PANAH International conference on Prevention of Cardiovascular and Coronary Artery Diseases 2022

PANAH International conference on Prevention of Cardiovascular and Coronary Artery Diseases 2022


PANAH International conference on Prevention of CAD Diseases 2022
Booklet – PICCAD-TND 2022


Pakistan National Heart Association (PANAH) was formed in
1984 in AFIC under the Patron-ship of the President of Pakistan
at that time. The main aim & purpose was to disseminate
information about ischemic Heart disease, its causes and
risk factors, their control & modification so as to prevent,
minimize and control the widely progressing cardiovascular
diseases and other non-communicable diseases. Another
important aim was to educate the general public and impart
training regarding recognition of Cardiac Arrest and to
immediately carry out CPR (Cardio Pulmonary Resuscitation)
to save the life at the site of occurrence of Heart Attack. The
association had also put in its good share in helping who
suffered in helping who suffered in the natural disasters that
struck the nation in past and also helping poor patients get
expensive cardiac investigations, angioplasty, stents and
cardiac surgery at various hospitals. PANAH also work closely
with policy makers, media, researchers and civil societies to
advocate for policies to reduce CAD. The President of Islamic
Republic of Pakistan, honorable Dr. Arif Ur Rehman Alvi is our
Patron-in-Chief PANAH.


The overall objectives of this conference are to provide a shared platform
to local and international researchers, academicians and policy makers to
share knowledge, promote research and formulate evidence-based policy
recommendations for Pakistan based on the global best practices. The
specific objectives are;
1. Provide platform for sharing of latest scientific evidence related to risk
factors, policy analysis and identifying gaps, global best practices, and
formulate recommendations for prevention of these Coronary Artery
Diseases (CAD).
2. Advocate and mobilize healthy food policy solutions and other
measures to reduce CAD in Pakistan.
3. Provide networking opportunity to students, national and international
researchers, academicians, policy makers, government representatives,
civil society and media for mutual learning and promotion of evidence based policy solutions for prevention and control of CAD.
4. The Multidisciplinary discussions and thought are expected to process
lead to a draft a combine commitment and action tracks to encounter
the growing burden of CAD. It will help to provide impact on policy
makers and stakeholders by understanding the true picture and
sensitivity of matter.


1. The latest evidence, research and knowledge around Coronary Artery
Diseases is disseminated and shared with participants.
2. An alumni of conference participants and speakers is developed
for continuous sharing of knowledge, related research and policy
3. The evidence-based recommendations for prevention and control of
CAD are formulated and shared with the policy makers.
4. The conference abstract book is published & disseminated. An online
library for sharing resources and publication on NCDs including CAD is
developed and functional.

Big Tobacco, Tiny Targets

Big Tobacco Tiny Targets

Tobacco Advertisement,
Sales, Product Displays,and
Purchase Incentives Around
Kindergartens, Primary, and
Secondary Schools


Executive Summary

Between December 4th, 2017 and January 9th, 2018, Field Agents performed visual surveys of tobacco advertising, sale, displays, and purchase incentives located within a 100-meter radius of children’s school playgrounds, kindergartens, primary, and secondary schools in 8 cities in Pakistan. The areas included in the study were: Islamabad, Murree, Larkana, Peshawar, Hafizabad, Pindi Bhattian, Jalalpur Bhattian, and Shakar Dara.

Surveyors visited a total of 133 schools and found the following in Pakistan:

  1. Vendors sell tobacco products around schools. (Investigators observed 268 points of sale selling tobacco products around schools. Groceries were the most common form of vendors observed, followed by street vendors and kiosks.)
  2. Multinational tobacco companies sell tobacco products around schools. (Investigators documented that, of the 268 tobacco points of sale observed, 65.3% carried British American Tobacco brands, 27.1% carried Philip Morris International brands, and 6.5% carried Japan Tobacco brands.)
  3. Vendors advertise tobacco products around schools. (Investigators observed tobacco advertising at 89% of the 268 tobacco points of sale observed.) Posters were the most common form of advertising at 87.2% of the 268 tobacco points of sale observed.
  4. Vendors sell cigarettes and bidis via single sticks, making these products cheap and accessible to children and youth around schools. (Investigators observed single stick sales in 99.5% of the 268 tobacco points of sale observed.)
  5. Vendors display tobacco products in ways that are appealing to children and youth. (Investigators documented that, of the 268 tobacco points of sale observed, 95% of displays were at 1 meter – a child’s eye level; 62% of the points of sale had no visible health warning; and 94% of displays were beside candy, sweets and toys – items marketed to children.)
  6. Vendors utilize sales techniques such as discounting produc ts and distributing fr e e s ampl e s. (Investigators documented that, of the 268 tobacco points of sale observed, 27.2% offered price discounts and 8.1% offered free tobacco products.

