..

2. Smoking InSmoking In
EgyptEgypt

3. ByBy
Dr . Ashraf El-AdawyDr . Ashraf El-Adawy
Consultant Chest PhyscianConsultant Chest Physcian
TB TEAM Expert - WHOTB TEAM Expert - WHO
EgyptEgypt

5. Tobacco is one of the greatestTobacco is one of the greatest
emerging health disasters inemerging health disasters in
human historyhuman history
Harlem Brundtland, former Director- General , World Health Organization (1998) Dr Gro

7. Nothing Kills Like TobaccoNothing Kills Like Tobacco

8. Tobacco use is the leading preventable cause
of death in the world today, killing around
six million people a year- an average of one
person every six seconds
World Health Organization

9. In the 20th
century, smoking caused an estimated
100 million deaths worldwide.
In the 21st
century, if current usage patterns persist,
smoking will cause approximately 1 billion deaths
Peto R, Lopez AD. Future worldwide health effects of current smoking patterns.
In: Koop CD, Pearson C, Schwarz MR, eds. Critical issues in global health.
New York, NY: Jossey-Bass; 2001.

10. Tobacco : Deadly in any formTobacco : Deadly in any form

11. Global cigarette consumptionGlobal cigarette consumption
Billions of sticks, 1880-2000Billions of sticks, 1880-2000
10 20 50 100
300
600
1,000
1,686
2,150
3,112
4,388
5,419 5,500
0
1000
2000
3000
4000
5000
6000
Billionsofcigarettes
1880 1890 1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000
Year
Source: The Tobacco Atlas, World Health Organization 2002.

12. WHO World Health Report .Tobacco Atlas .2008.
Global Cigarette ConsumptionGlobal Cigarette Consumption

13. The number of smokers in the world, estimated at 1.3
billion, about one in three adults,in the world smoke
regularly.
It is estimated to rise to 1.7 billion by 2025 if the global
prevalence of tobacco use remains unchanged
Of these current smokers , about 80 percent live in
low- or middle income countries.
WHO World Health Report, 2003
GLOBAL TRENDS INGLOBAL TRENDS IN
TOBACCO USETOBACCO USE

14. AdolescentsAdolescents
Tobacco fact sheet. August 2000 http://tobaccofreekids.org/campaign/global/docs/facts.pdf
Every day, up to 100,000 young people globally
become addicted to tobacco
50%
of young people who
continue to smoke will
die from smoking
World Health Organization. The Tobacco Atlas. http://www.who.int/tobacco/statistics/tobacco_atlas/en

15. GlobalGlobal TobaccoTobacco ConsumptionConsumption

16. 82.8
809.7
114.8
24.2
114.7
75.9
0 200 400 600 800 1,000
Smokers (millions)
Women
Men
Most smokers in 2000 lived in economicallyMost smokers in 2000 lived in economically
developing countriesdeveloping countries
Guindon GE, Boisclar D. Past, Current and Future Trends in Tobacco use. HNP discussion paper: Economics of Tobacco Control Paper No. 6; March 2003
Developed countries
Japan, Canada, US, Australia,
New Zealand, Western Europe
(24 countries)
Transitional
countries
Former Soviet bloc / Eastern
Europe (23 countries)
Developing
countries
(84 countries)

17. Past and Future Annual Deaths due toPast and Future Annual Deaths due to
Tobacco UseTobacco Use
0.3 0 0.3
1.3
0.2
1.5
2.12.1
4.2
3
7
10
0
1
2
3
4
5
6
7
8
9
10
1950 1975 2000 2025-2030
Developed
Developing
World

18. By 2030, 7 of every 10 tobacco attributable deaths
projected to be in developing countries
Tobacco deaths 2000
Developed 2million
Developing 2million
The global burden of deaths from tobaccoThe global burden of deaths from tobacco
is shifting from developed tois shifting from developed to
developing countriesdeveloping countries
Tobacco deaths 2030
3million
7million
World Health Organization. 1999. Making a Difference. World Health Report. 1999.
Geneva, Switzerland

19. Where is the burden increasing the fastest,
1990 to 2020?
India
+1400%Middle
Eastern
Crescent
+700%
India
+1400%Middle
Eastern
Crescent
+700%
Latin
American
and
Caribbean
+300%
India
+1400%
India
+1400%Middle
Eastern
Crescent
+700%
Latin
American
and
Caribbean
+300%
Other Asia
and Islands
+250%
India
+1400%Middle
Eastern
Crescent
+700%
Latin
American
and
Caribbean
+300%
Sub-
Saharan
Africa
+200%
Other Asia
and Islands
+250%
India
+1400%Middle
Eastern
Crescent
+700%
Latin
American
and
Caribbean
+300%
Sub-
Saharan
Africa
+200%
Other Asia
and Islands
+250%
China
+175%
India
+1400%Middle
Eastern
Crescent
+700%
Latin
American
and
Caribbean
+300%
Sub-
Saharan
Africa
+200%
Other Asia
and Islands
+250%
China
+175%
Formerly Socialist
Economies of Europe
+120%
India
+1400%Middle
Eastern
Crescent
+700%
Latin
American
and
Caribbean
+300%
Sub-
Saharan
Africa
+200%
Other Asia
and Islands
+250%
China
+175%
Formerly Socialist
Economies of Europe
+120%
Established Market
Economies
+18%

20. Deaths attributed to tobacco use in 1990Deaths attributed to tobacco use in 1990
& 2020 by region& 2020 by region
Deaths (millions( Change
Region 1990 2020 absolute %
China 0.8 2.2 +1.4 +175%
India 0.1 1.5 +1.4 +1400%
Middle Eastern Crescent 0.1 0.8 +0.7 +700%
Formerly Socialist Economies of Europe 0.5 1.1 +0.6 +120%
Other Asia and Islands 0.2 0.7 +0.5 +250%
Latin America and Caribbean 0.1 0.4 +0.3 +300%
Sub-Saharan Africa 0.1 0.3 +0.2 +200%
Established Market Economies 1.1 1.3 +0.2 +18%
World 3.0 8.4 +5.4 +180%
Murray CJL, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study

21. Middle East
Australia & New Zealand
Africa (mainly south Africa)
South America
Southeast Asia & Japan
South Asia
China
Central & eastern Europe
Western Europe
North America
45.5%
44.8%
38.9%
38.3%
37.4%
36.2%
35.9%
30.2%
29.3%
26.1%
Population attributable risks associated with smoking by geographic region
INTERHEART ; Lancet 2004;364:937-52
1
2
3
4
5
6
7
8
9
10

23. Globally, 60% of all deaths are due to NCDsGlobally, 60% of all deaths are due to NCDs

24. Noncommunicable Diseases
4 Diseases, 4 Modifiable Shared Risk Factors
Tobacco
Use
Unhealthy
diets
Physical
Inactivity
Harmful
Use of
Alcohol
Cardio-
vascular
Diabetes
Cancer
Chronic
Respiratory

25. 2005 2006-2015 (cumulative)
Geographical
regions (WHO
classification(
Total
deaths
(millions(
NCD
deaths
(millions(
NCD
deaths
(millions(
Trend: Death
from infectious
disease
Trend: Death
from NCD
Africa 10.8 2.5 28 +6% +27%
Americas 6.2 4.8 53 -8% +17%
Eastern
Mediterranean 4.3 2.2 25 -10% +25%
Europe 9.8 8.5 88 +7% +4%
South-East Asia 14.7 8.0 89 -16% +21%
Western Pacific 12.4 9.7 105 +1 +20%
Total 58.2 35.7 388 -3% +17%
Noncommunicable Diseases (2006-2015)
Death trends (2006-2015)
WHO projects that over the next 10 years, the largest increase in
deaths from cardiovascular disease, cancer, respiratory disease and
diabetes will occur in developing countries.

