Tobacco Smoking

Question 1

• major preventable cause of premature death and disease worldwide
• kills more than 8 million people each year.
• Around 80% of the world’s 1.1 billion smokers live in low- and middle-income countries.

Answer 1

Tobacco Smoking

Question 2

Any combustible tobacco product that is designed to be smoked – other than cigarettes

Answer 2

Cigars, cigarillos, and other combustible products (excluding cigarettes)

Question 3

Electronic and/or battery-operated devices designed to deliver an inhaled dose of nicotine or other substances

Answer 3

E-cigarettes and other ENDS products

Question 4

A single or multi-stemmed instrument for vaporizing and smoking flavored tobacco or other products in which the vapor or smoke is passed through a water basin

Answer 4

Hookah, shisha, and water pipes

Question 5

Including roll your own (RYO) tobacco for hand rolling cigarettes and pipe tobacco.

Answer 5

Loose tobacco leaf

Question 6

Tobacco products that are used by means other than smoking, such as chewing, sniffing, or placing between the teeth and gum.

Answer 6

Smokeless tobacco products

Question 7

Harmful Chemical of Tobacco

Answer 7

Toluene
Carbon Monoxide
Cadmium
Arsenic
Ammonia
Radon
Hexamine
Methane
Tar
Acetone
Nicotine
Polonium-210
Methanol
Hydrogen Cyanide
Butane

Question 8

consuming tobacco products directly

Answer 8

Firsthand smoke

Question 9

smoke that comes from the burning end of a cigarette, cigar or pipe

Answer 9

Secondhand smoke

Question 10

invisible tobacco “dust” (or chemical) that settles in the environment and stays there even after a cigarette has been put out

Answer 10

Thirdhand smoke

Question 11

Economic Impact of Tobacco

Answer 11

• Although government revenue from tobacco taxes is about PhP23 billion annually
• Economic losses due to productivity and health care costs of the top 4 leading NCDs (CA, CVD, COPD and Diabetes) are conservatively estimated at PhP 149 billion annually.

Question 12

Smoking and Cardiovascular Disease

Answer 12

• Even people who smoke fewer than five cigarettes a day can have early signs of cardiovascular disease.
• Smoking damages blood vessels and can make them thicken and grow narrower.

Question 13

Smoking and Respiratory Disease

Answer 13

• Tobacco smoke can trigger an attack or make an attack worse.
• Smoking causes about 80% (or 8 out of 10) of all deaths from chronic obstructive pulmonary disease (COPD).
• Smokers are 12 to 13 times more likely to die from COPD than nonsmokers.

Question 14

Smoking and Cancer

Answer 14

• Cigarette smoking causes most cases of lung cancer.
• Smoking can cause cancer almost anywhere in your body.
• Smoking also increases the risk of dying from cancer and other diseases in cancer patients and survivors.

Question 15

Number of Current Smokers in 2013

Answer 15

1 in 4 adults

Question 16

Cigarette per day (MEN)

Answer 16

11.3 cigarettes per day

Question 17

Cigarette per day (WOMEN)

Answer 17

7.0 cigarettes per day

Question 18

Average age of initiation of smoking among ever daily smokers

Answer 18

o -17.4 years for men

o -19.1 years for women

Question 19

No. of Filipino Workers Exposed to Secondhand Smoke at Work (2009)

Answer 19

36.9% (6.1 million)

Question 20

Progress in Reducing Tobacco Use in the Philippines based on GATS

Answer 20

• increase the tax on tobacco products on an incremental basis
• development and implementation by LGU of tobacco ordinances compliant with the Framework Convention on Tobacco Control (FCTC)
• development of a recognition system “Red Orchid Awards for 100% Tobacco Free Environment” for LGU, government agencies and hospitals complying with FCTC obligations
• placement of graphic health information on billboards, tarpaulins, and posters
• development and implementation of the National Tobacco Control Strategy (2011-2016) to accelerate implementation of FCTC
• implementation of the total prohibition of tobacco advertising, promotion, and sponsorship by local government units.

Question 21

• Promotion of a healthful environment
• Provision of information to the public on health risks associated with cigarette smoking and tobacco use
• Regulation and subsequent banning of all tobacco advertisements and sponsorships
• Regulation of placing health warning labels on tobacco products
• Prohibition of the sale of tobacco products to minors
• Provision of assistance and encouragement for Filipino tobacco farmers to cultivate alternative agricultural crops to prevent economic dislocation
• Creation of an Interagency Committee on Tobacco (IAC‐Tobacco) to oversee the implementation of the provisions of this Act.

Answer 21

The Tobacco Regulation Act of 2003 (Republic Act 9211)

Question 22

• It was signed into law on December 12, 2012 in Malacañang (under the Aquino administration)
• It helps finance the Universal Health Care program of the government

Answer 22

The Sin Tax Reform Law (Republic Act 10351)

Question 23

• It was signed into law on July 15, 2014.
• The purposes of the law are to:
- Include graphic health warnings that effectively warn of the devastating effects of tobacco use and exposure to second‐hand smoke
- Remove misleading or deceptive numbers or descriptors like “low tar”, “light”, “ultralights” or “mild” which convey or tend to convey that a product or variant is healthier, less harmful or safer

Answer 23

The Graphic Health Warnings Law (Republic Act 10643)

Question 24

• Part of Youth Smoking Prevention Program
• This order prohibits smoking and the sale of cigarettes and other tobacco products inside public and private school campuses, buildings, offices, including the premises and buildings of the division, regional and national offices.

Answer 24

Department of Education Department Order No. 33 s 2003

Question 25

“Providing for the establishment of smoke-free environments in public and enclosed spaces”

It was signed by Pres. Duterte last May 16, 2017

Answer 25

Executive Order No. 26 s. 2017

Question 26

WHO GLOBAL ACTION PLAN

Vision

Answer 26

• A world free of the avoidable burden of NCDs.

Question 27

WHO GLOBAL ACTION PLAN

Goal

Answer 27

To reduce the preventable and avoidable burden of morbidity, mortality and disability due to NCDs by means of multisectoral collaboration and cooperation at national, regional and global levels, so that populations reach the highest attainable standards of health and productivity at every age and those diseases are no longer a barrier to well-being or socioeconomic development.