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    Greater China
     Jun 2, 2007
China's Olympic planners kick the butt
By Antoaneta Bezlova

BEIJING - Chinese leaders have promised to make next year's Summer Olympic Games in Beijing non-smoking - ambitious for this country of 360 million smokers. Never has the event that celebrates physical fitness been held in a country more hooked on tobacco and more afflicted by smoking-related diseases.

China's smoking population, as in so many other global rankings, is the world's biggest. Nearly 60% of men in the country smoke, and proffering cigarettes is a ritualized form of social courtesy. But the health toll from tobacco addiction is also very high - an



estimated 1.2 million Chinese die every year from smoking-related illnesses.

"It is the cheapest way to let off steam," said Yang Dong, a nervous Beijing taxi driver who could not resist lighting up when the traffic lights took too long to change. He shrugged when asked about the risks to his health: "There is not much to do when you are stuck in a traffic jam, and these days it happens a lot."

He was clueless about the risks of second-hand smoke. And he is not the only one. Health experts say only 35% of the people surveyed for a new national tobacco-control report were aware of the dangers of passive smoking.

The report, released by the Ministry of Health this week, has for the first time publicized its hazards, calling second-hand smoke "a killer at large". It says about 100,000 Chinese die every year from it, while more than 500 million suffer from the smoke exhaled from cigarettes.

More public education is needed to get the anti-smoking message across, says Henk Bekedam, the World Health Organization representative in China. "We do not yet have enough change in behavior as a society. We need to do an awful lot more in order to get there," he said.

But if the capital city's authorities have their way, chain-smoking taxi drivers will be nowhere to be seen next year when Beijing plays host to the Olympics.

By promising to host a smoke-free Olympics, China's leaders seek to project the right image - that of a modern and progressive force. But they also hope that the example of a smoke-free Olympics might be just that external factor needed to boost the efforts of a nascent anti-tobacco movement in China.

A "smoke-free China" campaign was officially launched here in April. The program is part of the US$125 million Bloomberg Initiative, which uses funds donated by Michael Bloomberg, New York's billionaire mayor, to curb tobacco use in 15 developing countries. With help from China's Center for Disease Control and other groups, the program will be initially rolled out in 20 Chinese provinces, and will last through the end of 2008.

Attempts to curb smoking in China, which is the world's biggest tobacco producer, involve a difficult choice for the country's leadership. That is because the state owns the national tobacco monopoly, which makes 97% of the cigarettes sold in the country.

State-controlled China National Tobacco Corp is the world's biggest tobacco producer, churning out more than 2 trillion cigarettes last year, accounting for about 30% of production. In 2005, it paid $31 billion in taxes and profits to the central government, amounting to 7.5% of revenue received by the Finance Ministry that year.

Tax bounty aside, in many poor regions such as Guizhou and Yunnan in the country's southwest, the tobacco industry is regarded as a pillar of economic development, providing employment and funding47 for localities.

The stakes in the industry are so high that Beijing has fought hard to protect its producers and the state monopoly from the onslaught of foreign tobacco giants. As part of its deal to join the World Trade Organization, China agreed to lower tariffs on imported cigarettes to 25% from 65%. Foreign companies, however, are still not allowed to make cigarettes in China.

Yet even as it battles to preserve its financial interests, Beijing is becoming more aware of the spiraling health-care costs and the overall economic price through lost productivity the country will pay unless tobacco use is controlled.

A study by a Peking University research center calculated the overall economic cost of smoking at $31 billion in 2005, including medical bills, a shorter life span, lost work days, and fires started by errant cigarette butts. What is more, the annual death toll is expected to nearly double to 2.2 million people by 2020.

One sign that China is beginning to confront its cigarette habit emerged when the government signed a landmark global treaty to curb tobacco usage. Beijing ratified the United Nations Framework Convention on Tobacco Control in 2005 and began its implementation in 2006.

The treaty obliges the signatory nations to put clear and strong health warnings on cigarette packages, ban tobacco advertising, increase the price of cigarettes, and create smoke-free buildings and workplaces within three to five years of implementing the convention.

The challenges, though, are tremendous. When delegates to the annual meeting of the Chinese People's Political Consultative Conference, China's advisory body, submitted in March proposals for smoking bans in public places and an increase in tobacco taxes, they were met with stiff resistance.

Zhang Baozhen, a top bureaucrat at the State Tobacco Monopoly Administration, warned that such proposals could lead to social instability.

"We take the fact that smoking is harmful seriously, but without cigarettes the country's stability will be affected," he told the meeting.

(Inter Press Service)


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