine Tobacco Institute Rodolfo Salanga. He warned Secretary Cabral that such images would be illegal under RA 9211. But he has been shown to be incorrect since the present law only forbids additional text, not pictures, to be added to the pack.
The graphic images have the most powerful deterrent effect on youth. It is one of the recommendations of the World Health Organization’s framework Convention on Tobacco Control (FCTC) which demands the 168 signatories, like the Philippines, to “implement large, rotating health warnings on all tobacco packaging and labeling”. Already 38 countries have implemented the picture-based warnings and the 27 member European Union has recommended each member to implement it.
Fortune Tobacco Company headed by the tycoon Lucio Tan won a preliminary injunction against the health department to stop the implementation of the order that was issued May 24, 2010 to place the picture-warnings on the packs. Judge Reyes of Marikina ruled last July 1, in favor of the company.
The power and influence for the tobacco industry worldwide is well known and actively opposes every restriction that will save people from smoking related ill-health. These tactics are so well known that the WHO convention against smoking had this to say to nations who are party to the convention: “In setting and implementing their public health policies with respect to tobacco control, Parties shall act to protect these policies from commercial and other vested interests of the tobacco industry in accordance with national law.” WHO Framework Convention on Tobacco Control Article 5.3
There is a battle out there in the world, in every country where cigarettes are sold and millions of victims are facing the possibility of a very painful and agonizing death from smoking related diseases. We have to do all we can to stop the promotion and sale of killer cigarettes.

email: preda @ info . com . ph , www.preda.org

Monday, August 16, 2010

NIGERIA: Tobacco Companies Are In A Losing Battle, Say Govt...

Quotable quote: "I did researches on history of the product and its liabilities, the litigation in US, the discoveries, the misrepresentations, and the fraud. I doubt if there’s anyone out there who will start where I started, review what I have reviewed, arrive where I am now, and will not be outraged. The only reaction I consider appropriate is outrage."

Tobacco Companies Are In A Losing Battle, Say Govt Lawyers
Fisayo Soyombo

THE resolve of the Federal Government to seek legal redress against tobacco companies, for targeting children and underage smokers and overburdening the health system, continues with a suit that is still in its preliminary stage after two years. While government has demanded compensation of £22 billion for expenses on tobacco-related diseases, concerned companies have maintained that the figure is unjustifiable and other allegations are unproven.

But government lawyer, Babatunde Irukera of SimmonsCooper Partners, describes tobacco as an anomaly because “it doesn’t comply with the general product-liability theory of liability, which mandates a company to take responsibility for injuries that arise from the use of its product when it is used in the manner and for the purpose it was set out to be used.”

“Tobacco is the only product I know, that, used exactly the way it was designed to be and for the purpose for which it was designed, causes injury or fatality. I wanted to know why consumers were interested in using a product, which they know serves no other purpose other than to injure or kill? I wanted to know why manufacturers would not modify a product designed in this manner. So, I did researches on history of the product and its liabilities, the litigation in US, the discoveries, the misrepresentations, and the fraud. I doubt if there’s anyone out there who will start where I started, review what I have reviewed, arrive where I am now, and will not be outraged. The only reaction I consider appropriate is outrage, even from defence counsels.”

But there are arguments that tobacco smoking is a matter of choice, and as such, the whole noise about cigarette is unnecessary. He disagrees: “It is not a matter of choice, for the vast majority of smokers. There is a very common Latin theory of law, which means voluntariness should not result in injury. You cannot make a choice to voluntarily accept to do something and then hold someone else responsible for the resulting injury. But that’s just the way it looks upfront. As you go a little further down, you see that choice is a matter of entire control.

“In making a choice, you must exercise control over the entire factors and dynamics of the choice-making process. But that doesn’t happen in the smoking game, because as a matter of law, a minor is incapable of making choice, because of the way minors think and the kind of choices they would make. That is why they can’t vote, because we don’t think that they have the capacity to exercise choice in a manner that is consistent with appropriate life expectation. So, the tobacco companies target these minors, who are not in a position to look at something from a risk analysis standpoint. So, if you can get a minor to smoke, the question of whether they are making a choice on what is dangerous or not does not occur.”

So, when minors become adults and are aware of the dangers, why don’t they quit? “The business model of tobacco companies,” Irukera explains, “is to target minors and addict them in such a way that it becomes a dependency issue. So, even when minors become adults, they are dependent. So, in all of these, the element of choice is completely eliminated.

