1.  2007 Johns Hopkins Bloomberg School of Public Health Section C Global Burden

2.  2007 Johns Hopkins Bloomberg School of Public Health 2 Global Smoking Prevalence Source: adapted by CTLT from The Tobacco Atlas (2006). Source: adapted by CTLT from The Tobacco Atlas. (2006).

3.  2007 Johns Hopkins Bloomberg School of Public Health 3 Cigarette Consumption in China (1952–1996) Source: adapted by CTLT from The Tobacco Atlas (2002). Average Number of Manufactured Cigarettes Smoked per Man per Day in China, 1996 (Smokers and Nonsmokers Combined)

4.  2007 Johns Hopkins Bloomberg School of Public Health 4 Cigarette Consumption in Poland (1923–2000) Source: adapted by CTLT from Zatonski, et al. (2004). Average Number of Manufactured Cigarettes Smoked per Man per Day in Poland (Smokers and Nonsmokers Combined)

5.  2007 Johns Hopkins Bloomberg School of Public Health 5 Burden of Tobacco Deaths Shifting Source: adapted by CTLT from Peto, R. and Lopez, A. (2001). 20002030 Developed2~3 Developing~2~7 World Total4~10 One in two long-term smokers killed by their addiction Half of deaths in middle age (35-69) Annual World Tobacco Deaths (in Millions)

6.  2007 Johns Hopkins Bloomberg School of Public Health 6 Source: The Tobacco Atlas. (2002). Permission granted. Smokers killed in middle age lose more than 20 years of life expectancy. women developing countries 0.4 million women industrialized countries 0.6 million men industrialized countries 1.8 million men developing countries 2.0 million Annual deaths Premature deaths from smoking worldwide 2000 total 4.8 million men 3.8 million women 1.0 million 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

7.  2007 Johns Hopkins Bloomberg School of Public Health 7 The Global Tobacco Health Burden 70% of tobacco deaths in the 2020s will be in developing countries (DC)

8.  2007 Johns Hopkins Bloomberg School of Public Health 8 Image source: adapted by CTLT from The Tobacco Atlas. (2006). 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

9.  2007 Johns Hopkins Bloomberg School of Public Health 9 Source: adapted by CTLT from The World Bank. (1999). Calculations based on the World Health Organization. (1997). 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 RegionSmoking Prevalence (%)Total Smokers MalesFemalesOverallMillions Percentage of Smokers East Asia and Pacific5943240135 Eastern Europe and Central Asia59264114813 Latin America and Caribbean402130958 Middle East and North Africa44525403 South Asia (cigarettes)20111868 South Asia (bidis)20312968 Sub-Saharan Africa331021676 Low/middle income4992993382 High income39223020918 World4712291,142100 Note: Numbers have been rounded

10.  2007 Johns Hopkins Bloomberg School of Public Health 10 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).

11.  2007 Johns Hopkins Bloomberg School of Public Health 11 Global Youth Tobacco Survey (GYTS) Source: adapted by CTLT from GYTS Collaborative Group. (2002).

12.  2007 Johns Hopkins Bloomberg School of Public Health 12 The Global Tobacco Burden—the Poor Source: adapted by CTLT from The World Bank. (1999).

13.  2007 Johns Hopkins Bloomberg School of Public Health 13 The Global Tobacco Burden—the Poor Source: adapted by CTLT from CDC—MMWR. (Nov 11, 2005). 54(44); 1121–1124.

14.  2007 Johns Hopkins Bloomberg School of Public Health 14 Economic Tradeoffs for the Smoker Source: The Tobacco Atlas. (2006). Permission granted.

15.  2007 Johns Hopkins Bloomberg School of Public Health 15 Cigarette Consumption in the U.S. (1900–2000) Source: adapted by CTLT from U.S. Surgeon General’s Report. (2000).

16.  2007 Johns Hopkins Bloomberg School of Public Health 16 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 21 st century