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May 30th, 2017:

Stronger Tobacco-control Measures Vital, WHO Warns

The World Health Organization warns that more than 7 million people die prematurely every year from tobacco-related causes, and it’s a costly drain on national economies.

https://www.voanews.com/a/stronger-tobacco-control-measures-vital-world-health-organization-says/3878184.html

In advance of World No Tobacco day, to be observed Wednesday, the global health agency urged governments to implement strong tobacco control measures for the health of their people and their economies.

WHO calls tobacco a threat to development. Besides the heavy toll in lives lost, global estimates show that “tobacco costs the global economy $1.4 trillion a year,” or 1.8 percent of global gross domestic product. The WHO notes this estimate takes into consideration “only medical expenses and lost productive capacities.”

Despite effective tobacco control measures, WHO reports the number of people dying from smoking is increasing because those dying today have mostly been long-term smokers and it takes time for tobacco control policies to make an impact.

Vinayak Prasad, program manager of the WHO’s Tobacco Free Initiative, told VOA, “What we are seeing is that if the policies were not in place, the number of 7.2 million would have been higher. We are seeing a reduction of tobacco use prevalence in most countries. The only regions now which are seeing higher growth are the African continent and Middle Eastern region. The rest of the world is seeing a decline.”

Diseases, disabilities

Besides leading to premature death, the WHO has found, countless millions of people who smoke suffer from a wide variety of tobacco-related diseases and resultant serious disabilities, including blindness, amputation, impotence and poor oral health.

Andrew Black of the WHO Framework Convention on Tobacco Control Secretariat noted that smoking is an addiction largely taken up in childhood and adolescence, “so it is crucial to reduce the number of young people taking up smoking in the first place. We must stop the tobacco industry’s powerful advertising and promotion, which can all too often be oriented toward young people.”

Black said tobacco widens social inequalities and is a driver of poverty around the world.

“We know that those living on lower incomes in virtually all countries are likely to smoke, and therefore more likely to suffer the consequences of tobacco use,” he said.

Black said that by 2030, about 80 percent of the world’s tobacco-related mortality will be in low- and middle-income countries.

“High rates of tobacco use being promoted by aggressive strategies from the tobacco industry are projected to lead to a doubling of the number of tobacco-related deaths in low- and middle-income countries between 2010 and 2030,” he said.

Study issued

To mark World No-Tobacco Day, the U.N. Development Program and the Secretariat of the WHO Framework Convention on Tobacco Control issued a study that focuses on the harmful effects of tobacco on both health and on efforts aimed at achieving the U.N.’s sustainable development goals (SDGs).

Dudley Tarlton, UNDP program specialist on health and development, told VOA that tobacco undermines the SDGs because “household consumption on tobacco displaces consumption on other goods and services that might lead to a better end.

“So, it affects poverty. It affects hunger. Education is affected. Children get ear infections because they are exposed to household smoke in the home,” he said.

For the first time, the WHO and UNDP released a joint report showing the bad impact tobacco has on the environment.

Prasad acknowledged that the data received from the tobacco industry and from governments were relatively weak. Nevertheless, he said, “the evidence is really astounding as to how tobacco is extremely dangerous and harming the environment.”

He said using land to grow tobacco “can lead to severe damage because of the widespread use of agrochemicals.”

Use of trees

Prasad noted that more than 11 million metric tons of wood was required to cure and dry tobacco, “which essentially means deforestation is already happening.”

The report found that tobacco waste contains over 7,000 toxic chemicals that poison the environment, including human carcinogens, and that tobacco smoke contributes “thousands of tons of human carcinogens, toxicants and greenhouse gases to the environment.”

Prasad said that cigarettes are bad news for tree lovers because “for every 300 cigarettes, we need to cut a tree. … Even conservatively, if we are looking at 6 trillion cigarettes, we are looking at almost 15 to 20 billion trees to cut.

“We have 6 trillion trees in the world, so we are almost looking at a big cut, which is going to happen, if we do not hold this,” he said.

