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Are we in the endgame for smoking?
Clive Bates
Counterfactual
www.clivebates.com
Global cigarette consumption - still rising
Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA
2014; 311: 183–92.
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
1980 1985 1990 1995 2000 2005 2010
Billionpieces
Global cigarette consumption 1980-2012
Developing countries
Developed countries
Number of smokers - still rising
Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA
2014; 311: 183–92.
-
200
400
600
800
1,000
1,200
1980 1985 1990 1995 2000 2005 2010
Millionadults
Global adult daily smokers - 1980-2012
Males
Females
Global cigarette consumption – linear trend
Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA
2014; 311: 183–92.
y = 53.203x + 2741.8
R² = 0.9669
y = -16.501x + 2437.1
R² = 0.949
y = 36.702x + 5179
R² = 0.8909
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
1980 1985 1990 1995 2000 2005 2010 2015 2020 2025 2030
Billionpieces
Global cigarette consumption and trends - linear
A 2030 ‘endgame’ requires implausible declines
Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA
2014; 311: 183–92.
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
1980 1985 1990 1995 2000 2005 2010 2015 2020 2025 2030
Billionpieces
Global cigarette consumption - phase out by 2030
Global
Developed countries
Developing countries
Consumption rising since 2005 but slower
Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA
2014; 311: 183–92.
y = 44.274x + 4035.9
y = -23.881x + 2022.7
y = 20.393x + 6058.6
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
2005 2010 2015 2020 2025 2030
Billionpieces
Global cigarette consumption and trends since 2005 - linear
Global
Developed countries
Developing countries
Recent increase in growth of cigarette consumption
Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA
2014; 311: 183–92.
-60
-40
-20
-
20
40
60
80
100
120
1980 1985 1990 1995 2000 2005 2010
Billionpieces
Annual change in global cigarette consumption
Global
Developed countries
Developing countries
Global cigarette consumption – trend to 2030
Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA
2014; 311: 183–92.
y = -1.0886x2 + 90.215x + 2525.9
R² = 0.9962
y = -0.3737x2 - 3.7956x + 2363
R² = 0.9843
y = -1.4623x2 + 86.419x + 4888.9
R² = 0.9932
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
1980 1985 1990 1995 2000 2005 2010 2015 2020 2025 2030
Billionpieces
Global cigarette consumption and trends – parabolic trend
Global
Developed countries
Developing countries
Global cigarette consumption – trend to 2050
Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA
2014; 311: 183–92.
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
1980 1990 2000 2010 2020 2030 2040 2050
Billionpieces
Global cigarette consumption and trends – parabolic trend
Global
Developed countries
Developing countries
Cigarette global consumption trend projection to 2030
Consumption 2010-2030 on parabolic trend projection from 1908-2012 data from Ng M, Freeman MK, Fleming TD, et al. Smoking
prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92.
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
2010 2015 2020 2025 2030
Billionpieces
Global cigarette consumption 2010-2030 - on trend
Global cigarette
consumption
Hypothetical introduction of new nicotine products
Consumption 2010-2030 on parabolic trend projection from 1908-2012 data from Ng M, Freeman MK, Fleming TD, et al. Smoking
prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92.
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
2010 2015 2020 2025 2030
Billionpieces
New non-combustible nicotine with high initial but declining growth
Low risk nicotine
consumption
Global cigarette
consumption
Hypothetical introduction of new nicotine products
Consumption 2010-2030 on parabolic trend projection from 1908-2012 data from Ng M, Freeman MK, Fleming TD, et al. Smoking
prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92.
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
2010 2015 2020 2025 2030
Billionpieces
New non-combustible nicotine with high initial but declining growth
This boundary is harder
to move. It means
reducing both smoking
and nicotine use, and
may require coercive
measures
This boundary is easier to
move. It does not require
limiting or prohibiting
nicotine use and works
through user choice.

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Are we in the endgame for smoking?

