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High cigarette prices can really make you quit smoking

WHO says increased taxation on tobacco is least expensive and most effective tool in reducing smoking worldwide.

http://www.aljazeera.com/indepth/interactive/2017/05/high-cigarette-prices-quit-smoking-170525092939544.html

Tobacco remains one of the major risk factors for a number of chronic diseases, including cancer, lung and cardiovascular diseases. The World Health Organization (WHO) estimates that tobacco is responsible for the death of around seven million people across the globe every year.

Over the last two decades, there has been a significant reduction in the percentage of people smoking every day across the world, but the WHO says a lot more needs to be done to deter people from smoking cigarettes.

In a bid to curb consumption, governments have been enforcing stricter regulations on tobacco products and their usage.

Several countries are increasingly implementing strategies to tighten their tobacco policies in the hopes of deterring smoking, especially among young people.

Raising taxes on tobacco products is seen to be one of the least expensive and the most effective tools in countering the influence of tobacco companies. But it is also the least implemented, with only 10 percent of the world’s population currently living in countries with sufficiently high taxes.

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A 2010 WHO report found that 78 percent of those aged 15 years and over in the WHO member states were non-smokers.

By 2025, the number of non-smokers is expected to rise to around 5 billion out of a projected 6.1 billion people aged 15 and over.

Currently, nearly a third of all men are smokers, making the prevalence of smoking among men considerably higher than among women. Over the past 30 years, smoking among men has decreased by 10 percent.

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The price of a pack of cigarettes

Increasing prices and adding tax measures on tobacco products has been used to decrease the demand for cigarettes.

Many countries have successfully used tax policies to regulate the price of cigarette products. In Australia, a pack of cigarettes can cost up to $18, making it the most expensive country to buy cigarettes.

A report by the Australian Institute of Health and Welfare (AIHW) in 2016 found that the smoking rate in the country was at an all time low. In the last 20 years, smoking had decreased by almost 50 percent.

The study showed that less than 13 percent of Australians are daily smokers and fewer people are starting to smoke.

The report cites Australia as having one of the lowest smoking rates in the world, in part because of their implementation of increased taxes on tobacco products, plain packaging, and more restrictive smoke-free environment laws.

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Illicit trade in tobacco products

The tobacco industry and other interest groups argue that increased taxes on tobacco products allows an illicit black market trade in tobacco to thrive.

But the WHO says that high-income countries with taxes on tobacco products do not face widespread issues related to illicit trade, while low-income countries continue to do so, precisely because of weaker tobacco-control programmes and taxes. Nearly 80% of the world’s smokers live in low to middle-income countries.

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Mumbai: Over 40 NGOs, Tata Hospital join hands against tobacco

Mumbai: To mark ‘World No Tobacco Day’ which falls on May 31, more than 40 Non-Governmental Organisations, (NGOs) in collaboration with the Tata Memorial Hospital, Parel have formed a coalition to reduce the consumption of tobacco in India.

http://www.freepressjournal.in/mumbai/mumbai-over-40-ngos-tata-hospital-join-hands-against-tobacco/1077580

Dr. Pankaj Chaturvedi, professor and surgeon of Tata hospital, said that every third person in India consumes tobacco in different forms. He stated that the theme, ‘Tobacco- a threat to development’ specifically highlights the link between the use of tobacco products, tobacco control and sustainable development.

Dr. Chaturvedi further said that 33 per cent of tobacco users die a premature death due to cancer, heart attack, lung diseases, stroke etc. A smoker loses 8 years of his life due to this addiction.

“Tobacco is responsible for nearly 50 per cent cancers in India and 90 per cent of mouth cancers. Half of the mouth cancer patients die within 12 months of diagnosis,” said Dr. Chaturvedi.

Dr. Vijay Satbir Singh, additional chief secretary Public Health Department said that the main aim is to regulate the consumption of tobacco by implementing the Cigarettes and Other Tobacco Products Act (COTPA Act).

“The main challenge is to enforce traders to implement the warning signs and stop selling loose cigarettes. Stern action will be taken against those who are not following the law,” said Dr. Singh.

What is COTPA Act?

