Tobacco Free Ireland 2025
5th/9th June 2014The Endgame: Tobacco Control
Workshop.
Dr Fenton HowellNational Tobacco Control Advisor Tobacco and Alcohol Control Unit
Department of Health, Dublin.
Tobacco Free Ireland 2025
Tobacco Free Ireland 2025
“In Ireland a tobacco free society will mean the achievement of a smoking prevalence rate of less than 5% of the Irish population by 2025”
Tobacco Free Ireland
Tobacco Free Ireland 2025
2004 Ireland Smoke-free!
Tobacco Free Ireland 2025
Tobacco Free Ireland: Key messages A Framework for Improved Health and
Wellbeing Prevention is paramount Multi-faceted approach needed Population and risk based approached Children a priority Denormalisation of tobacco use WHO FCTC and MPOWER model Regulate the tobacco retail environment Build and maintain compliance with legislation
Tobacco Free Ireland 2025
Building on progress: Towards a Tobacco Free Society (2000) Smokefree workplace legislation 29th March
2004 1st country in the world
Point of sale advertising ban (2009) 1st country in EU
Graphic warnings on tobacco products (2012) HSE Tobacco Control Framework e.g. (2010)
Tobacco Free Campus Social Marketing QUIT Campaign Brief Intervention Training Programme National Tobacco Control Inspection Programme
Tobacco Free Ireland 2025
Smoking prevalence: adults, improving but unacceptable
0
5
10
15
20
25
30
35
MaleFemaleOverall Preva-lence
Survey of Lifestyle, Attitudes and Nutrition (SLAN) 2007 – 29%Office of Tobacco Control Omnibus Tracker Survey 2007 - 28%Office of Tobacco Control Omnibus Tracker Survey 2012 - 22%
Tobacco Free Ireland 2025
Smoking prevalence: children, improving but unacceptable
HBSC
ESPAD
Smoking prevalence
15 year olds 1998 2010
Ireland 33% 17% ( 50%)
HBSC average
33% 24% ( 28%)
Lifetime use of tobacco
15 year olds 1999 2011
Ireland 73% 43% ( 41%)
ESPAD average
69% 54% ( 28%)
Tobacco Free Ireland 2025
Consequences of tobacco use
11 IN EVERY 2 CHILDREN WHO SMOKE
A CIGARETTE WILL BECOME A SMOKER1
2
11 IN EVERY 2 SMOKERS WILL DIE
OF A TOBACCO RELATED DISEASE2
21 DiFranza et al. The Natural History and Diagnosis of Nicotine Addiction. Current Periodic Reviews, 2011,7, 88-96
2 Doll et al. Mortality in relation to smoking: 40 years observations on male British doctors. British Medical Journal 1994; 309:901-911).
Tobacco Free Ireland 2025
Smoke Free Environments Prohibit smoking in primary and secondary
school campuses and on childcare campuses Promote smoke free campuses for healthcare
facilities, third level institutions and major sporting stadia
Promote tobacco free playgrounds, parks and beaches
Prohibit smoking in cars where children are present*
Tobacco Free Ireland 2025
Tobacco Free Ireland 2025
Tobacco retail* Licensing system for retailers Prohibit sales of tobacco by those under 18 Prohibit tobacco sales at events where
audience under 18 Prohibit self-service vending and mobile units On the spot fines/minimum period of
suspension Name and shame Strengthen enforcement by HSE
Tobacco Free Ireland 2025
Tobacco marketing
Standardised packaging*
Defend point of sale measures
Monitor brand stretching
Minimise portrayal of smoking in entertainment sector
Implement Tobacco Products Directive
Tobacco Free Ireland 2025
Enforcement Enhance National Tobacco Control Inspection
Programme Smokefree Point of sale Sales to minors Graphic warnings Stealth marketing
Build further investigative and enforcement capacity within HSE
Ensure existing legislation fit for purpose
Tobacco Free Ireland 2025
Smoking cessation Co-ordinate smoking
cessation Evidence based
guidelines Target key risk groups Train frontline health care
workers in smoking cessation
Regulatory framework for nicotine products
Invest in mass/social media
Tobacco Free Ireland 2025
Other measures Partnership, national and international Fiscal – DOH, DOF and Revenue Examine possibility of an environmental levy Sign and implement the FCTC illicit trade
protocol Protect public health policies from tobacco
industry and vested interest (WHO FCTC 5.3) Active national and international research and
surveillance on tobacco use Supply and demand
Tobacco Free Ireland 2025
Tobacco Free Ireland
Not going alone Bhutan 2004, New Zealand 2025 Scotland 2034, Canada 2035, Finland
2040 Some already there
HSE 2012 Staff Smoking survey 15% Medical/Dental Staff- 4% (45%
in 1967!) Health and Social Care Staff – 9% Nursing Staff -11% Other Staff – 18%
Tobacco Free Ireland 2025
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