Our investigation revealed that Pakistan’s children are bombarded with tobacco marketing and product accessibility immediately around their schools. Tobacco companies commonly advertise their products in stores near schools and use product displays at stores and kiosks designed to be attractive to children. Advertising is often placed at a child’s eye level, and tobacco products are placed near candies, snacks, and school supplies. The placement provides easy access to tobacco products to school children.

The way tobacco products are packaged and displayed are also important marketing tools for the tobacco industry. Backlighting, bright colors, and interesting materials are all used to make tobacco product displays more attractive to children. These tobacco industry advertising and product placement techniques were found in the field surveys.

Not surprisingly, Philip Morris and Pakistan Tobacco Company products were the most commonly observed around schools in our investigation and they are also the most vocal lobby against the restrictions on tobacco advertising in Pakistan.

To strengthen the current law and otherwise combat tobacco industry targeting of children and youth, this report recommends the following:

  1. The government of Pakistan must enforce its current tobacco control legislation, including:
    1. the Prohibition of Smoking and Protection of Non-Smokers Ordinance, 2002 which bans sales of tobacco products within 50 meters of schools; and
    2. the following SROs issued under the 2002 Ordinance: i. SRO 1086 (I)/2013 which restricts point of sale advertising; ii. SROs 277(I)/2011 and (I)/2018 which prohibit the sale of single sticks of cigarettes.
  2. The government also must strengthen Pakistan’s tobacco control legislation, to include a ban on all forms of point of sale tobacco advertising and point of sale tobacco product display.
  3. The government should reconstitute and activate the Committee on Tobacco Advertisement Guidelines (CTAG) on a permanent basis and task the CTAG with continuously reviewing and updating Pakistan’s tobacco control legislation as it relates to tobacco industry advertising, promotion and sponsorship.
  4. Municipal authorities should license tobacco vendors. Regulating tobacco vendors can aid enforcement of Pakistan’s tobacco control legislation.
  5. Compliance with Pakistan’s tobacco control legislation should be a condition of the tobacco vendor license where violations of the laws constitute a violation of the license itself.
  6. Municipalities should consider licensing only exclusive tobacco shops where tobacco products solely can be sold. This will reduce exposure to tobacco products by children and non-users who will not frequent such stores.
Campaign For Tobacco Free Kids

The Impact of Tobacco Use on Household Consumption Patterns in Pakistan – SPDC

Social Policy and Development Centre May 2020

Executive Summary

Pakistan has comparably high rates of tobacco consumption and tobaccorelated illness and disease. In addition, consumption of tobacco constitutes a sizable portion of household expenditure. High tobacco expenditure leads to reduced spending on other basic needs and thus has direct bearing on mhousehold welfare. Analysis of household spending patterns is therefore important for understanding the opportunity cost of tobacco use.

This study is the first attempt to estimate the impact of tobacco use on consumption patterns of households in Pakistan and complements existing work on the crowding out effect of tobacco expenditures in developing economies. It also explores how reductions in tobacco expenditure affect intra-household resource allocation. The study is based on quantitative methods by using data from the Pakistan Household Integrated Economic Survey 2015Ȃ16.

The key findings of this analysis are the following:

  • In Pakistan, tobacco-spending households spend nearly three percent of their monthly budget on tobacco, and poor households devote more of their budget to tobacco relative to rich households.
  • The study finds strong evidence of a crowding out effect in Pakistan, in which a reduction in tobacco expenditure leads to an increase in
    household spending on basic food items, health, education, housing, household durables, leisure, and other commodities.
  • The crowding out effect is more prominent in education and basic food among lower-income households, while education and housing are more affected among higher-income households.
  • The simulation analysis suggests that a reduction in tobacco expenditures by 50 percent would increase aggregate expenditures on the abovementioned commodity groups by about 18 percent. For lower-income households, the major share of this increase would be devoted to education (35 percent) and basic food (25 percent).

The findings of this study highlight the importance of tobacco control policies in Pakistan to reducing tobacco consumption and freeing up household resources for other spending such as food and education. Moreover, given the tobacco-poverty link, the study also recommends that tobacco control measures be integrated into the poverty reduction policies and programs.

Wasim Saleem Muhammad Asif Iqbal Social Policy and Development Centre May 2020