Changes in Strategic Planning on Tobacco Use

1
Changes in Strategic Planning on Tobacco Use

• By Dr. Mohammad Reza Masjedi
• Secretary General of International Union
  against
• Tuberculosis and Lung Disease
• Presented in Change Management Course
• Sharif University of Technology
• Nov. 16, 2004

2
What is the problem?

• Tobacco Use

3
Why tobacco use is a major problem?

• Health
• Economic
• Social
• Political

4
Tobacco-Caused Diseases

• Health consequences of tobacco use
• Effect of smoking on mortality
• Overview of the tobacco-caused diseases e.g
• cancer
• chronic obstructive pulmonary disease (COPD)
• cardiovascular disease
• peptic ulcer
• Other diseases under investigation
• Effects on youth

5
Smoking-Caused Diseases
6
Health Consequences of Tobacco Use

• Each year tobacco kills 5 million people
  worldwide
• WHO estimates that by 20202030, tobacco will be
  responsible for 10 million deaths per year
• 70 will occur in developing countries
• Half of all long-term smokers will be killed by
  tobacco
• half of these will die in middle age, losing
  2025 years of life

7
Economic Consequences of Tobacco Use

• Use Expense
• Medical costs
• Productivity losses due to
• morbidity
• disability
• premature mortality
• Global net loss of US 300 billion per year
• In Iran 40 billion Rials per day

8
Social

• Smoking is the most common causes of Drug Abuse
  and
• a major pathway for other social problems

9
US Tobacco Corporations Move Overseas
Tobacco revenues from international
sales 1990 1996 Philip Morris 51billion
66 billion BAT 28billion 44 billion
INFACT, 1998
10
Tobacco Control

• Goals and rationales of tobacco control programs
• Obstacles to tobacco control
• Strategies to reduce demand
• Regulation of tobacco products
• Strategies to reduce supply
• WHO recommendations
• WHO Tobacco Free Initiative
• Framework Convention for Tobacco Control

11
Goal of Tobacco Control Programs

• To reduce the mortality and morbidity caused by
  the use of tobacco products

12
Obstacles to Tobacco Control

• Tobacco contains nicotine, which is addictive
• The tobacco industry uses its economic and
  political influence to oppose tobacco control
  efforts
• Tobacco sales contribute to government revenues
• In some populations, there is a lack of knowledge
  of tobacco-related health risks

13
Tobacco Control Efforts to Reduce Supply

• Prohibition of tobacco
• Restrictions on youth access
• Crop substitution and diversification
• Restrictions on international trade
• Action against smuggling

14
Summary WHO Recommendations for Comprehensive
Tobacco Control

• Comprehensive national programs should employ
  multiple strategies, including fiscal policy,
  information policy, establishment of smoke-free
  public places and provision of treatment
• Adequate support is critical and should include
  support for capacity building, applied research,
  surveillance and evaluation
• Public/media debate on tobacco control-related
  issues should be encouraged

15
Framework Convention

• International legal instrument
• Singed by 168 WHO Member States
• Ratification by 40 WHO Member States by end of
  2004
• Aim is to improve transnational tobacco control
  and cooperation

16
Methods

• National Local Laws
• International FCTC Highlights
• Advertising, Promotion and Sponsorship
• Packaging and Labeling
• Secondhand Smoke
• Smuggling
• Taxation Duty Free Sales
• Product Regulation Ingredient Disclosure