Transcript Document

Section C
Global Burden
 2007 Johns Hopkins Bloomberg School of Public Health
Global Smoking Prevalence
Source: adapted by CTLT from The Tobacco Atlas.
Atlas (2006).
(2006).
 2007 Johns Hopkins Bloomberg School of Public Health
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Cigarette Consumption in China (1952–1996)
Average Number of Manufactured Cigarettes Smoked
per Man per Day in China, 1996 (Smokers and Nonsmokers Combined)
Source: adapted by CTLT from The Tobacco Atlas (2002).
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Cigarette Consumption in Poland (1923–2000)
Average Number of Manufactured Cigarettes Smoked
per Man per Day in Poland (Smokers and Nonsmokers Combined)
Source: adapted by CTLT from Zatonski, et al. (2004).
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Burden of Tobacco Deaths Shifting
Annual World Tobacco Deaths (in Millions)
2000
2030
Developed
2
~3
Developing
~2
~7
World Total
4
~10
One in two long-term smokers killed by their addiction
Half of deaths in middle age (35-69)
Source: adapted by CTLT from Peto, R. and Lopez, A. (2001).
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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
Smokers killed
in middle age lose more
than 20 years of
life expectancy.
women
developing countries
0.4 million
men
industrialized
men
countries
developing
1.8
million
countries
2.0 million
Annual deaths
Premature deaths
from smoking
worldwide
2000
women
industrialized countries
0.6 million
total
4.8 million
men
3.8 million
women
1.0 million
Source: The Tobacco Atlas. (2002). Permission granted.
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The Global Tobacco Health Burden
70% of tobacco deaths in the 2020s will be in developing countries
(DC)
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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).
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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
World Bank Region
Smoking Prevalence (%)
Total Smokers
Males
Females
Overall
Millions
Percentage
of Smokers
East Asia and Pacific
59
4
32
401
35
Eastern Europe and Central Asia
59
26
41
148
13
Latin America and Caribbean
40
21
30
95
8
Middle East and North Africa
44
5
25
40
3
South Asia (cigarettes)
20
1
11
86
8
South Asia (bidis)
20
3
12
96
8
Sub-Saharan Africa
33
10
21
67
6
Low/middle income
49
9
29
933
82
High income
39
22
30
209
18
World
47
12
29
1,142
100
Note: Numbers have been rounded
Source: adapted by CTLT from The World Bank. (1999). Calculations based on the World Health Organization. (1997).
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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).
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Global Youth Tobacco Survey (GYTS)
Source: adapted by CTLT from GYTS Collaborative Group. (2002).
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The Global Tobacco Burden—the Poor
Source: adapted by CTLT from The World Bank. (1999).
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The Global Tobacco Burden—the Poor
Source: adapted by CTLT from CDC—MMWR. (Nov 11, 2005). 54(44); 1121–1124.
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Economic Tradeoffs for the Smoker
Source: The Tobacco Atlas. (2006). Permission granted.
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Cigarette Consumption in the U.S. (1900–2000)
Source: adapted by CTLT from U.S. Surgeon General’s Report. (2000).
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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
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