26. Noncommunicable diseases in developing countries
are a major public health and socio-economic problem
The major challenge to development
in the 21st
century


27. WHO Report 2005, Preventing chronic diseases: a vital investment
The failure to use available knowledge about
chronic disease prevention and control
endangers future generations

28. www.who.int/chp

29. Reducing NCD risk factors
•Bangladesh
•Brazil
•China
•Egypt
•India
•Indonesia
•Mexico
•Pakistan
Reducing the level of exposure of
individuals and populations to tobacco
use
Technical assistance package to implement
the WHO FCTC demand reduction
measures
–Monitoring (surveillance and
evaluation(
–Protect (second hand smoke(
–Offer help
–Warn against dangers
–Enforce legislation against tobacco
promotion
–Raise taxes
•Philippines
•Russia
•Thailand
•Turkey
•Ukraine
•Vietnam
•Uruguay

31. GlobalGlobal Tobacco healthTobacco health BurdenBurden
Global

33. Decrease in smoking prevalence
In 1950, about 80%
of UK men smoked
United Kingdom, 1950-2002
1950 1960 1970 1980 1990 2000
0
20
40
60
80
%
at ages
35-59
70%
50%
28%
26%
%smoked
%smoked
In 1970, UK male death
rates from smoking were
the worst in the world
1970-2000,decrease in
male death rates from
smoking was the
best in the world

34. The Decline in US Smoking PrevalenceThe Decline in US Smoking Prevalence

36. Smoking and Social StigmaSmoking and Social Stigma

39. Egypt is one of the top fifteen countries with smoking
problems
Egypt has the highest consumption of tobacco in the Middle
East and North African Region , accounting for nearly one
fourth of total consumption in the region.
Egypt has the largest population of tobacco users in the Arab
world

40. Tobacco Road Map
Top 10 male smoking populations 2008

41. For Egypt, the Arab world's most populous country,The
country is ranked one of the top 10 per capita tobacco
consumers by the World Lung Foundation
The ministry of Health estimates that 20% of adult
Egyptians smoke, consuming about 80 billion cigarettes
a year

42. Smoking in Egypt is very common, unfortunately Out of
every 10 men, four smoke and more and more women
are smoking now.
It's a big public health problem.
For many Egyptians, smoking is a way of life and a
pleasure

43. The Economics of Tobacco andTobacco Taxation in Egypt 2010
International Union Against Tuberculosis and Lung Disease

44. smoking prevalence and per capita cigarette
consumption have been generally rising over time
Smoking prevalence has been rising in Egypt, with the
number of smokers increasing at about twice the
rate of population growth over the past few decades

45. Cigarettes are the most widely consumed tobacco product in
Egypt, and cigarette consumption has been rising more or
less steadily since the 1970s.
Overall cigarette consumption more than doubled between
1990 and 2007, rising from 39.2 billion cigarettes in 1990 to
84.6 billion cigarettes in 2007
Per capita cigarette consumption rose by over 50% during this
period, to over 1,050 cigarettes annually
Male cigarette smokers consume an average of one pack of
cigarettes per day, while females smokers average about half
a pack per day

47. Around 10 million Egyptians – approximately one in eight of
the total population – use some form of tobacco, said the
Central Agency for Public Mobilization and Statistics
(CAPMAS).
The average monthly expenditure of smokers on cigarettes
is 110 EGP (U.S. $19) totalling up to LE11 billion per year
Smokers in Egypt increases by 6 to 9 percent every year as
compared to 1 percent in the West

48. The study by CAPMAS also found that more than 5
percent of an Egyptian family’s income is spent on
cigarettes versus 2 percent of the income which is
spent on health.

49. Health cost of tobacco-related disease
In 2005, estimates indicated that about 3.4 billion EGP
(US$ 616 million) were spent annually in Egypt to
treat the diseases caused by tobacco use

50. In addition to the sizable health care costs resulting
from tobacco use, the premature deaths and disability
caused by smoking result in significant lost
productivity.
In high-income countries, these costs are about the same
as or exceed the health care costs caused by smoking.
To date, no estimates exist for the lost productivity
costs in Egypt that result from tobacco use

51. In Egypt, tobacco-attributable deaths were estimated to be
nearly 170,000 in 2004.
Reflecting the gender-specific patterns of tobacco use, over
90% of these are among men
As in other countries, the majority of these deaths
result from lung and other cancers, strokes, ischemic
heart and other cardiovascular diseases, and chronic
respiratory diseases.

53. A brief history of smoking
Tobacco has been growing wild in Central Americas
for nearly 8000 years.
Around 2,000 years ago tobacco began to be chewed and
smoked during cultural or religious ceremonies and
events.

54. Christopher Columbus was a great
explorer and probably the first
European to see the tobacco plant.
In 1492 he arrived in ‘San Salvador’
where the natives thought that he
and his men were divine beings sent
by the Gods.
They presented Columbus with gifts
including wooden spears, wild fruits
and dried leaves.
Columbus did not smoke; indeed he
threw the leaves

55. ‫التبغ‬ ‫اكتشاف‬ ‫تاريخ‬‫التبغ‬ ‫اكتشاف‬ ‫تاريخ‬
•‫نزل‬ ‫فعندما‬ ,‫الحمر‬ ‫الهنود‬ ‫أي‬ ‫اللصليين‬ ‫أمريكا‬ ‫أهل‬ ‫بين‬ ‫بدأت‬ ‫اللصلية‬ ‫الحكاية‬
‫جزيرة‬ ‫شاطيء‬ ‫على‬ ‫بسفنه‬ ‫ورسا‬ ‫الشهيرة‬ ‫رحلته‬ ‫في‬ ‫الجديد‬ ‫العالم‬ ‫إلى‬ ‫كولومبس‬
‫سنة‬ ‫كوبا‬1492‫مثيرة‬ ‫ملمح‬ ‫لهم‬ ‫قوم‬ ‫يسكنها‬ ‫لصغيرة‬ ‫قرية‬ ‫شاهد‬ ‫م‬.
‫منهم‬ ‫وعرف‬ ,‫النخيل‬ ‫وسعف‬ ‫القش‬ ‫من‬ ‫أكواخ‬ ‫في‬ ‫القرية‬ ‫تلك‬ ‫سكان‬ ‫يعيش‬
‫بعد‬ ‫على‬ ‫الجزيرة‬ ‫داخل‬ ‫في‬ ‫يسكن‬ ‫ملكا‬ ‫لهم‬ ‫أن‬30‫أن‬ ‫كولومبس‬ ‫واعتقد‬ ,‫مترا‬ ‫كيلو‬
‫على‬ ‫لتساومه‬ ‫استكشافية‬ ‫بعثة‬ ‫إليه‬ ‫فأرسل‬ ,‫الذهب‬ ‫من‬ ‫أكواما‬ ‫له‬ ‫هذا‬ ‫ملكهم‬
‫يديهم‬ ‫وبين‬ ‫فقراء‬ ‫إل‬ ‫تجد‬ ‫لم‬ ‫البعثة‬ ‫لكن‬ ,‫به‬ ‫يحتفظ‬ ‫ذهب‬ ‫مقابل‬ ‫يحملونها‬ ‫بضاعة‬
‫توضع‬ ‫اللفافة‬ ‫طرفي‬ ‫أحد‬ ‫وعلى‬ ,‫جمرات‬ ‫بها‬ ‫نار‬ ‫وبجوارهم‬ ‫غامضة‬ ‫بنية‬ ‫لفافات‬
‫الشهيق‬ ‫يحدث‬ ‫ومنه‬ ,‫النف‬ ‫فتحتي‬ ‫إحدى‬ ‫في‬ ‫فموضوع‬ ‫الخر‬ ‫الطرف‬ ‫أما‬ ,‫الجمرة‬
‫اللفافة‬ ‫من‬ ‫الكوبي‬ ‫يستنشق‬ ‫أن‬ ‫وبعد‬ !‫دخان‬ ‫من‬ ‫حلقات‬ ‫هيئة‬ ‫على‬ ‫الزفير‬ ‫ويخرج‬
‫المنصوبة‬ ‫الدائرة‬ ‫أفراد‬ ‫على‬ ‫اللفافة‬ ‫تدور‬ ‫وهكذا‬ ‫يليه‬ ‫لمن‬ ‫يسلمها‬ ‫اثلاثا‬ ‫أو‬ ‫مرتين‬...

