1. Global Tobacco Surveillance System Accomplishments and Opportunities Samira Asma Associate Director Global Tobacco Control Office on Smoking and Health World Health Organization

2. 1999 World Health Organization ▪ We were hindered by what we didn’t know ▪ Urgency to fill the data gap was clear

3. Data Need World Health Organization ▪ Monitor tobacco epidemic ▪ Plan, implement and evaluate tobacco control programs

4. Global Tobacco Surveillance System: Components Youth Global Youth Tobacco Survey (GYTS) Adults Global School Personnel Survey (GSPS) Global Health Professionals Survey (GHPS)

5.  Partnership  Consistency — Survey Methodology — Field Procedures — Data Management Techniques  Sustainability — Cost effective — Feasibility to repeat Fundamental Principles

6. Opportunities  Monitor the WHO FCTC Articles  Develop, monitor and evaluate tobacco control programs  Disseminate data to expand science base

8. Purpose  To enhance the capacity of countries to design, implement, and evaluate their comprehensive tobacco control programs Global Youth Tobacco Survey

9.  Prevalence & consumption  Knowledge & attitudes  Access, availability & price  Media & advertising exposure  Secondhand smoke exposure  Cessation  School curriculum GYTS Topics

10. GYTS 1999-2005 Completed Planned ▪ Active in 164 countries ▪ 1.8 million students participated ▪ 40 countries repeating

11.  1 in 7 students smoke cigarettes  1 in 4 smokers first tried by age 10  2 in 3 smokers want to quit immediately  Half of students exposed to smoke in homes  80% saw tobacco ads Key GYTS Findings Source: Tobacco Control 2002; 11:252-270

12. “ …integrate tobacco surveillance programs into national, regional, and global health surveillance programs so that data are comparable and can be analyzed at the regional and international levels, as appropriate. ” WHO FCTC monitoring protocol

13.  Article 8: Protection from exposure to tobacco smoke  Article 12: Education, communication, training & public awareness  Article 13: Tobacco advertising, promotion & sponsorship  Article 14: Demand reduction measures concerning tobacco dependence & cessation  Article 16: Sales to & by minors Monitoring WHO FCTC Articles

14. FCTC Article 13: Tobacco advertising, promotion & sponsorship

15. Have Tobacco Logo on an Object Offered Free Cigarettes Percent With Tobacco Logo on Object or Offered Free Cigarettes, Global Youth Tobacco Survey by WHO Region

16.  GYTS is being used by countries to: — Develop program — Influence policy decisions — Evaluate program effectiveness Develop and Monitor Tobacco Control Programs

17. Current Cigarette Smoking among Students Aged 13-15 Years, by Gender & Year- Philippines, GYTS 2000-2003 Source: MMWR 2005; 54: 4 94-97 Percent

18. Percent of Students Aged 13-15 Years Supports Ban on Smoking in Public Places, by Gender & Year- Philippines, GYTS 2000-2003 Source: MMWR 2005; 54: 4 94-97 Percent

19.  Clean Air Act of 1999  Tobacco Regulatory Act of 2004  Extensive media coverage of Tobacco Regulatory Act & smoke-free policy  Smoking cessation programs Factors Influencing the Change in the Philippines, 2000-2004

20. Global Tobacco Surveillance System: Components Adults  Global School Personnel Survey (GSPS)  Global Health Professionals Survey (GHPS )

21. Purpose  To collect information from school personnel concerning their tobacco use & tobacco related school policies & programs Global School Personnel Survey

22.  Tobacco use  Knowledge and attitudes  School policy  School curriculum GSPS Topics

23. Global School Personnel Survey, 2000-2004

24.  Teachers less likely to use tobacco  Shortage of teaching materials  Majority of teachers in favor of schools enacting policy Key GSPS Findings Source: Journal of School Health 2004; 74: 3-5

25. Purpose  To collect information from third-year students attending dental, medical, nursing, & pharmacy schools concerning their tobacco use & their tobacco related school policies & programs Global Health Professionals Survey

26.  Tobacco use  Knowledge & attitudes  Exposure to second-hand smoke  Cessation  School curriculum & training GHPS Topics

27. Global Health Professionals Survey, 2005

28. Data Dissemination  Data Coordinating Center –Ongoing technical support –Data Release Policy –Data Bank  Data for Public Use –153 GYTS data sets released for 85 countries  Active Data Dissemination –Dynamic Website –Publications

29. Global Tobacco Surveillance System Accomplishments and Opportunities Samira Asma Associate Director Global Tobacco Control Office on Smoking and Health World Health Organization