And regarding the sullying of the world’s environment, he noted that cigarette butts “account for 30 to 40 percent of all items collected in coastal and urban cleanups.”

Colombia, Ecuador and Peru to receive WHO World No Tobacco Day Award

The World Health Organization (WHO) will distinguish Colombia, Ecuador and Peru with its 2017 World No Tobacco Day Award, which recognizes institutions, organizations and individuals who have made outstanding contributions in the fight against smoking in their country.

http://www.paho.org/hq/index.php?option=com_content&view=article&id=13381%3Acolombia-ecuador-y-peru-recibiran-el-premio-del-dia-mundial

In total, 29 countries from all regions of the world will be awarded by the World Health Organisation (WHO) in the framework of World No Tobacco Day (31 May), whose theme this year seeks to highlight the threat posed by tobacco to social development.

The winners have contributed to the implementation of the WHO Framework Convention on Tobacco Control (FCTC) and its Protocol for the Elimination of Illicit Trade.

The three winners of the award in the Americas region are:

  • Ministry of Finance and Public Credit of Colombia, Ministry of Health and Social Protection of Colombia and the Citizens coalition to oversee tobacco control policy (Veeduría ciudadana para el Control de Tabaco).
  • Internal Revenue Agency of Ecuador (Servicio de Rentas Internas – SRI).
  • Ministry of Economy and Finance of Peru.

The awards to the winners of the region will be presented by the Pan American Health Organization (PAHO), regional office for the Americas of the World Health Organisation, starting on May 31.

The FCTC was the world’s first health treaty negotiated under the auspices of WHO and went into effect in 2005. A legally binding accord, it commits States Parties to implementing a series of tobacco control measures aimed at reducing tobacco consumption and saving lives.

In the Americas, 30 countries have ratified the Convention, and a number have made significant progress in implementing its provisions, particularly smoke-free indoor public spaces and health warnings on tobacco packages.

Tobacco is the only legal consumer product that kills up to half its regular users when consumed exactly as the manufacturer intends. Worldwide, approximately 14 persons die from a tobacco-related disease every minute, equivalent to nearly 7 million lives lost each year.

World No Tobacco Day 2017

World No Tobacco Day 2017: Beating tobacco for health, prosperity, the environment and national development

http://www.who.int/mediacentre/news/releases/2017/no-tobacco-day/en/

Action to stamp out tobacco use can help countries prevent millions of people falling ill and dying from tobacco-related disease, combat poverty and, according to a first-ever WHO report, reduce large-scale environmental degradation.

On World No Tobacco Day 2017, WHO is highlighting how tobacco threatens the development of nations worldwide, and is calling on governments to implement strong tobacco control measures. These include banning marketing and advertising of tobacco, promoting plain packaging of tobacco products, raising excise taxes, and making indoor public places and workplaces smoke-free.

Tobacco’s health and economic costs

Tobacco use kills more than 7 million people every year and costs households and governments over US$ 1.4 trillion through healthcare expenditure and lost productivity.

“Tobacco threatens us all,” says WHO Director-General Dr Margaret Chan. “Tobacco exacerbates poverty, reduces economic productivity, contributes to poor household food choices, and pollutes indoor air.”

Dr Chan adds: “But by taking robust tobacco control measures, governments can safeguard their countries’ futures by protecting tobacco users and non-users from these deadly products, generating revenues to fund health and other social services, and saving their environments from the ravages tobacco causes.”

All countries have committed to the 2030 Agenda for Sustainable Development, which aims to strengthen universal peace and eradicate poverty. Key elements of this agenda include implementing the WHO Framework Convention on Tobacco Control, and by 2030 reducing by one third premature death from noncommunicable diseases (NCDs), including heart and lung diseases, cancer, and diabetes, for which tobacco use is a key risk factor.