“But one last thing about choice is that you make a mistake to think that the only person who is at risk of injury is the smoker. What about other people in public places, or family members, whose exposure to tobacco smoke makes them no less susceptible to serious diseases or death, than the smoker. And the argument may arise that it is in his home. I haven’t seen anywhere in our laws where a man can take prerogative of the right to kill his child. Or, where a woman, exercising her prerogative, chooses to become pregnant, yet under law loses that prerogative to determine whether to abort that child or not. So that whole question of choice is a contrived defence by the industry.”

IRUKERA would have none of claims by Catherine Armstrong, BAT’s spokesperson in London, that government’s £22 demand for tobacco-induced expenses “does not add up.” “The question I would have loved Mrs. Armstrong to answer is how £22billion in profit adds up to five million people dying annually. You know, there are certain situations you are in, and you know frankly that silence is just better than any response. We are talking about tobacco companies that have said they should be appreciated, because when people smoke and die, the government is socially responsible to lesser number of people. Those are the questions Mrs. Armstrong should be addressing. However, what the government is talking about is damage that has occurred and is occurring, and extrapolating what the future damage would be.”

The way out, he says, is to make tobacco companies accountable to the society. “Since we are starting from way behind, as a developing country dealing with myriads of developmental issues, from malaria in the 21st century, to polio, infant mortality, maternal mortality, child education, illiteracy and governance, the most effective social approach is to hold the industry accountable. We don’t have the resources to start now, and then meet up down the line. We are talking about a society where there’s so much poverty, where some people still do not have water to drink. If a tobacco company puts up a well, what do you expect? We must get tobacco companies accountable; at a minimum, they must adhere to standards that have been adopted against them and for them in their own countries, because their business cannot run in England or US the way it runs in Nigeria.”

Another government lawyer, Dapo Akinosun, thinks same of tobacco, saying that the industry will be regulated, no matter the duration of the legal tussle. “Tobacco is a dangerous product, and for many years, we were deceived into smoking it. I was a victim when I was younger. I was lucky to stop. I have no health defects because the human body can naturally repair itself, depending on the level of damage. But in some cases, damage can be irreparable.”

He also expresses confidence that the case will be won by government: “There is always the victory of right over wrong, of good over evil. Of course, tobacco companies have very deep pockets, but as you can see all over the world, they are in a losing battle; it’s only a matter of time. We know that if the society does not stop them, we will someday get to a level where four-year-olds smoke.”

ALL efforts to get pro-tobacco lawyers to discuss the myriads of allegations against the product and their makers were met with polite reticence. Fourth defendant, Mrs. Funke Adekoya SAN, Managing Partner, AELEX Legal Practitioners and Arbitrators, when contacted on phone, said: “Well, I’m sorry. I’m involved in the litigation, so I’m not in a position to speak on it at all. No, I can’t say anything on it.”

Also, third defendant, Elias Gbolahan, declined to speak, saying: “I don’t even comment on cases that I am not involved in, not to talk of cases that…. It can’t happen now, it’s unprofessional. I have absolutely no comment sir. I’m sure there would be other people who would probably be happy to talk to you. I don’t think it is right to comment on the pages of a paper.”
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Saturday, August 14, 2010

Tobacco Companies Can NEVER Be Socially Responsible

Philip Morris Philippines donates to the Philippine National Red Cross, the Philippine Band of Mercy, the Jaime Ongpin Foundation, ABS-CBN Knowledge Channel,  as well as a whole number of other entities in the guise of their so-called "corporate social responsibility".  British American Tobacco (BAT) has an annual CSR report.  Lucio Tan also does the same through his foundation.

What's wrong with donating one million pesos to typhoon victims, donating a new school building or hospital, helping paint classrooms, planting trees, and providing ambulances?  Technically, nothing.  These are good works that benefit people.  But what if we were to dig deeper and discover that the doer of all this good was a tobacco company?  That changes everything.

How can a company that makes, promotes, and sells a product that causes so much disease, suffering, and death, think that by giving away a few million pesos at a time, it can make up for its products' many harms or "buy back" the lives and quality of life that it destroyed?  I'm sorry: hindi nabibili ang buhay ng tao.