56. ‫التبغ‬ ‫اكتشاف‬ ‫تاريخ‬‫التبغ‬ ‫اكتشاف‬ ‫تاريخ‬
•‫يقارب‬ ‫ما‬ ‫منذ‬ ‫التدخين‬ ‫عرف‬ ‫لقد‬500‫كريستوفر‬ ‫اكتشف‬ ‫عندما‬ ،‫فقط‬ ‫عام‬
‫كولومبس‬
‫عام‬ ‫في‬ ‫المريكية‬ ‫القارة‬1492‫منذ‬ ‫المكسيك‬ ‫في‬ ‫قبلها‬ ‫معروفا‬ ‫وكان‬ ،‫م‬2500
‫تقريبا‬ ‫عاما‬.
••،‫الجلدية‬ ‫المراض‬ ‫وبعض‬ ‫الصداع‬ ‫علج‬ ‫في‬ ‫المر‬ ‫بادئ‬ ‫في‬ ‫يستعمل‬ ‫وكان‬
‫العتقاد‬ ‫هذا‬ ‫خطأ‬ ‫ذلك‬ ‫بعد‬ ‫علميا‬ ‫اثبت‬ ‫ولكن‬
•‫أسبانيا‬ ‫ملك‬ ‫الثاني‬ ‫فيلب‬ ‫الملك‬ ‫أرسله‬ ،‫أسباني‬ ‫طبيب‬ ‫أوروبا‬ ‫إلى‬ ‫أدخله‬ ‫من‬ ‫أول‬
‫التبغ‬ ‫نبات‬ ‫ومعه‬ ‫فعاد‬ ،‫للمكسيك‬ ‫استطلعية‬ ‫رحلة‬ ‫في‬.
•‫فرنسا‬ ‫ملكة‬ ‫إلى‬ ‫النبات‬ ‫هذا‬ ‫أرسل‬ ،(‫نيكوت‬ ‫البرتغال)جان‬ ‫في‬ ‫فرنسا‬ ‫سفير‬
،‫منه‬ ‫تشكو‬ ‫كانت‬ ‫لصداع‬ ‫من‬ ‫لعلجها‬
‫إليه‬ ‫نسبة‬ (‫)نيكوتين‬ ‫تسمى‬ ‫النبات‬ ‫هذا‬ ‫في‬ ‫السامة‬ ‫المادة‬ ‫وألصبحت‬.

57. The word “Nicotine” was named
after a French ambassador called
JeanNicot.
The latter used to ship tobacco
seeds from the new world to Paris in
the 16th
century for medical
purposes.
In 1828, a scientist discovered the
seeds contained a poisonous
substance and he decided to call it
“Nicotine” after Jean Nicot

59. ‫الرابع‬ ‫مراد‬ ‫العثماني‬ ‫السلطان‬‫الرابع‬ ‫مراد‬ ‫العثماني‬ ‫السلطان‬
‫الهجري‬ ‫العاشر‬ ‫القرن‬ ‫في‬ ‫السلم‬ ‫بلد‬ ‫دخل‬.
•‫عام‬ ‫مصر‬ ‫في‬ ‫أدخل‬1012‫هـ‬1585‫وذكر‬ ،‫م‬
‫حوادث‬ ‫في‬ ‫الجبرتي‬1156‫هـ‬‫الوالي‬ ‫أن‬
‫في‬ ‫الدخان‬ ‫شرب‬ ‫بمنع‬ ‫أوامر‬ ‫ألصدر‬ ‫العثماني‬
‫وشدد‬ ‫البيوت‬ ‫وأبواب‬ ‫الدكاكين‬ ‫وعلى‬ ‫الشوارع‬
‫ذلك‬ ‫يفعل‬ ‫بمن‬ ‫العقاب‬ ‫في‬.
‫ينبذها‬ ‫دنيئة‬ ‫عادة‬ ‫مبدئه‬ ‫في‬ ‫التدخين‬ ‫وكان‬
،‫الناس‬ ‫جمهور‬
‫في‬ ‫عرف‬ ‫الذي‬ ‫والسلطين‬ ‫الملوك‬ ‫أن‬ ‫حتى‬
‫مثل‬ ‫أسواقه‬ ‫وعطلوا‬ ‫استعماله‬ ‫منعوا‬ ‫عهودهم‬
‫إنجلترا‬ ‫وملك‬ ‫الرابع‬ ‫مراد‬ ‫العثماني‬ ‫السلطان‬
‫ملك‬ ‫الصفوي‬ ‫عباس‬ ‫والشاه‬ ‫الول‬ ‫جيمس‬
‫وحكم‬ ‫بعضهم‬ ‫تطرف‬ ‫بل‬ ،‫وغيرهم‬ ‫إيران‬
‫متعاطيه‬ ‫على‬ ‫بالعدام‬

60. •:
-‫سنة‬ ‫في‬1601‫مصر‬ ‫إلى‬ ‫التبغ‬ ‫دخل‬ ‫م‬
‫سنة‬ ‫في‬ ‫واستيراده‬ ‫عليه‬ ‫القبال‬ ‫وزاد‬
1737‫م‬.
-‫سنة‬ ‫في‬1799‫في‬ ‫الفيوم‬ ‫سكان‬ ‫بدء‬ ‫م‬
‫الناس‬ ‫عليه‬ ‫أقبل‬ ‫أن‬ ‫بعد‬ ‫التبغ‬ ‫زراعة‬ ‫مصر‬.
-‫سنة‬ ‫في‬1810‫باشا‬ ‫علي‬ ‫محمد‬ ‫احتكر‬ ‫م‬
‫مصر‬ ‫في‬ ‫التبغ‬ ‫زراعة‬‫القتصادي‬ ‫لعائده‬ ‫نظرا‬
‫الكبير‬.
‫زراعة‬ ‫نطاق‬ ‫توسيع‬ ‫علي‬ ‫الباشا‬ ‫عمل‬ ‫وقد‬
‫حيث‬ ،‫الجنوب‬ ‫باتجاه‬ ‫الخاص‬ ‫محصوله‬
‫من‬ ‫اعتبارا‬ ‫وذلك‬ ،‫ملءمة‬ ‫أكثر‬ ‫المناخ‬1829‫م‬
‫في‬ ‫التبغ‬ ‫استعمال‬ ‫وعم‬ ‫المدخنون‬ ‫فكثر‬
‫مصر‬ ‫أنحاء‬ ‫جميع‬.

