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Pacific Islands Overview

Pacific Islands Overview. Dr Vili Nosa Ms Stephanie Erick. Oceania Tobacco Control Pre-Conference 2011 Brisbane Convention Centre , Australia Monday 17th October 2011. Our Future Health and Wealth.

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Pacific Islands Overview

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  1. Pacific Islands Overview Dr ViliNosa Ms Stephanie Erick Oceania Tobacco Control Pre-Conference 2011 Brisbane Convention Centre, Australia Monday 17th October 2011

  2. Our Future Health and Wealth • Obesity and Tobacco use are two most preventable threats to the health (and wealth) of Pacific nations • Both contribute to NCDs – the largest premature cause of death, disease and disability in the region • Smoking young increases likelihood of lifetime use – (Pacific populations are very young) • The fight against big tobacco is not over yet • Smokefree environments in homes, workplaces, villages still the aim

  3. Tobacco Use in NZ • Single largest preventable cause of morbidity and mortality in NZ, declining • Attributable Burden of Disease in PICTs? • 5,000 deaths per year attributable to tobacco • 1/3 Pacific adults (31%) ‘current’ smokers • 1/5 young adults (15-19 years) are current smokers • Rate of decline among Pacific people slowest in NZ • Overall climate for tobacco control is very good

  4. Smoking Prevalence by Pacific Ethnic Group, Adults (NZ MOH 2006 Census)

  5. Youth Regular Smokers by Ethnicity, NZ 2008-2009 (ASH Snapshot Survey)

  6. Trends in Smoking Prevalence by Ethnicity, NZ 1999-2010

  7. Smoking pRevalence in the Pacific….

  8. Youth Smoking Prevalence (%) in PICTs

  9. Youth Smoking Prevalence in PICTs (WHO CHIPS 2010)

  10. Adult Smoking Prevalence in PICTs(WHO CHIPS 2010)

  11. Interventions • FCTC ratified by most PICTs, legislation developed • Compliance and consequences critical • Various initiatives at local and national levels; impact ? • Increased taxes (and bans on advertising) are effective • Importance of regional/global actions

  12. Tobacco control initiatives in Niue • Very doable in terms of small population and country size. • Need to establish what is going on in terms of tobacco initiatives. • Political support you need a champion to push tobacco control progress. • Engaging with tobacco control people at the community level. • Develop a Tobacco control plan. i.e community consultation. • Resource support.

  13. Summary • Youth tobacco use high/very high in the region, no evidence of decline • Declining use in NZ Pacific adults and young people but prevalence remains high – priorities known • In general, tobacco use higher in girls than boys in NZ, reverse in the region, with few exceptions • Improving precision of data with STEPS surveys etc but effective action is now crucial • Regional Action Plan focus on Youth and interventions involving NZ and ‘home islands’?

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