The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003 was enacted in 2003 to prohibit advertisement of tobacco products and to regulate them in India.
The Act prohibits smoking of tobacco in public places, except in special smoking zones in hotels, restaurants and airports and open spaces.
Advertisement of tobacco products including cigarettes is prohibited.
Tobacco products cannot be sold to person below the age of 18 years, and in places within 100 metres radius from the outer boundary of an institution of education.
Tobacco products must be sold, supplied or distributed in a package which shall contain an appropriate pictorial warning, its nicotine and tar contents.

Where smoking is the leading cause of death and ill health

Rich countries are hit the hardest but poor ones may soon follow

http://www.economist.com/blogs/graphicdetail/2017/05/daily-chart-22

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TODAY is World No Tobacco Day. Although in most countries the proportion of people who smoke continues to fall, campaigners see the glass as half full. In 24 countries smoking causes the largest share of the overall burden of disease, measured in years lost to ill health and premature death. In another 37 countries it ranks second. Most of these 61 countries are rich. Although their smoking rates are falling, much of the decline is because fewer young people are picking up the habit, rather than because older smokers are quitting. The harms from smoking affect people most seriously after middle age, so countries where smoking became popular a generation or more ago are worst affected—for now.

In poor countries, smoking is still a less important cause of death and disability than several other things, such as dirty water and malnutrition. Few African and Asian women light up—smoking is often socially acceptable only for men. In many of the poorest countries, smoking is still uncommon—though in some it is on the rise. As developing countries grow less poor, other harms will dwindle and smoking will start to look deadlier by comparison.

World No Tobacco Day: Poor almost three times more likely to smoke

360,000 NI residents still estimated to smoke, with men more likely to light up

http://www.belfastlive.co.uk/news/health/world-no-tobacco-day-poor-13117577

People in the most deprived areas of Northern Ireland are almost three times more likely to smoke than their better off counterparts according to the Public Health Authority NI.

Considered by the World Health Organisation to be a blight on health, the environment and household income, the international health organisation also revealed today – on World No Tobacco Day – that globally, there are 226million adult tobacco users living in poverty.

And in low income countries over 10% of a smoker’s budget can be spent on tobacco products, meaning less money for food, education and health care.

“Tobacco use hits the poorest people the hardest and exacerbates poverty,” said Dr Margaret Chan, Director General of WHO.

“Spending on tobacco products often represents more than 10% of total household income.

“(It) is a deadly product that kills more than 7million people every year, and costs the global economy more than $1.4trillion annually in healthcare expenditure and lost productivity.”

“In addition to posing a serious threat to health,” she added, “tobacco use also threatens development in every country on every level and across many sectors – economic growth, health, education, poverty and the environment – with women and children bearing the brunt of the consequences.”

Closer to home, the Public Health Authority said it is currently estimated that around 320,000 people aged 16 and over smoke in Northern Ireland, with men (23%) slightly more likely to light up than women (21%).

But, in line with global trends, they said there is also a strong link between smoking prevalence and deprivation here, while those in manual occupations are three times more likely to smoke than professionals.

The 2015/16 Health Survey NI found that 36% of respondents in the most deprived areas used tobacco, but this figure is just 13% among the more well off.

And while the number of smokers is falling, with 80% of those who still do forgoing the addiction in their homes and cars, there is still more work to be done.

“Protecting people from tobacco smoke is a key objective set out in the Ten Year Tobacco Strategy for Northern Ireland,” said Colette Rogers, Head of Health and Social Wellbeing Improvement from the Public Health Agency.

“Therefore, the Public Health Agency would welcome a ban on smoking in cars as a means of protecting young people from exposure to second-hand smoke, improving people’s health and helping to reduce the uptake of smoking in Northern Ireland.

“Smoking remains the single greatest cause of preventable illness and premature death in Northern Ireland so we urge smokers to quit by seeking the help of their local stop smoking service.

“In Northern Ireland there are more than 650 free PHA-funded stop smoking services which are run by specially-trained staff who can advise on the best way to stop smoking.

“Services are offered in many community pharmacies, GP practices, HSC Trust premises, and community and voluntary organisations, and can be set up in workplaces.”

