2 Background Tobacco Use Increase rates of cancer Lung cancer Heart diseasePoor blood flowHigh blood pressureSecondhand smoke can cause premature birth and miscarriagesQuestions on edits:Abuse vs overuse?Give examples of heart disease?Poor blood flow instead of poor circulation?2
3 Key Facts on Tobacco Use Tobacco use is the cause of 6 million deaths per yearTobacco kills up to HALF of its usersDeaths may increase to up to 8 million by 2030Over 7,000 known chemicalsare found in secondhand smoke(the smoke that comes from acigarette or that is let out bya smoker)Source:World Health Organization Tobacco Fact Sheet (July 2013).U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2006.Image:3
4 It is estimated that two people die each minute from tobacco-related disease in the Western Pacific Region.Source:
5 Community Preventative Services Task Force Reviewed 116 studies on increasing tobacco productsLowers the total number of tobacco consumedLowers the number of people using tobaccoIncreases the number of tobacco users that quitLowers the number of young people who start using tobaccoLowers tobacco-related illness and deathSource: Task Force on Community Preventive Services. (2001). Recommendations regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke. Am J Prev Med; 20(2S):10-5.Questions on edits:Lowers instead of reduces5
6 General Tobacco Effects Raising tobacco prices will decrease the number of people that smokeA decrease in tobacco use will decrease the level of povertyQuestions on edits:Changed prevalence to number of people?Another word for poverty?Changed increasing to raising?
8 Important Considerations The money made from a tobacco tax can be used for health promotion and disease prevention programsIf tobacco prices increase by 10%:lowers the smoking of cigarettes in many countriesyouth and adult smokers decrease by 2.5% to 5%Gilbert, A. & Cornuz, J. (2003). Which are the most effective and cost-effective interventions for tobacco control?Copenhagen, WHO Regional Office for Europe, (Health Evidence Network report;Image courtesy:8
9 Youth and TobaccoDue to a raise in tobacco taxes of about $1.36 per pack, tobacco use among youths in Guam and the Mariana Islands decreased.Image courtesy:9
10 Recommendations Increasing taxation on tobacco products Type of tax: Import duty, excise, and sales taxTax cigarettesWHO tax stimulation model (TaXSim)Very accessible simulatorLink source:
11 Best PracticesRaise cigarette tax by at least 10% of a state’s average retail price per pack for there to be any health benefit. Anything less does not have an effect on health.Include the definition of tobacco products, include little cigars, roll-your-own tobacco and other loose tobacco.Source:11
12 What can churches do? Get youth to take part in church activities Teach your community about the harmful effects of tobacco and secondhand smokeSupport those who are trying to quit using tobacco and betel nutBan tobacco at church events
13 What can schools do?Teach your students about the harmful effects of tobacco and the problems it can have on their healthEnforce rules about not smoking at schoolHave a week of awareness to discuss the harmful effects of tobacco useBan smoking at school events and school activitiesQuestions on edits:Another word for “enforce”?
14 What can communities do? Enforce smoke-free policiesStart up smoke-free community events and ban tobacco ads at community gatheringsWork together to help raise taxes on tobaccoTeach your community about the harmful effects of tobacco and secondhand smokeResearch and gather local information on tobacco harms in your community
15 What can I do? Form or join a team to help raise tobacco taxes Talk to people in your community that want to help youReach out to people in your local government who can help youPut together a team who can help you talk at community meetings to help teach others about the harms of tobacco and raising the tobacco tax
16 Continue increasing taxes on tobacco products A Palauan Example Target Population: NationalSummary: RPPL 9-4, SD1, HD4 Tobacco Tax Increase Palau had an existing importation tax for tobacco products at $2.00Palau Non Communicable Diseases (NCD) Unit worked with its traditional partners such as: the Cancer Coalition, the Coalition for Tobacco Free Palau, and the Ministry of Health (MOH), to further increase the tax on all tobacco products in Palau, including all imports and local products as well as electronic cigarettesWith the unified support also coming from Palau’s current administration, World Health Organization (WHO) and the civil society, Congress passed a law on September 2013 increasing the tobacco tax from $2.00 to $3.50The law also limits travelers coming in to Palau from carrying more than 1 opened pack of cigarettes; any extra cigarette packs, are subject to the $3.50 tobacco tax
17 Who to contact?James Rarick Technical Officer, Tobacco Free Initiative WHO Western Pacific Regional Office Manila, Philippines