Heart disease and stroke are the commonest ways by which tobacco kills people FACTSHEET 2018 TIMOR-LESTE 1.3 million Youth population (13–17 years) 0.2 million = 12% Economically productive population (30–69 years) 0.3 million = 26%US$ 2060 Total populationGross national income per capita (lower middle-income country) QUIT TOBACCO USE NOW - FOR A HEALTHIER HEART CVDs are the number one cause of death, causing 1 615 each year (29.2% of all deaths), as well as of premature death Ischemic heart disease Cerebrovascular disease Lower respiratory infection Diarrheal disease Neonatal preterm birth Top 5 causes of overall death 1 2 3 4 5 Tobacco control is essential for preventing and controlling deaths and disability caused by CVDs CVD deaths caused by tobacco use Lower respiratory infection Diarrheal disease Neonatal preterm birth Ischemic heart disease Congenital defects Top 5 causes of premature death (YLL–years of life lost) 1 2 3 4 5 of all CVD deaths each year 393 deaths 24% Noncommunicable diseases Communicable, maternal, neonatal, and nutritional diseases current tobacco users and a substantial number of people exposed to secondhand smoke are at increased risk of CVDs400 000 Tobacco users3 Tobacco smokers4 Smokeless tobacco users5 Current tobacco use among adults (%) (18–69 years) STEPS–2014 Current tobacco use among youth (%) (13–15 years) GYTS–2013 0 20 30 40 50 60 70 80 Tobacco users Tobacco smokers Smokeless tobacco users 0 10 20 30 40 50 60 70 Exposed to secondhand6 smoke at home (%) Adult (18–69 years) STEPS–2014 Youth (13–15 years) GYTS–2013 0 20 40 60 80 100 92.1 66.0 94.6 87.4 69.6 62.1 Total Male Female Tobacco1 kills The most common way tobacco kills is from cardiovascular diseases (CVDs)2 CVDs in younger people are more likely to be caused by tobacco use739 % o f C VD d ea th s ca us ed b y to ba cc o Age in years 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 46% 39% 30% 17% 30–44 45–59 60–69 70+ Distribution of tobacco deaths by cause people each year 13.4% of all deaths Others 6% CMNNDb 14% CRDa 15% Cancers 12% CVD 53% 10 56.1 48.6 69.5 19.8 9.6 16.1 26.8 70.6 28.9 42.4 65.5 23.9 35 61.4 15.4 8.4 7.7 9.3 Most people start early, increasing the risk of heart disease in younger people Mean age at initiation of daily smoking: 16.4 years Preventing and controlling sickness, death and disability from cardiovascular diseases Users advised to quit tobacco smoking by healthcare provider 8 Despite strong evidence that quitting both smoked and smokeless tobacco helps to immediately reduce the risk of CVDs, FEW tobacco users are quitting, requiring more programmatic effort Technical notes and key definitions: 1 Tobacco use includes use of both smoked (cigarette, kreteks, tobacco lulun, cigars or pipes) and smokeless (songe/chewing tobacco, mama malus, betel with songe/chewing tobacco). 2 Cardiovascular diseases include all the diseases of the heart and circulation such as coronary heart disease, angina, heart attacks and stroke (cerebrovascular disease). 3 Current tobacco user is defined as a person reporting use of any smoked or smokeless tobacco product daily or less than daily at the time of survey. 4 Current tobacco smoker is a person who reports smoking any tobacco product on a daily or less-than-daily basis at the time of survey. 5 Smokeless tobacco user is a person who reports the use of any smokeless tobacco product on a daily or less-than-daily basis at the time of survey. 6 A person passively exposed to tobacco smoke from other people using it around him/her. 7 Among current smokers and former smokers who have been abstinent for less than 12 months in the past 12 months. 8 Among those smokers who visited a healthcare provider in the past 12 months. 9 Among ever daily smokers, also known as quit ratio for daily smoking. 10 Among ever daily smokeless users, also known as quit ratio for daily smokeless users. a. CRD – chronic respiratory diseases; b. CMNND – communicable, maternal, neonatal, and nutritional diseases GATS – Global Adult Tobacco Survey; GYTS – Global Youth Tobacco Survey; STEPS – WHO STEPwise approach to noncommunicable disease risk factor surveillance Sources of data: 1. Total population, youth population and population in economically productive age group: United Nations, Department of Economic and Social Affairs, Population Division. World population prospects: the 2017 revision (for the reference date as of 1 July 2017). New York: United Nations; 2017. 