Stop Smoking: It’s Deadly and Bad for the Economy

Higher taxes on tobacco products reduce tobacco consumption and improve public health, while also increasing government revenues that can be used to fund priority investments and programs that benefit the entire population.

http://www.worldbank.org/en/news/infographic/2017/05/31/stop-smoking-its-deadly-and-bad-for-the-economy

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Big investors warn against tobacco investment on World No Tobacco Day, but smoking in Europe is still stubbornly high

Today marks the passing of the 30th World No Tobacco Day, designed to encourage smokers to abstain for a day in the hope that they might quit.

http://www.cityam.com/265672/big-investors-warn-against-tobacco-investment-world-no

Yet it seems the annual event is doing little to help people kick the habit, despite support from big investors such as Axa and Calpers who are using the day to encourage a reduction in tobacco investment.

According to a survey of EU citizens, published by the European Commission to coincide with World No Tobacco Day, there has been no decrease in the number of daily smokers since 2014 – and even an increase among 15- to 24-year-olds.

“The increase in youth smoking rates illustrates the urgency for member states to enforce the provisions of the Tobacco Products Directive, which forbid attractive cigarettes aimed at enticing young people,” said EU commissioner for health and food safety Vytenis Andriukaitis.

The directive, which came into force in May this year, forbids tobacco manufacturers from marketing products as flavoured and requires them to cover 65 per cent of the packaging in health warnings.

Yet the overall smoking rate in the EU has remained at 26 per cent since 2014 and has risen from 25 per cent to 29 per cent in people aged 15 to 24.

Smoking in the UK sits fairly well below the European average, with 17 per cent of the population taking a daily puff.

Greece, Bulgaria, France and Croatia all rank highly, with smoking rates in each country above 35 per cent. Yet in Sweden, only seven per cent of people will regularly smoke a tobacco product.

Axa, Calpers, Scor and AMP Capital are putting their weight behind the push to quit, sponsoring the world’s first global investor statement on the subject.

It aims to “make visible the strong support within the financial community” for the World Health Organisation’s (WHO) framework on tobacco control and encourage stakeholders to act against tobacco investment, Axa said.

Axa and AMP Capital divested from tobacco last year, while Calpers did so 17 years ago and has since widened its ban to include externally managed funds.

The substance kills more than seven million people each year according to WHO, which has coordinated World Tobacco Day since the first event in 1988, and costs households and taxpayers more than $1.4trn (£1.1trn) in healthcare expenditure and lost productivity.

Hooked on tobacco

Majority of young Malaysians are well aware of the health hazards of smoking, but few would actually take them seriously.

http://www.mysinchew.com/node/117728

A survey conducted by National Cancer Society Malaysia (NCSM) on 143 students aged between 13 and 17 from four schools finds that 85% of students know that tobacco could lead to lung cancer while 95% know smoking is harmful to health.

However, 70% of students say they started smoking when they were 12 to 15 years old.

NCSM president Dr Saunthari Somasundaram told Sin Chew Daily they had organized the campaign to help school students quit smoking.

“From there we can learn more about these youngsters’ knowledge, attitude and behavior towards smoking. Alarmingly they are well aware of the various health hazards in relation to smoking, but they do not have the right ‘opportunity’ to quit.

“We will provide counseling services three months before the event. If they have stopped smoking during the past three months, this shows they have successfully quit smoking.”

Unfortunately, she said, many parents did not support their children to join the event for fear their smoker identity would be exposed.

According to The Tobacco Atlas published by the American Cancer Society in 2013, 19% of Malaysian teenagers smoked every day, including 17.1% of men and 1.9% of women.

May 31 is World No Tobacco Day. The theme for this year is: Tobacco, a threat to development.

