Kelley Lee

Kelley Lee
Simon Fraser University · Faculty of Health Sciences

43.72
 · 
MPA, MA, DPhil, DLitt, FFPH, FCAHS

About

339
Publications
69,898
Reads
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5,066
Citations
Introduction
Kelley Lee is Tier 1 Canada Research Chair in Global Health Governance in the Faculty of Health Sciences, Simon Fraser University and previously Professor of Global Health Policy at the London School of Hygiene & Tropical Medicine. Her research focuses on the impacts of globalization on communicable and non-communicable diseases, and the implications for collective action through global governance.
Research Experience
October 2015 - present
Simon Fraser University
Position
  • Tier 1 Canada Research Chair in Global Health Governance
September 2011 - December 2014
Simon Fraser University
Position
  • Associate Dean, Research
September 2011 - present
Simon Fraser University
Position
  • Professor of Global Health

Publications

Publications (339)
Article
While the public health community has focused on the harm-reduction potential of new nicotine delivery systems (NNDSs) and, conversely, their potential for impeding overall efforts to prevent and reduce tobacco use, limited analysis has been conducted on the role of leading transnational tobacco companies (TTCs) in this rapidly growing market. Foll...
Book
Global health politics has emerged over the last two decades as a distinct, interdisciplinary field of study which, although its boundaries are not set, is beginning to demonstrate signs of maturity. It is concerned with the actions, practices, and policies that govern the sphere of global health. Its emergence is intimately linked with the reconce...
Preprint
Full-text available
Background: In Latin America, diet-related non-communicable diseases and sales of sugar-sweetened beverages continue to rise at an alarming rate. Calls for action suggest "multi-sector" and "multi-stakeholder" approaches involving civil society and the private sector, including transnational corporations. While the focus has often been on forming “...
Article
Full-text available
Recent research documents the globalization strategy of the Chinese tobacco industry since the early 2000s and risks posed to global health. There are limited analyses to date of how this strategy is playing out in specific countries. This paper analyses the expansion of the China National Tobacco Company (CNTC) in Zimbabwe, the largest producer of...
Article
Full-text available
The limited success to date, by the public health community, to address the dramatic rise in non-communicable diseases (NCDs) has prompted growing attention to the commercial determinants of health. This has led to a much needed shift in attention, from metabolic and behavioural risk factors, to the production and consumption of health-harming prod...
Article
Most of the research on transnational advocacy networks documents progressive, voluntary movements, motivated by values associate with human rights and public goods. There is little critical reflection on the role of corporations within such networks or on the material motivations behind movements. Meanwhile literature on corporate political strate...
Article
Most of the research on transnational advocacy networks documents progressive, voluntary movements, motivated by values associate with human rights and public goods. There is little critical reflection on the role of corporations within such networks or on the material motivations behind movements. Meanwhile literature on corporate political strate...
Article
Introduction The illicit trade in tobacco products (ITTP) is widely recognised as a substantial and complex problem in Canada. However, the independence of available data and quality of analyses remains unknown. Reliable and accurate data on the scale and causes of the problem are needed to inform effective policy responses. Methods We searched th...
Chapter
Full-text available
Until the early twenty-first century, there was a virtual absence of health as a subject of inquiry in the field of international political economy (IPE). However, in recent years health has become one of the key emerging issue in the study of contemporary IPE. In this chapter we set out the core themes that define this growing field of scholarship...
Article
Full-text available
Background Paraguay has reportedly been a major transit hub for illicit tobacco products since the 1960s, initially to supply markets in Argentina and Brazil and, more recently, other regional markets and beyond. However, to date there has been no systematic analysis, notably independent of the tobacco industry, of this trade including the roles of...
Article
Full-text available
Background Leading transnational tobacco companies (TTCs) began to expand their operations in Latin America in the 1960s. This included legally exporting their cigarettes to Paraguay during the 1960s which, in turn, were illegally re-exported to Argentina and Brazil. By the 1990s, competition between BAT and PMI for this lucrative illicit market,...
Chapter
Full-text available
The influence of for-profit businesses in collective action across countries to protect and promote population health dates from the first International Sanitary Conferences of the nineteenth century. The restructuring of the world economy since the late twentieth century and the growth of large transnational corporations have led the business sect...
