
Members of relevant government and civil society organizations from the region participated and shared their experience and expertise.
The WHO FCTC Waterpipe Tobacco Smoking Knowledge Hub (WTS-KH), and the Framework Convention Alliance (FCA) with the technical support of WHO EMRO, are pleased to welcome you to two consecutive workshops on November 6-7 and on November 8-9, 2018 at the American University of Beirut, Lebanon.
Check Below the
“Technical Report”
THE WATERPIPE TOBACCO SMOKING KH ACTIVITIES
The launch of the KH-WTS was held in November 2017 at AUB. This Knowledge Hub (KH) is the first in the Middle East and the third of the six FCTC knowledge hubs that aim at promoting and strengthening the global efforts of WHO and FCTC to curb the epidemic of tobacco use. The launch was attended by government officials, AUB’s leadership and administration and other researchers, experts, NGOs and stakeholders. The launch was held during the Third International Conference on Waterpipe Tobacco Smoking Research: “Translating waterpipe tobacco smoking research evidence into practice, policy and regulation” and a Pre-conference workshop on: “Dissemination and Implementation Training for Waterpipe Research”. This symposium was held in collaboration with the Syrian Center for Smoking Research, and supported by the US National Institute of Health.
A. Workshops
The WTS-KH in collaboration with the Framework Convention Alliance (FCA) and technical support of WHO EMRO, organized two consecutive workshops in November at the American University of Beirut, Lebanon:
Workshop #1: “Waterpipe Tobacco Smoking (WTS) Regulations & Challenges” on 6-7 November 2018.
The objectives of the workshop were:
1. To review the current global tobacco control laws and policies as they relate to regulating waterpipe tobacco smoking (WTS) and the extent of implementing by Parties of the Framework Convention on Tobacco Control (FCTC) articles for that purpose.
2. To identify challenges associated with the enactment and enforcement of WTS control legislation in the context of different countries;
3. To discuss how evidence to date can guide regulation of waterpipe smoking in public places and the implementation of regulations that take into consideration the unique design of the waterpipe and its accessories and their use;
4. To draw a set of recommendations for future actions tailored for the identified regulatory specificities and challenges of WTS.
Workshop #2: “FCA EMRO FCTC Capacity Building Workshop”, on 8-9 November 2018.
The objectives of the workshop were:
1. To assist in a global strategy on prevalence reduction of tobacco use
2. To study the Illicit Tobacco Trade and Taxation Programme (ITTP) and FCTC Art 6 guidelines
3. To provide examples of evidence-based strategies on the implementation of Art 6 guideline and ITTP ratification.
4. To discuss the barriers and facilities for implementation of Art 6 and ratification of ITTP.
5. To discuss changes to the existing national laws and regulations according to the adopted Art 6 guideline and ITTP based on evidence-based strategies
6. To build capacity of the NGOs on how to collaborate and build effective national and regional teamwork on tobacco control.
More details on the workshop agenda, speakers and presentations are available on the website; please visit the following link: https://untobaccocontrol.org/kh/waterpipes/workshops/
The workshops were attended by policymakers, non-government organizations, and academics from the Eastern Mediterranean Region, who discussed individual country experiences across a number of themes: UK: Dr. Mohamed Jawad; Egypt: Dr. Mouhamad Madbouli; Qatar: Dr. Ahmad Almulla; Iran: Mr. Behzad Valizadeh; Jordan: Mawya Elzawawi; Turkey: Dr. Elif Dagli; South Africa, WHO FCTC Knowledge Hub on Taxation: Kristen Van Der Zee; Pakistan: Dr. Mohamed Javed; Oman: Jawad Al-Lawatti; Kuwait: Anwar Bou Rahma; WHO FCTC: Dr. Tibor Szilagyi; WHO Lebanon: Dr. Iman Shankiti; WHO Canada: Jean Tesche; FCA: Mr. Francis Thompson; AUB: Dr. Alan Shihadeh and Dr. Najat Saliba; Lebanon: Roula Moawad and Maitre Dany Rifaat
The workshops highlighted the importance of political lobbying and tobacco industry interference with public health policies such as transnational tobacco company interest in waterpipe tobacco like Al-Nakhla (Egypt) and Haggar Cigarette & Tobacco Factory Ltd (Sudan) by Japan Tobacco International.
