WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 APPENDIX V: COUNTRY PROFILES Argentina Bangladesh Brazil China Egypt France Germany India Indonesia Iran (Islamic Republic of) Italy Japan Mexico Myanmar Nepal Nigeria Pakistan Philippines Poland Republic of Korea Russian Federation Spain Thailand Turkey Ukraine United Kingdom of Great Britain and rthern Ireland United States of America Viet Nam
Argentina WHO FCTC STATUS Date of signature: 25 September 2003 Date of ratification (or legal equivalent): t ratified... Data not reported/not available. Data not required/not applicable. ARGENTINA SOCIOECONOMIC CONTEXT Population (thousands) 40 666 Adults 15+ years (thousands) 30 545 Income group Middle-Income Monitor use and prevention policies PREVALENCE OF TOBACCO USE YOUTH PREVALENCE, CURRENT SMOKING (%) Current use Current cigarette Male 26.1 21.1 Female 29.7 27.3 Total 28.0 24.5 Source: Ages 13-15, Global Youth Tobacco Survey: National, Argentina, 2007. ADULT PREVALENCE, SMOKING (%) Daily cigarette Current cigarette Male 25.1 32.4 Female 17.6 22.4 Total 21.1 27.1 ADULT PREVALENCE, SMOKELESS TOBACCO USE (%)... Male... Female... Total... Source: Ages 18+, Segunda Encuesta Nacional Factores de Riesgo, 2009. 2 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
The Americas Protect people from smoke SMOKE-FREE ENVIRONMENTS SMOKE-FREE LAWS EXIST IN THE FOLLOWING PLACES: Health-care facilities Educational facilities except universities Universities Government facilities Indoor offices and workplaces Restaurants Pubs and bars Public transport All other public places NA Compliance score National law requires fines for Fines levied on the establishment Fines levied on the smoker Funds dedicated for enforcement Complaint system that requires an investigation after a complaint A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. Subnational jurisdictions with complete smoke-free legislation in all assessed facilities NAME OF JURISDICTION Population of jurisdiction % of national population protected Neuquén 565 242 1 San Juan* 715 052 2 San Luis 456 767 1 Santa Fé 3 285 170 8 Tucumán 1 511 516 4 * The legislation does not allow designated rooms except if the health authority allows them by administrative act. Until now, no such administrative act has been taken. Offer help to quit use TREATMENT OF TOBACCO DEPENDENCE National toll-free quit line Nicotine replacement therapy (NRT) sold Bupropion sold Varenicline sold Smoking cessation support available in primary care facilities Smoking cessation support available in hospitals Smoking cessation support available in offices of health professionals Smoking cessation support available in the community in some in some in some in some WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 3
Argentina Warn about the dangers of HEALTH WARNINGS ON TOBACCO PACKAGES Cigarettes Smokeless % of the principal display areas (front and back combined) covered by a warning 0 0 % of the principal display area (front) covered by a warning 0 0 % of the principal display area (back) covered by a warning 0 0 Law mandates specific warnings Number of specific warnings approved by law 1 Warnings appear on each package and outside packaging Warnings describe the harmful effects of use Law mandates font style, font size and colour Warnings are rotating Warnings are written in the principal language(s) of the country Warnings include a photograph or graphic Warning is placed at the top of the principal display area Warnings do not remove or diminish the liability of the industry Law applies to products whether manufactured domestically, imported, or for duty-free sale Warnings are not obscured in any way, including by required markings such as tax stamps Law requires or establishes fines for violations against the health warnings law Ban on misleading descriptors such as low tar, light or mild Ban on use of figurative or other signs, including colours or numbers Ban on packaging and labelling using descriptors depicting flavours Ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide) Quit line number required to appear on all packaging or labelling The law mandates plain packaging ANTI-TOBACCO MASS MEDIA CAMPAIGNS Did the country have at least one national mass media campaign during 2009 or 2010?* Evidence-based planning Campaign was part of a comprehensive control program Campaign was pre-tested Formative research was conducted Implementation Campaign utilized media planning Earned media/public relations were used to promote the campaign Evaluation Process evaluation was employed to assess implementation Outcome evaluation was employed to assess effectiveness * A campaign is a communication activity lasting at least one three-week period during a year, which utilizes mass media (TV, radio, print, outdoor billboards, internet) to inform and educate the public about the harms of use and second-hand smoke exposure, to increase support for control policies or laws, to encourage users to quit, and/or to challenge industry practices. 4 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
The Americas Enforce bans on advertising, promotion and sponsorship Raise taxes on BANS ON TOBACCO ADVERTISING, PROMOTION AND SPONSORSHIP DIRECT BANS National TV and radio International TV and radio Local magazines and newspapers International magazines and newspapers Billboards and outdoor advertising Point of sale Internet Compliance score of direct bans INDIRECT BANS Free distribution Promotional discounts n- goods and services identified with brand names Brand name of non- products used for product Appearance of brands in TV and/or films (product placement) Appearance of products in TV and/or films Sponsored events Compliance score of indirect bans A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. TOBACCO TAXATION AND PRICE PRICE OF MOST SOLD BRAND, PACK OF 20 CIGARETTES In currency reported by country (ISO code) ARS 5.38 In international dollars (Purchasing Power Parity) PPP 2.29 TAXES ON THIS BRAND (% OF RETAIL PRICE) q Total taxes 76 Specific excise 0 Ad valorem excise 69 Value added tax (VAT) 7 Import duty 0 Other taxes 0 q Individual categories of tax may not add to total due to rounding. National control programme Specific national government objectives in control National agency or technical unit for control Number of full-time equivalent staff 5 GOVERNMENT EXPENDITURE ON TOBACCO CONTROL, LATEST FULL YEAR In currency reported by country US$ 280 240 In US$ at official exchange rate US$ 280 240 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 5
