Management of Conflicts of Interest in WHO’s Consultative Processes on Global Alcohol Policy

2021 ◽  
Author(s):  
June YY Leung ◽  
Sally Casswell
Keyword(s):  
Policy Development ◽  
Tobacco Industry ◽  
Conflicts Of Interest ◽  
Action Plan ◽  
Global Strategy ◽  
Alcohol Policy ◽  
World Health ◽  
Web Based ◽  
Alcohol Industry ◽  
State Actors

Background The World Health Organization (WHO) has engaged in consultations with the alcohol industry in global alcohol policy development, including currently a draft action plan to strengthen implementation of the Global strategy to reduce the harmful use of alcohol. WHO’s Framework for Engagement with Non-State Actors (FENSA) is an organization-wide policy that aims to manage potential conflicts of interest in WHO’s interactions with private sector entities, non-governmental institutions, philanthropic foundations and academic institutions. Methods We analysed the alignment of WHO’s consultative processes with non-state actors on "the way forward" for alcohol policy and a global alcohol action plan with FENSA. We referred to publicly accessible WHO documents, including the Alcohol, Drugs and Addictive Behaviours Unit website, records of relevant meetings, and other documents relevant to FENSA. We documented submissions to two web-based consultations held in 2019 and 2020 by type of organization and links to the alcohol industry. Results WHO’s processes to conduct due diligence, risk assessment and risk management as required by FENSA appeared to be inadequate. Limited information was published on nonstate actors, primarily the alcohol industry, that participated in the consultations, including their potential conflicts of interest. No minutes were published for WHO’s virtual meeting with the alcohol industry, suggesting a lack of transparency. Organizations with known links to the tobacco industry participated in both web-based consultations, despite FENSA’s principle of non-engagement with tobacco industry actors. Conclusion WHO’s consultative processes have not been adequate to address conflicts of interest in relation to the alcohol industry, violating the principles of FENSA. Member states must ensure that WHO has the resources to implement and is held accountable for appropriate and consistent safeguards against industry interference in the development of global alcohol policy.

scholarly journals Reducing the Power of the Alcohol Industry in Trade and Investment Agreement Negotiations Through Improved Global Governance of Alcohol Comment on "What Generates Attention to Health in Trade Policy-Making? Lessons From Success in Tobacco Control and Access to Medicines: A Qualitative Study of Australia and the (Comprehensive and Progressive) Trans-Pacific Partnership"

2021 ◽  
Author(s):  
Paula O’Brien
Keyword(s):  
Global Governance ◽  
Action Plan ◽  
Access To Medicines ◽  
Global Strategy ◽  
World Health ◽  
Working Paper ◽  
Alcohol Industry ◽  
Investment Treaty ◽  
Health Organization ◽  
Trade And Investment

The power of the alcohol industry pervades the global governance of alcohol. The influence of the industry is seen in trade and investment treaty negotiations, operating through direct and indirect means. Curbing the influence of the industry is vital to improving the treatment of health issues generally and in trade and investment policy particularly. The World Health Organization (WHO) has an opportunity to start to rein in the power of the industry with its current work on drafting an ‘action plan’ for 2022-2030 to implement the Global Strategy to Reduce the Harmful Use of Alcohol. The WHO working paper, however, proposes inadequate controls on alcohol industry influence. The WHO proposes ‘dialogue’ with the industry and allows the industry to take a role with government in public health labelling of alcohol. The public’s health will suffer if the WHO does not take a firmer stand against the industry in the ‘action plan.’

scholarly journals Tactics and practices of the alcohol industry in Latin America: What can policy makers do?

2013 ◽  
Vol 2 (2) ◽  
pp. 75-81 ◽  
Author(s):  
Ce Zhang ◽  
Maristela Monteiro
Keyword(s):  
Latin America ◽  
Policy Development ◽  
Corporate Responsibility ◽  
Conflicts Of Interest ◽  
Alcohol Policy ◽  
Annual Reports ◽  
Policy Makers ◽  
Alcohol Industry ◽  
Alcohol Marketing ◽  
Research Studies

