Framework Convention on Tobacco Control Alliance, Philippines (FCAP) Council on Tobacco or Health, Philippine College of Chest Physicians (PCCP)

Philippine Heart Center

Ma. Encarnita C. Blanco-Limpin, MD Blanco-

Global Trends in Tobacco Use

1.1 billion or 1 in 3 adults smoke


about 80% live in low- and middle-income countries lowmiddle-

total number of smokers is expected to reach about 1.6 billion by 2025

World Bank, 1999

1.2 billion smokers over the age of 15 years

300

million are in China WHO, 2001

Smoking already kills one in 10 adults worldwide By 2030, the proportion will be one in six, or 10 million deaths per year Until recently, this epidemic of chronic disease and premature death mainly affected the rich countries, it is now rapidly shifting to the developing world By 2020, seven of every 10 people killed by smoking will be in lowlowand middle-income nations middleWorld Bank, 1999

Tobacco Production and Consumption

Manufactured Cigarettes
 Philippines has manufactured 73

billion cigarettes in 1994, occupying the 15th leading producer of cigarettes

Tobacco Production and Consumption

Imported Cigarettes
 Philippines has imported some 13.98

billion cigarettes, occupying the 12th place among worlds leading importers

Tobacco Production and Consumption

Tobacco Consumption
 Among 25 leading countries in 1994,

Philippines ranked 15th on apparent tobacco consumption with some 85.36 billion cigarettes or about 1.6% of the worlds total (WHO 1997)

Smoking Prevalence
In terms of tobacco consumption, WHO estimated in 1998 that 1/3rd of the global population, or 1.1 billion people aged 15 years and over are smokers 800 million of these are in developing countries like the Philippines

Smoking Prevalence
In 4,541 individuals aged 20 years n and over :  33% of adult Filipinos are current smokers  13% are ex-smokers exMonograph of Cigarette Smoking Dans et. al., 1999

Smoking
single most preventable health crisis of all Kills nearly 5 million people each year 20,000 Filipinos die every year due to tobaccotobacco-related disease - that's 2

or 3 every hour.

What Are You Smoking?

There are 4,000 chemicals in cigarette smoke - 60 of which are cancer-inducing cancersubstances
 Nicotine an intake off 60 mg can kill; each stick has 15-20 mg 15 Tar an irritating & cancer-causing cancersubstance  Ammonia makes smokers addicted  Carbon monoxide also found in car smoke  Cadmium highly toxic, found in car batteries that causes liver, kidney & brain damage  Lead stunts growth & causes brain damage  Arsenic well-known poison well-

Smoke Gets in your

Hair loss, wrinkling, discolored fingers and bad breath are just some of the side effects of smoking Smoking makes bones brittle, making you prone to injuries Smoking for more than 20 years will reduce your lifespan by 20 to 25 years

What You Should Know About

Mainstream smoke is smoke that is inhaled through a smokers mouth Sidestream smoke is smoke that drifts off at the end of cigarettes A secondhand smoke or passive smoker is one who inhales sidestream smoke

Passive Evidence of
nonnon-smokers who live with smokers are:
 

at 20-30% increased risk of developing cancer, 20particularly lung cancer At 20-30% increased risk of developing heart 20disease - Major International reviews on Cancer and
Heart Disease

secondsecond-hand smoke kills 35,000 to 65,000 adult non-smokers from heart disease and non3,000 non-smokers from lung cancer every nonin USA alone - US and California Environmental
Protection Agencies

Passive Evidence of
In children, passive smoking is known to cause fetal growth impairment, cot death (SIDS), asthma, bronchitis, pneumonia and middle ear disease Childrens exposure to tobacco smoke is responsible for up to 13% of asthma cases, 13% of ear infections and 20% of all lung infections in children under 5
- 1996 US Analysis of over 100 reports on Pediatric Diseases

Tobacco Smoke is also an Important Source of Air Pollution

Contributes to a noxious environment It causes wheezing, coughing, colds, earaches, and asthma attacks in passive smokers

Secondhand Smoke Is Dangerous Because . . .

It produces 6 times the pollution of a busy highway when in a crowded restaurant It has higher levels of many poisons than smoke breathed directly through the cigarette

Economic Issues
The Philippine government earns about 21 billion pesos from the sale and manufacture of tobacco and tobacco products each year. But it loses about 46 billion pesos to tobaccotobacco-related healthcare and lost of productivity.
Monograph of Cigarette Smoking Dans et. al., 1999

Health Consequences of Smoking are Two-Fold TwoAddiction



The addictive properties of nicotine are well documented but often underestimated by the consumer The diseases associated with smoking are well documented & include:
   

Fatal and disabling diseases



Cancers of the lungs and other organs Ischemic heart disease Strokes Respiratory diseases such as emphysema, frequent asthma attacks

What is FCTC?
Framework Convention on Tobacco Control International treaty initiated by the World Health Assembly


A governing body of the World Health Organization

worlds first global public health agreement devoted entirely to tobacco control. Participated by 192 countries Negotiations began in October 1999 & concluded on March 1st 2003 Signing & ratification is on-going (May 18-28, 2003) on18-

 People who smoke may not realize how noxious smoke is to nonnon-smokers. Passive smoking is damaging, not just disagreeable, and can actually be lethal to people with severe asthma.
- Claire Rayner, writer and health campaigner

"It is important to know as much as possible about teenage smoking patterns and attitudes. Today's teen-ager teenis tomorrow's potential regular customer, and the overwhelming majority of smokers first begin to smoke while in their teens. . . .The smoking patterns of teen-agers teenare particularly important to Philip Morris. . . the share index is highest in the youngest group for all Marlboro and Virginia Slims packings. At least a part of the success of Marlboro Red during its most rapid growth period was because it became the brand of choice among teenagers who then stuck with it as they grew older."
March 31, 1981 market research report on young smokers titled "Young Smokers Prevalence, Trends,Implications, and Related Demographic Trends, written by Philip Morris researcher Myron E. Johnston and approved by Carolyn Levy and Harry Daniel. Bates No. 000390803

Council on Tobacco or Health & Air Pollution, Philippine College of Chest Physicians (PCCP) Framework Convention on Tobacco Control Alliance, Philippines (FCAP)

Ma. Encarnita C. Blanco-Limpin, MD

What Happens to our body when you quit smoking . . .

20 minutes BP & pulse rate drops to normal Body temp of hands & feet increases to normal CO level in your blood drops to normal O2 in our blood increases to normal chance of heart attack decreases

8 hours

24 hours

What happens to our body when you quit smoking . . .

48 hours nerve endings start growing again ability to smell & taste is enhanced nicotine is no longer detectable in the body circulation improves walking becomes easier lung function increase up to 30%

2 wks to 3 months

What happens to our body when you quit smoking . . .

1 to 9 months cough, sinus congestion, fatigue & shortness of breath decrease cilia grow again in your lungs, increasing ability to handle mucus, clean the lungs & reduce infection risk of coronary heart disease is that of a smoker

1 year

What happens to our body when you quit smoking . . .

5 years lung cancer death rate decreases by almost stroke risk is reduced to that of non-smoker 5-15 non5years after quitting risk of cancer of the mouth, throat & esophagus is that of a smokers risk

What happens to our body when you quit smoking . . .

10 years lung cancer death rate is similar to that of a non-smoker risk of all cigarette-related cancers continues to decrease risk of coronary heart disease is that of a non-smoker

15 years

QUIT NOW!