The candidates emphasized on Chapters 10 and 11 of the 2015 WHO Advisory Note on Waterpipe Tobacco Smoking which outlines a comprehensive list of policy recommendations specific to waterpipe tobacco. The workshop drew a set of recommendations for future actions tailored for the identified regulatory specificities and challenges of WTS. Here are the participant’s recommendations and comments: Involving more countries from the region Breakdown of the policies and discuss each one alone Introducing more discussions and Q & A sessions Announcing a technical specific recommendation from the experts Such as links, online resources, policy process documents Focusing more on the technical knowledge and less on general concepts Connecting the organizations with the Knowledge Hubs and government policymakers with NGOs on smoking issues Concentrating more on success stories and pointing on the creative solutions not the typical ones
Waterpipe Tobacco Smoking (WTS) Regulatory Challenges Workshop Notes
Day 1: November 6th, 2018
Time | Main activity | Speakers |
9:00 am – 9:05 am | Welcome Note & Overview | Dr. Ghazi Zaatari
Zaatari-WTS use and regulations-Beirut workshop-2018 – Scoope |
9:05 am – 9:10 am | Welcome Note from the WHO FCTC Secretariat | Dr. Tibor Szilagyi |
9:10 am – 9:15 am | Welcome Note from WHO Country Representative/Lebanon | Dr. Iman Shankiti |
9:15 am – 9:30 am | Tour de Table (Name, institution, area of work) | Participants |
9:30 am – 9:50 am | Overview on WTS use & regulations | Dr. Ghazi Zaatari |
9:50 am – 10:15 am | Global implementation of WHO FCTC and implementation challenges in low-and middle-income countries | Dr. Tibor Szilagyi |
10:15 am – 10:30 am | Break | |
10:30 am – 11:00 am | Regulatory perspectives on Waterpipe Tobacco Smoking | Dr. Alan Shihadeh |
11:00 am – 11:30 am | Regulation of Waterpipe Tobacco Products – TobLabNet perspectives | Dr. Najat Saliba |
11:30 am – 12:00 pm | Demand reduction measures of the WHO FCTC – Waterpipe tobacco warning labels | Dr. Rima Nakkash
Nakkash-KH workshop- Warning Labels for Waterpipe Tobacco – PPt-Updated |
12:00 pm – 12:30 pm | Challenges & experiences in regulating WTS in Turkey | Dr. Elif Dagli |
12:30 pm – 1:30 pm | Lunch | |
1:30 pm – 4:00 pm | Challenges and Experiences in regulating WTS
(10 minutes/Country presentations) |
UK: Dr. Mohamed Jawad
Jawad_WTS Regulation & Challenges Egypt: Dr. Mouhamad Madbouli Qatar: Dr. Ahmad Almulla Iran: Mr. Behzad Valizadeh Jordan: Mawya Elzawawi South Africa, WHO FCTC Knowledge Hub on Taxation: Kristen Van Der Zee TC and Water Pipe Overview Kirsten Pakistan: Dr. Mohamed Javed Oman: Jawad Al-Lawatti Jawad_WTS Regulation & Challenges Kuwait: Anwar Bou Rahma |
4:00 pm – 4:30 pm | Wrap up of the day | Dr. Rima Nakkash |
Day 2: November 7th, 2018
Time | Main activity | Speakers |
9:00 am – 9:20 am | Previous day highlights | Dr. Mohamed Jawad
Dr. Rima Nakkash |
9:20 am – 9:45 am | Implementation of Article 5.3 to Waterpipe Tobacco Smoking | Dr. Raouf Alebshehy (discussant: Dr Tibor Szilagyi) |
9:45 am – 10:15 am | Recommendations for future actions to address regulatory specificities and challenges in WTS in light of decisions of COP8 – Role of NGOs and advocacy groups | Mr. Francis Thompson
Francis Thompson advocacy rules applied to waterpipe 2018 _2 |
10:15 am – 10:45 am | WTS media exposure and role in regulating WTS | Roula Moawad – An Nahar Newspaper |
10:45 – 11:15 am | Waterpipe tobacco use and legal challenges to enforcement of Law 174 | Maitre Dany Rifaat |
11:15 am – 11:30 am | Coffee Break | |
11:30 am – 1:00 pm | Group discussion – Regulatory challenges in WTS | Dr. Mohamed Jawad |
1:00 pm – 2:00 pm | Lunch | |
2:00 am – 4:00 pm | Group discussion – Regulatory challenges in WTS | Dr. Mohamed Jawad |
4:00 pm – 4:30 pm | Wrap up and evaluation
Closing Note |
Dr. Rima Nakkash
Dr. Ghazi Zaatari |
Workshop #2 is on November 8, 9: FCA EMRO FCTC Capacity Building Workshop; at the at the Diana Tamari Sabbagh Building, First Floor, TBL classroom, American University of Beirut.