Zhang, C. & Monteiro, M. (2013). Tactics and practices of the alcohol industry in Latin America: What can policy makers do? International Journal of Alcohol and Drug Research, 2(2), 75-81-6. doi: 10.7895/ijadr.v2i2.95 (http://dx.doi.org/10.7895/ijadr.v2i2.95)Aim: This paper describes the practices and tactics of the alcohol industry in Latin America, focusing on industry globalization and consolidation, implementation of research studies, marketing, and corporate responsibility initiatives, and discusses how these areas of influence may have an impact on alcohol policy development in this region.Design: The information provided here is drawn from an international literature review, news websites, and informal communications with officials in Ministries of Health and researchers from Latin America, and from annual reports and websites sponsored or maintained by major alcohol companies operating in Latin America.Setting: Latin America and Caribbean RegionFindings: Industry globalization and consolidation, implementation of research studies, marketing, and corporate responsibility initiatives are major activities of the alcohol industry in Latin America that can influence alcohol policy making.Conclusions: We conclude that implementing effective alcohol control policies is likely to fail if the influence and actions of the alcohol industry cannot be managed by policy makers in countries of this region. There is a need to increase knowledge of the alcohol industry’s role and actions and of its conflicts of interest with public health, and to build capacity across various sectors of government to implement effective policies, using clear rules for engagement. Research on alcohol marketing, corporate social responsibility practices and the industry’s influence on policy making should be a priority in emerging markets in general, but particularly in Latin America and the Caribbean.

Preventing and Managing Conflict of Interest in Nutrition Policy: Lessons for Alcohol Control Comment on "Towards Preventing and Managing Conflict of Interest in Nutrition Policy? An Analysis of Submissions to a Consultation on a Draft WHO Tool"

2020 ◽  
Author(s):  
Katherine Severi
Keyword(s):  
Conflict Of Interest ◽  
Conflicts Of Interest ◽  
Nutrition Policy ◽  
Alcohol Policy ◽  
World Health ◽  
Alcohol Control ◽  
Policy Debates ◽  
Food And Nutrition ◽  
Industry Engagement ◽  
Health Organization

Ralston et al present an analysis of policy actor responses to a draft World Health Organization (WHO) tool to prevent and manage conflicts of interest (COI) in nutrition policy. While the Ralston et al study is focussed explicitly on food and nutrition, the issues and concepts addressed are relevant also to alcohol policy debates and present an important opportunity for shared learning across unhealthy commodity industries in order to protect and improve population health. This commentary addresses the importance of understanding how alcohol policy actors – especially decision-makers – perceive COI in relation to alcohol industry engagement in policy. A better understanding of such perceptions may help to inform the development of guidelines to identify, manage and protect against risks associated with COI in alcohol policy.

Exposing the tactics of alcohol companies

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Moore AM
Keyword(s):  
Public Health ◽  
Tobacco Industry ◽  
Self Regulation ◽  
World Market ◽  
Alcohol Policy ◽  
Alcohol Industry ◽  
Members Of Parliament ◽  
The World ◽  
Prime Objective ◽  
Insight Into

Abstract Background The alcohol industry has taken a page from the tobacco industry play book in an attempt to resist regulation through delay, self-regulation and effective lobbying. The global alcohol industry is constantly seeking to increase sales of harmful products through widespread marketing, the targeting of young people, and resisting regulatory action. Methods An assessment of the number of lobbyists engaged in one form of another to influence members of Parliament in Australia is being conducted to provide an insight into the attempts to influence alcohol policy. This follows a scan of the lobbyists' register by Daube et al in 2018 that found the while the tobacco industry had 20 direct lobbyists and 14 indirect, the junk food industry 33 direct and 13 indirect, the most dominant was the alcohol industry with 43 direct and 23 indirect. A careful re-examination of the register in 2020 is expected to reveal an increase in these numbers. There will also be an examination of the State and Territory registers in an attempt to understand the overall numbers of people specifically attempting to influence governments. Discussion This particular examination is focussed on the Australian Parliament/s. However, the message will be similar world-wide. Companies such as Diageo have a significant share of the world market with net sales, for example, being 25% of scotch, 16% of beer and 11% of vodka. Their “Drinkiq” website claims “Diageo is committed to preventing and reducing alcohol abuse around the world”. However, other business websites illustrate that their prime objective is to sell more alcohol. Presentation The presentation will focus on the importance of countering the efforts of industry in increasing availability of alcohol. It will also provide a series of steps that public health advocates can take in order to persuade governments of the importance of protecting community health through appropriate regulation of the marketing and sales of alcohol. Key messages The alcohol industry seeks to increase sales while arguing it is protecting health. Public health advocates do have the tools to counter approaches by alcohol companies.

