The seven cities are Tianjin, Chongqing, Shenyang, Harbin, Nanchang, Lanzhou and Shenzhen. Simply put, China is the world’s largest producer and consumer of tobacco products. Adult Smoking (15+ Y.O.) China has over 300 million smokers (!). , Male surgeons were found to smoke more than any other specialty. . Because of a sharp increase in cigarette sales in the last 30 years, around 2,000 people a day are currently dying of smoking in China. However, in the last 14 years smoking in China has actually fallen from 63 per cent in 1996, to 54 per cent in 2010.  Wu Yiqun, vice executive director with the Beijing-based Thinktank Research Center for Health Development, criticized China's tobacco industry supervisory administration for "[failing] to oversee Chinese tobacco producers" in this aspect. ", Given the complex and multifaceted nature of political agendas in China, governmental public-health related interests often clash with economic interests. The rates are age-standardized. The same thing happened in China, where the public smoking ban was stringent enforced with large fines attached. 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. However, the World Health Organization has a new study claiming that smoking is on the rise again, but this time in developing countries. In Indonesia, 76% of men smoke but only 3% of women; in China it’s 48% of men versus 2% of women; and in Egypt half of men smoke whilst almost no women (0.2%) do. For the entire 20th century it is estimated that around 100 million people died prematurely because of smoking, most of them in rich countries. Prevalence is defined as the percentage of the population that smokes every day, adjusted for age. No studies recorded e … In the wake of Australia’s landmark ban on cigarette package advertising, Asian Scientist Magazine casts an eye over smoking in Asia. Smoke-free list extends to healthcare facilities. In light of the passage of national tobacco initiatives and international publicity for the 2008 Summer Olympics, the Beijing city government extended a public smoking ban on May 1, 2008 to include sports venues and all indoor areas of government offices, transport stations, schools and hospitals. '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. China gained almost 100 million smokers between 1980 and 2012, despite an overall decrease in smoking prevalence in the same period from 30.4 percent to 24.2 percent. , The government mentioned, upon the release of the budget in 2009, that a full ban of tobacco import and smoking is technically possible. , 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. This wide range can be explained by variations in age and sex, as well as the region, source, and definition of exposure. The rates are age-standardized. Some have suggested that so long as a cigarette does not interfere with a physician's ability to diagnose and treat patients, smoking should be permitted among health care practitioners. , Smoking rates among Chinese male physicians are comparable to the country's general population, although overall physician rates are lower. Smoking bans in lifts, public transport, cinemas, concert halls, airport terminal and escalators had been phased in between 1982 and 1997. 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. Hangzhou's people's congress had approved to ban smoking in public and working places in the beginning of 2010; smoking may be prohibited in some places and violators may be fined up to 3000 yuan. No studies recorded e-cigarette use. In practice, it is often the case that only some government offices, schools, museums, some hospitals, and sports venues effectively function as smoke-free areas. The tobacco-attributed proportion is increasing in men, but low, and decreasing, in women. Smoking in China is prevalent, as the People's Republic of China is the world's largest consumer and producer of tobacco: there are 350 million Chinese smokers, and China produces 42% of the world's cigarettes. ", "Taxation is a very effective method of reducing tobacco use. One of the hypotheses is that this was also due to smoking. This decision was reversed after public outcry and coverage by international press. The resources that are spent on medical school and hospital training might not be realized fully if physicians die prematurely from higher smoking rates. We see these countries clustered on the far left, where smoking rates for women are very low – typically less than 5%. The meta-analysis by Emami et al. , Smoking is a social custom in the PRC, and giving cigarettes at any social interaction is a sign of respect and friendliness..  