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Tobacco

    Overview

    Tobacco use is one of the world's leading preventable causes of death and is a major preventable risk factor of noncommunicable diseases like cancer, lung and heart diseases. The most common type of tobacco product used is manufactured cigarettes, but tobacco is also used in many other forms. Tobacco kills up to half of its users, and more than 7 million people each year lose their lives as a result of direct tobacco use and exposure to second-hand smoke. 

    Impact

    Health impact 

    The Western Pacific Region is home to 370 million adult smokers (aged 15+ years) and almost half of adult men are current tobacco smokers. Tobacco kills more than 3 million people in the Region each year, including over 550 000 non-smokers who are exposed to second-hand smoke. Tobacco is a major driver of noncommunicable diseases (NCDs), causing or exacerbating cardiovascular disease, cancer, chronic respiratory disease, diabetes and other NCDs.  

    Socio-economic impact 

    Tobacco use has direct and indirect impacts on the economy. Globally, the total economic cost of smoking from direct healthcare costs and productivity loss (from mortality and morbidity cause by smoking-attributable diseases) are estimated to be around US$ 1.4 trillion per year, equivalent to 1.8% of the world’s gross domestic product (GDP). Most deaths related to tobacco occur among working-age individuals, and these deaths are largely preventable with effective tobacco control and cessation services in place.  

    Environmental impact   

    Tobacco harms the environment throughout its lifecycle, from cultivation, production, distribution, consumption and post-consumer waste. It destroys our forests, wastes our safe drinking water, and pollutes our air. The harmful impacts continue to grow adding unnecessary pressure to our planet’s already scarce resources and fragile ecosystems. In the Western Pacific Region an estimated 1.2 million tonnes of plastic from tobacco product waste is discarded annually.  

    WHO response

    WHO supports countries and areas to strengthen tobacco control by:  

    • Developing and implementing comprehensive tobacco control policies and measures 
    • Addressing emerging challenges, including new and emerging tobacco and nicotine products including electronic nicotine and non-nicotine delivery systems 
    • Preventing and countering tobacco industry interference 
    • Strengthening multisectoral surveillance and evidence-based research to support tobacco control 
    • Engaging with tobacco control partners beyond the health sector  

    The current Regional Action Plan for Tobacco Control in the Western Pacific (2020-2030) provides a focused strategy towards full implementation of the WHO Framework Convention on Tobacco Control, and provides guidance to successfully face new challenges threatening effective tobacco control.  

    Technical assistance to Member States is also provided through five WHO Collaborating Centres that support tobacco control work in the Region. 

    Our work

    Latest publications

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    WHO report on the global tobacco epidemic, 2025: warning about the dangers of tobacco

    The tenth WHO report on the global tobacco epidemic tracks the progress made by countries in tobacco control since 2008. The MPOWER technical package was...

    Two decades of action: strategies to advance tobacco control in the Western Pacific

    Over the past 20 years, the WHO Western Pacific Region has made significant progress in tobacco control, guided by the WHO Framework Convention on Tobacco...

    WHO clinical treatment guideline for tobacco cessation in adults

    Supporting tobacco users to quit is core demand-reduction measure of the WHO Framework Convention on Tobacco Control (WHO FCTC) and a key component of...

    Hooking the next generation: how the tobacco industry captures young customers

    Young people across the world are urging governments to shield them from predatory tobacco marketing tactics. The industry targets youth for a lifetime...

    Electronic cigarettes (‎E-cigarettes)‎

    E-cigarettes are the most common type of electronic nicotine delivery systems (ENDS) and electronic non-nicotine delivery systems (ENNDS). They heat a...

    Restricting digital marketing in the context of tobacco, alcohol, food and beverages, and breast-milk substitutes: existing approaches and policy options

    WHO has long recommended marketing restrictions in the contexts of tobacco and nicotine products, alcoholic beverages, foods and beverages with respect...

    WHO global report on trends in prevalence of tobacco use 2000–2030

    Progress in reducing tobacco use is a key indicator for measuring countries’ efforts to implement the WHO Framework Convention on Tobacco Control...

    Tobacco and chronic obstructive pulmonary disease (‎COPD)

    This document is the eighth in a series of Tobacco Knowledge Summaries. This document is prepared with the objective to summarize the current evidence...

    Tobacco and diabetes
    10 November 2023

    Tobacco and diabetes

    This document is the seventh in a series of Tobacco Knowledge Summaries. This document is prepared with the objective to summarize the current evidence...

    Regional action plan for tobacco control in the Western Pacific (‎2020-2030)‎ : working towards a healthy, tobacco-free Region

    Tobacco kills more than 3 million people a year in the Western Pacific Region. Tobacco's toll on the health of the population in the Region translates...

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