At the same time that it is donating a few million pesos from its billions in annual profits (and wantonly promoting its "charitable work"), it fights tobacco tax increases that can raise many more billions for the government.  Idiots! We don't want your loose change.  Without complaining, let the government raise taxes high enough so that there is enough government revenue to fund health, education, and other social programs, while making cigarettes less affordable to our youth and the poor who cannot afford to get sick with a tobacco-related disease.

These gestures of charity and apparent responsibility are ultimately geared towards improving the tarnished reputations of tobacco companies, buying social acceptability, and neutralizing the industry's opposition from the public health community.  Tobacco companies will do anything (yes, anything) to make a profit and please their shareholders, including lying, cheating, and threatening to sue ministries of health.

If a tobacco company was really sincere about being socially responsible, it would:
- stop fighting effective tobacco tax increases
- tell the truth about tobacco harms by printing pictorial health warnings
- stop all advertising, promotion, and sponsorship, especially for activities aimed at young people
- stop denying the harms of second-hand smoke and fighting bans on smoking in public places
- stop making and selling tobacco products and shift to a different product

If you're interested, here's a good report on the truth behind BAT New Zealand's CSR:
http://www.oxygeneve.ch/docs/bat-nz-trust-us-we're-socially-responsible.pdf


Also see "Trust Us, we're the tobacco industry":
http://www.tobaccofreekids.org/campaign/global/framework/docs/TrustUs.pdf
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The truth about Philip Morris's Youth Smoking Prevention (YSP) program

This was an article I wrote many years ago but remains relevant to this day in the face of the tobacco companies' so-called corporate social responsibility (CSR) programs.  Give me a break!  How can a tobacco company ever be "socially responsible"?  It is their IRresponsibility that is the cause of disease, disability, and death of millions of people around the world, not counting the social, economic, and environmental harms of tobacco.

We Don't Want Youths to Smoke Our "Risky" Product by Ulysses Dorotheo, 27 November 2001
Philip Morris is quick to boast that it is "actively involved in more than 130 programs in nearly 70 countries to help prevent youth smoking". One example it cites is in the Philippines, implemented together with the University of Asia and the Pacific (UAP), entitled, "I am STRONG…I am Responsible."

The program, it alleges, was even endorsed by the Secretary of the Department of Education, Culture, and Sports under the previous (Estrada) government administration.

According to Philip Morris, "the program's specific objective is to cultivate strength and courage among the students so that they can make responsible decisions on a variety of lifestyle issues, including smoking." A review of the program, however, reveals that for the duration of the program, high school students are indeed taught various human virtues geared toward making "responsible decisions", but that is all.
There is NO mention of the many deleterious consequences of smoking on health. There is NO mention of nicotine addiction. There is NO mention of the effects of second-hand smoke. Thus like other youth smoking prevention (YSP) programs of the tobacco industry, it is a sham.

In fact, only two brief sentences in the entire program refer to smoking: "There are decisions that teenagers can make and decisions that are properly adult. For instance, smoking and drinking are adult decisions. Hence, children and youth should not smoke."

Quite obviously, by labeling the decision to smoke as an "adult choice", it reinforces the wrong idea that in order to be more adult (which youths aspire to be), youths should smoke. Therefore, instead of preventing youth smoking, it actually promotes it. It also implies that smoking is harmful to youths, but it is safe if one is an adult.

A conversation with the former dean of the UAP College of Education reveals even more:

  1. Philip Morris only provides funding for the program. The course content and actual implementation are purely a UAP effort. Philip Morris officials don't deny this, yet they claim that their company is "actively involved". Talk about genuine concern…
  2. Philip Morris refuses to receive any feedback on the program, supposedly so that it will not know the mindset of the program participants. Of course, we all know that any such feedback would show how ineffective it is as a YSP program.
  3. The program was started in 1998 and was supposed to end this year. Philip Morris Philippines had decided not to continue the program, but the decision from higher up (Philip Morris Asia) was to renew the contract with UAP for another 3 years. Since Philip Morris has no idea as to the (in)effectiveness of the program, its willingness to continue funding the program can only be interpreted as another public relations gimmick to help polish its tarnished image.
Fortunately, the new Secretary of Education, Secretary Raul Roco, has refused outright any and all offers that Philip Morris has been making in recent months.
[2010 Addendum: The new DepEd Secretary Bro. Armin Luistro would do well to steer clear of the machinations of Philip Morris and other tobacco companies.] 