China does not have laws to punish health care facilities, medical workers and health officials who violate smoking bans, and is instead relying on the Chinese media to act as a watchdog. The percentage of people who smoke has fallen in most countries since 1990, but the total numbers of smokers and smoking deaths have risen, a study says. In the European nations of Germany, France, and Spain around 40% of the males are smoking - some 15% more than in the United States of America. It has been a major health problem for many decades. Even though fewer women smoke in China than on average in high-HDI countries, there are still more than 11220500 women who smoke cigarettes each day, making it an ongoing and dire public health threat. Read more Share of adult population who smoke in China from 2000 to 2016, by gender  The Ministry's "Decision" formally requests local governmental units to "set up multi-agency FCTC Implementation Leading Small Groups" to assist with regional strategies of enforcement, with the explicit goal that: "by the year 2010, all health administration offices, both military and non-military, and at least 50% of all medical and health institutions should become smoke-free units, so that the goal of a total smoking ban in all health administration offices and medical and health institutions can be fulfilled by 2011. 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. According to Li Zhongyang, the deputy head of the Shanghai Health Promotion Committee, the smoking ban was enacted to protect citizens' health and also promote Shanghai's image as a cosmopolitan city. There are more than 300 million smokers in China. Depending on the study, estimates indicate that exposure to passive smoke in China varies from 34.1% to 72.4% (11 - 15). [SUPChina, “China’s Cigarette Smoking Epidemic” September 5, 2019] More than 300 million Chinese adults smoke—among them more than half of all C… An economic motivation against physician smoking may be the societal loss that is caused by tobacco use. Smoking is a major cause of disability, premature death and loss of productivity. Smoking among Doctors: Governmentality, Embodiment, and the Diversion of Blame in Contemporary China. Among smokers, the polls found that 93.5% support a total ban on smoking in all schools, 75.5% support a total ban in hospitals, and 94.3% support a total ban in all public transport. They found that among 13 studies in China with nearly 6,000 hospitalized COVID-19 patients, the rate of smokers ranged from 1.4% to 12.6%. Prevalence of current tobacco use, males (% of male adults) from The World Bank: Data The latest amendment enlarges the smoking ban to include indoor workplaces, most public places including restaurants, Internet cafés, public lavatories, beaches and most public parks. Tobacco control campaigns are becoming more serious in China, but massive tax revenues from state-owned tobacco companies and cultural normalization stand in the way. China smoking rate for 2016 was 25.60%, a 0.2% decline from 2015. We also see this when we look at a map of smoking among women across the world: across much of Africa and Asia, rates are very low. According to Li, China's male smokers have accounted for 66 percent of all Chinese men. Only Russia and some eastern European countries come close to this high prevalence of smoking in China. 8-32 Two meta-analyses have been published which pooled the prevalence of smokers in hospitalized patients across studies based in China. 0.32% [Wikipedia “Smoking in the People’s Republic of China”] In 2016, approximately 1.9 percent of Chinese women smoked tobacco products.  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 Ministry said that as a "mid-term goal, all health administrations and half of the country's healthcare facilities should be smoke-free by the end of 2010".  Within the Chinese guanxi system, tobacco is still a ubiquitous gift acceptable on any occasion, particularly outside urban areas. ", The "Decision" also encourages health administration offices to utilize mass media resources and draw upon large-scale publicity campaigns such as World No Tobacco Day in order to "actively promote the importance of implementing a total smoking ban in military and civil health administration offices and medical and health institutions. Chinese physicians and their smoking knowledge, attitudes and practices. It’s so bad that in 2004, a survey was conducted that found 42% of Chinese male surgeons had reported smoking in front of their patients. Some 70.6% of non-smokers support some type of smoking ban in bars and restaurants.. The e-cigarette usage rate of smokers aged between 15 and 24 was 1.5 percent, with around 45.4 percent of e-cigarettes bought online. On October 11, 2005, China became the 78th country in the world to ratify the WHO Framework Convention on Tobacco Control (FCTC), an international treaty intended to reduce tobacco-related disease and death. That explains why China is responsible for smoking 40% of all cigarettes in the world. Furthermore, physicians in particular may resort to tobacco as a coping mechanism to deal with the day-to-day stress that is associated with long work hours and difficult patient interactions. Physicians who smoke may also have a bias that prevents them from giving accurate information regarding the negative health effects of tobacco to patients. However, people continue to die and become sick needlessly, and the costs to society from tobacco use continue to mount. 8-32 Two meta-analyses have been published which pooled the prevalence of smokers in hospitalized patients across studies based in China. After the announcement was done, the ban was effective immediately..  