Tobacco scars the environment

The first-ever WHO report, Tobacco and its environmental impact: an overview, also shows the impact of this product on nature, including:

  • Tobacco waste contains over 7000 toxic chemicals that poison the environment, including human carcinogens.
  • Tobacco smoke emissions contribute thousands of tons of human carcinogens, toxicants, and greenhouse gases to the environment. And tobacco waste is the largest type of litter by count globally.
  • Up to 10 billion of the 15 billion cigarettes sold daily are disposed in the environment.
  • Cigarette butts account for 30–40% of all items collected in coastal and urban clean-ups.

Tobacco threatens women, children, and livelihoods

Tobacco threatens all people, and national and regional development, in many ways, including:

  • Poverty: Around 860 million adult smokers live in low- and middle-income countries. Many studies have shown that in the poorest households, spending on tobacco products often represents more than 10% of total household expenditure – meaning less money for food, education and healthcare.
  • Children and education: Tobacco farming stops children attending school. 10%–14% of children from tobacco-growing families miss class because of working in tobacco fields.
  • Women: 60%–70% of tobacco farm workers are women, putting them in close contact with often hazardous chemicals.
  • Health: Tobacco contributes to 16% of all noncommunicable diseases (NCDs) deaths.

Taxation: a powerful tobacco control tool

“Many governments are taking action against tobacco, from banning advertising and marketing, to introducing plain packaging for tobacco products, and smoke-free work and public places,” says Dr Oleg Chestnov, WHO’s Assistant Director-General for NCDs and Mental Health. “But one of the least used, but most effective, tobacco control measures to help countries address development needs is through increasing tobacco tax and prices.”

Governments collect nearly US$ 270 billion in tobacco excise tax revenues each year, but this could increase by over 50%, generating an additional US$ 141 billion, simply from raising taxes on cigarettes by just US$ 0.80 per pack (equivalent to one international dollar) in all countries. Increased tobacco taxation revenues will strengthen domestic resource mobilization, creating the fiscal space needed for countries to meet development priorities under the 2030 Agenda.

“Tobacco is a major barrier to development globally;” says Dr Douglas Bettcher, Director of WHO’s Department for the Prevention on NCDs. “Tobacco-related death and illness are drivers of poverty, leaving households without breadwinners, diverting limited household resources to purchase tobacco products rather than food and school materials, and forcing many people to pay for medical expenses.”

“But action to control it will provide countries with a powerful tool to protect their citizens and futures,” Dr Bettcher adds.

Editor’s note

Tobacco-related illness is one of the biggest public health threats the world faces, killing more than 7 million people a year. But tobacco use is one of the largest preventable causes of noncommunicable diseases.

Tobacco control represents a powerful tool in improving health in communities and in achieving the Sustainable Development Goals (SDGs). SDG target 3.4 is to reduce premature deaths from NCDs by one third by 2030, including cardiovascular and chronic respiratory diseases, cancers, and diabetes.

Another SDG target, 3.a, calls for implementation of the WHO Framework Convention for Tobacco Control (WHO FCTC). The WHO FCTC entered into force in 2005, and its Parties are obliged to take a number of steps to reduce demand and supply for tobacco products. Actions addressed in the Convention include protecting people from exposure to tobacco smoke; banning tobacco advertising, promotion and sponsorship; banning sales to minors; requiring health warnings on tobacco packaging; promoting tobacco cessation; increasing tobacco taxes; and creating a national coordinating mechanism for tobacco control. There are 180 Parties to the Convention.

For more information, please contact:

Paul Garwood
WHO Department of Communications
Telephone: +41 22 791 15 78
Mobile: +41 79 603 72 94
Email: garwoodp@who.int

Christian Lindmeier
WHO Department of Communications
Telephone: +41 22 791 1948
Mobile: +41 79 500 6552
Email: lindmeierch@who.int

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.

