The MPOWER Policy Package for Global Tobacco Control

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Global Burden of Tobacco

• Tobacco killed 100 million people worldwide in
  the 20th Century
• Leading preventable cause of death - kills up to
  half of people who use it
• Unless urgent action is taken
• By 2030 tobacco will kill gt8 million people each
  year - 80 in developing countries
• Tobacco could kill 1 billion people during the
  21st Century - unless we act now

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Smoking and Second-Hand Smoke Damage Every Part
of the Body
Second-Hand Smoke
Smoking
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Nearly 2/3 of the Worlds Smokers Live in Just 10
Countries
More than 40 live in just 2 countries
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MPOWERSix Proven Polices to Reverse the Global
Tobacco Epidemic

• Monitor tobacco use and prevention policies
• Protect people from tobacco smoke
• Offer help to quit tobacco use
• Warn about the dangers of tobacco
• Enforce bans on tobacco advertising, promotion
  and sponsorship
• Raise taxes on tobacco

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Monitor Tobacco Use and Prevention Policies

• Accurate monitoring is essential
• Tobacco use prevalence
• Impact of policy interventions
• Tobacco industry marketing, promotion and
  lobbying

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Protect People from Tobacco Smoke

• No safe level of second-hand smoke
• Smoke-free environments protect health of
  non-smokers and help smokers quit
• Only completely smoke-free indoor areas with no
  exceptions work
• Smoke-free laws popular and do not harm
  business
• Worker safety measure

Bar and restaurant receipts increased in
California after going smoke-free
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Offer Help to Quit Tobacco Use

• Nicotine is addictive
• Health care system has primary responsibility to
  treat tobacco dependence
• Quit lines also effective

Nicotine replacement therapy can double quit
rates
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Warn About the Dangers of Tobacco

• Most people are unaware of full range of health
  risks of tobacco use, SHS exposure
• Anti-tobacco ads help change image of smoking

Pack warnings are effective, especially if they
have pictures covering half of pack
3/4 approve of warnings
More than half changed opinions
2/3 want to quit
Impact of pack warnings in Brazil
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Enforce Bans on Tobacco Advertising, Promotion
and Sponsorship

• Tens of billions of dollars spent each year to
  promote tobacco
• Advertising increases sales, illness and
  death
• Bans are effective, but only if
  comprehensive
• Advertising in all media must be banned
• All marketing/promotion must be prohibited
• Enforcement is essential

Comprehensive advertising bans amplify effects of
other interventions
9 times faster reduction in consumption with ban
than without after 10 yrs
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Raise Taxes on Tobacco

• Increasing tobacco taxes is best way to reduce
  consumption
• Especially among the young and the poor
• Taxes must keep pace with inflation and with
  increasing consumer spending power
• Tobacco taxes generally well accepted
• Higher taxes increase revenues, help pay for
  tobacco control and other health/social
  programs

Higher tobacco taxes reduce consumption
Tax rates vs. consumption, South Africa
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First-Ever Comprehensive Country-by-Country
Assessment

• Assesses implementation and enforcement of
  MPOWER
• Countries need to do much more
• Some progress, but no country fully implements
  even 5 of the 6 key interventions
• Tobacco control requires political commitment
  from all levels of government and engagement by
  civil society

No policy
Minimal
Moderate
Complete
No data
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Most Countries Have Not Implemented Effective
Tobacco Control Policies
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Only 5 of World Covered by Effective Tobacco
Control Policies
5 or less benefit from effective interventions
to reduce use
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Individual Country Reports
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Regional SummariesExample South-East Asia
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Global Tobacco Control is Underfunded
Globally, tobacco tax revenues are 500 times
higher than spending on tobacco control In low-
and middle-income countries, tax revenues are
5,000 times higher
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