Cavalcante Tânia Maria, Pinho Mariana Coutinho Marques de, Perez Cristina de Abreu, Teixeira Ana Paula Leal, Mendes Felipe Lacerda, Vargas Rosa Rulff, Carvalho Alexandre Octávio Ribeiro de, Rangel Erica Cavalcanti, Almeida Liz Maria de
Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro, Brasil.
Cad Saude Publica. 2017 Sep 21;33Suppl 3(Suppl 3):e00138315. doi: 10.1590/0102-311X00138315.
Since 2005, Brazil has been a Party of the World Health Organization Framework Convention on Tobacco Control, an international treaty whose measures are the foundation of the National Tobacco-Control Policy (NTCP), of Brazil. The results evidence a significant decrease in the prevalence of smokers and in tobacco-related morbidity and mortality. These results, however, could have been even better if there wasn't the interference of the tobacco supply chain (TSC), controlled by transnational corporations, which has become more intense over the last 10 years. These companies made Brazil not only a repository for tobacco, but also for economic and political power capable of threatening NTCP achievements. This Essay recounts the development of NTCP and the tobacco supply chain modus operandi to hamper it, and discusses how the strengthening of policies to promote alternative crops for tobacco could shield NTCP from such interference.
自2005年以来，巴西一直是世界卫生组织《烟草控制框架公约》的缔约国，该国际条约的措施是巴西国家烟草控制政策（NTCP）的基础。结果表明吸烟者的患病率以及与烟草相关的发病率和死亡率显著下降。然而，如果没有跨国公司控制的烟草供应链（TSC）的干扰，这些结果本可以更好，而在过去十年中，这种干扰变得更加严重。这些公司使巴西不仅成为烟草的储存地，还成为能够威胁NTCP成果的经济和政治力量的储存地。本文叙述了NTCP的发展以及阻碍其实施的烟草供应链运作方式，并讨论了加强推广烟草替代作物政策如何能够保护NTCP免受此类干扰。
