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Tobacco Is a Risk Factor for 6 of the
 World’s 8 Leading Causes of Death




 Hatched areas indicate proportions of deaths related to tobacco use.
Tobacco Use: An Escalating Epidemic

                                                 8
By 2030:                                                            10
                                                 7
•Leading cause of death




                            millions of deaths
                                                 6
•10 million annual deaths
                                                 5
due to tobacco
•70% of those deaths will                        4
                                                       4.9
occur in developing                              3


countries                                        2

                                                 1

                                                 0
                                                     2000        2030
                                                     Developed Countries
                                                     Developing Countries
Treatment to Reduce Death &
                                                                 Disease
Cumulative deaths from tobacco (millions)
                                                                                          520
                                        500
                                                                                  Trend

                                        400



                                        300

                                                                          220
                                        200



                                        100                      70


                                            0
                                                1950      1975   2000      2025           2050

                                                                   Year
Source: Peto et al
Cumulative deaths from tobacco (millions)
                                                       Impact of prevention
                                                                                       520
                                        500                                                500
                                                                               Trend
                                                                                       If smoking
                                                                                       uptake
                                        400
                                                                                       halves by
                                                                                       2020
                                        300

                                                                       220
                                        200



                                        100                   70


                                            0
                                                1950   1975   2000      2025           2050

                                                                Year
Source: Peto et al
Cumulative deaths from tobacco (millions)              Impact of Treatment
                                                                                               520
                                        500                                                         500
                                                                                       Trend
                                                                                                If smoking
                                        400                                                    uptake halves
                                                                                                  by 2020

                                        300
                                                              halves by 2020                    340
                                                                               220      If adult smoking
                                        200                                             halves by 2020
                                                                                 190
                                        100                        70

                                            0
                                                1950   1975       2000          2025           2050

                                                                     Year
Source: Peto et al
Offer help to quit
           .



              ©2012 MFMER | 3178887-7
Global Bridges Mission

Create and mobilize a global network
      of healthcare providers and
organizations dedicated to advancing
    effective tobacco dependence
     treatment and advocating for
  effective tobacco control policy.




       www.globalbridges.org
Global Bridges Objectives

 Build a network
   Create opportunities to share treatment and advocacy
   expertise among network members within and across
   regions

 Provide training
   State-of-the-art, evidence-based training in tobacco
   dependence treatment and advocacy

 Article 14 implementation
   Facilitate the implementation of FCTC Article 14 in every
   nation

 Sustain the mission
   Ensure the long-term financial sustainability of the
   initiative
Global Bridges Regional Partners
           Latin America Region


               Gustavo Zabert, MD – Regional Director


                 Middle East Region


                     Feras Hawari, MD – Regional Director

 Africa Region


    Lekan Ayo-Yusuf, BDS, MPH, PhD –
             Regional Director

                                                            1
Key Accomplishments – 18 months
  Quickly established 3 Regional
   partnerships
    & have begin work in additional regions
  Trained over 600 HCPs from 26 countries
    Over 6,800 person-hours of training
    Impacting 24,000 tobacco-dependent patients
  www.globalbridges.org
  Collaborated with state, regional and/or
   national governments to train HCPs in
   accordance with A14
  140% growth in membership database
                                                  1
Global Bridges Training Sessions
When
April
            Where    2011
            Puebla, Mexico
                                      Sponsor
                                      Sociedad Mexicana de Neumologia y Cirugia de Torax
                                                                                                  Trainees
                                                                                                  70
April       Amman, Jordan             King Hussein Cancer Center                                  15
May         Neuquen, Argentina        Sociedad Norpategonica de Nefrologia                        15
June        Amman, Jordan             Jordan University of Science and Technology                 31
July        Asuncion, Paraguay        Sociedad Paraguaya de Neumologia                            85
August      Ibadan, Nigeria           Global Bridges                                              25
August      Pretoria, South Africa    Global Bridges                                              29
August      Cordoba, Argentina        Asociacion Argentina de Tabacologia                         62
August      Parana, Argentina        Programa de Prevencion Enfermedades Cronicas de Entre Rios   39
September   San Jose, Costa Rica      IV Congreso Nacional de Cardiologia                         43
September   Lagos, Nigeria            Global Bridges                                              29
October     Lima, Peru                3er Congreso Regional de Tabaco O Salud                     55
October     Ecuador                   Cooperation with Argentina MoH to train officials           40
October     Lusaka, Zambia            University of Zambia                                        22
November    South Africa              Public Health Association of South Africa                   37
November    Kinshasa, DRC             Global Bridges                                              33
December    Tunisia                  Ministry of Health in Tunisia and Global Bridges             24

                                      TOTAL TRAINEES                                              654
                                                                                                             1
Global Bridges
Partners/Memberships




                       1
Themes for 2012
 Define a Global “Core” CURRICULUM
  including follow-up and evaluation
 Broaden REACH within each Region
 COMMUNICATE accomplishments and
  opportunities
 Identify and pursue additional
  FUNDING


                                       1
1

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Introduction to Global Bridges -- Richard D. Hurt, M.D.

