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Action for Prevention

         Rula Khoury
        Surveillance Officer
     Regional Office for Europe
     World Health Organization
Introduction




      We have the solution to the global tobacco epidemic: The WHO FCTC. Let’s use it.

      WHO FCTC is a powerful tool

      WHO FCTC is a strong stimulus for legislation at the national and EU level

      Legislation works

      The success of the WHO FCTC and legislation depends on everyone - Empower!
Evidence based approach




               Background                          WHO FCTC measures include -



     First international treaty to be   Monitor tobacco use and prevention policies
    negotiated under the auspices of
    WHO                                  Protect people from tobacco smoke
     Entered into force on 27
    February 2005
                                         Offer help to quit tobacco use
     46* countries in the Region and
                                         Warn about the dangers of tobacco
    the European Community are
    Parties                              Enforce bans on tobacco advertising, promotion, sponsorship
                                         Raise taxes on tobacco
Evidence based approach


 Monitor tobacco use and prevention policies
          Why it is important


    Provides important information
   about the extent of the tobacco
   epidemic


    Helps governments allocate
   tobacco control resources where
   they will be most effective


    Shows whether policies are
   being followed


    Shows whether policies are
   working and how they should be
   tailored to the needs of different
   populations
Evidence based approach


 Protect people from tobacco smoke
          Why it is important                     It is a powerful and effective tool - it works


    There is no safe level of
   exposure to second-hand smoke


    Helps smokers quit


    Reduces youth smoking

                                      Rapid decrease in second hand tobacco smoke by 80-90% in high-
                                     exposure settings
                                      Reduces the incidence of heart attacks almost immediately
                                      Helps smokers who want to quit
                                      Encourages smoke free homes
                                      Results in either a neutral or positive impact on business, including
                                     restaurants and bars
Evidence based approach


 Protect people from tobacco smoke
         Why it is important


   There is no safe level of
  exposure to second-hand smoke.


   Protects people from the harms
  of second-hand smoke

   Helps smokers quit


   Reduces youth smoking
Evidence based approach


 Offer help to quit tobacco use
                                      It is a powerful and effective tool - it works
         Why it is important


    When informed of the risks,
   most tobacco users want to quit,
   but few get support to overcome
   their dependence.
Evidence based approach


 Offer help to quit tobacco use
         Why it is important


    When informed of the risks,
   most tobacco users want to quit,
   but few get support to overcome
   their dependence.
Evidence based approach


 Warn about the dangers of tobacco
         Why it is important         It is a powerful and effective tool - it works


   Most tobacco users are
  unaware of the harms caused by
  tobacco use

   Pictorial warnings convey a
  clear and immediate message,
  especially to youth and people
  who cannot read

   They reduce the overall
  attractiveness of tobacco
  packages
Evidence based approach


 Warn about the dangers of tobacco
         Why it is important


   Most tobacco users are
  unaware of the harms caused by
  tobacco use

   Pictorial warnings convey a
  clear and immediate message,
  especially to youth and people
  who cannot read

   They reduce the overall
  attractiveness of tobacco
  packages
Evidence based approach


 Enforce bans on tobacco advertising, promotion and sponsorship

           Why it is important                               It is a powerful and effective tool - it works


      Reduces use


      Changes the perception of
     tobacco use towards not being
     perceived as the norm.
Evidence based approach


 Enforce bans on tobacco advertising, promotion and sponsorship

           Why it is important


      Reduces use


      Changes the perception of
     tobacco use towards not being
     perceived as the norm.
Evidence based approach


 Raise taxes on tobacco

           Why it is important
                                     It is a powerful and effective tool - it works

     Encourages tobacco users to
    quit


     Prevents children and non-
    smoker adults from starting to
    smoke


     Allocating tax revenues for
    tobacco control and other
    important health and social
    programmes further increases
    their popularity.
Evidence based approach


 Raise taxes on tobacco

           Why it is important


     Encourages tobacco users to
    quit


     Prevents children and non-
    smoker adults from starting to
    smoke


     Allocating tax revenues for
    tobacco control and other
    important health and social
    programmes further increases
    their popularity.
Global Summary
Regional Summary



                   WHO FCTC should be implemented comprehensively


                    3 countries have fully implemented 4 of the 6 measures

                            Ireland - P, O, W (mass media) and R

                            Turkey - P, O, W (mass media) and R

                       United Kingdom - P, O, W (mass media) and R

                     1 country has fully implemented 3 of the 6 measures

                                     France - P, O and R

                    6 countries have fully implemented 2 of the 6 measures

                          Belgium, Israel, Romania, Spain - O and R

                              Greece, Hungary, Malta - P and R
Global Developments


 •   Over the past two years, an additional 1.1 billion people have become protected by at least one MPOWER measure
     implemented at the highest level.
Regional Developments



            Recent Developments in 2011


 President of TURKMENISTAN signs accession to WHO
                        FCTC
 HUNGARY - smoke free public places and work places

 UKRAINE to have pictorial health warnings on tobacco
                      products
  Senate of KAZAKHSTAN votes yes to pictorial health
                      warnings
  President of RUSSIAN FEDERATION signs Tobacco
                   Control Concept
      ENGLAND bans tobacco displays in shops
Conclusion



 We have the solution to the global tobacco epidemic: The WHO FCTC. Let’s use it.

 WHO FCTC is a powerful tool

 WHO FCTC is a strong stimulus for legislation at the national and EU level

 Legislation works

 The success of the WHO FCTC and legislation depends on everyone - Empower!