Article
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Background The health status and needs of indigenous populations of Australia, Canada and New Zealand are often compared because of the shared experience of colonisation. One enduring impact has been a disproportionately high rate of commercial tobacco use compared with non-indigenous populations. All three countries have ratified the WHO Framework...
Article
Background NAFTA was the most expansive agreement of its kind when it came into force in 1994. Contemporary trade negotiations grapple with how to deal with tobacco, but there is limited assessment of industry influence of past agreements and how adopted measures have impacted tobacco control. Methods We reviewed internal documents dating from the...
Article
Full-text available
Malawi, the world’s most tobacco dependent country, has long defended the tobacco industry as essential to its economy. The impoverished living conditions of tobacco farmers, however, raise questions about the true benefits accruing to the country. While the government and industry often blame public health advocates for declining leaf prices, and...
Article
Canada's history of nation building, combined with its status as a so-called middle power in international affairs, has been translated into an approach to global health that is focused on equity and global citizenship. Canada has often aspired to be a socially progressive force abroad, using alliance building and collective action to exert influen...
Article
Tobacco is widely considered to be a uniquely harmful product for human health. Since the mid-1990s, the strategies of transnational tobacco corporations to undermine effective tobacco control policy has been extensively documented through internal industry documents. Consequently, the sale, use and marketing of tobacco products are subject to exte...
Article
Full-text available
On 19 July 2017, the US Commission on Security and Cooperation in Europe (CSCE) – also known as the ‘Helsinki Commission’ – held a hearing on the illicit tobacco trade in the Organization for Security Co-operation in Europe (OSCE) region. Unfortunately, given the selected range of issues addressed, and how they were framed in discussions, it is dou...
Article
The objective of this project was to improve birth outcomes for babies in a regional referral hospital in Uganda by strengthening factors that influence the retention and application of neonatal resuscitation skills. Initial training in neonatal resuscitation is not enough on its own. In order to better understand the gap between training and effec...
Article
Full-text available
The illicit tobacco trade accounts for 10% of the global cigarette market and results in US$31 billion in lost tax revenues annually. Despite legal prosecution of tobacco companies, and the introduction of new policy responses, the trade has reached an all-time high. Previous research documents how transnational tobacco companies have sought to inf...
Technical Report
Full-text available
Tobacco use is now a well-documented threat to global health. It kills more than 7 million people a year and is currently the world’s single biggest cause of preventable death. Much of what is known about the risks of tobacco, however, concerns the direct impact (in terms of morbidity and mortality) of first-hand and second-hand smoke on people’s h...
Article
Full-text available
Background Tobacco companies have a documented history of attempting to hide information from public scrutiny, including inappropriate privilege claims. The 1998 Minnesota Consent Judgement created two depositories to provide public access to discovered documents. Users raised concerns about the access conditions and ongoing integrity of the Guildf...
Article
Full-text available
Until the late 1980s, the former South Korean tobacco monopoly KT&G was focused on the protected domestic market. The opening of the market to foreign competition, under pressure from the U.S. Trade Representative, led to a steady erosion of market share over the next 10 years. Drawing on company documents and industry sources, this paper examines...
Article
Full-text available
The Thailand Tobacco Monopoly (TTM) controlled the country's tobacco industry from its formation in the 1940s, until the government dropped restrictions on imported cigarettes in the late 1980s in response to pressure from the United States. The TTM has since competed with transnational tobacco companies (TTCs) in a semi-monopoly market in which TT...
Article
Full-text available
Background: The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) stands to significantly reduce tobacco-related mortality by accelerating the introduction of evidence-based tobacco control measures. However, the extent to which States Parties have implemented the Convention varies considerably. Article 5.3 of the FCTC,...
Article
Full-text available
### Summary box In 1948, my (RS) grandfather bought a car; a Morris Minor. It was slow, cramped and unreliable. Yet, as his needs changed over the years, he did not buy another car because ‘it was too difficult’ to decide. Today, he does not own a car. He can use community transport, Uber drivers and car sharing schemes. Transport has evolved rema...
Article
Full-text available
With 30% of the world’s smokers, two million deaths annually from tobacco use, and rising levels of tobacco consumption, the Asian region is recognised as central to the future of global tobacco control. There is less understanding, however, of how Asian tobacco companies with regional and global aspirations are contributing to the global burden of...
