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AJPH First Look, published online ahead of print Aug 20, 2009
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October 2009, Vol 99, No. 10 | American Journal of Public Health 1759-1771
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.146217

HEALTH POLICY AND ETHICS

Tobacco Companies’ Use of Developing Countries’ Economic Reliance on Tobacco to Lobby Against Global Tobacco Control: The Case of Malawi

Martin G. Otañez, PhD, Hadii M. Mamudu, PhD and Stanton A. Glantz, PhD

At the time of this study, Martin G. Otañez was with the Center for Tobacco Control Research and Education, University of California, San Francisco. Hadii M. Mamudu and Stanton A. Glantz are with the Center for Tobacco Control Research and Education, University of California, San Francisco.

Correspondence: Correspondence should be sent to Stanton A. Glantz, PhD, Center for Tobacco Control Research and Education, University of California, 530 Parnassus Ave, Suite 366, San Francisco, CA 94143-1390 (e-mail: glantz{at}medicine.ucsf.edu). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link.

Transnational tobacco manufacturing and tobacco leaf companies engage in numerous efforts to oppose global tobacco control. One of their strategies is to stress the economic importance of tobacco to the developing countries that grow it.

We analyze tobacco industry documents and ethnographic data to show how tobacco companies used this argument in the case of Malawi, producing and disseminating reports promoting claims of losses of jobs and foreign earnings that would result from the impending passage of the Framework Convention on Tobacco Control (FCTC). In addition, they influenced the government of Malawi to introduce resolutions or make amendments to tobacco-related resolutions in meetings of United Nations organizations, succeeding in temporarily displacing health as the focus in tobacco control policymaking. However, these efforts did not substantially weaken the FCTC.






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