1. PACIFIC ISLANDS OVERVIEW Dr Vili Nosa Ms Stephanie Erick OCEANIA TOBACCO CONTROL PRE-CONFERENCE 2011 BRISBANE CONVENTION CENTRE, AUSTRALIA MONDAY 17TH OCTOBER 2011

2. OUR FUTURE HEALTH AND WEALTH Obesity and Tobacco use are two most preventable threats to the health (and wealth) of Pacific nations Both contribute to NCDs – the largest premature cause of death, disease and disability in the region Smoking young increases likelihood of lifetime use – (Pacific populations are very young) The fight against big tobacco is not over yet Smokefree environments in homes, workplaces, villages still the aim

3. TOBACCO USE IN NZ Single largest preventable cause of morbidity and mortality in NZ, declining Attributable Burden of Disease in PICTs? 5,000 deaths per year attributable to tobacco 1/3 Pacific adults (31%) ‘current’ smokers 1/5 young adults (15-19 years) are current smokers Rate of decline among Pacific people slowest in NZ Overall climate for tobacco control is very good

4. SMOKING PREVALENCE BY PACIFIC ETHNIC GROUP, ADULTS (NZ MOH 2006 CENSUS)

5. YOUTH REGULAR SMOKERS BY ETHNICITY, NZ 2008-2009 (ASH SNAPSHOT SURVEY)

6. TRENDS IN SMOKING PREVALENCE BY ETHNICITY, NZ 1999-2010

7. SMOKING PREVALENCE IN THE PACIFIC….

8. YOUTH SMOKING PREVALENCE (%) IN PICTS

9. YOUTH SMOKING PREVALENCE IN PICTS (WHO CHIPS 2010)

10. ADULT SMOKING PREVALENCE IN PICTS (WHO CHIPS 2010)

11. INTERVENTIONS FCTC ratified by most PICTs, legislation developed Compliance and consequences critical Various initiatives at local and national levels; impact ? Increased taxes (and bans on advertising) are effective Importance of regional/global actions

12. TOBACCO CONTROL INITIATIVES IN NIUE Very doable in terms of small population and country size. Need to establish what is going on in terms of tobacco initiatives. Political support you need a champion to push tobacco control progress. Engaging with tobacco control people at the community level. Develop a Tobacco control plan. i.e community consultation. Resource support.

14. SUMMARY Youth tobacco use high/very high in the region, no evidence of decline Declining use in NZ Pacific adults and young people but prevalence remains high – priorities known In general, tobacco use higher in girls than boys in NZ, reverse in the region, with few exceptions Improving precision of data with STEPS surveys etc but effective action is now crucial Regional Action Plan focus on Youth and interventions involving NZ and ‘home islands’?