Bangladesh WHO FCTC STATUS Date of signature: 16 June 2003 Date of ratification (or legal equivalent): 14 June 2004... Data not reported/not available. Data not required/not applicable. BANGLADESH SOCIOECONOMIC CONTEXT Population (thousands) 164 425 Adults 15+ years (thousands) 113 667 Income group Low-income Monitor use and prevention policies PREVALENCE OF TOBACCO USE YOUTH PREVALENCE, CURRENT SMOKING (%) Current use Current cigarette Male 9.1 2.9 Female 5.1 1.1 Total 6.9 2.0 Source: Ages 13-15, Global Youth Tobacco Survey: National, Bangladesh, 2007. ADULT PREVALENCE, SMOKING (%) Daily Current Male 40.7 44.7 Female 1.3 1.5 Total 20.9 23.0 ADULT PREVALENCE, SMOKELESS TOBACCO USE (%) Current users of smokeless Male 26.4 Female 27.9 Total 27.2 Source: Ages 15+, Global Adult Tobacco Survey, 2009. 6 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
South-East Asia Protect people from smoke SMOKE-FREE ENVIRONMENTS SMOKE-FREE LAWS EXIST IN THE FOLLOWING PLACES: Health-care facilities Educational facilities except universities Universities Government facilities Indoor offices and workplaces Restaurants Pubs and bars Public transport All other public places NA Compliance score 3 National law requires fines for Fines levied on the establishment Fines levied on the smoker Funds dedicated for enforcement Complaint system that requires an investigation after a complaint A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. Subnational jurisdictions with complete smoke-free legislation in all assessed facilities ne reported. Offer help to quit use TREATMENT OF TOBACCO DEPENDENCE National toll-free quit line Nicotine replacement therapy (NRT) sold Bupropion sold Varenicline sold Smoking cessation support available in primary care facilities Smoking cessation support available in hospitals Smoking cessation support available in offices of health professionals Smoking cessation support available in the community in some in some WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 7
Bangladesh Warn about the dangers of HEALTH WARNINGS ON TOBACCO PACKAGES Cigarettes Smokeless % of the principal display areas (front and back combined) covered by a warning 30 0 % of the principal display area (front) covered by a warning 30 0 % of the principal display area (back) covered by a warning 30 0 Law mandates specific warnings Number of specific warnings approved by law 6 Warnings appear on each package and outside packaging Warnings describe the harmful effects of use Law mandates font style, font size and colour Warnings are rotating Warnings are written in the principal language(s) of the country Warnings include a photograph or graphic Warning is placed at the top of the principal display area Warnings do not remove or diminish the liability of the industry Law applies to products whether manufactured domestically, imported, or for duty-free sale Warnings are not obscured in any way, including by required markings such as tax stamps Law requires or establishes fines for violations against the health warnings law Ban on misleading descriptors such as low tar, light or mild Ban on use of figurative or other signs, including colours or numbers Ban on packaging and labelling using descriptors depicting flavours Ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide) Quit line number required to appear on all packaging or labelling The law mandates plain packaging ANTI-TOBACCO MASS MEDIA CAMPAIGNS Did the country have at least one national mass media campaign during 2009 or 2010?* Evidence-based planning Campaign was part of a comprehensive control program Campaign was pre-tested Formative research was conducted Implementation Campaign utilized media planning Earned media/public relations were used to promote the campaign Evaluation Process evaluation was employed to assess implementation Outcome evaluation was employed to assess effectiveness * A campaign is a communication activity lasting at least one three-week period during a year, which utilizes mass media (TV, radio, print, outdoor billboards, internet) to inform and educate the public about the harms of use and second-hand smoke exposure, to increase support for control policies or laws, to encourage users to quit, and/or to challenge industry practices. 8 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
South-East Asia Enforce bans on advertising, promotion and sponsorship Raise taxes on BANS ON TOBACCO ADVERTISING, PROMOTION AND SPONSORSHIP DIRECT BANS National TV and radio International TV and radio Local magazines and newspapers International magazines and newspapers Billboards and outdoor advertising Point of sale Internet Compliance score of direct bans 7 INDIRECT BANS Free distribution Promotional discounts n- goods and services identified with brand names Brand name of non- products used for product Appearance of brands in TV and/or films (product placement) Appearance of products in TV and/or films Sponsored events Compliance score of indirect bans 6 A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. TOBACCO TAXATION AND PRICE PRICE OF MOST SOLD BRAND, PACK OF 20 CIGARETTES In currency reported by country (ISO code) BDT 33.00 In international dollars (Purchasing Power Parity) PPP 1.16 TAXES ON THIS BRAND (% OF RETAIL PRICE) q Total taxes 68 Specific excise 0 Ad valorem excise 53 Value added tax (VAT) 15 Import duty Other taxes q Individual categories of tax may not add to total due to rounding. National control programme Specific national government objectives in control National agency or technical unit for control Number of full-time equivalent staff 2 GOVERNMENT EXPENDITURE ON TOBACCO CONTROL, LATEST FULL YEAR In currency reported by country US$ 90 000 In US$ at official exchange rate US$ 90 000 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 9
