I want to remind governments in every country of the range and force of counter-tactics used by the tobacco industry – an industry that has much mone… - Margaret Chan

Health systems are social institutions. They do far more for society than deliver babies and pills, like a post office delivering parcels. Properly managed and adequately financed, a fair and equitable health system contributes to social cohesion and stability.

There are two things that I feel very happy about from my tenure as Director of Health in Hong Kong: we introduced primary health care and preventive services from conception to old age; and we worked with herbalists to put Traditional Chinese Medicine on a firm footing of promotion, development and regulation.

Efforts to prevent noncommunicable diseases go against the business interests of powerful economic operators. In my view, this is one of the biggest challenges facing health promotion. [...] it is not just Big Tobacco anymore. Public health must also contend with Big Food, Big Soda, and Big Alcohol. All of these industries fear regulation, and protect themselves by using the same tactics. Research has documented these tactics well. They include front groups, lobbies, promises of self-regulation, lawsuits, and industry-funded research that confuses the evidence and keeps the public in doubt. Tactics also include gifts, grants, and contributions to worthy causes that cast these industries as respectable corporate citizens in the eyes of politicians and the public. They include arguments that place the responsibility for harm to health on individuals, and portray government actions as interference in personal liberties and free choice. This is formidable opposition. [...] When industry is involved in policy-making, rest assured that the most effective control measures will be downplayed or left out entirely. This, too, is well documented, and dangerous. In the view of WHO, the formulation of health policies must be protected from distortion by commercial or vested interests.