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Global tobacco
epidemic
through the
European lens
Kristina Mauer-Stender
Program Manager
WHERE ARE WE COMING FROM?
WHO Framework Convention on Tobacco Control
180 Parties
(179 countries and the EU)
Resolution WHA 49.17
International framework convention
on tobacco control
sponsored by Canada
first mention in the WHA of a treaty
Where it all began- May 1996- Introduction of the concept of the WHO FCTC
"We invite the Member
States of WHO to initiate
work on a Framework
Convention –
to take the first step in a
process that the World
Health Assembly
has called for before."
May 1998- Dr Bruntland, former Director General, at the World Health Assembly
October 2000- March 2003- Negotiations, negotiations, negotiations
Adoption by the World Health Assembly
21st May 2003- Adoption by the World Health Assembly- history is made!
27 February 2005
Entry into Force
WHERE ARE WE IN 2016?
Photo credit: Kalyan Chakravarthy https://flic.kr/p/9jkkW5
Parties
to FCTC
50
Photo credit: Kalyan Chakravarthy https://flic.kr/p/9jkkW5
Tax
Smoke-free
Cessation
Advertising
Pictorials
29
10
8
4
3
Photo credit: Kalyan Chakravarthy https://flic.kr/p/9jkkW5
Tobacco
Users (%)
28
Name of presentation
Date of presentation
Current tobacco use in Europe
No room for complacency
WHO Region
Male
prevalence
Female
prevalence
Both sexes
EUR 38% 19% 28%
WPR 47% 3% 25%
EMR 38% 4% 22%
AMR 26% 16% 20%
SEAR 34% 4% 19%
AFR 22% 7% 15%
Global 36% 8% 22%
WHAT NEXT?
Halt the rise in
diabetes and
obesity
A 10% relative
reduction in
prevalence of
insufficient
physical activity
At least a 10%
relative
reduction in
the harmful
use of alcohol
A 25% relative reduction in
risk of premature mortality
from cardiovascular disease,
cancer, diabetes or chronic
respiratory diseases
An 80%
availability of
the affordable
basic
technologies
and essential
medicines
A 30% relative
reduction in
prevalence of
current tobacco
use
A 30%
relative
reduction in
mean
population
intake of
salt/sodium
A 25% relative
reduction in
prevalence of
raised blood
pressure or
contain the
prevalence of
raised blood
pressure
At least 50%
of eligible
people receive
drug therapy
and
counselling to
prevent heart
attacks and
strokes
SDG targets for 2030 are aligned with the NCD targets for 2025
Goal 3: Ensure healthy lives and
promote wellbeing for all people
at all ages
Commits governments to develop national
responses:
• Target 3.4: By 2030, reduce by one
third premature mortality from NCDs
• Target 3.a: Strengthen the
implementation of the WHO
Framework Convention on Tobacco
Control
Tobacco control in the 2030 Agenda for Sustainable Development
Prevalence (%) of current tobacco smoking (15+) in Europe
from 2000 with projections to 2025
0
10
20
30
40
50
60
2000 2005 2010 2015 2020 2025
Males Both Females
https://tobaccoplaybook.net/
https://tobaccoplaybook.net/
Thank You
Questions to: mauerstenderk@who.int

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Global tobacco epidemic through the European lens

