Hp1 1 the tobacco altas 10th anniversay

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烟草图册十周年

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Hp1 1 the tobacco altas 10th anniversay

  1. 1. Tobacco Atlas 10th AnniversaryA global overview of tobacco control andtobacco industry from the public health, economic, and political perspective WCTOH Plenary March 22 9:00 – 10.30 a.m. www.TobaccoAtlas.org
  2. 2. Introduction John Seffrin, PhD Chief Executive Officer,American Cancer Society www.TobaccoAtlas.org
  3. 3. www.TobaccoAtlas.org
  4. 4. www.TobaccoAtlas.org
  5. 5. www.TobaccoAtlas.org
  6. 6. United Nations High-Level Meeting on Non-communicable Diseases September 2001 www.TobaccoAtlas.org
  7. 7. www.TobaccoAtlas.org
  8. 8. www.TobaccoAtlas.org
  9. 9. “I loveeverythingnew,deliciousand round”Advertisement sloganfor Kiss Cigarettes inRussia, 2011 www.TobaccoAtlas.org
  10. 10. www.TobaccoAtlas.org
  11. 11. Harm, Prevalence, and Industry Trends Michael Eriksen, ScD Georgia State University, Institute of Public Health www.TobaccoAtlas.org
  12. 12. Deaths• Each year, 6 million deaths are caused by tobacco use• 80% of deaths occur in LMIC• Tobacco accounts for more than 15% of male and 7% of female deaths globally• 100 million deaths in 20th century www.TobaccoAtlas.org
  13. 13. Harm• Harm from tobacco will extend decades into the future• Tobacco smoke contains 7,000 chemicals and compounds; at least 69 cause cancer www.TobaccoAtlas.org
  14. 14. Secondhand Smoking• 600,000 deaths annually from secondhand smoke exposure• Highest exposure rates (over 50%) in Western Pacific region www.TobaccoAtlas.org
  15. 15. Nicotine Delivery Systems• Providers of nicotine – Pharmaceutical Companies – Entrepreneurs – Tobacco Companies• The Unanswered Question: From whom will you buy your nicotine? www.TobaccoAtlas.org
  16. 16. Cigarette Consumption• Nearly 20% of the adult population smokes• Top 5 consumers – China, Russian Federation, US, Indonesia, Japan• Consumption shifting from West to East (1990-2009) – Western Europe dropped 26% – Middle East and Africa increased 57% www.TobaccoAtlas.org
  17. 17. Male Tobacco Use• 800 million adult men worldwide smoke cigarettes• 80% of male smokers are in low- and middle-income countries• Average smoking prevalence by income category – HIC: 30% – MIC: 34% – LIC: 21% www.TobaccoAtlas.org
  18. 18. Male Tobacco Use Men’s smoking rates are ten times as high as women’s in 49 countries. www.TobaccoAtlas.org
  19. 19. Female Tobacco Use• Nearly 200 million adult women smoke cigarettes• 50% of female smokers are in low- and middle-income countries• Average smoking prevalence by income category – HIC: 19% – MIC: 5% – LIC: 3% www.TobaccoAtlas.org
  20. 20. Female Tobacco Use www.TobaccoAtlas.org
  21. 21. Youth Tobacco Use• Boys’ and girls’ smoking rates differ by less than 5 percentage points in almost half of the world’s countries• At least 25 countries where more girls smoke than boys• Majority of smokers begin in their youth• Approximately a third of youth who initiate smoking eventually die as a result of an adolescent decision www.TobaccoAtlas.org
  22. 22. Youth Tobacco Use www.TobaccoAtlas.org
  23. 23. Growing Tobacco• Grown in 124 countries• 3.8 million hectares• 7.1 million tonnes• China produces 43% of the world’s tobacco (more than other top nine growers combined)• 2000-2009: Area harvested decreased by the same amount production quantity increased (approx. 7%) www.TobaccoAtlas.org
  24. 24. Tobacco Companies• Global cigarette market valued at almost half a trillion dollars (taxes excluded)• Comparable to GDP of Poland and Sweden• CNTC manufactured 2.1 trillion of the world’s 5.9 trillion cigarettes (2008) www.TobaccoAtlas.org
  25. 25. Undue Influence• Political Influence – 2010, US: 168 lobbyists employed and $16.6 million spent to influence politics• Corporate Social Responsibility – 2010, PMI: donated $25 million from their $7.5 billion profits (less than 1% of net profits)• Front Groups – Partner with associations, think tanks, industry groups www.TobaccoAtlas.org
  26. 26. Profit per Death• $35 billion in annual profits• 6 million deaths each year• Nearly $6,000 in profit for every death caused by tobacco www.TobaccoAtlas.org
  27. 27. Economics of Tobacco Control Hana Ross, PhD American Cancer Society www.TobaccoAtlas.org