61. ‫أفضل‬ ‫من‬ ‫الدخان‬ ‫محصول‬ ‫وكان‬
‫للفل ح‬ ‫مردودا‬ ‫المصرية‬ ‫المحالصيل‬
‫زراعته‬ «‫»كرومر‬ ‫يمنع‬ ‫أن‬ ‫قبل‬ ،‫وللخزانة‬
‫في‬ ‫نهائيا‬1890‫م‬‫إنجلترا‬ ‫رغبة‬ ‫حسب‬
‫استيراد‬ ‫توفيق‬ ‫الخديوي‬ ‫من‬ ‫طلبت‬ ‫التى‬
‫جمارك‬ ‫رسوم‬ ‫وفرض‬ ‫تركيا‬ ‫من‬ ‫الدخان‬
‫إنجلترا‬ ‫إلى‬ ‫حصيلتها‬ ‫وتحويل‬ ‫الدخنة‬ ‫على‬
‫الوقت‬ ‫ذلك‬ ‫فى‬ ‫المصرية‬ ‫الديون‬ ‫لسداد‬

62. The development of a major cigarette industry
in Egypt in the late nineteenth century
One reason for the development of the industry was the
imposition of a state tobacco monopoly in the Ottoman Empire,
a measure designed to increase Ottoman government revenue.
This resulted in the movement of many Ottoman tobacco
merchants, usually ethnic Greeks, to Egypt, a country which was
culturally similar to the Ottoman Empire but outside the tobacco
monopoly as a result of its occupation by Great Britain.

63. The founder of the industry was Nestor Gianaclis, a Greek who
arrived in Egypt in 1864 and in 1871 established a factory in the
Khairy Pasha palace in Cairo which, after Gianaclis moved to
larger premises in 1907, became the home first of Cairo
University and then of the American University in Cairo.
Gianaclis and other Greek industrialists such as Ioannis
Kyriazis of Kyriazi frères successfully produced and exported
cigarettes using imported Turkish tobacco to meet the growing
world demand for cigarettes in the closing decades of the
nineteenth century.
The development of a major cigarette industry
in Egypt in the late nineteenth century

78. Cleopatra Cigarettes produced in Egypt by Eastern Company are

80. For many years, cigarette production and distribution in
Egypt was monopolized by the government-owned Eastern
Tobacco Company (ETC(.
In recent years, as Egypt has moved from a ,centralized to
a market-oriented economy, the government has sold off part
of its stake in ETC; however, it still retains a majority
ownership share

99. Shisha is less hazardous than
cigarette is a misconception

100. In Egypt, use of shisha is the second most common type of
tobacco consumed.
In the Region, the use of shisha is an old tradition that
goes back centuries.
In the past, shisha smoking was generally limited to older
males, usually of low socioeconomic level, in rural areas
and in the older parts of cities.
However, since the early 1990s there has been an
increase in shisha use in cities and among new groups
such as females, young people and those from high
socioeconomic levels

101. ‫التبغ‬ ‫وباء‬ ‫ضحايا‬‫التبغ‬ ‫وباء‬ ‫ضحايا‬

108. Smoking Prevalence in EgyptSmoking Prevalence in Egypt

120. ‫التدخين‬ ‫مكافحة‬ ‫قوانين‬‫التدخين‬ ‫مكافحة‬ ‫قوانين‬‫مصر‬ ‫فى‬‫مصر‬ ‫فى‬

121. ‫رقم‬ ‫قانون‬‫رقم‬ ‫قانون‬137137‫لسنة‬‫لسنة‬19811981‫يحظر‬ ‫والذي‬ ‫م‬‫يحظر‬ ‫والذي‬ ‫م‬
‫العمل‬ ‫أماكن‬ ‫في‬ ‫التدخين‬‫العمل‬ ‫أماكن‬ ‫في‬ ‫التدخين‬
•‫ماده‬)39(‫العمل‬ ‫أماكن‬ ‫أوفي‬ ‫العمل‬ ‫أثناء‬ ‫التدخين‬‫التدخين‬ ‫كان‬ ‫اذا‬‫ل‬‫يترتب‬
‫خطورة‬ ‫عليه‬‫يخصم‬‫أيام‬ ‫خمسه‬ ‫ثم‬ ‫ثلثه‬ ‫ثم‬ ‫يومين‬ ‫ثم‬ ‫يوم‬ ‫مره‬ ‫أول‬.
•) ‫ماده‬40(‫العمل‬ ‫أثناء‬ ‫التدخين‬.‫العمل‬ ‫أماكن‬ ‫أوفى‬
•‫ي‬ ‫التدخين‬ ‫كان‬ ‫اذا‬‫خطوره‬ ‫سبب‬‫أول‬ ‫المنشأة‬ ‫على‬‫بالفصل‬ ‫أنذار‬ ‫مرة‬‫وثانى‬‫مرة‬
‫الثلثيه‬ ‫اللجنه‬ ‫على‬ ‫العرض‬ ‫بعد‬ ‫يفصل‬
.

122. ‫قانون‬‫قانون‬5252‫لسنة‬‫لسنة‬19811981‫بالقانون‬ ‫وتعديلته‬ ‫و‬ ‫م‬‫بالقانون‬ ‫وتعديلته‬ ‫و‬ ‫م‬
8585‫لسنة‬‫لسنة‬20022002‫م‬‫م‬
•‫على‬ ‫ينص‬ ‫والذي‬‫السجائر‬ ‫بيع‬ ‫حظر‬‫منتجات‬ ‫ومختلف‬‫عن‬ ‫عمره‬ ‫يقل‬ ‫لمن‬ ‫التبغ‬
‫عام‬ ‫عشرة‬ ‫ثمانية‬‫وكتابة‬‫تحذير‬‫السجائر‬ ‫أو‬ ‫التبغ‬ ‫منتجات‬ ‫من‬ ‫عبوة‬ ‫كل‬ ‫على‬
”‫الوفاة‬ ‫ويسبب‬ ‫الصحة‬ ‫يدمر‬ ‫التدخين‬ ‫أحترس‬"‫الترويج‬ ‫أو‬ ‫العلن‬ ‫وبحظر‬
‫في‬ ‫ذلك‬ ‫كان‬ ‫سواء‬ ‫كلية‬ ‫التبغ‬ ‫منتجات‬ ‫ومختلف‬ ‫السجائر‬ ‫استعمال‬ ‫أو‬ ‫لشراء‬
‫المجلت‬ ‫أو‬ ‫الصحف‬‫عنها‬ ‫يصدر‬ ‫ما‬ ‫أو‬

123. ‫رقم‬ ‫قانون‬‫رقم‬ ‫قانون‬44‫لسنة‬‫لسنة‬19941994‫م‬‫م‬
•‫المواصلت‬ ‫ووسائل‬ ‫المغلقة‬ ‫الماكن‬ ‫في‬ ‫التدخين‬ ‫يحظر‬ ‫والذي‬
‫المدير‬ ‫وتغريم‬‫المسئول‬‫المخالفة‬ ‫الماكن‬ ‫عن‬‫بغرامة‬‫عن‬ ‫تقل‬ ‫ل‬
‫المدخن‬ ‫ومعاقبة‬ ،‫جنيه‬ ‫ألف‬ ‫عشرين‬ ‫على‬ ‫تزيد‬ ‫ول‬ ‫جنيه‬ ‫ألف‬
‫خمسين‬ ‫على‬ ‫ولتزيد‬ ‫جنيهات‬ ‫عشره‬ ‫عن‬ ‫تقل‬ ‫ل‬ ‫بغرامه‬ ‫بغرامة‬
‫جنيها‬

