Estudo sobre políticas de redução de danos: o caso do tabaco

Abstract

This work analyzed the legal-sanitary framework for the macro-theme of tobacco vis a vis the National Health Surveillance System (SNVS) and the Brazilian participation in the elaboration of the Framework Convention on Tobacco Control of the World Health Organization (FCTC/WHO). The norms for sanitary registration of tobacco products were evaluated from the perspective of the SNVS and the National Health Surveillance Agency (ANVISA), pointing out their dimensions as integrators and formulators of a harm reduction policy for tobacco products in the country. For this, an exploratory and descriptive study of document analysis was carried out for the period from 1999 to 2018, before and after the promulgation of the WHO FCTC. In addition to reviewing the scientific literature on the subject, information and official standards from the related health authorities were collected. The Brazilian participation in the construction of the FCTC expanded the discussion of the effective performance of ANVISA in the tobacco theme. Some norms pointed to the participation of society in the construction of future Resolutions, oriented to Brazilian commitments assumed with other countries. In the end, the study suggests the need for a reassessment of the role of the State in the tobacco macro-theme in such a way that it is not restricted to the issue of commercial advertising. It can be seen that Brazil has made progress in the construction of a tobacco control policy, but it is still on the path to effective control and sanitary inspection of tobacco-derived tobacco products.