Implementing rules for smoking ban out in July Tuesday, May 30, 2017

THE implementing rules and regulations (IRR) of Executive Order (EO) 26, which sets strict guidelines on designated smoking areas, will be released in July,

http://www.sunstar.com.ph/manila/local-news/2017/05/30/implementing-rules-smoking-ban-out-july-544704

Health Secretary Paulyn Ubial said Tuesday. “We are looking at coming out with the IRR inside the 60-day effectivity period provided by the EO, likely before SONA,” said Ubial. Ubial said they are already crafting the IRR along with Philippine Amusement and Gaming Corp., Philippine Ports Authority, Land Transportation Office, Civil Aviation Authority of the Philippines, Maritime Industry Authority, Department of Tourism, Office of the President, Department of Environment and Natural Resources, Department of Justice, Department of Interior and Local Government, Department of Education, and Civil Service Commission.

Noticeably absent from the list is a representative from the tobacco industry. “We don’t think that their representation would in fact add value to the EO,” said Ubial.

To note, the Inter-Agency Committee-Tobacco (IAC-Tobacco) created under the Tobacco Regulation Act of 2003, has a representative of the tobacco industry as among its members.

Earlier this month, President Rodrigo Duterte signed EO 26, which imposes a nationwide smoking ban in public places. The IRR is expected to complement the provisions of the EO 26. But even without the IRR, the health chief said local government units (LGUs) may already come out with their respective tobacco control ordinances. “We hope that if we come up with the IRR, the specifics there will be clearer in the implementation. But even without the IRR, it is already implementable,” said Ubial.

She said LGUs can easily refer to the Framework Convention on Tobacco Control (FCTC) as basis for their ordinances. “The FCTC is an international treaty that we signed and ratified. That can be the reference point of local ordinances,” said Ubial.

The health chief noted how there are local ordinances that are even stricter than the EO 26’s provisions as they are anchored on the FCTC, such as the LGU recipients of the Red Orchid Awards. “Actually, there are LGUs with ordinances stricter than our EOs. That can continue,” said Ubial. (HDT/SunStar Philippines)

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.

Tobacco kills 7 million a year, wreaks environmental havoc: WHO

Smoking and other tobacco use kills more than seven million people each year, the World Health Organization said Tuesday, also warning of the dire environmental impact of tobacco production, distribution and waste.

http://www.timeslive.co.za/world/2017/05/30/Tobacco-kills-7-million-a-year-wreaks-environmental-havoc-WHO

The UN agency said tougher measures were needed to rein in tobacco use, urging countries to ban smoking in the workplace and indoor public spaces, outlaw marketing of tobacco products and hike cigarette prices.

“Tobacco threatens us all,” WHO chief Margaret Chan said in a statement.

“Tobacco exacerbates poverty, reduces economic productivity, contributes to poor household food choices, and pollutes indoor air,” she said.

In a report released ahead of World No Tobacco Day on Wednesday, WHO warned that the annual death toll of seven million people had jumped from four million at the turn of the century, making tobacco the world’s single biggest cause of preventable death.

And the death toll is expected to keep rising, with WHO bracing for more than one billion deaths this century.

“By 2030, more than 80 percent of the deaths will occur in developing countries, which have been increasingly targeted by tobacco companies seeking new markets to circumvent tightening regulation in developed nations.”

Tobacco use also brings an economic cost: WHO estimates that it drains more than $1.4 trillion (1.3 trillion euros) from households and governments each year in healthcare expenditures and lost productivity, or nearly two percent of the global gross domestic product.

In addition to the health and economic costs linked to smoking, the WHO report for the first time delved into the environmental impact of everything from tobacco production to the cigarette butts and other waste produced by smokers.

“From start to finish, the tobacco life cycle is an overwhelmingly polluting and damaging process,” WHO Assistant Director-General Oleg Chestnov said in the report.

The report detailed how growing tobacco often requires large quantities of fertilisers and pesticides, and it warned that tobacco farming had become the main cause of deforestation in several countries.

This is largely due to the amount of wood needed for curing tobacco, with WHO estimating that one tree is needed for every 300 cigarettes produced.

