International Tobacco Control
Global tobacco use and exposure to secondhand smoke continue to be perplexing public health problems. According to the World Health Organization, tobacco kills nearly six million people annually. Almost half of children regularly breathe air polluted by tobacco smoke, and in 2004, children accounted for 31% of the deaths attributable to secondhand smoke. Unless urgent action is taken, the annual death toll could rise to more than eight million by 2030.
The American Academy of Pediatrics (AAP) Julius B. Richmond Center of Excellence seeks to address child health issues in tobacco control across the globe— bringing pediatric voices to tobacco control policy discussions, and engaging international pediatric associations in helping their members become clinical and policy advocates. In collaboration with the World Health Organization and International Pediatrics Association, the AAP Richmond Center continues to explore opportunities to improve global tobacco control and child health issues through education and training. This page includes:
- International Training Opportunities
- Global Initiatives: Tobacco Champions workshops and other lectures with English and Spanish PowerPoint presentations
- Resources by Country
- Other International Resources
- Global Research Publications
- World No Tobacco Day
Interested in developing tobacco advocacy trainings in your country? Contact the Richmond Center for more information.
- Protecting Children and Families from Tobacco: Leadership Training, 2013 International Congress of Pediatrics, Melbourne, Australia
In August 2013, the American Academy of Pediatrics, in collaboration with the World Health Organization's Tobacco Free Initiative and International Pediatrics Association hosted a pre-congress session at the International Congress of Pediatrics (ICP) in Melbourne, Australia. The daylong program of keynote lectures, panel presentations, and breakout sessions, addressed how pediatricians are natural advocates for tobacco control.
- A Voice for Children: Tobacco Control Advocacy in the 21st Century, Rhiza L. Francisco-Valdes, MD, FPPS, President, Philippine Ambulatory Pediatric Association
- Protecting Children & Families from Tobacco, Edouard Tursan d'Espaignet, Coordinator, Comprehensive Information Systems for Tobacco Control, Prevention of Noncommunicable Diseases (PND), World Health Organization
- Defining Core Advocacy Skills, Jay E. Berkelhamer, MD, FAAP, Past President, American Academy of Pediatrics, Standing Committee Member, International Pediatric Association, Chair, Technical Advisory Group on Advocacy, IPA
- Physician Collaborations with NGOs, Pediatric Societies, and other Stakeholders, Francis Edwards Rushton, Jr., MD, FAAP, District IV Chairperson, American Academy of Pediatrics
- Engaging Stakeholders to Influence Policy, Jenny Proimos, MBBS, MPH, FRACP, Pediatrician and Adolescent Health Physician, Centre for Adolescent Health, Royal Children's Hospital
- From the Clinic to the Community: Tobacco Control Training for Pediatricians, Rhiza L. Francisco-Valdes, MD, FPPS, President, Philippine Ambulatory Pediatric Association
- Protecting Children and Families from Tobacco: Leadership Training, 2012 Latin American Association of Pediatrics Congress, Cartagena, Colombia
In November 2012, the AAP Richmond Center, in collaboration with the Pan American Health Organization (PAHO), partnered with the Latin American Association of Pediatrics (ALAPE) to offer a pre-congress workshop on tobacco control at ALAPE’s fall meeting. The day-long training sought to advance tobacco control advocacy by pediatric leaders and provide attendees with the knowledge and tools to promote efforts to protect children and youth from tobacco. Similar to past leadership workshops, participants wrote clinical and advocacy goals for their respective countries and received tobacco control resources to begin actualizing said goals. A total of 45 pediatricians from 12 countries attended the training which combined lecture and small group breakout sessions.
