High rates of tobacco use impose a large health and economic burden in Pakistan. Since 2007, CDC has worked with GoP to establish a viral hepatitis surveillance system based in the four provinces and capital of Pakistan, which became operational in 2009. A national database was established to track both influenza and hepatitis activity. The initiative also works to establish a global network of partners with expertise in birth defect prevention and surveillance activities and to strengthen regional and in-country birth defect surveillance to support neural tube defect prevention efforts. Buying tobacco robs families of the resources they may need to rise out of poverty. In 2000, the United Kingdom had a smoking rate of 38% that has since dropped to 19.15%. In 2016 alone, tobacco use caused over 7.1 million deaths worldwide (5.1 million in men, 2.0 million in women). CDC is supporting expansion of the surveillance system and management of the hepatitis surveillance sites. Introduction. The most common, nearly half of all, are cancers of the lung and oral cavity in men, and of the breast and cervix in women. smoking levels. More girls smoke in Pakistan than on average in medium-HDI countries. Tobacco is the leading cause for NCDs; mortality due to NCDs accounts to about 63%, and 80% of the deaths due to NCDs occur in LMICs 50 and 50% of these deaths occur in the active age group of 30 to 69 years. Even though fewer women smoke in Pakistan than on average in medium-HDI countries, there are still more than 1201100 women who smoke cigarettes each day, making it an ongoing and dire public health threat. While the US had a lower COVID-19 mortality rate than high-mortality countries during the early spring, after May 10, all 6 high-mortality countries had fewer deaths per 100 000 than the US. Mortality and global health estimates Neonatal mortality rate (per 1000 live births) (2015) 45.5 [33.4-60.1] Under-five mortality rate (probability of dying by age 5 per 1000 live births) (2015) 81.1 [64.7-102.2] Maternal mortality ratio (per 100 000 live births) (2015) 178 [ 111 - 283] Due to improvement in these districts, N-STOP activities will expand to 50 districts. These countries bear almost 40% of the global economic cost of smoking from health expenditures (we developing countries are paying 40% cost of smoking!!! The points above 0 on the chart indicate positive declines in the all-cause mortality rate, while points below 0 indicate an increase in mortality rate between 1990 and 2010. For instance, between May 10 and September 19, 2020, Italy’s death rate was 9.1/100 000 while the US’s rate … The leading risk factor in Pakistan is household air pollution from solid fuels. Use of smokeless tobacco is integral to the culture of South Asia. 2 About 150-250 children went to hospitals in Sindh in one day and one-fifth of them suffered from malnutrition. The 2017-18 PDHS represents the population of Pakistan, including Azad Jammu and Kashmir (AJK) and the former Federally Administrated Tribal Areas (FATA), which were not included in the 2012-13 PDHS. 1 U.S. Assignee (with WHO) Smokeless tobacco users in India and Pakistan together have been estimated to number 100 million . In the scatterplot here we see the comparison of smoking death rates in 1990 (shown on the y-axis) versus the death rate … Tobacco use and hypertension are the leading attributable risk factors for deaths due to cardiovascular diseases, cancers, and respiratory diseases. Source: Population Reference Bureau World Population Data Sheet, 2011. With 4-5% of the population infected, the country has one of the highest rates of hepatitis C virus infection in the world. People living with mental illness are nearly twice as likely to smoke as other individuals. If calculated on per day basis, 177 million cigarettes per day were consumed in FY-14. Ill-health and rates of premature death in Australia show a clear gradient across socio-economic status (SES) groups. Tobacco-related diseases. Survey data is used for tobacco control policies, which ultimately can impact other health outcomes. Leading causes of death in Pakistan include ischemic heart disease and the more common lower respiratory infections. Manchester had the highest rate with 482 per 100,000 population, followed by Kingston upon Hull (475), and Blackpool (450). The points above 0 on the chart indicate positive declines in the all-cause mortality rate, while points below 0 indicate an increase in mortality rate between 1990 and 2010. CDC’s extensive global health presence and experience are critical to achieving these targets. Globally, death rates from smoking have fallen from 146 per 100,000 people in 1990 to 90 per 100,000 in 2017. CDC supports the Government of Pakistan’s (GoP) polio eradication efforts via an assignee to the WHO Eastern Mediterranean Regional Office who focuses on Pakistan. One of the most effective ways to reduce tobacco use in Pakistan is to raise the price of tobacco products through excise tax increases. For every person who dies because of smoking, at least 30 people live with a serious smoking-related illness. Maternal deaths prevail due to preventable causes such as sepsis and haemorrhage, combined with high neonatal mortality rates. Though a preventable disease, the mortality rate is very high because it is an ignored ailment in Pakistan in terms of screening, prevention and vaccination. Due to these investments, the NIH has a state of the art, WHO-accredited influenza diagnostic laboratory that contributes influenza virus isolates to the Global Influenza Surveillance Network for influenza vaccine strain selection. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Even though fewer people use smokeless tobacco on average in Pakistan than on average in medium-HDI countries, 9659700 people still currently use smokeless tobacco, indicating an ongoing public health challenge, including heightened levels of oral cancers. The number of confirmed WPV cases increased to 198 in 2011. The leading risk factor in Pakistan is household air pollution from solid fuels. Pakistan ranks 154th among 195 countries in terms of quality and accessibility of healthcare, according to a Lancet study. Number of deaths: 2,839,205; Life expectancy: 78.7 years; Infant Mortality rate: 5.66 deaths per 1,000 live births; Source: Mortality in the United States, 2018, data tables for figures 1, 2, and 4 Number of deaths for leading causes of death: ALL-CAUSE MORTALITY RATE This chart shows the change in mortality rate at every age range. CDC, joined by USAID, Department of State’s Bio-Security Engagement Program, and the Office of Global Health Affairs in the Department of Health and Human Services, supports this program. All public places completely smoke-free is the best practice, National quit line and both NRT and cessation-services cost-covered is the best practice, A plain, standardized pack with a large health warning is the best practice, Ban on all forms of direct and indirect advertising is the best practice. In Pakistan, one in 89 women die because of pregnancy and childbirth-related complications, and Pakistan’s Maternal Mortality Rate (MMR) is 299 per 100,000 live births. Thirty-three public health physicians (including two from Afghanistan) have completed this two-year competency-based program, building a self-sustaining workforce in Pakistan. Pakistan ranks sixth globally among the 22 high-TB burden countries and contributes an estimated 43 percent of the disease towards the Eastern Mediterranean region. Share Share figure Incidence and mortality rates for the most common cancers among males in Southern, Eastern, and South-Eastern Asia, 2018 age-standardized death rate per 100,000 Mouth and oropharynx Trachea, bronchus, lung Lymphomas, multiple myeloma Leukaemia Liver Mouth and Females oropharynx 12.3% Trachea, bronchus, lung 10.5% Lymphomas, multiple myeloma 8.4% Leukaemia 5.5% Liver 5.5% Other 57.8% Males 48,600 Deaths 52,500 Deaths 0 10 15 30 2000 2002 2004 2006 2008 2010 2012 Every year, more than 160100 of its people are killed by tobacco-caused disease. In 2013, Sindh’s overall maternal mortality rate was 276 deaths per 100,000 live births. In 2019, death rate for Pakistan was 6.9 per 1,000 people. Nearly 40 million U.S. adults still smoke cigarettes, and about 4.7 million middle and high school students use at least one tobacco product, including e-cigarettes. Pakistan as a developing country is struggling in many domains due to which the health system has suffered a lot. The economic cost of smoking in Pakistan amounts to 143208 million rupee. More than 70% of cancer patients report with very advanced stage of malignancy and this is the cause of the high rate of mortality in Pakistan. Annually around 430,000 people including 15,000 children contract tuberculosis in Pakistan, and every year no less than 70,000 deaths can be attributed to the disease in the country. In addition, CDC plans to intensively train 18 FELTP residents to support immunization and polio eradication activities. Pakistan with a population of 160 million is the 7th most populous country in the world. CDC’s Global Initiative to Eliminate Folic Acid-Preventable Neural Tube Defects by 2020, in conjunction with partners, provides technical assistance to establish folic acid fortification policies. The CDC-Pakistan FELTP, located in the Pakistan NIH, has worked closely with the GoP since 2006. Complacency in the face of the tobacco epidemic insulates the tobacco industry in Pakistan and ensures that tobacco's death toll will grow every year. The top five countries with the highest mortality rate due to air pollution were all in Asia: China, India, Pakistan, Indonesia and Bangladesh. The burden of non-communicable diseases and injuries is very high in Pakistan and is projected to increase. This work helps meet the U.S. commitment to assist at least 31 countries in reaching the targets outlined in the Global Health Security Agenda. Globally 12% of all deaths among adults aged 30 years and over in that category were attributable to tobacco