Organization World Research Articles

Trends in Cancer Incidence and Potential Associated Factors in China

Timely analysis of cancer incidence trends is crucial for cancer prevention and control, which is a public health priority in China. To estimate incidence trends for 32 cancers in China from 1983 to 2017 and project changes to 2032, assessing distinct changes due to risk factors and an aging population. This population-based cohort study used data from the Cancer Incidence in Five Continents database (1983-2017). New cases of 32 cancers were collected. Data were analyzed from October 15, 2023, to May 23, 2024. Age-standardized incidence rate (AIR) standardized to the World Health Organization World Standard Population, average annual percentage changes (AAPC) using joinpoint regression, and percentage change due to aging and risk factors, using Møller decomposition analysis, stratified by cancer and sex. A total of 3 677 027 new cancer cases (54.9% male, 45.1% female) were included in the analysis. Increased AIRS were observed for 11 cancers in males and 14 in females from 1983 to 2017, with trends expected to continue until 2032. Thyroid cancer showed the highest increase (AAPC: 7.82% in males; 95% CI, 6.92%-10.38%; 8.59% in females; 95% CI, 7.84%-10.42%), followed by prostate (4.71%; 95% CI, 3.12%-9.95%) and kidney (3.61%; 95% CI, 3.11%-5.82%) cancers in males, and cervical (4.43%; 95% CI, 3.36%-9.44%) and kidney (3.66%; 95% CI, 2.98%-6.86%) cancers in females. The AIRs of lung cancer tended to decrease in males but increase in females during 1983-2017. In contrast, the AIRs of stomach, liver, larynx, and nose and sinuses cancers decreased from 1983 to 2032. From 2018 to 2032, cancer cases were projected to increase primarily due to risk factors for 18 cancers in males and 11 in females, while aging would be associated with the increase in other cancers. In this population-based cohort study of incident cancer in the general population, the cancer landscape in China is evolving, with an increasing incidence primarily due to risk factors in 20 cancers and aging in others. Primary prevention efforts to reduce risk exposure are crucial, and further basic research is needed. Additionally, second prevention efforts are imperative to improve cancer survival, particularly among older individuals.

CYBERSECURITY AWARENESS

Technology is advancing at a very high speed, becoming more sophisticated and complex. Similarly, due to the vastness of the digital world, cyber threats have also increased in complexity and frequency. The rapid advancement of technology has brought unprecedented conveniences but also significant risks. Therefore, security awareness is essential for every individual and organization. Cyber threats such as phishing attacks, malware attacks, social engineering, Denial of service attacks, and insider threats have become sophisticated, proving to be a challenge to individuals and organizations. This paper evaluates security awareness in the organization with a keen interest in why the program is essential, the components of the program, challenges that might be faced while implementing the program, and what role the organization and employees have to play to ensure the environment is secure. The paper provides a comprehensive analysis highlighting the importance of security awareness in an organization's current sophisticated digital world. Keywords - Security Awareness, Cyber Threats, Phishing, Malware, Social Engineering, Information Security, Cybersecurity Training, Risk Mitigation, and Continuous Education.

Leadership Practices, Organization Structure, and Other Factors Associated with Higher 2022-2023 US News and World Report Ranking.

U.S. News and World Report 2022-2023 hospital rankings were used to investigate the leadership practices and organizational structure of ranked healthcare institutions. Institutional variables including physician leadership status, executive board size, number of physician board members, type of physician practice, health system size, and for-profit status were collected. US News and World Report scores were used to create a comprehensive institutional rank order list. Strength of association was evaluated between these variables and the organization's US News and World Report rank. Our analysis included 546 institutions representing 1676 hospitals. Leadership under a physician CEO (OR 1.59 (95% CI 1.27, 2.00) P < 0.001), group practice (OR 1.25 (95% CI 1.01, 1.59) P = 0.042), and bed count of the institution's highest-ranking hospital (OR 1.001 (95% CI 1.0009, 1.0014) P < 0.001) were associated with higher US News and World Report ranking. For-profit status was negatively associated with institution ranking (OR 0.44 (95% CI 0.24, 0.78) P = 0.005). No significant association was demonstrated between number of physician executive board members, health system bed count, executive board size, or the number of hospitals in a health system and the institutional ranking. Physician leadership, organizational structure, size of the institution's flagship hospital, and tax status are significantly associated with an organization's US News and World Report rank.