Friday, August 13, 2010

What is Second-hand Smoke (SHS)?

Some KillsImage via Wikipedia
Tobacco smoke has been classified as a human carcinogen.

It contains more than 4000 chemicals, including more than 200 which are poisonous and at least 69 which are cancer-causing, as well as gases like carbon monoxide, which affects the body’s ability to deliver oxygen to the heart and brain.[i],[ii],[iii] The long list of carcinogenic and toxic substances that have been identified in tobacco smoke includes: tobacco-specific N-nitrosamines (TSNAs), ammonia (added to cigarettes to enhance the absorption of nicotine), benzene, formaldehyde, acetone, arsenic, butane, hydrogen cyanide (used as a genocidal agent during World War II), lead, mercury, methane, naphthalene, and even Dichloro-Diphenyl-Trichloroethane (DDT) and at least 3 other pesticides known to be unsafe and carcinogenic for humans.

Second-hand smoke (SHS), or environmental tobacco smoke, is a complex mixture of thousands of gases and fine particles emitted from the burning end of a cigarette or from other tobacco products usually in combination with the smoke exhaled by the smoker.[iv] It can linger for more than 2 hours, and may be invisible and odorless.[v], [vi]

Harms of second-hand smoke

Second-hand smoke is harmful. Inhaling second-hand smoke is just as dangerous as actually smoking. The non-smoker who inhales the smoke from a smoker’s cigarette also suffers as much harm to his body as the smoker does.[vii], [viii]
There is no safe level of exposure to second-hand smoke.[viii][ix]
Second-hand smoke is a significant health risk for all those exposed to it[vii][viii][ix] -- from persons near the smoker, to the unborn child of a pregnant smoker, to someone in a room where particles from second-hand smoke linger long after the smoker has left. Even pets of smokers are affected.[ix], [x], [xi]
Consider these facts:
  • Nicotine by-products have been found in non-smokers, even babies, exposed to second-hand smoke. [xii], [xiii]
  • Exposure of merely 30 minutes to second-hand smoke makes blood platelets stick together and damages blood vessels, and has the same effect as a pack-a-day smoker. [xiv], [xv], [xvi], [xvii]
  • Exposure of slightly more than 2 hours causes higher “bad” cholesterol levels, and puts the non-smoker at greater risk for arrhythmia (irregular heartbeat).[xvi][xvii][xviii]
Immediate effects of exposure to second-hand smoke are coughing or wheezing, phlegm, and shortness of breath, perhaps dizziness and nausea. Long term effects are more serious. [iv]
In adults, second-hand smoke causes chronic heart disease and heart attacks, lung and breast cancer, and respiratory disease. Non-smokers who live with smokers are more likely to develop lung cancer and heart disease. Because second-hand smoke contains 20 known mammary carcinogens, non-smoking women who live with smokers are at greater risk of developing breast cancer. [iii] It can trigger and exacerbate asthma attacks, and even induce asthma in healthy individuals.[viii][ix]
Maternal smoking during pregnancy causes fetal growth impairment which leads to low birth weight, as well as premature delivery, and in some cases, even miscarriage. Babies born to mothers who smoke are often smaller and more likely to develop respiratory ailments than those whose mothers did not smoke, or were not exposed to second-hand smoke, during pregnancy.[viii][ix], [xviii]
Babies and children of smokers, who are thus exposed to second-hand smoke, suffer from sudden infant death syndrome, lower respiratory disease like asthma, pneumonia, bronchitis, and middle ear disease, which can lead to hearing impairment if left untreated. They also suffer from impaired lung growth function, which puts them at risk for respiratory illness as they grow older.[viii][ix][xix]
Children of smokers have more learning difficulties and behavioral problems, like hyperactivity and decreased attention spans, than children of non-smokers.[xix]
In addition to the harm caused to health, second-hand smoke also has a negative economic impact on individuals, families, and society in general through medical and hospitalization expenses, loss of personal income, and production losses due to employee sickness and absences from work.[ii],[iii]
--------------------------


[i] Mackay J, Eriksen M, and Shafey O.  The Tobacco Atlas, 2nd ed. American Cancer Society, 2006.

