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Judith Mackay: brandishing a sword for health 

BMJ 2009;338:b1689, doi: 10.1136/bmj.b1689 (Published 27 April 2009)
Jump to full article: British Medical Journal, 2009-04-27
Author: Jane Parry

Intro:

In the 25 years that Judith Mackay has been fighting the tobacco industry, she has been described as dogmatic, meddlesome, puritanical and "psychotic human garbage." Jane Parry finds out the truth

Judith Mackay typically starts her day with a session of t’ai chi. Her teacher is strict and demands high standards from her students, but the discipline suits Mackay, as does t’ai chi’s emphasis on harmony and balance.

Mackay, originally from Yorkshire, has lived in Hong Kong for 42 years, and credits living in an Asian society with teaching her about the value of negotiation over confrontation. Despite her reputation as a terrier at the heels of the tobacco industry, she sees herself as an advocate for good rather than an adversary of harm. She sees herself as a promoter of public wellbeing, helping governments and individuals to make decisions that are in the interests of good health.

The shift from activist to advocate happened in the 1980s, when she started working with governments in Asia, particularly China, as a World Health Organization consultant. Since then her name has long been synonymous with persuading governments in the region to adopt tobacco control.

When Mackay turned her attention fully to tobacco control in 1984, she worked alone. . . .

Dr Mackay subsequently became active in the women’s movement, and the transition from working in a hospital to working in tobacco control came with the realisation that smoking was a bigger threat to women’s health than gynaecological problems.

Her first role in tobacco control in 1984 was as founder and director of the Asian Consultancy on Tobacco Control. Then in 1987 to 1989 she was the founding director of the Council on Smoking and Health, subsidised by the Hong Kong government, after which, in 2001, she became a senior policy adviser for the WHO Tobacco-Free Initiative, a position that she still holds. In 2006 she began working with the World Lung Foundation on the Bloomberg Initiative.

At 65, Mackay shows no signs of putting her career on the back burner

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