Negotiating Healthy Trade in Australia - HIA Connect

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Negotiating Healthy Trade in Australia Health Impact Assessment of the Proposed Trans-Pacific Partnership Agreement

Prepared by Katie Hirono, Fiona Haigh, Deborah Gleeson, Patrick Harris and Anne Marie Thow

February 2015

Suggested Citation Hirono K, Haigh F, Gleeson D, Harris P and Thow, A M. Negotiating healthy trade in Australia: Health impact assessment of the proposed Trans-Pacific Partnership Agreement. Liverpool, NSW: Centre for Health Equity Training Research and Evaluation, part of the Centre for Primary Health Care and Equity, Faculty of Medicine, UNSW Australia, 2015. Publisher Centre for Health Equity Training Research and Evaluation, part of the Centre for Primary Health Care and Equity, Faculty of Medicine, UNSW Australia A Unit of Population Health, South Western Sydney Local Health District, NSW Health A Member of the Ingham Institute Liverpool Hospital Locked Mail Bag 7103 Liverpool BC NSW 1871 AUSTRALIA February 2015 © 2015 Centre for Health Equity Training Research and Evaluation, part of the Centre for Primary Health Care and Equity, Faculty of Medicine, UNSW Australia ISBN 978-1-876504-10-6

Menzies Centre for

Health Po l i c y

Disclaimer: While every effort has been made to ensure the accuracy of the information contained in this report, the conclusions and recommendations represent the views of the authors and should not be taken to represent the views of any of the authors’ institutions.

ACKNOWLEDGEMENTS Acknowledgements We wish to thank the various individuals and organisations that have generously given their time, expertise and support towards this health impact assessment. In particular, this endeavour would not have been possible without the support of the Public Health Association of Australia, and the Centre for Health Equity Training, Research and Evaluation. HIA Working Group Deborah Gleeson Patrick Harris Anne Marie Thow Fiona Haigh Katie Hirono

La Trobe University University of Sydney, Menzies Centre for Health Policy University of Sydney, Menzies Centre for Health Policy UNSW Australia, CHETRE UNSW Australia, CHETRE

Technical Advisory Group Patricia Ranald Sharon Friel Sarah Agar Mike Daube Wendy Snowdon Fran Baum

Australian Fair Trade and Investment Network Australian National University Choice Curtin University Deakin University Flinders University

Paula O’Brien Peter Sainsbury Lynn Kemp Ben Harris-Roxas Corinne Dobson Advocacy Advisory Group Rob Lake Suzanne Gleeson Alison Verhoeven Nicky Betts/Tim Martin Adam Stankevicius Tracy Schrader Caterina Giorgi Jon Edwards Frank Quinlan Michael Waites/Lisa Kremmer/Mark Murphy Michael Moore

University of Melbourne University of Sydney UNSW Australia, CHETRE UNSW Australia Non-affiliate

Australian Federation of AIDS Organisations (AFAO) Australian Health Promotion Association (AHPA) Australian Healthcare and Hospitals Association (AHHA) Australian Medical Students Association (AMSA) Consumer’s Health Forum Doctors Reform Society (DRS) Foundation for Alcohol Research and Education (FARE) Médecins Sans Frontières Australia (MSF) Mental Health Council of Australia NSW Nurses and Midwives Association Public Health Association of Australia (PHAA)

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CONTENTS

Table of Contents List of Abbreviations

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Executive Summaryiv Introduction1 Trade and Health1 The Trans-Pacific Partnership Agreement1 Overview of Health Concerns2 HIA Process3 Findings5 How the TPP could affect the Cost of Medicines6 How the TPP could affect Tobacco Control10 How the TPP could affect Alcohol Control14 How the TPP could affect Food Labelling18 Impact Characterisation21 HIA Recommendations22 Conclusion24 Glossary32 Tables Table 1 TPP chapter or negotiating area

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Table 2 HIA process4 Figures

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Figure 1 HIA Steps

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Figure 2 Medicines pathway