GENEVA - The World Health Organization on Friday
urged countries to reach a global deal on curbing tobacco use,
warning that hundreds of thousands more were dying each year
from smoking than previously thought.
The United Nations agency said it had revised its annual
death toll for smoking-related diseases to 4.9 million people
from 4.2 million in part because of better research into
cardiovascular disease in developing countries.
"This means our estimate for 10 million deaths a year by
2030 is also probably an underestimate," said Derek Yach, head
of non-communicable diseases at WHO.
Based on current trends, tobacco could soon become the
leading cause of premature death worldwide, killing more than
HIV/AIDS, maternal mortality, car accidents, homicide and
suicide combined, health activists say.
The WHO's 192 member states gather in Geneva on Tuesday for
10 days of further negotiations on a treaty--the Framework
Convention on Tobacco Control (FCTC)--to wean the world off
smoking.
Some states already have strict laws, including limits on
age and where people can smoke as well as restrictions on the
activities of tobacco companies, but many developing countries
have virtually no legislation.
The proposed pact, the first global attempt to kick the
habit, has been under discussion for four years and is supposed
to be agreed by the next WHO annual meeting set for May 2003.
"This is a critical moment for the negotiations. The
technical work is now complete. The time has come for all
countries to show their determination about curbing the tobacco
epidemic," said WHO Director-General Gro Harlem Brundtland.
States will have before them a draft text, drawn up by
chief negotiator ambassador Luiz Felipe de Seixas Correa of
Brazil, that seeks to tackle the key issues of advertising,
promotion and sales, and cigarette smuggling.
The plan calls for states to draw up laws and regulations
for "preventing and reducing tobacco consumption, nicotine
addiction and exposure to tobacco smoke," including passive
smoking.
On compensation for smokers suffering illness, an issue
highlighted by last week's record US award of $28 billion in
damages for a 64-year-old with lung cancer, it asks countries
to share information and research results.
The text also urges the gradual elimination of advertising
and the suppression of terms such as "mild" or "low tar," which
the WHO considers to be misleading because they give the
impression that these cigarettes are less dangerous.
But the draft has been attacked by activists for not being
tough enough on advertising and marketing through which the big
tobacco companies entice young people into smoking.
They accuse the United States, Japan and Germany, in
particular, which are home to large tobacco concerns, of
working against outright bans on publicity.
WHO officials say that stopping the young starting is the
best way to cut the smoking death rate. But in some developing
countries more than 60% of 13-15 year olds use tobacco.