scholarly journals Oral health for healthy aging

2021 ◽  
Vol 15 ◽  
Author(s):  
Shyh Poh Teo
Keyword(s):  
Public Health ◽  
Oral Health ◽  
Healthy Aging ◽  
Action Plan ◽  
Global Strategy ◽  
Oral Disease ◽  
World Health ◽  
Health Coverage ◽  
Oral Diseases ◽  
Primary Care Settings

During the 74th World Health Assembly, a resolution was passed aiming to achieve better oral health as part of universal health coverage, with plans to draft a global strategy and action plan. Oral diseases are a significant problem globally, with implications for older people’s health and quality of life. Oral health is important for healthy aging. Integration of oral health into primary care settings and use of a life-course approach have been shown to be effective in the 8020 campaign in Japan. Accurate data on prevalence of oral disease is required to monitor effectiveness of public health approaches, which should be segregated based on setting, sociodemographic status, and comorbidities. These public health approaches should also be adapted and tailored for implementation during the current COVID-19 pandemic. These considerations are essential to progress the agenda of oral health for healthy aging.

scholarly journals Integrated care for older people (ICOPE): from guidelines to demonstrating feasibility

2020 ◽  
pp. 1-2
Author(s):  
A. Banerjee ◽  
R. Sadana
Keyword(s):  
Action Plan ◽  
Global Strategy ◽  
World Health ◽  
Policy Framework ◽  
Community Based ◽  
Psychological Capacity ◽  
Sensory Capacity ◽  
Intrinsic Capacity ◽  
Health Organization ◽  
Older Populations

The World Health Organization (WHO) Global strategy and action plan on ageing and health (1) provides a policy framework to align health systems to the diverse needs of older populations. It promotes person-centred care that strengthen older peoples’ intrinsic capacity (physical and mental capacity) and ability to function where they live, a shift away from specialized medical treatment for each disease or condition. With its endorsement in 2016, WHO Member States recognized a pressing need to develop integrated, community-based approaches to prevent declines in intrinsic capacity. To operationalize ‘intrinsic capacity (IC)’, domains closely associated with care dependency were proposed: mobility, cognition, psychological capacity (depressive symptoms), vitality (malnutrition), and sensory capacity (hearing and vision) (2).

scholarly journals Tackling NCDs: The Need to Address Alcohol Industry Interference and Policy Incoherence Across Sectors Comment on "Towards Preventing and Managing Conflict of Interest in Nutrition Policy? An Analysis of Submissions to a Consultation on a Draft WHO Tool"

2020 ◽  
Author(s):  
Belinda Townsend ◽  
Mia Miller ◽  
Deborah Gleeson
Keyword(s):  
Global Health ◽  
Conflict Of Interest ◽  
Health Sector ◽  
Nutrition Policy ◽  
Alcohol Policy ◽  
World Health ◽  
Alcohol Industry ◽  
Health Goals ◽  
Market Liberalisation ◽  
Health Organization

Ralston et al highlight the ways that different actors in global nutrition governance conceptualise and frame the role of non-state actors in governance arrangements, including the potential for conflict of interest (COI) to undermine global health efforts. The authors argue that the World Health Organization (WHO) draft tool on managing COI in nutrition policy is an important innovation in global health, but that further research and refinement is needed for operationalising the management of COI with diverse actors in diverse contexts. In this commentary, reflecting on strategic framing and industry interference in policy-making, we argue for the urgent need for states and intergovernmental organisations to prevent alcohol industry interference in the development of national and global alcohol policy. We argue that policy incoherence remains a key barrier, where governments pursue health goals in the health sector while pursuing exports and market liberalisation of health harmful commodities in the trade sector.

