Many governments are making progress in the fight against tobacco, with 5 billion people today living in countries that have introduced smoking bans, graphic warnings on packaging and other effective tobacco control measures - four times more people than a decade ago. But a new WHO report shows many countries are still not adequately implementing policies, including helping people quit tobacco, that can save lives from tobacco.
A new study published in The Lancet examines risk factors for 84 behavioral, environmental and metabolic risks for 195 countries and territories from 1990 through 2017. Using the Comparative Risk Assessment framework developed at the Institute for Health Metrics and Evaluation at the University of Washington in Seattle, researchers estimated levels and trends in risk exposure, deaths, and disability-adjusted life-years (or years of healthy life lost) by age, sex, year and location. In the study, tobacco use is a behavioral risk factor that includes smoking, chewing tobacco and secondhand smoke.
Smoking was the second leading risk factor for death and years of healthy life lost globally in 2017. Smoking had been the fourth leading risk factor in 1990.
Smoking was the leading risk factor for death and disability among men in 2017.
In 2017, smoking caused 7.10 million deaths and 182 million years of healthy life lost.
Most of the deaths caused by smoking in 2017 were from ischemic heart disease (1.62 million deaths), chronic obstructive pulmonary disease (1.23 million deaths), tracheal, bronchus, and lung cancer (1.19 million deaths), and stroke (887,000 deaths).
The number of deaths due to smoking in 2017 was 11.2% higher than in 2007.
In 2017, exposure to secondhand smoke caused 1.22 million deaths, primarily from ischemic heart disease (382,000 deaths), chronic obstructive pulmonary disease (266,000 deaths) and lower respiratory infections (179,000 deaths).
The number of deaths due to secondhand smoke in 2017 was 10.2% higher than in 2007.
In 2017, chewing tobacco was responsible for 1.89 million years of health life lost.
Most disability caused by chewing tobacco involved lip and oral cavity cancer.
As a risk factor, smoking increases with economic development.
Smoking is a leading and preventable risk factor of death and disability globally.
Smoking is more of a risk factor for death and disease as countries develop.
Governments should take action to address risk factors for death and disease that are based on health burden and the evidence of effectiveness of interventions.
Effective policies to reduce tobacco use such as increasing tobacco taxes to reduce affordability are among the top 10 “best buys” that governments can implement to combat the growing burden of non-communicable diseases such as cancer, heart disease, and chronic pulmonary disease.
Full Citation: GBD 2017 Tobacco Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet 2018. Published online November 10, 2018. https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(18)32225-6.pdf
E-cigarette vapour boosts the production of inflammatory chemicals and disables key protective cells in the lung that keep the air spaces clear of potentially harmful particles, reveals a small experimental study, published online in the journal Thorax.
On 28 June 2018, the World Trade Organization (WTO) released the panel report on the challenges to Australia’s tobacco plain packaging laws. The panel found in favour of Australia, dismissing the claims brought by Cuba, the Dominican Republic, Honduras, and Indonesia.
New report (26 June 2018) released by the Royal College of Physicians calls for radical change for smoking cessation within the NHS system. Key recommendations include identification of smokers, delivery of smoking cessation support and training to be incorporated as a systematic and component of all NHS services.
Kate Frazer and her colleague Cecily Kelleher (UCD Health Sciences Centre, Ireland) – published a brief report on the opportunities for hospitals at a meso level to reduce tobacco smoke exposures for vulnerable populations.
March 2018 UK National Centre for Smoking Cessation and Training (NCSCT) publication on how to accompany smoking policies in mental health services with appropriate nicotine dependency treatment pathways, staff education, pharmacotherapy (including short acting formulations) and behavioural support options.
ASH released a new video (Zero Tobacco Deaths) to show the toll cigarette sales have on our society and to ask why cigarettes are sold AT ALL. Smoking prevalence is now low enough in many places that ending one of the key drivers to smoking, cigarette sales, is possible.
The protocol to eliminate illicit trade in tobacco products, a critically important new tool to confront the illicit trade, requires 40 parties to take effect. It currently has 33, plus the European Union. Germany, a big producer of cigarettes and manufacturing equipment, ratified the Illicit Trade Protocol on 31st October 2017.
View the ‘how to’ guide for parties seeking to ratify or adopt the Protocol.
Ireland Health Service Executive's (HSE) QUIT campaign - entitled ‘I Will Survive’ - won four awards at the 2017 Kinsale Sharks Awards, picking up Silver and Bronze in the Best International Film category, and Silver and Bronze in the Irish categories
High-level health authorities throughout the Region of the Americas agreed today to adopt legislation that will create 100% smoke-free environments in all countries of the Region by 2022.