124. •‫وزيرالصحة‬ ‫معالي‬ ‫تعليمات‬ ‫علي‬ ‫بناء‬ ‫دوري‬ ‫منشور‬)2004(‫يمنع‬
‫والمرضي‬ ‫والعاملين‬ ‫البطباء‬ ‫لجميع‬ ‫بالنسبة‬ ‫التدخين‬ ‫باتا‬ ‫منعا‬
‫السكان‬ ‫و‬ ‫الصحة‬ ‫لوزارة‬ ‫التابعة‬ ‫المنشئات‬ ‫جميع‬ ‫في‬ ‫والزائرين‬
‫التدخين‬ ‫من‬ ‫خاليه‬ ‫اماكن‬ ‫المنشآت‬ ‫هذه‬ ‫جميع‬ ‫واعتبار‬

125. ‫القانون‬‫القانون‬154154‫لعام‬‫لعام‬20072007
•‫والنساء‬ ‫البطفال‬ ‫حماية‬‫الماكن‬ ‫في‬ ‫التدخين‬ ‫بعدم‬‫المغلقة‬‫والمكاتب‬ ‫المنازل‬ ‫مثل‬
‫بالضافة‬‫ومراكز‬ ‫والجتماعية‬ ‫الرياضية‬ ‫والنوادى‬ ‫والتعليمية‬ ‫الصحية‬ ‫للمنشآت‬
‫الشباب‬،‫ويلتزم‬‫المسئول‬ ‫المدير‬‫بمنع‬ ‫الكفيلة‬ ‫الجراءات‬ ‫باتخاذ‬ ‫الماكن‬ ‫هذه‬ ‫عن‬
‫اللتزام‬ ‫بهذا‬ ‫إخلله‬ ‫عن‬ ‫ويعاقب‬ ‫فيها‬ ‫التدخين‬‫بغرامة‬‫ول‬ ‫جنيه‬ ‫ألف‬ ‫عن‬ ‫تقل‬ ‫ل‬
‫كما‬ ،‫جنيه‬ ‫ألف‬ ‫عشرين‬ ‫على‬ ‫تزيد‬‫بغرامة‬ ‫المدخن‬ ‫يعاقب‬‫خمسين‬ ‫عن‬ ‫تقل‬ ‫ل‬
.‫جنيه‬ ‫مائة‬ ‫على‬ ‫تزيد‬ ‫ول‬ ‫ا‬ً ‫جنيه‬”
•
‫مثل‬ ‫للتدخين‬ ‫جاذبة‬ ‫شعارات‬ ‫أي‬ ‫حظر‬‫خفيفة‬ ‫أو‬ ‫خفيفة‬ ‫أو‬ ‫القطران‬ ‫قليلة‬
‫ا‬ً ‫جد‬‫التي‬ ‫التحذير‬ ‫السجائر‬ ‫أو‬ ‫التبغ‬ ‫منتجات‬ ‫من‬ ‫عبوة‬ ‫كل‬ ‫على‬ ‫يثبت‬ ‫أن‬ ‫يجب‬ ،
"‫الوفاة‬ ‫ويسبب‬ ‫الصحة‬ ‫يدمر‬ ‫التدخين‬ ‫أحترس‬‫التحذير‬ ‫هذا‬ ‫يشغل‬ ‫أن‬ ‫ويجب‬ "
‫العبوة‬ ‫واجهتي‬ ‫نصف‬‫إضافة‬ ‫الصحة‬ ‫وزير‬ ‫من‬ ‫بقرار‬ ‫ويجوز‬ ،‫القل‬ ‫على‬
،‫أخرى‬ ‫تحذيرات‬‫التدخين‬ ‫أضرار‬ ‫تؤكد‬ ‫صور‬ ‫نشر‬ ‫أو‬".

126. ‫التدخين‬‫التدخين‬‫والدين‬‫والدين‬

129. ‫حرام‬ ‫التدخين‬‫حرام‬ ‫التدخين‬
•
•، ‫للنفس‬ ‫قتل‬ ‫وهو‬ ، ‫للسرطان‬ ‫مسبب‬ ، ‫بالصحة‬ ‫مضر‬ ‫ولهنه‬ ، ‫حـــــــرام‬ ‫إهنــــــه‬
: ‫يقول‬ ‫تـعـالى‬ ‫واللــــــــــــه‬
• ( ‫رحيما‬ ‫بكم‬ ‫كان‬ ‫ا‬ ‫إن‬ ‫أهنفسكم‬ ‫تقتلوا‬ ‫ول‬ )
•‫رغما‬ ‫التدخـــــــين‬ ‫في‬ ‫ويشركه‬ ، ‫الـــــمدخن‬ ‫يجالس‬ ‫بمن‬ ‫يضر‬ ‫لهنه‬ ، ‫حرام‬ ‫وهو‬
( ‫ضرار‬ ‫ول‬ ‫ضرر‬ ‫ل‬ ) : ‫يقول‬ ‫النــــبوي‬ ‫والحديــــــــث‬ ، ‫عنه‬
•‫الدهنيا‬ ‫في‬ ‫ينفع‬ ‫ل‬ ‫فيما‬ ‫المال‬ ‫وإضاعة‬ ، ‫التبذير‬ ‫أو‬ ‫الرسراف‬ ‫باب‬ ‫من‬ ‫لهنه‬ ، ‫حرام‬ ‫وهو‬
. ‫الخرة‬ ‫في‬ ‫ول‬
•‫بالنسل‬ ‫ويضر‬ ، ‫بالنفس‬ ‫ويضر‬ ، ‫بالدين‬ ‫يضر‬ : ‫الخمس‬ ‫بالضرور‬ ‫يضر‬ ‫لهنه‬ ، ‫حرام‬ ‫هو‬
. ‫بالمال‬ ‫ويضر‬ ‫بالعقل‬ ‫ويضر‬ ،
•‫محرما‬ ‫عنه‬ ‫والعلن‬ ‫له‬ ‫والترويج‬ ‫محرما‬ ‫وبيعه‬ ، ‫محرما‬ ‫وارستيراده‬ ، ‫محرما‬ ‫كان‬ ‫لهذا‬
.
•‫آمين‬ . ‫معصيتك‬ ‫عن‬ ‫وبطاعتك‬ ، ‫حرامك‬ ‫عن‬ ‫بحللك‬ ‫اكفنا‬ ‫اللهم‬
•‫المسلمين‬ ‫علماء‬ ‫اتحاد‬ ‫رئيس‬
•‫القرضاوي‬ ‫يوسف‬

