ANTIGUA AND BARBUDA REGION OF THE AMERICAS Population (millions) Real GDP per capita (PPP), US Dollars 1995 2000 2025 2050 1970 — Total 0.066 0.068 0.075 0.079 1985 5530 Females 0.033 0.034 0.038 0.040 1990 — Males 0.033 0.034 0.037 0.039 1995 — Source: Food and Agriculture Organization of the United Nations 1998 — Source: Penn World Table SMOKING PREVALENCE Adult Youth (10-18 Year Olds), 1998 Health Professionals Males — All youth, 10-12 yrs. 0.5 Males — Females — All youth, 13-18 yrs. 1.5 Females — Adult data: No data available. Youth data: Monthly, weekly or daily cigarette smoking among youth in Antigua, Dominica, Grenada and Jamaica, combined (1998 is date of publication); Pigott, S. et al. (1998). Caribbean Adolescent Health Survey: Antigua, Dominica, Grenada, Jamaica. WHO Collaborating Center on Adolescent Health. Health professional data: No data available. SMOKING-RELATED DISEASE IMPACT Mortality from Cancer, Respiratory and Circulatory Disease, 1995 Numbers of deaths/World age-standardized mortality rate per 100,000 population Male Female Age Male Female Age Disease Number Rate Number Rate Category Disease Number Rate Number Rate Category Trachea, lung, and Ischemic heart disease 14 13 35+ bronchus cancer 5 1 35+ Stroke 32 31 35+ Lip, oral cavity, and Other diseases of the pharynx cancer 1 0 35+ circulatory system 32 32 35+ Respiratory disease 5 0 35+ All causes 205 201 35+ Source: World Health Organization. (1998). World Health Statistics Annual, 1996. Geneva, Switzerland. TOBACCO ECONOMY Annual per capita Consumption, Three Year Moving Average Annual Cigarette Consumption Per capita Consumption Total Consumption Level of Year (cigarette sticks) (sticks in millions) cigarette 1970 — 15 consumption No data available. 1980 — 130 1990 — 100 1995 — 100 1998 — 100 1970 1980 1990 1995 1998 Annual Tobacco Trade and Agriculture Statistics Unit of Measurement 1970 1980 1990 1995 1998 Cigarette imports sticks in millions 15 130 100 100 100 Cigarette exports sticks in millions 00000 Tobacco leaf imports metric tons 2 10 ——— Tobacco leaf exports (% of total exports) metric tons (%) ————— Cigarette production sticks in millions 00000 Tobacco leaf production metric tons ————— Land devoted to tobacco growing (% of agricultural land) hectares (%) ————— Employment in tobacco manufacturing people ————— Cigarette Taxes and Duties Retail Price of 20 Cigarettes with Tax Market Share by Cigarette Manufacturer Excise tax — Type US $ Local Sales tax — Domestic brand $1.73 4.69 Import duty — Foreign brand $2.11 5.69 No data available. Source: ACS/WHO Survey, 2000 138 INFRASTRUCTURE FOR TOBACCO CONTROL Organizations Engaged in Tobacco Control Dr. Janice ALEXANDER Ministry of Health and Social Improvement Cecil Charles Building, Cross Street St. Johns ANTIGUA, W.I. Tel: (268) 462 5522, 462 2675 Fax: (268) 462 5003 [email protected] National Tobacco Control Provisions Key: B = Banned through legislation and/or regulations R = Restricted through legislation and/or regulations V = Voluntary provision, not nationally legislated and/or regulated X = Provision included in legislation and/or regulations Advertising and Sponsorship Tobacco Product Regulations Advertising ban Health warning on tobacco packaging Advertising restriction Ingredient control: maximum nicotine yield Sponsorship ban Ingredient control: toxic constituents / maximum tar yield Sponsorship restriction Ingredient disclosure on packaging Health Promotion and Education Smoke-Free Indoor Air Restrictions V Health education curricula or programs Aircraft (domestic flights) V Public information initiatives Aircraft (international flights) Sales and Distribution Restrictions Educational facilities Government buildings Free products or samples Health care facilities Tobacco sales restricted to certain locations Public transportation Sales of smokeless tobacco prohibited Workplaces Sales or distribution to minors prohibited Other public places Vending machines Other restrictions on tobacco sales Other Provisions National committee on tobacco control Refer to Appendix B for more information about national tobacco control provisions. PHARMACEUTICAL TREATMENTS FOR TOBACCO DEPENDENCE Dosage Form Regulatory Status Advertising Status and Comments Key: Rx = Prescription only medicines P = Pharmacy only OTC = Over the counter N/R = Not registered 139 ARGENTINA REGION OF THE AMERICAS Population (millions) Real GDP per capita (PPP), US Dollars 1995 2000 2025 2050 1970 5637 All adults, ages 15+ 24.720 26.767 36.648 43.773 1980 6506 Female adults 12.769 13.818 18.833 22.502 1990 4706 1995 5851 All youth, ages 0-14 10.048 10.265 10.512 10.749 1998 6716 Female youth 4.944 5.050 5.163 5.276 Source: Penn World Table Source: United Nations Population Division, World