 2007 Johns Hopkins Bloomberg School of Public Health Section B Tracking Tobacco-Related Death and Disease

 2007 Johns Hopkins Bloomberg School of Public Health 2 Points for Tobacco Surveillance

 2007 Johns Hopkins Bloomberg School of Public Health 3 Tracking Smoking-Attributable Disease Source: adapted by CTLT from Lopez et al. (1994).

 2007 Johns Hopkins Bloomberg School of Public Health 4 Lung Cancer Mortality: Australia

 2007 Johns Hopkins Bloomberg School of Public Health 5 Male Lung Cancer Incidence Rate per 100,000 Image source: adapted by CTLT from GLOBOCAN. (2002). IARC. Lung, Males: Age-Standardized Incidence Rate per 100,000

 2007 Johns Hopkins Bloomberg School of Public Health 6 Source: adapted by CTLT from Ezzati et al. (2004). Global Distribution of Mortality

 2007 Johns Hopkins Bloomberg School of Public Health 7 Burden of Disease Due to Leading Risk Factors Source: adapted by CTLT from Ezzati et al. (2002). Lancet, 360, 1347–1360.

 2007 Johns Hopkins Bloomberg School of Public Health 8 Tracking Tobacco-Related Disease Two approaches  Track trends in sentinel diseases (i.e., lung cancer, chronic lung disease)  Use estimates of attributable risk to calculate avoidable mortality due to tobacco use

 2007 Johns Hopkins Bloomberg School of Public Health 9 Points for Tobacco Surveillance

 2007 Johns Hopkins Bloomberg School of Public Health 10 Tracking the Tobacco Industry Economic activity Lobbying/influence Corporate social responsibility Marketing and promotion strategies Brand stretching Youth prevention programs Statements about health

 2007 Johns Hopkins Bloomberg School of Public Health 11 Campaign Donations Image source: Campaign for Tobacco-Free Kids. (2007).

 2007 Johns Hopkins Bloomberg School of Public Health 12 A New Marketing Strategy Image source: Institute for Global Tobacco Control.

 2007 Johns Hopkins Bloomberg School of Public Health 13 A New Marketing Strategy

 2007 Johns Hopkins Bloomberg School of Public Health 14 Source: adapted by CTLT from Tobacco marketing and use survey of high school students, Lycée Lamine Guèye, Senegal. (1998). Exposure to Tobacco Ads: Senegal

 2007 Johns Hopkins Bloomberg School of Public Health 15 Tobacco Industry Targeting of Young People: Senegal Source: adapted by CTLT from Tobacco marketing and use survey of high school students, Lycée Lamine Guèye, Senegal. (1998).

 2007 Johns Hopkins Bloomberg School of Public Health 16 Points for Tobacco Surveillance

 2007 Johns Hopkins Bloomberg School of Public Health 17 Tobacco Control Environment Policy environment  Smoke-free laws and regulations  Taxation  Advertising restrictions  Warning labels  Youth restrictions  Vending machines Political will Economic dependence Social acceptability  Knowledge, attitudes, and beliefs

 2007 Johns Hopkins Bloomberg School of Public Health 18 Tracking Policy Environment Posting of signs in health facilities  Signs with warnings of fines or penalty: 0.84% in Cambodia, and none in Vietnam

 2007 Johns Hopkins Bloomberg School of Public Health 19 Tracking Policy Environment

 2007 Johns Hopkins Bloomberg School of Public Health 20 Monitoring the FCTC The Framework Convention on Tobacco Control (FCTC)  WHO Global Tobacco Report  Conference of Parties (COP) Report  Framework Convention Alliance (FCA) Monitor  Country reports

 2007 Johns Hopkins Bloomberg School of Public Health 21 Tracking Smoking Attitudes: Australia Source: adapted by CTLT from Borland et al. (1999).

 2007 Johns Hopkins Bloomberg School of Public Health 22 Source: adapted by CTLT from Worth, K. A., et al. (2006). Time trend for smoking prevalence among major adult movie characters (n = 4,893) compared with that in the U.S. adult population Smoking’s Changing Role in Popular Culture Smoking prevalence among major adult movie characters

 2007 Johns Hopkins Bloomberg School of Public Health 23 Summary Many possible points for tobacco control surveillance Methods include direct observation, surveys, and biomonitoring Use data to identify magnitude of the problem, motivate policy, and track impact of public health actions

 2007 Johns Hopkins Bloomberg School of Public Health 24 Cigarette Consumption in the U.S. (1900–2000) Source: adapted by CTLT from the U.S. Surgeon General’s Report. (2000).