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Tobacco control

Global Smokefree Worksite Challenge

Join a growing international movement among leading employers to improve the health of their employees and clients by limiting their exposure to the harmful effects of secondhand smoke.

WHF Position on Electronic Nicotine Delivery Systems (ENDSs)

Working to reduce premature Cardiovascular Disease mortality by 25% by 2025, the World Heart Federation unites over 200 member organizations in more than 100 countries around the world. 

Cardiovascular disease is the leading cause of death worldwide. Other chemicals are more important causes of the considerable cardiovascular damage caused by tobacco use and smoke exposure, but by itself, nicotine increases the heart rate and blood pressure and affects the heart muscle and constriction of coronary blood vessels; evidence suggests that it may contribute to several physiological processes linked to cardiovascular damage.   The full effects of the long-term use of ENDS on cardiovascular health will not be known for decades.  When they are, those addicted to nicotine will not have free choices about product use and will have limited ability to respond to evidence-based health advice or policy.   To determine the health impact of ENDS we must balance potential benefits of harm reduction for current smokers, overall impact of ENDS use on the prevalence of tobacco use and smoke exposure, and potential harms of nicotine dependence to generations of people who might never have used tobacco.  To optimize this balance demands immediate and concerted action to prevent ENDS use by those who do not use tobacco, and to protect advances in tobacco control and the norm changes that undergird them from challenge by ENDS use. 

We welcome the WHO Report on ENDS  and urge parties to regulate ENDS taking into account the considerations it raises.  As noted in the report, we need stronger evidence on many aspects of the impact of ENDS use. As we wait for evidence to accumulate, we urge parties to:

- ban ENDS advertising promotion and sponsorship

- apply smokefree laws to ENDS products 

- apply the policies and principles of FCTC Article 5.3 to ENDS producers and       distributers to ensure that they do not influence decisions about regulation, and

- ensure that any claims on the health benefits of ENDS or their efficacy as a cessation aid are backed by rigorous phased Randomized Control trials.

We encourage parties to monitor use of ENDS and the effects of their regulation closely, and request  that an expert report on ENDS be written to update COP 7 on emerging scientific evidence and lessons learned at national level.  

Tobacco is responsible for close to six million deaths per annum globally. As an advocate of the reduction of the prevalence of risk factors associated with cardiovascular deaths, the World Heart Federation is naturally in favour of strong limitations to active and passive smoking.
The World Heart Federation implemented, alongside other organizations, its own code of practice (based on WHO-endorsed code of practice) that aims at promoting tobacco limitations within the organization itself.
The World Heart Federation and its member organizations are also involved in many tobacco control advocacy activities.

The WHF CVD Roadmap on Tobacco Control indicates the route to better heart health through effective tobacco control; calling on different sectors and groups to take the path to better heart health by implementing comprehensive tobacco control policies, which have effectively reduced cardiovascular disease mortality in the countries where they have been implemented.

Read more about tobacco control in Global Heart here.

Smoke-free Certification Program Guide

The King Hussein Cancer Foundation and Center (KHCC) developed a new Smoke-free Certification Program Guide, encouraging employers to create smoke-free environments for their staff.


The Framework Convention on Tobacco Control is designed to protect generations from consequences of consumption and exposure to tobacco smoke by strengthening tobacco control initiatives around the world. Learn more 

For resources from the Framework Convention Alliance for the COP7, please visit the resources section of the FCTC webpage. 

To download the toolkit for integrating FCTC implementation into the development agenda, click here.

WHO 2015 Report on the Global Tobacco Epidemic

The World Health Organization report provides updated statistics on the tobacco epidemic. Learn more >

Civil society working toward a world free from the devastating health, social, economic and environmental consequences of tobacco and tobacco use.