China’s tobacco sales fell for the first time in 2015. We thought the inflection point was coming.

This article is from WeChat public account: husk (ID: Guokr42) , author: Jiang Yuan, from the title FIG. : Visual China

Everyone knows that smoking is harmful to your health. In the Healthy China Initiative launched by our country this year, the first section included “Tobacco Control.” Teacher Jiang Yuan, former director of the Tobacco Control Office of the Chinese Center for Disease Control and Prevention, and vice chairman of the China Tobacco Control Association, has been engaged in tobacco control for almost 20 years. 》.

</ iframe> Video of Jiang Yuan’s speech The following is the recording of Jiang Yuan ’s speech: Hello everyone, this is Jiang Yuan. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110398673.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> In 1987, I graduated from the School of Public Health of Peking University. I, as well as Mr. Tong Shitong and Mr. Niu Wenyi, who came to the “I am a scientist” forum in this issue, we are all graduated from Beijing Medical University-students from Beijing Medical University in the 90s, 80s and 70s have come here To be a guest. After I left Beibei, I was admitted to the Academy of Preventive Medicine for data processing. Now I have a fashionable name, big data. We have done hepatitis and national nutrition surveys, done pneumoconiosis data analysis, and then did some research on the relationship between health policies. In 2001, the State started to establish the Chinese Center for Disease Control and Prevention based on the Academy of Preventive Medicine Sciences (hereinafter referred to as the “Center for Disease Control and Prevention”) . The CDC was initially confronted with various acute infectious diseases, including tuberculosis, hepatitis, and AIDS. However, with the change of the disease, 89% of Chinese people now die of chronic diseases. So since the establishment of the chronic disease center, I have been doing chronic disease research and specializing in tobacco control. It has been almost 20 years. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110817109.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> As the saying goes, “Fireworks go to Yangzhou in March”, this year my husband’s niece got married at the beautiful Yangzhou University. It turned out that many people were smoking at the crowded wedding scene, even if there were children and pregnant women. I quickly found the host of the wedding, a very handsome little guy, and told him at the beginning of the wedding that everyone should not smoke in the room, but the host ignored me. I am older and sit at a very important table, but some people still smoke, and even there are cigarettes on the table. I just said, can you not smoke, we have children here. No one ignored me and insisted on smoking. So I was very depressed, and I could only go out on my own. In March in Yangzhou, the beautiful Yangzhou University, I walked for an hour and a half without eating. Why is it so difficult to control tobacco? According to the data I have, one of the nation’s lowest smoking rates is the doctor. Our first survey showed that the smoking rate of male doctors was 40%, but when we went to the survey a few years later, the value dropped to a very low level and we needed to review it. We went to a hospital and found the doctor whose name was recorded at the time. When he saw the doctor’s teeth and smelled his breath, he knew that he was a heavy smoker. But we asked him- <blockquote> “Do you smoke?” “I don’t smoke.” </ blockquote> Why is this happening? Actually, because in the doctor’s social environment, (social normal) , he knows that smoking is not good. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110050040.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> This is a publicity poster made by the British Department of Health in 2006. It was posted on the streets of Britain in the summer. As a result, many people complained that they were uncomfortable to see the picture. It actually talks about the nature of smoking-smoking addiction is like being hooked by a fishhook, and it is not easy to get rid of it. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110341735.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> This is 2007, The Lancet (The Lancet) published an article comparing common addictive substances and found that tobacco is second only to heroin and cocaine, and more than alcohol, methamphetamine and cannabis. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110810907.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> Tobacco addiction has its own physiological basis. Therefore, the World Health Organization has published the International Statistical Classification of Diseases and Related Health Problems ” (ICD-10) , tobacco addiction is classified into a class of addictive diseases, coded as F17.2. It has six symptoms that can be diagnosed as tobacco addiction as long as three of them are met. But tobacco addiction is not just a physiological factor. Otherwise, China will not have 300 million smokers, and there will be little change in smoking rates in ten years. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110378836.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> In fact, in the process of quitting smoking, it is more difficult to overcome physiological factors than psychological factors and social behavioral factors. Smoking addiction is like shackles, and it is difficult to get rid of it. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26 / 162110851390.jpg? ImageView2 / 2 / w / 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 607 "> Everyone can imagine: the boss made various demands at work, and found that all the stocks bought fell in the afternoon, and his wife who came home at night did not have a good face-smoking a cigarette to relieve the pressure. Classmates who have been graduating from college for 20 years, they smoked every day with the brothers on the bunk. The brothers came and asked you to take another one tonight and continue to quit tomorrow-as a result, one started to relapse. Another important point is that many people use cigarettes to reduce social distance. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110392269.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 720 "> We participated in a project in 2006, comparing people ’s smoking behavior under different tobacco control policies in 22 countries around the world, and found a very interesting thing that happened only in China. It turns out that less than 40% of people in China have two packs of cigarettes. One pack smokes on its own and the other pack is for social use. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110968419.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> Societies that support smoking still exist. For example, the Great Red Eagle Tobacco Group sponsored the collective wedding ceremony of the Rose Wedding Ceremony in Xihu for several years. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110376648.jpg? imageView2 / 2 / w / 1000 / format / jpg / interlace / 1 / q / 85" data-w = " 640 "data-h =" 694 "> Since cigarettes are an important gift for Chinese New Year, we made such a poster, hoping to change this social atmosphere. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110938614.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> Since 1990, cigarette production has continued to rise, and tobacco companies have bluntly “entered the golden decade.” Tobacco prices increased in 2015. For the first time, we saw a decline in tobacco sales (2.33%) , and it continued to decline in 2016. I was then I am very excited, I feel that after 15 years of tobacco control, we are finally about to reach an inflection point. What I didn’t expect was that sales rose again in 2017 and continued to rise in 2018. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110469295.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> China’s population is now less than 19% of the world’s, but it consumes 44% of the world’s cigarettes, ranking first in the world and exceeding the total consumption of the 2nd to 30th countries. <img class = "lazyImg "_src =" https://img.huxiucdn.com/article/content/201911/26/162110853876.jpg? ImageView2 / 2 / w / 1000 / format / jpg / interlace / 1 / q / 85 "data-w = "1080" data-h = "608"> Because of this, among the 1 billion male smokers in the world, the first place is China (300 million) , the second place It is India (200 million) . But one third of male smokers in India use chewing tobacco. Although chewing tobacco is equally harmful, at least there is no second-hand smoke. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110560623.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> We have observed women for ten consecutive years and found that women have a lower smoking rate than men. The female smoking rate in Asia does not exceed 2.7%, but due to the huge population base, Chinese female smokers rank second only to the United States. In fact, the smoking rate of Chinese men has begun to decline, but the smoking rate of women has begun to rise. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110148825.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> This is the latest attribution of risk factors for China’s death toll released by the CDC in 2017. Tobacco ranked third, but itsIt can be prevented. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110756373.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> In fact, an average of two smokers die from smoking-related diseases. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110064422.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> Smoking can damage almost all systems and organs throughout the body. It not only causes various cancers, not only lung cancer, but also throat cancer, oral cancer, stomach cancer, cervical cancer, esophageal cancer, bladder cancer, etc. It can also cause cardiovascular and cerebrovascular diseases and respiratory diseases, leading to blindness and Necrosis of the femoral head can also affect reproduction. <iframe height = "400" width = "710" src = "https://v.qq.com/iframe/player.html?vid=v3023eyb8a9&tiny=0&auto=0 "frameborder =" 0 "allowfullscreen =" true "> </ iframe> This is a true story. Li Xiang, a 39-year-old smoker, continued to smoke after undergoing myocardial infarction surgery. As a result, a sudden illness occurred on the train. Fortunately, he met Dr. Hu, a cardiovascular expert. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content / 201911/26 / 162110238578.jpg? imageView2 / 2 / w / 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> Smoking causes heart disease by damaging the endothelium of blood vessels, causing platelets to clot, which then leads to high blood pressure and increases the risk of coronary heart disease. Tobacco companies, in order to attract women smokers, said, “You need to be independent like a man, you must be free like a man, and you should smoke like a man.” We used to say that “women smoke like men and get sick like men”, but years of data show that in fact women are more harmed by smoking than men. Why is this happening? First of all, women are responsible for childbearing. Secondhand smoke is harmful to children. At the same time, we found that women may have a higher risk of coronary heart disease than men because smoking is more slender. Therefore, girls must not start smoking. A few years ago, I watched Ge Youyan’s “If You Are The One 2”, which said that “the mole on the skin may be at risk of cancer”, and found that there was also a mole on the back of my son. I wanted to hurt him a little less, so He was taken to the plastic surgery department of a top three hospital to remove the mole. The child went in for the operation. I was waiting at the door. There were a few girls smoking next to me. In the process of waiting, there are girls constantly consulting, some require a thin face, some require double eyelids, and some require a raised nose. I think these girls are already as beautiful as Tianxian. . I heard the doctor explain to the patient that this one needs to chisel bones, and what to lift, and I was scared to death by thinking about it. This would not only suffer huge pain, but also cost a lot of money, and it would take a long time every week To get an injection-but they started smoking immediately when they went out. In fact, smoking is the enemy of beauty. We picked out two sets of photos of identical twins, and you can see that if you smoke a cigarette every day, your appearance will be damaged in less than 20 years. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110248666.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> Smoking damages blood vessels and skin. Therefore, girls who love beauty must remember that the harm caused by tobacco is not only health. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110351844.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> Some people say that I know the dangers of smoking, but I can’t quit for various reasons, can I have some healthy choices, such as smoking “low tar”, “light” or “Chinese herbal medicine”? Actually, there is a large amount of data showing that smoking is a complex behavioral process. People who smoke more “healthy” cigarettes have not reduced their risk of cancer or heart disease. The only correct thing smoking can do is quit smoking. It was ten years ago or today. Beijing ’s smoking bans in public places have been in effect for five years and four months, and I think they have done a good job. Although the exposure rate of second-hand smoke in public places in Shanghai is lower than that in Beijing, Beijing has indeed implemented indoor smoking bans. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110343055.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> What can you do when someone smokes in a restaurant? First, you can dissuade by law, but dissuade does have risks. For example, he eats, he drinks, he is much stronger than me. We can also discourage you through the waiter or the restaurant manager. If it doesn’t work anymore, you can call 12345 to complain. Beijing is nearly five yearsThere were 50,000 complaints reported. In addition, Beijing Tobacco Control has a picture that combines technology and tobacco control, but it is very regrettable that few people know it. In fact, everyone has a mobile phone in hand, and they all have an app called WeChat. When you open the WeChat wallet, there is a “city management”, and a “tobacco control complaint” when you click in. When you encounter indoor smoking problems, you can complain in this way, you can choose real name and anonymous, and even upload photos . After the complaint, this place lights up a blue light. If it is complained five times, it will light up a red light, and the top 20 complained units will be exposed by the media every two months. The Office of the Supervisory Authority has an interview. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110450019.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> On the fifth anniversary of tobacco control this year, we checked the complaint data and found that the number one is Mr. Ma and a returnee professor at Tsinghua University. Later we went to him and asked him why he could complain 68 times in four years. Mr. Ma said that this is a particularly good thing, and it can help Beijing’s public places become smoke-free. So tobacco control in Beijing is not just a matter for the Beijing People’s Congress, the Beijing Municipal Government, the Beijing Centers for Disease Control and Prevention, and the 1,400 health supervisors in Beijing. It is a matter that 22 million people in Beijing should do. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110541622.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> Beijing and Shanghai have a hotline number 12320. There are five full-time professionals to help everyone quit smoking, and the success rate is very high. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26 / 162110557316.jpg? ImageView2 / 2 / w / 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 608 "> I left the Tobacco Control Office of the China CDC for 20 years in November last year. Although I left this post, I continued to do tobacco control work at China Tobacco Control Association and Beijing Tobacco Control Association. I think popular science work is very important, and I am willing to do it all my life. I believe that a healthy China must be a smoke-free China, thank you all. <img class = "lazyImg" _src = "https://img.huxiucdn.com/article/content/201911/26/162110896133.jpg?imageView2/2/w/ 1000 / format / jpg / interlace / 1 / q / 85 "data-w =" 1080 "data-h =" 719 "> Speaker Jiang Yuan: “Tobacco control slogans are easy to remember, but why is it so difficult to quit smoking? 》 This article is from WeChat public account: <a href = "https: //mp.weixin .qq.com / s / SIdgvNqHWW0YYbK6kwFIxQ "target =" _ blank "title =" China's tobacco sales volume fell for the first time in 2015. We thought the inflection point was coming, but we did not expect to be happy " decoration: none; "> husk (ID: Guokr42) </a> , author: Jiang Yuan </div> </article> <script src='//unpkg.com/valine/dist/Valine.min.js'></script> <div id="vcomments"></div> <script> new Valine({ el: '#vcomments', appId: 'nFXLD31mFjDHlrEDx3OQWstS-gzGzoHsz', appKey: 'GhTuxYTHv3w2aqSJ0urXJov5', }) </script> <style> #veditor { background-image: url(https://image.bestzuo.cn/images/20200708160947.gif!getwebp); background-size: contain; background-repeat: no-repeat; background-position: right; background-color: rgba(255, 255, 255, 0); resize: vertical } img.vimg { transition: all 1s /* 旋转时间为 1s */ } img.vimg:hover { transform: rotate(360deg); -webkit-transform: rotate(360deg); -moz-transform: rotate(360deg); -o-transform: rotate(360deg); -ms-transform: rotate(360deg); } #vcomments .vcards .vcard { padding: 15px 20px 0 20px; border-radius: 10px; margin-bottom: 15px; box-shadow: 0 0 4px 1px rgba(0, 0, 0, .12); transition: all .3s } #vcomments .vcards .vcard:hover { box-shadow: 0 0 8px 3px rgba(0, 0, 0, .12) } #vcomments .vcards .vcard .vh .vcard { border: none; 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