The WHO estimates that if the measures set out by the FCTC [Framework Convention on Tobacco Control] are not adopted, by 2020 around 10 million people will be dying from smoking...The tobacco industry is upset it was not involved in the negotiations of the treaty...But adopting this treaty is one thing, enforcing it is another. Many doctors and NGOs are worried that the big players - such as the United States, Japan and Germany - will not ratify the FCTC.