  • 1.
  • 2. Tobacco Is a Risk Factor for 6 of the World’s 8 Leading Causes of Death Hatched areas indicate proportions of deaths related to tobacco use.
  • 3. Tobacco Use: An Escalating Epidemic 8 By 2030: 10 7 •Leading cause of death millions of deaths 6 •10 million annual deaths 5 due to tobacco •70% of those deaths will 4 4.9 occur in developing 3 countries 2 1 0 2000 2030 Developed Countries Developing Countries
  • 4. Treatment to Reduce Death & Disease Cumulative deaths from tobacco (millions) 520 500 Trend 400 300 220 200 100 70 0 1950 1975 2000 2025 2050 Year Source: Peto et al
  • 5. Cumulative deaths from tobacco (millions) Impact of prevention 520 500 500 Trend If smoking uptake 400 halves by 2020 300 220 200 100 70 0 1950 1975 2000 2025 2050 Year Source: Peto et al
  • 6. Cumulative deaths from tobacco (millions) Impact of Treatment 520 500 500 Trend If smoking 400 uptake halves by 2020 300 halves by 2020 340 220 If adult smoking 200 halves by 2020 190 100 70 0 1950 1975 2000 2025 2050 Year Source: Peto et al
  • 7. Offer help to quit . ©2012 MFMER | 3178887-7
  • 8. Global Bridges Mission Create and mobilize a global network of healthcare providers and organizations dedicated to advancing effective tobacco dependence treatment and advocating for effective tobacco control policy. www.globalbridges.org
  • 9. Global Bridges Objectives  Build a network Create opportunities to share treatment and advocacy expertise among network members within and across regions  Provide training State-of-the-art, evidence-based training in tobacco dependence treatment and advocacy  Article 14 implementation Facilitate the implementation of FCTC Article 14 in every nation  Sustain the mission Ensure the long-term financial sustainability of the initiative
  • 10. Global Bridges Regional Partners Latin America Region Gustavo Zabert, MD – Regional Director Middle East Region Feras Hawari, MD – Regional Director Africa Region Lekan Ayo-Yusuf, BDS, MPH, PhD – Regional Director 1
  • 11. Key Accomplishments – 18 months  Quickly established 3 Regional partnerships & have begin work in additional regions  Trained over 600 HCPs from 26 countries Over 6,800 person-hours of training Impacting 24,000 tobacco-dependent patients  www.globalbridges.org  Collaborated with state, regional and/or national governments to train HCPs in accordance with A14  140% growth in membership database 1
  • 12. Global Bridges Training Sessions When April Where 2011 Puebla, Mexico Sponsor Sociedad Mexicana de Neumologia y Cirugia de Torax Trainees 70 April Amman, Jordan King Hussein Cancer Center 15 May Neuquen, Argentina Sociedad Norpategonica de Nefrologia 15 June Amman, Jordan Jordan University of Science and Technology 31 July Asuncion, Paraguay Sociedad Paraguaya de Neumologia 85 August Ibadan, Nigeria Global Bridges 25 August Pretoria, South Africa Global Bridges 29 August Cordoba, Argentina Asociacion Argentina de Tabacologia 62 August Parana, Argentina Programa de Prevencion Enfermedades Cronicas de Entre Rios 39 September San Jose, Costa Rica IV Congreso Nacional de Cardiologia 43 September Lagos, Nigeria Global Bridges 29 October Lima, Peru 3er Congreso Regional de Tabaco O Salud 55 October Ecuador Cooperation with Argentina MoH to train officials 40 October Lusaka, Zambia University of Zambia 22 November South Africa Public Health Association of South Africa 37 November Kinshasa, DRC Global Bridges 33 December Tunisia Ministry of Health in Tunisia and Global Bridges 24 TOTAL TRAINEES 654 1
  • 14. Themes for 2012  Define a Global “Core” CURRICULUM including follow-up and evaluation  Broaden REACH within each Region  COMMUNICATE accomplishments and opportunities  Identify and pursue additional FUNDING 1
  • 15. 1

Editor's Notes

  1. The basic epidemiology shows that over 500 million are likely to die from smoking related disease world wide in the first half of the 21 st Century.
  2. This shows that the effect of ‘prevention’ of uptake makes little difference to the death toll expected in the first half of the 21 st Century. The problem is that the major health benefits of prevention are delayed for many years and prevention activity may simply cause a delay in initiation. Prevention is a worthy ideal, but it has proved difficult to achieve in practice and the evidence base for it is decidely shaky.
  3. Smoking cessation can have a bigger impact – though a halving of smoking by 2020 is implausible. Smoking cessation directly treats those most at risk and the is a good evidence base to support it.