tobacco control in vietnam - dr. bill o’neill
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Tobacco Control
Bill O’Neill
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Tobacco: Key Facts• Tobacco kills up to half of its users• Tobacco kills nearly six million people each year
– 5,000,000 smokers and – 1,000,000 others – (28% children)
• Tobacco consumption increasing globally– Decreasing in UK, US, Australia– Increasing in low income countries
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How common is smoking
Men Women Total
Australia 18.0% 15.2% 16.6%Singapore 25.2% 4.2% 14.5%Vietnam 39.7% 1.2% 19.9%
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Smoking causes
• Heart disease• Lung disease – emphysema,
bronchitis, asthma• Strokes and brain disease• Cancer – lung, also mouth, throat, kidney,
bladder, bowel
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Smoking also causes
• Discolouring of the teeth• Ageing of the skin• Infertility• Impotence• Complications in pregnancy
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Why do young people smoke?
• It’s cool• Peer pressure• Rebellion• Effects of advertising• Addiction• Habit
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Second Hand SmokeIn adults:• Heart, lung, brain disease and cancer• Complications in pregnancy
In children:• Low birth weight• Sudden infant deaths• Asthma and lung infections• Time off school due to sickness
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Helping Smokers Quit
• Advice by doctors• Assessment of addiction – time of first cigarette• Strategies: plan date; do it with a friend• Nicotine replacement therapy: chewing gum;
skin patches• Other drugs
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The Merchants of Death
Don’t Persecute SmokersThe real enemy
is the tobacco industry
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Curtailing the Tobacco Industry
• Taxation• Information on health risks• Health warnings on cigarette packs• Restrictions on advertising, promotion and
sponsorship
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