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The form of IA used has been criticised for favouring corporate interests by overemphasising economic impacts and failing to adequately assess health impacts.

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Our study sought to assess how, why, and in what ways corporations, and particularly the tobacco industry, influenced the EU's approach to IA. In order to identify whether industry played a role in promoting this system of IA within the EU, we analysed internal documents from British American Tobacco BAT that were disclosed following a series of litigation cases in the United States. We combined this analysis with one of related literature and interviews with key informants. Our analysis demonstrates that from onwards BAT actively worked with other corporate actors to successfully promote a business-oriented form of IA that favoured large corporations.

Tobacco And Its Effect On America

It appears that BAT favoured this form of IA because it could advance the company's European interests by establishing ground rules for Tobacco And Its Effect On America that would: i provide an economic framework for evaluating all policy decisions, implicitly prioritising costs to businesses; ii secure early corporate involvement in policy discussions; iii bestow the corporate sector with a long-term advantage over other actors by increasing policymakers' dependence on information they supplied; and iv provide businesses with a persuasive means of challenging potential and existing legislation. The data reveal that an ensuing lobbying campaign, largely driven by BAT, helped secure binding changes to the EU Treaty via the Treaty of Amsterdam that required EU policymakers to minimise legislative burdens on businesses.

Efforts subsequently focused on ensuring that these Treaty changes were translated into the application of a business orientated form of IA cost—benefit analysis [CBA] within EU policymaking procedures.

Both the tobacco and chemical industries have since employed IA in apparent attempts to undermine key aspects of European policies designed to protect public health. Our findings suggest that BAT and its corporate allies have fundamentally altered the way in which all EU policy is made by making a business-oriented form of IA mandatory. This increases the likelihood that the EU will produce policies that advance the interests of major corporations, including those that produce products damaging to health, rather than in the interests of its citizens.

Given that the public health community, focusing on health IA, has largely welcomed the increasing policy interest in IA, this suggests that urgent consideration is required of the ways in which IA can be employed to undermine, as well as support, effective public health policies. PLoS Med 7 1 : e This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The funders had no influence on the research design, data Tobacco And Its Effect On America, data interpretation or the writing of this article.

Delivering a smoke-free future

The primary goal of public health, the branch of medicine concerned with the Ite of communities, is to improve lives by preventing disease. Public-health groups do this by assessing and monitoring the health of communities, by ensuring that populations have access to appropriate and cost-effective health care, and by helping to formulate public policies that safeguard human health. Until recently, most of the world's major public-health concerns related to infectious diseases.

Tobacco And Its Effect On America

Nowadays, however, many major public-health concerns are linked to the goods made and marketed by large corporations such as fast food, alcohol, tobacco, and chemicals. In Europe, these corporations are regulated by policies drawn up both by member states and by the European Commission, the executive organ of the European Union EU; an economic and political partnership among 27 democratic European countries.

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Thus, for example, the tobacco industry, which is widely recognized as a driver of the smoking epidemic, is regulated by Europe-wide tobacco control policies and member state level policies. Because different types of IA examine the likely effects of policies on different aspects of daily life—a health impact assessment, for example, focuses on a policy's IIts on health—the choice of IA can lead to different decisions being taken about new policies. Although the IA tool adopted by the European Commission aims to assess economic, environmental and social impacts, independent experts suggest this tool does not adequately assess health impacts.

Instead, economic impacts receive the most attention, a situation that may favour the interests of large businesses. Tobacco And Its Effect On America this study, the researchers seek to identify how and why the EU's approach to IA developed. More specifically, the researchers analyze internal documents from British American Tobacco BATwhich have been disclosed because of US litigation cases, to find out whether Tobacfo has played a role in promoting the EU's system of IA.]

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