Tobacco or health seminar
13 December 2007
Tashkent
Dr M. Tailhades WHO
Global Trends in Tobacco Use
 1.1 billion or 1 in 3 adults smoke
about 80% live in low- and middle-income countries
total number of smokers is expected to reach about
1.6 billion by 2025
World Bank, 1999
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
 1.2 billion smokers over the age of 15 years
300
million are in China
WHO, 2001
Trends in tobacco use

1993 – 2003, cigarette consumption in the world
increased from 5,119 bln to 5,439 bln.

From 1999- 2003 cigarette consumption in East
and Central Asia increased from 705 bln to 920
bln in 2003

Majority 25-29 years age group
Tobacco Production and
Consumption in Uzbekistan

Manufactured Cigarettes
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

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
Uzbekistan has manufactured 5,9 bln in 2000 and 6,4 bln in 2005,
293 496 000 local production sold in country
25 million imported cigarettes and sold
Total consumption in 2006: 355 567 634 packs in 2006
RUz 24% men versus 1,1% women smoke are current
smokers
Specific problem to UZB nasvay, mainly in rural areas,
45% versus 27% in urban settings. Total 11% consuming
nasvay
Revenues and losses due to tobacco in
Uzbekistan
 Direct
income from taxes on tobacco: 23,5
bln sums
 Total loss due to medical costs, tax losses
etc.. 61.9 bln
 We can see that the effect of tobacco use on
the economy is very negative
Smoking and public health
 Single
most preventable health crisis of
all
 Kills nearly 5 million people each year
 Affects the smokers and the environment
10480 die every year
due to tobacco-related
disease in Uzbekistan
- that's 1 every hour
What Are You Smoking?
There are 4,000 chemicals in cigarette
smoke - 60 of which are cancer-inducing
substances
 Nicotine – an intake off 60 mg can kill;
each stick has 15-20 mg
 Tar – an irritating & cancer-causing
substance
 Ammonia – makes smokers addicted
 Carbon monoxide – also found in car smoke
 Cadmium – highly toxic,
 Lead – stunts growth & causes brain damage
 Arsenic – well-known poison
Passive Evidence of

non-smokers who live with smokers are:

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at 20-30% increased risk of developing cancer,
particularly lung cancer
At 20-30% increased risk of developing heart
disease
- Major International reviews on Cancer and
Heart Disease

second-hand smoke kills 35,000 to 65,000
adult non-smokers from heart disease and
3,000 non-smokers from lung cancer every
in USA alone
- US and California Environmental
Protection Agencies
Passive Evidence of
In children, passive smoking is known to
cause fetal growth impairment, asthma,
bronchitis, pneumonia and middle ear
disease
 Children’s 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
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 lowand middle-income nations

World Bank, 1999
Tobacco grown in Uzbekistan is accepted in world market.
Friday, March 03, 2006
 Turnover of uzbek-british-american joint company “British –American
Tobacco Uzbekistan” (JV ”UzBAT” Joint Stock Company is increased for
11,2% ) in 2005 in comparison with the last year. This information has been
given publicity during the press-conference, which has been held on 1 March
& devoted to the results of JV activity within the last year.
 General Director of JV ”UzBAT” has mentioned that, Uzbekistan is a sole
country in the world, which grows three kinds of tobacco at once, “Izmir”,
“Basma” & “Dubek”. Primarily only “Dubek” has been grown in RUz. But in
the course of time demand for this type of tobacco has been decreased in RUz
and abroad. In present time “Izmir” & “Basma” are in popular demand. And
Uzbekistan has started to grow these types of tobacco.

Excerpt of local newspaper: Business Messenger of East
What happens to our body when you quit
smoking . . .
5 years:

lung cancer death rate decreases by
almost ½

stroke risk is reduced to that of nonsmoker 5-15 years after quitting

risk of cancer of the mouth, throat &
asophagus is ½ that of a smoker’s 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
15 years
risk of coronary heart disease
is that of a non-smoker
What is FCTC?
Key requirements of treaty :
• Ban tobacco advertising, sponsorship and promotion, where
constitutions allow, within five years
• Tobacco packaging must include health warnings covering at
least 30% of packet within 3 years
• Introduce measures to protect people from second-hand tobacco
smoke in public places
• Draw up strategies to combat smuggling
• Adopt tax policies which discourage smoking
• Product regulation
What is FCTC?
Key aspects of tobacco control include measures that
 protect children and youth from tobacco,
especially by preventing them to take up tobacco
consumption;
 support tobacco users to quit;
 help protect non-smokers from exposure to
second-hand tobacco smoke; and
 provision of support for economically viable
alternative activities.
 regulate tobacco products.
FCTC Status WHO
We are offering you to check an updated information on WHO FCTC status in our website:
www.who.int/tobacco.
Number of contracting parties
113
MemberParties
First Conference of the
Parties (6-17 February,
2006)
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