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<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE html> <html lang="en" dir="ltr" version="HTML+RDFa+MathML 1.1" xmlns:dc="http://purl.org/dc/terms/" xmlns:foaf="http://xmlns.com/foaf/0.1/" xmlns:og="http://ogp.me/ns#" xmlns:rdfs="http://www.w3.org/2000/01/rdf-schema#" xmlns:sioc="http://rdfs.org/sioc/ns#" xmlns:sioct="http://rdfs.org/sioc/types#" xmlns:skos="http://www.w3.org/2004/02/skos/core#" xmlns:xsd="http://www.w3.org/2001/XMLSchema#" xmlns:mml="http://www.w3.org/1998/Math/MathML"> <head profile="http://www.w3.org/1999/xhtml/vocab">  <link rel="dns-prefetch" href="//securepubads.g.doubleclick.net" /> <link rel="dns-prefetch" href="//d1bxh8uas1mnw7.cloudfront.net" /> <link rel="dns-prefetch" href="//scholar.google.com" /> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <link rel="shortcut icon" href="https://tobaccocontrol.bmj.com/sites/default/themes/bmjj/favicon.ico" type="image/vnd.microsoft.icon" /> <meta name="viewport" content="width=device-width, initial-scale=1" /> <script>window.dataLayer = window.dataLayer || [];window.dataLayer.push({"page":{"hwTitle":"Tobacco control, global health policy and development: towards policy coherence in global governance","hwUrl":"https://tobaccocontrol.bmj.com/content/21/2/274","hwPath":"/content/21/2/274.short","hwType":"journal page"},"user":{"hwMemberID":"","hwLoggedIntoInstitutionID":"","hwLoggedIntoInstitution":"","hwAccessUsageTerms":"guest","hwRegisteredUser":"no","hwHasFullTextAccess":"yes","hwEntitled":"no","mail":"e3b0c44298fc1c149afbf4c8996fb92427ae41e4649b934ca495991b7852b855"},"content":{"hwIssueDate":"2012-03-01","hwIssueDateTime":"2012-03-01 00:00:00","hwPublicationDate":"2016-10-25","hwPublicationDateTime":"2016-10-25 03:34:01","hwNlmArticleType":"review-article","hwDOI":"10.1136/tobaccocontrol-2011-050418","hwAuthors":"Jeff Collin","hwContributors":"","hwIsEarlyRelease":"no","hwEissn":"1468-3318","hwPissn":"0964-4563","hwVolume":"21","hwIssue":"2","hwArticleType":"The future of tobacco control","hwTabView":"main_tab","hwViewType":"short","hwAccessType":"Free","hwOpenAccess":"no","hwFreeAccess":"yes","hwTaxonomy":"","hwCorpusCode":"tobaccocontrol","hwType":"article","hwSubtitle":null,"hwOverline":null,"hwPisaId":"tobaccocontrol;21/2/274","hwFirstPage":"274","hwLastPage":"280","hwIsLatestVersion":"yes","hwIsCurrentIssue":"no","hwIsOpenIssue":"no","hwHasFullText":"yes","hwHasPDF":"yes","hwParentTitle":"Tobacco Control: 21 (2)","hwElectronicPubDate":"2016-10-25","hwElectronicPubDateTime":"2016-10-25 03:34:01"}}); //--><!]]></script> <link rel="canonical" href="https://tobaccocontrol.bmj.com/content/21/2/274" /> <meta name="Generator" content="Drupal 7 (http://drupal.org)" /> <link rel="alternate" type="application/pdf" title="Full Text (PDF)" href="/content/21/2/274.full.pdf" /> <link rel="alternate" type="text/plain" title="Full Text (Plain)" href="/content/21/2/274.full.txt" /> <meta name="issue_cover_image" content="https://tobaccocontrol.bmj.com/sites/default/files/highwire/tobaccocontrol/21/2.cover.gif" /> <meta name="type" content="article" /> <meta name="category" content="review-article" /> <meta name="HW.identifier" content="/tobaccocontrol/21/2/274.atom" /> <meta name="HW.pisa" content="tobaccocontrol;21/2/274" /> <meta name="DC.Format" content="text/html" /> <meta name="DC.Language" content="en" /> <meta name="DC.Title" content="Tobacco control, global health policy and development: towards policy coherence in global governance" /> <meta name="DC.Identifier" content="10.1136/tobaccocontrol-2011-050418" /> <meta name="DC.Date" content="2012-03-01" /> <meta name="DC.Publisher" content="BMJ Publishing Group Ltd" /> <meta name="DC.Rights" content="© 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions." /> <meta name="DC.AccessRights" content="restricted" /> <meta name="DC.Relation" content="10.1136/tobaccocontrol-2012-050447" /> <meta name="DC.Description" content="The WHO Framework Convention on Tobacco Control (FCTC) demonstrates the international political will invested in combating the tobacco pandemic and a newfound prominence for tobacco control within the global health agenda. However, major difficulties exist in managing conflicts with foreign and trade policy priorities, and significant obstacles confront efforts to create synergies with development policy and avoid tensions with other health priorities. This paper uses the concept of policy coherence to explore congruence and inconsistencies in objectives, policy, and practice between tobacco control and trade, development and global health priorities. Following the inability of the FCTC negotiations to satisfactorily address the relationship between trade