Michael Eriksen, ScD
Dean, Institute of Public Health
   Georgia State University

       March 12, 2013
How much is a life worth?
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
• 15% of male and 6% of female
  deaths due to smoking in Brazil
Smoking harms the entire body…
Cancer from smoking causes more
deaths than all other cancers
combined…
If you are concerned about
NCDs, tobacco must be a priority…
“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)
Cigarette smoking is a 20th century
phenomenon…
Cigarette consumption varies
greatly by region…
• Consumption shifting from West to East (1990-2009)
  • Western Europe dropped 26%
  • Middle East and Africa increased 57%
Five countries smoke more than half
of the world’s cigarettes…
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
800 million men smoke
worldwide…




         21.6% of male adults in Brazil smoke
200 million women smoke worldwide
now, but what about the future?




        13.1% of female adults in Brazil smoke
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, and
  more girls (13.2%) smoke than
  boys (9.2%) in Sao Paulo, 2011
China and Brazil are the world’s
largest tobacco growers…

                      • Between 2000 and
                        2009, Brazil’s
                        tobacco leaf
                        production
                        increased by 49%.
                      • More than 170,000
                        individuals are
                        involved in growing
                        tobacco in southern
                        Brazil.
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)
Tobacco is very big business…
• 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)
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
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
Brazil is a leader in
global tobacco control…
• Prohibited flavor additives to cigarettes, 2012
• More former smokers than current smokers –
  24.5 million smokers; 26 million former
  smokers, 2008
• Brazil provided major leadership in
  establishing WHO FCTC
• Graphic health warnings on tobacco
  product packaging since 2002…the
  second country in the world
• Next Steps: Increase strength and
  enforcement of federal laws
Michael Eriksen, ScD
 Dean, Institute of Public Health
    Georgia State University
      meriksen@gsu.edu

Additional information available at:
         TobaccoAtlas.org
        TobaccoPortal.org

Presentation to the Fundacao do Cancer

  • 1.
    Michael Eriksen, ScD Dean,Institute of Public Health Georgia State University March 12, 2013
  • 2.
    How much isa life worth?
  • 3.
    Globally, 6 millionpreventable 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 • 15% of male and 6% of female deaths due to smoking in Brazil
  • 4.
    Smoking harms theentire body…
  • 5.
    Cancer from smokingcauses more deaths than all other cancers combined…
  • 6.
    If you areconcerned about NCDs, tobacco must be a priority…
  • 7.
    “Forced smoking” killspeople… • 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)
  • 8.
    Cigarette smoking isa 20th century phenomenon…
  • 9.
    Cigarette consumption varies greatlyby region… • Consumption shifting from West to East (1990-2009) • Western Europe dropped 26% • Middle East and Africa increased 57%
  • 10.
    Five countries smokemore than half of the world’s cigarettes…
  • 11.
    There are overone 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
  • 12.
    800 million mensmoke worldwide… 21.6% of male adults in Brazil smoke
  • 13.
    200 million womensmoke worldwide now, but what about the future? 13.1% of female adults in Brazil smoke
  • 14.
    Is youth smokingthe 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, and more girls (13.2%) smoke than boys (9.2%) in Sao Paulo, 2011
  • 15.
    China and Brazilare the world’s largest tobacco growers… • Between 2000 and 2009, Brazil’s tobacco leaf production increased by 49%. • More than 170,000 individuals are involved in growing tobacco in southern Brazil.
  • 16.
    Does corporate socialresponsibility 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)
  • 17.
    Tobacco is verybig business… • 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)
  • 18.
    Tobacco companies profiton 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
  • 19.
    Evidence-based solutions area must… Outlined in WHO FCTC, MPOWER and U.S. Surgeon General’s Reports • Tax increases • Clean indoor air laws • Advertising bans • Graphic warning labels
  • 20.
    Brazil is aleader in global tobacco control… • Prohibited flavor additives to cigarettes, 2012 • More former smokers than current smokers – 24.5 million smokers; 26 million former smokers, 2008 • Brazil provided major leadership in establishing WHO FCTC • Graphic health warnings on tobacco product packaging since 2002…the second country in the world • Next Steps: Increase strength and enforcement of federal laws
  • 21.
    Michael Eriksen, ScD Dean, Institute of Public Health Georgia State University meriksen@gsu.edu Additional information available at: TobaccoAtlas.org TobaccoPortal.org