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“Global tobacco control” Dr Judith Mackay Launching Ceremony and Seminar on Anti- smoking campaign & Roving Exhibition HK Central Library; 5 November 2005
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By 2025: Number of smokers will rise from 1.2 to 1.6 billion
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By 2030, 85% smokers will live in developing countries.
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Research NATIONAL PREVALENCE SURVEYS YOUTH The Global Youth Tobacco Survey Health Behaviour in School-aged Children (HBSC) study Health professionals surveys Harmfulness of smoking and passive smoking Effective intervention measures
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Economics - Key Messages: * Tobacco debit to economy * Tobacco control cost effective * Price increases most effective of all
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1994 Philippines Tobacco industry calendar
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Cost effectiveness: Values for various tobacco control interventions (US$ per DALY saved) RegionPrice10% Non-price measures 5% effect NRT with 25% cover Low/MiddleIncome4-1768-272276-297 High Income 161-6451,347-5,388746-1,160 Source: World Bank, 1999
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FCTC
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Signed 168/192 Ratified 92
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HK 1987 ban on:
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Australia: earmarked tobacco tax, 1987
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cigarettes abolished 1991 Singapore: Duty-free…
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Mongolia 1994: Tobacco law
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Thailand 1995: Ingredient disclosure
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Bhutan 2004: Ban sales
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Obstacles to tobacco control n Lack of awareness of magnitude of risk n Preoccupation with other diseases (many of which cause fewer deaths, eg SARS) or non-health problems n Smokers may not yet be dying in large numbers n Focus of health profession on curative medicine n Smoking seen as personal behaviour by community n Tobacco industry: promotion, distortion of evidence, financial might, challenge or threats to governments, organisations, individuals n Tobacco tax revenue, but not debit, seen n Lack of funds for research and intervention
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HK resident smoking through SARS mask
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Medical model not enough
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