and health, several disputes highlight the challenges posed to tobacco control policies by multilateral and bilateral agreements. While the work of the World Bank has demonstrated the potential contribution of tobacco control to development, the absence of non-communicable diseases from the Millennium Development Goals has limited scope to offer developing countries support for FCTC implementation. Even within international health, tobacco control priorities may be hard to reconcile with other agendas. The paper concludes by discussing the extent to which tobacco control has been pursued via a model of governance very deliberately different from those used in other health issues, in what can be termed ‘tobacco exceptionalism’. The analysis developed here suggests that non-communicable disease (NCD) policies, global health, development and tobacco control would have much to gain from re-examining this presumption of difference." /> <meta name="DC.Contributor" content="Jeff Collin" /> <meta name="article:published_time" content="2012-03-01" /> <meta name="article:section" content="The future of tobacco control" /> <meta name="citation_title" content="Tobacco control, global health policy and development: towards policy coherence in global governance" /> <meta name="citation_abstract" lang="en" content="<p>The WHO Framework Convention on Tobacco Control (FCTC) demonstrates the international political will invested in combating the tobacco pandemic and a newfound prominence for tobacco control within the global health agenda. However, major difficulties exist in managing conflicts with foreign and trade policy priorities, and significant obstacles confront efforts to create synergies with development policy and avoid tensions with other health priorities. This paper uses the concept of policy coherence to explore congruence and inconsistencies in objectives, policy, and practice between tobacco control and trade, development and global health priorities. Following the inability of the FCTC negotiations to satisfactorily address the relationship between trade and health, several disputes highlight the challenges posed to tobacco control policies by multilateral and bilateral agreements. While the work of the World Bank has demonstrated the potential contribution of tobacco control to development, the absence of non-communicable diseases from the Millennium Development Goals has limited scope to offer developing countries support for FCTC implementation. Even within international health, tobacco control priorities may be hard to reconcile with other agendas. The paper concludes by discussing the extent to which tobacco control has been pursued via a model of governance very deliberately different from those used in other health issues, in what can be termed ‘tobacco exceptionalism’. The analysis developed here suggests that non-communicable disease (NCD) policies, global health, development and tobacco control would have much to gain from re-examining this presumption of difference.</p>" /> <meta name="citation_journal_title" content="Tobacco Control" /> <meta name="citation_publisher" content="BMJ Publishing Group Ltd" /> <meta name="citation_publication_date" content="2012/03/01" /> <meta name="citation_mjid" content="tobaccocontrol;21/2/274" /> <meta name="citation_id" content="21/2/274" /> <meta name="citation_public_url" content="https://tobaccocontrol.bmj.com/content/21/2/274" /> <meta name="citation_abstract_html_url" content="https://tobaccocontrol.bmj.com/content/21/2/274.abstract" /> <meta name="citation_full_html_url" content="https://tobaccocontrol.bmj.com/content/21/2/274.full" /> <meta name="citation_pdf_url" content="https://tobaccocontrol.bmj.com/content/tobaccocontrol/21/2/274.full.pdf" /> <meta name="citation_issn" content="0964-4563" /> <meta name="citation_issn" content="1468-3318" /> <meta name="citation_doi" content="10.1136/tobaccocontrol-2011-050418" /> <meta name="citation_pmid" content="22345267" /> <meta name="citation_volume" content="21" /> <meta name="citation_issue" content="2" /> <meta name="citation_article_type" content="Review Article" /> <meta name="citation_section" content="The future of tobacco control" /> <meta name="citation_firstpage" content="274" /> <meta name="citation_lastpage" content="280" /> <meta name="citation_author" content="Jeff Collin" /> <meta name="citation_reference" content="citation_title=WHO Framework Convention on Tobacco Control;citation_year=2003" /> <meta name="citation_reference" content="citation_title=Innovation in Global Health Governance: Critical Cases;citation_title='Globalization and the politics of health governance: the framework convention on tobacco control';citation_author=J. 