130. ‫الحق‬ ‫جاد‬ ‫على‬ ‫الحق‬ ‫جاد‬ ‫الكبر‬ ‫المام‬‫الحق‬ ‫جاد‬ ‫على‬ ‫الحق‬ ‫جاد‬ ‫الكبر‬ ‫المام‬
‫رسابقا‬ ‫الهزهر‬ ‫شيخ‬‫رسابقا‬ ‫الهزهر‬ ‫شيخ‬
•‫وطرق‬ ‫أهنواعه‬ ‫اختلفت‬ ‫وإن‬ ،‫الدخان‬ ‫شرب‬ ‫أن‬ ‫جليا‬ ‫واضحا‬ ‫"أصبح‬
‫هنفسه‬ ‫في‬ ،‫عاجل‬ ‫أو‬ ‫آجل‬ ‫إن‬ ،‫بالغا‬ ‫ضررا‬ ‫بالهنسان‬ ‫يلحق‬ ،‫ارستعماله‬
‫ممنوعا‬ ‫تعاطيه‬ ‫يكون‬ ‫وبالتالي‬ ،‫متنوعة‬ ‫كثيرة‬ ‫بأمراض‬ ‫ويصيبه‬ ،‫وماله‬
‫بأي‬ ‫ارستعماله‬ ‫للمسلم‬ ‫يجوهز‬ ‫فل‬ ‫ثم‬ ‫ومن‬ ،‫النصوص‬ ‫هذه‬ ‫بمقتضى‬
،‫والموال‬ ‫الهنفس‬ ‫على‬ ‫حفاظا‬ ،‫هنوعه‬ ‫كان‬ ‫وأيا‬ ،‫الوجوه‬ ‫من‬ ‫وجه‬
‫على‬ ‫وإبقاء‬ ،‫حدوثها‬ ‫الطب‬ ‫أوضح‬ ‫التي‬ ‫الضرار‬ ‫اجتناب‬ ‫على‬ ‫وحرصا‬
‫على‬ ‫بالفائدة‬ ‫يعود‬ ‫فيما‬ ‫الموال‬ ‫بإهنفاق‬ ‫والمجتمعات‬ ‫الرسر‬ ‫كيان‬
‫واجباته‬ ‫يؤدي‬ ،‫معافى‬ ‫رسليما‬ ‫الحياة‬ ‫على‬ ‫ويعينه‬ ،‫جسده‬ ‫في‬ ‫الهنسان‬
‫المؤمن‬ ‫من‬ ‫ا‬ ‫إلى‬ ‫وأحب‬ ‫خير‬ ‫القوي‬ ‫فالمؤمن‬ ‫أرسرته‬ ‫وهنحو‬ ‫ا‬ ‫هنحو‬
‫أعلم‬ ‫وتعالى‬ ‫رسبحاهنه‬ ‫وا‬ ‫الضعيف‬

131. ‫فتواها‬ ‫فى‬ ‫وجاء‬ :‫الشريف‬ ‫بالهزهر‬ ‫الفتوى‬ ‫لجنة‬‫فتواها‬ ‫فى‬ ‫وجاء‬ :‫الشريف‬ ‫بالهزهر‬ ‫الفتوى‬ ‫لجنة‬
‫الدخان‬ ‫بشأن‬‫الدخان‬ ‫بشأن‬
•‫والختصاص‬ ‫المعرفة‬ ‫أهل‬ ‫من‬ ‫يقينا‬ ‫ثبت‬ ‫الدخان‬ ‫شرب‬ ..."
‫رسرطان‬ ‫من‬ ‫يسببه‬ ‫لما‬ ،‫بالصحة‬ ‫ضرره‬ .‫العالمية‬ ‫الطبية‬ ‫والمؤتمرات‬
‫ل‬ ‫فيما‬ ‫لهنفاقه‬ ‫بالمال‬ ‫ضار‬ ‫أهنه‬ ‫بالشرايين،كما‬ ‫والضرار‬ ‫والحنجرة‬ ‫الرئة‬
‫ورسلم‬ ‫عليه‬ ‫ا‬ ‫صلي‬ ‫الررسول‬ ‫هنهى‬ ‫وقد‬ ،‫بالفائدة‬ ‫الهنسان‬ ‫على‬ ‫يعود‬
‫ول‬ ‫ضرر‬ ‫ل‬ " ‫الشريف‬ ‫الحديث‬ ‫ففي‬ ،‫والمال‬ ‫بالصحة‬ ‫يضر‬ ‫ما‬ ‫كل‬ ‫عن‬
." ‫ضرار‬
‫وا‬ ،‫فيه‬ ‫والتجار‬ ‫وتصديره‬ ‫وارستيراده‬ ‫الدخان‬ ‫شرب‬ ‫حرمة‬ ‫هنرى‬ ‫لهذا‬
‫أعلم‬ ‫تعالى‬

132. ‫المذهب‬ ‫وبخاصة‬ ‫المسيحية‬ ‫رأى‬‫المذهب‬ ‫وبخاصة‬ ‫المسيحية‬ ‫رأى‬
‫الرثوذكسى‬‫الرثوذكسى‬
‫والمخدرات‬ ‫والخمور‬ ‫التدخين‬ ‫فى‬‫والمخدرات‬ ‫والخمور‬ ‫التدخين‬ ‫فى‬
‫الهنبا‬‫مورسى‬‫العام‬ ‫الرسقف‬
•‫أهنها‬ ،‫عامة‬ ‫بصفة‬ ،‫والمخدرات‬ ‫والخمور‬ ‫التدخين‬ ‫فى‬ ‫المسيحية‬ ‫ترى‬
‫رسريعة‬ ‫أو‬ ‫متورسطة‬ ‫أو‬ ‫بطيئة‬ ‫بطريقة‬ ‫لنفسه‬ ‫الهنسان‬ ‫قتل‬ ‫من‬ ‫هنوع‬
•‫لم‬ ‫ما‬ ‫مقبولة‬ ‫تصير‬ ‫ل‬ ‫الفات‬ ‫هذه‬ ‫متعاطى‬ ‫صلوات‬ ‫أن‬ ‫المسيحية‬ ‫ترى‬
،‫السبيل‬ ‫هذا‬ ‫فى‬ ‫ل‬ً ‫ف‬ ‫فع‬ ‫يجاهد‬ ‫وأن‬ ،‫عنها‬ ‫الكاملة‬ ‫التوبة‬ ‫صاحبها‬ ‫ينوى‬
‫أن‬ ‫إلى‬ ،‫ل‬ً ‫ف‬ ‫فع‬ ‫عنها‬ ‫والتخلى‬ ،‫الدينى‬ ‫الشبع‬ ‫إلى‬ ‫واللجوء‬ ،‫الرادة‬ ‫بقوة‬
.‫تماما‬ ‫عنها‬ ‫ينقطع‬

135. Progress in tobacco control in Egypt

136. Egypt is a signatory to the World Health Organization (WHO)
Framework Convention on Tobacco Control (FCTC), signing
this global public health treaty in June 2003 and ratifying it in
February, 2005
While Egypt’s tobacco control policies fall short of those called
for by the FCTC, as with many low-to- middle income
countries, they have become increasingly comprehensive.
.

140. Tobacco Control EffortsTobacco Control Efforts
To help countries fulfill their WHO FCTC obligations, in 2008,
WHO unveiled MPOWER, a package of six proven tobacco-
control measures that urge nations to:
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.

141. BANS ON ADVERTISING, PROMOTION AND SPONSORSHIPBANS ON ADVERTISING, PROMOTION AND SPONSORSHIP::..
Egypt partially restricts tobacco company marketing efforts,
banning advertising on national and international television
and radio, in national and international magazines and
newspapers, and on billboards and other outdoor channels.
Enforcement of these restrictions is generally strong.

142. Some other forms of tobacco marketing are generally allowed,
including product placement in movies and television programs

143. Recommendations
Enforce the existing law to cover all forms of direct
and indirect advertisement, promotion and
sponsorship.

