Tobacco prevention strategies require a global view. Moreover, actions should be aimed to change the environment within children grow up. Not only second hand smoke should be prevented but also smoking cessation of parents, relatives, teachers and leisure time monitors should be a goal.

1. Primer Encuentro Nacional de Pediatría Ambiental y Salud Comunitaria para Residentes de Pediatría de España Tabaquismo y Pediatría: Una Mirada Integral Juan Alonso López Andreu CEMACAM TORRE GUIL. MURCIA. Octubre 2008

2. “ Tener un hijo es la mejor residencia que podéis hacer” Ana Muñoz.Neonatólogo.1992

3. Parents are less ready to accept the necessity of teaching their children by example. …they (the children) are responding less to our commands than to their perception of our character and conduct. …the more they (our children) love us, the more they emulate us (parents). Bruno Bettelheim. “A good enough parent”. 1987

5. ¿Es el Tabaco un Problema?

6. ¿Son los Accidentes de Tráfico un Problema?

7. 4144 defunciones Sida 1320 defunciones AÑO 2006 Fuente: INE y DGT

8. NO CONDUZCAS FUMANDO NO FUMES CONDUCIENDO Fumar es peligroso y conduciendo, aún más La distracción es una de las peores contraindicaciones del tabaco

12. ¿Qué Sabemos y Qué Hacemos para Cuidar (Promocionar) la Salud? ¿Fomentamos la Autonomía o Creamos Dependencia?

13. La salud de una población depende de la forma en que las acciones políticas condicionan el medio y crean aquellas circunstancias que favorecen la confianza en uno mismo, la autonomía y la dignidad para todos, especialmente los débiles . En consecuencia, los niveles de salud serán óptimos cuando el ambiente favorezca la capacidad de afrontamiento, autónoma, personal y responsable. Ivan Illich, 1976

14. S. Leonard Syme Emeritus professor of Epidemiology and Public Health University of California

15. To prevent disease, we increasingly ask people to do things that they have not done previously, to stop doing things they have been doing for years, and to do more of some things and less of other things. It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change. … attention must be given not only to the behavior of individuals, but also to the environmental context within which people live. Brian D. Smedley and S. Leonard Syme Promoting Health: Intervention Strategies from Social and Behavioral Research

16. El 100 % de los padres NO quiere que su hijo fume pero 1 de cada 11 alumnos de 6º EP ha fumado alguna vez el 4 % quiere fumar en el futuro En el 40 % de los domicilios hay algún fumador EP

17. Hábito Tabáquico en Alumnos de 1º Bachiller Curso 2007-08

18. OMS. “Young people’s health in context. Health Behaviour in School-aged Children (HBSC) study: international report from the 2001/2002 survey”

19. Fumadores habituales (al menos 1 vez a la semana) entre escolares catalanes

20. Consumo Regular de Tabaco, Experimental de Alcohol y Cannabis en los Adolescentes de Barcelona entre 1987 y 2004 Manel Nebot, Emmanuel Giménez, Carles Ariza y Zoa Tomás. Medic Clin 2006

21. En la etapa de Educación Primaria, nadie mejor que el/la maestro/a o tutor/a del aula, quien conoce a los alumnos y sabe cuál es la mejor manera de aplicar unas determinadas estrategias didácticas.

22. “… la rueda infernal de las excusas, en la que los padres echan las culpas a la escuela, la escuela a los padres, todos a la televisión, la televisión a los espectadores, al final acabamos pidiendo soluciones al Gobierno, que apela a la responsabilidad de los ciudadanos/as, y otra vez a empezar.” José Antonio Marina Para educar a un niño hace falta la tribu entera Proverbio africano

23. The context of everyday life is crucial ; children and young people who live with adult smokers are much more likely to start smoking than those who live in smokefree homes. Reducing adult prevalence is therefore essential to stopping youth initiation. Smokefree homes and cars are also vital in cutting the exposure of children and young people to the toxins in secondhand tobacco smoke. www.ash.org.uk/beyondsmokingkills

24. http://www.laaventuradelavida.net

27. J Epidemiol Community Health 2006

30. It is vital to intervene early to prevent young children from trying their first cigarette, and to stop older triers progressing to repeated experimentation and then regular smoking Interventions which aim to prevent smoking uptake must take a broad approach which goes beyond health education to take account of the multifactorial nature of smoking onset It is very difficult to intervene in social factors which perhaps represent the most important influences on smoking uptake, such as the role played by family and peers Beth Milton et al. Health Educ Res 2007

31. L.M. Arana Mendoza. El consumo de tabaco en niños. Educar vs . Prevenir … se ha modificado el concepto de que corresponde a la escuela “en exclusiva” el desarrollo de actividades destinadas a prevenir el inicio al consumo de tabaco…las familias y la comunidad son consideradas elementos fundamentales…

34. C. Ariza, M. Nebot. La prevención primaria del tabaquismo: un planteamiento integral. Prev Tab 2004

35. Maureen Dobbins et al. Effective practices for school-based tobacco use prevention Prev Med 2008

37. The CTCP’s aim is to change the broad social norms around the use of tobacco by “indirectly influencing current and potential future tobacco users by creating a social milieu and legal climate in which tobacco becomes less desirable, less acceptable, and less accessible.”

38. Risk of established smoking was predicted by baseline exposure to smoking in movies with an adjusted overall hazard ratio of 2.04 (95% confidence interval, 1.01-4.12) for teens in the 95th percentile of movie-smoking exposure compared with the 5th percentile. This effect was independent of age; parent, sibling, or friend smoking; and sensation seeking.

40. California Department of Health Services,Tobacco Control Section. 2006. California tobacco control update 2006 . Sacramento, CA: CDHS/TCS.

41. California Department of Health Services,Tobacco Control Section. 2006. California tobacco control update 2006 . Sacramento, CA: CDHS/TCS.

42. California Department of Health Services,Tobacco Control Section. 2006. California tobacco control update 2006 . Sacramento, CA: CDHS/TCS.

43. California Department of Health Services,Tobacco Control Section. 2006. California tobacco control update 2006 . Sacramento, CA: CDHS/TCS.

44. California Department of Health Services,Tobacco Control Section. 2006. California tobacco control update 2006 . Sacramento, CA: CDHS/TCS.

45. California Department of Health Services,Tobacco Control Section. 2006. California tobacco control update 2006 . Sacramento, CA: CDHS/TCS.

46. California Department of Health Services,Tobacco Control Section. 2006. California tobacco control update 2006 . Sacramento, CA: CDHS/TCS.

47. California Department of Health Services,Tobacco Control Section. 2006. California tobacco control update 2006 . Sacramento, CA: CDHS/TCS.

48. California Department of Health Services,Tobacco Control Section. 2006. California tobacco control update 2006 . Sacramento, CA: CDHS/TCS.