The ban had a generally strong impact, with poll results suggesting that a majority of Chinese residents (69% out of over 10000 respondents) are "not only aware of a smoking ban in Beijing, but [95% of respondents] also hope that the authorities promote the move nationwide. More than one third of current smokers had smoked in front of their patients and nearly all had smoked during their work shift. Regardless of the number of smokers per country, there is usually a sharp discrepancy in the male-female ratio. The director of our hospital smokes. China Tobacco Sichuan Industry leads, Corporación Habanos sees strong growth in imported cigars 2020 AND BEYOND COVID-19 impact Recovery and opportunities CATEGORY DATA Table 30 Sales of Cigars, Cigarillos and Smoking Tobacco by Category: Volume 2014-2019 Table 31 Sales of Cigars, Cigarillos and Smoking Tobacco by Category: Value 2014-2019 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.  Another survey done by public health experts from Fudan University which involved 800 hotel guests and around 4,000 patrons and employees of restaurants, shops and entertainment venues in Shanghai found that about 73 percent of the hotel guests said Shanghai should adopt a smoking ban in public areas, 84 percent of restaurant guests reported exposure to second-hand smoke, and 74 percent of them were annoyed by the fumes and support smoking controls. 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. Some of them even smoke boldly in hospitals or schools.” This is problematic because, regardless of whether these professionals continue to smoke out of habit, social custom, or "apparent disregard" for evidence of smoking risk, they are still expected to "behave themselves and set a good example for others in tobacco control," Li says. 371), first enacted in 1982 with several amendments subsequently. France's Health Ministry has announced that the country had 1 million fewer smokers in 2017 compared to the year before. For instance, local exemptions to public indoor smoking bans are often made for small businesses, particularly in the restaurant and entertainment industries. And whenever I walk into the duty office, most of my colleagues are smoking. They found that among 13 studies in China with nearly 6,000 hospitalized COVID-19 patients, the rate of smokers ranged from 1.4% to 12.6%. 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. The party-secretary smokes. Smokers who got hooked young were most likely to die prematurely. 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. Cigarette smoking among physicians, dentists, and nurses. , Impact of the WHO Framework Convention on Tobacco Control, Arguments in favor of physicians' choice to smoke, Arguments against physicians' choice to smoke. These results indicate that there has been a rapid growth of female smokers in China in recent years. Over half of adult males in Indonesia are smokers (57%, but mostly kretek , a local form of cigarette) and China (53% estimated), and nearly half in Bangladesh , though for women the figure is much lower. Although China still lags behind many countries in implementing tobacco control policy, the Ministry of Health's May 20 initiative helped to establish more unified smoking controls and codify public health authority at broad administrative levels. A 2004 study conducted among 3,500 Chinese physicians found that 23% were regular smokers. ", The Beijing government has also adopted a policy of persuasion, combined with a fine of up to 5,000 yuan ($730) for violating the ban, in an attempt to further encourage citizens to curtail public 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. Only some 30 percent of the adult males are smoking in India. According to Medical News Today, seven provincial capitals in China are taking steps to ban smoking in workplaces and public places. If you use our chart images on your site or blog, we ask that you provide attribution via a link back to this page. ", "The survey also showed that 81.6 percent of respondents were eager to stop smoking, or had heard of family members and friends who were considering kicking the habit. 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. In light of its preparations to host the 2010 World Expo, the city of Shanghai had recently heightened its anti-smoking legislation. Doctors who smoked were less likely to believe that smoking has a harmful effect on health compared to nonsmokers. Smoking in China is prevalent, as the People's Republic of China is the world's largest consumer and producer of tobacco: there are 350 million Chinese smokers, and China produces 42% of the world's cigarettes. There was a significant gender difference, with 41% of male physicians reporting to be smokers but only 1% of female physicians. Almost 60% of male doctors in China are smokers, representing the highest percentage of smoking doctors in the world. But prevalence has plateaued, remaining nearly unchanged since 2006. Anyone caught smoking would first be given a warning and then face a fine of 50 to 200 yuan if they resist. % using tobacco daily: 2015. Belarus, the country that consumes the most alcohol per capita, comes third, followed by Macedonia and Albania. , High tobacco use among physicians may be attributed to several factors. But for women, the results were strikingly different. According to a report by the Fudan University Media and Public Opinion Research Center, 93.5% of the 509 people they interviewed supported a smoking ban at all Shanghai Expo 2010 pavilions and also felt that smoking should not be allowed in restaurants or shopping centers near the Expo area. 