Tobacco and NCDs

Presentation by:

Dr Wael SafwatConsultant of Internal Medicine and smoking cessation

Program coordinator of smoking cessation unit – Wadi Elneel hospital

Project coordinator of the Egyptian Coalition for tobacco control

International committee chair of ATTUD

• Manufactured and roll-your-own (RYO) cigarettes

• Smokeless tobacco

• Other forms of smoked tobacco

–Clove cigarettes (kreteks)

–Bidis

–Cigars

–Waterpipes

– Medwakh

• Electronic cigarettes

–e-cigarettes are devices that deliver nicotine

Image courtesy of the Centers for Disease Control and Prevention / Rick Ward

Key facts in Egypt

It is estimated that over 170 000 Egyptians are dying each year from tobacco-related diseases. ( The Economics of tobacco and Tobacco taxation in

Egypt -2010 )

Tobacco use also results in considerable economic costs, both for healthcare expenses incurred to treat the diseases caused by smoking and from lost productivity (Euromonitor International. 2005)

4

Noncommunicable Diseases 4 Diseases, 4 Modifiable Shared Risk Factors

Tobacco

Use

Unhealthy

diets

Physical

Inactivity

Harmful

Use of

Alcohol

Cardio-

vascular

Diabetes

Cancer

Chronic

Respiratory

6

7

8

9

10

World act: WHO FCTC

Egypt signed the WHO FrameworkConvention on Tobacco Control

[ WHO FCTC ] on 17/6/2003 which was ratified 25/2/2005.

FCTC Policies (MPOWER)

Monitor Tobacco Use and Prevention Policies.

Protect People from Tobacco Smoke.

Offer Help to Quit Tobacco Use.

Warn About The Dangers of Tobacco.

Enforce Bans on Tobacco Advertising, Promotion and Sponsorship.

Raise Taxes on Tobacco.

Egypt Law 157 year 2007• To fill in the gap in the existing legislations the same lobbying

group managed to pass the law 157→

• Started a department in the ministry of health for tobacco control

• Smoking ban in health clinics , hospitals , education clinics, universities, public , youth clubs , governmental departments.

Law 157 year 2007

• Health warnings should occupy 50% of both faces of the cigarette packet.

• Health warnings should be pictorial on rotation basis .

• Ban on selling cigarettes to minors.

• Increase the price of cigarettes by 10%.

Wecan make the change and save the Egyptian Lives