rROM CS PVeLIC AFFQIRS 071 -99 812,4
11.27.1991 '0-4 5 P. 6
SMOKING
3 U R D E N'S
D.1 Svi.kutg iii,be Wilem single preventable ...
of
-li,y. It .,,..A. for . third fall death, in
middle
age (40-64 yiiarv).
ii In addition to cancer of the lung (90% of which
a
smoking related) smoking also wntribuixii to
cancer
of the mouilt. larynx. phary- oesophagw.
pancreas. bladder &no other organs.
1, is of about 20% of W coruiray heart
dis- deaths end .. important risk I- for
stroke. particularly when it . .
OC=rs In ASSOC"at'On
-uh Other risk (a.- -A . ~.md blood pm-m.
Cig-- smoking is .. Of the main - Of
~h,ontc .1-- -y, di-
e Them is some evidence that mose - of aortic
Afieury~ and intermittent claudi-ion (pain to the
1,g then ..iki.g) due to pir.ph-l va-I.r di...
am a-)ci..d -b srzok,~Z-
- Smoking . p,qria-y is .,socv.ted with lo~
bir-th.eigh'.
*The inhalation Of 9111-MIACAW tobacco Smoke
Cpas,;ive makiall, carne; a mail. tmt not
insignifi.
out. risk of lung cancer in adults and respiratory
diii-se-rif-is -d children.
D.2 Currently. 32% of the population
moke'cigamttes
- 33% Of - ad 30% of -,n. This has fallen from
45% in 1974.
OBJECTIVE
D-3 To reduce death and ill-health caused by
smoking.
by reducing the numbers of people starving to
smoke
&Ad in-ing the numbers who stop smoking.
SCOPE FOR MEETING
THIS OBJECTIVE
DA Reduction in smoking prervalence depends funda.
caerimlly - he h.kn made by individuals. H--
..P.,ieace has demonstrated that there is much
that
on be done to support Individuals by giving them
information. advice and practical help. There am
roles
for Guvemirtie.,. he NHS. health ed-so.. vol-tary
and communiry groups and emplo7en. including:
hitaitts education, particularly tbair aimed at
d6 co-girIS .he young from taking isp he habit in
he fi., piece (for -ple he D,p.-,.t Of
Health and Health Education Authority*s 'Teenage
Smoking Pring-ru.')
health promotion advice from primary health care
staff Ad ..he. on he risk. of -king. and
techniquirs of quitting
-,kpi.e lead .,he, public ft.) -.k,.g polim,
in NHS hospitals to, .. triple
ountinuccl recognition of the imponisom of
controls
on advertising of tobacco and of the health
cooscqueum of chariM to mbacco duty levels and
therefore price.
POSSIBLE TARGETS
D.5 Cii.e.dy. ... 33% Of net, and 30% of --e.
smoke cigarcitirs. Predictiom of futum trends are
hard
to make and art subject to wide CML However. it
activity on smoking is maintained at Icau a,
present
on -rm,t trends it could be M,.,ed this,-by-
2 = this might drop to someihing like 24% for both
sexes. This ~ld represent a reduction of about 17%
in
men and 120% in vomen.
TNT HEALTH QF THIE -TI..
BAT Industries document for Province of British
Columbia 23 April 1999
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FROM CS PUBLIC QFFQlRS 071 .09 812-1 11,27.1991
10-3 .0. 5 P. 7
D.6 However. the Goverrinient suanis that efforts
be
mot to react is target so-hat in excess of current
trendi. Baari.g La misit! cia-iat ap and -
diiirlbution
of smoking and mMot trends. a WILable tarle fur
2000
m1 tbl lli-tsrie be t. .d.c, the p-).-, 9 cipmut
.-ki.g 1. 22% in men and 21% In ...Is (rd-:[-
.r 33% and 30%
D.7 The iiligh,ly lower prcen.j, md.ctiozi for
d-, .., represent a difference of ambi.m. - on he
mniar~. it -ould actually repmseni a greater
percent-
'inp-e-, 0. .-.1 trends than for Mo.
the hiSh., intended p,-I,.c, fit.. for to
v. 2000 is prtnapally a product of demography -
women
tend to hve longer. and elderly people tend to
have the
Hither. the women', oW is
more hca%-sly wightcd by the elderly %omen nor,
D.9 1, -ould bit at, and se. specific
taq- w pro,%de . mom detailed sci of gwh at which
.. .,.. The rito-i.. wib -h,ch to oj., p.&,,.
i. -ihtft -,1, -0 Yar, front he General
Household Survey. SLich targets might be is
follom:
19" 2000 19" 2000
% % % %
16-19 23 20 121 :9
20-24 37 25 37 25
L" 37 2S 3S 25
JID-59 33 20 34 20
60. 26 is 21 is
REDUCING N U M B E R S
STARTING TO SMOKE
D.9 The overall ..Vt for miluirn- .. mokirij -ill
be
schit%td in part by existing smoken quittinS. and
in
part by other people choosing cot to take up the
lobic.
In older age groups mductions will principally
come
through quizzing. strict it is uncommon for older
pti:iple
to i"-e up making. Reductions in The younger &&C
gho.ps. panxiiifly .-agirm will 9. the other hand
l.,Vly ,n,. -., in I-risig, he .,,.be,, of y-hg
people h. .." '. smoke. 1. di, long-term it is
clearly
this 1.,m, pproia .hi,h off.. he 1m.- .4topa for
red-2 overall levels the population.
D.10 The current prevalence of smoking istriongs:
childic. aged 11-15 in E-glititc! is 8%. The
ji,,J,b
EducaLi0c Authority's Teenage Smoking programme
aims to reduce, this by one third by 1994. Longer
wrm
Wiest; ~iil iseed to be -.sidc,.d a, h, end of the
procr.....
SMOKING IN PREGNANCY
D.11 It is, important Lot the health of both
mother and
child that womcit do not smoke curing pregnancy
Smoking during pmg ... cy is .-i.md with I-
b.rib.e,gh: and also with a 29% increase in
pricaiaj
D.12 In recognition of the need for tUr1h6r
AC6011, the
Government mccritly announced funding of fIrn met
r,mo years for the Health Education Authority to
carry
out a project to this arcz. and w be launched
laity in
1991. The project will i. In p-,id, W.-ion arid
support, to women to =able them to stop smoking
dutinj pregnancy It may also help to provide more
data
- mok~q p,,,.,I,.ct d.rint pmtrany. and it may be
p-ble using this sind other material to consider
~h,,hc, W.1 tarjIm could b~c t,.
THE OF THE NATIO14
47
BAT Industries document for Province of British
Columbia 23 April 1999
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