Bloomberg Initiative to Reduce Tobacco Use

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Bloomberg Initiative to Reduce Tobacco Use

• Highlights and Lessons Learned
• Kelly J. Henning, M.D.
• Bloomberg Philanthropies

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Tobacco Is Now the Worlds Leading Single Agent
of Death
Unless urgent action is taken, tobacco will soon
kill twice as many people and will kill 1 billion
people this century
World Health Organization
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Global Tobacco Control Is Underfunded Compared
with Other Leading Causes of Death
World Health Organization
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Commitment

• August 2006 - 125 million over two years
• July 2008 - Additional 250 million over four
  years
• Target 15 countries where about 2/3 of the
  worlds smokers live China, India, Indonesia,
  Russia, Bangladesh, Brazil, Mexico, Turkey,
  Pakistan, Egypt, Ukraine, Philippines, Thailand,
  Vietnam, Poland

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Five Key Partner Organizations

• World Lung Foundation/International Union Against
  Tuberculosis and Lung Disease
• Campaign for Tobacco Free Kids
• Centers for Disease Control and Prevention
  Foundation
• World Health Organization
• Johns Hopkins Bloomberg School of Public Health

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5 Key Components ofBloomberg Initiative

• Tax
• Decrease affordability to decrease consumption
• Image
• Ban all advertising/promotion
• Anti-tobacco advertising (including labels,
  media)
• Smoke-free places
• Cessation
• Evaluation

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A Global Approach is Established
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Significant Progress on Monitoring

• The Report on the Global Tobacco
• Epidemic, 2008 MPOWER report
• published, extensive media
• coverage
• The face to face, household
• survey Global Adult Tobacco
• Survey materials finalized,
• global consensus on methods
• Survey complete in Brazil,
• Turkey, and Thailand
• 5 more low, middle income
• countries poised to launch
• (Bangladesh, Egypt, India, Mexico, Russia)

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Progress Smoke-free Protect people from tobacco
smoke

• Legal consultation on drafting smoke-free laws in
  several countries/municipalities
• Smoke-free jurisdictions Grant program
• Alexandria, Egypt (pop. 4 million)
• Chennai, India (pop. 7 million) 2 grants
• Delhi, India (pop. 12 million)
• Mexico City, Mexico (pop. 18 million)
• Manila, Philippines (pop. 11 million)
• 62 million people would benefit directly
• Twenty Provinces in China drafted plans to be
  implemented in coming years to have smoke-free
  hospitals, schools, and other public places

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Progress Public Education Warn about the
dangers of tobacco

• Internationally-recognized anti-tobacco campaign
  experts developed a set of best ads for
  adaptation around the world
• Increased media understanding and favorable
  coverage of tobacco control in China and several
  other countries
• Assisting countries in pre-testing ads for
  airing, including providing technical expertise

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Mass Media Campaigns Running

• Hard-hitting anti-tobacco advertising campaigns
  run in Turkey, Mexico,
• China, India, Russia
• Message testing
• protocol in place for
• all 15 priority countries
• DVD of best ads
• completed and
• disseminated worldwide

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Progress Tax Raise taxes on tobacco
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Tobacco Economics Papers Launched

• 5 comprehensive tobacco
• economics papers completed
• (affordability, regressivity,
• bidis in India, Indonesia and China
• country papers) soon to release
• Russia, Ukraine, Vietnam, India,
• Turkey papers
• First ever, tobacco tax
• seminar in China
• Launch of China tax report generated large amount
  of positive media and press attention

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Grants to Support Governments and Not-for-profits

• 178 grants to 38 low and middle income countries
• 35 rapid response grants in 16 low and middle
  income countries

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178 Grants in 38 Countries
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Extensive, High-Quality Training

• 25 management coursed for 600
• leaders, managers, and government
• officials
• Ten journalism training courses in
• 11 countries for 1100 journalists
• increased favorable media coverage
• 2,000 participants in the Hopkins
• on-line modular training course
• 100 participants in intensive Summer Leadership
  Program at Hopkins

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Challenges

• Working effectively with governments
• Coordination among partners, with national
  governments, and with organizations in priority
  countries
• Balancing national vs local level programs
• Accessing political mapping for progress
• Human resources

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ChallengesIntervention Specific

• Smoke-free
• Enforcing existing regulations, even if weak,
  while seeking to strengthen them
• Cessation
• Involving medical professionals lack of
  smoke-free health care facilities
• Public Education
• Balancing cultural norms with hard-hitting ads
• Encouraging constant, effective free media

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Challenges

• Ad bans
• Implementing comprehensive bans, including point
  of sale
• Tax
• Political barriers including industry influence
• Access to decision-makers in Finance and related
  Ministries
• Ensuring that local products (bidis, kreteks,
  cheap local brands) are appropriately taxed

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Next Steps

• Increase focus on sub-national policies where
  appropriate
• Further strengthen government
• Increase mass media and earned media
• Improve on the ground presence
• Further incorporate monitoring into existing
  surveys
• Broaden the coalition of governments and donors
  in tobacco control