compared with 16% in India, 17% in Pakistan and 31% in Bangladesh. Currently, with 18 residents enrolled, the program will implement a polio/ immunization track to provide assistance in 50 districts throughout Pakistan. The combined revenues of the world's 6 largest tobacco companies in 2016 was more than USD 346 Billion, 17% larger than the Gross National Income of Pakistan. This assignee works with the GoP to implement an ambitious national action plan with attention on strengthening the planning, implementation, and monitoring of supplementary immunization activities in high risk districts and populations (e.g., mobile populations). CDC support has also led to strengthening of national pandemic response plans and training of outbreak response teams to rapidly investigate emerging public health threats. According to the Pakistan Demographic Health Survey, 46 per cent men and 5.7 per cent women smoke tobacco. Most deaths due to smoking were caused by COPD, ischaemic heart disease, lung cancer, stroke, pneumonia and oropharyngeal cancer. Still, more than 125000 children (10-14 years old) and 14122000 adults (15+ years old) continue to use tobacco each day. Analysis of surveillance data revealed ongoing transmission of all forms of viral hepatitis (A, B, C, E) and associated risk factors. The mortality rate … A substantial portion of the excess mortality among current smokers between 2000 and 2011 was due to associations with diseases that have not been formally established as caused by smoking. • Pakistan needs to implement policy, legislation, and programmes and promote healthy diet and physical activity to achieve a 20% reduction in premature mortality rate from cardiovascular diseases, cancers, and respiratory diseases by 2025. Cigarette imports exceeded cigarette exports in Pakistan in 2016, which hurt the country's trade balance. A smoker in Pakistan would have to spend 5.12% of their average income (measured by per capita GDP) to purchase 10 of the most popular cigarettes to smoke daily each year! However, people continue to die and become sick needlessly, and the costs to society from tobacco use continue to mount. He further said that over 80% of these deaths due to tobacco use occur in low- or middle-income countries. Chart and table of the Pakistan death rate from 1950 to 2020. Life expectancy at birth women/men: 66/64 yrs This page contains the case fatality rate, as well as death rates per 100,000 population by country from the pandemic of coronavirus disease 2019 (COVID-19) as reported by Johns Hopkins Coronavirus Resource Center.. As of 30 November 2020, Yemen has the highest case fatality rate at 28.3%, while Singapore has the lowest at 0.05%. ALL-CAUSE MORTALITY RATE This chart shows the change in mortality rate at every age range. The life expectancy for males is 66.5 years while female life expectancy is 67.2 years. More than 16 million Americans are living with a disease caused by smoking. Also in 2011, Pakistan began implementing a national action plan In response to the WHO declaring a global polio emergency. 3.31 Morbidity and mortality due to tobacco-caused disease and socio-economic disadvantage. The majority of these deaths are caused by postpartum hemorrhaging. CDC is working with Pakistan to improve their ability to prevent, detect and respond to infectious disease threats. Deaths estimated to be attributable to smoking by Local Authority - rate per 100,000 population 3, 2015 - 2017. To appeal to more customers, the tobacco industry markets its products aggressively to women and children. This report provides information by country on the proportion of adult (age 30 years and above) deaths attributable to tobacco by major communicable and non-communicable causes by age and sex. There were 129878 metric tons of tobacco produced in Pakistan in 2014. TOBACCO INDUCED RESPIRATORY DISEASES INTRODUCTION: Pakistan is high burden in respiratory diseases due to tobacco use. Pakistan Tobacco Company 43% ... SMOKING-RELATED DISEASE IMPACT Mortality from Cancer, Respiratory and Circulatory Disease, 2000 Numbers of deaths/World age-standardized mortality rate per 100,000 population Male Female Disease Number Rate Number Rate Ages Trachea, lung, and Smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis. 3. CDC enhances Pakistan’s capacity to design, implement, and evaluate comprehensive tobacco control policy interventions through the Global Tobacco Surveillance System (GTSS). The lowest rates were in Harrow (149), Wokingham (166), and Rutland (181). Dr Zia said: “The mortality rate in the federal capital was 1.2pc during the peak season but last week’s rate stood at 1.04pc. They also generally have more knowledge of healthy choices and behaviours. But where in the world are death rates falling or rising? 