Trend Analysis of Tourist-arrivals in Nepal Using Auto- Regressive Integrated Moving Average (ARIMA) Model

Nepal, a diverse and geographically varied landlocked country with a rich tapestry of cultures, and natural heritages, boasts iconic attractions such as Mt. Everest as the world’s highest peak, Lumbini as the birthplace of Lord Buddha, Pashupatinath Temple as one of the world’s most celebrated pilgrimages for the Hindus, Chitwan National Park, home to the one-horned rhino enlisted by United Nations Educational, Scientific and Cultural Organization world’s natural treasure, etc. Attracting tourists from all corners of the globe, Nepal’s unique blend of landscapes and cultural heritage has made this country a prominent destination. This research delves into a comprehensive trend analysis of tourist arrivals in Nepal from 1964 to 2023, employing the Auto Regressive Integrated Moving Average (ARIMA) model based on the secondary data employed from the Ministry of Finance, Government of Nepal. The model provides insights into past trends and forecasts future tourist arrivals, evidenced by the rigorous test using the Root Mean Square Error. The analysis employed several ARIMA models, including ARIMA (2, 1, 3), ARIMA (2, 1, 2), ARIMA (3, 1, 3), and ARIMA (3, 1, 2), with model performance assessed using criteria such as Akaike Information Criterion (AIC) and Mean Absolute Error (MAE). Findings indicate that the ARIMA (2 1, 3) model provides the most accurate forecasts compared to the other models tested. This finding has significant implications for Nepal’s tourism industry. The results underscore the importance of adopting flexible and strategic planning approaches to enhance the resilience of Nepal’s tourism sector. The study’s insights are valuable for policymakers, industry stakeholders, and researchers, contributing to the development of targeted strategies that ensure sustainable growth in the face of ongoing volatility.

Testing the Environmental Kuznets Curve Hypothesis within the Context of Industrial Development through NARDL Model: The Case of France

Energy is one of the necessary and vital factors for the economic development of countries and the increase in living standards. The limited availability of conventional energy resources, in parallel with the rapid increase in energy consumption due to industrialization activities and technological developments, has encouraged countries to change their energy production policies and use alternative energy sources. For this purpose, in the study, the relationship and direction of the relationship between industrial production, CO2 emissions, energy use and economic growth in France are examined with the carrying out of the ADF, PP, KPSS unit root and the NARDL test for the period 1990–2023. The analysis findings reveal that the variables are cointegrated in the long-run and a 1% unit raise in energy consumption would trigger CO2 emissions by 0.46%. The increase in energy consumption in the long term affects both negatively and positively in the long term. While a 1% increase in energy consumption reduces carbon emissions by 0.48%, a 1% decrease causes a 0.35 decrease in carbon emissions. The positive increase in economic growth and the negative increase in energy consumption trigger environmental pollution by causing an increase in carbon dioxide emissions. There is interdependence between economic activities and environmental pollution. Policy makers need to adopt a strategic approach in solving the rapid industrialization phenomenon and the accompanying magnitude of energy consumption, the pressure on natural resources and the environmental pollution problems resulting from them. In this respect, it is an inevitable necessity for countries to continue multilateral negotiations in which the public sector, business world, academia and non-governmental organizations will take part in solving environmental problems.

The case for eliminating excessive worry as a requirement for generalized anxiety disorder: a cross-national investigation.