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Hawkes;citation_title=Uneven dietary development: linking the policies and processes of globalization with the nutrition transition, obesity and diet-related chronic diseases.;citation_pages=4-4;citation_volume=2;citation_year=2006;citation_pmid=16569239;citation_doi=10.1186/1744-8603-2-4" /> <meta name="citation_reference" content="citation_journal_abbrev=Global Health;citation_author=E. Ollia;citation_title=Global health priorities - priorities of the wealthy?;citation_pages=6-6;citation_volume=1;citation_year=2005;citation_issue=1;citation_pmid=15847685;citation_doi=10.1186/1744-8603-1-6" /> <meta name="citation_fulltext_world_readable" content="" /> <meta name="twitter:title" content="Tobacco control, global health policy and development: towards policy coherence in global governance" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:image" content="https://tobaccocontrol.bmj.com/sites/default/files/highwire/tobaccocontrol/21/2.cover.gif" /> <meta name="twitter:description" content="The WHO Framework Convention on Tobacco Control (FCTC) demonstrates the international political will invested in combating the tobacco pandemic and a newfound prominence for tobacco control within the global health agenda. However, major difficulties exist in managing conflicts with foreign and trade policy priorities, and significant obstacles confront efforts to create synergies with development policy and avoid tensions with other health priorities. This paper uses the concept of policy coherence to explore congruence and inconsistencies in objectives, policy, and practice between tobacco control and trade, development and global health priorities. Following the inability of the FCTC negotiations to satisfactorily address the relationship between trade and health, several disputes highlight the challenges posed to tobacco control policies by multilateral and bilateral agreements. While the work of the World Bank has demonstrated the potential contribution of tobacco control to development, the absence of non-communicable diseases from the Millennium Development Goals has limited scope to offer developing countries support for FCTC implementation. Even within international health, tobacco control priorities may be hard to reconcile with other agendas. The paper concludes by discussing the extent to which tobacco control has been pursued via a model of governance very deliberately different from those used in other health issues, in what can be termed ‘tobacco exceptionalism’. The analysis developed here suggests that non-communicable disease (NCD) policies, global health, development and tobacco control would have much to gain from re-examining this presumption of difference." /> <meta name="og-title" property="og:title" content="Tobacco control, global health policy and development: towards policy coherence in global governance" /> <meta name="og-url" property="og:url" content="https://tobaccocontrol.bmj.com/content/21/2/274" /> <meta name="og-site-name" property="og:site_name" content="Tobacco Control" /> <meta name="og-description" property="og:description" content="The WHO Framework Convention on Tobacco Control (FCTC) demonstrates the international political will invested in combating the tobacco pandemic and a newfound prominence for tobacco control within the global health agenda. However, major difficulties exist in managing conflicts with foreign and trade policy priorities, and significant obstacles confront efforts to create synergies with development policy and avoid tensions with other health priorities. This paper uses the concept of policy coherence to explore congruence and inconsistencies in objectives, policy, and practice between tobacco control and trade, development and global health priorities. Following the inability of the FCTC negotiations to satisfactorily address the relationship between trade and health, several disputes highlight the challenges posed to tobacco control policies by multilateral and bilateral agreements. While the work of the World Bank has demonstrated the potential contribution of tobacco control to development, the absence of non-communicable diseases from the Millennium Development Goals has limited scope to offer developing countries support for FCTC implementation. Even within international health, tobacco control priorities may be hard to reconcile with other agendas. The paper concludes by discussing the extent to which tobacco control has been pursued via a model of governance very deliberately different from those used in other health issues, in what can be termed ‘tobacco exceptionalism’. The analysis developed here suggests that non-communicable disease (NCD) policies, global health, development and tobacco control would have much to gain from re-examining this presumption of difference." /> <meta name="og-type" property="og:type" content="article" /> <meta name="og-image" property="og:image" content="https://tobaccocontrol.bmj.com/sites/default/files/highwire/tobaccocontrol/21/2.cover.gif" /> <title>Tobacco control, global health policy and development: towards policy coherence in global governance | Tobacco Control</title> <link type="text/css" rel="stylesheet" href="/sites/default/files/advagg_css/css__s0sh0s3lPMLwzyI3mr7Mus-4IXh9MGzXaHIN6Hr04Z8__ha0WP-IwfHWhPSe3rwAtrCn0uLPVxGggkdYDy8wmp1U__qyxsQQZU8nNP4Mm94MgFVf9JSh_53qIfnRhIgMpW6-E.css" media="all" />  <script src="https://cookie-cdn.cookiepro.com/scripttemplates/otSDKStub.js" type="text/javascript" charset="UTF-8" data-domain-script="565e50dd-f6e9-46d6-91cd-5c40a270264f"></script> <script type="text/javascript"> function OnetrustAdsConsent(){ if(googletag.apiReady){ //console.log("GoogleTag API ready") googletag.pubads().disableInitialLoad(); if(OptanonActiveGroups.match(/,4,/)){ googletag.pubads().setRequestNonPersonalizedAds(0); //googletag.pubads().refresh(); } else{ googletag.pubads().setRequestNonPersonalizedAds(1); googletag.pubads().refresh(); } } else{ OnetrustAdsConsent(); } } function OptanonWrapper() { OnetrustAdsConsent(); } </script>  <script type="text/javascript" src="/sites/default/files/advagg_js/js__DdxPgqGimsdUot2QWNz_pGsHzqNGpx6RMCWHpL8YWkg__c6zfK6oHHbLpTal5PdQxeQI3xGoCM8IXWtEHwIZr560__qyxsQQZU8nNP4Mm94MgFVf9JSh_53qIfnRhIgMpW6-E.js"></script> <script type="text/javascript" src="https://securepubads.g.doubleclick.net/tag/js/gpt.js"></script> <script type="text/javascript" src="/sites/default/files/advagg_js/js__YFRuiqUdvK1yvVNb1oSBcGhrzBqGejYMOH-ZrKlO98U__AFX4RXDIciSUvyQgiiXaw6-hxp_0ISKrjNzVx1LaIoA__qyxsQQZU8nNP4Mm94MgFVf9JSh_53qIfnRhIgMpW6-E.js"></script> <script type="text/javascript" src="https://d1bxh8uas1mnw7.cloudfront.net/assets/embed.js"></script> <script type="text/javascript" src="/sites/default/files/advagg_js/js__RxmsdK7-WlnwoO5NREEVy8MRi0OqO4ZhkOHaMokGNlw__IAyE4mioyYmepJfxC77gDsM0J1xDyesxXH7WjkUNmyc__qyxsQQZU8nNP4Mm94MgFVf9JSh_53qIfnRhIgMpW6-E.js"></script> <script type="text/javascript" defer="defer" async="async" src="//cdn.foxycart.com/bmjpg.ecommerce.highwire.org/loader.js"></script> <script type="text/javascript" async="async" src="https://scholar.google.com/scholar_js/casa.js"></script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script> <script type="text/javascript"> <![CDATA[//><!]]> </script>   <script> let cookies = parseCookies(); let bmj_uuid = cookies.bmj_uuid; let bmj_ppid = cookies.bmj_ppid; window.dataLayer = window.dataLayer || []; const anonMailId = 'e3b0c44298fc1c149afbf4c8996fb92427ae41e4649b934ca495991b7852b855'; function checkUserLoginStatus(dataLayer) { const userMail = dataLayer.find((item) => item.user)?.user?.mail; if (!userMail) { return false; } return userMail !== anonMailId; } let nonAnonMailId = ((dataLayer.find(item => item.user)?.user)?.mail) === anonMailId ? null : (dataLayer.find(item => item.user)?.user)?.mail; let userId = ((dataLayer.find(item => item.user)?.user)?.['data-ics']) ?? 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data-pisa-master="tobaccocontrol;tobaccocontrol-2011-050418" data-apath="/tobaccocontrol/21/2/274.atom"><cite class="highwire-cite highwire-cite-highwire-article highwire-citation-bmjj-title clearfix"> <div class="highwire-cite-title">Tobacco control, global health policy and development: towards policy coherence in global governance</div> <span class="highwire-cite-access"><span class="highwire-citation-access highwire-citation-access-check" data-pisa-id="tobaccocontrol;tobaccocontrol-2011-050418" data-atom-uri="/tobaccocontrol/21/2/274.atom" data-request-view="full"><span class="highwire-access-icon highwire-access-icon-user-access user-access bmjj-free bmjj-free-access bmjj-access-tag" title="You have access">Free</span></span></span> </cite> </div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-panel-tabs-container col-narrow-12 clear" > <div class="pane-content"> <div data-panels-ajax-tab-preloaded="jnl_template_bmjj_tab_art" id="panels-ajax-tab-container-highwire_article_tabs" class="panels-ajax-tab-container"><div class="panels-ajax-tab-loading" style ="display:none"><img class="loading" src="https://tobaccocontrol.bmj.com/sites/all/modules/contrib/panels_ajax_tab/images/loading.gif" alt="Loading" title="Loading" /></div><div class="panels-ajax-tab-wrap-jnl_template_bmjj_tab_art"><div class="panel-display panel-1col clearfix" > <div class="panel-panel panel-col"> <div><div class="panel-pane pane-highwire-markup author-affiliates col-narrow-12 