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Bhutan

Harm

Tobacco harms the health, the treasury, and the spirit of Bhutan. Every year more than 150 of it's people are killed by tobacco-caused disease, while more than 4000 children and more than 58000 adults continue to use tobacco each day. Complacency in the face of the tobacco epidemic will ensure the tobacco industry continues to run roughshod over the lives of Bhutan's citizens and ensure that tobacco's death toll will grow with each passing year. Tobacco control advocates must reach out to other communities to strengthen their efforts in this mortal fight.

Deaths

% caused by tobacco: 2010

4.6% of Men

Even though fewer men die on average in Bhutan than other middle-income countries, still 2 men are being killed by tobacco every week, necessitating action from policymakers.

2.3% of Women

Even though fewer women die on average in Bhutan than other middle-income countries, still 1 women are being killed by tobacco every week, necessitating action from policymakers.

Tobacco use also...

Harms Development

Harms Environment

Cigarette butts are the most commonly discarded piece of waste worldwide. It is estimated that 1.69 billion pounds of butts wind up as toxic trash, which is roughly equivalent to the weight of 177,895 endangered African elephants.

Harms Equality

To find more customers, the tobacco industry markets its products aggressively to women and children.

Harms NCDs

People living with mental illness are nearly twice as likely to smoke as other persons.

Industry

The combined revenues of the world's 6 largest tobacco companies in 2013 was USD342 Billion, 99% larger than the Gross National Income of Bhutan. The industry is a powerful force that does not fear the actions of nation-states because their resources are often much larger.

Market

Adult Smoking % using tobacco daily, 2013

16.7%of Men

Even though fewer men smoke on average in Bhutan than on average in middle-income countries, still 49700 men still smoke cigarettes each day, the sign of an ongoing and dire public health threat.

3.5%of Female

Even though fewer women smoke on average in Bhutan than on average in middle-income countries, still 8600 women still smoke cigarettes each day, the sign of an ongoing and dire public health threat.

Children Smoking % using tobacco daily, 2013

18.3%of Boys

More boys smoke in Bhutan than on average in middle-income countries.

7.9%of Girls

More girls smoke in Bhutan than on average in middle-income countries.

Smokeless% currently using tobacco, 2013 or most recent

19.4%of Adults

More people use smokeless tobacco in Bhutan than on average in middle-income countries.

Solutions

Tobacco control policy is an excellent investment in the health of a country's population. According to the WHO, for less than Nu.22 per person per year Bhutan will be able to pay for the four 'best buys' in tobacco control policy, raising tobacco excise taxes, enforcing a comprehensive national smoke-free law and a ban on tobacco advertising and promotion, and mandating large graphic warning labels appear on tobacco product packaging. This small investment will reap enormous dividends in health and prosperity.

Current Policy in Bhutan

Protect From Smoke

Smokefree HealthCare FacilitiesYes
Smokefree UniversitiesYes
Smokefree Government FacilitiesYes
Smokefree Indoor OfficesYes
Smokefree RestaurantsYes
Smokefree Pubs and BarsYes
Smokefree Public TransportYes
All Other Indoor Public Places SmokefreeNo
Funds for Smokefree EnforcementYes

Offer Help

Quitting SolutionsNone
National QuitlineNo

Warn about the dangers to tobacco users on product packaging

Type of Warning Labels

Australia(best practice)

Graphic

Bhutan

Text

Percent of Pack Covered

Australia(best practice)

83%

Bhutan

No Data%

Graphic Warning Rounds

Australia(best practice)

2

Bhutan

No Data

Has Plain/Standardized Packaging

Australia(best practice)

Yes

Bhutan

No

Warn about the dangers to whole population in a media campaign

Ran a national anti-tobacco campaign during 2011 and 2012

WHO Best Practice

Yes

Bhutan

Yes

Part Of A Comprehensive Tobacco Control Program

WHO Best Practice

Yes

Bhutan

Yes

Pre-Tested With The Target Audience

WHO Best Practice

Yes

Bhutan

Yes

Target Audience Research Was Conducted

WHO Best Practice

Yes

Bhutan

Yes

Aired On Television And/Or Radio

WHO Best Practice

Yes

Bhutan

Yes

Utilized Media Planning

WHO Best Practice

Yes

Bhutan

Yes

Earned Media/Public Relations Were Used To Promote The Campaign

WHO Best Practice

Yes

Bhutan

Yes

Process Evaluation Was Used To Assess Implementation

WHO Best Practice

Yes

Bhutan

Yes

Outcome Evaluation Was Used To Assess Effectiveness

WHO Best Practice

Yes

Bhutan

Yes

Enforce bans on advertising

Number of Bans on Forms of Direct Advertising0 of a possible 7 bans
Number of Bans on Forms of Indirect Advertising7 of a possible 7 bans
Ad Ban Compliance Percent50% self-rated compliance

Raise Taxes

Excise Tax as a % of Cigarette Price

WHO Benchmark

75% of Retail Price is Excise Tax

Bhutan

0% of Retail Price is Excise Tax

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