Around the world, people living in objectively difficult circumstances who experience symptoms of generalized anxiety disorder (GAD) do not qualify for a diagnosis because their worry is not 'excessive' relative to the context. We carried out the first large-scale, cross-national study to explore the implications of removing this excessiveness requirement. Data come from the World Health Organization World Mental Health Survey Initiative. A total of 133 614 adults from 12 surveys in Low- or Middle-Income Countries (LMICs) and 16 surveys in High-Income Countries (HICs) were assessed with the Composite International Diagnostic Interview. Non-excessive worriers meeting all other DSM-5 criteria for GAD were compared to respondents meeting all criteria for GAD, and to respondents without GAD, on clinically-relevant correlates. Removing the excessiveness requirement increases the global lifetime prevalence of GAD from 2.6% to 4.0%, with larger increases in LMICs than HICs. Non-excessive and excessive GAD cases worry about many of the same things, although non-excessive cases worry more about health/welfare of loved ones, and less about personal or non-specific concerns, than excessive cases. Non-excessive cases closely resemble excessive cases in socio-demographic characteristics, family history of GAD, and risk of temporally secondary comorbidity and suicidality. Although non-excessive cases are less severe on average, they report impairment comparable to excessive cases and often seek treatment for GAD symptoms. Individuals with non-excessive worry who meet all other DSM-5 criteria for GAD are clinically significant cases. Eliminating the excessiveness requirement would lead to a more defensible GAD diagnosis.

Metode Weight Product Untuk Pemilihan Pestisida Yang Sesuai Dengan Jenis Hamanya

Technological developments are now growing rapidly in various fields, including the implementation of technology in everyday life, including the world of business and organizations. Digital technology includes information, computing, communications and connectivity, becoming a key factor for achieving sustainable competitive advantage in various industries. The use of technology also provides benefits such as sales monitoring, business recommendations and better decision making. Decision Support System (DSS) is a system that is deliberately created to assist certain parties in making decisions with quality and objective results, in an effective and efficient way of working, and does not depend solely on subjective decisions or based on wrong parameters. . The Weight Product (WP) method is one of the solution methods in Decision Support Systems. Choosing the best product is an important decision in various aspects of life, from purchasing consumer goods to choosing technology in business. UD. Anugrah Jaya Tani is one of the kiosks in Sayur Mahincat village, Kec. Barumun Selatan, Padang Lawas Regency, which operates in the agricultural sector and sells various types of pesticides, herbicides and fertilizers. Pesticides are chemical substances and other materials used to control various pests. For farmers, the types of pests are mites, pest plants, plant diseases caused by fungi (fungi), bacteria and viruses, nematodes (worms that damage roots), snails, mice, birds and other animals that are considered detrimental. This research aims to determine pesticides that are suitable for the type of pest on plants. The method used is a Decision Support System (DDS), namely Weight Product (WP). The data used is 10 data with 6 predetermined criteria. The results of this research are based on the final value obtained from each alternative, the pesticide with the highest value is considered the best alternative and the result is that Alternative A5 is the best pesticide with the highest value of 0.1396, namely Sidabas. This means that the pesticide is considered to best meet the specified criteria with the weight given.

A community-engaged tool for evaluating food sovereignty in Haiti and beyond

ABSTRACT Researchers and community organizations are increasingly operationalizing food sovereignty, and argue that participatory, community-engaged food sovereignty metrics can enhance insights about local contexts, and opportunities for food sovereignty. In Haiti, one of the most food-insecure countries in the world, peasant and civil society organizations have been calling for food sovereignty for over a decade, and the state recently published a food sovereignty policy document, marking an important paradigm shift. In this paper, we share a case study of a food sovereignty tool that was designed through a participatory, community-based process in Northern Haiti, offering a blueprint and lessons learned that we hope will be useful to others working to operationalize food sovereignty.