  • 1. Are we in the endgame for smoking? Clive Bates Counterfactual www.clivebates.com
  • 2. Global cigarette consumption - still rising Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. - 1,000 2,000 3,000 4,000 5,000 6,000 7,000 1980 1985 1990 1995 2000 2005 2010 Billionpieces Global cigarette consumption 1980-2012 Developing countries Developed countries
  • 3. Number of smokers - still rising Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. - 200 400 600 800 1,000 1,200 1980 1985 1990 1995 2000 2005 2010 Millionadults Global adult daily smokers - 1980-2012 Males Females
  • 4. Global cigarette consumption – linear trend Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. y = 53.203x + 2741.8 R² = 0.9669 y = -16.501x + 2437.1 R² = 0.949 y = 36.702x + 5179 R² = 0.8909 - 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 1980 1985 1990 1995 2000 2005 2010 2015 2020 2025 2030 Billionpieces Global cigarette consumption and trends - linear
  • 5. A 2030 ‘endgame’ requires implausible declines Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. - 1,000 2,000 3,000 4,000 5,000 6,000 7,000 1980 1985 1990 1995 2000 2005 2010 2015 2020 2025 2030 Billionpieces Global cigarette consumption - phase out by 2030 Global Developed countries Developing countries
  • 6. Consumption rising since 2005 but slower Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. y = 44.274x + 4035.9 y = -23.881x + 2022.7 y = 20.393x + 6058.6 - 1,000 2,000 3,000 4,000 5,000 6,000 7,000 2005 2010 2015 2020 2025 2030 Billionpieces Global cigarette consumption and trends since 2005 - linear Global Developed countries Developing countries
  • 7. Recent increase in growth of cigarette consumption Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. -60 -40 -20 - 20 40 60 80 100 120 1980 1985 1990 1995 2000 2005 2010 Billionpieces Annual change in global cigarette consumption Global Developed countries Developing countries
  • 8. Global cigarette consumption – trend to 2030 Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. y = -1.0886x2 + 90.215x + 2525.9 R² = 0.9962 y = -0.3737x2 - 3.7956x + 2363 R² = 0.9843 y = -1.4623x2 + 86.419x + 4888.9 R² = 0.9932 - 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 1980 1985 1990 1995 2000 2005 2010 2015 2020 2025 2030 Billionpieces Global cigarette consumption and trends – parabolic trend Global Developed countries Developing countries
  • 9. Global cigarette consumption – trend to 2050 Data source: Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. - 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 1980 1990 2000 2010 2020 2030 2040 2050 Billionpieces Global cigarette consumption and trends – parabolic trend Global Developed countries Developing countries
  • 10. Cigarette global consumption trend projection to 2030 Consumption 2010-2030 on parabolic trend projection from 1908-2012 data from Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. - 1,000 2,000 3,000 4,000 5,000 6,000 7,000 2010 2015 2020 2025 2030 Billionpieces Global cigarette consumption 2010-2030 - on trend Global cigarette consumption
  • 11. Hypothetical introduction of new nicotine products Consumption 2010-2030 on parabolic trend projection from 1908-2012 data from Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. - 1,000 2,000 3,000 4,000 5,000 6,000 7,000 2010 2015 2020 2025 2030 Billionpieces New non-combustible nicotine with high initial but declining growth Low risk nicotine consumption Global cigarette consumption
  • 12. Hypothetical introduction of new nicotine products Consumption 2010-2030 on parabolic trend projection from 1908-2012 data from Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA 2014; 311: 183–92. - 1,000 2,000 3,000 4,000 5,000 6,000 7,000 2010 2015 2020 2025 2030 Billionpieces New non-combustible nicotine with high initial but declining growth This boundary is harder to move. It means reducing both smoking and nicotine use, and may require coercive measures This boundary is easier to move. It does not require limiting or prohibiting nicotine use and works through user choice.

Editor's Notes

  1. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000 On a linear basis over 30 years Developed –16 billion per year Developing +53 billion per year Global +36 billion per year
  2. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000
  3. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000 On a linear basis over 30 years Developed –16 billion per year Developing +53 billion per year Global +37 billion per year
  4. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000 On a linear basis over 30 years Developed –16 billion per year Developing +53 billion per year Global +37 billion per year
  5. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000 On a linear basis since 2005 - FCTC Developed –24 billion per year Developing +44 billion per year Global +20 billion per year
  6. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000
  7. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000
  8. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000
  9. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000
  10. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000
  11. Source of data: http://jama.jamanetwork.com/article.aspx?articleid=1812960 Supplementary data: http://jama.jamanetwork.com/data/Journals/JAMA/929635/JOI130117supp1_prod.pdf?v=635489893529930000