In the Americas, nearly 17% of the adult population smokes. Tobacco control is a powerful instrument for improving health and promoting the Sustainable Development Goals (SDGs), particularly Goal 3.4, which aims to reduce premature mortality from noncommunicable diseases (NCDs) by one-third by 2030.
NHS- Health Scotland released a consensus statement aimed at both health professionals and the general public.
E-cigarettes have been available for purchase for just over a decade in Scotland and have become increasingly popular.
Two key messages from this document include:
To smokers we say: whether or not you use e-cigarettes, try stopping smoking for the sake of your health and wellbeing and those around you. There is lots of help at hand to help you quit. NHS Scotland stop smoking services are free and are here to help you do that. See www.nhsinform.scot/smokeline
To health professionals we say: when smokers come to you, advise them about the different ways they can quit and which are most effective. Be clear with them that expert support and medicinal treatments* have the strongest evidence base to help people stop smoking. Do not turn anybody away because they choose to use e-cigarettes.
A Reuters investigation recently published reveals that Philip Morris International has for years run a secret global campaign to undermine the World Health Organization’s anti-smoking treaty, which was designed to save lives by curbing tobacco use around the world. In a circular from FCA details key aspects from this publication.
"One of the largest-ever tobacco industry leaks, internal Philip Morris International documents seen by Reuters provide details of the company’s operation. Among the facts uncovered: Philip Morris executives take credit in internal emails for significant victories in delaying or watering down provisions of the treaty – the Framework Convention on Tobacco Control, or FCTC. These include measures related to international trade, tobacco farming and tobacco company liability.·
Philip Morris runs covert operations centres in the cities hosting the biennial conferences of the FCTC nations in order to gain access to delegates at the gatherings, whose proceedings have been shut to industry representatives. Treaty administrators are largely in the dark about the cigarette company's lobbying, which includes clandestine meetings with treaty delegation members.·
Philip Morris described plans in an internal document to set up a "global project team" for "achieving scrutiny" of tobacco control advocates. Each of the company’s cigarette markets around the world, the document said, could "begin tracking" and "report unusual behaviour" by the advocates.·
One of Philip Morris’ goals has been to boost the presence of delegates in the national FCTC delegations who are not from health agencies. That has happened, according to a Reuters analysis of delegation rosters. Delegations to the treaty now include more representatives of ministries linked to tax, finance or agriculture interests friendlier to the tobacco industry.
The number of those delegates has risen from a few dozen in 2006 to more than 100 in recent years. Reuters reporting and thousands of pages of internal Philip Morris documents expose a secretive corporate lobbying campaign that is one of the biggest in the world – with potentially millions of lives at stake.
Vital Strategieshas launched a new mass media and graphic warning resource Media Beacon - an online library of adaptable anti-tobacco materials to help governments and civil society build support for tobacco control policies and combat the global tobacco epidemic.
The Centers for Disease Control and Prevention (CDC) recently published an article in the Morbidity and Mortality Weekly Report analyzing Global Youth Tobacco Survey (GYTS) data from 61 countries across the six World Health Organization (WHO) regions. The article examined the prevalence of current tobacco smoking and desire to quit smoking among students aged 13–15 years for the years 2012 through 2015.
Full Citation: Arrazola RA, Ahluwalia IB, Pun E, Garcia de Quevedo I, Babb S, Armour BS.Current Tobacco Smoking and Desire to Quit Smoking Among Students Aged 13–15 Years — Global Youth Tobacco Survey, 61 Countries, 2012–2015. MMWR Morb Mortal Wkly Rep 2017;66:533–537.
The ENSP recently published “Smoking Cessation Guidelines for High Risk Populations” are a result of scientific and evidence-based research conducted by working groups of health professionals and experts in tobacco cessation for the 5 specific target groups of the project.
Pregnant women, teenagers, patients with diabetes or chronic obstructive pulmonary disease, as well as cardiovascular patients belong to clearly distinct groups and require a tailored approach to tobacco dependence treatment.
The “TOB.g project” and ultimately these guidelines represent the first innovative action towards the scientific application of this principle in tobacco cessation.
Tobacco companies have fought plain packaging because they know it works. According to media reports in WASHINGTON, DC, the World Trade Organization (WTO) has ruled that Australia’s pioneering law requiring plain packaging for tobacco products does not violate international trade and intellectual property agreements
Campaign for Tobacco-Free Kids has issued a press release for immediate circulation on this potential landmark victory in the global fight against tobacco use and a resounding defeat for the tobacco industry.
A very good and successful workshop was held on April 28th in Mendrisio, Switzerland.