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), there have been many concerns about the practicality of the national policy's enforcement. 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." , Furthermore, the International Tobacco Control Policy Evaluation Project brings up the following persistent smoking issues in its 2009 report focused on China:. Taiwan 's health authority is promoting smoke-free workplaces with the goal of reducing non-smokers' exposure to second-hand smoke by 10 percent in five years.  Such indeterminate enforcements of supposedly well-defined public health regulations in practice may limit the impact of de jure national smoking bans. China’s smoking population is in for a rude awakening in light of a new study from The Lancet medical journal. In India, by comparison, the percentage of smokers among adult males, is less than half of China. However, by March 2010, the Guangzhou Municipal People's Congress prepared to lift the smoking ban in work places, including offices, conference rooms and auditoriums. Tobacco control legislation does exist, but public enforcement is rare to non-existent outside the most highly internationalized cities, such as Shanghai and Beijing. There are more than 300 million smokers in China. About 25 percent said they bought individual cigarettes rather than whole packs. Some bars, karaoke parlors, saunas and nightclubs were exempt until 1 July 2009. It excludes smokeless tobacco use.  In addition, the cultural basis of smoking in China presents a significant barrier to de facto acceptance and integration of smoking control policies. In 2010, smoking caused nearly 1 million (840 000 male, 130 000 female) deaths in China. There are as many as 350 million smokers in China, which is approximately 30 percent of the smokers worldwide. In addition to passing the smoking ban, Shanghai legislators have designed a website "Smoke Free Shanghai"  to raise anti-smoking awareness. ", Despite the popular support for the Shanghai smoking ban, many also feel skeptical about the actual implementation of the law. That explains why China is responsible for smoking 40% of all cigarettes in the world. 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. Furthermore, outside the largest cities in China, smoking is considered socially acceptable anywhere at any time, even if it is technically illegal. By contrast, smoking rates among women in China have dropped sharply; about 10 percent … A decrease in cigarette smoking also happened in China, where the public smoking ban was stringently enforced with large fines attached. China has made progress on tobacco control in recent years. 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. Chinese physicians have a substantially higher smoking prevalence than doctors in the United States (3.3%) or United Kingdom (6.8%). "Sixty-six percent is already saturated. 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.  Notably, the report agreed with international scientific consensus about secondhand smoke, citing numerous findings from public health authorities in other countries to assert the conclusion that "there is no safe level of exposure to second-hand smoke", that ventilation equipment is ineffective in reducing the harm from exposure to second-hand smoke, and that the most effective protective public health measure against smoking is a legislative ban of smoking in public places. 15, 16 About 70 percent of Chinese women are suffering from secondhand smoking, Wei said. Thus it is prohibiting scenes of cigarette brands, people smoking at smoke-free places, minors buying and smoking cigarettes, and other smoking scenes associated with minors. China can still do more to make the proven tobacco control tools work for its citizens’ wellbeing. However, given the decreasing smoking rate in recent years mainly due to increasing tobacco tax, the government currently has no further plans to control sales of tobacco other than by adjusting taxation. China has set a target to reduce the smoking rate among people aged 15 and above to 20 percent by 2030, according to the "Healthy China … On the other hand, Ethiopia is in the last place with only 4.7% of its population being nicotine addicts. Tobacco use has been identified as an increasingly popular phenomenon in China, and Chinese physicians have been found to exhibit high smoking rates as well. According to one citizen that the public health experts from Fudan interviewed, "Smoking has been banned in public places in several countries. Only some 30 percent of the adult males are smoking in India. Eighty-two percent of respondents indicated their satisfaction with the implementation of the smoking ban, and 33.5 percent showed their intention to persuade smokers to stop. 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