Global Tobacco Surveillance System

Accomplishments and Opportunities

Samira AsmaAssociate DirectorGlobal Tobacco ControlOffice on Smoking and Health

World HealthOrganization

1999

World HealthOrganization

▪ We were hindered by what we didn’t

know

▪ Urgency to fill the data gap was clear

Data Need

World HealthOrganization

▪ Monitor tobacco epidemic

▪ Plan, implement and evaluate

tobacco control programs

Global Tobacco Surveillance System: Components

Youth

Global Youth Tobacco Survey (GYTS)

AdultsGlobal School Personnel Survey (GSPS)Global Health Professionals Survey (GHPS)

Partnership Consistency

—Survey Methodology

—Field Procedures

—Data Management Techniques

Sustainability

—Cost effective

—Feasibility to repeat

Fundamental Principles

Opportunities

Monitor the WHO FCTC Articles

Develop, monitor and evaluate tobacco control programs

Disseminate data to expand science base

Purpose

To enhance the capacity of countries to design, implement, and evaluate their comprehensive tobacco control programs

Global Youth Tobacco Survey

Prevalence & consumption

Knowledge & attitudes

Access, availability & price

Media & advertising exposure

Secondhand smoke exposure

Cessation

School curriculum

GYTS Topics

GYTS 1999-2005• Completed • Planned

▪ Active in 164 countries▪ 1.8 million students participated▪ 40 countries repeating

1 in 7 students smoke cigarettes

1 in 4 smokers first tried by age 10

2 in 3 smokers want to quit immediately

Half of students exposed to smoke in homes

80% saw tobacco ads

Key GYTS Findings

Source: Tobacco Control 2002; 11:252-270

“…integrate tobacco surveillance programs into national, regional, and global health surveillance programs so that data are comparable and can be analyzed at the regional and international levels, as appropriate.”

WHO FCTC monitoring protocol

Article 8: Protection from exposure to tobacco smoke

Article 12: Education, communication, training & public awareness

Article 13: Tobacco advertising, promotion & sponsorship

Article 14: Demand reduction measures concerning tobacco dependence & cessation

Article 16: Sales to & by minors

Monitoring WHO FCTC Articles

FCTC Article 13: Tobacco advertising, promotion & sponsorship

Have Tobacco Logo on an Object

Offered Free Cigarettes

Percent With Tobacco Logo on Object or Offered Free Cigarettes, Global Youth Tobacco Survey by WHO Region

0

10

20

30

40T

ota

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AF

RO

EM

RO

EU

RO

PA

HO

SE

AR

O

WP

RO

To

tal

AF

RO

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RO

EU

RO

PA

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WP

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Perc

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t

GYTS is being used by countries to:

— Develop program

— Influence policy decisions

— Evaluate program effectiveness

Develop and Monitor Tobacco Control Programs

Current Cigarette Smoking among Students Aged 13-15 Years, by Gender & Year-Philippines, GYTS 2000-2003

Source: MMWR 2005; 54: 4 94-97

0

5

10

15

20

25

30

35

Total Male Female

20002003

Perc

en

t

Percent of Students Aged 13-15 Years Supports Ban on Smoking in Public Places, by Gender & Year- Philippines, GYTS 2000-2003

0

10

20

30

40

50

60

70

80

90

100

Total Male Female

20002003

Source: MMWR 2005; 54: 4 94-97

Perc

en

t

Clean Air Act of 1999

Tobacco Regulatory Act of 2004

Extensive media coverage of Tobacco Regulatory Act & smoke-free policy

Smoking cessation programs

Factors Influencing the Change in the Philippines, 2000-2004

Global Tobacco Surveillance System: Components

Adults

Global School Personnel Survey (GSPS)

Global Health Professionals Survey (GHPS)

Purpose

To collect information from school personnel concerning their tobacco use & tobacco related school policies & programs

Global School Personnel Survey

Tobacco use

Knowledge and

attitudes

School policy

School curriculum

GSPS Topics

Global School Personnel Survey, 2000-2004

Teachers less likely to use tobacco

Shortage of teaching materials

Majority of teachers in favor of schools enacting policy

Key GSPS Findings

Source: Journal of School Health 2004; 74: 3-5

Purpose

To collect information from third-year students attending dental, medical, nursing, & pharmacy schools concerning their tobacco use & their tobacco related school policies & programs

Global Health Professionals Survey

Tobacco use

Knowledge & attitudes

Exposure to second-hand smoke

Cessation

School curriculum & training

GHPS Topics

Global Health Professionals Survey, 2005

Data Dissemination

Data Coordinating Center– Ongoing technical support

– Data Release Policy

– Data Bank

Data for Public Use– 153 GYTS data sets released for 85 countries

Active Data Dissemination– Dynamic Website

– Publications

Global Tobacco Surveillance System

Accomplishments and Opportunities

Samira AsmaAssociate DirectorGlobal Tobacco ControlOffice on Smoking and Health

World HealthOrganization