Article
The global tobacco industry, from the 1960s to mid 1990s, saw consolidation and eventual domination by a small number of transnational tobacco companies (TTC). This paper draws together comparative analysis of five case studies in the special issue on 'The Emergence of Asian Tobacco Companies: Implications for Global Health Governance.' The cases s...
Article
Until the late 1990s, the Taiwan Tobacco and Liquor Corporation (TTL) focused almost exclusively on serving the domestic market as a highly protected monopoly. This paper describes how the company has adopted a more outward looking strategy since 2000, with ambitions to become a regional, and eventually global, business by 2021. Drawing on company...
Book
The profound changes to the world economy since the late twentieth century have been characterised by a growth in the number and size of transnational corporations. In this context, there is now increasing evidence of unprecedented reversals in health indicators among populations around the world. Research in this area has focused on documenting th...
Article
Shifting patterns of tobacco production and consumption, and the resultant disease burden worldwide since the late twentieth century, prompted efforts to strengthen global health governance through adoption of the Framework Convention on Tobacco Control. While the treaty is rightfully considered an important achievement, to address a neglected publ...
Article
Full-text available
The 2030 Agenda for Sustainable Development came into force in January 2016 as the central United Nations (UN) platform for achieving ‘integrated and indivisible’ goals and targets across the three characteristic dimensions of sustainable development: the social, environmental and economic. We argue that, despite the UN adoption of the Sustainable...
Article
Full-text available
The China National Tobacco Corporation (CNTC), which produces one-third of the world’s cigarettes, is the largest tobacco company in the world. Over the past 60 years, the CNTC has been focused on supplying a huge domestic market. As the market has become increasingly saturated, and potential foreign competition looms, the company has turned to exp...
Article
Full-text available
Civil society organizations (CSOs) are recognized as playing an exceptional role in the global AIDS response. However, there is little detailed research to date on how they contribute to specific governance functions. This article uses Haas' framework on global governance functions to map CSO's participation in the monitoring of global commitments...
Article
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Background Deforestation due to tobacco farming began to raise concerns in the mid 1970s. Over the next 40 years, tobacco growing increased significantly and shifted markedly to low- and middle-income countries. The percentage of deforestation caused by tobacco farming reached 4 % globally by the early 2000s, although substantially higher in countr...
Article
Full-text available
• In May 2016, the Canadian government announced a public consultation on plain and standardized packaging for tobacco products, which closes on Aug. 31, 2016. • When the Australian government introduced plain packaging in 2011, tobacco companies tried to use trade law, intellectual property rights and biased research by allied institutions to thwa...
Article
Full-text available
There were once again high expectations that a major global health event - the Ebola virus outbreak of 2014- 2015 - would trigger meaningfully World Health Organization (WHO) reform and strengthen global health governance (GHG). Rather than a “turning point,” however, the global community has gone back to business as usual. This has occurred agains...
Article
Shifting patterns of tobacco production and consumption, and the resultant disease burden worldwide since the late twentieth century prompted efforts to strengthen global health governance through adoption of the Framework Convention on Tobacco Control. While the treaty is rightfully considered an important achievement, to address a neglected publi...
Book
There is growing evidence of the wide-ranging impacts of corporations in selected industries on global patterns of health and disease. However, limited analysis has been undertaken of the increasing corporate involvement in collective action needed to effectively address these impacts. This book brings together a wide ranging collection of case s...
Article
Full-text available
Amid growing academic and policy interest in the influence of think tanks in public policy processes, this article demonstrates the extent of tobacco industry partnerships with think tanks in the USA, and analyzes how collaborating with a network of think tanks facilitated tobacco industry influence in public health policy. Through analysis of docu...
Article
Full-text available
Tobacco is widely considered to be a uniquely harmful product for human health. Since the mid-1990s, the strategies of transnational tobacco corporations to undermine effective tobacco control policy has been extensively documented through internal industry documents. Consequently, the sale, use and marketing of tobacco products are subject to exte...
Article
Full-text available
Cigarette butts and other postconsumer products from tobacco use are the most common waste elements picked up worldwide each year during environmental cleanups. Under the environmental principle of Extended Producer Responsibility, tobacco product manufacturers may be held responsible for collection, transport, processing and safe disposal of tobac...