Brazil WHO FCTC STATUS Date of signature: 16 June 2003 Date of ratification (or legal equivalent): 3 vember 2005 BRAZIL... Data not reported/not available. Data not required/not applicable. SOCIOECONOMIC CONTEXT Population (thousands) 195 423 Adults 15+ years (thousands) 145 655 Income group Middle-Income Monitor use and prevention policies PREVALENCE OF TOBACCO USE YOUTH PREVALENCE, CURRENT SMOKING (%) Current use Current cigarette Male 28.7 9.2 Female 30.8 13.2 Total 30.1 11.6 Source: Ages 13-15, Global Youth Tobacco Survey: São Paulo, 2009. ADULT PREVALENCE, SMOKING (%) Daily Current Male 18.9 21.6 Female 11.5 13.1 Total 15.1 17.2 ADULT PREVALENCE, SMOKELESS TOBACCO USE (%) Current users of smokeless Male 0.6 Female 0.3 Total 0.4 Source: Ages 13-15, Global Adult Tobacco Survey, 2008. 10 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
The Americas Protect people from smoke SMOKE-FREE ENVIRONMENTS SMOKE-FREE LAWS EXIST IN THE FOLLOWING PLACES: Health-care facilities Educational facilities except universities Universities Government facilities Indoor offices and workplaces Restaurants Pubs and bars Public transport All other public places NA Compliance score 6 National law requires fines for Fines levied on the establishment Fines levied on the smoker Funds dedicated for enforcement Complaint system that requires an investigation after a complaint A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. Subnational jurisdictions with complete smoke-free legislation in all assessed facilities NAME OF JURISDICTION Population of jurisdiction % of national population protected Amazonas 3 483 985 2 Paraiba 3 768 528 2 Parana 10 444 526 5 Rio de Janeiro 15 989 929 8 Rondonia 1 562 409 1 Roraima 450 479 0.2 Sao Paulo 41 262 199 21 Offer help to quit use TREATMENT OF TOBACCO DEPENDENCE National toll-free quit line Nicotine replacement therapy (NRT) sold Bupropion sold Varenicline sold Smoking cessation support available in primary care facilities Smoking cessation support available in hospitals Smoking cessation support available in offices of health professionals Smoking cessation support available in the community in some in some in some in some WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 11
Brazil Warn about the dangers of HEALTH WARNINGS ON TOBACCO PACKAGES Cigarettes Smokeless % of the principal display areas (front and back combined) covered by a warning 50 50 % of the principal display area (front) covered by a warning 0 0 % of the principal display area (back) covered by a warning 100 100 Law mandates specific warnings Number of specific warnings approved by law 10 Warnings appear on each package and outside packaging Warnings describe the harmful effects of use Law mandates font style, font size and colour Warnings are rotating Warnings are written in the principal language(s) of the country Warnings include a photograph or graphic Warning is placed at the top of the principal display area Warnings do not remove or diminish the liability of the industry Law applies to products whether manufactured domestically, imported, or for duty-free sale Warnings are not obscured in any way, including by required markings such as tax stamps Law requires or establishes fines for violations against the health warnings law Ban on misleading descriptors such as low tar, light or mild Ban on use of figurative or other signs, including colours or numbers Ban on packaging and labelling using descriptors depicting flavours Ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide) Quit line number required to appear on all packaging or labelling The law mandates plain packaging ANTI-TOBACCO MASS MEDIA CAMPAIGNS Did the country have at least one national mass media campaign during 2009 or 2010?* Evidence-based planning Campaign was part of a comprehensive control program Campaign was pre tested Formative research was conducted Implementation Campaign utilized media planning Earned media/public relations were used to promote the campaign Evaluation Process evaluation was employed to assess implementation Outcome evaluation was employed to assess effectiveness * A campaign is a communication activity lasting at least one three-week period during a year, which utilizes mass media (TV, radio, print, outdoor billboards, internet) to inform and educate the public about the harms of use and second-hand smoke exposure, to increase support for control policies or laws, to encourage users to quit, and/or to challenge industry practices. 12 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
The Americas Enforce bans on advertising, promotion and sponsorship Raise taxes on BANS ON TOBACCO ADVERTISING, PROMOTION AND SPONSORSHIP DIRECT BANS National TV and radio International TV and radio Local magazines and newspapers International magazines and newspapers Billboards and outdoor advertising Point of sale Internet Compliance score of direct bans 9 INDIRECT BANS Free distribution Promotional discounts n- goods and services identified with brand names Brand name of non- products used for product Appearance of brands in TV and/or films (product placement) Appearance of products in TV and/or films Sponsored events Compliance score of indirect bans 4 A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. TOBACCO TAXATION AND PRICE PRICE OF MOST SOLD BRAND, PACK OF 20 CIGARETTES In currency reported by country (ISO code) BRL 3.25 In international dollars (Purchasing Power Parity) PPP 1.96 TAXES ON THIS BRAND (% OF RETAIL PRICE) q Total taxes 60 Specific excise 26 Ad valorem excise 0 Value added tax (VAT) 25 Import duty Other taxes 9 q Individual categories of tax may not add to total due to rounding. National control programme Specific national government objectives in control National agency or technical unit for control Number of full-time equivalent staff 25 GOVERNMENT EXPENDITURE ON TOBACCO CONTROL, LATEST FULL YEAR In currency reported by country (ISO code) BRL 10 000 000 In US$ at official exchange rate US$ 5 453 247 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 13
