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世界贸易组织对国家非传染性疾病预防政策的贸易挑战:贸易与卫生政策空间的专题文件分析。

Trade challenges at the World Trade Organization to national noncommunicable disease prevention policies: A thematic document analysis of trade and health policy space.

机构信息

Department of Sociology, University of Oxford, Oxford, United Kingdom.

School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.

出版信息

PLoS Med. 2018 Jun 26;15(6):e1002590. doi: 10.1371/journal.pmed.1002590. eCollection 2018 Jun.

DOI:10.1371/journal.pmed.1002590
PMID:29944652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6019096/
Abstract

BACKGROUND

It has long been contested that trade rules and agreements are used to dispute regulations aimed at preventing noncommunicable diseases (NCDs). Yet most analyses of trade rules and agreements focus on trade disputes, potentially overlooking how a challenge to a regulation's consistency with trade rules may lead to 'policy or regulatory chill' effects whereby countries delay, alter, or repeal regulations in order to avoid the costs of a dispute. Systematic empirical analysis of this pathway to impact was previously prevented by a dearth of systematically coded data.

METHODS AND FINDINGS

Here, we analyse a newly created dataset of trade challenges about food, beverage, and tobacco regulations among 122 World Trade Organization (WTO) members from January 1, 1995 to December 31, 2016. We thematically describe the scope and frequency of trade challenges, analyse economic asymmetries between countries raising and defending them, and summarise 4 cases of their possible influence. Between 1995 and 2016, 93 food, beverage, and tobacco regulations were challenged at the WTO. 'Unnecessary' trade costs were the focus of 16.4% of the challenges. Only one (1.1%) challenge remained unresolved and escalated to a trade dispute. Thirty-nine (41.9%) challenges focussed on labelling regulations, and 18 (19.4%) focussed on quality standards and restrictions on certain products like processed meats and cigarette flavourings. High-income countries raised 77.4% (n = 72) of all challenges raised against low- and lower-middle-income countries. We further identified 4 cases in Indonesia, Chile, Colombia, and Saudi Arabia in which challenges were associated with changes to food and beverage regulations. Data limitations precluded a comprehensive evaluation of policy impact and challenge validity.

CONCLUSIONS

Policy makers appear to face significant pressure to design food, beverage, and tobacco regulations that other countries will deem consistent with trade rules. Trade-related influence on public health policy is likely to be understated by analyses limited to formal trade disputes.

摘要

背景

长期以来,人们一直认为贸易规则和协议被用于对旨在预防非传染性疾病(NCDs)的法规提出争议。然而,大多数对贸易规则和协议的分析都集中在贸易争端上,这可能忽略了对法规与贸易规则一致性的质疑如何导致“政策或监管冷却”效应,即各国为了避免争端成本而延迟、修改或废除法规。由于缺乏系统编码的数据,以前对这种影响途径的系统实证分析受到阻碍。

方法和发现

在这里,我们分析了一个新创建的数据集,其中包括 1995 年 1 月 1 日至 2016 年 12 月 31 日期间 122 个世界贸易组织(WTO)成员对食品、饮料和烟草法规提出的贸易挑战。我们对贸易挑战的范围和频率进行了主题描述,分析了提出和捍卫这些挑战的国家之间的经济不对称性,并总结了 4 个可能产生影响的案例。在 1995 年至 2016 年间,WTO 共对 93 项食品、饮料和烟草法规提出了挑战。“不必要”的贸易成本是 16.4%的挑战的重点。只有一个(1.1%)挑战仍未解决,并升级为贸易争端。39 项(41.9%)挑战集中在标签法规上,18 项(19.4%)集中在质量标准和某些产品的限制上,如加工肉类和香烟调味剂。高收入国家对低收入和中低收入国家提出的所有挑战的 77.4%(n=72)。我们还在印度尼西亚、智利、哥伦比亚和沙特阿拉伯确定了 4 个案例,在这些案例中,挑战与食品和饮料法规的变化有关。数据限制使我们无法全面评估政策影响和挑战的有效性。

结论

决策者似乎面临着巨大的压力,需要设计出其他国家认为符合贸易规则的食品、饮料和烟草法规。对仅限于正式贸易争端的分析来说,贸易对公共卫生政策的影响可能被低估了。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed24/6019096/32e52251bb63/pmed.1002590.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed24/6019096/72477143d38d/pmed.1002590.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed24/6019096/7ae261a87073/pmed.1002590.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed24/6019096/32e52251bb63/pmed.1002590.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed24/6019096/72477143d38d/pmed.1002590.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed24/6019096/7ae261a87073/pmed.1002590.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed24/6019096/32e52251bb63/pmed.1002590.g003.jpg

