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Protection from Second-hand Smoke  in the Western Pacific Region Dr Susan Mercado Regional Adviser Tobacco-Free Initiative World Health Organization Western Pacific Regional Office
Research clearly shows that there is no safe level of exposure to  second-hand smoke.
A third of the world’s smokers are in the Region.
2 people die each minute from a tobacco-related disease in the Region.
Most Recent Scientific Evidence: Exposure to SHS Source: adapted by CTLT from U.S. Surgeon General’s Report. (2006).
Second-hand smoke increases the risk of coronary heart disease by 25–30% and the risk of lung cancer in non-smokers by 20–30%. Second-hand smoke exposure has been conclusively linked to breast cancer.
Sub national data Sub national data
Sub national data Sub national data
50% youth 13-15 years old are exposed to second hand smoke at home.
Sub national data Sub national data
Smoke-free environments help smokers who want to quit. Smoke-free policies in workplaces in several industrialized nations have reduced total tobacco consumption among workers by an average of 29%.
Smoke-free public places also encourage families to make their homes smoke-free, which protects children and other family members from the dangers of second-hand smoke.
Positive Health Impact of Smoke-Free Environments Source: Navas , A. (2007). DIRECT INDIRECT
Reject the myths!
MPOWER: A Policy Package for  Global Tobacco Control  The six demand reduction policies to support complete implementation of the WHO Framework Convention on Tobacco Control ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHO Regional Initiatives  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESTAURANTS PUBLIC TRANSPORT INDOOR OFFICES EDUCATIONAL FACILITIES ALL OTHER PUBLIC PLACES GOVERNMENT FACILITIES PUBS AND BARS HEALTH CARE FACILITIES 1 2 3 4 SHS SPIDERGRAM
Indoor Air Concentrations ,[object Object],[object Object],[object Object],Nicotine Particulate Matter
Source: Navas-Acien, et al. (2004); Image source: New York City Department of Health and Mental Hygiene. Air Nicotine Concentrations ( µ g/m 3 ) in Restaurants in 10 Countries* Smoking policy N Median (IQR) † No policy 54 1.15 (0.32–2.44) Smoking section 32 1.30 (0.43–2.31) Nonsmoking 20 0.66 (0.20–1.10) Smoking ban 7 0.07 (0.003–0.10) * Countries: Argentina, Brazil, Chile, Costa Rica, Paraguay, Peru, Uruguay, Honduras, Mexico and Panama  †  IQR: interquartile range
TRAINING ON SECOND-HAND SMOKE MONITORING
See next slide
 
 
 
TOBACCO FREE SPORTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Gender and tobacco (Viet Nam and Palau)
2008 WHO Awards  and the Alliance for Healthy Cities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEALTHY URBAN TRANSPORT Lloyd Wright
Pilot on the Red Orchid Awards for Tobacco-Free Settings, Philippines, 2009
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TOBACCO CONTROL DATA APPLICATION PROJECTS (GYTS) Smoke-free schools in Seam Riap, Cambodia
Regional Action Plan (2010-2014) for the Tobacco Free Initiative in the Western Pacific Moving Toward the Next Level:  Complete implementation of the  WHO Framework Convention on Tobacco Control
Regional Action Plan (2010-2014) for the Tobacco Free Initiative in the Western Pacific ,[object Object],[object Object],[object Object]
Three Point Strategy 1  Promote and advocate for complete WHO FCTC Implementation 2   Mobilize for public action 3  Strengthen organizational capacity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Approaches ,[object Object],[object Object],[object Object]
Overall indicators ,[object Object],[object Object],[object Object],[object Object],[object Object]
Regional programme targets relevant to protection from second-hand smoke exposure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Regional Action Plan (2010-2014) Tobacco Free Initiative for the Western Pacific contains a menu of actions and indicators for countries and WHO.
Sub national data Sub national data
Yuhta Ohishi, 15 years old, Japan World No Tobacco Day Awardee, 2008 Recipient of Director General’s Special Recognition certificate
 