author-affiliates-corresp article" > <div class="pane-content"> <div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" class="content-block-markup" xmlns:xhtml="http://www.w3.org/1999/xhtml"><div xmlns:xhtml="http://www.w3.org/1999/xhtml" class="contributors"><ol class="contributor-list" id="contrib-group-1"><li class="last" id="contrib-1"><span class="name">Jeff Collin</span></li></ol><ol class="corresp-list"><li class="corresp" id="corresp-1"><span class="corresp-label">Correspondence to</span> Dr Jeff Collin, Global Public Health Unit, Social Policy, School of Social & Political Science, University of Edinburgh, Chrystal Macmillan Building, 15a George Square, Edinburgh, EH8 9LD, UK; <span class="em-link"><span class="em-addr">jeff.collin{at}ed.ac.uk</span></span></li></ol></div></div></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-markup abstract-with-bc" > <div class="pane-content"> <div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" id="content-block" xmlns:xhtml="http://www.w3.org/1999/xhtml"><div class="article abstract-view"><span class="highwire-journal-article-marker-start"></span><div class="section abstract" id="abstract-1"><h2>Abstract</h2><p id="p-1">The WHO Framework Convention on Tobacco Control (FCTC) demonstrates the international political will invested in combating the tobacco pandemic and a newfound prominence for tobacco control within the global health agenda. However, major difficulties exist in managing conflicts with foreign and trade policy priorities, and significant obstacles confront efforts to create synergies with development policy and avoid tensions with other health priorities. This paper uses the concept of policy coherence to explore congruence and inconsistencies in objectives, policy, and practice between tobacco control and trade, development and global health priorities. Following the inability of the FCTC negotiations to satisfactorily address the relationship between trade and health, several disputes highlight the challenges posed to tobacco control policies by multilateral and bilateral agreements. While the work of the World Bank has demonstrated the potential contribution of tobacco control to development, the absence of non-communicable diseases from the Millennium Development Goals has limited scope to offer developing countries support for FCTC implementation. Even within international health, tobacco control priorities may be hard to reconcile with other agendas. The paper concludes by discussing the extent to which tobacco control has been pursued via a model of governance very deliberately different from those used in other health issues, in what can be termed ‘tobacco exceptionalism’. The analysis developed here suggests that non-communicable disease (NCD) policies, global health, development and tobacco control would have much to gain from re-examining this presumption of difference.</p></div><ul class="kwd-group"><li class="kwd">Global health</li><li class="kwd">development</li><li class="kwd">tobacco control</li><li class="kwd">governance</li><li class="kwd">policy coherence</li><li class="kwd">globalisation</li><li class="kwd">documents</li><li class="kwd">smuggling</li><li class="kwd">public policy</li><li class="kwd">tobacco industry</li></ul><span class="highwire-journal-article-marker-end"></span></div><span class="related-urls"></span></div></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-dfp-pane oas-ads oas-ads-mid pull-right" > <div class="pane-content"> <div id="dfp-ad-mpu-wrapper" class="dfp-tag-wrapper"> <div id="dfp-ad-mpu" class="dfp-tag-wrapper"> <script type="text/javascript"> googletag.cmd.push(function() { googletag.display("dfp-ad-mpu"); }); </script> </div> </div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-custom pane-2" > <div class="pane-content"> <p><a href="https://doi.org/10.1136/tobaccocontrol-2011-050418" target="_new">https://doi.org/10.1136/tobaccocontrol-2011-050418</a></p> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-altmetrics" > <h2 class="pane-title">Statistics from Altmetric.com</h2> <div class="pane-content"> <div data-badge-details="right" data-badge-type="medium-donut" data-doi="10.1136/tobaccocontrol-2011-050418" data-hide-no-mentions="true" class="altmetric-embed"></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-bmjj-jumplinks" > <div class="pane-content"> <div class="highwire-list-wrapper"><div class="highwire-list"><ul></ul></div></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-custom pane-3 permissions-box" > <h2 class="pane-title">Request Permissions</h2> <div class="pane-content"> <p>If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. 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