144. SMOKE-FREE ENVIRONMENTSSMOKE-FREE ENVIRONMENTS::
Law 154/2007 and its bylaw 2010 prohibit smoking
indoors in government facilities, educational
institutions , health facilities and sporting and social
clubs and youth centers
Smoking is prohibited in domestic and international
flights, in airports, cinemas and theatres

145. SMOKE-FREE ENVIRONMENTS:
Smoking has been banned in public transport , In addition,
local decrees exist, like regulations prohibiting
smoking on the Metro public transport system

147. SMOKE-FREE ENVIRONMENTS:
Smoke-Free Environments Enforcement of bans on
smoking in public places is lax.
There is no current national restriction to smoking in
hotels, restaurants, cafes or bars and similar locations

148. Many laws are present in Egypt to prevent smoking and
reduce the exposure to environmental tobacco smoke.
But the reality is that none of these are enforced.
All these laws are concerned mainly about cigarette
smoking and did not consider water pipe smoking.
Although it is spreading at an alaming rate
Progress in tobacco control in Egypt - World Health Organization 2010

150. Despite the fact that anti-tobacco laws in Egypt strictly
prohibit smoking in public places, adherence is weak.
Implementation, enforcement and compliance with these
laws are important issues that need to be addressed at
national level to reduce exposure to second-hand smoke
EMRO 28 January 2010, WHO
Recommendations

151. The right to clean air, free from tobaccoThe right to clean air, free from tobacco
smoke, is a human rightsmoke, is a human right

155. The World Bank has concluded that smoking restrictions
can reduce overall tobacco consumption by 4 –10% ,this
impact is greatly attenuated when smoking is allowed in
designated rooms or areas
Smoke-free workplaces reduce youth smoking initiation
Smoke-free homes are also associated with reduced
tobacco use among teenagers
WHO Report on the Global Tobacco Epidemic, 2009

156. Comprehensive smoke-free legislation with
strong enforcement is the best strategy
for reducing exposure to second-hand
tobacco smoke.
WHO Report on the Global Tobacco Epidemic, 2009

157. HEALTH WARNINGS ON TOBACCO PACKAGESHEALTH WARNINGS ON TOBACCO PACKAGES::
Egypt is one of five countries that adopted graphic health
warnings for tobacco products in 2008.
Egypt’s law requires all tobacco products to have a graphic
warning cover 50% of the front and 50% of the pack
In Egypt, as of August 2008, cigarette packs have featured
graphic images about the dangers of smoking (covering 50
percent of the front and 50% of the pack(.
.

158. Pack Warning!!!!!!!

159. Pack Warning!!!!!!!

160. Four pictorial warnings are currently used in rotation in
Egypt, an improvement on the previous text warning
(with the message “Smoking is destroying health and
causes death”(.
Four newer pictorial warnings have been approved by
the Ministry of Health to be used after the current
rotation.

162. A study by the Central Agency for Public Mobilization and
Statistic (CAPMAS( found that pictures on cigarette packs
has not affected the number of smokers, nor cigarette
sales.
Warnings linking tobacco with death were not particularly
effective with Egyptians, since dying is perceived as
inevitable anyway.

164. Law 154/2007 prevent the use of misleading and deceptive
packaging terms such as “light” “ultra-light”, and “low-
tar” - none of which actually signify any reduction in
health risk

165. The 2007 law specified pictorial health warnings to be
placed on all tobacco products , yet we did not address
shisha or other tobacco packaging
Formulate and enact effective pictorial health warnings on
other types of tobacco products (shisha, shisha
instruments and smokeless tobacco( as well as
on cigarette packaging.
Recommendations

167. Proposed health warning labels for waterpipe tobacco packs and accessories.
Nakkash R , Khalil J Tob Control 2010;19:235-239
©2010 by BMJ Publishing Group Ltd

168. TOBACCO TAXATION AND PRICESTOBACCO TAXATION AND PRICES
Tobacco products are very affordable in Egypt, compared
with many countries in the Region
Cigarettes are priced low making them widely accessible
Tobacco taxes in Egypt fall below the World Bank’s
recommendations.

169. Tobacco taxes are widely considered the single most
effective policy option for reducing tobacco use.
Significant increases in taxes that raise the prices of
tobacco products will reduce their consumption, while
at the same time generating substantial increases in
revenues
Between 2003 and 2007, rising inflation and stable taxes
resulted in a more than 20% decline in real cigarette
prices and, as a result ,rising consumption

171. On July 1,2010 the Egyptian government passed a new
national tobacco tax that increase the retail price of all
cigarette brands by 40% and of Shisha (waterpipe(
tobacco and smokeless tobacco by 100%.
Progress in tobacco control in Egypt - World Health Organization 2010

172. Compared to other countries in the Eastern Mediterranean
region, Egyptian cigarette prices are among the lowest,
even though tax as a percentage of price may seem
relatively high.
The July 2010 tax increases ... will help slow or reverse
the recent growth in cigarette consumption in Egypt.

173. Egypt is one of the cheapest countries in the world to purchase
cigarettes.
Raising prices are believed to be one of the main ways of
decreasing new smokers.
While prices have risen as a result of the recent tax increase in
July 2010, there is still room for raising tobacco product
prices in Egypt, through additional tax increases

174. One of the most effective ways to reduce tobacco use in
Egypt is to continue to raise the price of tobacco products
through tax increases
International evidence has shown that increasing taxation
on tobacco products is one of the most significant
measures to boost tobacco control, increase
revenues and save lives.

176. RecommendationsRecommendations
Increase cigarette taxes to the level at which they account for
at least 70% of the average retail price of cigarettes
Increase taxes on water pipe tobacco and other
smokeless tobacco products to reduce their use.
Implement annual adjustments to tobacco tax rates
so that they result in increases in tobacco product
prices that are at least as large as increases in
incomes.

177. Prices and warning signs alone will not affect cigarette
sales; there needs to be a change in the society’s
perception of the smoker.
increasing non-smoking areas as well as anti-
smoking campaigns is recommended

178. ‫علبة‬ ‫مشروع‬ ‫تتبنى‬ ‫للدخان‬ ‫الشرقية‬ ‫الشركة‬‫علبة‬ ‫مشروع‬ ‫تتبنى‬ ‫للدخان‬ ‫الشرقية‬ ‫الشركة‬
‫مصرى‬ ‫طفل‬ ‫لكل‬ ‫سجائر‬‫مصرى‬ ‫طفل‬ ‫لكل‬ ‫سجائر‬
‫الطفال‬ ‫وهى‬ ‫الندنى‬ ‫الشريحة‬ ‫فى‬ ‫السجائر‬ ‫توزيع‬ ‫وزياندة‬ ‫المدخنين‬ ‫شرائح‬ ‫زياندة‬ ‫بهدف‬
‫سجائر‬ ‫خمس‬ ‫على‬ ‫تحتوى‬ ‫سايز‬ ‫بيبى‬ ‫سجائر‬ ‫علبة‬ ‫للدخان‬ ‫الشرقية‬ ‫الشركة‬ ‫صممت‬
. ‫الطفال‬ ‫جميع‬ ‫متناول‬ ‫فى‬ ‫وثمنها‬
‫عقلية‬ ‫سوء‬ ‫من‬ ‫السخرية‬ ‫من‬ ‫نوع‬ ‫ولكنها‬ ‫الحقيقة‬ ‫ليست‬ ‫السابقة‬ ‫العبارة‬ ‫أن‬ ‫المؤكد‬ ‫من‬
.. ‫للدخان‬ ‫الشرقية‬ ‫الشركة‬ ‫فى‬ ‫التخطيط‬ ‫على‬ ‫القائمين‬
‫على‬ ‫الضريبة‬ ‫أسعار‬ ‫إرتفاع‬ ‫مواجهة‬ ‫هو‬ ‫العلبة‬ ‫هذه‬ ‫تصميم‬ ‫من‬ ‫الحقيقى‬ ‫فالهدف‬
‫ثمنها‬ ‫جنيهات‬ ‫بستة‬ ‫تباع‬ ‫والتى‬ ‫السجائر‬ ‫فعلبة‬ ‫المالية‬ ‫وزارة‬ ‫سفهاء‬ ‫أقرها‬ ‫والتى‬ ‫السجائر‬
. ‫المالية‬ ‫لوزارة‬ ‫إرساله‬ ‫يتم‬ ‫والفرق‬ ‫جنيهات‬ ‫ثلثة‬ ‫من‬ ‫أقل‬ ‫الفعلى‬
‫أنها‬ ‫سايز‬ ‫البيبى‬ ‫حجم‬ ‫السجائر‬ ‫علبة‬ ‫تصميم‬ ‫فكرة‬ ‫على‬ ‫القائمين‬ ‫على‬ ‫غاب‬ ‫ولكن‬
‫أطفالنا‬ ‫معظم‬ ‫أن‬ ‫المؤكد‬ ‫ومن‬ ‫الرجولة‬ ‫بصفة‬ ‫نداخله‬ ‫يستشعر‬ ‫طفل‬ ‫لى‬ ‫هدفا‬ ‫ستكون‬
.. ‫الدخل‬ ‫محدوندة‬ ‫أسرة‬ ‫من‬ ‫طفل‬ ‫مصروف‬ ‫يقارب‬ ‫ثمنها‬ ‫أن‬ ‫وخصوصا‬ ‫هذا‬ ‫يستشعرون‬

