pacific islands overview dr vili nosa ms stephanie erick oceania tobacco control pre-conference 2011...
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PACIFIC ISLANDS OVERVIEW
Dr Vili Nosa Ms Stephanie Erick
OCEANIA TOBACCO CONTROL PRE-CONFERENCE 2011
BRISBANE CONVENTION CENTRE, AUSTRALIA
MONDAY 17TH OCTOBER 2011
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OUR FUTURE HEALTH AND WEALTH
• Obesity and Tobacco use are two most preventable threats to the health (and wealth) of Pacific nations
• Both contribute to NCDs – the largest premature cause of death, disease and disability in the region
• Smoking young increases likelihood of lifetime use – (Pacific populations are very young)
• The fight against big tobacco is not over yet
• Smokefree environments in homes, workplaces, villages still the aim
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TOBACCO USE IN NZ
• Single largest preventable cause of morbidity and mortality in NZ, declining
• Attributable Burden of Disease in PICTs?
• 5,000 deaths per year attributable to tobacco
• 1/3 Pacific adults (31%) ‘current’ smokers
• 1/5 young adults (15-19 years) are current smokers
• Rate of decline among Pacific people slowest in NZ
• Overall climate for tobacco control is very good
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SMOKING PREVALENCE BY PACIFIC ETHNIC GROUP, ADULTS (NZ MOH 2006 CENSUS)
Tokelauan Cook Isl Niuean Tongan Samoan Fijian0
5
10
15
20
25
30
35
40
Total
Men
Women
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YOUTH REGULAR SMOKERS BY ETHNICITY, NZ 2008-2009 (ASH SNAPSHOT SURVEY)
Samoan Cook Isl. Tongan Niuean0
5
10
15
20
25
Boys
Girls
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TRENDS IN SMOKING PREVALENCE BY ETHNICITY, NZ 1999-2010
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SMOKING PREVALENCE IN THE PACIFIC….
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YOUTH SMOKING PREVALENCE (%) IN PICTS
PNG Palau NMI Niue Marshall Isl.
Guam Fiji Cooks Am. Samoa
Pacific (NZ)
NZ Total0
10
20
30
40
50
60
70
Male
Female
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YOUTH SMOKING PREVALENCE IN PICTS (WHO CHIPS 2010)
Am. S
amoa
Cooks Fiji
Kiribat
i
Mar
shall
Isl.
Nauru
Niue NMI
Palau
PNG
Samoa
Solom
ons
Tokela
u
Tonga
Tuvalu
Vanua
tu0
10
20
30
40
50
60
Total
Boys
Girls
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ADULT SMOKING PREVALENCE IN PICTS(WHO CHIPS 2010)
Am. S
amoa
Cooks Fiji
Kiribat
i
Mar
shall
Isl.
Nauru
Niue NMI
Palau
PNG
Samoa
Solom
ons
Tokela
u
Tonga
Tuvalu
Vanua
tu0
10
20
30
40
50
60
70
80
Total
Men
Women
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INTERVENTIONS• FCTC ratified by most PICTs, legislation developed
• Compliance and consequences critical
• Various initiatives at local and national levels; impact ?
• Increased taxes (and bans on advertising) are effective
• Importance of regional/global actions
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TOBACCO CONTROL INITIATIVES IN NIUE
• Very doable in terms of small population and country size.
• Need to establish what is going on in terms of tobacco initiatives.
• Political support you need a champion to push tobacco control progress.
• Engaging with tobacco control people at the community level.
• Develop a Tobacco control plan. i.e community consultation.
• Resource support.
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SUMMARY• Youth tobacco use high/very high in the region, no evidence of
decline
• Declining use in NZ Pacific adults and young people but prevalence remains high – priorities known
• In general, tobacco use higher in girls than boys in NZ, reverse in the region, with few exceptions
• Improving precision of data with STEPS surveys etc but effective action is now crucial
• Regional Action Plan focus on Youth and interventions involving NZ and ‘home islands’?