Formulation of contextual circumstances in final court decisions on cases of violation of the laws and customs of war: peculiarities of legal argumentation

The article analyzes the peculiarities of legal reasoning in final court decisions in cases of violation of the laws and customs of war (Article 438 of the Criminal Code of Ukraine) in the context of such contextual circumstances as the existence of an international armed conflict during which and in connection with which the relevant war crime is committed. The author identifies the following shortcomings in the wording of contextual circumstances in sentences under Article 438 of the Criminal Code of Ukraine: an extensive historical excursion into the historical past of our State and world organizations, as well as the lack of a clear definition of such contextual circumstances. The author proves that in addition to the direct establishment of such circumstances, final court decisions should state the existence of a relevant victim, object and subject of a war crime, which are elements of the mechanism for determining contextual circumstances, as well as independent signs of the crime under Article 438 of the Criminal Code of Ukraine. It is determined that the legal arguments used in final court decisions should include a brief description of the factual and temporal factors of the international armed conflict on the territory of Ukraine, which take place in the country as a whole, as well as the local aspect of the international armed conflict, the existence of which is proved by the occupation of the Ukrainian settlement where the war crime event took place. In addition, when describing the contextual circumstances of the crime under Art. 438 of the Criminal Code of Ukraine, it is advisable to refer to international normative documents and international case law. It is determined that a complete description of the contextual circumstances will ensure the «stability» of court decisions in the courts of appeal, which may be appealed by the defense party arguing that there are no relevant contextual circumstances, which, in the opinion of the defense, indicates that an ordinary crime was committed, rather than a war crime. Key words: war crime, violation of the laws or customs of war, contextual circumstances, international armed conflict, criminal proceedings, international humanitarian law, final judgment, quality of judgment, legal technique, legal reasoning.

The palace of Charles V in the Alhambra: graphic analysis of the ‘large plan’ (circa 1532)

Around 1526, Emperor Charles V decided to build a new Renaissance palace in addition to the Nasrid palaces in the Alhambra of Granada, a monumental site currently included in the United Nations Educational, Scientific and Cultural Organisation (UNESCO) World Heritage List. In that period, a large floor plan, which is preserved today at the Library of the Royal Palace of Madrid, was drawn to represent the building and its surroundings. Although this anonymous drawing has attracted considerable historiographic interest, a study of the graphical aspects analysed here, namely, paper assemblage, drawing technique, representation system, metrology, graphical scale, dimensioning, and labelling, is lacking. To accomplish this analysis, the original document was carefully examined and digitalised with high definition. This process allowed a comprehensive graphic analysis, utilising other drawings from the same period as a comparative reference and studying for the first time the major characteristics of one of the most relevant architectural drawings of the 16th century.

The Impact of the Professor’s Ethical Leadership on the Students’ Deviant Behaviors

Over the past two decades, the organizational world has shown a particular interest in ethics. The majority of studies and research on the subject of ethics have been conducted within the framework of organizations, considered as a conventional environment; a few studies have, on the contrary, adopted a research framework in a unconventional context. This is the case with our current research on ethics in the academic and university environment in the context of Moroccan universities. As we shall demonstrate influence of the leader, or leadership can lead an individual to engage in deviant behavior as the ethical climate, which also serve as a reference for the behaviors to be adopted.

An Ecological Association Between Air Pollution and Adolescent Obesity Study.

The purposes of this study were to assess the association between exposure to particulate matter (PM 2.5 ) and adolescent obesity and to identify and visualize the world areas where the problems of adolescent obesity and air pollution by fine PM are more severe. This is an ecological study, based on publicly available data from a World Health Organization site. For each increase in air pollution there was an increase in the probability of being in the higher prevalence obesity group (OR = 1.18 (95% CI, 1.06-1.31). High prevalence rates for both adolescent obesity and air pollution by PM 2.5 were identified in several countries, including Venezuela, Algeria, Libya, Saudi Arabia, Iraq, and Oceania islands. Efforts by local authorities and world organizations should be focused on the countries with the highest prevalence rates for both conditions.