2. Gross national income per capita 2016 (by Atlas method) and current country economic classification: World Bank, 2017. (http://data.worldbank.org/data-catalog/world-development-indicators, accessed 7 May 2018) 3. Data on total and proportional deaths from CVD, tobacco use and proportion of total tobacco deaths due to tobacco: WHO noncommunicable diseases risk factors: STEPS Survey Timor-Leste 2013 (https://nada.searo.who.int/index.php/catalog/68/related_materials) accessed 7 May 2018. ccessed 7 May 2018). 4. Adult tobacco use prevalence; secondhand tobacco exposure; mean age at initiation of tobacco use, quitting rates: WHO noncommunicable diseases risk factors: STEPS Survey Timor-Leste 2013 (https://nada.searo.who.int/index.php/catalog/68/related_materials) accessed 7 May 2018. 5. Youth tobacco use prevalence and secondhand exposure among 13–15 year old population: Global Youth Tobacco Survey (GYTS-2013); http://www.searo.who.int/entity/noncommunicable_ diseases/data/tls_ncd_reports accessed at 7 May 2018 Key references: 1. United States Department of Health and Human Services. The health consequences of smoking: 50 years of progress: a report of the Surgeon General. Atlanta, GA: United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. 2. Catlin MC, Deng R, Martinez RS, Sharma R, Grossblatt N. Secondhand smoke exposure and cardiovascular effects: making sense of the evidence. Washington (DC): Institute of Medicine of the National Academies; 2009. 3. Gupta R, Gupta S, Sharma S, Sinha DN, Mehrotra R. Risk of coronary heart disease among smokeless tobacco users: results of systematic review and meta-analysis of global data. Nicotine Tob Res. 2018 [e-pub ahead of print] For more information refer to Website http://www.searo.who.int/nts For technical information, please contact: Dr Manju Rani, Regional Adviser, NCD and Tobacco Surveillance, Email: ranim@who.int; Mr Naveen Agarwal, Surveillance Management Associate, Email: agarwaln@who.int Quit attempt by current smokers 7 23.0% 22.5% People who quit tobacco use Former daily smokers 9 Former daily smokeless users 10 7.4% 29.7% Prevent people from starting tobacco use: Combine tobacco control with the following strategies for effective prevention of CVDs: Quitting immediately reduces the risk of heart attack and/or stroke: Quitting helps even if a person has already had a heart attack and/or stroke, irrespective of his/her age; Train health providers to ask about tobacco use at each encounter with their patients and advise them to quit. Help people to reduce salt in their diet, reduce harmful use of alcohol, and create opportunities for regular physical activity; Provide early screening and effective treatment for raised blood pressure and raised blood sugar levels. Help current tobacco users to quit tobacco for a healthier heart: Tobacco use starts early; Prevent them from starting tobacco use by by fully implementing WHO Framework Convention on Tobacco Control: raising taxes; informing people of tobacco risk through tobacco package warnings and information campaigns; and imposing a comprehensive ban on tobacco advertising and promotion in any form.
Heart disease and stroke are the commonest ways by which tobacco kills people FACTSHEET 2018 TIMOR-LESTE 1.3 million Youth population (13–17 years) 0.2 million = 12% Economically productive population (30–69 years) 0.3 million = 26%US$ 2060 Total populationGross national income per capita (lower middle-income country) QUIT TOBACCO USE NOW - FOR A HEALTHIER HEART CVDs are the number one cause of death, causing 1 615 each year (29.2% of all deaths), as well as of premature death Ischemic heart disease Cerebrovascular disease Lower respiratory infection Diarrheal disease Neonatal preterm birth Top 5 causes of overall death 1 2 3 4 5 Tobacco control is essential for preventing and controlling deaths and disability caused by CVDs CVD deaths caused by tobacco use Lower respiratory infection Diarrheal disease Neonatal preterm birth Ischemic heart disease Congenital defects Top 5 causes of premature death (YLL–years of life lost) 1 2 3 4 5 of all CVD deaths each year 393 deaths 24% Noncommunicable diseases Communicable, maternal, neonatal, and nutritional diseases current tobacco users and a substantial number of people exposed to secondhand smoke are at increased risk of CVDs400 000 Tobacco users3 Tobacco smokers4 Smokeless tobacco users5 Current tobacco use among adults (%) (18–69 years) STEPS–2014 Current tobacco use among youth (%) (13–15 years) GYTS–2013 0 20 30 40 50 60 70 80 Tobacco users Tobacco smokers Smokeless tobacco users 0 10 20 30 40 50 60 70 Exposed to secondhand6 smoke at home (%) Adult (18–69 years) STEPS–2014 Youth (13–15 years) GYTS–2013 0 20 40 60 80 100 92.1 66.0 94.6 87.4 69.6 62.1 Total Male Female Tobacco1 kills The most common way tobacco kills is from cardiovascular diseases (CVDs)2 CVDs in younger people are more likely to be caused by tobacco use739 % o f C VD d ea th s ca us ed b y to ba cc o Age in years 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 46% 39% 30% 17% 30–44 45–59 60–69 70+ Distribution of tobacco deaths by cause people each year 13.4% of all deaths Others 6% CMNNDb 14% CRDa 15% Cancers 12% CVD 53% 10 56.1 48.6 69.5 19.8 9.6 16.1 26.8 70.6 28.9 42.4 65.5 23.9 35 61.4 15.4 8.4 7.7 9.3 Most people start early, increasing the risk of heart disease in younger people Mean age at initiation of daily smoking: 16.4 years Preventing and controlling sickness, death and disability from cardiovascular diseases Users advised to quit tobacco smoking by healthcare provider 8 Despite strong evidence that quitting both smoked and smokeless tobacco helps to immediately reduce the risk of CVDs, FEW tobacco users are quitting, requiring more programmatic effort Technical notes and key definitions: 1 Tobacco use includes use of both smoked (cigarette, kreteks, tobacco lulun, cigars or pipes) and smokeless (songe/chewing tobacco, mama malus, betel with songe/chewing tobacco). 2 Cardiovascular diseases include all the diseases of the heart and circulation such as coronary heart disease, angina, heart attacks and stroke (cerebrovascular disease). 3 Current tobacco user is defined as a person reporting use of any smoked or smokeless tobacco product daily or less than daily at the time of survey. 4 Current tobacco smoker is a person who reports smoking any tobacco product on a daily or less-than-daily basis at the time of survey. 5 Smokeless tobacco user is a person who reports the use of any smokeless tobacco product on a daily or less-than-daily basis at the time of survey. 6 A person passively exposed to tobacco smoke from other people using it around him/her. 7 Among current smokers and former smokers who have been abstinent for less than 12 months in the past 12 months. 8 Among those smokers who visited a healthcare provider in the past 12 months. 9 Among ever daily smokers, also known as quit ratio for daily smoking. 10 Among ever daily smokeless users, also known as quit ratio for daily smokeless users. a. CRD – chronic respiratory diseases; b. CMNND – communicable, maternal, neonatal, and nutritional diseases GATS – Global Adult Tobacco Survey; GYTS – Global Youth Tobacco Survey; STEPS – WHO STEPwise approach to noncommunicable disease risk factor surveillance Sources of data: 1. Total population, youth population and population in economically productive age group: United Nations, Department of Economic and Social Affairs, Population Division. World population prospects: the 2017 revision (for the reference date as of 1 July 2017). New York: United Nations; 2017. 2. Gross national income per capita 2016 (by Atlas method) and current country economic classification: World Bank, 2017. (http://data.worldbank.org/data-catalog/world-development-indicators, accessed 7 May 2018) 3. Data on total and proportional deaths from CVD, tobacco use and proportion of total tobacco deaths due to tobacco: WHO noncommunicable diseases risk factors: STEPS Survey Timor-Leste 2013 (https://nada.searo.who.int/index.php/catalog/68/related_materials) accessed 7 May 2018. ccessed 7 May 2018). 4. Adult tobacco use prevalence; secondhand tobacco exposure; mean age at initiation of tobacco use, quitting rates: WHO noncommunicable diseases risk factors: STEPS Survey Timor-Leste 2013 (https://nada.searo.who.int/index.php/catalog/68/related_materials) accessed 7 May 2018. 5. Youth tobacco use prevalence and secondhand exposure among 13–15 year old population: Global Youth Tobacco Survey (GYTS-2013); http://www.searo.who.int/entity/noncommunicable_ diseases/data/tls_ncd_reports accessed at 7 May 2018 Key references: 1. United States Department of Health and Human Services. The health consequences of smoking: 50 years of progress: a report of the Surgeon General. Atlanta, GA: United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. 2. Catlin MC, Deng R, Martinez RS, Sharma R, Grossblatt N. Secondhand smoke exposure and cardiovascular effects: making sense of the evidence. Washington (DC): Institute of Medicine of the National Academies; 2009. 