WHO also highlighted the pollution generated during the production, transport and distribution of tobacco products.

The report estimates that the industry emits nearly four million tonnes of carbon dioxide equivalent annually — the same as around three million transatlantic flights.

And waste from the process contains over 7,000 toxic chemicals that poison the environment, including human carcinogens, WHO said.

Once in the hands of the consumer, tobacco smoke emissions spewed thousands of tonnes of human carcinogens, toxic substances and greenhouse gases into the environment.

Cigarette butts and other tobacco waste make up the largest number of individual pieces of litter in the world, the agency said.

Two thirds of the 15 billion cigarettes sold each day are thrown on to the street or elsewhere in the environment, it said, adding that butts account for up to 40 percent of all items collected in coastal and urban clean-ups.

WHO urged governments to take strong measures to rein in tobacco use.

“One of the least used, but most effective tobacco control measures… is through increasing tobacco tax and prices,” Chestnov said.

Indonesian tobacco watchdog urges govt to sign FCTC to protect people

Ahead of World No Tobacco Day on May 31, the National Commission on Tobacco Control (Komnas PT), a coalition of organizations that has been staunchly campaigning on tobacco issues in Indonesia, has asked the government to draft a comprehensive regulation on tobacco control to protect society.

http://www.thejakartapost.com/news/2017/05/30/indonesian-tobacco-watchdog-urges-govt-to-sign-fctc-to-protect-people.html

Komnas PT chairman Prijo Sidipratomo said on Tuesday that the most important thing was for the government to immediately sign the Framework Convention on Tobacco Control (FCTC) to protect society from the dangers of smoking.

“Second, the existed tobacco bill that is being discussed by the government and the House of Representatives must be dropped,” Prijo asserted in a press statement.

Prijo said the demand was in line with President Joko “Jokowi” Widodo’s statement in February during the 2017 National Health Meeting, saying that we should not let the money that was supposed to increase children’s nutrition to be instead used to buy cigarettes.

The Komnas PT asked every party to join hands to protect the young generation from the dangers of nicotine addiction that could degrade the nation’s productivity.

Without a comprehensive regulation, more than 250 million people are left unprotected when facing the dangers of the cigarette industry that always looks for profits while harming the environment, economy, society and human rights, he added.

The commission criticized the House for wanting to delete the existing article declaring a “total ban of cigarettes advertisement in broadcasting” in a revision of the Broadcasting Law. (hol/dan)

World No Tobacco Day 2017: Beating tobacco for health, prosperity, the environment and national development

Action to stamp out tobacco use can help countries prevent millions of people falling ill and dying from tobacco-related disease, combat poverty and, according to a first-ever WHO report, reduce large-scale environmental degradation.

http://www.who.int/mediacentre/news/releases/2017/no-tobacco-day/en/

On World No Tobacco Day 2017, WHO is highlighting how tobacco threatens the development of nations worldwide, and is calling on governments to implement strong tobacco control measures. These include banning marketing and advertising of tobacco, promoting plain packaging of tobacco products, raising excise taxes, and making indoor public places and workplaces smoke-free.

Tobacco’s health and economic costs

Tobacco use kills more than 7 million people every year and costs households and governments over US$ 1.4 trillion through healthcare expenditure and lost productivity.

“Tobacco threatens us all,” says WHO Director-General Dr Margaret Chan. “Tobacco exacerbates poverty, reduces economic productivity, contributes to poor household food choices, and pollutes indoor air.”

Dr Chan adds: “But by taking robust tobacco control measures, governments can safeguard their countries’ futures by protecting tobacco users and non-users from these deadly products, generating revenues to fund health and other social services, and saving their environments from the ravages tobacco causes.”

All countries have committed to the 2030 Agenda for Sustainable Development, which aims to strengthen universal peace and eradicate poverty. Key elements of this agenda include implementing the WHO Framework Convention on Tobacco Control, and by 2030 reducing by one third premature death from noncommunicable diseases (NCDs), including heart and lung diseases, cancer, and diabetes, for which tobacco use is a key risk factor.