2. Even though fewer men smoke on average in Pakistan than on average in medium-HDI countries, there are still more than 12921300 men who smoke cigarettes each day, making it an ongoing and dire public health threat. Crude death rate indicates the number of deaths occurring during the year, per 1,000 population estimated at midyear. Tobacco control advocates must reach out to other communities and resources to strengthen their efforts and create change. Tobacco use and hypertension are the leading attributable risk factors for deaths due to cardiovascular diseases, cancers, and respiratory diseases. It finds that maternal mortality accounts for 28 percent of the global total. Disability due to blindness or other causes is also high, and services for disabled population are limited, including provision of assist devices to improve their quality of life. Islamabad - Pakistan is amongst the developing countries with a very high tobacco prevalence and high mortality rate, where above 100000 people die due to tobacco … Based on these findings, USAID is supporting CDC to engage with the Sindh province to implement and evaluate hepatitis prevention and control measures. This has contributed to the high mortality rate in the country. Key demographic indicators for Pakistan: Under-Five Mortality Rate, Population. The CDC-Pakistan FELTP, located in the Pakistan NIH, has worked closely with the GoP since 2006. Tobacco harms the health, the treasury, and the spirit of Pakistan. Centers for Disease Control and Prevention. According to data Pakistan is major consumer of tobacco with 41% of males and 5.7% of females consuming tobacco. CDC twenty four seven. The 2017-18 Pakistan Demographic and Health Survey (2017-18 PDHS) was implemented by the National Institute of Population Studies (NIPS) under the aegis of the Ministry of National Health Services, Regulations and Coordination, Islamabad, Pakistan. CDC also has strong partnerships with Aga Khan University to foster research in the areas of vaccinations and neonatal infections. As a result of that, Pakistan is ranked 122nd out of 190 countries in a World Health Organization performance report. 2 Research has shown that, in 2002, about 17% of deaths were due to smoking (20% in males and 12% in females). FELTP established the original hepatitis surveillance sites in Pakistan. 1 The major causes of excess mortality among smokers are diseases that are related to smoking, including cancer and respiratory and vascular disease. When it comes to infant mortality rate, Pakistan is ranked highest. Birth rate > Crude > Per 1,000 people: Crude birth rate indicates the number of live births occurring during the year, per 1,000 population estimated at midyear.Subtracting the crude death rate from the crude birth rate provides the rate of natural increase, which is equal to the population growth rate in the absence of migration. Twenty percent of the deaths of women of childbearing age are caused by maternal complications. ICF provided technical assistance through The DHS Program, a project 1 Locally Employed, Population: 176,940,000 Pakistan can still do more to make the proven tobacco control tools work for its citizens’ wellbeing. The mortality rate of under-five-year olds also decreased to 7.5 percent in 2019. CDC enhances Pakistan’s capacity to design, implement, and evaluate comprehensive tobacco control policy interventions through the Global Tobacco Surveillance System (GTSS). 3.31 Morbidity and mortality due to tobacco-caused disease and socio-economic disadvantage; 3.32 Health effects of smoking other substances; 3.33 Health effects of chewing tobacco, and of other smokeless tobacco products; 3.34 Public perceptions of tobacco as a drug, and knowledge and beliefs about the health consequences of smoking The majority of these deaths are caused by postpartum hemorrhaging. Air pollution will shorten the life expectancy of children born today by an average of 20 months and will have the greatest impact in South Asia, according to a … Tobacco use is the leading cause of preventable disease, disability, and death in the United States. There were 69.43 billion cigarettes produced in Pakistan in 2016. The Pakistan Bureau of Statistics (PBS) supported the sample design of the survey and worked in close coordination with NIPS. It is estimated that 21432 tonnes of butts and packs wind up as toxic trash in Pakistan each year. Despite abundance of food, child malnutrition is rife in Pakistan. 4. It has been a major health problem for many decades. The health and demographic situation in Pakistan is characterized by a high birth rate (29 per 1000) a comparatively low death rate (8 per 1000) and a consequent rapid population growth rate of 1.9 %. Over the last 50 years, death rate of Pakistan was declining at a moderating rate to shrink from 15.3 per 1,000 people in 1970 to 6.9 per 1,000 people in 2019. Cigarette butts are the most commonly discarded pieces of waste worldwide. The industry is a powerful force that does not fear the actions of nation-states because of their extensive resources and global market power. 