Smoking deaths in China are set to triple to 3 million a year by 2050, according to a new study that examines the devastating toll of rising smoking rates on the country’s male population. CA Cancer J Clin. As of 2018, a high percentage of the world population was covered by … In fact, Chinese physicians who smoke may be able to form closer relationships with patients because of tobacco's role in the local culture as a commodity that promotes unity and friendship. In Chinese culture, smoking is connected to masculine identity as a social activity that is practiced among men to promote feelings of acceptance and brotherhood, which explains why more Chinese male doctors smoke than females. They have a slightly higher rate than Japanese physicians (20.2%) and Japanese physicians have a smaller gender discrepancy with 27% male and 7% of female doctors smoking. Here are 44 interesting Smoking facts. "[5], As polls from the 2007 Ministry of Health report showed, there is widespread public approval of smoking bans among residents of urban areas. [10], Furthermore, the International Tobacco Control Policy Evaluation Project brings up the following persistent smoking issues in its 2009 report focused on China:[15]. Am Journal Prev Med 2007, Yao T, Ong M, Lee A, Jiang Y, Mao Z: Smoking knowledge, attitudes, behavior, and associated factors among Chinese male surgeons. The overall daily smoking rate in Hong Kong is 11.8% (HK Department of Census and Statistics Household Thematic Survey 36) with 25% of males smoking whereas in China 63% of males smoke. The facts about smoking in China are scary and getting scarier by the minute: It produces more tobacco than any other country. On May 29, 2007, the Ministry released a report (2007 年中国控制吸烟报告—The 2007 China Smoking Control Report) detailing alarming levels of secondhand smoke exposure (affecting over 540 million Chinese citizens), recommendations for legislation to reduce harm from secondhand smoke, and the feasibility of implementing public smoking bans based upon polling data. The Chinese Association on Tobacco Control (中国控制吸烟协会 Zhōngguó kòngzhì xīyān xiéhuì) is engaged in tobacco control by members of the voluntary sector, including academic, social and mass organizations,[3] as strong enforcement of existing tobacco control laws is not supported by the Chinese Government. However, due to the Chinese government's complex relationship with tobacco policy (for instance, many localities rely upon tobacco tax revenue as a substantial source of income),[6] there have been many concerns about the practicality of the national policy's enforcement. [9] China has also resolved to ban all tobacco vending machines,[9] as well as smoking in indoor work places, public areas, and public transportation vehicles.[10]. Furthermore, outside the largest cities in China, smoking is considered socially acceptable anywhere at any time, even if it is technically illegal. So don't be scandalized if you see kids around the age of 15 smoking. In addition to the May 20 measure, numerous provincial and city-level administrations in China have also enacted policies to control the prevalence and health impacts of smoking within the last decade. Kohrman, Matthew. [26] The public places for smoking ban included restaurants, entertainment outlets, schools, supermarkets, and governmental offices. For instance, local exemptions to public indoor smoking bans are often made for small businesses, particularly in the restaurant and entertainment industries. 'I am delighted by such encouraging support from the public, it will help to promote legislation to control tobacco use,' [said] Jiang Yuan, vice-head of the tobacco control office under the Chinese Center for Disease Control and Prevention. The announcement said smoking scenes are out of line with the country's stance on tobacco control, and are misleading to the public, especially minors. As a way to amend this problem, the British began exporting large … [5] With an ever-increasing Chinese smoking population of over 350 million, the enactment of the May 20 initiative represents an important landmark in China's commitment to tobacco control. Smoking in China is prevalent, as the People's Republic of China is the world's largest consumer and producer of tobacco:[1] there are 350 million Chinese smokers,[1] and China produces 42% of the world's cigarettes. China’s smoking habits are ingrained in the population. Current tax regulations in Chinese tobacco control policy are limited, inconsistent, and tied to the structural intricacies of domestic ownership and control of tobacco production and distribution. Chinese physicians and their smoking knowledge, attitudes and practices. [citation needed], The government mentioned, upon the release of the budget in 2009, that a full ban of tobacco import and smoking is technically possible. [32], Smoking is such a big part of being a doctor here. The practice is controversial because some believe that medical professionals should serve as role models of healthy behavior to their patients, while others believe that doctors should have the right to smoke because it is a personal matter. The ban in shopping centres, department stores, supermarkets, banks and game arcades has been in place since July 1998. Responding to criticism about the current legislation not being well enforced, Wang Yu, director of the China CDC explained that "This project would create strict legislation to guarantee 100-percent smoke-free public venues and workplaces and figure out a feasible and forceful working mechanism to enforce the smoking ban." Smoking in certain public places in the Hong Kong Special Administrative Region has been banned from 1 January 2007 under the government's revised Smoking (Public Health) Ordinance (Cap. China is the world's largest cigarette producer. Their backgrounds in science and medicine enable them to know more about the effects of smoking on the body compared to the general public, so a decision they make about tobacco may be more educated. Smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis. Background China consumes about 40% of the world's cigarettes, predominantly by men, following a large increase in recent decades. [27] Yang Tingzhong from Zhejiang University undertook campaigns and project sponsored by Bloomberg Global Initiative to ban smoking in university campuses at a nationwide scale. Awareness of the dangers of smoking, costs, and targeted policies and campaigns have all contributed to this decrease. After the announcement was done, the ban was effective immediately.