China WHO FCTC STATUS Date of signature: 10 vember 2003 Date of ratification (or legal equivalent): 11 October 2005 CHINA... Data not reported/not available. Data not required/not applicable. SOCIOECONOMIC CONTEXT Population (thousands) 1 361 763 Adults 15+ years (thousands) 1 091 468 Income group Middle-Income Monitor use and prevention policies PREVALENCE OF TOBACCO USE YOUTH PREVALENCE, CURRENT SMOKING (%) Current use Current cigarette Male 7.1 2.7 Female 4.1 0.8 Total 5.5 1.7 Source: Ages 13-15, Global Youth Tobacco Survey: Shanghai, China, 2005. ADULT PREVALENCE, SMOKING (%) Daily Current Male 45.4 52.9 Female 2.0 2.4 Total 24.1 28.1 ADULT PREVALENCE, SMOKELESS TOBACCO USE (%) Current users of smokeless Male 0.9 Female 0.1 Total Source: Ages 15+, Global Adult Tobacco Survey, 2009.... 14 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
Western Pacific Protect people from smoke SMOKE-FREE ENVIRONMENTS SMOKE-FREE LAWS EXIST IN THE FOLLOWING PLACES: Health-care facilities Educational facilities except universities Universities Government facilities Indoor offices and workplaces Restaurants Pubs and bars Public transport All other public places NA Compliance score 2 National law requires fines for Fines levied on the establishment Fines levied on the smoker Funds dedicated for enforcement Complaint system that requires an investigation after a complaint A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. Subnational jurisdictions with complete smoke-free legislation in all assessed facilities NAME OF JURISDICTION Population of jurisdiction % of national population protected Hong Kong SAR 7 067 800 1 Offer help to quit use TREATMENT OF TOBACCO DEPENDENCE National toll-free quit line Nicotine replacement therapy (NRT) sold Bupropion sold Varenicline sold Smoking cessation support available in primary care facilities Smoking cessation support available in hospitals Smoking cessation support available in offices of health professionals Smoking cessation support available in the community in some in some in some in some WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 15
China Warn about the dangers of HEALTH WARNINGS ON TOBACCO PACKAGES Cigarettes Smokeless % of the principal display areas (front and back combined) covered by a warning 30... % of the principal display area (front) covered by a warning 30... % of the principal display area (back) covered by a warning 30... Law mandates specific warnings... Number of specific warnings approved by law 3... Warnings appear on each package and outside packaging... Warnings describe the harmful effects of use... Law mandates font style, font size and colour... Warnings are rotating... Warnings are written in the principal language(s) of the country... Warnings include a photograph or graphic... Warning is placed at the top of the principal display area... Warnings do not remove or diminish the liability of the industry... Law applies to products whether manufactured domestically, imported, or for duty-free sale Warnings are not obscured in any way, including by required markings such as tax stamps...... Law requires or establishes fines for violations against the health warnings law... Ban on misleading descriptors such as low tar, light or mild... Ban on use of figurative or other signs, including colours or numbers... Ban on packaging and labelling using descriptors depicting flavours... Ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide)... Quit line number required to appear on all packaging or labelling... The law mandates plain packaging... ANTI-TOBACCO MASS MEDIA CAMPAIGNS Did the country have at least one national mass media campaign during 2009 or 2010?* Evidence-based planning Campaign was part of a comprehensive control program Campaign was pre tested Formative research was conducted Implementation Campaign utilized media planning Earned media/public relations were used to promote the campaign Evaluation Process evaluation was employed to assess implementation Outcome evaluation was employed to assess effectiveness * A campaign is a communication activity lasting at least one three-week period during a year, which utilizes mass media (TV, radio, print, outdoor billboards, internet) to inform and educate the public about the harms of use and second-hand smoke exposure, to increase support for control policies or laws, to encourage users to quit, and/or to challenge industry practices. 16 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
Western Pacific Enforce bans on advertising, promotion and sponsorship Raise taxes on BANS ON TOBACCO ADVERTISING, PROMOTION AND SPONSORSHIP DIRECT BANS National TV and radio International TV and radio Local magazines and newspapers International magazines and newspapers Billboards and outdoor advertising Point of sale Internet Compliance score of direct bans 5 INDIRECT BANS Free distribution Promotional discounts n- goods and services identified with brand names Brand name of non- products used for product Appearance of brands in TV and/or films (product placement) Appearance of products in TV and/or films Sponsored events Compliance score of indirect bans 0 A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. TOBACCO TAXATION AND PRICE PRICE OF MOST SOLD BRAND, PACK OF 20 CIGARETTES In currency reported by country (ISO code) CNY 5.00 In international dollars (Purchasing Power Parity) PPP 1.29 TAXES ON THIS BRAND (% OF RETAIL PRICE) q Total taxes 41 Specific excise 1 Ad valorem excise 25 Value added tax (VAT) 15 Import duty 0 Other taxes 0 q Individual categories of tax may not add to total due to rounding. National control programme Specific national government objectives in control National agency or technical unit for control Number of full-time equivalent staff 27 GOVERNMENT EXPENDITURE ON TOBACCO CONTROL, LATEST FULL YEAR In currency reported by country (ISO code) CNY 20 000 000 In US$ at official exchange rate US$ 2 878 257 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 17
Egypt WHO FCTC STATUS Date of signature: 17 June 2003 Date of ratification (or legal equivalent): 25 February 2005 EGYPT... Data not reported/not available. Data not required/not applicable. SOCIOECONOMIC CONTEXT Population (thousands) 84 474 Adults 15+ years (thousands) 57 326 Income group Middle-Income Monitor use and prevention policies PREVALENCE OF TOBACCO USE YOUTH PREVALENCE, CURRENT SMOKING (%) Current use Current cigarette Male 20.0 15.5 Female 3.8 2.8 Total 12.0 8.9 Source: Ages 13-15, Global Youth Tobacco Survey: National, Egypt, 2009. ADULT PREVALENCE, SMOKING (%) Daily Current Male 35.9 37.6 Female 0.5 0.5 Total 18.5 19.4 ADULT PREVALENCE, SMOKELESS TOBACCO USE (%) Current users of smokeless Male 4.8 Female 0.3 Total 2.6 Source: Ages 15+, Global Adult Tobacco Survey, 2009. 18 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