Article
Full-text available
This article analyzes the history of tobacco industry funding for the AIDS response - a largely ignored aspect of private donor involvement. Primary documents from the Legacy Tobacco Documents Library and AIDS organizations are analyzed, alongside existing literature on the tobacco control and AIDS responses. Research on the tactics of transnationa...
Article
Full-text available
The west African Ebola epidemic that began in 2013 exposed deep inadequacies in the national and international institutions responsible for protecting the public from the far-reaching human, social, economic, and political consequences of infectious disease outbreaks. The Ebola epidemic raised a crucial question: what reforms are needed to mend the...
Research
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While global health diplomacy (GHD) has attracted growing attention within and beyond the public health community, accompanied by hopes of its potential to progress the goals of global health and/or foreign policy, the concept has been characterised by imprecision and diversity in how it has been used. For the purpose of clarifying the concept, and...
Research
Full-text available
This paper has been written for the Global Programme on Health, Foreign Policy and Security, a research and policy initiative funded by The Nuffield Health and Social Services Fund and sponsored by The Nuffield Trust. This programme is being jointly undertaken by the Centre for Health and International Relations (CHAIR) in the Department of Interna...
Article
Full-text available
The opening of the Thai tobacco market, following action brought by the US Trade Representative under the General Agreement on Tariffs and Trade, is seen as a key case study of the tensions between trade and health policy. Interpretations of the dispute cast it, either as an example of how trade agreements undermine national policy-making, or how g...
Article
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Background: The tobacco industry has long sought affiliation with major sporting events, including the Olympic Games, for marketing, advertising and promotion purposes. Since 1988, each Olympic Games has adopted a tobacco-free policy. Limited study of the effectiveness of the smoke-free policy has been undertaken to date, with none examining the t...
Article
Full-text available
The future of human wellbeing and security depends on our ability to deal with the multiple effects of globalisation and on adoption of a new paradigm and philosophy for living and for health that emphasises people's wellbeing and social justice. Such was the topic of the inaugural Raffles Dialogue on Human Wellbeing and Security held in Singapore...
Article
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Among low- and middle-income countries, there is evidence that populations experiencing rapid political and economic transition have particularly high burdens of disease and disability from mental health conditions. This paper undertakes a political economy analysis of mental health in Vietnam to enhance knowledge translation, notably how both expl...
Article
Full-text available
Islamic countries are of key importance to transnational tobacco companies as growing markets with increasing smoking rates. We analyzed internal tobacco industry documents to assess the industry's response to rising concerns about tobacco use within Islamic countries. The tobacco industry perceived Islam as a significant threat to its expansion in...
Article
Full-text available
Jeremy Shiffman’s editorial appropriately calls on making all forms of power more apparent and accountable, notably productive power derived from expertise and claims to moral authority. This commentary argues that relationships based on productive power can be especially difficult to reveal in global health policy because of embedded notions about...
Data
Full-text available
Background: The term global health governance (GHG) is now widely used, with over one thousand works published in the scholarly literature, almost all since 2002. Amid this rapid growth there is considerable variation in how the term is defined and applied, generating confusion as to the boundaries of the subject, the perceived problems in practice...
Article
This study reviews the current state of global health education (GHE) in the United Kingdom (UK) through the collation and synthesis of data on undergraduate and postgraduate global health degree programmes. It examines both the curriculum provided and profile of the student currently studying global health in the UK. Descriptive, case study design...
Article
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Abstract—Motivated by a common interest in political economy analysis in global health and a belief that this field has been neglected in global health policy debates, we convened at the Rockefeller Foundation's Bellagio Center for a workshop on the Political Economy of Global Health in May of 2014. Given our shared experiences working as academic...
Article
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In 2009, health authorities from Taiwan (under the name ?Chinese Taipei?) a formally attended the 62nd World Health Assembly (WHA) of the World Health Organization as observers, marking the country?s participation for the first time since 1972. The long process of negotiating this breakthrough has been cited as an example of successful global healt...
Chapter
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Article
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Article
Full-text available
The term global health governance (GHG) is now widely used, with over one thousand works published in the scholarly literature, almost all since 2002. Amid this rapid growth there is considerable variation in how the term is defined and applied, generating confusion as to the boundaries of the subject, the perceived problems in practice, and the go...