Presentation by Richard D. Hurt, M.D., chair of Global Bridges and founding director of the Mayo Clinic Nicotine Dependence Center, at the Global Bridges Preconference at the 15th World Conference on Tobacco OR Health in Singapore.
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Introduction to Global Bridges -- Richard D. Hurt, M.D.
1.
2. Tobacco Is a Risk Factor for 6 of the
World’s 8 Leading Causes of Death
Hatched areas indicate proportions of deaths related to tobacco use.
3. Tobacco Use: An Escalating Epidemic
8
By 2030: 10
7
•Leading cause of death
millions of deaths
6
•10 million annual deaths
5
due to tobacco
•70% of those deaths will 4
4.9
occur in developing 3
countries 2
1
0
2000 2030
Developed Countries
Developing Countries
4. Treatment to Reduce Death &
Disease
Cumulative deaths from tobacco (millions)
520
500
Trend
400
300
220
200
100 70
0
1950 1975 2000 2025 2050
Year
Source: Peto et al
5. Cumulative deaths from tobacco (millions)
Impact of prevention
520
500 500
Trend
If smoking
uptake
400
halves by
2020
300
220
200
100 70
0
1950 1975 2000 2025 2050
Year
Source: Peto et al
6. Cumulative deaths from tobacco (millions) Impact of Treatment
520
500 500
Trend
If smoking
400 uptake halves
by 2020
300
halves by 2020 340
220 If adult smoking
200 halves by 2020
190
100 70
0
1950 1975 2000 2025 2050
Year
Source: Peto et al
8. Global Bridges Mission
Create and mobilize a global network
of healthcare providers and
organizations dedicated to advancing
effective tobacco dependence
treatment and advocating for
effective tobacco control policy.
www.globalbridges.org
9. Global Bridges Objectives
Build a network
Create opportunities to share treatment and advocacy
expertise among network members within and across
regions
Provide training
State-of-the-art, evidence-based training in tobacco
dependence treatment and advocacy
Article 14 implementation
Facilitate the implementation of FCTC Article 14 in every
nation
Sustain the mission
Ensure the long-term financial sustainability of the
initiative
10. Global Bridges Regional Partners
Latin America Region
Gustavo Zabert, MD – Regional Director
Middle East Region
Feras Hawari, MD – Regional Director
Africa Region
Lekan Ayo-Yusuf, BDS, MPH, PhD –
Regional Director
1
11. Key Accomplishments – 18 months
Quickly established 3 Regional
partnerships
& have begin work in additional regions
Trained over 600 HCPs from 26 countries
Over 6,800 person-hours of training
Impacting 24,000 tobacco-dependent patients
www.globalbridges.org
Collaborated with state, regional and/or
national governments to train HCPs in
accordance with A14
140% growth in membership database
1
12. Global Bridges Training Sessions
When
April
Where 2011
Puebla, Mexico
Sponsor
Sociedad Mexicana de Neumologia y Cirugia de Torax
Trainees
70
April Amman, Jordan King Hussein Cancer Center 15
May Neuquen, Argentina Sociedad Norpategonica de Nefrologia 15
June Amman, Jordan Jordan University of Science and Technology 31
July Asuncion, Paraguay Sociedad Paraguaya de Neumologia 85
August Ibadan, Nigeria Global Bridges 25
August Pretoria, South Africa Global Bridges 29
August Cordoba, Argentina Asociacion Argentina de Tabacologia 62
August Parana, Argentina Programa de Prevencion Enfermedades Cronicas de Entre Rios 39
September San Jose, Costa Rica IV Congreso Nacional de Cardiologia 43
September Lagos, Nigeria Global Bridges 29
October Lima, Peru 3er Congreso Regional de Tabaco O Salud 55
October Ecuador Cooperation with Argentina MoH to train officials 40
October Lusaka, Zambia University of Zambia 22
November South Africa Public Health Association of South Africa 37
November Kinshasa, DRC Global Bridges 33
December Tunisia Ministry of Health in Tunisia and Global Bridges 24
TOTAL TRAINEES 654
1
14. Themes for 2012
Define a Global “Core” CURRICULUM
including follow-up and evaluation
Broaden REACH within each Region
COMMUNICATE accomplishments and
opportunities
Identify and pursue additional
FUNDING
1
The basic epidemiology shows that over 500 million are likely to die from smoking related disease world wide in the first half of the 21 st Century.
This shows that the effect of ‘prevention’ of uptake makes little difference to the death toll expected in the first half of the 21 st Century. The problem is that the major health benefits of prevention are delayed for many years and prevention activity may simply cause a delay in initiation. Prevention is a worthy ideal, but it has proved difficult to achieve in practice and the evidence base for it is decidely shaky.
Smoking cessation can have a bigger impact – though a halving of smoking by 2020 is implausible. Smoking cessation directly treats those most at risk and the is a good evidence base to support it.