Tobacco companies should be held accountable for smoking-related health harms

Karachi

KARACHI:As the COVID-19 pandemic spreads, STOP (Stopping Tobacco Organizations and Products), a global tobacco industry watchdog, released the following statement urging governments and civil society to hold tobacco companies accountable for the burden they have placed on people and health systems:

“Tobacco companies almost certainly have made the COVID-19 pandemic worse. Decades of relentlessly marketing and selling their toxic, addictive products have weakened the health of millions of people around the world. The ensuing cost of treating tobacco-related diseases puts healthcare systems under enormous pressure.

Evidence shows that smokers, in general, are more at risk from lung infections like pneumonia, flu and tuberculosis. Smoking also weakens the immune system and is a leading cause of non-communicable diseases such as cardiovascular disease, chronic respiratory diseases and cancer. Early studies signal that smokers and people with non-communicable diseases who contract COVID-19 may experience more progression and worse outcomes. The World Health Organization has advised that even the physical act of smoking can make smokers more vulnerable to COVID-19 because of the risk of increased hand to mouth contact, and potentially contaminated products.

As millions of tobacco users contend with smoking-related illness and potentially worseCOVID-19 outcomes, tobacco companies continue to undermine government attempts to halt cigarette sales and promote quitting. In countries like Bangladesh and Pakistan, for example, the tobacco industry has successfully achieved exemptions to keep making and selling their products. A factory owned by Philip Morris Brazil has even increased production.

Even before the COVID-19 pandemic, tobacco placed an enormous burden on health systems around the world. A 2018 World Health Organization study estimated that $422 billion in health costs were due to smoking in a single year. Now, as health care systems scale up capacity for the rising number of COVID-19 patients and some governments prepare to re-open their economies, inadequate public health investment and infrastructure will need even more funding. The prognosis is worse for poorer countries: The Economist reported that per capita health spending in Pakistan, for example, is one two-hundredth the level of that in the United States.

Yet tobacco companies are reaping extraordinary profits. According to Corporate Accountability International, the top five transnational tobacco companies made $35 billion in profits in 2016. Philip Morris International alone, reported net income of $7.1 billion in 2019.

It is our view that government should make tobacco companies pay for the damage smoking caused before the pandemic and which it continues to cause as the world addresses COVID-19. Governments have a number of options:

Increase tobacco excise taxes: Tobacco taxes are among the most effective mechanisms to reduce tobacco use and raise government revenues. In a majority of low and middle-income countries, tobacco taxes remain low and tobacco products remain affordable. For example, the United Kingdom raises more than GBP 9 billion in tobacco excise taxes and the Philippines is using tobacco taxes to fund universal health care.

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