- Consumo De Tabaco: Implicancias en la niñez y adolescencia, Ana Lorenzo García, MD, Programa Nacional para Control del Tabaco, Ministerio de Salud Pública, Uruguay
- El Control del Tabaco en el Siglo XXI, Ana Lorenzo García, MD, Programa Nacional para Control del Tabaco, Ministerio de Salud Pública, Uruguay
- El Convenio Marco para el Control de Tabaco, Rosa Sandoval, MPA, Asesora regional en control de tabaco, Organización Panamericana de la Salud/Organización Mundial de la Salud
- Formando Coaliciones para la Salud del Niño, su Familia, y el Control del Tabaco, Erika Avila Tang, PhD, Científica Asistente, Departamento de Epidemiología, Escuela de Salud Publica Bloomberg, Universidad Johns Hopkins Investigador, Centro de Excelencia Julius B. Richmond Academia Americana de Pediatría
- Programas de Control de Tabaco Enfoque en Niños y Jóvenes: Experiencia Desde la Escena, Shawn L. Ralston, MD, Children’s Hospital at Dartmouth and the Geisel School of Medicine at Dartmouth, American Academy of Pediatrics Richmond Center
- Promoción Anti-tabaco: Puesta en Práctica, Shawn L. Ralston, MD, Children’s Hospital at Dartmouth and the Geisel School of Medicine at Dartmouth, American Academy of Pediatrics Richmond Center
- Tabaquismo- Enfoques prácticos para pediatras, Harold J. Farber, MD, MSPH, Profesor Asociado de Pediatría, en la Sección pulmonología, Baylor College of Medicine, Texas Children’s Hospital Director Asociado Médico, Texas Children’s Health Plan
- Protecting Children and Families from Tobacco: Leadership Training, 2012 Asia Pacific Congress of Pediatrics, Kuching, Malaysia
In September 2012, the American Academy of Pediatrics collaborated with the World Health Organization– Western Pacific Regional Office to host Protecting Children and Families from Tobacco: Leadership Training at the 14th Asia Pacific Congress of Pediatrics in Kuching, Malaysia. A total of 26 participants and 10 faculty members, representing 13 countries from the region, attended the daylong training. During the program, participants developed tobacco prevention and control advocacy plans, committed to the next step in implementing these plans, and received country-specific resources. The training, which brought together pediatricians, pediatric society presidents, and non-clinical tobacco control specialists, provided an opportunity to network with others who are interested in policy, system, and environmental changes leading to more effective tobacco prevention and control efforts for children and youth.
- Keynote: Children and Tobacco: 2012, Ruth Etzel, MD, PhD, FAAP, Professor of Epidemiology, Joseph J. Zilber School of Public Health, University of Wisconsin, Milwaukee, Wisconsin, USA
- Tobacco Control Training for Pediatricians – Experience from the Field, Xiao Dan, MD, PhD, Beijing Institute of Respiratory Medicine, WHO Collaborating Centre for Tobacco or Health, Beijing, China
- Tobacco Control Programs Targeting Children and Youth – Experience from the Field, Shohei Harada, MD, PhD, Chief, Division of Clinical Practice Policy, Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan
- Coalition-building and an Asia Pacific Alliance for Child and Family Health and Tobacco Control, Rhiza L. Francisco-Valdes, MD, FPPS, President, Philippine Ambulatory Pediatric Association, Manila, Philippines
- Smoking Cessation at the Outpatient Clinic Level, Francis Rushton, Jr., MD, FAAP, District IV Chairperson, American Academy of Pediatrics, Beaufort, South Carolina, USA
- The Framework Convention on Tobacco Control, Nguyen Thi Viet Anh, Standing Office of Viet Nam Committee on Smoking and Health, Ministry of Health, Vietnam
- Fresh Air for Children, Teoh Oon Hoe, MBBS, M Med (Paeds), MRCPCH, Head & Consultant, Respiratory Medicine Service, Department of Paediatrics, KK Women & Children's Hospital, Singapore
- Tobacco Control: Time to Protect Children, Fan Jiang, MD, PhD, Associate Professor of Pediatrics, Shanghai Children’s Medical Center, Shanghai, People’s Republic of China
- 2011 AAP National Conference and Exhibition (NCE) Christopherson Lecture: Dr. Douglas Bettcher, Director of the WHO Tobacco Free Initiative, Tobacco and Children: A global epidemic
- AAP Visiting Lectureship, Manila, Philippine Ambulatory Pediatric Association, Pasay City, Philippines
- Session of the United Nations Ad Hoc Interagency Task Force on Tobacco Control, February 2010: AAP/International Pediatrics Association collaboration was one of eight non-governmental organizations invited to present at the session.
Grantee: Rosalia M Buzon, MD
Visiting Lecturer: Jonathan Klein, MD, MPH, FAAP
The meeting, the first international Visiting Lectureship funded by the AAP Richmond Center, took place in February 2010. Training activities focused on increasing clinicians' awareness of the impact of tobacco smoke exposure on children, and on promoting and reinforcing the development of tobacco control curricula in schools and pediatric training programs.
The following sites have information for most countries, and may be helpful in identifying the extent of tobacco's reach in each country.
- World Health Organization- Select a country, then look for the 'Risk Factors' section on that country's page- Tobacco is listed there.
- Campaign for Tobacco-Free Kids- This site has information for certain priority countries where tobacco use is especially common. Information on other countries can be obtained by using the site's search feature.
