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Tobacco – Weapon of MassTobacco – Weapon of Mass
DestructionDestruction
1 billion smokers worldwide (40% of1 billion smokers worldwide (40% of
men, 9% of women)men, 9% of women)

80% in developing countries80% in developing countries
Almost 6 trillion cigarettes smoked/yrAlmost 6 trillion cigarettes smoked/yr
worldwideworldwide
Tobacco – Weapon of MassTobacco – Weapon of Mass
DestructionDestruction
6 million deaths/yr worldwide (11% of6 million deaths/yr worldwide (11% of
male deaths; 6% of female deaths) –male deaths; 6% of female deaths) –
600,000 from passive smoking600,000 from passive smoking

More deaths than from malaria, TB,More deaths than from malaria, TB,
and AIDS combinedand AIDS combined

Tobacco industry makes $7,000 forTobacco industry makes $7,000 for
each of the direct deathseach of the direct deaths

Estimated 8-10 million by 2030Estimated 8-10 million by 2030
APRC2017
25 March 2015 | Tokyo, Japan
WHO Framework Convention on Tobacco Control
- The powerful tool to reverse tobacco epidemic
First global health treaty negotiated under auspices of WHO – adopted in 2003,
entered into force on 27 Feb 2005.
6 Parties
APRC2017
25 March 2015 | Tokyo, Japan
WHO FRAMEWORK CONVENTIONWHO FRAMEWORK CONVENTION
ON TOBACCO CONTROLON TOBACCO CONTROL
• establishes tobacco control as
a priority on the public health
agenda
• provides an evidence-based
tool for adoption of sound
tobacco control measures
• introduces a mechanism for
firm country commitment and
accountability
180
APRC2017
25 March 2015 | Tokyo, Japan
Demand and supply reduction measures
APRC2017
25 March 2015 | Tokyo, Japan
8 |
APRC2017
25 March 2015 | Tokyo, Japan
9
MPOWER
…six proven polices to reverse the global tobacco epidemic and
support implementation of WHO FCTC
• 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
Article 8
APRC2017
25 March 2015 | Tokyo, Japan
Protect people from tobacco smoke
• All people have a right to breath
clean air
• There is no safe level of exposure
• No exemptions should be
allowed
• Only 100% smoke-free
environments protect health
APRC2017
25 March 2015 | Tokyo, Japan
All countries in the West Pacific Region have
smoke-free laws…
Types of public places include: 1) health care facilities, 2) educational facilities
(except universities), 3) universities, 4) government facilities, 5) indoor workplaces,
6) restaurants, 7) pubs and bars and 8) public transport.
WHO report on the global tobacco epidemic, 2015
…except in
Niue and
Japan
More countries are
expected to improve
their P status this year
APRC2017
25 March 2015 | Tokyo, Japan
APRC2017
25 March 2015 | Tokyo, Japan
Japan is still a smoker’s paradise. No major successful
lawsuits. Only voluntary restrictions on the national level.
FCTC compliance grade: F
APRC2017
25 March 2015 | Tokyo, Japan
Industry
APRC2017
25 March 2015 | Tokyo, Japan
The tobacco industry puts profits
before people.
© 2007 Johns Hopkins Bloomberg School of Public Health 16
Image source: Action on Smoking and Health, New Zealand.
Challenges with CSR Campaigns
BIG TOBACCO ETHICS
COMMITTEE
“we’ve checked and rechecked the books on
Responsible Business Ethics and it’s good news…
killing your customers just isn’t mentioned!”
© 2007 Johns Hopkins Bloomberg School of Public Health 17
Text source: Japan Tobacco International. Images source: RJ Reynolds.
Japan Tobacco International
“Our ambitions are embodied in our Mission Statement: To build
a powerful global tobacco company, maximizing value for our key
stakeholders while striving for industry leadership. We will
differentiate ourselves through sustained innovation in all areas
and always deliver the best in consumer satisfaction . . . We
respect the views of society on tobacco and are ethical and
responsible in our activities . . .”
—Japan Tobacco International
© 2007 Johns Hopkins Bloomberg School of Public Health 18
© 2007 Johns Hopkins Bloomberg School of Public Health
Smokers and non-smokers can get along!
19
APRC2017
25 March 2015 | Tokyo, Japan
Stay vigilant
This is not the
future we want

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Passive smoking and anti-tobacco measures in Japan