Tobacco scars the environment

The first-ever WHO report, Tobacco and its environmental impact: an overview, also shows the impact of this product on nature, including:

Tobacco waste contains over 7000 toxic chemicals that poison the environment, including human carcinogens.
Tobacco smoke emissions contribute thousands of tons of human carcinogens, toxicants, and greenhouse gases to the environment. And tobacco waste is the largest type of litter by count globally.
Up to 10 billion of the 15 billion cigarettes sold daily are disposed in the environment.
Cigarette butts account for 30–40% of all items collected in coastal and urban clean-ups.
Tobacco threatens women, children, and livelihoods

Tobacco threatens all people, and national and regional development, in many ways, including:

Poverty: Around 860 million adult smokers live in low- and middle-income countries. Many studies have shown that in the poorest households, spending on tobacco products often represents more than 10% of total household expenditure – meaning less money for food, education and healthcare.
Children and education: Tobacco farming stops children attending school. 10%–14% of children from tobacco-growing families miss class because of working in tobacco fields.
Women: 60%–70% of tobacco farm workers are women, putting them in close contact with often hazardous chemicals.
Health: Tobacco contributes to 16% of all noncommunicable diseases (NCDs) deaths.
Taxation: a powerful tobacco control tool

“Many governments are taking action against tobacco, from banning advertising and marketing, to introducing plain packaging for tobacco products, and smoke-free work and public places,” says Dr Oleg Chestnov, WHO’s Assistant Director-General for NCDs and Mental Health. “But one of the least used, but most effective, tobacco control measures to help countries address development needs is through increasing tobacco tax and prices.”

Governments collect nearly US$ 270 billion in tobacco excise tax revenues each year, but this could increase by over 50%, generating an additional US$ 141 billion, simply from raising taxes on cigarettes by just US$ 0.80 per pack (equivalent to one international dollar) in all countries. Increased tobacco taxation revenues will strengthen domestic resource mobilization, creating the fiscal space needed for countries to meet development priorities under the 2030 Agenda.

“Tobacco is a major barrier to development globally;” says Dr Douglas Bettcher, Director of WHO’s Department for the Prevention on NCDs. “Tobacco-related death and illness are drivers of poverty, leaving households without breadwinners, diverting limited household resources to purchase tobacco products rather than food and school materials, and forcing many people to pay for medical expenses.”

“But action to control it will provide countries with a powerful tool to protect their citizens and futures,” Dr Bettcher adds.

Editor’s note

Tobacco-related illness is one of the biggest public health threats the world faces, killing more than 7 million people a year. But tobacco use is one of the largest preventable causes of noncommunicable diseases.

Tobacco control represents a powerful tool in improving health in communities and in achieving the Sustainable Development Goals (SDGs). SDG target 3.4 is to reduce premature deaths from NCDs by one third by 2030, including cardiovascular and chronic respiratory diseases, cancers, and diabetes.

Another SDG target, 3.a, calls for implementation of the WHO Framework Convention for Tobacco Control (WHO FCTC). The WHO FCTC entered into force in 2005, and its Parties are obliged to take a number of steps to reduce demand and supply for tobacco products. Actions addressed in the Convention include protecting people from exposure to tobacco smoke; banning tobacco advertising, promotion and sponsorship; banning sales to minors; requiring health warnings on tobacco packaging; promoting tobacco cessation; increasing tobacco taxes; and creating a national coordinating mechanism for tobacco control. There are 180 Parties to the Convention.

For more information, please contact:

Paul Garwood
WHO Department of Communications
Telephone: +41 22 791 15 78
Mobile: +41 79 603 72 94
Email: garwoodp@who.int

Christian Lindmeier
WHO Department of Communications
Telephone: +41 22 791 1948
Mobile: +41 79 500 6552
Email: lindmeierch@who.int

Tobacco is a deadly threat to global development

Dr Margaret Chan, Director-General of WHO

http://who.int/mediacentre/commentaries/2017/tobacco-threat-development/en/

When I reflect on my tenure as Director-General of the World Health Organization, there are many areas where the agency played its unique role as the guardian of health for all people.