3. Gupta R, Gupta S, Sharma S, Sinha DN, Mehrotra R. Risk of coronary heart disease among smokeless tobacco users: results of systematic review and meta-analysis of global data. Nicotine Tob Res. 2018 [e-pub ahead of print] For more information refer to Website http://www.searo.who.int/nts For technical information, please contact: Dr Manju Rani, Regional Adviser, NCD and Tobacco Surveillance, Email: ranim@who.int; Mr Naveen Agarwal, Surveillance Management Associate, Email: agarwaln@who.int Quit attempt by current smokers 7 23.0% 22.5% People who quit tobacco use Former daily smokers 9 Former daily smokeless users 10 7.4% 29.7% Prevent people from starting tobacco use: Combine tobacco control with the following strategies for effective prevention of CVDs: Quitting immediately reduces the risk of heart attack and/or stroke: Quitting helps even if a person has already had a heart attack and/or stroke, irrespective of his/her age; Train health providers to ask about tobacco use at each encounter with their patients and advise them to quit. Help people to reduce salt in their diet, reduce harmful use of alcohol, and create opportunities for regular physical activity; Provide early screening and effective treatment for raised blood pressure and raised blood sugar levels. Help current tobacco users to quit tobacco for a healthier heart: Tobacco use starts early; Prevent them from starting tobacco use by fully implementing WHO Framework Convention on Tobacco Control: raising taxes; informing people of tobacco risk through tobacco package warnings and information campaigns; and imposing a comprehensive ban on tobacco advertising and promotion in any form.
Heart disease and stroke are the commonest ways by which tobacco kills people FACTSHEET 2018 TIMOR-LESTE 1.3 million Youth population (13–17 years) 0.2 million = 12% Economically productive population (30–69 years) 0.3 million = 26%US$ 2060 Total populationGross national income per capita (lower middle-income country) QUIT TOBACCO USE NOW - FOR A HEALTHIER HEART CVDs are the number one cause of death, causing 1 615 each year (29.2% of all deaths), as well as of premature death Ischemic heart disease Cerebrovascular disease Lower respiratory infection Diarrheal disease Neonatal preterm birth Top 5 causes of overall death 1 2 3 4 5 Tobacco control is essential for preventing and controlling deaths and disability caused by CVDs CVD deaths caused by tobacco use Lower respiratory infection Diarrheal disease Neonatal preterm birth Ischemic heart disease Congenital defects Top 5 causes of premature death (YLL–years of life lost) 1 2 3 4 5 of all CVD deaths each year 393 deaths 24% Noncommunicable diseases Communicable, maternal, neonatal, and nutritional diseases current tobacco users and a substantial number of people exposed to secondhand smoke are at increased risk of CVDs400 000 Tobacco users3 Tobacco smokers4 Smokeless tobacco users5 Current tobacco use among adults (%) (18–69 years) STEPS–2014 Current tobacco use among youth (%) (13–15 years) GYTS–2013 0 20 30 40 50 60 70 80 Tobacco users Tobacco smokers Smokeless tobacco users 0 10 20 30 40 50 60 70 Exposed to secondhand6 smoke at home (%) Adult (18–69 years) STEPS–2014 Youth (13–15 years) GYTS–2013 0 20 40 60 80 100 92.1 66.0 94.6 87.4 69.6 62.1 Total Male Female Tobacco1 kills The most common way tobacco kills is from cardiovascular diseases (CVDs)2 CVDs in younger people are more likely to be caused by tobacco use739 % o f C VD d ea th s ca us ed b y to ba cc o Age in years 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 46% 39% 30% 17% 30–44 45–59 60–69 70+ Distribution of tobacco deaths by cause people each year 13.4% of all deaths Others 6% CMNNDb 14% CRDa 15% Cancers 12% CVD 53% 10 56.1 48.6 69.5 19.8 9.6 16.1 26.8 70.6 28.9 42.4 65.5 23.9 35 61.4 15.4 8.4 7.7 9.3 Most people start early, increasing the risk of heart disease in younger people Mean age at initiation of daily smoking: 16.4 years Preventing and controlling sickness, death and disability from cardiovascular diseases Users advised to quit tobacco smoking by healthcare provider 8 Despite strong evidence that quitting both smoked and smokeless tobacco helps to immediately reduce the risk of CVDs, FEW tobacco users are quitting, requiring more programmatic effort Technical notes and key definitions: 1 Tobacco use includes use of both smoked (cigarette, kreteks, tobacco lulun, cigars or pipes) and smokeless (songe/chewing tobacco, mama malus, betel with songe/chewing tobacco). 2 Cardiovascular diseases include all the diseases of the heart and circulation such as coronary heart disease, angina, heart attacks and stroke (cerebrovascular disease). 