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Section CSection C

Global Burden

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Global Smoking Prevalence

Source: adapted by CTLT from The Tobacco Atlas (2006).Source: adapted by CTLT from The Tobacco Atlas. (2006).

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Cigarette Consumption in China (1952–1996)

Source: adapted by CTLT from The Tobacco Atlas (2002).

Average Number of Manufactured Cigarettes Smokedper Man per Day in China, 1996 (Smokers and Nonsmokers Combined)

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Cigarette Consumption in Poland (1923–2000)

Source: adapted by CTLT from Zatonski, et al. (2004).

Average Number of Manufactured Cigarettes Smokedper Man per Day in Poland (Smokers and Nonsmokers Combined)

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Burden of Tobacco Deaths Shifting

Source: adapted by CTLT from Peto, R. and Lopez, A. (2001).

2000 2030

Developed 2 ~3

Developing ~2 ~7

World Total 4 ~10

One in two long-term smokers killed by their addiction

Half of deaths in middle age (35-69)

Annual World Tobacco Deaths (in Millions)

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Source: The Tobacco Atlas. (2002). Permission granted.

Smokers killedin middle age lose more

than 20 years of life expectancy.

womendeveloping countries

0.4 million

womenindustrialized

countries0.6 million

menindustrialized

countries1.8 million

mendevelopingcountries2.0 million

Annual deathsPremature deathsfrom smokingworldwide

2000

total4.8 million

men3.8 million

women1.0 million

The Global Tobacco Health Burden

Single most important cause of preventable deaths in the world

Projected to be the leading cause of death by 2020s—one in eight deaths

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The Global Tobacco Health Burden

70% of tobacco deaths in the 2020s will be in developing countries (DC)

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Image source: adapted by CTLT from The Tobacco Atlas. (2006).

The Global Tobacco Burden—Women

Closing gender gap—over 236 million women smoke globally

Only ≈ 3% of women in Southeast Asia smoke cigarettes

High exposure to secondhand smoke

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Source: adapted by CTLT from The World Bank. (1999). Calculations based on the World Health Organization. (1997).

The Global Tobacco Burden—Women

Estimated Smoking Prevalence by Gender and Number of Smokers in Populations Aged 15 or More, by World Bank Region, 1995World Bank Region Smoking Prevalence (%) Total Smokers

Males Females OverallMillions

Percentage of

Smokers

East Asia and Pacific 59 4 32 401 35

Eastern Europe and Central Asia 59 26 41 148 13

Latin America and Caribbean 40 21 30 95 8

Middle East and North Africa 44 5 25 40 3

South Asia (cigarettes) 20 1 11 86 8

South Asia (bidis) 20 3 12 96 8

Sub-Saharan Africa 33 10 21 67 6

Low/middle income 49 9 29 933 82

High income 39 22 30 209 18

World 47 12 29 1,142 100

Note: Numbers have been rounded

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The Global Tobacco Burden—Youth

Every day 80,000 to 100,000 youths become regular smokers

One-fifth of young people begin before they are ten years old

High exposure to secondhand smoke

Predicted to kill 250 million children and adolescents alive today

Source: The Tobacco Atlas. (2006), GYTS Collaborative Group. (2002).

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Global Youth Tobacco Survey (GYTS)

Source: adapted by CTLT from GYTS Collaborative Group. (2002).

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The Global Tobacco Burden—the Poor

Source: adapted by CTLT from The World Bank. (1999).

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The Global Tobacco Burden—the Poor

Source: adapted by CTLT from CDC—MMWR. (Nov 11, 2005). 54(44); 1121–1124.

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Economic Tradeoffs for the Smoker

Source: The Tobacco Atlas. (2006). Permission granted.

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Cigarette Consumption in the U.S. (1900–2000)

Source: adapted by CTLT from U.S. Surgeon General’s Report. (2000).

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Summary

Both active and passive smoking are deadly

Single most important cause of preventable deaths in the world

Unless effective measures are implemented to prevent young people from smoking, and to help current users quit, tobacco will kill one billion people in the 21st century