Tobacco Products Control Amendment Bill 2008 MRC Submission to the Parliamentary Portfolio Committee on Health May 2008. Tobacco Products Control Amendment Bill 2008. Prof AD MBewu BA (Oxon) MBBS (London) FRCP (UK) MD (London) PMD (Harvard) FMASSAf
MRC Submission to the Parliamentary Portfolio Committee on Health
Prof AD MBewu
BA (Oxon) MBBS (London) FRCP (UK) MD (London) PMD (Harvard) FMASSAf
President, South African Medical Research Council
Specialist Cardiologist and Visiting Professor in the Department of Medicine, Faculty of Health
Sciences, University of Cape Town
Co-Chair Inter-Academy Medical Panel
The Medical Research Council supports the Tobacco Products Control Amendment Bill 2008
10 deaths globally. If current trends continue, this will rise to one
in six by 2030
deaths from HIV/AIDS, makes smoking the number one preventable
cause of death and disability in the world.
world, it is decreasing in developed nations. Among Americans,
smoking rates fell by almost half in three decades to 23% of
adults by 1997. Tobacco consumption in the developing world is
rising by 3.4% per annum.
of health in the USA and most developed countries.
prevalence among women was about 35% and 41% among men
between 1996-1997. In contrast, smoking prevalence at the
highest income level was 18% for women and 22% for men.
In the USA, the socioeconomic status and level of education
have become strong predictors of tobacco use.
gender difference, with significantly more males than females smoking.
The WHO’s stance is well known on tobacco use and poverty as reflected by the following statements:
Exposure to second-hand smoke acts rapidly, within 30 minutes:
However, it is considered to be less harmful and promoted as a reduced-harm product. In South Africa it is perceived to be less harmful and a safe alternative for cigarettes by two thirds of the youth.
pregnancies. More comprehensive consideration of issues connected to women’s health,
socioeconomic conditions and tobacco use is a comparatively recent phenomenon.
smoking and its subsequent health effects; household
poverty from compromised family nutrition – enforcing
empowerment to protect their families from ETS and an
advertising media which is increasingly targeting the
working class as well as disadvantaged girls and women.
teenage girls than boys are smoking in industrialised
accumulated on gender differences in the effects of
tobacco on girls and women and gender influences on
tobacco-related behaviours such as initiation,
maintenance and cessation.
of disadvantage or identity. Research to explore the psychosocial and economic underpinnings of
smoking women in the 21st century was indicated.
different behavioural smoking interventions in smoking cessation amongst school learners – demonstrating that both were effective, but in different settings.
(Jha P, et al Lancet 2006; 368 : pp367-370)