 A wealth of evidence of best practices

    Best Practices collected by Hungarian Focal Point for Tobacco Control - school-based settings
    Best Practices collected by WHO Regional Office, and also jointly with German Cancer
     Research Centre
    WHO/Europe Legislation Database
Thank you

For any questions, please contact: rkh@euro.who.int

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Workshop2 r.khoury

  • 1. Action for Prevention Rula Khoury Surveillance Officer Regional Office for Europe World Health Organization
  • 2. Introduction  We have the solution to the global tobacco epidemic: The WHO FCTC. Let’s use it.  WHO FCTC is a powerful tool  WHO FCTC is a strong stimulus for legislation at the national and EU level  Legislation works  The success of the WHO FCTC and legislation depends on everyone - Empower!
  • 3. Evidence based approach Background WHO FCTC measures include -  First international treaty to be Monitor tobacco use and prevention policies negotiated under the auspices of WHO Protect people from tobacco smoke  Entered into force on 27 February 2005 Offer help to quit tobacco use  46* countries in the Region and Warn about the dangers of tobacco the European Community are Parties Enforce bans on tobacco advertising, promotion, sponsorship Raise taxes on tobacco
  • 4. Evidence based approach Monitor tobacco use and prevention policies Why it is important  Provides important information about the extent of the tobacco epidemic  Helps governments allocate tobacco control resources where they will be most effective  Shows whether policies are being followed  Shows whether policies are working and how they should be tailored to the needs of different populations
  • 5. Evidence based approach Protect people from tobacco smoke Why it is important It is a powerful and effective tool - it works  There is no safe level of exposure to second-hand smoke  Helps smokers quit  Reduces youth smoking  Rapid decrease in second hand tobacco smoke by 80-90% in high- exposure settings  Reduces the incidence of heart attacks almost immediately  Helps smokers who want to quit  Encourages smoke free homes  Results in either a neutral or positive impact on business, including restaurants and bars
  • 6. Evidence based approach Protect people from tobacco smoke Why it is important  There is no safe level of exposure to second-hand smoke.  Protects people from the harms of second-hand smoke  Helps smokers quit  Reduces youth smoking
  • 7. Evidence based approach Offer help to quit tobacco use It is a powerful and effective tool - it works Why it is important  When informed of the risks, most tobacco users want to quit, but few get support to overcome their dependence.
  • 8. Evidence based approach Offer help to quit tobacco use Why it is important  When informed of the risks, most tobacco users want to quit, but few get support to overcome their dependence.
  • 9. Evidence based approach Warn about the dangers of tobacco Why it is important It is a powerful and effective tool - it works  Most tobacco users are unaware of the harms caused by tobacco use  Pictorial warnings convey a clear and immediate message, especially to youth and people who cannot read  They reduce the overall attractiveness of tobacco packages
  • 10. Evidence based approach Warn about the dangers of tobacco Why it is important  Most tobacco users are unaware of the harms caused by tobacco use  Pictorial warnings convey a clear and immediate message, especially to youth and people who cannot read  They reduce the overall attractiveness of tobacco packages
  • 11. Evidence based approach Enforce bans on tobacco advertising, promotion and sponsorship Why it is important It is a powerful and effective tool - it works  Reduces use  Changes the perception of tobacco use towards not being perceived as the norm.
  • 12. Evidence based approach Enforce bans on tobacco advertising, promotion and sponsorship Why it is important  Reduces use  Changes the perception of tobacco use towards not being perceived as the norm.
  • 13. Evidence based approach Raise taxes on tobacco Why it is important It is a powerful and effective tool - it works  Encourages tobacco users to quit  Prevents children and non- smoker adults from starting to smoke  Allocating tax revenues for tobacco control and other important health and social programmes further increases their popularity.
  • 14. Evidence based approach Raise taxes on tobacco Why it is important  Encourages tobacco users to quit  Prevents children and non- smoker adults from starting to smoke  Allocating tax revenues for tobacco control and other important health and social programmes further increases their popularity.
  • 16. Regional Summary WHO FCTC should be implemented comprehensively  3 countries have fully implemented 4 of the 6 measures  Ireland - P, O, W (mass media) and R Turkey - P, O, W (mass media) and R United Kingdom - P, O, W (mass media) and R  1 country has fully implemented 3 of the 6 measures  France - P, O and R  6 countries have fully implemented 2 of the 6 measures  Belgium, Israel, Romania, Spain - O and R Greece, Hungary, Malta - P and R
  • 17. Global Developments • Over the past two years, an additional 1.1 billion people have become protected by at least one MPOWER measure implemented at the highest level.
  • 18. Regional Developments Recent Developments in 2011  President of TURKMENISTAN signs accession to WHO FCTC  HUNGARY - smoke free public places and work places  UKRAINE to have pictorial health warnings on tobacco products  Senate of KAZAKHSTAN votes yes to pictorial health warnings  President of RUSSIAN FEDERATION signs Tobacco Control Concept  ENGLAND bans tobacco displays in shops
  • 19. Conclusion  We have the solution to the global tobacco epidemic: The WHO FCTC. Let’s use it.  WHO FCTC is a powerful tool  WHO FCTC is a strong stimulus for legislation at the national and EU level  Legislation works  The success of the WHO FCTC and legislation depends on everyone - Empower!  A wealth of evidence of best practices  Best Practices collected by Hungarian Focal Point for Tobacco Control - school-based settings  Best Practices collected by WHO Regional Office, and also jointly with German Cancer Research Centre  WHO/Europe Legislation Database
  • 20. Thank you For any questions, please contact: rkh@euro.who.int