  28. 28. Global Cigarette Production ** Between 2000 and 2010, cigarette production noticeably shifted fromthe western to the eastern part of Europe. www.TobaccoAtlas.org
  29. 29. Cigarettes Dominate, but Are Not the Only Tobacco Product of the Tobacco IndustryValue of global tobacco industry production measured at retail salesprice (all taxes included) in 2010, in billions, USD www.TobaccoAtlas.org
  30. 30. Global Smokeless Tobacco Sales Volume60% increase 2000 – 2010Measured in tonnes www.TobaccoAtlas.org
  31. 31. Between 2000 and 2008, Total CostsAttributable to Tobacco Use in China More Than Quadrupled 2008 $28.9 billion 2000 $7.2 billion www.TobaccoAtlas.org
  32. 32. Direct vs. Indirect Tobacco-Related CostsDirect health-care costs areonly a portion of the totalcost of tobacco to society.The ratio depends on thecountrys health-caresystem and income level. www.TobaccoAtlas.org
  33. 33. Change in Affordability2000 – 2010 www.TobaccoAtlas.org
  34. 34. Affordability Chapter: Minutes of Labor Required to Purchase a Pack of Cigarettes At median wage in 2009 www.TobaccoAtlas.org
  35. 35. Cigarette Consumption Goes Down as Tobacco Taxes Go UpReal (inflation-adjusted) price of a pack of cigarettes in 1990Shekels (NIS) in Israel. Increases in cigarette prices were drivenby tax increases. www.TobaccoAtlas.org
  36. 36. Tax Revenues Goes Upas Tobacco Taxes Go Up www.TobaccoAtlas.org
  37. 37. Tobacco Taxes www.TobaccoAtlas.org
  38. 38. Illicit Cigarettes$31.3 billion tax revenue loss per year www.TobaccoAtlas.org
  39. 39. The Industry Tends to Exaggerate the Scope of Illicit Tradeas a Counterargument Against Tobacco Control MeasuresEstimates of illicit cigarette trade from the tobacco industry vs. theestimates from academic studies Illicit trade as a percent of total consumption www.TobaccoAtlas.org
  40. 40. Economics of Tobacco Control Michal Stoklosa, M.A. American Cancer Society www.TobaccoAtlas.org
  41. 41. Manufacturing Cigarettes www.TobaccoAtlas.org
  42. 42. Hongyun Factory www.TobaccoAtlas.org
  43. 43. Hongyun Factory www.TobaccoAtlas.org
  44. 44. www.TobaccoAtlas.org
  45. 45. Solutions Judith Mackay, FRCPWorld Lung Foundation www.TobaccoAtlas.org
  46. 46. FCTC: 87% of WorldBUT 20 countries not ratified www.TobaccoAtlas.org
  47. 47. FCTC & MPOWERMonitor tobacco use and Articles 20, 21prevention policiesProtectpeople from tobacco Article 8smokeOffer help to quit tobacco use Article 14Warn about the dangers oftobacco Articles 11, 12Enforce bans on tobaco Article 13advertising, promotion, andsponsorshipRaise taxes on tobacco Article 6 www.TobaccoAtlas.org
  48. 48. Smoke-free areas:doubled 2008 to 2010 www.TobaccoAtlas.org
  49. 49. SFA: Increasing, no loss of income www.TobaccoAtlas.org
  50. 50. Warning labels: ~ 50 Pictorial www.TobaccoAtlas.org
  51. 51. Pictorial Packet Warnings: 1st: Canada 2000 www.TobaccoAtlas.org
  52. 52. Plain Packaging: Australia www.TobaccoAtlas.org
  53. 53. Legal Challenges www.TobaccoAtlas.org
  54. 54. Mass Media Campaigns www.TobaccoAtlas.org
  55. 55. Human rights – treaties,conventions and agreements www.TobaccoAtlas.org
  56. 56. Funding www.TobaccoAtlas.org
  57. 57. UN Summit, September 2011 BUT tobacco is not included in the MDG www.TobaccoAtlas.org
  58. 58. The “end game”By 2025: 40% reduction in prevalence(WHO)By 2040: End-game: <5% www.TobaccoAtlas.org
  59. 59. Questions & Answers www.TobaccoAtlas.org
  60. 60. A Tool for Action Peter BaldiniCEO, World Lung Foundation www.TobaccoAtlas.org
  61. 61. Our goal Empower advocates Educate the public Inspire policy makerswww.TobaccoAtlas.org
  62. 62. TobaccoAtlas.org www.TobaccoAtlas.org
  63. 63. Advocate• TODAY, your country’s UN representative is meeting in informal negotiations around the UN Rio+20 summit on sustainability• Use the Atlas or TobaccoAtlas.org to find compelling data about your country• Visit 15000aDay.org to send your U.N. Representative an email, urging negotiations to make health and tobacco control a priority www.TobaccoAtlas.org
  64. 64. Acknowledgements Thank you to our organizational partners,especially WHO and CDC. And to the dozens ofindividuals without whom the Atlas would not be possible, including researchers, reviewers and ACS and WLF staff. www.TobaccoAtlas.org
  65. 65. Thank you@WorldLungFoundation@ACSGlobalFacebook.com/WorldLungFoundationFacebook.com/ACSGlobal www.TobaccoAtlas.org

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