Eastern Mediterranean Protect people from smoke SMOKE-FREE ENVIRONMENTS SMOKE-FREE LAWS EXIST IN THE FOLLOWING PLACES: Health-care facilities Educational facilities except universities Universities Government facilities Indoor offices and workplaces Restaurants Pubs and bars Public transport All other public places NA Compliance score 2 National law requires fines for Fines levied on the establishment Fines levied on the smoker Funds dedicated for enforcement Complaint system that requires an investigation after a complaint A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. Subnational jurisdictions with complete smoke-free legislation in all assessed facilities ne reported. Offer help to quit use TREATMENT OF TOBACCO DEPENDENCE National toll-free quit line Nicotine replacement therapy (NRT) sold Bupropion sold Varenicline sold Smoking cessation support available in primary care facilities Smoking cessation support available in hospitals Smoking cessation support available in offices of health professionals Smoking cessation support available in the community in some in some WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 19
Egypt Warn about the dangers of HEALTH WARNINGS ON TOBACCO PACKAGES Cigarettes Smokeless % of the principal display areas (front and back combined) covered by a warning 50 50 % of the principal display area (front) covered by a warning 50 50 % of the principal display area (back) covered by a warning 50 50 Law mandates specific warnings Number of specific warnings approved by law 8 8 Warnings appear on each package and outside packaging Warnings describe the harmful effects of use Law mandates font style, font size and colour Warnings are rotating Warnings are written in the principal language(s) of the country Warnings include a photograph or graphic Warning is placed at the top of the principal display area Warnings do not remove or diminish the liability of the industry Law applies to products whether manufactured domestically, imported, or for duty-free sale Warnings are not obscured in any way, including by required markings such as tax stamps Law requires or establishes fines for violations against the health warnings law Ban on misleading descriptors such as low tar, light or mild Ban on use of figurative or other signs, including colours or numbers Ban on packaging and labelling using descriptors depicting flavours Ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide) Quit line number required to appear on all packaging or labelling The law mandates plain packaging ANTI-TOBACCO MASS MEDIA CAMPAIGNS Did the country have at least one national mass media campaign during 2009 or 2010?* Evidence-based planning Campaign was part of a comprehensive control program Campaign was pre tested Formative research was conducted Implementation Campaign utilized media planning Earned media/public relations were used to promote the campaign Evaluation Process evaluation was employed to assess implementation Outcome evaluation was employed to assess effectiveness * A campaign is a communication activity lasting at least one three-week period during a year, which utilizes mass media (TV, radio, print, outdoor billboards, internet) to inform and educate the public about the harms of use and second-hand smoke exposure, to increase support for control policies or laws, to encourage users to quit, and/or to challenge industry practices. 20 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
Eastern Mediterranean Enforce bans on advertising, promotion and sponsorship Raise taxes on BANS ON TOBACCO ADVERTISING, PROMOTION AND SPONSORSHIP DIRECT BANS National TV and radio International TV and radio Local magazines and newspapers International magazines and newspapers Billboards and outdoor advertising Point of sale Internet Compliance score of direct bans 8 INDIRECT BANS Free distribution Promotional discounts n- goods and services identified with brand names Brand name of non- products used for product Appearance of brands in TV and/or films (product placement) Appearance of products in TV and/or films Sponsored events Compliance score of indirect bans 7 A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. TOBACCO TAXATION AND PRICE PRICE OF MOST SOLD BRAND, PACK OF 20 CIGARETTES In currency reported by country (ISO code) EGP 4.00 In international dollars (Purchasing Power Parity) PPP 1.66 TAXES ON THIS BRAND (% OF RETAIL PRICE) q Total taxes 74 Specific excise 34 Ad valorem excise 40 Value added tax (VAT) 0 Import duty Other taxes 0 q Individual categories of tax may not add to total due to rounding. National control programme Specific national government objectives in control National agency or technical unit for control Number of full-time equivalent staff 3 GOVERNMENT EXPENDITURE ON TOBACCO CONTROL, LATEST FULL YEAR In currency reported by country US$ 30 000 In US$ at official exchange rate US$ 30 000 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 21
France WHO FCTC STATUS Date of signature: 16 June 2003 Date of ratification (or legal equivalent): 19 October 2004 AA FRANCE AA Approval is an international act, similar to ratification, by which countries that have already signed a treaty/convention formally state their consent to be bound by it.... Data not reported/not available. Data not required/not applicable. SOCIOECONOMIC CONTEXT Population (thousands) 62 637 Adults 15+ years (thousands) 51 119 Income group High-income Monitor use and prevention policies PREVALENCE OF TOBACCO USE YOUTH PREVALENCE, CURRENT SMOKING (%) Daily among 15 year olds Current among 15 year olds Male 13... Female 16... Total 14... Source: Inequalities in Young People s Health: Health Behaviours in School-Aged Children (HBSC), 2006. ADULT PREVALENCE, SMOKING (%) Daily Current Male 28.2 33.3 Female 21.7 26.5 Total 25.0 29.9 ADULT PREVALENCE, SMOKELESS TOBACCO USE (%)... Male... Female... Total... Source: Ages 12-75, Baromètre santé: premiers résultats, 2005. 22 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