Fact check: Still not core journalism curriculum

Fact-checking has become a global industry, with more than 417 fact-checking outlets in 100 countries operating in 69 languages (Stencel, Ryan &amp; Luther, 2023). According to the Duke Reporters’ Lab, half of the world’s fact checkers are associated with media outlets, but there are also 24 affiliated with academic institutions. Although the work is time consuming and resource intensive, fact-checking has increasingly been introduced to journalism programmes at universities and in professional settings. This expert article brings together some insights from a United Nations Educational, Scientific and Cultural Organisation (UNESCO) World Journalism Education Council (WJEC) roundtable event ‘Fact-Check and Verification as Core Journalism Curriculum’ hosted by RMIT University in Australia in 2021, alongside relevant literature exploring the nature and presence of fact-check based education approaches at that time. It concludes that while fact-checking and verification are important skills for student journalists, fact checkers do not necessarily need to be journalists, nor indeed have journalistic training. However, more students are needed who are excellent journalists and the authors argue that fact-checking is just part of that training.

Fact check: Still not core journalism curriculum

Fact-checking has become a global industry, with more than 417 fact-checking outlets in 100 countries operating in 69 languages (Stencel, Ryan &amp; Luther, 2023). According to the Duke Reporters’ Lab, half of the world’s fact checkers are associated with media outlets, but there are also 24 affiliated with academic institutions. Although the work is time consuming and resource intensive, fact-checking has increasingly been introduced to journalism programmes at universities and in professional settings. This expert article brings together some insights from a United Nations Educational, Scientific and Cultural Organisation (UNESCO) World Journalism Education Council (WJEC) roundtable event ‘Fact-Check and Verification as Core Journalism Curriculum’ hosted by RMIT University in Australia in 2021, alongside relevant literature exploring the nature and presence of fact-check based education approaches at that time. It concludes that while fact-checking and verification are important skills for student journalists, fact checkers do not necessarily need to be journalists, nor indeed have journalistic training. However, more students are needed who are excellent journalists and the authors argue that fact-checking is just part of that training.

Measuring Compliance In Paying Agricultural Zakat: Case Study In Galang Village, Ulu Musi District, Empat Lawang District

This research uses a qualitative approach, the data in this research was obtained from primary data and secondary data. In collecting data using observation, interviews and documentation methods. Analysis of data obtained from interviews, field notes and other materials, arranged systematically so that it is easy to understand and explained in the form of quotations to determine the factors of farmer complance in agricultural zakat in Galang Village, Ulu Musi District, Empat Lawang Regency. The results of this research show that the factors that influence farmers' compliance in paying agricultural zakat are internal and external factors, internal factors consist of religiosity (lack of belief and obedience of farmers regarding agricultural zakat so that there is no encouragement from within farmers to pay agricultural zakat ), awareness (no self-awareness where farmers do not know about agricultural zakat), knowledge and education, and experience (farmers have no experience either from the world of work, organizations or education). Meanwhile, external factors are location (location/distance of BAZNAS which is quite far from where one lives), socialization (lack of socialization from BAZNAS institutions) and society. These three factors greatly influence the rarity or awareness of society to pay agricultural zakat

Hubungan Antara Insecurity dengan Burnout pada Karyawan Outsourcing Job Pelindo Teluk Bayur Padang

Free competition in the industrial and organizational world, developments in information and communication technology (ICT), increased knowledge of consumers and company employees, encourage business actors who produce goods or services to start taking into account factors that can improve the quality and quantity of production to increase profits/profits. service satisfaction for consumers, as well as improving employee welfare.This study aims to determine the relationship between job insecurity and burnout among outsourced employees at Pelindo Teluk Bayur Padang. The independent variable in this study is job insecurity and the dependent variable is burnout. The measurement tools used in this study are the job insecurity scale and the burnout scale. The sample in this study were 118 outsourced employees of Pelindo Teluk Bayur Padang. Test the validity and reliability in this study using Alpha Cronbach technique. The results of the validity coefficient on the job insecurity scale range from rix = 0.311 to rix = 0.793 with a reliability coefficient of α = 0.929. Meanwhile, the burnout scale moves from rix = 0.327 to rix = 0.803 with a reliability coefficient of α = 0.934. Based on data analysis, a correlation value of 0.781 was obtained with a significance level of 0.000, which means that the hypothesis is accepted. This shows that there is a significant relationship between job insecurity and burnout among Pelindo Teluk Bayur Padang outsourced employees

Tracking the Global Burden of Neural Tube Defects and Assessing Disparities Across World Health Organization Regions: A Scoping Literature Review.

