Global Burden of Tobacco Tobacco killed 100 million people worldwide in the 20th Century –Leading...
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Transcript of Global Burden of Tobacco Tobacco killed 100 million people worldwide in the 20th Century –Leading...
Global Burden of Tobacco• Tobacco killed 100 million people
worldwide in the 20th Century– Leading preventable cause of death - kills
up to half of people who use it
• Unless urgent action is taken– By 2030 tobacco will kill >8 million people
each year - 80% in developing countries– Tobacco could kill 1 billion people during
the 21st Century - unless we act now
MPOWERSix Proven Polices to Reverse the Global Tobacco Epidemic
• Monitor tobacco use and prevention policies
• Protect people from tobacco smoke
• Offer help to quit tobacco use
• Warn about the dangers of tobacco
• Enforce bans on tobacco advertising, promotion and sponsorship
• Raise taxes on tobacco
Monitor Tobacco Use and Prevention Policies
• Accurate monitoring is essential– Tobacco use prevalence– Impact of policy interventions– Tobacco industry
marketing, promotion and lobbying
Protect People from Tobacco Smoke
Bar and restaurant receipts increased in California after going smoke-free
• No safe level of second-hand smoke– Smoke-free environments protect health of
non-smokers and help smokers quit
• Only completely smoke-free indoor areas with no exceptions work
• Smoke-free laws popular and do not harm business
• Worker safety measure
Offer Help to Quit Tobacco Use
• Nicotine is addictive
• Health care system has primary responsibility to treat tobacco dependence– Quit lines also
effective
Nicotine replacement therapy can double quit rates
Warn About the Dangers of Tobacco
• Most people are unaware of full range of health risks of tobacco use, SHS exposure
• Anti-tobacco ads help change image of smoking
2/3 want to quit
3/4 approve of warnings
More than half changed opinions
Pack warnings are effective, especially if they have pictures covering half of pack
Impact of pack warnings in Brazil
Enforce Bans on Tobacco Advertising, Promotion and
Sponsorship• Tens of billions of dollars
spent each year to promote tobacco– Advertising increases sales,
illness and death
• Bans are effective, but only if comprehensive– Advertising in all media must be banned– All marketing/promotion must be prohibited– Enforcement is essential
9 times faster reduction in consumption with ban than without after 10 yrs
Comprehensive advertising bans amplify effects of other interventions
Raise Taxes on Tobacco• Increasing tobacco taxes is best way to
reduce consumption– Especially among the young and the poor– Taxes must keep pace with inflation and with
increasing consumer spending power
• Tobacco taxes generally well accepted
• Higher taxes increase revenues, help pay for tobacco control and other health/social programs
Tax rates vs. consumption, South Africa
Higher tobacco taxes reduce consumption
First-Ever Comprehensive Country-by-Country Assessment
• Assesses implementation and enforcement of MPOWER
• Countries need to do much more– Some progress, but no country fully
implements even 5 of the 6 key interventions
• Tobacco control requires political commitment from all levels of government and engagement by civil society
No policy
Minimal
Moderate
Complete
No data
Only 5% of World Covered by Effective Tobacco Control Policies
5% or less benefit from effective interventions to reduce use
Global Tobacco Control is Underfunded
Globally, tobacco tax revenues are 500 times higher than spending on tobacco control
In low- and middle-income countries, tax revenues are 5,000 times higher