Purveyors of the Commercial Determinants of Health Have No Place at Any Policy Table Comment on "Towards Preventing and Managing Conflict of Interest in Nutrition Policy? An Analysis of Submissions to a Consultation on a Draft WHO Tool"

2020 ◽  
Author(s):  
Ronald Labonté
Keyword(s):  
Public Health ◽  
Global Governance ◽  
Policy Development ◽  
Conflicts Of Interest ◽  
Nutrition Policy ◽  
Determinants Of Health ◽  
World Health ◽  
Governmental Organization ◽  
Good Citizen ◽  
Health Organization

With public health attention on the commercial determinants of health showing little sign of abatement, how to manage conflicts of interest (COI) in regulatory policy discussions with corporate actors responsible for these determinants is gaining critical traction. The contribution by Ralston et al explores how COI management has itself become a terrain of contestation in their analysis of submissions on a draft World Health Organization (WHO) tool to manage COI conflicts in development of nutrition policy. The authors identify two camps in conflict with one another: a corporate side emphasizing their individual good intents and contributions, and an non-governmental organization (NGO) side maintaining inherent structural conflicts that require careful proscribing. The study concludes that the draft tool does a reasonable job in ensuring COI are avoided and policy development sheltered from corporate self-interests, introducing novel improvements in global governance for health. At the same time, the tool appears to adhere to a belief that private economic (corporate) and public good (citizen) conflicts can indeed be managed. I question this assumption and posit that public health needs to be much bolder in its critique of the nature of power, influence, and self-interests that pervade and risk dominating our stakeholder models of global governance.

scholarly journals Star Trek Offers Insights That Illuminate Actor Engagement in Global Nutrition Governance Comment on "Towards Preventing and Managing Conflict of Interest in Nutrition Policy? An Analysis of Submissions to a Consultation on a Draft WHO Tool"

2020 ◽  
Author(s):  
Vivica I. Kraak
Keyword(s):  
Food Systems ◽  
Assessment Tool ◽  
Conflicts Of Interest ◽  
Star Trek ◽  
World Health ◽  
Regulatory Capture ◽  
Sustainable Food Systems ◽  
Sustainable Food ◽  
State Actors ◽  
Global Nutrition

This commentary describes insights from Star Trek’s fictional television series to understand how state and non-state actors address conflicts of interest (COIs) through global nutrition governance. I examine the findings of Ralston and colleagues for 44 state and non-state actors who responded to the World Health Organization’s (WHO’s) consultation for a COI risk-assessment tool, developed for member states to engage effectively with non-state actors to address malnutrition in all forms. Star Trek reveals that actor engagement is inevitable in a shared universe. The Prime Directive is a non-interference principle reflecting a moral commitment to reduce harm, respect autonomy and protect rights. Engagement principles are relevant to all actors who influence nutrition policies and programs, and must be held accountable when their actions undermine healthy and sustainable food systems. Certain actors use COI to justify non-engagement with commercial actors yet competing interests, biases, corruption and regulatory capture are distinct challenges to manage. Finally, Star Trek’s characters serve as allegories to understand actors’ motives and actions to promote healthy and sustainable food systems. Unlike non-state actors, states are legally required to achieve their commitments and targets in the United Nations’ (UN) Decade of Action on Nutrition (2016-2025) and Sustainable Development Goals (SDGs) 2030 Agenda.

scholarly journals It is Not Enough to Assess Conflicts of Interest When We Bring the Commercial Sector to the Policy Table; Comment on "Towards Preventing and Managing Conflict of Interest in Nutrition Policy? An Analysis of Submissions to a Consultation on a Draft WHO Tool"

2021 ◽  
Author(s):  
Elisa Chilet-Rosell ◽  
Ildefonso Hernández-Aguadozz
Keyword(s):  
Policy Development ◽  
Policy Making ◽  
Good Governance ◽  
Conflicts Of Interest ◽  
World Health ◽  
Undue Influence ◽  
Consultation Process ◽  
Corporate Influence ◽  
Country Level ◽  
Food And Beverage

Ralston et al. offer us an interesting analysis of the consultation process of World Health Organization’s "Draft approach on the prevention and management of conflicts of interests in the policy development and implementation of nutrition programs at country level", in which it shows us how the industry tries to frame the discussion in individual conflicts of interest, avoiding structural conflicts of interest. We must not forget other issues of importance in policy-making, such as the imbalance of power between different actors and the strategies of undue influence used by food and beverage corporations. It is essential to develop regulatory-based tools and procedures that embody ethics and good governance and that can be applied systematically and routinely to prevent corporate influence in health policy making. A global observatory of corporate practices would also be needed to recommend to governments efficient actions to avoid corporate capture of their policies.

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