Neural tube defects (NTDs) are an important cause of global morbidity worldwide. Well-planned global neurosurgery and public health efforts can aid vulnerable communities, but there is a need to elucidate the global burden of NTDs and identify regions without available data to better target interventions. A scoping review to quantify worldwide NTD prevalence using the PubMed/Medline and birth defects surveillance registries was conducted. Data published after January 1, 1990, encompassing prevalence values of at least the 2 most prevalent NTDs-spina bifida and encephalocele-were abstracted. Average NTD prevalence rates were aggregated by World Health Organization (WHO) region and World Bank classification, and differences were determined using the analysis of variance test. Differences in availability of nationally representative data by WHO region and World Bank classification were determined using χ2 tests. This review captured 140 studies from a total of 93 of 194 WHO member countries. The percentage of countries within a geographic region with available NTD prevalence data was highest in the Eastern Mediterranean (EMR) (85.7%) and lowest in Africa (AFR) (31.3%). The NTD prevalence range was 0.9-269.6 per 10 000 births. Statistically significant differences in reported NTD prevalence rates existed by WHO Region (P = .00027) and World Bank income level of study country (P = .00193). Forty countries (43%) had conducted national-level studies assessing NTD prevalence. There was a statistically significant difference in the availability of nationally representative prevalence data depending on the WHO region (P = .0081) and World Bank classification of study country (P = .0017). There is a gap in availability of NTD prevalence data worldwide, with many WHO member states lacking national-level NTD prevalence estimates. These findings highlight the need for greater NTD surveillance efforts to identify the countries with the greatest need for targeted global intervention.

Organizational Culture Resilience and Subjective Happiness among Insurance Employees

Abstract: The Study of organizational culture looks at how people or groups interacts inside a company and how it affects how well the company performs in relation to its goals. It includes how different elements affect how an organization behaves, emphasizing the dynamics that shape the environment and how well it works to accomplish objectives. The ability to adjust to difficult situations in life by exhibiting mental, emotional, and behavioral flexibility is referred to as Resilience. It includes the capacity to adapt to demands from both the inside and the outside, which eventually enables one to successfully navigate trying circumstances and produce favorable results. Subjective happiness is the termed used to describe joy and fulfilment in life that is derived from self-report surveys and is impacted by both external and internal elements, including social interactions and the surrounding society and personality qualities. Businesses that offer financial safeguards against risk through a range of products such as property, casualty, health, and life insurance, are included in the Insurance industry. These organizations evaluate risks, gather premiums, and disburse claims in the case of insured occurrences. They are vital in preventing monetary losses for people, corporations, and other organizations. Understanding these factors informs how important insurance sector plays an role in the organizational world. The present study aims to determine the relationship of organizational culture on Resilience and Subjective Happiness of it employees. Sample of 164 employees who are working in the insurance sector was taken from Hyderabad, Kolkata and Bangalore. Organizational Culture Scale by Ghost and Srivastava, Brief Resilience Scale by Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., &amp; Bernard, J, Subjective Happiness Scale by Lyubomirsky, S., &amp; Lepper, H. S were used. The data were analysed using different statistical tools such Descriptive Statistics and Spearman Correlation. Findings revealed no significant relationship between organizational culture and Resilience, Organizational culture and Subjective happiness.

Changes in cardiovascular disease risk predicted by the Framingham risk model in the Hong Kong population between 2003-2005 and 2014-2015: data from Population Health Surveys.