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Who And Sfe

  • 1. Protection from Second-hand Smoke in the Western Pacific Region Dr Susan Mercado Regional Adviser Tobacco-Free Initiative World Health Organization Western Pacific Regional Office
  • 2. Research clearly shows that there is no safe level of exposure to second-hand smoke.
  • 3. A third of the world’s smokers are in the Region.
  • 4. 2 people die each minute from a tobacco-related disease in the Region.
  • 5. Most Recent Scientific Evidence: Exposure to SHS Source: adapted by CTLT from U.S. Surgeon General’s Report. (2006).
  • 6. Second-hand smoke increases the risk of coronary heart disease by 25–30% and the risk of lung cancer in non-smokers by 20–30%. Second-hand smoke exposure has been conclusively linked to breast cancer.
  • 7. Sub national data Sub national data
  • 8. Sub national data Sub national data
  • 9. 50% youth 13-15 years old are exposed to second hand smoke at home.
  • 10. Sub national data Sub national data
  • 11. Smoke-free environments help smokers who want to quit. Smoke-free policies in workplaces in several industrialized nations have reduced total tobacco consumption among workers by an average of 29%.
  • 12. Smoke-free public places also encourage families to make their homes smoke-free, which protects children and other family members from the dangers of second-hand smoke.
  • 13. Positive Health Impact of Smoke-Free Environments Source: Navas , A. (2007). DIRECT INDIRECT
  • 15.
  • 16.
  • 17. RESTAURANTS PUBLIC TRANSPORT INDOOR OFFICES EDUCATIONAL FACILITIES ALL OTHER PUBLIC PLACES GOVERNMENT FACILITIES PUBS AND BARS HEALTH CARE FACILITIES 1 2 3 4 SHS SPIDERGRAM
  • 18.
  • 19. Source: Navas-Acien, et al. (2004); Image source: New York City Department of Health and Mental Hygiene. Air Nicotine Concentrations ( µ g/m 3 ) in Restaurants in 10 Countries* Smoking policy N Median (IQR) † No policy 54 1.15 (0.32–2.44) Smoking section 32 1.30 (0.43–2.31) Nonsmoking 20 0.66 (0.20–1.10) Smoking ban 7 0.07 (0.003–0.10) * Countries: Argentina, Brazil, Chile, Costa Rica, Paraguay, Peru, Uruguay, Honduras, Mexico and Panama † IQR: interquartile range
  • 20. TRAINING ON SECOND-HAND SMOKE MONITORING
  • 22.  
  • 23.  
  • 24.  
  • 25.
  • 26.  
  • 27. Gender and tobacco (Viet Nam and Palau)
  • 28.
  • 29. HEALTHY URBAN TRANSPORT Lloyd Wright
  • 30. Pilot on the Red Orchid Awards for Tobacco-Free Settings, Philippines, 2009
  • 31. Second-hand Smoke Busters! Use of youth data to monitor tobacco control programme progress.
  • 32.  
  • 33.  
  • 34.  
  • 35. TOBACCO CONTROL DATA APPLICATION PROJECTS (GYTS) Smoke-free schools in Seam Riap, Cambodia
  • 36. Regional Action Plan (2010-2014) for the Tobacco Free Initiative in the Western Pacific Moving Toward the Next Level: Complete implementation of the WHO Framework Convention on Tobacco Control
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42. The Regional Action Plan (2010-2014) Tobacco Free Initiative for the Western Pacific contains a menu of actions and indicators for countries and WHO.
  • 43. Sub national data Sub national data
  • 44. Yuhta Ohishi, 15 years old, Japan World No Tobacco Day Awardee, 2008 Recipient of Director General’s Special Recognition certificate
  • 45.  

Editor's Notes

  1. Smoking is responsible for the death of one in ten adults worldwide (about 5 million deaths per year) and, if current smoking patterns continue, by 2030 the proportion will be one in six (about 10 million deaths per year). 1 This means that about 500 million people alive today will eventually be killed by tobacco. 2 Since the 1950s, more than 70,000 scientific articles have left no doubt that smoking is an extraordinarily important cause of premature mortality and disability around the world. In populations where cigarette smoking has been common for several decades, about 90% of cases of lung cancer, 15–20% of cases of other cancers, 75% of cases of chronic bronchitis and emphysema and 25% of deaths from cardiovascular diseases in those 35–69 years of age are attributable to tobacco. Studies have shown that half of all long-term smokers will die of a tobacco-related disease and, of these, half will die before the age of 65. 1 In 1994, the World Bank estimated that the use of tobacco results in a global net loss of US$200 billion per year, half of this loss being in developing countries. Costs were calculated to include direct medical care for tobacco-related diseases, fire losses, absenteeism from work, reduced productivity and lost income due to early mortality. 3 References: 1. The World Bank. Curbing the Epidemic: Governments and the Economics of Tobacco Control. Washington, DC, 1999. 2. Peto R, et al . Mortality from smoking in developing countries 1950–2000 . 1994. New York, Oxford University Press. 3. World Health Organization. Guidelines for controlling and monitoring the tobacco epidemic. Geneva: World Health Organization; 1998.
  2. Smoking is responsible for the death of one in ten adults worldwide (about 5 million deaths per year) and, if current smoking patterns continue, by 2030 the proportion will be one in six (about 10 million deaths per year). 1 This means that about 500 million people alive today will eventually be killed by tobacco. 2 Since the 1950s, more than 70,000 scientific articles have left no doubt that smoking is an extraordinarily important cause of premature mortality and disability around the world. In populations where cigarette smoking has been common for several decades, about 90% of cases of lung cancer, 15–20% of cases of other cancers, 75% of cases of chronic bronchitis and emphysema and 25% of deaths from cardiovascular diseases in those 35–69 years of age are attributable to tobacco. Studies have shown that half of all long-term smokers will die of a tobacco-related disease and, of these, half will die before the age of 65. 1 In 1994, the World Bank estimated that the use of tobacco results in a global net loss of US$200 billion per year, half of this loss being in developing countries. Costs were calculated to include direct medical care for tobacco-related diseases, fire losses, absenteeism from work, reduced productivity and lost income due to early mortality. 3 References: 1. The World Bank. Curbing the Epidemic: Governments and the Economics of Tobacco Control. Washington, DC, 1999. 2. Peto R, et al . Mortality from smoking in developing countries 1950–2000 . 1994. New York, Oxford University Press. 3. World Health Organization. Guidelines for controlling and monitoring the tobacco epidemic. Geneva: World Health Organization; 1998.
  3. The WHO Report on the Global Tobacco Epidemic provides the roadmap to reverse the global tobacco epidemic The solution to the epidemic is MPOWER, and the implementation and enforcement of its six proven effective policies in every country This report – and future editions – will show countries how to reverse the tobacco epidemic The reports also will keep track of global, regional and country progress of the fight against the epidemic