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As Big Tobacco is forced into public truth-telling, Indigenous people call for action – #OTCC2017

Following 11 years of delays, major tobacco companies this week began airing advertisements across all media in the United States on the lethal nature of tobacco, finally complying with a court order that found the tobacco industry had violated civil racketeering laws and defrauded the American people.

As this glimpse (below) shows, these advertisements lack the big spending creativity that was the hallmark of cigarette advertising for decades, but even so there is something to behold in seeing tobacco companies forced to declare publicly that smoking kills and that cigarettes are designed to get people addicted.

Public health advocates here have called on tobacco companies to “provide the Australian public with the same truthful health information”.

Watch the video from Make Smoking History and Cancer Council Western Australia below, and check out all the background on the US decision at their campaign website here.

As this final story in Croakey’s coverage of the recent Oceania Tobacco Control Conference in Hobart shows, the need for vigilance on the harm of tobacco and threat of the industry is ongoing. Groups most at risk include Indigenous people in Australia, New Zealand and across the Pacific.

Former Maori Party MP Hone Harawira was awarded the inaugural Dame Tariana Turia Award at the conference for his work highlighting the impact of smoking on Maori and Pacific Island people in New Zealand. He wants to take legal action against Big Tobacco further – to sue tobacco companies for the toll they inflict on Indigenous communities.

Underlining the risks, the conference also issued a formal Indigenous Statement.

See also below for Q&As with delegates at the conference, including an emerging star researcher and views from the Solomons, plus some final tweets and Twitter analytics.


Marie McInerney writes:

The 2017 Oceanic Tobacco Control Conference has called for greater regional and global efforts to recognise and address the disproportionately detrimental impact of commercial tobacco products on the health, economic and cultural wellbeing of the Indigenous peoples compared to other populations within the Pacific/Oceania.

Indigneous symposium statement prepThe preamble of the Indigenous Statement developed by Indigenous delegates from Australia, New Zealand and the broader Pacific at the conference, said:

“We, the Peoples who identify as the Indigenous peoples of the lands of Oceania and the Pacific, and supporters who attended the Indigenous Tobacco Symposium at the 2017 Oceania Tobacco Control Conference note that the international evidence and experience clearly shows that:

  • The magnitude and scope of commercial (non-traditional) tobacco use among Indigenous peoples is an international public health crisis.
  • There is a disproportionately detrimental impact of commercial tobacco products on the health, economic and cultural wellbeing of the Indigenous peoples compared to other populations within the Pacific/Oceania.
  • The regional and global spread of the promotion and sale of commercial tobacco products among Indigenous peoples is a form of exploitation.
  • The use of cultural imagery, peoples and iconography to promote commercial tobacco products is a form of cultural appropriation and exploitation.
  • Working together as Indigenous peoples with the support of, and in collaboration with, government and non-government organisations as well as other supporters will give a stronger and focused means of countering tobacco companies’ activities to promote and sell their products.
  • The experiences of Indigenous peoples with the use of tobacco products are both diverse and similar; we strongly oppose and condemn the promulgation of commercial tobacco products upon our peoples.
  • Some Indigenous peoples have traditional and sacred practices in relation to tobacco use that are to be safeguarded.
  • The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) makes specific provisions regarding the needs of and obligations to Indigenous peoples.”

Read it in full here: 2017 Oceania Tobacco Control Symposium Declaration 19 October 2017.


“Be strong, courageous, committed”

Indigenous Maori activism

The Indigenous Statement came as the conference also presented the inaugural Dame Tariana Turia Award to recognise the need for reducing harm within Indigenous communities globally, an initiative of Hāpai Te Hauora Māori Public Health and the Cancer Society of New Zealand – Te Kahui Matepukupuku o Aotearoa.

Honi and TomIt was named for Turia, former co-leader of the Māori Party and known as a fearless advocate for tobacco control and champion for reducing inequalities in Māori smoking rates in New Zealand.

And the inaugural award went to her former parliamentary colleague, Hone Harawira, who was the “driving force” behind the Māori Affairs Select Committee’s decision to undertake an inquiry into the tobacco industry and the impact of smoking on Māori. It was the catalyst for the Government’s Smokefree New Zealand 2025 goal which aims to get overall smoking rates down to under five per cent, currently at around 15 per cent.

Harawira told Croakey:

“Nothing works beyond being strong, being committed and being courageous and not taking a backwards step.”

“It doesn’t matter what it is, it doesn’t matter whether it’s land rights, health of the people – if you know what needs to be done, then do what needs to be done. You will cop flack, you will often get told off by your own and I did by many of my own who were smokers but at the end of the day you have to ask yourself why we are doing this and we’re doing this because our people are dying, our people are being killed by Big Tobacco.”

Watch this interview with Harawira:


Q&A with Croakey

PrizeOTCCCheneal Puljevic is a Doctoral Candidate at the Griffith Criminology Institute at Griffith University. Cheneal’s doctoral thesis is investigating former prisoners’ return to tobacco smoking following their release from smoke-free prisons in Queensland. She won the #OTCC2017 Best Abstract and Presentation Award.

Dr Geoff Kenilorea is Director – NCDs/ Tobacco Control Country Focal Point, at the Ministry of Health and Medical Services in the Solomon Islands.