The objectives of the workshop are:
- Global Strategy, which includes an ambitious objective on prevalence reduction and identifies Article 6 as key
- Provide an opportunity to the government delegates and FCA members to study the ITTP and art 6 guidelines.
- Provide examples of evidence-based strategies on the implementation of art 6 guideline and ITTP ratification.
- Discuss changes in the existing national laws and regulations according to the adopte art 6 guideline and ITTP strategies on how to introduce those changes and accelerate the ITTP ratification.
- Make Governments and NGOs sit to gather on the same table and discus the barriers and facilities for implementation of art 6 and ratification of ITTP.
- Provide examples of evidence-based strategies on the implementation of those guidelines.
- To build capacity of the NGOs on how to collaborate and build effective national and regional teamwork on tobacco control.
Beirut, 8-9 November 2018
First day |
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09:00-10:00 | Opening ceremony
Welcome note by the organizers (WR,FCA, WHO and MoH) Introduction to the workshop by FCA Introduction of participants Approving of the provisional programme Group photo |
introduction
Dr Iman Shankiti Mr Francis Thompson Dr Tibor Szilagyi |
|
10:00- 10:30 | Coffee break | ||
First session | International and regional updates | ||
10:30-11:15 | Global Strategy to Accelerate Tobacco Control: Advancing Sustainable Development through the implementation of the WHO FCTC 2019-2025 | Dr Tibor Szilagyi (WHO FCTC Secretariat)
Tibor_Presentation_the_Strategy Mr Mr Francis Thompson (FCA) |
|
11:15-11:45 | Update from the Meeting of the Parties of the Protocol to Eliminate Illicit Trade in Tobacco Products | Dr Tibor Szilagyi (WHO FCTC Secretariat) | |
11:45-12:15 | International status of illicit tobacco trade and key developments | Mr Luk Jossens | |
12:15-12:45 | Status on Illicit tobacco trade in the EMR region; highlights | Dr Raouf Alebshehy | |
12:45-13:15 | Tobacco taxes, the case for large increases, and how the TI tries to counter it, and questions linking illicit tobacco trade to taxes, how to address them | Jean Tesche | |
13:15-13:30 | Discussion | ||
13:30-14:30 | Lunch break | ||
14:30-14:45 | How to become Party to the Protocol? (What are the needed steps, making the case for the Protocol, etc.) | Dr Tibor Szilagyi (WHO FCTC Secretariat) | |
14:45-15:45 | Working groups:
How to activate/promote the Protocol ratification/accession in EMR Parties? Each group will work to answer the following questions: 1. What is the needed process? 2. Who should be your partners? 3. Next steps on going back to countries? 4. What is needed from WHO FCTC Secretariat and WHO? 5. How to delink taxation and illicit tobacco trade? |
Each group will have one expert facilitator and one country facilitator to report back
Facilitators: Madbouly Hani Luk |
|
15:45-16:45 | Reporting back from working groups | ||
16:45-17:00 | Summary of first day | ||
Second day |
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Second session | Implementation of the Protocol to Eliminate Illicit Trade in Tobacco Products | ||
09:00-09:30 | Tracking and tracing at country level, and how to finance it (best practices) | Luk Jossens | |
09:30-10:00 | Tracking and tracing system in the EMR region: highlights from Egypt | Mr Mohammad Madbouly | |
10:00-10:30 | Key obligations under the Protocol | Dr Tibor Szilagyi (WHO FCTC Secretariat) | |
10:30-10:45 | Coffee break | ||
10:45-11:45 | Ways the tobacco industry uses the threat of smuggling to keep tobacco taxes low | Mr Francis Thompson | |
11:45-12:15 | Cigarette Taxation and Illicit Trade in South Africa: A Cautionary Tale | Kirsten van der Zee | |
12:15-12:45 | Discussion | ||
12:45-13:45 | Lunch break | ||
13:45-14:30 | WHO FCTC taxation recommendations, key findings from GTCR and country experience | Jean Tesche and Mohammad Madbouly | |
14:30-15:00 | Tobacco control and human rights | Laurent Huber Via Skype | |
15:00-16:00 | Working groups:
How to make the cases for higher taxes? The groups will answer the following questions: 1. How to move on with taxation increase? 2. What are the key impediments and how to overcome them? 3. How to respond to tobacco industry arguments? |
Each group will have one expert facilitator and one country facilitator to report back
Facilitators: Anne-Marrie Muhammad Madbouly Kerstin van der Zee |
|
16:00- 16:30 | Reporting back from the working groups | ||
16:30-17:00 | Closure and key recommendations | ||