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Latest Centre Publications

An overview of the most recent papers and reports produced by members of the Centre for 21st Century Public Health.

Safeguarding governance and advancing policy at the nexus of climate and health: a commercial determinants of health perspective

Authored by PhD student Dan Hunt and Dr Britta Matthes, this paper was published in the Journal of Climate Change and Health


Black and white image of protest with people holding large signs on climate action and health

Climate change is weakening the political, economic, social, and technological systems needed for effective health governance, forcing governments to divert resources toward emergency responses and creating vulnerabilities that commercial actors can exploit. Dan Hunt and Dr Britta Matthes highlight that this destabilisation enables corporate influence over health policy, particularly as climate driven economic insecurity affects GDP, employment, and supply chains. The paper reveals how some commercial actors take advantage of these conditions—for example through casualised labour or raising prices for essential medicines during crises—and notes that over 70% of post industrial CO₂ emissions originate from just 78 corporate and state entities. It also emphasises the longstanding denial and delay strategies used by fossil fuel, plastics, and agrichemical industries to obstruct climate policy.

Flue-cured tobacco in Zimbabwe: a particularly harmful commodity requiring the attention of tobacco control

Authored by Dr Rosemary Hiscock, Dr Britta Matthes and Dr Michael Bloomfield, this paper was published in the British Medical Journal.


Black and white image of drying tobacco leaves

New research by the University of Bath’s Tobacco Control Research Group reveals that flue cured Virginia tobacco production in Zimbabwe causes severe environmental and economic harm, including the annual destruction of around 60,000 hectares of Miombo woodland and economic conditions that trap smallholder farmers in dependence on tobacco companies. The study explains that farmers rely on contracts that provide loans for agrochemicals but limit them to selling only to the contracting company, which controls prices and keeps earnings too low for farmers to protect woodlands or diversify into other crops. The curing process itself requires large amounts of wood fuel and contributes to climate change, while tobacco companies promote an image of sustainability that does not reflect the reality experienced by farmers.

Talking to your child about weight

A guide and videos for parents and caregivers, developed from research led by Professor Fiona Gillison, supporting sensitive conversations with children about their weight.


Image of step on weighing scales

Researchers at the University of Bath have produced a series of short, evidence based films to help parents navigate sensitive conversations with children about weight, offering practical strategies drawn from lived experiences. The videos build on a written guide led by Professor Fiona Gillison and created with input from parents, healthcare professionals, charities, and academics, forming the first evidence based resources designed for both parents and clinicians. These materials aim to reduce parents’ fear of causing harm, provide clear guidance on when and how to talk about weight, and support children who may be worried about their weight or experiencing bullying. Clinicians involved highlight the importance of sensitive, skilful conversations to avoid shame while ensuring children receive support.

No Change in Illicit Tobacco Use Following the Introduction of Standardised Packaging? A Longitudinal Online Survey in the United Kingdom

Authored by Dr Daniel Jones and academics from the University of Stirling, this paper was published in Tobacco Use Insights.


Hand outstretched with open packet of cigarettes

This paper investigates whether the introduction of standardised tobacco packaging in the UK led to an increase in illicit tobacco use, as the tobacco industry has long claimed. Using four waves of data from a longitudinal online survey (one wave before standardised packaging in 2016 and three after in 2017, 2019, and 2022), the study finds no evidence of increased illicit tobacco purchasing following the policy change. In fact, reports of buying illicit cigarettes or roll your own tobacco were slightly lower in 2019 and 2022 compared with 2016. Among those who did use illicit products, key reasons included low cost, high availability, and opportunism, while very few cited attractive packaging as a motivating factor either before or after the shift to standardised packs.

The UK Tobacco Industry Interference Index 2025

This report from the Tobacco Control Research Group forms part of the Global Industry Interference Index, a global suvey on how governments are responding to Tobacco industry Interference.


a plume of smoke against a dark background

The Global Tobacco Industry Interference Index is released by the Global Center for Good Governance in Tobacco Control in partnership with STOP. TCRG provided data and analysis for the UK. The report aims to measure how well national governments in the UK protected public health policies from tobacco industry interference over the two-year period on March 2023-2025. The report makes 5 recommendations to tackle conflicts of interest and effectively regulate the tobacco industry and its products.

Constructing and Contesting industry's role in multistakeholder governance: a qualitative analysis of responses to WHO consultations

Authored by Dr Amber Van Den Akker, Dr Britta Matthes, Professor Anna Gilmore and academics from Lancaster University and University of Edinburgh, this paper was published in BMC Globalisation and Health.


Person holding pencil and paper in front of two laptops

Multistakeholderism as a norm stating that global public issues should be addressed by all those who affect or are affected by this issue, has become increasingly institutionalised in global governance, including the United Nations (UN) system. Despite an increasing body of evidence showing the risks of corporate capture of multistakeholder governance (MSG) and its related inability to deliver effective public health outcomes, this approach is increasingly common. While research shows that industry actors have pushed for MSG, and others have questioned its legitimacy, how MSG is constructed, legitimised and contested by different actors has not been systematically studied. Analysing responses to World Health Organization (WHO) consultations related to non-communicable diseases (NCDs) and associated risk factors, this study examines how actors construct or contest the legitimacy of MSG to address these public health issues.