Presentation given by Dr. Michael Erickson at Fudan University.

1. Michael Eriksen, ScD
Dean, School of Public Health
Georgia State University
July 2013

2. The Tobacco Atlas

3. Globally, 6 million preventable
deaths annually from tobacco…
• Tobacco accounts for more than
16% of male and 7% of
female deaths globally
• 80% of deaths occur in LMIC
• 100 million deaths in
20th century and one billion
deaths in 21st century

4. Smoking harms the entire body…

5. Cancer from smoking causes more
deaths than all other cancers
combined…

6. “Forced smoking” kills people…
• 600,000 deaths annually from secondhand
smoke exposure (mostly women and children)
• Over 50% of the people in the Western Pacific
region are exposed to secondhand smoke
(highest rate in the world)

7. Say “NO” to forced smoking
Bill Gates and Baidu CEO Robin Li wear shirts
reading “Say no to forced smoking”
47% of youth ages 13-15 years were exposed to secondhand smoke in the
home (Shanghai in 2005)

8. If you are concerned about
NCDs, tobacco must be a priority…

9. Cigarette smoking is a 20th century
phenomenon…

10. Cigarette consumption varies
greatly by region…
• Consumption shifting from West to East (1990-2009)
• Western Europe dropped 26%
• Middle East and Africa increased 57%

11. Five countries smoke more than
half of the world’s cigarettes…

12. There are over one billion adult
smokers in the world…
• 1 billion adult smokers worldwide (80% are men)
– nearly 20% of all adults
• 80% of male and 50% of female
smokers are in low- and
middle-income countries
• Men’s smoking rates are ten times
as high as women’s in 49 countries
• But there is major progress in many
countries

13. 800 million men smoke
worldwide…
50.4% of male adults in China
smoke cigarettes

14. 200 million women smoke worldwide
now, but what about the future?
2.1% of female adults in China
smoke cigarettes

15. Tobacco prevalence and cessation
in China mirrors the U.S. in 1965…
References: CDC 2012, Personal
Communication, China GATS 2010

16. Chinese cigarette increase
40 years after US increase
US adults, 1910-1950 China (men),1950-
1990
Year Cigarettes
per day
Year Cigarettes
per day
1910 1 1952 1
1930 4 1972 4
1950 10 1992 10
Delayed hazard: proportion of all deaths
at ages 35-69 due to tobacco
US: All adults China: Men only
1950 12% 1990 12%
1990 33% 2030 ~33%

17. Is youth smoking the next
epidemic?
• Boys’ and girls’ smoking rates
differ by less than 5 percentage
points in almost half of the
world’s countries
• Girls smoke more than boys
in at least 25 countries
• 2.7% of boys and 0.8% of girls
ages 13-15 in Shanghai smoke
cigarettes (2005)

18. Tobacco company advertising
can be deceiving…
Shanghai Tobacco Company’s “I Love China”
brand circumvents advertising bans

19. China leads the world in
growing tobacco…
• In 2011, China grew
tobacco on more than
1.4 million hectares of
land
• In 2011, more than 3.1
million tonnes of
tobacco were grown in
China
• In 2011, China grew
41.7% of the world’s
tobacco

20. The Western Pacific Region leads the
world in cigarette manufacturing…
In 2010, 41% of the
world’s cigarettes
were produced in
China.

21. Tobacco is very big business and
CNTC leads in profits and revenue…
• 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)

22. Does corporate social responsibility
and philanthropy negate global
harm?
In 2010, PMI donated only $25 million from their
$7.5 billion profits to charitable causes
(less than 1% of net profits)

23. Tobacco-related costs in China
are growing…
2000
$7.2 billion
2008
$28.9 billion
Between 2000 and
2008, total costs
attributable to
tobacco use in China
more than
quadrupled
Direct costs of
smoking (size of
figures proportional
to total in USD)

24. Tobacco companies profit on
each tobacco-related death…
• $35 billion in annual profits
• 6 million deaths each year
• Nearly $6,000 in profit for every death
caused by tobacco

25. Evidence-based solutions are a must…
Outlined in WHO FCTC, MPOWER
and U.S. Surgeon General’s Reports
• Tax increases
• Clean indoor air laws
• Advertising bans
• Graphic warning labels

26. Michael Eriksen, ScD
Dean, School of Public Health
Georgia State University
meriksen@gsu.edu
Additional information available at:
TobaccoAtlas.org
TobaccoPortal.org