Tobacco in Australia by yiq68006

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									Tobacco in Australia
      What needs to be done
Outline
 The problem
 Populations at highest risk
 Economic cost
 What should we do?
 Public opinion
 Media campaigns
 International responsibility
 Why act now?
The problem
Tobacco: our No. 1 preventable health, drug problem
   Kills around 15,000 Australians a year
   Biggest preventable cause of cancer and heart disease,
    our two leading causes of early death
   Linked with all seven diseases causing most deaths
   Responsible for over $31b pa in costs to the Australian economy
   Responsible for 56% of total drug abuse costs –
    more than alcohol and all other drugs combined
   Causes over $15b in workplace costs –
    twice as much as alcohol and all other drugs combined
   Over 750,000 hospital bed days a year - 8% by children under 15
   Over $600m annual hospital costs
   Around 18% of Australians 14yrs+ still smoke – around 3 million
   Indigenous smoking rate much higher – around 50% !
Tobacco: our No.1 preventable killer

                           Smoking                           15,511
                     Breast Cancer                   2,995
   Infectious and parasitic diseases               2,416
                            Suicide                 2,279
                 Drug dependence              1,705
                               Falls            1,668
              Road traffic accidents           1,662
Alcohol dependence (incl. cirrhosis)         1,084
                         Poisoning           661
             Homicide and violence      278
                          Drowning       213
                               AIDS    119


Australia, 2003: Tobacco kills more than all homicides, alcohol and all other drugs,
road and all other accidents, and all infectious/contagious diseases… COMBINED !
Children at risk
   36 Australian babies and children under 15 die each year
    (one every 10 days) from involuntary (in utero & secondhand)
    tobacco smoke
   Over 60,000 hospital bed days a year occupied by children
    as a result of tobacco exposure
   Tobacco smoke now the leading preventable cause of SIDS deaths
   Over 140,000 (9% of) Australian schoolchildren smoke at least
    weekly – including 18% of 17-year-olds
   Children have ready access to cigarettes: 23% of schoolchildren
    aged 12-17 (and 29% of 16-year-olds) are supplied illegally by shops
   Tobacco industry says “we don’t want children to smoke”, but
    targets children by pitching to cool, fashionable images, pop, sport etc
   80-90% of smokers are under 18 when they start – half are <16
Others especially at risk

   Aboriginal and Torres Strait Islander people
   Culturally and Linguistically Diverse communities with high smoking rates
   Adolescents and young adults – especially pregnant women
    and those intending to start families, and their partners
   Mental health clients and staff
   Inmates, detainees and staff in correctional settings
   Patients/clients and staff in some health care settings
   Staff/patrons in hospitality/gaming/dining venues
    and other smoky workplaces
The economic cost
  Smoking costs Australia a staggering $31bn a year –
    conservative estimate of real social cost,
    mostly to health system and business.
    This dwarfs the $6.7b contributed by tobacco excise.
  And who pays?
   Business and Governments – in health care costs;
    in lost productivity – early retirement, sickness absence etc
   Smokers – half of all long-term smokers will eventually die from
    tobacco – losing an average of 10 years life; half of these will die
    during productive middle age, losing 20-25 years of life
   Non-smokers including:
    - Babies born to smoking mothers have lower birth weights and
    increased risk of SIDS and respiratory diseases
    - Workers and patrons - substantial costs incurred where people
    are exposed to tobacco smoke in workplaces and public places
What should we do?
  Raise tobacco prices
   – especially by increasing taxes
  Increase government investment
   in mass media quit campaigns
  Extend smokefree public places/workplaces laws
  End all forms of tobacco advertising, promotion
   and sponsorship
  Address special needs of disadvantaged
   populations to maximise quitting
   Note that 85% of smokers want to quit and are susceptible to
   incentives – only a small minority are “hard cases”
Australians want
better tobacco control
The 2007 National Drug Strategy Household Survey
   of almost 25,000 Australians aged 12 and over
   shows very strong and increasing public support
   for measures to reduce problems caused by tobacco…
   90.1% for stricter enforcement of laws against illegal sales to minors
   87.5% for stricter penalties for sale to minors
   82% for smokefree workplaces
   77% for smokefree pubs and clubs
   73.6% for tobacco products out of sight in shops
   71.6% for sellers to be licensed
   68.6% for increasing tax on tobacco to contribute to treatment costs;
    67.1% for increasing this tax to pay for health education;
    65.7% to discourage smoking
   66.4% for making it harder to buy tobacco in shops.
 Anti-smoking media campaigns
 are highly cost-effective
Evidence shows effective programs can cut smoking rates,
  death & disease - AND bring clear economic benefits
  short-to-medium term.
 The National Tobacco Campaign (says Commonwealth Health Dept
  report) saved $2 for every $1 spent over 40 years
  The NTC’s first 6 months spent $8.95m - but brought cost savings
  of nearly $40m – it paid for itself more than 4x.
 NTC brought first fall in adult smoking prevalence in almost 10 yrs
  Some US states have cut daily smoking to <15% - we can do likewise
  – but only with sustainable funding for a comprehensive strategy
 California’s comprehensive program cut personal health care costs
  by $86b in its first 15 yrs - a 50-fold return on the $1.8b program cost
 Study: further investment in tobacco control will stem a PBS
  drug-subsidy blowout and help government ensure the viability
  of Australia’s health financing programs
A global epidemic   (Figures are for the 20th century)
Our international responsibility
 Worldwide, tobacco causes over FIVE MILLION preventable
  deaths a year. Without urgent action, ONE BILLION will die
  in the 21st century.
 Australia is bound by international law to take comprehensive
  action against the global tobacco epidemic. We’re committed to
  the Framework Convention on Tobacco Control (FCTC) -
  World Health Organisation convention of over 160 countries.
  Australia ratified the treaty in October 2004 and it took effect
  worldwide from 27/2/05.
 The FCTC holds a historic opportunity for global action.
 It needs a whole-of-government approach - federal, state,
  territory and local - to fight tobacco in Australia,
  the Pacific region and the world.
Why act now?
   More delay means more preventable deaths, disease and costs
   Australia must raise tobacco taxes
    or our smoking rate fall will falter
    A 2009 study warns that quit rates must double
    for the Australian smoking rate to fall to 10% by 2020
    At present quit and initiation rates, the daily smoking rate
    will fall from the present 17% only to around 14%
   FCTC treaty is an unprecedented opportunity for global action
   Treasury report on Australia’s Demographic Challenges
    warns that with an ageing population, low retention rates and
    rising health care costs, rebalancing towards preventive
    medicine is critical and represents “value for money”
   The community wants stronger action now
ASH Australia
 Action on Smoking and Health (ASH) Australia
   is a non-government, non-profit registered health charity
   funded by the Cancer Council Australia and Heart Foundation

   Website:   www.ashaust.org.au

   Contact: staffords@ashaust.org.au
   Phone:   (02) 9334-1823

								
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