Section C

1. Section C Global Burden

2. Global Smoking Prevalence Source: adapted by CTLT from The Tobacco Atlas (2006). Source: adapted by CTLT from The Tobacco Atlas. (2006).

3. Cigarette Consumption in China (1952–1996) Average Number of Manufactured Cigarettes Smokedper Man per Day in China (Smokers and Nonsmokers Combined) Source: adapted by CTLT from China National Prevalence Survey of Smoking Patterns. (1996).

4. Cigarette Consumption in Poland (1923–2000) Average Number of Manufactured Cigarettes Smokedper Man per Day in Poland (Smokers and Nonsmokers Combined) Source: adapted by CTLT from Zatonski, et al. (2004).

5. Burden of Tobacco Deaths Shifting • One in two long-term smokers killed by their addiction • Half of deaths in middle age (35-69) Annual World Tobacco Deaths (in Millions) Source: adapted by CTLT from Peto, R. and Lopez, A. (2001).

6. Smokers killedin middle age lose morethan 20 years of life expectancy. womendeveloping countries0.4 million menindustrializedcountries1.8 million mendevelopingcountries2.0 million womenindustrialized countries0.6 million Annual deathsPremature deathsfrom smokingworldwide2000 total4.8 million men3.8 million women1.0 million The Global Tobacco Health Burden • Single most important cause of preventable deaths in the world • Projected to be the leading cause of death by 2020s—one in eight deaths Source: The Tobacco Atlas. (2002). Permission granted.

7. The Global Tobacco Health Burden • 70% of tobacco deaths in the 2020s will be in developing countries (DC)

8. The Global Tobacco Burden—Women • Closing gender gap—over 236 million women smoke globally • Only ≈ 3% of women in Southeast Asia smoke cigarettes • High exposure to secondhand smoke Image source: adapted by CTLT from The Tobacco Atlas. (2006).

9. The Global Tobacco Burden—Women Estimated Smoking Prevalence by Gender and Number of Smokers in Populations Aged 15 or More, by World Bank Region, 1995 Source: adapted by CTLT from The World Bank. (1999). Calculations based on the World Health Organization. (1997).

10. The Global Tobacco Burden—Youth • Every day 80,000 to 100,000 youths become regular smokers • One-fifth of young people begin before they are ten years old • High exposure to secondhand smoke • Predicted to kill 250 million children and adolescents alive today Source: The Tobacco Atlas. (2006), GYTS Collaborative Group. (2002).

11. Global Youth Tobacco Survey (GYTS) Source: adapted by CTLT from GYTS Collaborative Group. (2002).

12. The Global Tobacco Burden—the Poor Source: adapted by CTLT from The World Bank. (1999).

13. The Global Tobacco Burden—the Poor Source: adapted by CTLT from CDC—MMWR. (Nov 11, 2005). 54(44); 1121–1124.

14. Economic Tradeoffs for the Smoker Source: The Tobacco Atlas. (2006). Permission granted.

15. Cigarette Consumption in the U.S. (1900–2000) Source: adapted by CTLT from U.S. Surgeon General’s Report. (2000).

16. Summary • Both active and passive smoking are deadly • Single most important cause of preventable deaths in the world • Unless effective measures are implemented to prevent young people from smoking, and to help current users quit, tobacco will kill one billion people in the 21st century