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Smokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional Adviser, Tobacco Free IniAaAve WHO SEARO [email protected]
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Page 1: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

SmokelessTobaccoControlin

South-EastAsiaRegion

DrJagdishKaurRegionalAdviser,TobaccoFreeIniAaAve

[email protected]

Page 2: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Tobacco use kills more than 7 million people every year and costs households and governments over US$ 1.4 trillion through healthcare e x p e n d i t u r e a n d l o s t productivity

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Effective tobacco

control is need of the

hour

SEAR is home to about one-fourth of the

world's population,

one-fourth of world’s

smokers and 90% of

smokeless tobacco users

Diverse population groups with high

socio-cultural acceptance of ST products in many

countries Most countries are LMIs

Page 4: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

50.02007

2013

2004

2006

2009

2013

2003

2006

2009

2014

2011

2007

2011

2016

2007

2011

2007

2011

2015

2009

2015

2013

Bangladesh Bhutan India Indonesia Maldives Myanmar Nepal SriLanka Thailand TimorLeste

Percen

tPercentageofcurrentsmokelesstobaccousersamongyouthin

selectedMemberStatesoftheSouth-EastAsiaRegion

Source:GlobalYouthTobaccoSurvey2003-2016

Page 5: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

1.7 2.6 3.2

15.817.8

19.7 19.8 21.4

27.2

43.2

1.53.9

1.1

26.0

31.3

26.5

16.1

29.626.4

62.2

2.0 1.45.2 5.3 4.8

11.0

26.8

12.8

27.924.1

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

Indonesia Maldives(Malé)*

Thailand SriLanka Nepal Bhutan Timor-Leste India Bangladesh Myanmar

PercentageofcurrentsmokelesstobaccousersamongadultsinselectedMemberStatesoftheSouth-EastAsiaRegion

Total Male Female

Page 6: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional
Page 7: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Flavoured ST constitutes 70–98% of all ST products in SEAR

Many ST products are used along with betel nut Betel nut itself has high prevalence of use in many countries

Page 8: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Aggressive marketing of areca nut products such as supari and pan masala by the industry, especially in countries attempting to enforce some sort of ban on ST products

Page 9: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Paan(pan)andpaan(pan)masalashouldbeconsideredtobaccoproducts

BetelnutBetelnutgrown

widelyandconsumedalong

withSTorseparatelyinSEARcountries

UniversalstandardclassificaAonoftwoproductsindigenoustotheIndiansubconAnentandpopularamongSouthAsiansgloballyastobaccoproducts

Page 10: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Bangladesh

STcoveredunderthetobacco

controllaw

TAPSbanBanonsaletominors

TwoGHWs

assignedtoST

products

MediacampaignsCessaAon

TobaccoFree

Hospitals

Page 11: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Doma zhes is one of the most heard and widespread phrases inBhutan:"Pleasehavebetel leafandarecanut"becomesa leitmoUfeachUmetwo individualsmeet,attheendofameal,and inall theoccasionsofeverydaylife.Customers buy the betel leaf at the weekly markets, their dress'spocketbulgingwithsilverboxes,orjustsimplywithplasUcbagsfilledwith betel leafs; pe]y sellers at bus terminals selling ready madequid, called kamto, in cone shaped papers;monks returning to themonastery with their bags filledwith quanUty enough to last for aweek’s consumpUon;betel leafwitha smallpieceofarecanut thatthe host offers with his two hands to the guests at the Ume of aceremony;betel leafsandnutsput inaplatealongwiththosefilledwith chocolates during archery games or official ceremonies ; betelleafsandnutspassedroundaberdinner;redstainsinthestreet;menandwomenwithredstainedteeth.

