1. Tobacco in Kenya in the African context Data for the WHO Tobacco Control Meeting of Sub-Saharan Countries Nairobi, October 2000

2. Emerging Tobacco Problem in Africa Disease and death caused by tobacco is an emerging problem in Africa. The age for smoking initiation is getting younger and younger In 1999, Africa smoked 4% of World cigarette consumption.

3. Adolescent Smoking in Africa Males Females Senegal (Dakar) (10-20 year old) 1989 70%52% Niger (15-35 years old) 1991 41%11% Ethiopia (18-20 years old) 1980 38% 3.4% Benin (400 students) 1986 12% 2% Ghana ( secondary school ) 1994 6% 1%

4. Cigarette Consumption Increasing in Kenya

7. Evidence of the Adverse Health Impact of Tobacco Use for Selected African Countries Botswana Lung cancer accounted for 14% male cancer deaths, 7% for females during 1985-89. Mali82% of ischaemic heart disease patients, 89% of emphysema patients and 66% of lung cancer patients are smokers. SeychellesTobacco related causes one-third of all deaths in men and women South Africa25,450 smoking related deaths were reported in 1988 ZimbabweLung cancer cases increased in men from 64 in 1986 to 112 in 1992.

8. Changing burden of disease pattern in developing countries, 1990 and 2020

9. Smokers spend significant amounts on tobacco products In 1996, a smoker in Kenya who works: – in public sector spent 3.1% of annual income on cigarettes –in private sector spent 2.8% of annual income on cigarettes

11. Tobacco Control Policies tend to be weak in Countries in Africa ADVERTISING BAN ON SALES HEALTH BAN ON BAN TO MINORS WARNING PUBLIC PLACES Benin N/A No Yes Some BotswanaAll media age < 16yes Some Burkina Faso Regulated NoYes Cote d'IvoireYes but, not on TV No NoSome GhanaNoYesNo No KenyaNo No No Some MauritiusYes18 yearsNoYes NamibiaNo NoYesSome NigerBannedNoNo Yes NigeriaBannedNo YesSome South AfricaRegulated BannedYesSome TogoRadioNoNoNo UgandaNo No No Some ZaireNo No No Some ZambiaMediaNo YesSome

14. Choosing the Right Types of Excises

18. WHY DEAL WITH TOBACCO CONTROL WHILE AFRICA FACES OTHER IMMEDIATE CHALLENGES TOBACCO IS AN EMERGING PROBLEM HEALTH CARE EXPENDITURE IS LOW IN MOST AFRICAN COUNTRIES, TOBACCO CONTROL CAN PREVENT DISEASE INCREASING TOBACCO TAX RATES COULD HELP TO BALANCE THE BUDGET AFRICA STILL HAS A CHANCE TO BE TOBACCO- FREE CONTINENT IN THE 21 ST. CENTURY