Currently, 1.2 million people die annually of tobacco-related diseases, of whom a third are aged between 40 and 69. "Tobacco-attributable deaths are estimated to account for 25 percent of total deaths among those aged 40 or older. Among cerebra-vascular patients who survive a stroke, three of four have lost some of their ability to work, with 40 percent suffering severe disabilities. Tobacco smoking has become the top killer of the Chinese population."
The report proposed a 20-year plan to bring out a gradual change in smoking habits. This would include raising taxes on cigarettes, which would cut consumption but maintain government revenue.
"150 million, 50 percent of smokers, buy one pack of cigarettes for five yuan or less and the expenditure for 100 packs occupied merely two percent of per capita GDP in 2009," the authors wrote. By contrast, a pack of cigarettes in Hong Kong costs HK$ 50 (US$ 6.41). In New York, Mayor Michael Bloomberg has pushed the price of cigarettes to US$11 per packet of 20.
Last year, more than 300 million of China's 1.3 billion people were recorded as smokers, almost the same as in 2002. Among men, the proportion of smokers last year among workers was 68 percent, farmers 60 percent, civil servants 52 percent, medical professionals 40 percent and teachers 38 percent.
Beijing ratified the World Health Organization's Framework Convention on Tobacco Control (FCTC), which came into force in 2005, but has failed to meet its commitments under the convention, including a pledge to ban smoking from all indoor public areas.
"China is doing poorly in implementing the FCTC with a performance score of only 37.3 of 100 possible points," the report said. "The intervention of the tobacco industry is the underlying cause of the poor impact of tobacco control. It has distorted the Chinese version of FCTC, denied the scientific conclusions of the health hazards of smoking and claimed smoking as smoker's rights.
"It has abused the public powers of government to counteract tobacco control policies, used 'low tar and low harm' marketing strategies to mislead the public and encouraged tobacco consumption through disguised advertising and marketing effects of sponsorship and promotion."
A survey of adults in China last year found that more than 75 percent did not know the health hazards of smoking and more than two thirds did not know the hazards of second-hand smoking.
The report proposes a restructuring of the government, so that the department that includes the tobacco industry cannot take any responsibility for tobacco control. It recommends the establishment of a National Tobacco Control Bureau in the National Development and Reform Commission to take charge of comprehensive tobacco control nationwide.
"Public agencies are the largest buyers of premium cigarettes, a situation that has to be changed to earn people's trust in anti-corruption. Chinese Communist Party and government officials, civil servants and employees of public agencies must take the lead to ban smoking in public and work places.
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