The workshop had 3 sessions:
SESSION 1 Standards - Criteria - Self-Audit Tool» The GLOBAL Implementation Concept of quality tobacco management in healthcare settings Dr med Isabella Sudano
SESSION 2 Health promotion and tobacco control in Healthcare Services , Susann Koalick
SESSION 3 Free from Tobacco or the art of "selfies" in TABACCOLOGIA Experience Lega polmonare Ticino, Lugano Alessandra Bianchini, direttice of Lega polmonare ticinese, Lugano, Dott. med. Jacques-Philippe Blanc
In the evening there was a separate program for clinic directors Ticino with «Standards - Criteria - Self-Audit Tool» The GLOBAL Implementation Concept of quality tobacco management in healthcare settings Dr med Isabella Sudano
All persons came from the Ticino, 2 people from Italy (not HPH members)
Marta Alquézar Fernández, coordinator of the Hospital Smoke of Alcañiz, shares below in English a summary of their projects and activities with some photographs since joining in 2014. Actions relate to promotion, prevention and treatment of smoking/tobacco in their hospital and neighbouring villages.
Drawing contest in the schools of the population of Alcañiz, for WNTD2015
Signage Improvement Project to profile renewed the anti-tobacco law that must by law be implemented in the healthcare places.
Participation in several regional and national congresses informing about our project and its results, even winning prizes for the best Neumosur 2015 communication.
Every year, on May 31, we hold a briefing table in the hospital with information and advice to all the people who visit the hospital and the realization of coxymetrics, in addition we are asked by the local and autonomous media to give our contribution these days.
Classes of prevention of smoking in 2016 in the School of Alcañiz San Valero Escolapios taught for the ages between 9-12 years.
Informational class for the parents of the children in this age group, but open to all the population of Alcañiz. 2016 Hall of Acts San Valero Escolapios.
Teaching: Courses have been given for health personnel for both doctors and nurses. In Zaragoza, for the cardiac rehabilitation unit in 2015, for the nursing school of Zaragoza in 2016 and 2017. For residents of Pulmonology in 2017. Also in the Hospital of Alcañiz itself for both workers and users.
In 2017, the signage of the hot spots where some users and some workers continue to smoke, has been greatly improved. Both with banning messages and messages about health promotion.
In 2017 also talks in the municipal school of La Codoñera (town near to Alcañiz) for children between 9-12 years.
Throughout 2016 and 2017 we have been meeting with the Miguel Servet Hospital, Royo Villanova Hospital and Provincial Hospital to help them take their Hospital Smokeless project and create a Smoke-free Hospitals Network in our Community.
Several publications have been sent to national and regional congresses on the results of the smoking consultation.
We have managed to extend the available time for the smoking consultation in the Hospital of Alcañiz. We even take care of patients admitted and we have managed to manage patients with drugs not funded by our health system, drugs that are very effective and for which an extraordinary economic item has been made.
This year 2017 we have implemented a project between us and nearby health centres to improve patient care for smokers by creating current care and treatment protocols, as well as improving referral and access to tobacco consultations. Improving and updating the knowledge of health professionals who are interested in this work.
United Kingdom, Ireland and Iceland top new European ranking on tobacco control, while Austria, Germany and Luxembourg are at bottom
The new rankings were presented by Luk Joossens of the Association of European Cancer Leagues (ECL) at the 7th European Conference on Tobacco or Health (www.ectoh.org) in Porto - Portugal, March 23 2017.
The new Tobacco Control Scale describes the results of a survey of tobacco control activity in 35 European countries in 2016. The tobacco control scale quantifies the implementation of tobacco control policies at country level, and is based on six policies described by the World Bank, which they say should be prioritised in a comprehensive tobacco control programme.
Ten 10 Recommendations were also presented for countries to take action before the Eighth European Conference on Tobacco or Health (ECToH) in 2020.
Woman and tobacco in Portugal is the timely focus of the 4th INWAT Europe Newsletter. INWAT is the International Network of Women Against Tobacco which was founded in 1990 by a group of leading women in tobacco control to highlight and address the complex issues of tobacco use among women and young girls.
The aim of the research was to determine to what extent two campuses were tobacco free and to establish what can be done to improve implementation of hospital smoke free campuses. Download abstract and full paper.
NCI-WHO Report: Tobacco Use Costs Countries Over $1 Trillion Annually, Making Fight Against Tobacco a Public Health and Economic Priority
The National Cancer Institute and the World Health Organization, examines the current research and evidence base surrounding the economics of tobacco control—including tobacco use, tobacco growing, manufacturing and trade, tobacco product taxes and prices, and tobacco control policies and other interventions to reduce tobacco use and its consequences. This information can help direct future research and inform tobacco prevention and control programs and policies in countries around the world.