World Health Organization WHO) Tobacco Free Initiative
WHO Tobacco Free Initiative (TFI) is part of the Noncommunicable Diseases and Mental Health cluster at the WHO headquarters in Geneva, Switzerland. The site offers global and country specific reports on tobacco control. The WHO also created and manages MPOWER, which outlines six policies to reverse the global tobacco epidemic.
Regional Offices for Tobacco Free Initiative
- Regional Office for Africa
- Regional Office for the Americas
- Regional Office for the Eastern Mediterranean
- Regional Office for Europe
- Regional Office for South-East Asia
- Regional Office for the Western Pacific
WHO Framework Convention on Tobacco Control
Campaign for Tobacco-Free Kids – International
The Campaign for Tobacco-Free Kids (CTFK) has launched a global edition of its Web site with resources on several issues like advertising and promotion, smoke-free laws, warning labels, and taxation. The site includes several fact sheets and detailed information on priority countries. Global CTFK also launched Tobacco Control Laws Project which explores litigation and legislation on tobacco in over 150 countries.
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention (CDC) is the lead US federal agency for comprehensive tobacco prevention and control, and CDC’s Office on Smoking and Health develops, conducts, and supports strategic efforts to protect the public’s health from the harmful effects of tobacco use. CDC is the WHO Collaborating Center for Global Tobacco Surveillance and the technical agency for the Global Tobacco Surveillance System (GTSS).
Global Tobacco Control: Online Courses
This site is an online resource that provides free online trainings, research-based reports and guides, and information on the capacity building programs of the Institute for Global Tobacco Control (IGTC) within the Johns Hopkins Bloomberg School of Public Health. Operating within the three-pillar framework of knowledge generation, synthesis and translation, evaluation and surveillance, and capacity building, IGTC’s goal is to reduce tobacco use globally.
International Tobacco Control Policy Evaluation Project
The International Tobacco Control Policy Evaluation Project (the ITC Project) is the first-ever international cohort study of tobacco use. Its overall objective is to measure the psychosocial and behavioral impact of key national level policies of the WHO Framework Convention on Tobacco Control (FCTC). The ITC Project is a collaborative effort with international health organizations and policymakers in 20 countries so far, inhabited by more than 50% of the world's population, 60% of the world's smokers, and 70% of the world's tobacco users.
International Union Against Tuberculosis and Lung Disease
Since late 2006, The Union has played an active role in the Bloomberg Initiative to Reduce Tobacco Use, working to implement tobacco control interventions in the countries with the highest burden of tobacco-related diseases. In addition, The Union has conducted extensive research on the links between smoking and tuberculosis (TB), the effects of smoking on TB treatment outcomes, the efficacy of brief cessation advice, and other topics.
Institute for Global Tobacco Control – Johns Hopkins Bloomberg School of Public Health
The Institute for Global Tobacco Control works to prevent death and disease from tobacco use by generating, synthesizing, and translating scientific evidence to support effective tobacco control policies, programs and activities. Through its work in more than 40 countries around the world, the Institute has become a key international resource to support tobacco control action.
Treatobacco.net is for individuals and organizations working to treat dependence of tobacco across the globe. This Web site offers evidence-based resources on a global scale in five main categories: Demographics and Health Effects, Efficacy, Health Economics, Policy, and Safety. The site is available in several languages including Arabic, Chinese, Czech, English, French, German, Italian, Japanese, Portuguese, Russian, and Spanish.
US Resources in Spanish
- Sabemos (CDC)
- United States Food and Drug Administration's Center for Tobacco Products
- United States Public Health Service Clinical Practice Guideline Update on Treating Tobacco Use and Dependence 2008
AAP Richmond Center Principal Investigators and members of the Tobacco Consortium have collaborated on publications focused on international tobacco control.
- Lando, HA, Hipple, B, Muramoto, M, Klein, J, Prokhorov, A, Ossip-Klein, D, and Winickoff, JP; Tobacco as a Global Pediatric Concern. Bull World Health Organ 2010 Jan;88:2.
- Lando, HA, Wilson K.; Combating the Global Tobacco Epidemic. Preventive Medicine January/February 2010;50(1-2):11-12.
- Highlights from the International Effort to Protect Children from Tobacco Launched at the 14th World Conference on Tobacco or Health Meeting in Mumbai.
World No Tobacco DayEach year, the World Health Organization sponsors World No Tobacco Day. See what the themes were for previous years, and what materials were created for those campaigns. Information for the coming year will be posted as soon as it's available.
The AAP Julius B. Richmond Center acknowledges the Academy’s Friends of Children Fund for its support of the Center’s international tobacco control outreach. Contributions to the Friends of Children Fund enable the AAP to support high priority activities, respond to emerging child health issues and continually generate new knowledge about the best way to care for children.