The impact of the EU accession on Croatia Public health policies on tobacco Marta Čivljak, MD, PHD...
-
Upload
aubrey-marshall -
Category
Documents
-
view
215 -
download
1
Transcript of The impact of the EU accession on Croatia Public health policies on tobacco Marta Čivljak, MD, PHD...
The impact of the EU accession on Croatia Public health policies on tobacco
Marta Čivljak, MD, PHDResearch Fellow
Department of Medical Sociology and Health Economics, Andrija Štampar School of Public Health
Tobacco smoking: global public health problem
There are 1.3 billion smokers worldwide
Every day over 13,000 people die from tobacco-related
diseases
If current trends continue, by 2025 tobacco will
contribute to the death of 10 million people worldwide
each year
ESPAD 2007. (European School Survey Project on Alcohol and Other Drugs)
38% girls and boys are smokers
GYTS 2007. (Global Youth Tobacco Survey) 24.8% currently smoke cigarettes (Boys = 22.4%, Girls =
25.8%) 9.3% currently are daily cigarette smokers (Boys = 8.4%,
Girls = 9.2%)
9/10 (92.2%) live in homes where others smoke in their presence
HZA 2003 (Croatian Health Survey)
34% male and 22% female smokers
Tobacco smoking: public health problem in Croatia
Interventions and programs for smoking cessation in Croatia (1990-2010)
National public health interventions
International programs for smoking cessation
National tobacco control policies
National public health interventions
Interventions Importance
Long-term effectiveness
Self-help materials + -
School based educational programs + -
Program “Say YES to no smoking” ++ ++
Interventions for smoking cessation in dental setting + -
International programs for smoking cessation
Interventions Importance
Long-term effectiveness
World No Tobacco Day + -
“Quit and Win” contest for smoking cessation + +
WHO Framework convention on Tobacco Control (WHO FCTC) ++ ++
National tobacco control policies
This legislation provides measures determined to improve public health :
- measures to reduce exposure to tobacco smoke and demand on tobacco
- product control and consumer information (regulates the levels of tar nicotine and carbon monoxide in cigarettes / health warnings)
- Education, communication, training and public awareness - supervision of law enforcement
Laws restricting the use of tobacco products in Croatia
Tobacco control policy, 1999 (Zakon o ograničavanju uporabe duhanskih proizZvoda. NN 1999;(128):4469-73.)
Tobacco control policy 2008 (Zakon o ograničavanju uporabe duhanskih proizvoda. NN 2008;(125):2-6.)
Corrections of Tobacco control policy, 2009 (Ispravak Zakona o ograničavanju uporabe duhanskih proizvoda. NN 2009;(55):63).
WHO Framework Convention on Tobacco Control (WHO FCTC)
is the first treaty negotiated under the auspices of the WHO.
was developed in response to the globalization of the tobacco epidemic
it presents an evidence-based treaty that reaffirms the right of all people to the highest standard of health
was adopted by the World Health Assembly on 21 May 2003 and entered into force on 27 February 2005.
with 168 signatories has become one of the most widely
embraced treaties in UN history
The core demand reduction provisions in the WHO FCTC (contained in articles 6-14)
• Price and tax measures to reduce the demand for tobacco, and
Non-price measures to reduce the demand for tobacco, namely:
Protection from exposure to tobacco smoke; Regulation of the contents of tobacco products; Regulation of tobacco product disclosures; Packaging and labeling of tobacco products; Education, communication, training and public
awareness; Tobacco advertising, promotion and sponsorship; and, Demand reduction measures concerning tobacco
dependence and cessation
The core supply reduction provisions in the
WHO FCTC (contained in articles 15-17)
Illicit trade in tobacco products;
Sales to and by minors;
Provision of support for economically viable alternative activities
Tobacco control in Croatia today Croatia was among the first countries that have signed
the Convention (June 2, 2003).
Has ratified the treaty on 14th July 2008.
Ratification of the treaty influenced most of all non-price measures to reduce the demand for tobacco
Conclusion
Croatia must continue to work intensively on the following measures for tobacco control:
Price and tax measures to reduce the demand for tobacco (the most effective measures to reduce smoking prevalence in the population)
Supply reduction measures Enforcement of the law on complete ban on
smoking in public places