World No Tobacco Day: Effects of shisha or hookah on the heart

Did you know 163.7 million in India consume these smokeless variants and are prone to cardiac ailments?

http://www.thehealthsite.com/news/world-no-tobacco-day-effects-of-shisha-or-hookah-on-the-heart-b0517/

According to statistics, about 6 million people in India die every year due to tobacco consumption and approximately 163.7 million users consume only the smokeless variants like sheesha (shisha or hookah). But still, the number of people dying due to tobacco consumption every year is higher than that due to tuberculosis, HIV-AIDS, and malaria put together. Be it tobacco smoking or use of smokeless tobacco like hookah, every form of tobacco contains more than 30 cancer-causing substances along with nicotine which can cause irreparable damage to the body.

Effects of Shisha on the heart

Dr Manoj Kumar, Associate Director & Head, Cardiac Cath Lab, Max Super Specialty Hospital, Patparganj, New Delhi, says, ‘Smokeless tobacco and sheesha affect the heart in multiple ways. Inhalation of the high levels of carbon monoxide reduces the oxygen-carrying capacity of the blood, leading to an overall drop of oxygen circulating in the body. This causes a drastic increase in the heart rate and blood pressure leading to a lot of exertion on the cardiovascular system. People addicted to such forms of tobacco are more prone to cardiac arrest, high blood pressure, stroke, haemorrhage, blood clot and other heart-related ailments. People with a risk of cardiac ailments or a history of cardiac arrest have twice the risk of mortality if they continue the usage of snuff or other smokeless tobacco products even after an attack.” Here are more side effects of hookah.

Is a sheesha bad for you?

There is no safe form of tobacco. Smokeless tobacco and sheesha, two other variants of tobacco, are equally harmful to heart health. Those forms of tobacco which are not burnt are termed as smokeless. Sheesha, on the other hand, is a form of fruit-flavored tobacco which is roasted in a foil along with charcoal and passed into a small chamber of water through a glass-bottomed pipe, which is then inhaled slowly. The WHO points that the total volume of smoke and carcinogens inhaled during an hour-long session of sheesha is equivalent to smoking 100 to 150 cigarettes with an average sheesha user inhaling approximately one-sixth of a litre of smoke in just one inhale.

Dr Santosh Kumar Agarwal, Senior Interventional Cardiologist, Kailash Hospital and Heart Institute, Noida, says “All forms of tobacco are dangerous to smokers and non-smokers alike. The nicotine in tobacco is what makes people addicted to it. Whether it is smoking or chewing, tobacco damages blood vessels, temporarily raises blood pressure and lowers exercise tolerance. It also reduces the oxygen-carrying capacity of blood and increases the tendency for blood to clot. Blood clots in the arteries can further cause a range of heart problems, which ultimately result in a stroke or sudden death.’ Read more on hookah or cigarettes, which is more harmful?

How to quit smoking hookah?

Here are some tips to try and quit this deadly habit.

1. Try short-acting nicotine replacement therapies such as nicotine gum, lozenges, nasal sprays, or inhalers. These can help you overcome intense cravings.

2. Identify the trigger situation, which makes you smoke. Have a plan in place to avoid these or get through them alternatively.

3. Chew on sugarless gum or hard candy, or munch raw carrots, celery, nuts or sunflower seeds instead of tobacco.

4. Get physically active. Short bursts of physical activity such as running up and down the stairs a few times can make a tobacco craving go away. Also read about 7 simple ways to control the urge of ‘just one puff’!

Disclaimer: TheHealthSite.com does not guarantee any specific results as a result of the procedures mentioned here and the results may vary from person to person. The topics in these pages including text, graphics, videos and other material contained on this website are for informational purposes only and not to be substituted for professional medical advice.

Smokers Undeterred as Bills Keep Rising

Since the beginning of the past fiscal year (ended in March) the taxes collected on tobacco products are paid to the Health Ministry (50%), Education Ministry (25%) and Ministry of Sports and Youth Affairs (25%) for anti-smoking campaigns

https://financialtribune.com/articles/people/65335/smokers-undeterred-as-bills-keep-rising

Iranians spend $1-1.5 million (40 to 50 billion rials) on tobacco products each day and the cost of treating tobacco-related disease is almost three times more than the amount spent on tobacco consumption.

During the past five years, the rate of tobacco consumption has only slightly decreased, studies conducted by the Health Ministry indicate. The rate is still high among adolescents and young people (the peak age for first trying of smoking has decreased from 13 to 10). The figure has also increased dramatically compared to the past decade, the Persian language weekly ‘Salamat’ reported.