3 Current tobacco user is defined as a person reporting use of any smoked or smokeless tobacco product daily or less than daily at the time of survey. 4 Current tobacco smoker is a person who reports smoking any tobacco product on a daily or less-than-daily basis at the time of survey. 5 Smokeless tobacco user is a person who reports the use of any smokeless tobacco product on a daily or less-than-daily basis at the time of survey. 6 A person passively exposed to tobacco smoke from other people using it around him/her. 7 Among current smokers and former smokers who have been abstinent for less than 12 months in the past 12 months. 8 Among those smokers who visited a healthcare provider in the past 12 months. 9 Among ever daily smokers, also known as quit ratio for daily smoking. 10 Among ever daily smokeless users, also known as quit ratio for daily smokeless users. a. CRD – chronic respiratory diseases; b. CMNND – communicable, maternal, neonatal, and nutritional diseases GATS – Global Adult Tobacco Survey; GYTS – Global Youth Tobacco Survey; STEPS – WHO STEPwise approach to noncommunicable disease risk factor surveillance Sources of data: 1. Total population, youth population and population in economically productive age group: United Nations, Department of Economic and Social Affairs, Population Division. World population prospects: the 2017 revision (for the reference date as of 1 July 2017). New York: United Nations; 2017. 2. Gross national income per capita 2016 (by Atlas method) and current country economic classification: World Bank, 2017. (http://data.worldbank.org/data-catalog/world-development-indicators, accessed 7 May 2018) 3. Data on total and proportional deaths from CVD, tobacco use and proportion of total tobacco deaths due to tobacco: WHO noncommunicable diseases risk factors: STEPS Survey Timor-Leste 2013 (https://nada.searo.who.int/index.php/catalog/68/related_materials) accessed 7 May 2018. ccessed 7 May 2018). 4. Adult tobacco use prevalence; secondhand tobacco exposure; mean age at initiation of tobacco use, quitting rates: WHO noncommunicable diseases risk factors: STEPS Survey Timor-Leste 2013 (https://nada.searo.who.int/index.php/catalog/68/related_materials) accessed 7 May 2018. 5. Youth tobacco use prevalence and secondhand exposure among 13–15 year old population: Global Youth Tobacco Survey (GYTS-2013); http://www.searo.who.int/entity/noncommunicable_ diseases/data/tls_ncd_reports accessed at 7 May 2018 Key references: 1. United States Department of Health and Human Services. The health consequences of smoking: 50 years of progress: a report of the Surgeon General. Atlanta, GA: United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. 2. Catlin MC, Deng R, Martinez RS, Sharma R, Grossblatt N. Secondhand smoke exposure and cardiovascular effects: making sense of the evidence. Washington (DC): Institute of Medicine of the National Academies; 2009. 3. Gupta R, Gupta S, Sharma S, Sinha DN, Mehrotra R. Risk of coronary heart disease among smokeless tobacco users: results of systematic review and meta-analysis of global data. Nicotine Tob Res. 2018 [e-pub ahead of print] For more information refer to Website http://www.searo.who.int/nts For technical information, please contact: Dr Manju Rani, Regional Adviser, NCD and Tobacco Surveillance, Email: ranim@who.int; Mr Naveen Agarwal, Surveillance Management Associate, Email: agarwaln@who.int Quit attempt by current smokers 7 23.0% 22.5% People who quit tobacco use Former daily smokers 9 Former daily smokeless users 10 7.4% 29.7% Prevent people from starting tobacco use: Combine tobacco control with the following strategies for effective prevention of CVDs: Quitting immediately reduces the risk of heart attack and/or stroke: Quitting helps even if a person has already had a heart attack and/or stroke, irrespective of his/her age; Train health providers to ask about tobacco use at each encounter with their patients and advise them to quit. Help people to reduce salt in their diet, reduce harmful use of alcohol, and create opportunities for regular physical activity; Provide early screening and effective treatment for raised blood pressure and raised blood sugar levels. Help current tobacco users to quit tobacco for a healthier heart: Tobacco use starts early; Prevent them from starting tobacco use by fully implementing WHO Framework Convention on Tobacco Control: raising taxes; informing people of tobacco risk through tobacco package warnings and information campaigns; and imposing a comprehensive ban on tobacco advertising and promotion in any form.