6 The Global Health Impacts of Illicit Trade Flashcards
Overview Summary
This session is about various forms of illicit trade, involving the transactional production and consumption of a good or service, which are either prohibited by law only (illegal) or, more broadly, prohibited by law, rules, custom or other sets of agreed principles (illicit). You will learn about three types of illicit trade, the actors involved, the global health impacts of this trade, and the global policy responses to date.
Overview Aims
The aims of this session are to understand the global nature of various types of illicit trade, specifically focused on health-harming products, their diverse impacts on health, and the complex challenges posed to policy makers.
Overview Learning outcomes
By the end of this session you should be able to: Discuss the ways in which the illicit trade in products, such as tobacco and tobacco products, illegal drugs, and counterfeit medicines pose harms to human health; Understand the ways drivers of globalisation enable and facilitate this illicit trade; Identify the actors, organisations, and institutional arrangements involved in the promotion and regulation of illicit trade activities; and Understand the main challenges faced by policy makers seeking to address illicit trade on an increasingly global scale
Key terms Illicit activity
There are many types of illicit activity related to the trade of health-harming products. The following terms are useful to understand for this session. It should be recognised, however, that definitions used can vary by the specific product, jurisdiction and regulatory body involved.
Key terms Black Market
Economic activity which takes place outside of government-sanctioned channels. Transactions are made in the Black Market generally to avoid official controls of a traded product or service (such as price controls or taxes) or to supply an illicit product or service (OECD, 2016).
Key terms Bootlegging
The relatively small-scale purchase of legal products for the purpose of illegally selling them onwards. This can occur to supply a product which is prohibited (e.g. alcohol) or to circumvent differentials in taxation (e.g. cigarettes) (Joosens and Raw, 2012).
Key terms Contraband
A product or good which has been imported or exported illicitly (Joosens and Raw, 2012).
Key terms Counterfeiting
The practice of imitating something authentic, without permission, for the purpose of stealing, destroying or replacing the original. Counterfeiting is used in illegal transactions whereby the imitated product is dishonestly presented to others as the original or of being equal value to the original (Liberman, 2012).
Key terms Dark Web
A section of the internet which is not accessible to the everyday user but requires specialist software and dark web address. The software enables users to anonymise their unique Internet protocol (IP) address while browsing and thus protect their identity (OECD, 2016).
Key terms Illegal activity
An activity prohibited by law (Shelley, 2017).
Key terms Illicit activity
An activity prohibited by law, rules, custom or other set of agreed principles. Note that this is a more encompassing term than illegal activity. The activity spans the provision of illicit goods and services, and infiltration of a legitimate business or government (Shelley, 2017).
Key terms Illicit trade
An activity involving the exchange of a good or service which is prohibited by law, rules, custom or other set of agreed principles (Shelley, 2017).
Key terms Money Laundering
The concealing of the origins of money illegally obtained by transferring funds to foreign financial institutions or establishing legitimate businesses (Costa Storti and De Grauwe, 2011).
Key terms Smuggling
The movement of something or someone from one location to another with disregard to official legal channels of movement (e.g. people smuggling, cigarette smuggling) (Joosens and Raw, 2012).
Key terms Trafficking
The illegal supply and sale of something or someone prohibited by law (UNDOC, 2019).
- What is illicit trade?
Illegal trade is an activity involving the exchange of a good or service which is prohibited by law. The broader term, illicit trade, is an activity involving the exchange of a good or service which is prohibited by law, rules, custom or other sets of agreed principles (Shelley, 2017).
- What is illicit trade?
Such trade may be prohibited by law for a broad range of reasons including the harmful effect of the product or service involved, the violation of intellectual property rights, the avoidance of taxation or other official levies, the conduct by criminals or criminal organisations, or the contribution made to other nefarious activities (e.g. terrorism). The trade may also be prohibited because of custom. In some countries, for example, commercial sex work may not be legal but is still illicit due to prohibitions based on societal norms (Shelley, 2017).
- What is illicit trade?
Overall, what trade is considered illicit can vary substantially across national jurisdictions due to differences in law, rules and custom. Across countries, international law has evolved over time, based on agreement across national jurisdictions, that certain forms of trade are deemed illegal or illicit (e.g. narcotics, firearms and other weapons, tobacco products).