Bhutan Onlycountryintheworldtobantobacco

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Page 13: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

India

AlltobaccoproductscoveredunderthelawBetelnutproductsneedtodisplaythe

warning

Page 14: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Banonselected

STproducts

BangladeshMyanmar

Bhutan,Nepal

SriLankaMaldives

CountriesoutsideSEAR

Page 15: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Banbutnoban–HindustanTimesDespitethebanandsubsequentSupremeCourtorderforcompliancereportbuyingchewingtobaccoisassimpleastoffees

Page 16: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

InnovaAvemarkeAngMostcigareZeshopssellpaanmasalaandchewingtobaccowhichismixedbytheuserstopreparemixtureofgutka

Page 17: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

VicePresidentofIndiaatTimesofIndiaLi]est2017openingceremony25thNovember2017,NewDelhi

Page 18: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Myanmar

Page 19: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Myanmar AungSanSuuKyi,Myanmar’sdefactonaAonalleader,askedallchiefministerstotakeacAontomakepeoplecutdownontheirhabitofchewingthenutsandspidngoutthedarkjuiceinpublicplaces.

ImplementedamediacampaigninSept-Oct2017againstST&betel

nut

Banonchewing,spidngorsellingbetel

nutsinorneargovernmentoffices,schoolsandhospitals

Page 20: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Centraltobaccocontrol

commiZeechairedbytheMinisterofHealth

Page 21: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

IntheprocessofamendingexisAnglawtomakeitmoreinclusive&

effecAve

Page 22: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Nepal

STcoveredunderthe

law

90%GHWsonalltobaccoproducts

Licenserequiredbyvendorsforsellingtobaccoproducts

Page 23: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

SriLankaProtocol

toeliminateillicittrade

Stoptobacco

culAvaAonby2020

TobaccoFreevillages

NATASub

commiZeeOnST

Page 24: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

ChewingarecanutandbetelbannedJuly2017

InvolvingreligiousleadersinbehaviorchangeofpopulaAon–

betelfreetrays

Page 25: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Timor-Leste

NewcomprehensivetobaccocontrollawforprevenAonand

control–implementaAon

started

Page 26: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional
Page 27: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional
Page 28: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

AcceleraAngFCTCImplementaAonTo accelerate

efforts against

tobacco, SEAR

countries

adopted the Dili

Declaration on

Tobacco Control All countries pledged a full-on war against tobacco by strengthening WHO FCTC implementation

The declaration highlights the urgency for stronger measures to stop the tobacco epidemic

in SEAR

Page 29: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional
Page 30: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Article 6 of the

WHO-FCTC is poorly implemented in

SEAR

Page 31: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Taxes on indigenous smoking products

and ST products are even lower

Page 32: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

WHO provides technical assistance toM.SsonSTpolicies&programs•  MPOWERtechnicalpackage(keydemandreducUonmeasuresunderFCTC)

•  SupportCOPdecisionsonST•  TobaccosurveillanceincludingGTCR•  TobaccoproductregulaUon•  Tobaccocontroleconomics•  InnovaUveintervenUons-mCessaUon•  InternaUonalandRegionalCooperaUon&collaboraUon

•  SupporttheKH

Page 33: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

2014study-STnototherwisespecified(NOS)becauseoflackofinformaUonontheprecisenatureoftheunburnedtobaccoProductsandofbetelquidwithouttobaccointheeUologyoforalcancerinSouthAsiaandthePacific.

STNOSandBQwithouttobaccoareriskfactorsfororalcancersinAsiaandthePacific

ControlofSTNOSandBQwithouttobaccomustremainanintegralpartoftobaccocontrolinanypublichealthstrategy.GovernmentsaroundtheworldshouldprohibittheimportofallSTproducts

Page 34: Smokeless Tobacco Control in South-East Asia Regionuntobaccocontrol.org/.../sites/6/2017/12/jagdish_kaur.pdfSmokeless Tobacco Control in South-East Asia Region Dr Jagdish Kaur Regional

Roadahead?•  MainstreamSTandbetelnutprevenUonandcontrol

•  Strengthensurveillanceandresearch•  Intensiveandfocusedbehaviorchangecampaigns

•  BuildcapacityofhealthsystemsforcessaUonsupport

•  MulUsectoralcoordinaUon•  InternaUonalandRegionalCooperaUon


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