[19]. Mortality rates for lung cancer are disproportionately high in China, and over 75 percent of lung cancer deaths in Chinese men are attributable to smoking. Over 11 per cent of 6.4 million deaths worldwide was caused by smoking in 2015 and 52.2 per cent of them took place in China, India, USA, and Russia, according to the latest estimates in the … According to Medical News Today, seven provincial capitals in China are taking steps to ban smoking in workplaces and public places. The new ban will be run as a pilot project under the joint auspices of the Chinese Center for Disease Control and Prevention (CDC) and the International Union against Tuberculosis and Lung Disease(UNION). According to Dr. Shigeru Omi, the WHO Regional Director for the Western Pacific region, "implementing the Convention will not be easy, as smoking is an ingrained habit in China ... but the Government has made clear its commitment to take action." In 2010, smoking caused nearly 1 million (840 000 male, 130 000 female) deaths in China. [30] ", "Taxation is a very effective method of reducing tobacco use. In 2009, the authorities of Gongan County attempted to increase consumption of locally produced cigarettes, by demanding that local officials smoke up to 23,000 packs of Hubei-branded cigarettes per year. China is home to some 300m smokers, more than any other country; about half of men are regular smokers. This dossier presents a range of statistics and facts about smoking in Italy. [1] The China National Tobacco Corporation (中国烟草总公司 Zhōngguó Yāncǎo Zǒnggōngsī) is by sales the largest single manufacturer of tobacco products in the world and boasts a monopoly in Mainland China generating between 7 and 10% of government revenue. An article published in 2009 interviewed a source who claimed that 60% of Chinese male doctors were smokers, a percentage higher than any other country's doctors in the world. [31], Smoking rates among Chinese male physicians are comparable to the country's general population, although overall physician rates are lower. The resources that are spent on medical school and hospital training might not be realized fully if physicians die prematurely from higher smoking rates. In addition to passing the smoking ban, Shanghai legislators have designed a website "Smoke Free Shanghai" [23] to raise anti-smoking awareness. [34], China remains one of the three leading countries (along with India and Indonesia) in total number of male smokers, accounted for 51.4% of the world's male smokers in 2015. [File photo: easttobacco.com] Negative Health Effects of Smoking Some opponents to the smoking ban hold that smoking as a personal choice has nothing to do with public health. In order to maintain a robust, sustainable effort in tobacco control, China will particularly need to focus upon the role of public health education in smoking prevention and health promotion. Among non-smokers, 95.1% support a total ban in all schools, 78.1% support a total ban in hospitals and over 93.8% support a ban in public transport. China has a relatively low social disapproval rate of smoking—according to the International Tobacco Control Policy Evaluation Project (ITC), "only 59% of smokers think that Chinese society disapproves of smoking, the fourth lowest rate of 14 ITC countries surveyed. The law bans smoking in 12 types of public places including indoor smoking at schools, hospitals, sport stadiums, public transport vehicles and Internet cafes. [WHO; Wikipedia “Smoking in the People’s Republic of China”] One of every three cigarettes consumed around the world is smoked in China. "[10] Notable support also exists within the sphere of representative politics; allegedly, political advisors of the CPPCC have even gone so far as to call for smoke-free legislative sessions. [citation needed], Impact of the WHO Framework Convention on Tobacco Control, Arguments in favor of physicians' choice to smoke, Arguments against physicians' choice to smoke. Medical Anthropology 2008, Garfinkel L, Stellman SD. Nearly all Chinese physicians (95%) believed that active smoking causes lung cancer and most believed that passive smoking causes lung cancer (89%), but current smokers were less likely to hold these health beliefs than nonsmokers were. [20] For organizers of the Expo, there was also the issue of hypocrisy if they did not deal with China's smoking problem as part of their "Healthy Expo. Many believe that doctors should serve as exemplars, as sources of information about quitting, and as providers of support and encouragement for those who are trying to live healthier lives by giving up cigarettes.[33]. A direct positive public health impact of the Beijing smoking ban has manifested in the arena of fire prevention. (There … And to tell you the truth, with such a pressure-filled job, smoking is extremely helpful, at times soothing, at times energizing, at times helping me focus my attention when preparing for a complex surgery or facing a stack of paperwork 10:30 at night.[32]. [11] With an explicitly stated objective of "building smoke-free environments for the sake of enjoying healthy life",[12] the report has received strong support and praise from the Campaign for Tobacco-Free Kids, a U.S. health advocacy group based in Washington, D.C.[11]. Anyone caught smoking would first be given a warning and then face a fine of 50 to 200 yuan if they resist. Smoke-free list extends to healthcare facilities. It has an estimated 350 million smokers — that's 1 in 3 of the world's smokers. [13] From 2009, Projects sponsored by Bloomberg Initiative and directed by Yang Tingzhong were designed as the first program to prohibit all forms of smoking in University campuses in China. [35] China also remains one of the three leading countries (along with India and the United States) in total number of female smokers, although these three countries accounted for only 27.3% of the world's female smokers, indicating that the tobacco epidemic is less geographically concentrated for women than for men.[35]. Tobacco control legislation does exist, but public enforcement is rare to non-existent outside the most highly internationalized cities, such as Shanghai and Beijing. A campaign by China’s government to get its people to butt out has been largely successful with one glaring exception: The number of women that are lighting up has tripled in recent … [7] Under the conditions of the FCTC, China is required to completely ban "promotion and sponsorship on radio, television, print media and the Internet within five years," [8] as well as to prohibit tobacco companies from sponsoring international events or activities. [29] A study conducted among 800 Chinese male surgeons in 2004 found that 45.2% were smokers and 42.5% had smoked in front of their patients. The study warns that if current smoking rates in China prevail, two million … Physicians who smoke may also have a bias that prevents them from giving accurate information regarding the negative health effects of tobacco to patients. In China’s ancient history, tobacco was heralded by military generals to have morale boosting powers and was crucial to the military. We barely see people serving cigarettes to each other in European countries or the US. However, very few smokers (5%) in the ITC China Survey reported thinking about price as a reason to quit smoking—a sign that prices are too low. [29], Male surgeons were found to smoke more than any other specialty. 36% of the population smoke, including 70% of all Chinese men. 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