Europe Protect people from smoke SMOKE-FREE ENVIRONMENTS SMOKE-FREE LAWS EXIST IN THE FOLLOWING PLACES: Health-care facilities Educational facilities except universities Universities Government facilities * Indoor offices and workplaces * Restaurants Pubs and bars Public transport All other public places * Compliance score... National law requires fines for Fines levied on the establishment Fines levied on the smoker Funds dedicated for enforcement Complaint system that requires an investigation after a complaint A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. * Separate designated rooms are allowed by law if they meet specific technical requirements. * * Subnational jurisdictions with complete smoke-free legislation in all assessed facilities ne reported. Offer help to quit use TREATMENT OF TOBACCO DEPENDENCE National toll-free quit line Nicotine replacement therapy (NRT) sold Bupropion sold Varenicline sold Smoking cessation support available in primary care facilities in some Smoking cessation support available in hospitals in most Smoking cessation support available in offices of health professionals in some Smoking cessation support available in the community... WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 23
France Warn about the dangers of HEALTH WARNINGS ON TOBACCO PACKAGES Cigarettes Smokeless % of the principal display areas (front and back combined) covered by a warning 35 30 % of the principal display area (front) covered by a warning 30 30 % of the principal display area (back) covered by a warning 40 0 Law mandates specific warnings Number of specific warnings approved by law 16 1 Warnings appear on each package and outside packaging Warnings describe the harmful effects of use Law mandates font style, font size and colour Warnings are rotating Warnings are written in the principal language(s) of the country Warnings include a photograph or graphic Warning is placed at the top of the principal display area Warnings do not remove or diminish the liability of the industry Law applies to products whether manufactured domestically, imported, or for duty-free sale Warnings are not obscured in any way, including by required markings such as tax stamps Law requires or establishes fines for violations against the health warnings law Ban on misleading descriptors such as low tar, light or mild Ban on use of figurative or other signs, including colours or numbers Ban on packaging and labelling using descriptors depicting flavours Ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide) Quit line number required to appear on all packaging or labelling The law mandates plain packaging ANTI-TOBACCO MASS MEDIA CAMPAIGNS Did the country have at least one national mass media campaign during 2009 or 2010?* Evidence-based planning Campaign was part of a comprehensive control program Campaign was pre tested Formative research was conducted Implementation Campaign utilized media planning Earned media/public relations were used to promote the campaign Evaluation Process evaluation was employed to assess implementation Outcome evaluation was employed to assess effectiveness * A campaign is a communication activity lasting at least one three-week period during a year, which utilizes mass media (TV, radio, print, outdoor billboards, internet) to inform and educate the public about the harms of use and second-hand smoke exposure, to increase support for control policies or laws, to encourage users to quit, and/or to challenge industry practices. 24 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
Europe Enforce bans on advertising, promotion and sponsorship Raise taxes on BANS ON TOBACCO ADVERTISING, PROMOTION AND SPONSORSHIP DIRECT BANS National TV and radio International TV and radio Local magazines and newspapers International magazines and newspapers Billboards and outdoor advertising Point of sale Internet Compliance score of direct bans... INDIRECT BANS Free distribution Promotional discounts n- goods and services identified with brand names Brand name of non- products used for product Appearance of brands in TV and/or films (product placement) Appearance of products in TV and/or films Sponsored events Compliance score of indirect bans... A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. TOBACCO TAXATION AND PRICE PRICE OF MOST SOLD BRAND, PACK OF 20 CIGARETTES In currency reported by country (ISO code) EUR 5.60 In international dollars (Purchasing Power Parity) PPP 6.15 TAXES ON THIS BRAND (% OF RETAIL PRICE) q Total taxes 80 Specific excise 6 Ad valorem excise 58 Value added tax (VAT) 16 Import duty 0 Other taxes 0 q Individual categories of tax may not add to total due to rounding. National control programme Specific national government objectives in control National agency or technical unit for control Number of full-time equivalent staff... GOVERNMENT EXPENDITURE ON TOBACCO CONTROL, LATEST FULL YEAR In currency reported by country (ISO code) EUR 29 988 306 In US$ at official exchange rate US$ 43 927 646 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 25
Germany WHO FCTC STATUS Date of signature: 24 October 2003 Date of ratification (or legal equivalent): 16 December 2004 GERMANY... Data not reported/not available. Data not required/not applicable. SOCIOECONOMIC CONTEXT Population (thousands) 82 057 Adults 15+ years (thousands) 71 101 Income group High-income Monitor use and prevention policies PREVALENCE OF TOBACCO USE YOUTH PREVALENCE, CURRENT SMOKING (%) Daily among 15 year olds Current among 15 year olds Male 13... Female 16... Total 15... Source: Inequalities in Young People s Health: Health Behaviours in School-Aged Children (HBSC), 2006. ADULT PREVALENCE, SMOKING (%) Daily Current Male 26.4 30.5 Female 17.6 21.2 Total 21.9 25.7 ADULT PREVALENCE, SMOKELESS TOBACCO USE (%)... Male... Female... Total... Source: Ages 15+, Mikrozensus - Fragen zur Gesundheit, 2009. 26 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
