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Burden of Tobacco

Burden of Tobacco. Mini Lecture 1 Module:Tobacco Issues in Basic Medical Practice. Objectives of the Mini Lecture. GOAL OF MINI LECTURE: Provide students with knowledge and skills on tobacco issues in basic medical practice. LEARNING OBJECTIVES Learners will be able to:

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Burden of Tobacco

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  1. Burden of Tobacco Mini Lecture 1 Module:Tobacco Issues in Basic Medical Practice

  2. Objectives of the Mini Lecture GOAL OF MINI LECTURE: Provide students with knowledge and skills on tobacco issues in basic medical practice. LEARNING OBJECTIVES Learners will be able to: • Describe the global and national burden of tobacco use. • Describe the mortality and morbidity caused by tobacco.

  3. Contents Core Slides Optional Slides Global Cigarette Consumption Percentage of Adult Smokers in ASEAN (South East Asian) Countries Percentage of Adolescent Smokers in ASEAN (South East Asian) Countries, 2007 Deaths Attributed to Smoking in Developed and Developing Countries, 2000 Smoking Attributable Deaths Are Dramatically Increasing Worldwide Cigarette Consumption in India Cigarette Consumptionin Indonesia Deaths Attributed to Tobacco Usein 1990 and 2020 by Region Who Uses Tobacco in India? • Death Toll of Tobacco: 2005 • Deaths from Tobacco Compared to Deaths from Other Causes • Smoking Prevalence in India • Use of Smokeless Tobacco in India • Morbidity from Tobacco Use • What if We Could ReduceRates of Smoking to 20%?

  4. CORE SLIDES Burden of Tobacco Mini Lecture 1 Module: Tobacco Issues in Basic Medical Practice

  5. Death Toll of Tobacco: 2005 • In the year 2005, 5.4 million people died from tobacco-attributed diseases. • 50% of these deaths occurred in developing countries. • By the year 2030, 8–10 million people a year will die. • 7 out of every 10 tobacco attributable deaths will occur in developing countries. • Mathers et al. 2006

  6. Deaths from Tobacco Compared to Deaths from Other Causes Smoking presently kills more people worldwide than all of the following combined: • Malaria • Maternal Mortality • Major childhood diseases • Tuberculosis1 By 2015 smoking will kill 50% more people than HIV/AIDS.2 1. Twombly 2002; 2. Mathers et al. 2006

  7. India Smoking Prevalence in India Age Range Thankappan and Mini 2008

  8. India Use of SmokelessTobacco in India Age Range Thankappan and Mini 2008

  9. Morbidity from Tobacco Use • People with smoking-related illness are sick for many years. • They suffer and their families suffer along with them. • Their ill health is an economic burden on both the family and the state. • Tobacco is a significant risk factor for many chronic diseases, and it increases the chance of serious complications for many diseases, such as diabetes and TB.1,2 1. Nichter, for the Project Quit Tobacco International Group, 2006; 2. Nichter et al. 2009

  10. What if We Could ReduceRates of Smoking to 20%? If adult smoking levels could be reduced to 20 percent, over 100 million premature deaths could be adverted by 2020. Frieden et al. 2007

  11. OPTIONAL SLIDES Burden of Tobacco Mini Lecture 1 Module: Tobacco Issues in Basic Medical Practice

  12. Global Cigarette Consumption Total cigarette consumption worldwide: • 5.5 trillion cigarettes were smoked in 2000 • This would be equal to every man, woman, and child in the world smoking 1000 cigarettes! Proctor 2004

  13. Percentage of Adult Smokers in ASEAN(South East Asian) Countries, 2007 ASEAN population: 573,742,251 ASEAN adult* population = 409,705,076 (71.41%) Number of adult smokers = 124,691,684 (30.4% of adults in ASEAN)

  14. Percentage of Adolescent Smokers in ASEAN (South East Asian) Countries, 2007 ASEAN population: 573,742,251 Adolescents aged 13–15 years

  15. Deaths Attributed toSmoking in Developed andDeveloping Countries, 2000 *UADC = Upper Aerodigestive Cancers Ezzati and Lopez 2004

  16. Smoking Attributable Deaths Are Dramatically Increasing Worldwide Murray and Lopez 1997

  17. India Cigarette Consumption in India WHO 2008

  18. Indonesia Cigarette Consumptionin Indonesia An Increase of 500% in 35 Years WHO 2008

  19. Deaths Attributed to Tobacco Usein 1990 and 2020 by Region Murray and Lopez 1997

  20. India Who Uses Tobacco in India? • 182 million smokers in India alone.1 • People in the lowest fifth of the standard of living index were 2.54 times more likely to smoke or chew tobacco than those in the highest fifth.2 • Older, married, and poorly educatedpeople were more likely to consume tobacco by smoking, chewing,or both.2 • Muslims and Hindus were more likely to smoke than Christians.2 • A greater proportion of the population in the northeastthan in the southern and western states smoked, independentof socioeconomic status.3 1. Shimkhada et al. 2003; 2. Goldstein 2003; 3. Subramanian et al. 2004

  21. The most important health message a doctor can give to patients is to quit smoking.

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