Geoffrey Alacky is the team leader of the Global Youth Leadership Nexus in the Solomons and a senior member of the nation’s tobacco control technical advisory group.

Q1. What is your main takeaway/reflection from the conference?

Cheneal Puljevic:

A common theme throughout the conference is that we need to be focusing our efforts on tobacco strategies that aim to reduce tobacco use among vulnerable populations, such as people with mental health or substance use issues, or prisoners.

Geoffrey Alacky & Dr Geoff Kenilorea:

  • Generally, cooperated effort from the Oceania region is paramount – coordination in the region, setting up a coordinating mechanism towards a Tobacco Free Pacific 2025 for the Pacific Islands for that matter, is very much needed. The work that individual countries are doing is great but not individual nations striving individually – we need an interlink between nations to push us – striding towards global – in that regard.
  • Turning political push to action and implementation mechanisms.
  • Information hub – established to support countries in informing countries of the Oceania as far as tobacco control work is concerned.

Q2. What were the standout presentations and why?

Cheneal Puljevic:  Michelle Scollo’s presentation on industry responses to tax increases was informative and enlightening – we need to be addressing the bigger cigarette pack sizes (e.g. 40-50 cigarettes per pack) as these are resulting in more affordable options for tobacco users. Ray Lovett’s presentation on smoking prevalence among Indigenous populations was affirming in terms of the decreasing rates; our efforts at reducing tobacco use among Indigenous communities are working!

Pacific presentersGeoffrey Alacky & Dr Geoff Kenilorea:

Integration of taxation and licensing is paramount – not just having one or the other as licensing – empowers regulators to ensure limits and taxation impeaches on the habits.

Use of digital media – social media: Solomon Islands will need to enter into this space as a means to collate support as well as informing the populace.

Tightening up legislation to include private homes and private vehicles – in the Solomons we are just controlling, or should I say still trying to control that the public environment is kept smoke-free, looking at hospitals, workplaces, schools, public transport, hotels, restaurants, bars and night clubs but venturing into private homes and private vehicles has the potential.

Q3. Taking up from Michelle Scollo’s presentation on Day 1, what do you see as the biggest challenge and/or the biggest opportunity looming in tobacco control (for your work, your community or generally)? What would be an easy win?

Cheneal Puljevic:

Again, the biggest challenge is reducing tobacco use among vulnerable populations such as people with mental health or substance use issues, prisoners, and Indigenous communities. Many people in these populations do not want to quit for various reasons, and so we need to focus on increasing motivation to quit, and the provision of (nicotine replacement therapy) to overcome nicotine addiction.

Geoffrey Alacky & Dr Geoff Kenilorea:

Information is always an asset and sharing of information to get a greater audience will go a long way and is an opportunity.

On the technical front – if we are looking for a silver bullet, I still see taxation as a good weapon.

The challenge that the industry (big tobacco) poses is ever present and continues to be a major challenge – so yeah the biggest challenge for me would be tobacco industry interference – mentions of the industry being inside the pockets of politicians and leaders.

Tax policies and legislation would be an easy win – but to get there we will need policies and legislation to curb tobacco industry interference as well.

Q4. What do you want to see discussed (or discussed more deeply) at #OTCC2019?

Cheneal Puljevic:

I would like to see more of a focus on interventions addressing tobacco smoking among priority populations; what works and where should we be focusing our research?

Geoffrey Alacky & Dr Geoff Kenilorea:

With all the presentations it would be great to also discuss action points and recommendations that countries can take home at the end of the conference. Was there any possibility to forming an OTCC secretariat to keep discussions going in between the two yearly conferences?

We wonder, rather than being a topic for discussion, whether a market place can be provided for countries to showcase their achievements and success stories as well – as former Maori Party MP Hone Harawira alluded to – rather than research taking up the whole time, maybe such market places can provide countries to also tell their stories from a poster, slides etc. This could be done informally.


Time for a Pacific #OTCC

Watch also this video interview with Stephanie Erick who is the Senior Advisor for the new National Tobacco Control Advocacy Service at Hāpai Te Hauora Māori Public Health. She called at the conference for an OTCC event to be held in one of the Pacific nations soon.



Final words via Twitter

 

DaubeWEhereNextDaubeWraps

ByeThanksOTCCWrapTweetsPrizeWrapWrap AwabakalWrap HapaiWrap VAHS


Twitter analytics

You can read the full transcript of #OTCC2017 tweets here

OTCC2016 analyticsOTCC2017 participants

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Federal Budget 2020-21
Federal Budget 2021-22
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
flooding 2011
global health
NHS
NZ Election 2017
WHO
health
Healthcare and health reform
abortion
adverse events
aged care
allied health care
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
chronic diseases
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
health reform
health regulation
health workforce
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
nurses and nursing
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
primary health care
Primary Health Networks
private health insurance
quality and safety of health care
rural and remote health
screening
sexual health
social media and healthcare
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
PIJ Commissions 2021
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
public health
public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
discrimination
education
justice
Justice Reinvestment
NBN
Newstart
poverty
racism
social policy
Summer reading 2020-2021
Tasmanian election 2021
Testing Croakey News category 1
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016