Europe Protect people from smoke SMOKE-FREE ENVIRONMENTS SMOKE-FREE LAWS EXIST IN THE FOLLOWING PLACES: Health-care facilities Educational facilities except universities Universities Government facilities Indoor offices and workplaces Restaurants Pubs and bars Public transport All other public places NA Compliance score 8 National law requires fines for Fines levied on the establishment Fines levied on the smoker Funds dedicated for enforcement Complaint system that requires an investigation after a complaint A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. Subnational jurisdictions with complete smoke-free legislation in all assessed facilities NAME OF JURISDICTION Population of jurisdiction % of national population protected Saarland 1 020 000 1 Offer help to quit use TREATMENT OF TOBACCO DEPENDENCE National toll-free quit line Nicotine replacement therapy (NRT) sold Bupropion sold Varenicline sold Smoking cessation support available in primary care facilities Smoking cessation support available in hospitals Smoking cessation support available in offices of health professionals Smoking cessation support available in the community in some in some in some in some WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 27
Germany Warn about the dangers of HEALTH WARNINGS ON TOBACCO PACKAGES Cigarettes Smokeless % of the principal display areas (front and back combined) covered by a warning 35 35 % of the principal display area (front) covered by a warning 30 30 % of the principal display area (back) covered by a warning 40 40 Law mandates specific warnings Number of specific warnings approved by law 16 1 Warnings appear on each package and outside packaging Warnings describe the harmful effects of use Law mandates font style, font size and colour Warnings are rotating Warnings are written in the principal language(s) of the country Warnings include a photograph or graphic Warning is placed at the top of the principal display area Warnings do not remove or diminish the liability of the industry Law applies to products whether manufactured domestically, imported, or for duty-free sale Warnings are not obscured in any way, including by required markings such as tax stamps Law requires or establishes fines for violations against the health warnings law Ban on misleading descriptors such as low tar, light or mild Ban on use of figurative or other signs, including colours or numbers Ban on packaging and labelling using descriptors depicting flavours Ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide) Quit line number required to appear on all packaging or labelling The law mandates plain packaging ANTI-TOBACCO MASS MEDIA CAMPAIGNS Did the country have at least one national mass media campaign during 2009 or 2010?* Evidence-based planning Campaign was part of a comprehensive control program Campaign was pre tested Formative research was conducted Implementation Campaign utilized media planning Earned media/public relations were used to promote the campaign Evaluation Process evaluation was employed to assess implementation Outcome evaluation was employed to assess effectiveness * A campaign is a communication activity lasting at least one three-week period during a year, which utilizes mass media (TV, radio, print, outdoor billboards, internet) to inform and educate the public about the harms of use and second-hand smoke exposure, to increase support for control policies or laws, to encourage users to quit, and/or to challenge industry practices. 28 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
Europe Enforce bans on advertising, promotion and sponsorship Raise taxes on BANS ON TOBACCO ADVERTISING, PROMOTION AND SPONSORSHIP DIRECT BANS National TV and radio International TV and radio Local magazines and newspapers International magazines and newspapers Billboards and outdoor advertising Point of sale Internet Compliance score of direct bans 7 INDIRECT BANS Free distribution Promotional discounts n- goods and services identified with brand names Brand name of non- products used for product Appearance of brands in TV and/or films (product placement) Appearance of products in TV and/or films Sponsored events Compliance score of indirect bans... A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. TOBACCO TAXATION AND PRICE PRICE OF MOST SOLD BRAND, PACK OF 20 CIGARETTES In currency reported by country (ISO code) EUR 4.95 In international dollars (Purchasing Power Parity) PPP 5.74 TAXES ON THIS BRAND (% OF RETAIL PRICE) q Total taxes 74 Specific excise 33 Ad valorem excise 25 Value added tax (VAT) 16 Import duty 0 Other taxes 0 q Individual categories of tax may not add to total due to rounding. National control programme Specific national government objectives in control National agency or technical unit for control Number of full-time equivalent staff 4 GOVERNMENT EXPENDITURE ON TOBACCO CONTROL, LATEST FULL YEAR In currency reported by country (ISO code) EUR 4 500 000 In US$ at official exchange rate US$ 6 591 716 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 29
India WHO FCTC STATUS Date of signature: 10 September 2003 Date of ratification (or legal equivalent): 5 February 2004... Data not reported/not available. INDIA SOCIOECONOMIC CONTEXT Population (thousands) 1 214 464 Adults 15+ years (thousands) 840 305 Income group Middle-Income Monitor use and prevention policies PREVALENCE OF TOBACCO USE YOUTH PREVALENCE, CURRENT SMOKING (%) Current use Current cigarette Male 19.0 5.8 Female 8.3 2.4 Total 14.6 4.4 Source: Ages 13-15, Global Youth Tobacco Survey: National, India, 2009. ADULT PREVALENCE, SMOKING (%) Daily Current Male 18.3 24.3 Female 2.4 2.9 Total 10.7 14.0 ADULT PREVALENCE, SMOKELESS TOBACCO USE (%) Current users of smokeless Male 32.9 Female 18.4 Total 25.9 Source: Ages 15+, Global Adult Tobacco Survey, 2009. 30 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
South-East Asia Protect people from smoke SMOKE-FREE ENVIRONMENTS SMOKE-FREE LAWS EXIST IN THE FOLLOWING PLACES: Health-care facilities Educational facilities except universities Universities Government facilities Indoor offices and workplaces Restaurants Pubs and bars Public transport All other public places NA Compliance score 5 National law requires fines for Fines levied on the establishment Fines levied on the smoker Funds dedicated for enforcement Complaint system that requires an investigation after a complaint A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. Subnational jurisdictions with complete smoke-free legislation in all assessed facilities ne reported. Offer help to quit use TREATMENT OF TOBACCO DEPENDENCE National toll-free quit line Nicotine replacement therapy (NRT) sold Bupropion sold Varenicline sold Smoking cessation support available in primary care facilities Smoking cessation support available in hospitals Smoking cessation support available in offices of health professionals Smoking cessation support available in the community in some in some in some in some WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 31