The Framingham risk model estimates a person's 10-year cardiovascular disease (CVD) risk. This study used this model to calculate the changes in sex- and age-specific CVD risks in the Hong Kong Population Health Survey (PHS) 2014/15 compared with two previous surveys conducted during 2003 and 2005, namely, PHS 2003/2004 and Heart Health Survey (HHS) 2004/2005. This study included individuals aged 30 to 74 years from PHS 2014/15 (n=1662; n=4 445 868 after population weighting) and PHS 2003/2004 and HHS 2004/2005 (n=818; n=3 495 074 after population weighting) with complete data for calculating the risk of CVD predicted by the Framingham model. Sex-specific CVD risks were calculated based on age, total cholesterol and high-density lipoprotein cholesterol levels, mean systolic blood pressure, smoking habit, diabetic status, and hypertension treatment. Mean sex- and age-specific CVD risks were calculated; differences in CVD risk between the two surveys were compared by independent t tests. The difference in 10-year CVD risk from 2003-2005 to 2014-2015 was not statistically significant (10.2% vs 10.6%; P=0.29). After age standardisation according to World Health Organization world standard population data, a small decrease in CVD risk was observed, from 9.4% in 2003-2005 to 8.8% in 2014-2015. Analysis according to age-group showed that more participants aged 65 to 74 years were considered high risk in 2003 to 2005 (2003-2005: 66.8% vs 2014-2015: 53.1%; P=0.028). This difference may be due to the decrease in smokers among men (2003-2005: 30.5% vs 2014-2015: 24.0%; P<0.001). From 2003-2005 to 2014-2015, there was a small decrease in age-standardised 10-year CVD risk. A holistic public health approach simultaneously targeting multiple risk factors is needed to achieve greater decreases in CVD risk.

Global smoking-related deaths averted due to MPOWER policies implemented at the highest level between 2007 and 2020

BackgroundIn response to the harm caused by tobacco use worldwide, the World Health Organization (WHO) World Health Assembly actioned the WHO Framework Convention on Tobacco Control (FCTC) in 2005. To help countries meet their FCTC obligations, the WHO introduced in 2008 the MPOWER policy package and by 2020 the FCTC had been ratified by 182 parties. The package consists of six evidence-based demand reduction smoking cessation policies to assist countries to achieve best practice. We used published evaluation results and replicated the published model to estimate current policy achievement and demonstrate the impact and equity of the MPOWER policy package in reducing the global number of smokers and smoking-attributable deaths (SADs) between 2007 and 2020.MethodsWe replicated an evaluation model (the Abridged SimSmoke model) used previously for country impact assessments and validated our replicated reduction in SADs for policies between 2014 and 2016 against the published results. The replicated model was then applied to report on the country level SADs averted from achieving the highest level of implementation, that is best practice in MPOWER policies, between 2016 and 2020. The latest results were then combined with past published results to estimate the reduction in SADs since the commencement of the MPOWER policy package. Country level income status was used to investigate the equity in the uptake of MPOWER policies worldwide.ResultsIdentical estimates for SADs in 41 out of 56 MPOWER policies implemented in 43 countries suggested good agreement in the model replication. The replicated model overestimated the reduction in SADs by 159,800 (1.5%) out of a total of 10.5 million SADs with three countries contributing to the majority of this replication discrepancy. Updated analysis estimated a reduction of 8.57 million smokers and 3.37 million SADs between 2016 and 2020. Between 2007 and 2020, 136 countries had adopted and maintained at least one MPOWER policy at the highest level which was associated with a reduction in 81.0 million smokers and 28.3 million SADs. Seventy five percent of this reduction was in middle income countries, 20% in high income and less than 5% in low income countries.ConclusionsConsiderable progress has been made by MPOWER policies to reduce the prevalence of smokers globally. However, there is inequality in the implementation and maintenance, reach and influence, and the number of SADs averted. Future research to modify the model could provide a more comprehensive evaluation of past and future progress in tobacco control policies, worldwide.