  • 1. Tobacco – Weapon of MassTobacco – Weapon of Mass DestructionDestruction 1 billion smokers worldwide (40% of1 billion smokers worldwide (40% of men, 9% of women)men, 9% of women)  80% in developing countries80% in developing countries Almost 6 trillion cigarettes smoked/yrAlmost 6 trillion cigarettes smoked/yr worldwideworldwide
  • 2. Tobacco – Weapon of MassTobacco – Weapon of Mass DestructionDestruction 6 million deaths/yr worldwide (11% of6 million deaths/yr worldwide (11% of male deaths; 6% of female deaths) –male deaths; 6% of female deaths) – 600,000 from passive smoking600,000 from passive smoking  More deaths than from malaria, TB,More deaths than from malaria, TB, and AIDS combinedand AIDS combined  Tobacco industry makes $7,000 forTobacco industry makes $7,000 for each of the direct deathseach of the direct deaths  Estimated 8-10 million by 2030Estimated 8-10 million by 2030
  • 3. APRC2017 25 March 2015 | Tokyo, Japan WHO Framework Convention on Tobacco Control - The powerful tool to reverse tobacco epidemic First global health treaty negotiated under auspices of WHO – adopted in 2003, entered into force on 27 Feb 2005. 6 Parties
  • 4. APRC2017 25 March 2015 | Tokyo, Japan WHO FRAMEWORK CONVENTIONWHO FRAMEWORK CONVENTION ON TOBACCO CONTROLON TOBACCO CONTROL • establishes tobacco control as a priority on the public health agenda • provides an evidence-based tool for adoption of sound tobacco control measures • introduces a mechanism for firm country commitment and accountability 180
  • 5. APRC2017 25 March 2015 | Tokyo, Japan Demand and supply reduction measures
  • 6. APRC2017 25 March 2015 | Tokyo, Japan
  • 7.
  • 8. 8 |
  • 9. APRC2017 25 March 2015 | Tokyo, Japan 9 MPOWER …six proven polices to reverse the global tobacco epidemic and support implementation of WHO FCTC • 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 Article 8
  • 10. APRC2017 25 March 2015 | Tokyo, Japan Protect people from tobacco smoke • All people have a right to breath clean air • There is no safe level of exposure • No exemptions should be allowed • Only 100% smoke-free environments protect health
  • 11. APRC2017 25 March 2015 | Tokyo, Japan All countries in the West Pacific Region have smoke-free laws… Types of public places include: 1) health care facilities, 2) educational facilities (except universities), 3) universities, 4) government facilities, 5) indoor workplaces, 6) restaurants, 7) pubs and bars and 8) public transport. WHO report on the global tobacco epidemic, 2015 …except in Niue and Japan More countries are expected to improve their P status this year
  • 12. APRC2017 25 March 2015 | Tokyo, Japan
  • 13. APRC2017 25 March 2015 | Tokyo, Japan Japan is still a smoker’s paradise. No major successful lawsuits. Only voluntary restrictions on the national level. FCTC compliance grade: F
  • 14. APRC2017 25 March 2015 | Tokyo, Japan Industry
  • 15. APRC2017 25 March 2015 | Tokyo, Japan The tobacco industry puts profits before people.
  • 16. © 2007 Johns Hopkins Bloomberg School of Public Health 16 Image source: Action on Smoking and Health, New Zealand. Challenges with CSR Campaigns BIG TOBACCO ETHICS COMMITTEE “we’ve checked and rechecked the books on Responsible Business Ethics and it’s good news… killing your customers just isn’t mentioned!”
  • 17. © 2007 Johns Hopkins Bloomberg School of Public Health 17 Text source: Japan Tobacco International. Images source: RJ Reynolds. Japan Tobacco International “Our ambitions are embodied in our Mission Statement: To build a powerful global tobacco company, maximizing value for our key stakeholders while striving for industry leadership. We will differentiate ourselves through sustained innovation in all areas and always deliver the best in consumer satisfaction . . . We respect the views of society on tobacco and are ethical and responsible in our activities . . .” —Japan Tobacco International
  • 18. © 2007 Johns Hopkins Bloomberg School of Public Health 18
  • 19. © 2007 Johns Hopkins Bloomberg School of Public Health Smokers and non-smokers can get along! 19
  • 20. APRC2017 25 March 2015 | Tokyo, Japan Stay vigilant This is not the future we want

Editor's Notes

  1. How to save a mass of deaths? This year marks the 11th anniversary
  2. The most popular treaty in the UN history What’s required for the treaty to enter into force Japan one of the first signatory
  3. Mix of demand reduction and supply reduction measures Demand reduction measures Price measures- Increase in taxes Non price measures Smoke free policies Regulation of contents and disclosure Packaging and labelling including Health warnings Education, communication and public awareness Banning of advertising Packaging and labelling Cessation of tobacco use
  4. The World Health Organization (WHO) has established the MPOWER model to assess compliance with FCTC: 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
  5. Grey- No known "smoke-free" restrictions (or no data); Yellow- Partial "smoke-free" restrictions, or patchy or inconsistent law enforcement; Pink-  No national "smoke-free" legislation – some localities have local restrictions; Orange- National "smoke-free" legislation for public areas except entertainment and restaurants  National; Red- "smoke-free" legislation for public areas except entertainment and restaurants – some localities have additional local restrictions; Maroon -  National "smoke-free" legislation covering all public indoor areas (sometimes with specific exceptions).
  6. Tobacco industry remains unchallenged in many countries Some strategies have been employed for decades; some for few years – depending on the level of acceptance of industry interference in each country
  7. Outside of persons monitoring tobacco control and investors in the tobacco industry, most people including the Japanese are ignorant of the vast scale of JT. JT is the third largest multinational tobacco company in the world. Through Japan Tobacco International, JT owns many popular international cigarettes brands including Winston (No. 2 brand worldwide), Camel (No. 6 brand worldwide), Benson & Hedges, Silk Cut, and Sobranie. JT has re-branded Mild Seven as Mevius (No. 5 brand worldwide) to avoid the problems associated with "mild," which is understood as a health claim, and is vigorously promoting Mevius in Asia. JT also sells Glamour cigarettes marketed to young women. JT is particularly aggressive in marketing in Russia and other former Soviet states, which comprise much of its worldwide increase in sales.
  8. Stay vigilant