India Warn about the dangers of HEALTH WARNINGS ON TOBACCO PACKAGES Cigarettes Smokeless % of the principal display areas (front and back combined) covered by a warning 20 20 % of the principal display area (front) covered by a warning 40 40 % of the principal display area (back) covered by a warning 0 0 Law mandates specific warnings Number of specific warnings approved by law 2 1 Warnings appear on each package and outside packaging Warnings describe the harmful effects of use Law mandates font style, font size and colour Warnings are rotating Warnings are written in the principal language(s) of the country Warnings include a photograph or graphic Warning is placed at the top of the principal display area Warnings do not remove or diminish the liability of the industry Law applies to products whether manufactured domestically, imported, or for duty-free sale Warnings are not obscured in any way, including by required markings such as tax stamps Law requires or establishes fines for violations against the health warnings law Ban on misleading descriptors such as low tar, light or mild Ban on use of figurative or other signs, including colours or numbers Ban on packaging and labelling using descriptors depicting flavours Ban on display of quantitative information on emission yields (such as tar, nicotine and carbon monoxide) Quit line number required to appear on all packaging or labelling The law mandates plain packaging ANTI-TOBACCO MASS MEDIA CAMPAIGNS Did the country have at least one national mass media campaign during 2009 or 2010?* Evidence-based planning Campaign was part of a comprehensive control program Campaign was pre tested Formative research was conducted Implementation Campaign utilized media planning Earned media/public relations were used to promote the campaign Evaluation Process evaluation was employed to assess implementation Outcome evaluation was employed to assess effectiveness * A campaign is a communication activity lasting at least one three-week period during a year, which utilizes mass media (TV, radio, print, outdoor billboards, internet) to inform and educate the public about the harms of use and second-hand smoke exposure, to increase support for control policies or laws, to encourage users to quit, and/or to challenge industry practices. 32 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
South-East Asia Enforce bans on advertising, promotion and sponsorship Raise taxes on BANS ON TOBACCO ADVERTISING, PROMOTION AND SPONSORSHIP DIRECT BANS National TV and radio International TV and radio Local magazines and newspapers International magazines and newspapers Billboards and outdoor advertising Point of sale Internet Compliance score of direct bans 6 INDIRECT BANS Free distribution Promotional discounts n- goods and services identified with brand names Brand name of non- products used for product Appearance of brands in TV and/or films (product placement) Appearance of products in TV and/or films Sponsored events Compliance score of indirect bans 6 A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. TOBACCO TAXATION AND PRICE PRICE OF MOST SOLD BRAND, PACK OF 20 CIGARETTES In currency reported by country (ISO code) INR 70.00 In international dollars (Purchasing Power Parity) PPP 3.95 TAXES ON THIS BRAND (% OF RETAIL PRICE) q Total taxes 46 Specific excise 28 Ad valorem excise 0 Value added tax (VAT) 17 Import duty Other taxes 2 q Individual categories of tax may not add to total due to rounding. National control programme Specific national government objectives in control National agency or technical unit for control Number of full-time equivalent staff 70 GOVERNMENT EXPENDITURE ON TOBACCO CONTROL, LATEST FULL YEAR In currency reported by country (ISO code) INR 240 000 000 In US$ at official exchange rate US$ 5 237 239 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 33
Indonesia WHO FCTC STATUS Date of signature: t signed Date of ratification (or legal equivalent): t ratified... Data not reported/not available. Data not required/not applicable. INDONESIA SOCIOECONOMIC CONTEXT Population (thousands) 232 517 Adults 15+ years (thousands) 170 488 Income group Middle-Income Monitor use and prevention policies PREVALENCE OF TOBACCO USE YOUTH PREVALENCE, CURRENT SMOKING (%) Current use Current cigarette Male 41.0 41.0 Female 6.2 3.5 Total 22.5 20.3 Source: Ages 13-15, Global Youth Tobacco Survey: National, Indonesia, 2009. ADULT PREVALENCE, SMOKING (%) Daily Current Male 46.8... Female 3.1... Total 24.2... ADULT PREVALENCE, SMOKELESS TOBACCO USE (%)... Male... Female... Total... Source: Ages 10+, Riset Kesehatan Dasar (Basic Health Research), 2007. 34 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011
South-East Asia Protect people from smoke SMOKE-FREE ENVIRONMENTS SMOKE-FREE LAWS EXIST IN THE FOLLOWING PLACES: Health-care facilities Educational facilities except universities Universities Government facilities Indoor offices and workplaces Restaurants Pubs and bars Public transport All other public places NA Compliance score 1 National law requires fines for Fines levied on the establishment Fines levied on the smoker Funds dedicated for enforcement Complaint system that requires an investigation after a complaint A score of 0 10, where 0 is low compliance. Please refer to Technical te I for more information. Subnational jurisdictions with complete smoke-free legislation in all assessed facilities ne reported. Offer help to quit use TREATMENT OF TOBACCO DEPENDENCE National toll-free quit line Nicotine replacement therapy (NRT) sold Bupropion sold Varenicline sold Smoking cessation support available in primary care facilities Smoking cessation support available in hospitals Smoking cessation support available in offices of health professionals Smoking cessation support available in the community in some in some in some WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC, 2011 35