[ii] Muller T. Global Voices for a Smokefree World: Movement Towards a Smokefree Future, Global Smokefree Partnership, 2007.
[iii] World Health Organization. Protection From Exposure to Second-hand Smoke. Policy Recommendations. Geneva, 2007. (http://www.who.int/tobacco/resources/publications/wntd/2007/who_protection_exposure_final_25June2007.pdf, accessed 24 September 2007).
[iv] Pan American Health Organization. Factsheet: How Second-hand Smoke Harms and Kills Non-smokers (http://www.paho.org/English/AD/SDE/RA/wntd-factsheet2.pdf, accessed 24 September 2007)
[v] WHO Framework Convention on Tobacco Control – Conference of Parties. Article 8: Guidelines on protection from exposure to tobacco smoke. Geneva, 2007.
(http://www.who.int/gb/fctc/PDF/cop2/FCTC_COP2_17P-en.pdf, accessed 24 September 2007)
[vi] UK National Health Service. Secondhand Smoke. Go Smokefree website.
(http://www.gosmokefree.co.uk/secondhandsmoke/, accessed 25 September 2007)
[vii] UK National Health Service. How Your Secondhand Smoke Affects Others. Go Smokefree website. (http://www.gosmokefree.co.uk/secondhandsmoke/howyoursmokeaffectsothers/, accessed 25 September 2007)
[viii] US Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Secondhand Smoke What It Means to You. Atlanta, Georgia: 2006. (http://www.surgeongeneral.gov/library/secondhandsmoke/secondhandsmoke.pdf, accessed 25 September 2007)
[ix] US Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta, Georgia: 2006. (http://www.surgeongeneral.gov/library/secondhandsmoke/report/fullreport.pdf, accessed 25 September 2007)
[x] Bertone ER, Snyder LA and Moore AS. Environmental Tobacco Smoke and Risk of Malignant Lymphoma in Pet Cats. Am J Epidemiol 2002;156:268–73.
[xi] Reif JS, Bruns C, and Lower KS. Cancer of the nasal cavity and paranasal sinuses and exposure to environmental tobacco smoke in pet dogs. Am J Epidemiol 1998; 147:488–92.
[xii] Utah Department of Health. Smoking is Harmful for Pets! Utah Tobacco Prevention and Control Program website. (http://www.tobaccofreeutah.org/smokingpets.htm, accessed 23 September 2007)
[xiii] Joseph DV, Jackson JA, et al. Effect of parental smoking on cotinine levels in newborns. Arch. Dis. Child. Fetal Neonatal Ed..2007; 92: F484-F488.
[xiv] Hecht SS, Carmella SG, et al. 4-(Methylnitrosamino)-1-(3-Pyridyl)-1-Butanol and its Glucuronides in the Urine of Infants Exposed to Environmental Tobacco Smoke. Cancer Epidemiol Biomarkers Prev 2006; 15(5):988–92.
[xv] American Cancer Society and International Union Against Cancer (UICC). Tobacco Control Strategy Planning, Companion Guide #1: Building Public Awareness About Passive Smoking Hazards. Pan American Health Organization.
(http://www.paho.org/English/AD/SDE/RA/Guide1a_SecondhandSmoke.pdf, accessed 3 November 2007)
[xvi] TobaccoScam Project, UCSF School of Medicine. Secondhand Smoke: A Little is Dangerous. TobaccoScam: Smokefree Restaurants website. (http://www.tobaccoscam.ucsf.edu/Secondhand/Secondhand_lid.cfm, accessed 28 September 2007)
[xvii] TobaccoScam Project, UCSF School of Medicine. Secondhand Smoke: Fact Sheet. TobaccoScam: Smokefree Restaurants website. (http://www.tobaccoscam.ucsf.edu/Secondhand/Secondhand_fs.cfm, accessed 28 September 2007)
[xviii] Glantz SA and Parmley W. Even a Little Secondhand Smoke is Dangerous. JAMA 2001; 286(4): 462-463.
(http://www.tobaccoscam.ucsf.edu/pdf/9.1-Glantz&Parmely-EvenALittleIsDangerous.pdf, accessed 28 September 2007)
[xix] World Health Organization Tobacco Free Initiative. International Consultation on Environmental Tobacco Smoke (ETS) and Child Health: Consultation Report. January 1999 (http://www.who.int/tobacco/research/en/ets_report.pdf, accessed 28 September 2007)
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