  • 1. Global tobacco epidemic through the European lens Kristina Mauer-Stender Program Manager
  • 2. WHERE ARE WE COMING FROM?
  • 3.
  • 4. WHO Framework Convention on Tobacco Control 180 Parties (179 countries and the EU)
  • 5. Resolution WHA 49.17 International framework convention on tobacco control sponsored by Canada first mention in the WHA of a treaty Where it all began- May 1996- Introduction of the concept of the WHO FCTC
  • 6. "We invite the Member States of WHO to initiate work on a Framework Convention – to take the first step in a process that the World Health Assembly has called for before." May 1998- Dr Bruntland, former Director General, at the World Health Assembly
  • 7. October 2000- March 2003- Negotiations, negotiations, negotiations
  • 8. Adoption by the World Health Assembly 21st May 2003- Adoption by the World Health Assembly- history is made!
  • 10. WHERE ARE WE IN 2016?
  • 11. Photo credit: Kalyan Chakravarthy https://flic.kr/p/9jkkW5 Parties to FCTC 50
  • 12. Photo credit: Kalyan Chakravarthy https://flic.kr/p/9jkkW5 Tax Smoke-free Cessation Advertising Pictorials 29 10 8 4 3
  • 13. Photo credit: Kalyan Chakravarthy https://flic.kr/p/9jkkW5 Tobacco Users (%) 28
  • 14. Name of presentation Date of presentation Current tobacco use in Europe No room for complacency WHO Region Male prevalence Female prevalence Both sexes EUR 38% 19% 28% WPR 47% 3% 25% EMR 38% 4% 22% AMR 26% 16% 20% SEAR 34% 4% 19% AFR 22% 7% 15% Global 36% 8% 22%
  • 16. Halt the rise in diabetes and obesity A 10% relative reduction in prevalence of insufficient physical activity At least a 10% relative reduction in the harmful use of alcohol A 25% relative reduction in risk of premature mortality from cardiovascular disease, cancer, diabetes or chronic respiratory diseases An 80% availability of the affordable basic technologies and essential medicines A 30% relative reduction in prevalence of current tobacco use A 30% relative reduction in mean population intake of salt/sodium A 25% relative reduction in prevalence of raised blood pressure or contain the prevalence of raised blood pressure At least 50% of eligible people receive drug therapy and counselling to prevent heart attacks and strokes SDG targets for 2030 are aligned with the NCD targets for 2025
  • 17. Goal 3: Ensure healthy lives and promote wellbeing for all people at all ages Commits governments to develop national responses: • Target 3.4: By 2030, reduce by one third premature mortality from NCDs • Target 3.a: Strengthen the implementation of the WHO Framework Convention on Tobacco Control Tobacco control in the 2030 Agenda for Sustainable Development
  • 18. Prevalence (%) of current tobacco smoking (15+) in Europe from 2000 with projections to 2025 0 10 20 30 40 50 60 2000 2005 2010 2015 2020 2025 Males Both Females
  • 19.
  • 22. Thank You Questions to: mauerstenderk@who.int

Editor's Notes

  1. Good morning I would like, together with you, to look into: - WHO FCTC, where are we coming from? Status of the WHO FCTC implementation in the European Region, where are we in 2016? Zoom in to art 5.3. of the WHO FCTC and ask from ourselves, do we need to say same things over and over again? End by asking what next?
  2. It is 20 years ago the idea of a possible tobacco control treaty was put forward in the context of WHO, in 1996. It has been a long way and carefully crafted process.
  3. 4
  4. 5
  5. 6
  6. 7
  7. 8
  8. 9
  9. Where are we in 2016 in Europe? 20 years after the first idea of a treaty at the WHA and slightly more than 10 years after the entry into force of the WHO FCTC.
  10. Looking at European rates of smoking in the global context, comparing the WHO European Region to other 5 Regions, Europe has the highest level of adult smokers in the world, 28%, and by far highest level of female smokers, 19%.
  11. In the global NCDs related commitments, there is a global voluntary target of a 30% relative reduction in tobacco use by 2025, in less than 10 years time. SDG targets for 2030 are aligned with the NCD targets for 2025, incl. the target related to tobacco use
  12. SDG targets for 2030 are aligned with the NCD targets for 2025, incl. the target related to tobacco use
  13. From 2000 onwards a downward trend is observed in the prevalence of current tobacco smoking among the adult population in the WHO European Region, both in males and females. In 2015, it is estimated that the prevalence of current tobacco smoking among males is 37%. For females, this percentage will be half less, namely 19%. At this stage, it is projected that the prevalence level in 2025 among males will be 31% and among females it will be 16%. Taking the years from 2010 to 2025, this means a projected relative reduction of 22% among the male population, and of 25 % among the female population The WHO European Region would need to accelerate its efforts in tobacco control in order to achieve the global target of a 30% relative reduction by 2025. It also goes for all countries in this room as based on the latest DRAFT trends report to be published in early 2017, none of the countries here would achieve the global voluntary target by 2025.