“In 2006, Iranians smoked 50 billion cigarettes (worth $33.3 million). The figure reached 60-70 billion cigarettes in 2016,” said Dr Mohammadreza Madani, head of the Iranian Anti-Tobacco Association (IATA).

Another concern is the high prevalence of hookah (water pipe) for smoking flavored tobacco among young people. One hour of smoking hookah exposes a smoker 100-fold to the amount of smoke inhaled from a single cigarette. Even those people around a hookah smoker inhale smoke equal to 10 cigarettes.

Every year on May 31, the WHO marks World No Tobacco Day (WNTD), highlighting the health and additional risks associated with tobacco use, and advocating effective policies to reduce tobacco consumption.

The theme for World No Tobacco Day 2017 is ‘Tobacco – a threat to development.’

But irrespective of the programs to create awareness on the harmful effects of smoking, statistics show that 14-15% of Iranians from the 80 million population are regular cigarette smokers (more than 3% are women, and 20% men).

“Though most of the cigarette smokers are men, hookah smoking doesn’t vary by gender; 21.3% of women and 21.7% of men are hookah smokers,” Madani said.

Dodging Taxes

Iran is one of the nations that has signed the World Health Organization Framework Convention on Tobacco Control (WHO FCTC), by which a country is committed to reduce the rate of tobacco consumption every year (by implementation of both price and tax measures as well as non-price measures to reduce demand for tobacco).

Pointing to Article 8 of the National Comprehensive Law on Tobacco Control, Madani said, “According to the law passed in 2006, every year taxes on cigarettes should be increased by 10%.”

“However, there have been always obstacles in its implementation. For example, in 2010 the figure decreased to 5% due to ‘manipulative tactics’ by the powerful tobacco lobby. Tobacco producers said that high taxes on cigarettes would lead to an increase in cigarette smuggling, and thus managed to reduce the tax.”

However, in January this year, lawmakers passed cigarette and tobacco tax slabs to be implemented under the sixth five-year economic development plan (2017-22).

Based on the new law, the tax slab on locally-produced tobacco and cigarettes is 10%; for local brands jointly produced by domestic and foreign manufacturers, it is 20%; for domestically produced cigarettes with foreign brand names the slab is 25%; and for imported cigarettes and tobacco, it is 40%.

Lawmakers also mandated the Ministry of Industries, Mining and Trade to announce the retail prices of cigarettes and all tobacco products to the relevant authorities for taxation purposes and for printing the tax rates on cigarette packs.

“Since the beginning of the past fiscal year (ended in March) the taxes collected on tobacco products are paid to the Health Ministry (50%), Education Ministry (25%) and Ministry of Sports and Youth Affairs (25%). The Education Ministry is required to spend the money on increasing students’ awareness of harms associated with tobacco smoking,” Madani said.

Earlier, the tax money was given to the ministries of health and sports and youth affairs.

Facts About Tobacco

There are more than 7 million deaths from tobacco use every year, a figure that is predicted to cross 8 million by 2030 without effective and intensified action. Tobacco consumption is a threat to any person, regardless of gender, age, race, cultural or educational background. It brings suffering, disease, and death, impoverishing families and national economies.

Tobacco use costs national economies enormously through increased healthcare costs and decreased productivity. Some 80% of premature deaths from tobacco occur in low- or middle-income countries, which face increased challenges to achieving their development goals, the WHO website reports.

Tobacco growing requires large amounts of pesticides and fertilizers, which can be toxic and pollute water supplies. Each year, tobacco growing uses 4.3 million hectares of land, resulting in global deforestation between 2% and 4%. Tobacco manufacturing also produces over 2 million tons of solid waste.

By increasing cigarette taxes worldwide by $1, an extra $190 billion could be raised for development. High tobacco taxes contribute to revenue generation for governments, reduce demand for tobacco, and offer an important revenue stream to finance development activities.

Current Tobacco Smoking and Desire to Quit Smoking Among Students Aged 13–15 Years

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