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World No Tobacco Day 2011

Manisha Goel,
Assistant Editor, DoctorNDTV

World No Tobacco Day 2011

On 31st May each year WHO celebrates World No Tobacco Day, highlighting the health risks associated with tobacco use and advocating for effective policies to reduce consumption. Tobacco use is the second cause of death globally (after hypertension) and is currently responsible for killing one in 10 adults worldwide.

The World Health Assembly created World No Tobacco Day in 1987 to draw global attention to the tobacco epidemic and its lethal effects. It provides an opportunity to highlight specific tobacco control messages and to promote adherence to the WHO Framework Convention on Tobacco Control. Tobacco use is the number one preventable epidemic that the health community faces.

The WHO selects "The WHO Framework Convention on Tobacco Control" as the theme of the World No Tobacco Day this year, which will take place on 31 May 2011.

The WHO Framework Convention on Tobacco Control (WHO FCTC) is the world's foremost tobacco control instrument. The first treaty ever negotiated under the auspices of WHO, it represents a signal achievement in the advancement of public health. In force only since 2005, it is already one of the most rapidly and widely embraced treaties in the history of the United Nations, with more than 170 Parties. An evidence-based treaty, it reaffirms the right of all people to the highest standard of health and provides new legal dimensions for cooperation in tobacco control.

Key facts

  • Tobacco kills up to half of its users.
  • The tobacco epidemic kills nearly 6 million people per year
  • Without urgent action, the death toll could rise to more than eight million by 2030.
  • More than 80% of the world's one billion smokers live in low- and middle-income countries.
  • Total consumption of tobacco products is increasing globally, though it is decreasing in some high-income and upper middle-income countries.

Leading cause of death, illness and impoverishment


Tobacco use is one of the biggest public health threats the world has ever faced. It kills more than five million people a year – an average of one person every six seconds – and accounts for one in 10 adult deaths. In addition to tobacco use, more than 600 000 nonsmokers die from exposure to tobacco smoke a year. As a result, in total the tobacco epidemic kills nearly 6 million people per year. Without urgent action, the death toll could rise to more than eight million by 2030. Up to half of current users will eventually die of a tobacco-related disease.

More than 80% of the one billion smokers worldwide live in low- and middle-income countries, where the burden of tobacco-related illness and death is heaviest.

Tobacco users who die prematurely deprive their families of income, raise the cost of health care and hinder economic development.

In some countries, children from poor households are frequently employed in tobacco farming to provide family income. These children are especially vulnerable to "green tobacco sickness", which is caused by the nicotine that is absorbed through the skin from the handling of wet tobacco leaves.

Gradual killer

Because there is a lag of several years between when people start using tobacco and when their health suffers, the epidemic of tobacco-related disease and death has just begun.
  • Tobacco caused 100 million deaths in the 20th century. If current trends continue, it will cause up to one billion deaths in the 21st century.
  • Unchecked, tobacco-related deaths will increase to more than eight million per year by 2030. More than 80% of those deaths will be in low- and middle-income countries.

Surveillance is key


Good monitoring tracks the size and character of the epidemic and indicates how best to tailor policies. Two-thirds of countries – more than four in five of them low- and middle-income – do not have even minimal information about tobacco use.

Second-hand smoke kills

Second-hand smoke is the smoke that fills restaurants, offices or other enclosed spaces when people burn tobacco products such as cigarettes, bidis and water pipes. There is no safe level of second-hand tobacco smoke.

Every person should be able to breathe smoke-free air. Smoke-free laws protect the health of non-smokers, are popular, do not harm business and encourage smokers to quit.
  • Only 5.4% of people are protected by comprehensive national smoke-free laws.
  • In 2008, the number of people protected from second-hand smoke increased by 74% to 362 million from 208 million in 2007.
  • Of the 100 most populous cities, 22 are smoke free.
  • Almost half of children regularly breathe air polluted by tobacco smoke.
  • Over 40% of children have at least one smoking parent.
  • Second-hand smoke causes more than 600 000 premature deaths per year.
  • In 2004, children accounted for 28% of the deaths attributable to second-hand smoke.
  • There are more than 4000 chemicals in tobacco smoke, of which at least 250 are known to be harmful and more than 50 are known to cause cancer.
  • In adults, second-hand smoke causes serious cardiovascular and respiratory diseases, including coronary heart disease and lung cancer. In infants, it causes sudden death. In pregnant women, it causes low birth weight.

Tobacco users need help to quit


Studies show that few people understand the specific health risks of tobacco use. For example, a 2009 survey in China revealed that only 37% of smokers knew that smoking causes coronary heart disease and only 17% knew that it causes stroke.

Among smokers who are aware of the dangers of tobacco, most want to quit. Counselling and medication can more than double the chance that a smoker who tries to quit will succeed.
  • National comprehensive health-care services supporting cessation are available only in 17 countries, representing 8.2% of the world's population.
  • There is no cessation assistance in 29% of low-income countries and 8% of middle-income countries.

Picture warnings work


Hard-hitting anti-tobacco advertisements and graphic pack warnings – especially those that include pictures – reduce the number of children who begin smoking and increase the number of smokers who quit.

Studies carried out after the implementation of pictorial package warnings in Brazil, Canada, Singapore and Thailand consistently show that pictorial warnings significantly increase people's awareness of the harms of tobacco use.
  • Although pictures are more powerful deterrents than words on tobacco packaging warnings, only 19 countries, representing 24% of the world's population, mandate pictorial warnings.
  • Just 15 countries, representing 7.6% of the world's population, meet the highest standards for pictorial warnings, which include that they be in colour and cover at least half of both the front and back of cigarette packs.

Ad bans lower consumption

Bans on tobacco advertising, promotion and sponsorship can reduce tobacco consumption.
  • Only 26 countries, representing 8.8% of the world’s population, have comprehensive national bans on tobacco advertising, promotion and sponsorship.
  • 27% of the world's population live in countries that do not ban free distribution of tobacco products.

Taxes discourage tobacco use


Tobacco taxes are the most effective way to reduce tobacco use, especially among young people and poor people. A tax increase that increases tobacco prices by 10% decreases tobacco consumption by about 4% in high-income countries and by up to 8% in low- and middle-income countries.
  • Only 21 countries, representing 6.2% of the world's population, have tobacco tax rates greater than 75% of the retail price.
  • In countries with available information, tobacco tax revenues are 173 times higher than spending on tobacco control.

Source: WHO

Tuesday, 31 May 2011
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