The World Heart Federation has come down strongly on both active and passive smokers. A report released by the Federation reveals significant gaps in public awareness
regarding the cardiovascular risks of tobacco use and secondhand smoke.
The report, entitled “
Cardiovascular harms from tobacco use and secondhand smoke”,
was commissioned by the World Heart Federation and written by the
International Tobacco Control Project (ITC Project), in collaboration
with the Tobacco Free Initiative at the World Health Organization.
Professor Geoffrey T. Fong at the University of
Waterloo, Canada, and Chief Principal Investigator of the ITC Project,
commented, “This report shows a broad correlation between poor knowledge
of the risks of tobacco use and high levels of smoking prevalence. To
break this link and reduce the deadly toll of tobacco, more needs to be
done to increase awareness of the specific health harms. Our research
shows that the risks of tobacco use to lung health are very widely
accepted. But we need to attain the same level of knowledge and
awareness that tobacco use and secondhand smoke can cause heart disease,
stroke, and peripheral vascular disease. Health warning labels are
known to be an effective method for educating the public on the health
harms of tobacco products. A number of countries have introduced
warnings about the increased risk of heart disease or heart attack, but
no country has yet implemented a label to warn people that secondhand
smoke causes heart disease. Increasing knowledge of these specific
health risks will help encourage smokers to quit and help non-smokers
protect themselves, so raising awareness is an important step in
reducing people’s exposure to tobacco smoke.”
Cardiovascular
disease (CVD) is the world’s leading cause of death, killing 17.3
million people every year. Eighty per cent of these deaths occur in low-
and middle-income countries, which are increasingly being targeted by
the tobacco industry. Tobacco use and secondhand smoke exposure causes
about one-tenth of global deaths from CVD. Even smoking a few cigarettes
a day significantly increases the risk of heart disease. Smokeless
tobacco products have also been linked to an increased risk of heart
disease and stroke. Secondhand smoke exposure increases the risk of
heart disease by 25–30 per cent and more than 87 per cent of worldwide
adult deaths caused by secondhand smoke are attributable to CVD.
Johanna
Ralston, CEO of World Heart Federation, commented: “If people don’t
know about the cardiovascular effects of tobacco use and secondhand
smoke exposure, they cannot understand how much or how quickly smokers
are endangering not only their own lives, but those of family members,
friends, co-workers or other non-smokers who breathe tobacco smoke. In
countries like India or China, so many people are at high risk for heart
attack or stroke, and it strikes at a relatively early age: risks of
CVD are far more present and immediate than most of the better-known
fatal effects of tobacco use and secondhand smoke exposure. Knowing
about cardiovascular risks of tobacco will help smokers take quitting
seriously, and encourage people to demand and comply with policies that
protect everyone from the harms of tobacco. The World Heart Federation
calls on governments around the world to a make these policies an
immediate priority, as they committed to do last year through the
Political Declaration of the United Nations’ High-level Meeting on the
Prevention and Control of Non-communicable Diseases.”
Dr.
Douglas Bettcher, Director of the World Health Organization’s Tobacco
Free Initiative, noted that, “This report provides conclusive proof that
the level of information people have about the cardiovascular harms of
tobacco use and secondhand smoke is still insufficient and therefore
mass media campaigns and warnings are urgently needed to make people
aware of these lethal harms. In fact, to avoid the enormous toll of
needless deaths caused by tobacco use, a special UN high level meeting
on non-communicable diseases recently called upon Parties of the WHO
Framework Convention on Tobacco Control (WHO FCTC) to accelerate
implementation of this Convention, recognizing the full range of
measures, including measures to reduce tobacco consumption and
availability. I hope that this report will boost the sense of urgency
that world leaders and the public health community are trying to instill
into the implementation of the WHO FCTC. This will mean the difference
between death and life for almost six million people each year.”
The
report, which presents data from two major global tobacco research and
surveillance studies - the Global Tobacco Surveillance System (GTSS) and
the ITC Project - recommends three steps to reduce the current and
future cases of CVD due to tobacco use - which may total over 100
million people - among the one billion people throughout the world who
smoke today, and of their families exposed to secondhand smoke:
1. Support tobacco control policies outlined in the Framework Convention on Tobacco Control (FCTC), including those that:
a. Increase the price of tobacco products
b. Eliminate tobacco promotion and marketing
c.
Implement 100 per cent smokefree laws in workplaces and public places –
which is proven to significantly lower hospital admissions for heart
attacks
d. Make the necessary step-change in public awareness
through committing to population-level strategies, such as large graphic
warnings on tobacco product packaging and mass media public education
campaigns – including warnings and messages about the risk of smoking
and secondhand smoke to cardiovascular health
e. Introduce plain packaging to discourage youth from starting smoking
2. Increase training in cessation advice and support among health professionals
3. Implement programmes and protocols to ensure cessation advice, support and aids are provided systematically.