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Global Tobacco Burden: 1 Billion Potential Lives Lost

Tobacco killed 100 million people in the 20th century and continues to be the leading preventable cause of death. Urgent action is needed to prevent tobacco-related deaths, as it is projected to kill over 8 million people per year by 2030. This article highlights the dangers of smoking and second-hand smoke, as well as six proven policies to reverse the global tobacco epidemic. It also emphasizes the need for comprehensive country-by-country assessments and increased funding for tobacco control.

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Global Tobacco Burden: 1 Billion Potential Lives Lost

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  1. Global Burden of Tobacco • Tobacco killed 100 million people worldwide in the 20th Century • Leading preventable cause of death - kills up to half of people who use it • Unless urgent action is taken • By 2030 tobacco will kill >8 million people each year - 80% in developing countries • Tobacco could kill 1 billion people during the 21st Century - unless we act now

  2. Smoking and Second-Hand Smoke Damage Every Part of the Body Second-Hand Smoke Smoking

  3. Nearly 2/3 of the World’s Smokers Live in Just 10 Countries More than 40% live in just 2 countries

  4. MPOWERSix Proven Polices to Reverse the Global Tobacco Epidemic • 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. Monitor Tobacco Use and Prevention Policies • Accurate monitoring is essential • Tobacco use prevalence • Impact of policy interventions • Tobacco industry marketing, promotion and lobbying

  6. Protect People from Tobacco Smoke • No safe level of second-hand smoke • Smoke-free environments protect health of non-smokers and help smokers quit • Only completely smoke-free indoor areas with no exceptions work • Smoke-free laws popular and do not harm business • Worker safety measure Bar and restaurant receipts increased in California after going smoke-free

  7. Offer Help to Quit Tobacco Use Nicotine replacement therapy can double quit rates • Nicotine is addictive • Health care system has primary responsibility to treat tobacco dependence • Quit lines also effective

  8. Warn About the Dangers of Tobacco Pack warnings are effective, especially if they have pictures covering half of pack • Most people are unaware of full range of health risks of tobacco use, SHS exposure • Anti-tobacco ads help change image of smoking 3/4 approve of warnings More than half changed opinions 2/3 want to quit Impact of pack warnings in Brazil

  9. Enforce Bans on Tobacco Advertising, Promotion and Sponsorship • Tens of billions of dollars spent each year to promote tobacco • Advertising increases sales, illness and death • Bans are effective, but only if comprehensive • Advertising in all media must be banned • All marketing/promotion must be prohibited • Enforcement is essential Comprehensive advertising bans amplify effects of other interventions 9 times faster reduction in consumption with ban than without after 10 yrs

  10. Raise Taxes on Tobacco • Increasing tobacco taxes is best way to reduce consumption • Especially among the young and the poor • Taxes must keep pace with inflation and with increasing consumer spending power • Tobacco taxes generally well accepted • Higher taxes increase revenues, help pay for tobacco control and other health/social programs Higher tobacco taxes reduce consumption Tax rates vs. consumption, South Africa

  11. First-Ever Comprehensive Country-by-Country Assessment • Assesses implementation and enforcement of MPOWER • Countries need to do much more • Some progress, but no country fully implements even 5 of the 6 key interventions • Tobacco control requires political commitment from all levels of government and engagement by civil society No policy Minimal Moderate Complete No data

  12. Most Countries Have Not Implemented Effective Tobacco Control Policies

  13. Only 5% of World Covered by Effective Tobacco Control Policies 5% or less benefit from effective interventions to reduce use

  14. Individual Country Reports

  15. Regional SummariesExample: South-East Asia

  16. Global Tobacco Control is Underfunded Globally, tobacco tax revenues are 500 times higher than spending on tobacco control In low- and middle-income countries, tax revenues are 5,000 times higher

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