A deep investigation published in BMJ Tobacco Control highlights the involvement of the American Chamber of Commerce (AmChams) network in various countries in promoting tobacco industry interests. This practice is seen as creating significant obstacles for governments in enforcing strict public health regulations, particularly regarding the control of e-cigarettes.
In Bulgaria, parliamentary efforts to implement a total ban on e-cigarettes following a tragic health incident involving teenagers were successfully suppressed by the intervention of the local AmCham. They argued that a ban would instead fuel the black market and undermine tax revenue. As a result, the legislation passed was much more lenient, still allowing the distribution of refillable vapes produced by companies affiliated with the business organization.
Research from the Global Center for Good Governance in Tobacco Control shows that out of 103 AmCham affiliates examined, 80 counted tobacco companies among their members. Many even placed tobacco industry executives in strategic positions. This bestows a semi-official legitimacy on tobacco companies to influence public policy, often conducted under the guise of economic advocacy or environmental initiatives.
The methods used include legislative lobbying, relying on biased market research data to combat tax regulations, and 'greenwashing' strategies designed to polish the image of tobacco companies as entities concerned about sustainability. In Serbia, for instance, a major cigarette factory was praised by the local AmCham for its environmental achievements—a move fiercely criticized for obscuring the deadly health impacts of their products.
Global health experts are now urging governments worldwide to be more vigilant regarding the influence of AmChams. They advise public authorities to maintain a critical distance in partnerships with such business groups to ensure that national health policies are not dictated by industry interests that threaten broader public well-being.