But I am especially proud of our work to fight tobacco use, something that I have personally championed since 2007.

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

Tobacco control will play a major part in meeting the Sustainable Development Goal target of reducing premature deaths from noncommunicable diseases by one-third by 2030.

But tobacco control is about more than preventing deadly cancers, heart diseases and respiratory diseases. In addition to posing a serious threat to health, 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.

The theme for this year’s World No Tobacco Day, on 31 May, is “Tobacco – a threat to development”. This year, WHO will launch a new report that highlights the great harm to the environment inflicted by tobacco growing, manufacturing, trade and consumption. For example, growing and producing tobacco uses 4.3 million hectares of land resulting in deforestation of 2-4%, and the pesticides and fertilizers used in tobacco growing can be toxic and pollute water supplies. Tobacco manufacturing produces over 2 million tonnes of solid waste each year. Up to 10 billion cigarettes are disposed in the environment every day. Cigarette butts account for 30-40% of all litter collected in coastal and urban clean-ups.

Tobacco farming also stops children from attending school and exposes them to hazardous chemicals. Children in tobacco-growing families often miss class because they are needed to work in the tobacco fields. Women are also disproportionately at risk of chemical exposure, as they make up 60-70% of the tobacco farming workforce.

Tobacco use hits the poorest people the hardest and exacerbates poverty. Spending on tobacco products often represents more than 10% of total household income – meaning less money for food, education and health care. Some 80% of the premature deaths attributable to tobacco use occur in low- or middle-income countries. These countries bear almost 40% of the global US$ 1.4 trillion cost of smoking from health expenditures and lost productivity.

Fortunately, we have powerful tools to fight the tobacco epidemic. The WHO Framework Convention on Tobacco Control (WHO FCTC), the first international treaty negotiated under the auspices of WHO, provides governments with clear, legally binding measures that they can introduce to reduce the harm caused by tobacco use. These include banning advertising, promotion and sponsorship of tobacco, effectively warning about the harmful effects of tobacco use, implementing tax or price policies and protecting people from exposure to second-hand tobacco smoke.

In line with WHO’s FCTC, WHO’s MPOWER measures support countries to reduce demand for tobacco, using methods that are practical, low-cost and high-impact. Tobacco taxation is a powerful tool for saving lives. Taxes reduce smoking rates and help government raise revenues to improve health and promote development. Increasing tobacco taxes and prices is one of the most effective, yet least utilized control measures globally. By increasing cigarette taxes worldwide by US$1, an extra US$ 190 billion could be raised for development.

We need to make sure that countries know that this tool exists and how to use it. Ministers of health are convinced by the evidence, and I ask them to be vocal in persuading ministers of finance, trade, foreign affairs and others not to be swayed by the unsubstantiated arguments of the tobacco industry.

Many countries have already shown tremendous progress in reducing tobacco use. Our challenge now is to help more countries follow suit, and to fight the efforts of the tobacco companies to hinder or counter progress that has been made by countries implementing strong measures.

Everyone can help play a role in stamping out tobacco and promoting development at the same time. People can commit to never take up tobacco products or to seek help to quit the habit. Governments can strengthen implementation of the WHO FCTC.

The tobacco industry is a vector of one of the greatest threats our society faces. It takes courage to antagonize powerful economic operators. If we fail to accept this responsibility, we will never make sufficient progress in health and development.

WHO stands ready to help governments introduce innovative approaches to tackle tobacco use. We have taken off our gloves and entered the ring on the side of the countries working to advance tobacco control, and we are going to fight tobacco tooth and nail.

If we rise to the challenge of beating tobacco by adopting measures that reduce demand for this deadly product, we can promote a healthier, more sustainable world.