Pacific islands overview
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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. Our Future Health and Wealth.

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Pacific Islands Overview

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Pacific Islands Overview

Dr ViliNosa

Ms Stephanie Erick

Oceania Tobacco Control Pre-Conference 2011

Brisbane Convention Centre, Australia

Monday 17th October 2011


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


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


Smoking Prevalence by Pacific Ethnic Group, Adults (NZ MOH 2006 Census)


Youth Regular Smokers by Ethnicity, NZ 2008-2009 (ASH Snapshot Survey)


Trends in Smoking Prevalence by Ethnicity, NZ 1999-2010


Smoking pRevalence in the Pacific….


Youth Smoking Prevalence (%) in PICTs


Youth Smoking Prevalence in PICTs (WHO CHIPS 2010)


Adult Smoking Prevalence in PICTs(WHO CHIPS 2010)


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


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.


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’?


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