Ma' Encarnita C' BlancoLimpin, MD

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MAKING OUR
TOBACCO FREE

• Ma. Encarnita C. Blanco-Limpin, MD
• Framework Convention on Tobacco Control Alliance,
  Philippines (FCAP)
• Council on Tobacco or Health, Philippine College
  of Chest Physicians (PCCP)
• Philippine Heart Center

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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

• 1.2 billion smokers over the age of 15 years
• 300 million are in China

WHO, 2001
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• 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 low- and middle-income nations

World Bank, 1999
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Tobacco Production andConsumption

• Manufactured Cigarettes
• Philippines has manufactured 73
• billion cigarettes in 1994, occupying
• the 15th leading producer of
• cigarettes

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Tobacco Production andConsumption

• Imported Cigarettes
• Philippines has imported some 13.98
• billion cigarettes, occupying the 12th
• place among worlds leading
• importers

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Tobacco Production andConsumption

• Tobacco Consumption
• Among 25 leading countries in 1994,
• Philippines ranked 15th on apparent
• tobacco consumption with some
• 85.36 billion cigarettes or about 1.6
• of the worlds total (WHO 1997)

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Smoking Prevalence

• In terms of tobacco consumption, WHO
• estimated in 1998 that 1/3rd of the global
• population, or 1.1 billion people aged 15
• years and over are smokers
• 800 million of these are in developing
• countries like the Philippines

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Smoking Prevalence

• In 4,541 individuals aged 20 years
• and over
• 33 of adult Filipinos are current
• smokers
• 13 are ex-smokers

Monograph of Cigarette Smoking Dans et. al., 1999
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Smoking

• single most preventable health crisis of all
• Kills nearly 5 million people each year
• 20,000 Filipinos die every year due to
  tobacco-related disease
• - that's 2 or 3 every hour.

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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, found in car
• batteries that causes liver, kidney
  brain damage
• Lead stunts growth causes brain damage
• Arsenic well-known poison

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Smoke Gets in your
LUNGS
DID YOU KNOW THAT?

• Hair loss, wrinkling, discolored fingers and
• bad breath are just some of the side effects
  of smoking
• Smoking makes bones brittle, making you prone to
  injuries
• Smoking for more than 20 years will reduce your
  lifespan by 20 to 25 years

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What You Should Know About
SECOND-HAND SMOKE

• Mainstream smoke is smoke that is inhaled through
  a smokers mouth
• Sidestream smoke is smoke that drifts off at the
  end of cigarettes

A secondhand smoke or passive smoker is one who
inhales sidestream smoke
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Passive Evidence of
SECOND-HAND SMOKE

• non-smokers who live with smokers are
• 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

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Passive Evidence of
SECOND-HAND SMOKE

• In children, passive smoking is known to cause
  fetal growth impairment, cot death (SIDS),
  asthma, bronchitis, pneumonia and middle ear
  disease
• Childrens 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

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Tobacco Smoke is also an Important Source of Air
Pollution

• Contributes to a noxious environment
• It causes wheezing, coughing, colds, earaches,
  and asthma attacks in passive smokers

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Secondhand Smoke Is Dangerous Because . . .

• It produces 6 times the pollution of a busy
  highway when in a crowded restaurant
• It has higher levels of many poisons than smoke
  breathed directly through the cigarette

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Economic Issues

• The Philippine government earns about 21 billion
  pesos from the sale and manufacture of tobacco
  and tobacco products each year.
• But it loses about 46 billion pesos to
  tobacco-related healthcare and lost of
  productivity.

Monograph of Cigarette Smoking Dans et. al., 1999
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Health Consequences of Smoking are Two-Fold

• Addiction
• The addictive properties of nicotine are well
  documented but often underestimated by the
  consumer
• Fatal and disabling diseases
• The diseases associated with smoking are well
  documented include
• Cancers of the lungs and other organs
• Ischemic heart disease
• Strokes
• Respiratory diseases such as emphysema, frequent
  asthma attacks

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What is FCTC?

• Framework Convention on Tobacco Control
• International treaty initiated by the World
  Health Assembly
• A governing body of the World Health Organization
• worlds first global public health agreement
  devoted entirely to tobacco control.
• Participated by 192 countries
• Negotiations began in October 1999 concluded on
  March 1st 2003
• Signing ratification is on-going (May 18-28,
  2003)

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"It is important to know as much as possible
about teenage smoking patterns and attitudes.
Today's teen-ager is tomorrow's potential
regular customer, and the overwhelming majority
of smokers first begin to smoke while in their
teens. . . .The smoking patterns of teen-agers
are particularly important to Philip Morris. . .
the share index is highest in the youngest group
for all Marlboro and Virginia Slims packings. At
least a part of the success of Marlboro Red
during its most rapid growth period was because
it became the brand of choice among teenagers who
then stuck with it as they grew older." March
31, 1981 market research report on young smokers
titled "Young Smokers Prevalence,
Trends,Implications, and Related Demographic
Trends, written by Philip Morris researcher
Myron E. Johnston and approved by Carolyn Levy
and Harry Daniel. Bates No. 000390803
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WE, ESPECIALLY OUR CHILDREN, DESERVE A
TOBACCO FREE WORLD
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Benefits of
Smoking Cessation

• Ma. Encarnita C. Blanco-Limpin, MD
• Council on Tobacco or Health Air Pollution,
  Philippine
• College of Chest Physicians (PCCP)
• Framework Convention on Tobacco Control Alliance,
  
• Philippines (FCAP)

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What Happens to our body when you quit smoking .
. .

• 20 minutes BP pulse rate drops to normal
• Body temp of hands feet
• increases to normal
• 8 hours CO level in your blood drops to
• normal
• O2 in our blood increases to
• normal
• 24 hours chance of heart attack decreases

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What happens to our body when you quit smoking .
. .

• 48 hours nerve endings start growing again
• ability to smell taste is enhanced
• nicotine is no longer detectable in
  the body
• 2 wks to circulation improves
• 3 months walking becomes easier
• lung function increase up to 30

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What happens to our body when you quit smoking .
. .

• 1 to 9 months cough, sinus congestion,
  fatigue shortness of breath decrease
• cilia grow again in your lungs,
• increasing ability to handle
• mucus, clean the lungs
• reduce infection
• 1 year risk of coronary heart disease
  is ½ that of a smoker

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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
  non-smoker 5-15 years after quitting
• risk of cancer of the mouth, throat
  esophagus is ½ that of a smokers risk

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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

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QUIT NOW!
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We Need Your Help . . . To Make This World A
Better Place to Live
THANK YOU!