179. Treatment of Tobacco DependenceTreatment of Tobacco Dependence
There are few resources available to smokers who want
to quit.
Cessation counseling is provided in some health clinics
and hospitals, but cessation services and products are
not widely available.
One type of cessation medication is available for purchase
and counseling assistance is virtually non-existent

180. ‫التدخين‬ ‫مكافحة‬ ‫عياندات‬‫التدخين‬ ‫مكافحة‬ ‫عياندات‬
‫القاهرة‬
•‫التعليمى‬ ‫ماهر‬ ‫أحمد‬ ‫مستشفى‬
• ‫العام‬ ‫الخليفة‬ ‫مستشفى‬
• ‫العام‬ ‫المنيرة‬ ‫مستشفى‬
• ‫العام‬ ‫حلوان‬ ‫مستشفى‬
• ‫العباسية‬ ‫صدر‬ ‫مستشفى‬
• ‫شبرا‬ ‫صدر‬ ‫مستشفى‬
• ‫ناصر‬ ‫معهد‬ ‫مستشفى‬
• ‫البكرى‬ ‫منشية‬ ‫مستشفى‬
• ‫الطبى‬ ‫السلم‬ ‫مركز‬
‫الجيزة‬
• ‫المصريين‬ ‫أم‬ ‫مستشفى‬
• ‫العام‬ ‫التحرير‬ ‫مستشفى‬
• ‫العام‬ ‫الحوامدية‬ ‫مستشفى‬
• ‫الدكرور‬ ‫بولق‬ ‫مستشفى‬
• ‫الجيزة‬ ‫صدر‬ ‫مستشفى‬
•‫مستشفى‬6‫المركزى‬ ‫أكنوبر‬
‫الغربية‬
‫صدر‬ ‫مستوصف‬
‫المحلة‬
‫القليوبية‬
• ‫التعليمى‬ ‫بنها‬ ‫مستشفى‬
• ‫الجديدة‬ ‫قليوب‬ ‫مستشفى‬
• ‫المركزى‬ ‫شكر‬ ‫كفر‬ ‫مستشفى‬
•‫بشبرا‬ ‫العام‬ ‫ناصر‬ ‫مستشفى‬
‫الخيمة‬
•‫الخيرية‬ ‫القناطر‬ ‫مستشفى‬
‫المركزى‬
‫السكندرية‬
• ‫المركزى‬ ‫العامرية‬ ‫مستشفى‬
• ‫المواساة‬ ‫مستشفى‬
• ‫المدينة‬ ‫شرق‬ ‫مستشفى‬
• ‫خورشيد‬ ‫مركز‬
• ‫القبارى‬ ‫صدر‬ ‫مستوصف‬
• ‫قير‬ ‫أبو‬ ‫ مستشفى‬
‫المنيا‬
• ‫العام‬ ‫المنيا‬ ‫مستشفى‬
• ‫المركزى‬ ‫مزار‬ ‫بنى‬ ‫مستشفى‬
• ‫المركزى‬ ‫ملوى‬ ‫مستشفى‬
•‫الطبى‬ ‫مبارك‬ ‫زان‬‫سو‬ ‫مركز‬

181. Although
there are cessation clinics in Egypt , nicotinereplace
ment therapy is not used and thus the
effectiveness of the clinics is limited
Cessation support service need further strengthening
Progress in tobacco control in Egypt - World Health Organization 2010
RecommendationsRecommendations

182. Tobacco PreventionTobacco Prevention
Funding National tobacco prevention resources are
dismally inadequate

183. Selling cigarettes to persons less than 18 years of age
has been illegal in Egypt since 2002.
However, data from the 2005 Egyptian GYTS suggest
that this law is not well enforced, given that 88.2% of
underage smokers were not refused purchase when
buying cigarettes at retail stores

184. Effective mass media anti-smoking campaigns are needed to
raise awareness of the health consequences of smoking
In general, consumers have imperfect information about the
health consequences of tobacco use
In addition, many Egyptian water pipe users perceive this
type of tobacco use to be less harmful than cigarette
smoking
This imperfect information is complicated by the fact that
most tobacco users initiate use as youths

185. Alexandria was scheduled to be the first smoke-free city in
Egypt since September 2010 hoping it will set an example and
persuade the rest of the country and going totally smokefree in
phases, city by city, over a four year period
This important step will allow the next cities to go smoke-
free Port Said, Luxor and parts of Cairo�
•Smoke-Free Alexandria Tuesday, November 30, 2010

187. ‫الصيني‬ ‫السجائر‬
‫مجهولة‬ ‫الصيني‬ ‫السجائر‬
‫في‬ ‫موقوتة‬ ‫قنبلة‬ ‫المصدر‬
‫بـ‬ ‫العلبة‬ ‫المصرية‬ ‫السواق‬
3‫بـ‬ ‫والروصة‬ ‫جنية‬20‫جنية‬
‫المجتمع‬ ‫تدمير‬ ‫إلى‬ ‫تهدف‬
‫الدولة‬ ‫غياب‬ ‫ظل‬ ‫في‬ ‫المصري‬
‫على‬ ‫تحتوى‬ ‫الصينية‬ ‫السجائر‬
‫والزرنيخ‬ ‫الرصاص‬ ‫من‬ ‫كميات‬
‫المستويات‬ ‫أضعاف‬ ‫ثلثة‬ ‫تبلغ‬
‫الكندية‬ ‫السجائر‬ ‫فى‬ ‫الموجوندة‬
.‫ل‬ً. ‫مث‬

188. ChallengesChallenges
A total ban on advertising is needed. Indirect advertising,
especially through the cinema, remains widespread
Restaurants and cafés are not yet
included in the ban on tobacco use in public places
Cessation support service need further strengthening
National tobacco tax is not yet fully adressed

189. The tobacco control infrastructure is still in its infancy
Although tobacco control departments have been
established, the necessary technical capacities are not
yet fully developed
The tobacco control programmes are currently underfunded
Civil society involvement is critical to creating a political
climate in which to successfully implement
100%smoke-free laws
Progress in tobacco control in Egypt - World Health Organization 2010

190. Civil society has a central role in building support for
and ensuring compliance with smoke free measures,
and should be included as an active partner in the
process of developing, implementing and enforcing
legislation.

191. Tobacco control, rather than being a
luxury that only rich nations can
afford, is now a necessity that
all countries must address.
WHO Report on the Global Tobacco Epidemic, 2008

193. WHO Report on the Global Tobacco Epidemic, 2009
Most Countries Have Not ImplementedMost Countries Have Not Implemented
Effective Tobacco Control PoliciesEffective Tobacco Control Policies

194. The State of Global Tobacco ControlThe State of Global Tobacco Control
WHO Report on the Global Tobacco Epidemic, 2009

195. 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.