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Cancer &

Tobacco Control

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Tobacco Control

GENERAL OBJECTIVE

To reduce the morbidity and mortality due to tobacco related

diseases.

SPECIFIC OBJECTIVES

1. To reduce the prevalence of smoking.2. To reduce the number of young people starting smoking.

3. To increase the number of peoples quitting smoking.

4. To minimize exposure to environmental tobacco smoke in

public places.

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Tobacco Control

STRATEGIES

1. Intensify public advocacy

2. Public health education.

3. School health education

4. Strengthen legislative control.

5. Intensify and expand tobacco cessation services

6. Intersectoral collaboration

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Control of Tobacco ProductsRegulations 1993

Tobacco promotion Sales to minors

Tar & nicotine levels

LabelingNo smoking areas

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Smoking Cessation Programme

QuitC

linics Primary Health Care Centres

Private practitioners

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Health Promotion

World No Tobacco DayHealthy Lifestyle Campaign

others

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Anti-Tobacco Youth Programme

School-based modules (CE

RA

H)NGO based modules

Adolescence Health Programme

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Others

FC

TC

Collaborative Research

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Smoking Statistics - 1986

Current smokers : 21.5%

PrevalenceMale : 40.9%Female : 4.1%Urban : 19.2%Rural : 22.7%

Malay : 23.7%Chinese : 17.7%Indian : 15.2%Others : 32.8%

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Smoking Statistics - 1986

Prevalence by age group

15 - 24 years 11.5%

25 - 34 22.3%35 - 44 24.7%

45 - 54 29.7%

55 - 64 32.0%

65 & > 26.7%

Note : NHMS1 - Peninsular Malaysia, 15 years & above

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Smoking Statistics - 1996

Current smokers : 24.8% (24.5%)

Prevalence

Male : 49.2%Female : 3.5%Urban : 21.7%Rural : 28.6%Malay : 27.9%Chinese : 19.2%Indian : 16.2%Others : 32.4%

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Smoking Statistics - 1996

Prevalence by age group18 - 24 years 33.6%

25 - 34 25.5%35 - 44 23.5%45 - 54 26.9%55 - 64 27.6%

65 & > 26.3%

Note : NHMS2 - Peninsular Malaysia, Sabah & Sarawak18 years & above

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Smoking Statistics 2000 (KL & Selangor) Prevalence

Overall current smokers: 30.9%

Malay 33.4%

Chinese 27.4%

Indian 30.3%15 17 yrs 14.7%

18 19 yrs 18.9%

20 24 yrs 44%

25 29 yrs 33.4%30 39 yrs 33.7%

40 59 yrs 28.9%

> 60 yrs 41.7%

Note : MOH survey done in KL & Selangor only

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Youth smoking statistics

People age 18 years and 15 years) 14.5m (66%) 22.8m (76%)

Prev. adult smokers :

Male smokers 49% 30%

Female smokers 4% 10%Overall adult prev. 25% 20%

Number of adult smokers 3.6 m 4.6 m

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Youth Smoking Prevention

Health Promotion : HLSC, WNTD, Religion

CERAH

Fresh Breath Club

Quit services

Adolescent Health Programme

GYTS, monitor trends, other researches

Legislation