1. 1 Addiction to tobacco smoking and its consequences to population of Uzbekistan Ministry of Health World Bank Republic of Uzbekistan Physician Advanced Training Institute, Tashkent Mamatova N.,Usmanova G., Makhkamova N. Tashkent, December 13, 2007

2. 2 Objectives Assess addiction to tobacco products consumption Assess influence on population health Assess tobacco smoking consequences to country’s economy

3. 3 Methodology (1) Primary data Household survey Ambulatory and hospital patients survey Secondary data Mortality data Morbidity data Deaths from diseases attributable to smoking Demographic data for 2005 GDP Employment & wages Life expectancy

4. 4 Methodlogy (2) 1000 HHs 1395 1080 Hospital patients 315 Ambulatory patients Andijan province Bukhara province Jizzak province Namangan province Samarqand province Syrdarya province Tashkent province Fergana province City of Tashkent Household survey Ambulatory and hospital patients survey

5. 5 Methodology (3) (1) Malignant neoplasms (2) Cardiovascular diseases (3) Respiratory system diseases (4) Digestive system diseases

6. 6 Household survey data analysis

7. 7 Overall prevalence of tobacco consumption by genders, 2006 Source: Uzbekistan’s Household Survey, 2006. Nasvai consumption is higher among males!!! Prevalence of tobacco consumption by genders 23% 0% 11% 20% 1% 10% 0% 5% 10% 15% 20% 25% MaleFemaleTotal Nasvai consumptionCigarette consumption

8. 8 Ages of starting cigarette and nasvai consumption Data on urban and rural area is almost similar

9. 9 Total years of smoking among male smokers, by age

10. 10 Highest consumption of tobacco products accounts for people aged 30-49!!!!!! Tobacco consumption by male smokers, by years of smoking experience

11. 11 The higher is the level of education, the higher is cigarette consumption and the lower is nasvai consumption!!! Source: Uzbekistan’s Household Survey, 2006

12. 12 The higher is the income, the higher is cigarette consumption and the lower is nasvai consumption !!! Source: Uzbekistan’s Household Survey

13. 13 Cigarette consumption prevails in the capital, while nasvai is more common for the rural area!!!! Source: Uzbekistan’s Household Survey, 2006.

14. 14 Majority of inveterate smokers (who smoke 11+ cigarettes a day) are male smokers aged 30-39 (26%) and 40-49 (43%)!!!!! Sources: Uzbekistan’s Household Survey, 2006.

15. 15 31% of individuals who consume nasvai every day are aged 30 - 39 Source: Uzbekistan’s Household Survey, 2006.

16. 16 Only 9% of respondents believe that smoking mostly effects heart and cardiovascular system Awareness of smoking hazard

17. 17 15% of respondents are not aware of nasvai consumption hazard Awareness of nasvai consumption hazard

18. 18 Sources of information on the hazard of tobacco products consumption (%) Information about smoking hazard is mostly obtained from TV programs

19. 19 Reasons for starting tobacco products consumption, by gender (%) Decision to start smoking is stimulated mostly by friends

20. 20 Passive smoking

21. 21 Reasons to quit smoking

22. 22 Reasons to quit nasvai consumption

23. 23 Main places for buying cigarettes

24. 24 Number of cigarettes typically bought by smokers

25. 25 Consequences to human health of tobacco smoking

26. 26 Morbidity attributable to smoking 1 767 355 (aged 35+) MAS 79 892 (aged 35+) suffer from ТАD 42 237 (aged 35+) ТАD attributable to smoking 53% 2%

27. 27 Deaths attributable to smoking (2004) 41% 27%

28. 28 Deaths attributable to smoking, by nosology

29. 29 Life years potentially lost because of smoking, 2004 Name Life years potentially lost MinimumMaximum Malignant neoplasms7.518.4 Cardiovascular diseases4.44.417.3 Respiratory system diseases14.417.5 Total 4.42 18.9 A human who died because of smoking lost an average of 12 potential years of his/her life

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