THE NEED FOR TOBACCO CONTROL IN TANZANIA

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1 THE NEED FOR TOBACCO CONTROL IN TANZANIA Lutgard Kokulinda Kagaruki Tanzania Tobacco Control Forum P. O. Box Dar es Salaam Tel:

2 VISION To enhance public health through effective control and stopping of tobacco use in Tanzania MISSION To create an enabling environment, whereby tobacco control activists and other stake holders in various institutions can work together in a co-ordinated manner, to make a lasting impact in controlling and ending tobacco use in Tanzania PATRON: HON PROF D H MWAKYUSA (MP)

3 TOBACCO PRODUCTION Commercial tbc production 17 th century (Chesapeak, Virginia USA) % world tbc N. America 1940s American revolution & breakdown of colonial rule tbc production developing countries 2010 > 85% world tbc developing countries

4 Trends of tobacco production in USA - Source: FAOSTAT (2006) 1,000, , , , ,000 Tonnes 500, ,000 USA 300, , , Years Tobacco production in USA

5 Tobacco production in East Africa T o n n e s Tanzania Kenya Uganda Burundi Rw anda Years Tobacco production in East Africa: Source FAOSTAT 2007

6 TOBACCO CULTIVATION & ENVIRONMENT YOUNG TOBACCO PLANTS

7 TOBACCO & ENVIRONMENT TOBACCO CURING BARNS TANZANIA WOOD FOR TOBACCO CURING

8 TOBACCO & ENVIRONMENTAL DESTRUCTION

9 TOBACCO INDUSTRY TACTICS Replacement of trees with shrubs

10 The pain and agony of resource-poor tobacco farmers Extreme poverty caused by tbc industries: Subsidies fertiliser, chemicals, seeds over-prising Buying & selling tbc: under-grading & setting low tbc prices - farmers enslaved in permanent debt-bondage Hunger: no time for food crops Health & environmental problems e.g. Namtumbo village in Tanzania: - 75% farmers smoke & suffer from upper respiratory diseases men confessed of broken marriages lack of sexual desire impotence

11 The economics of tobacco in Tanzania 2003/4 tobacco ranked 2 nd foreign exchange earner USD 55.5m WHO for each $ that comes from tobacco $6 spent to purchase medicine to cure tobaccorelated diseases Over $30m spent on cancer treatment annually (Ocean Road Cancer Institute) Tobacco - WHO S BENEFIT? REMEMBER Tobacco revenue is generated by smokers and not the tobacco industry

12 Tobacco economics Sikonge Tabora 80,000 tobacco farmers Earned $3m in one year Each got $25 per month i.e. less than $1 per day!!! TZ casual labour pay - $2 per day (2006 labour laws)

13 TOBACCO AND POVERTY CHILDREN SORTING TOBACCO - IRINGA DOWNGRADED & REJECTED TBC - TANZANIA MALAWI TANZANIA

14 TOBACCO AND HEALTH Mzee France Mkuwa blind & cardiac patient due to tobacco curing

15 Tobacco health warning labels LEFT DUNHILL TANZANIA RIGHT DUNHILL AUSTRALIA

16 Tobacco health warning labels LEFT: MALBORO AUSTRALIA RIGHT: MALBORO TANZANIA

17 Tobacco advertising in Tanzania

18 Tobacco use in Tanzania Smoking youths

19 Songea: Namtumbo After sensitisation January Media reports: 2007 alone - Namtumbo District: - No. farmers dropped - 22,300 to 6,333 Mtonya village: - No. farmers dropped 1,450 to Farmers adopted sesame, sunflower & groundnuts Will soon acquire oil extraction machine

20 ALTERNATIVE CROPS TO TOBACCO NAMTUMBO SOUTHERN TANZANIA SIMSIM FARM SUNFLOWER FARM NO FERTILISER USED NO SHIFTING CULTIVATION 14/10/

21 EMPOWERING RESOURCE-POOR TOBACCO FARMERS A TTCF-SPONSORED ENTREPRENEURSHIP COURCE VILLAGE CHAIRPERSON OF NAMTUMBO AT THE TTCF AGM

22 Tobacco control and the MDGs To be able to achieve MDGs Effective tobacco control

23 COUNTER-ADVERTISING

24 COUNTER ADVERTISING Maureen died of emphysema at 58. How many people die prematurely of tobacco induced emphysema?

25 AREA OF SUPPORT BY DEV PARTNERS ON TBC CONTROL IN TANZANIA Incorporate tobacco control into the development agenda and MDGs initiatives Provide technical & financial support to implement FCTC and the National Tobacco Control Law Intensify mass media campaign against tobacco advertisements

26 SUPPORT BY DEV PARTNERS (CONT) Campaign for & enforcement of smokefree public environments Enhance capacity of public health sectors educate youth on tobacco hazards & mitigation Restore damaged environment in tobacco farming community Support pilot studies on alternative livelihoods

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