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Cuba

Harm

Tobacco harms the health, the treasury, and the spirit of Cuba. Every year more than 19200 of it's people are killed by tobacco-caused disease, while more than 37000 children and more than 1497000 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 Cuba'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

24.6% of Men

More men die in Cuba than on average in middle-income countries.

16.9% of Women

More women die in Cuba than on average in middle-income countries.

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, 81% larger than the Gross National Income of Cuba. 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

19.9%of Men

Even though fewer men smoke on average in Cuba than on average in middle-income countries, still 938900 men still smoke cigarettes each day, the sign of an ongoing and dire public health threat.

11.8%of Female

More women smoke in Cuba than on average in middle-income countries.

Children Smoking % using tobacco daily, 2013

13.1%of Boys

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

8.7%of Girls

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

Smokeless% currently using tobacco, 2013 or most recent

n/a%of Adults

Because we do not know the prevalence of smokeless tobacco use in Cuba, future surveillance efforts must measure smokeless tobacco use prevalence in the population to help inform future tobacco control efforts.

Solutions

Tobacco control policy is an excellent investment in the health of a country's population. According to the WHO, for less than 40 centavos per person per year Cuba 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 Cuba

Protect From Smoke

Smokefree HealthCare FacilitiesYes
Smokefree UniversitiesYes
Smokefree Government FacilitiesNo
Smokefree Indoor OfficesNo
Smokefree RestaurantsNo
Smokefree Pubs and BarsNo
Smokefree Public TransportYes
All Other Indoor Public Places Smokefreen/a
Funds for Smokefree EnforcementNo

Offer Help

Quitting SolutionsNRT and/or some cessation services (at least one of which is cost-covered)
National QuitlineYes

Warn about the dangers to tobacco users on product packaging

Type of Warning Labels

Australia(best practice)

Graphic

Cuba

Text

Percent of Pack Covered

Australia(best practice)

83%

Cuba

30%

Graphic Warning Rounds

Australia(best practice)

2

Cuba

No Data

Has Plain/Standardized Packaging

Australia(best practice)

Yes

Cuba

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

Cuba

Yes

Part Of A Comprehensive Tobacco Control Program

WHO Best Practice

Yes

Cuba

Yes

Pre-Tested With The Target Audience

WHO Best Practice

Yes

Cuba

Yes

Target Audience Research Was Conducted

WHO Best Practice

Yes

Cuba

Yes

Aired On Television And/Or Radio

WHO Best Practice

Yes

Cuba

Yes

Utilized Media Planning

WHO Best Practice

Yes

Cuba

Yes

Earned Media/Public Relations Were Used To Promote The Campaign

WHO Best Practice

Yes

Cuba

Yes

Process Evaluation Was Used To Assess Implementation

WHO Best Practice

Yes

Cuba

Yes

Outcome Evaluation Was Used To Assess Effectiveness

WHO Best Practice

Yes

Cuba

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 Advertisingn/a of a possible 7 bans
Ad Ban Compliance Percent0% self-rated compliance

Raise Taxes

Excise Tax as a % of Cigarette Price

WHO Benchmark

75% of Retail Price is Excise Tax

Cuba

75% of Retail Price is Excise Tax

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