As public health systems strive to address the global burden of smoking-related harm, calls are intensifying for more balanced and consistent application of conflict of interest standards in policymaking.
Central to this discussion is Article 5.3 of the WHO Framework Convention on Tobacco Control (FCTC), designed to insulate public health policy from tobacco industry influence. While its intent remains vital, growing concerns point to its uneven enforcement—particularly where consumer advocates are labeled unfairly, while other powerful stakeholders, including pharmaceutical and philanthropic interests, remain largely exempt from equivalent scrutiny.
Many public health researchers and agencies receive funding from industries with vested interests in cessation products, raising questions about selective application of influence standards. Critics argue that this imbalance risks undermining public trust and marginalising grassroots voices essential to developing practical harm reduction solutions.
“The principle of integrity must be universally applied,” Clarisse Virgino, CAPHRA representative to the Philippines, argues. “Transparency and accountability are essential—both in protecting public health and ensuring all credible voices are heard.”
There is a growing consensus that consumer advocates, many with lived experience and deep commitment to harm reduction, deserve a seat at the table. Their contributions are seen as vital to ensuring public health policies remain grounded in science, not silenced by politics or commercial competition.

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