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本文引用的文献

1
Smoke screen? The globalization of production, transnational lobbying and the international political economy of plain tobacco packaging.烟幕?生产全球化、跨国游说与普通烟草包装的国际政治经济学
Rev Int Polit Econ. 2017;24(1):87-118. doi: 10.1080/09692290.2016.1269658. Epub 2017 Jan 4.
2
The health impact of trade and investment agreements: a quantitative systematic review and network co-citation analysis.贸易与投资协定对健康的影响:一项定量系统评价与网络共被引分析
Global Health. 2017 Mar 8;13(1):13. doi: 10.1186/s12992-017-0240-x.
3
Nutrition labelling is a trade policy issue: lessons from an analysis of specific trade concerns at the World Trade Organization.
美欧自由贸易协定与实施政策控制烟草、酒精和不健康食品及饮料:准实验分析。
PLoS Med. 2023 Jan 5;20(1):e1004147. doi: 10.1371/journal.pmed.1004147. eCollection 2023 Jan.
4
Stakeholder arguments during the adoption of a sugar sweetened beverage tax in South Africa and their influence: a content analysis.南非在征收含糖饮料税过程中的利益相关者争论及其影响:内容分析。
Glob Health Action. 2023 Dec 31;16(1):2152638. doi: 10.1080/16549716.2022.2152638.
5
Protecting noncommunicable disease prevention policy in trade and investment agreements.保护非传染性疾病预防政策在贸易和投资协议中。
Bull World Health Organ. 2022 Apr 1;100(4):268-275. doi: 10.2471/BLT.21.287395. Epub 2022 Feb 28.
6
The Politics of Regulating Foods for Infants and Young Children: A Case Study on the Framing and Contestation of Codex Standard-Setting Processes on Breast-Milk Substitutes.监管婴幼儿食品的政治:以代乳品规范制定过程的框架和争议为例。
Int J Health Policy Manag. 2022 Dec 6;11(11):2422-2439. doi: 10.34172/ijhpm.2021.161. Epub 2021 Nov 20.
7
Policy-makers' perspectives on implementation of cross-sectoral nutrition policies, Western Pacific Region.政策制定者对落实跨部门营养政策的看法,西太平洋区域。
Bull World Health Organ. 2021 Dec 1;99(12):865-873. doi: 10.2471/BLT.20.283366. Epub 2021 Sep 29.
8
Who influences nutrition policy space using international trade and investment agreements? A global stakeholder analysis.谁在利用国际贸易和投资协定影响营养政策空间?全球利益相关者分析。
Global Health. 2021 Oct 2;17(1):118. doi: 10.1186/s12992-021-00764-7.
9
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Global Health. 2021 Sep 6;17(1):104. doi: 10.1186/s12992-021-00757-6.
10
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Global Health. 2021 Aug 30;17(1):98. doi: 10.1186/s12992-021-00739-8.
营养标签是一个贸易政策问题:来自对世界贸易组织特定贸易关切分析的经验教训。
Health Promot Int. 2018 Aug 1;33(4):561-571. doi: 10.1093/heapro/daw109.
4
Political origins of health inequities: trade and investment agreements.健康不平等的政治根源:贸易与投资协定
Lancet. 2017 Feb 18;389(10070):760-762. doi: 10.1016/S0140-6736(16)31013-3. Epub 2016 Nov 8.
5
Rhetoric and the law, or the law of rhetoric: How countries oppose novel tobacco control measures at the World Trade Organization.修辞与法律,或修辞的法则:各国如何在世贸组织反对新型烟草控制措施
Soc Sci Med. 2016 Sep;164:100-107. doi: 10.1016/j.socscimed.2016.07.026. Epub 2016 Jul 25.
6
The role of trade and investment liberalization in the sugar-sweetened carbonated beverages market: a natural experiment contrasting Vietnam and the Philippines.贸易与投资自由化在含糖碳酸饮料市场中的作用:以越南和菲律宾对比的自然实验
Global Health. 2015 Oct 12;11:41. doi: 10.1186/s12992-015-0127-7.
7
Are the Public Health Responsibility Deal alcohol pledges likely to improve public health? An evidence synthesis.公共卫生责任协议中的酒精承诺有可能改善公众健康吗?一项证据综合分析。
Addiction. 2015 Aug;110(8):1232-46. doi: 10.1111/add.12855. Epub 2015 Mar 26.
8
Trade policy and public health.贸易政策与公共卫生。
Annu Rev Public Health. 2015 Mar 18;36:325-44. doi: 10.1146/annurev-publhealth-031914-122739. Epub 2014 Dec 10.
9
Will the next generation of preferential trade and investment agreements undermine prevention of noncommunicable diseases? A prospective policy analysis of the Trans Pacific Partnership Agreement.下一代优惠贸易和投资协定会破坏非传染性疾病的预防工作吗?《跨太平洋伙伴关系协定》的前瞻性政策分析。
Health Policy. 2015 Jan;119(1):88-96. doi: 10.1016/j.healthpol.2014.08.002. Epub 2014 Aug 20.
10
The political origins of health inequity: prospects for change.健康不平等的政治根源:变革的前景。
Lancet. 2014 Feb 15;383(9917):630-67. doi: 10.1016/S0140-6736(13)62407-1. Epub 2014 Feb 11.