1. Western European countries and the Americas tend to have lower smoking rates. The Tobacco Atlas — a partnership between the American Cancer Society, Inc. and Vital Strategies — is a free online resource and companion book that map the nature and magnitude of the tobacco epidemic and chart a course toward clear, proven solutions. Tobacco use increases the risk of death from many diseases, including ischemic heart disease, cancer, stroke, and respiratory diseases. In India about 35–40% of tobacco consumption is in smokeless forms while an earlier study in Pakistan showed that 21% of men and 12% of women were users of betel quid . Four in 10 children under 5 years of age are stunted in the country, according to a government survey. FELTP has served as a key technical arm during several public health events, including the Human Avian Influenza outbreak in 2007, an HIV outbreak in 2008, the flood response in 2010, and the dengue outbreak in 2011. Non-communicable diseases, including cardiovascular diseases, cancers, respiratory diseases, diabetes, and mental disorders, and injuries have become the major causes of morbidity and mortality in Pakistan. Non-communicable diseases, including cardiovascular diseases, cancers, respiratory diseases, diabetes, and mental disorders, and injuries have become the major causes of morbidity and mortality in Pakistan. According Pakistani media in year 2019, 820 children died from hunger in Thar area of southern Sindh province. Like other forms of tobacco, smokeless tobacco also contains radioactive substances. Saving Lives, Protecting People, Source: Population Reference Bureau World Population Data Sheet, 2011, Field Epidemiology and Laboratory Training Program (FELTP), U.S. Department of State International Travel Information: Pakistan, Health Information for Travelers to Pakistan, CDC’s Global Health Programs: Global HIV/AIDS, President’s Emergency Plan for AIDS Relief (PEPFAR, CDC Situation Awareness – CDC Polio Response, Updates on CDC’s Polio Eradication Efforts, CDC’s Global Vaccines and Immunization Activities, Pakistan: Phenomenal Local Efforts To Eradicate Polio, Pakistan Uses FELTP as the Frontline of Defense Against COVID-19, Partnership between the Pakistan FELTP and the Pakistan Armed Forces to Improve Skills in Applied Epidemiology and Outbreak Response in Pakistan, CDC and the Global Health Security Agenda, Malaria and Parasitic Disease Control in the United States, U.S. Department of Health & Human Services, Expanded surveillance of viral hepatitis in 2010 provided data that led to engagement in a prevention and control campaign for Sindh province, An outbreak investigation of pneumonia in January 2012 led to children’s enrollment in a community-based acute malnutrition program, Polio vaccination reached more than 95% in 196 village areas as a result of the N-STOP initiative, 31 FELTP graduates who are also public health physicians now serve in national or provincial agencies. According the study conducted by Sustainable Development Policy Institute (SDPI) on national treasury versus public health 2018-19, it was learned that there are above 23.9 million … Twenty percent of the deaths of women of childbearing age are caused by maternal complications. This is roughly equivalent to the weight of 4286 endangered African elephants. Impact of Tobacco Use in Pakistan High smoking rates contribute to a significant number of early deaths, high healthcare costs and lost productivity. Overall mortality among both male and female smokers in the United States is about three times higher than that among similar people who never smoked. Pakistan continues to have transmission of all forms of viral hepatitis. This fact sheet is drawn from our paper "The Economics of Tobacco and Tobacco Taxation in Pakistan. Smokeless tobacco is associated with a variety of oral and systemic disease [1, 2], in particular with oral and pharyngeal cancers [].Pakistan has one of the highest incidence rates of oral cancer in the world [].It is the most common cancer among men and the second most common cancer among women in the country [].Tobacco use and alcohol consumption are considered as the leading … More men die in Pakistan than on average in medium-HDI countries. The rate of occurrence of lung cancer is 11 per 1, 00,000 individuals and of oral cavity cancer, 10.1. Tobacco smoking is one of the world’s largest health problems. American Cancer Society, Inc. and Vital Strategies, NRT and/or some cessation services (at least one of which is cost-covered), Ran a National Anti-Tobacco Campaign in 2014 or 2016, Part Of A Comprehensive Tobacco Control Program, Earned Media/Public Relations Were Used To Promote The Campaign, Process Evaluation Was Used To Assess Implementation, Outcome Evaluation Was Used To Assess Effectiveness, Free distribution in mail or through other means, Non-tobacco products identified with tobacco brand names, Brand name of non-tobacco products used for tobacco product, Appearance in TV and/or films: tobacco brands (product placement), Appearance in TV and/or films: tobacco products, Prescribed anti-tobacco ads required for any visual entertainment 
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