1.1 Why does illicit trade take place? Pull factors
The illicit trade occurs for both “pull” and “push” factors. Pull factors relate to the demand for such products. The illicit trade can enable consumers to acquire certain products that are prohibited and otherwise not available or in short supply. Or consumers may acquire the products at prices lower than offered on the legal market. For example, differential taxes on cigarettes across jurisdictions has contributed to bootlegging. In some cases, the use of the product (such as tobacco, alcohol, psychoactive substances) can lead to strong addiction which adds further to demand (Shelley, 2017; OECD, 2016).
1.1 Why does illicit trade take place? Push factors
Push factors relate to the supply of such products. The illicit trade involves numerous actors along a global supply chain from production (e.g. farmers, facilities growing marijuana, illegal labs) to the laundering of proceeds (e.g. legitimate businesses, banks). In some cases, the economic incentive to engage in illicit trade may be attractive because legal employment is scarce. In other circumstances, the illicit production and selling of such products is an opportunity to generate substantial earnings, and to pay less or no taxes on those earnings. As trade grows, the need for greater logistics to supply an illicit market and evade authorities leads actors to become more organised locally and across countries. Increasingly, organised criminal groups dominate large-scale illicit trade in counterfeit goods, tobacco products, illegal drugs and firearms. These groups may even conduct clandestine research and development, subcontract transport and other logistics, create systems of quality control, and offer renumeration in exchange for cooperation from local law enforcement and customs officials (Costa Storti and De Grauwe, 2011; OECD, 2016).
1.1 Why does illicit trade take place?
The legal risks faced by suppliers to the illicit trade vary across jurisdictions and the product involved. Penalties range from confiscation of goods and fines, to long-term incarceration, physical punishment and even execution. For example, as of 2020, the trafficking of illegal drugs in Saudi Arabia (all illegal drugs), Philippines (one-third of an ounce) and Vietnam (over 1.3 kilos of heroin) is punishable by death. Where high risks are involved, criminals can charge a higher premium for their product. Despite facing repercussions such as fines, arrest, incarceration and even execution, the prospect of earning a high payoff ensures that there will always be a continual stream of individuals and groups that are willing to produce and supply these goods. For counterfeit and tobacco products, punishments are generally less harsh (i.e. fines, confiscation of goods) yet the potential earnings are substantial. For this reason, some organised criminal groups have shifted to the trade of lower risk, higher reward goods such as cigarettes and counterfeit medicines (Shelley 2017).
1.1 Why does illicit trade take place?
Along with the above described pull and push factors, a major enabling factor in illicit trade worldwide over the past three decades has been economic globalisation. The same advances which have facilitated restructuring of the world economy, such as global supply chains and reduction of regulatory barriers to capital flows, have benefitted illicit trade. As a result, legal and illicit trade have grown alongside each other (Costa Storti and De Grauwe, 2011).
1.2 What health harms arise from illicit trade?
In this session, we will focus on the illicit trade of selected products harmful to health - medicines, tobacco products and psychoactive substances (drugs). There are many other products and services which are traded illicitly which pose harms to human health not covered within the scope of this session. These include the smuggling and trafficking of people, the illegal acquisition and sale of human organs, the production of counterfeit alcohol products, the falsification of medical credentials, and the illicit trade of armaments or weapons.
1.2 What health harms arise from illicit trade?
Illicit trade poses direct and indirect risks to health. For example, counterfeit medicines can harm patients directly through the ingesting of ingredients harmful to health or harmful in the wrong dosage. Indirect harm can also be caused by the patient not receiving the genuine treatment needed for their condition. The illicit trade can also lead to the increased availability or reduced cost of genuine products, such as cigarettes, which are inherently harmful to health. This occurs as the result of genuine cigarettes being smuggled into controlled or closed markets, lower prices of these products due to non-payment of taxes, and pressure on governments to reduce taxes. The supply of illegal drugs can cause direct health harms (e.g. brain development, physiological harms), but also create powerful addictions which lead to risky behaviours and criminality such as engagement in unprotected sex, sex work and petty theft.