2. Global Burden of Tobacco
Tobacco killed 100 million people worldwide in the 20th Century
Leading preventable cause of death - kills up to half of people who use it
Unless urgent action is taken
By 2030 tobacco will kill >8 million people each year - 80% in developing countries
Tobacco could kill 1 billion people during the 21st Century - unless we act now

3. Smoking and Second-Hand Smoke Damage Every Part of the Body

4. Nearly 2/3 of the World’s Smokers Live in Just 10 Countries
More than 40% live in just 2 countries

5. MPOWER Six Proven Polices to Reverse the Global Tobacco Epidemic
Monitor tobacco use and prevention policies
Protect people from tobacco smoke
Offer help to quit tobacco use
Warn about the dangers of tobacco
Enforce bans on tobacco advertising, promotion and sponsorship
Raise taxes on tobacco

6. Monitor Tobacco Use and Prevention Policies
Accurate monitoring is essential
Tobacco use prevalence
Impact of policy interventions
Tobacco industry marketing, promotion and lobbying

7. Protect People from Tobacco Smoke
No safe level of second-hand smoke
Smoke-free environments protect health of non-smokers and help smokers quit
Only completely smoke-free indoor areas with no exceptions work
Smoke-free laws popular and do not harm business
Worker safety measure
Bar and restaurant receipts increased in California after going smoke-free

8. Offer Help to Quit Tobacco Use
Nicotine is addictive
Health care system has primary responsibility to treat tobacco dependence
Quit lines also effective
Nicotine replacement therapy
can double quit rates

9. Warn About the Dangers of Tobacco
Most people are unaware of full range of health risks of tobacco use, SHS exposure
Anti-tobacco ads help change image of smoking
Pack warnings are effective, especially if they have pictures covering half of pack
3/4 approve of warnings
More than half changed opinions
2/3 want to quit
Impact of pack warnings in Brazil

10. Enforce Bans on Tobacco Advertising, Promotion and Sponsorship
Tens of billions of dollars spent each year to promote tobacco
Advertising increases sales, illness and death
Bans are effective, but only if comprehensive
Advertising in all media must be banned
All marketing/promotion must be prohibited
Enforcement is essential
Comprehensive advertising bans amplify effects of other interventions
9 times faster reduction in consumption with ban than without after 10 yrs

11. Higher tobacco taxes reduce consumption
Raise Taxes on Tobacco
Increasing tobacco taxes is best way to reduce consumption
Especially among the young and the poor
Taxes must keep pace with inflation and with increasing consumer spending power
Tobacco taxes generally well accepted
Higher taxes increase revenues, help pay for tobacco control and other health/social programs
Higher tobacco taxes reduce consumption
Tax rates vs. consumption, South Africa

12. First-Ever Comprehensive Country-by-Country Assessment
Assesses implementation and enforcement of MPOWER
Countries need to do much more
Some progress, but no country fully implements even 5 of the 6 key interventions
Tobacco control requires political commitment from all levels of government and engagement by civil society
No policy
Minimal
Moderate
Complete
No data

13. Most Countries Have Not Implemented Effective Tobacco Control Policies

14. Only 5% of World Covered by Effective Tobacco Control Policies
5% or less benefit from effective interventions to reduce use

15. Individual Country Reports

16. Regional Summaries Example: South-East Asia

17. Global Tobacco Control is Underfunded
Globally, tobacco tax revenues are 500 times higher than spending on tobacco control
In low- and middle-income countries, tax revenues are 5,000 times higher