Population Prospects 1950-2050 (1998 revision) SMOKING PREVALENCE Adult (16-64 Year Olds), 1999 Youth (12 Year Olds), 1997 Health Professionals, 1997 Males 46.8 Males 6.9 Physicians 30.3 Females 34.0 Females 2.2 Nurses 36.3 Adult data: Current smoking among the urban population; Rojas, M. <[email protected]> (2000, June 19). Re: Smoking prevalence in Latin America. [data transfer via email]. Youth data: Smoking in Buenos Aires measured by the Tobacco or Health Commission, Secretariat of Health; information from Diego Leon Perazzo of the Argentine Antitobacco Union. Health professional data: Current smoking in 15 hospitals throughout Buenos Aires measured by the Tobacco or Health Commission, Secretariat of Health; information from Diego Leon Perazzo of the Argentine Antitobacco Union. SMOKING-RELATED DISEASE IMPACT Mortality from Cancer, Respiratory and Circulatory Disease, 1993 Numbers of deaths/World age-standardized mortality rate per 100,000 population Male Female Age Male Female Age Disease Number Rate Number Rate Category Disease Number Rate Number Rate Category Trachea, lung, and Ischemic heart disease 13169 194.5 8266 78.3 35+ bronchus cancer 6434 98.7 1373 16.4 35+ Stroke 15833 228.3 15702 150.1 35+ Lip, oral cavity, and Other diseases of the pharynx cancer 585 9.2 157 1.7 35+ circulatory system 29389 422.2 28045 262.0 35+ Respiratory disease 6198 89.1 3683 35.8 35+ All causes 126062 1848.3 103677 1046.0 35+ Source: World Health Organization. (1998). World Health Statistics Annual, 1996. Geneva, Switzerland. TOBACCO ECONOMY Annual per capita Consumption, Three Year Moving Average, 1970 = 100 Annual Cigarette Consumption Per capita Consumption Total Consumption Level of Year (cigarette sticks) (sticks in millions) cigarette 1970 1788 30265 consumption 1980 1976 38564 107.6 compared 100 1990 1462 32986 89.1 to 1970 83.2 86.0 1995 1576 38961 1998 1527 39649 1970 1980 1990 1995 1998 Annual Tobacco Trade and Agriculture Statistics Unit of Measurement 1970 1980 1990 1995 1998 Cigarette imports sticks in millions 46 603 3 13 26 Cigarette exports sticks in millions — 11 657 2452 2077 Tobacco leaf imports metric tons 341 1115 620 6203 4030 Tobacco leaf exports (% of total exports) metric tons (%) 13980 (0.34%) 16842 (0.33%) 49383 (0.77%) 43440 (0.48%) 52824 (—) Cigarette production sticks in millions 30219 37972 33640 41400 41700 Tobacco leaf production metric tons 66000 62044 67634 79011 116000 Land devoted to tobacco growing (% of agricultural land) hectares (%) 69200(0.27%) 55900 (0.21%) 47290 (0.17%) 49833 (0.18%) 77001 (—) Employment in tobacco manufacturing people 6841 6212 3340 —— Cigarette Taxes and Duties Retail Price of 20 Cigarettes with Tax Market Share by Cigarette Manufacturer, 1999 Excise tax 60%-locally produced cigs; 130%-imports Type US $ Local Nobleza Sales tax 21% Domestic brand $1.35 1.35 Massalin Piccardo (BAT) Particulares (PM) Import duty 23% (non-MERCOSUR only) Foreign brand $1.60 1.60 36.2% 63.8% Other import duties 3.50%; MERCOSUR & ANDEAN duty free Source: EIU, Autumn 1999 Source: ERC & USDA, 1999 Source: Maxwell Report 140 INFRASTRUCTURE FOR TOBACCO CONTROL Organizations Engaged in Tobacco Control Mabel BIANCO, MD, MPH Isidoro HASPER Diego Leon PERAZZO & Mirta MOLINARI Ministry of Health Tobacco or Health Commission Argentine Antitobacco Union (UATA) Avenida 9 de Julio 1925 of 613 (1332) Buenos Aires University Defensa 599 P.B. Buenos Aires Araoz 128, 4 Piso C.P. 1065 ARGENTINA Buenos Aires CP 1414 Buenos Aires Tel: (54-11) 4379 9180 ARGENTINA ARGENTINA Fax: (54-11) 4379 9143 Tel: (54-11) 854 0471 Tel: (54-11) 4342 7929 [email protected] Fax: (54-11) 4542 7686 Fax: (54-11) 4331 5838 [email protected] [email protected] Mrs. Laura CIPOLLA PROPIA-UNLP Dr. Eduardo A. LAURA Leandro D. ROZADA Calles 60 y 120, 3er. Piso Asociacion Argentina De Educacion y World Health Organization Collaborator 1900 La Plata Prevencion Del Cancer L. de la Torre 156 ARGENTINA Roca 571 2600-Venado Tuerto-Santa Fe Tel: (54-22) 1424 0293 8000 Bahia Blanca ARGENTINA Fax: (54-22) 1453 5577 ARGENTINA Fax: (54-34) 6243 4900 [email protected] Tel: (54-29) 1459 3669 Fax: (54-29) 1455 3719 Betty E. Choc de ZANALDA, MD Zulma P. DE BOCCA & Leonardo DAINO [email protected] Health Secretary of Buenos Aires Argentine League Against Cancer (LALCEC) Carlos Pellegrini 313 -9th floor Araoz 2380 Carlos R. MAYER & Juan Carlos GARCIA 1009 Buenos Aires 1425 Buenos Aires The Seventh Day Adventist Church ARGENTINA ARGENTINA Uriarte 2429 Tel: ( 54-11) 4323 9000 Int. 3904 Tel: (54-11) 4832 2684 1425 Buenos Aires Fax: (54-11) 4323 9029 Fax: (54-11) 4832 7595 ARGENTINA [email protected] Tel: (54-11) 4774 3994 Fax: (54-11) 4775 4348 National Tobacco Control Provisions Key: B = Banned through legislation and/or regulations R