L’Hospitalet de Llobregat, Barcelona, 5th July , 2012 “Contributions of the public healthadministrations to the change of ...
The period before to enactment of Law   28/2005 (with partial bans) induced an   unprecedented public debate in Spain that...
Average Evaluation (scale 1-10) of the Law 28/2005 by smoking status                   Dec 2005-June 2006- March 2007- Jun...
Average Evaluation (scale 1-10) of the Law 28/2005 by smoking status                   Dec 2005-June 2006- March 2007- Jun...
Unfortunately, despite the overall political consensusachieved, negative elements had soon appeared thatseverely mortgaged...
Checklist
Checklist
SENTENCIA No 2321                 TRIBUNAL SUPERIOR DE JUSTICIA DE MADRID                 SALA DE LO CONTENCIOSO-ADMINISTR...
Law EnforcementComplaints, inspections and sanctions imposed by  period 2006-2008 in five autonomous regions
Catalonia, March 2006OCU-Spain, May 2007
Have difficulties to find a bar/cafeteria of their preferences                       by smoking status                    ...
Initiatives led from professionals,scientists and social agents and theevidence of the inadequacy of the2005 model, prompt...
Initiatives led from professionals,scientists and social agents and theevidence of the inadequacy of the2005 model, prompt...
Complaints, inspections and sanctions                          Catalonia 2011                            Nombre           ...
Complaints, inspections and sanctions                          Catalonia 2011                            Nombre           ...
The process has been possible mainly due to:• a legal text (Law 42/2010)  clear, with little margin for  biased interpreta...
The process has been possible mainly due to:                 • the positive interaction                   with CNPT, scien...
Quitline                     Informatives                           Línia dajuda per deixar de fumar-Quitline             ...
Current threats• the failure to keep the favourable social climate• to implement other control measures (such as  taxation...
Aguirre reclama que se                                                     pueda fumar en casinos                         ...
Aguirre reclama que se                                                     pueda fumar en casinos                         ...
Thank youesteve.salto@gencat.catesteve.salto@ub.edu
Contributions of the public health administrations to the change of the partial smoking ban
Contributions of the public health administrations to the change of the partial smoking ban
Contributions of the public health administrations to the change of the partial smoking ban
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Contributions of the public health administrations to the change of the partial smoking ban

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Esteve Saltó
Public Health Agency of Catalonia

ICO-WHO Symposium 2012

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Contributions of the public health administrations to the change of the partial smoking ban

  1. 1. L’Hospitalet de Llobregat, Barcelona, 5th July , 2012 “Contributions of the public healthadministrations to the change of the partial smoking ban” Esteve Saltó, MD, MPH, LSSP Public Health Agency of Catalonia, Generalitat de Catalunya 81-95, Roc Boronat. 08005 Barcelona esteve.salto@gencat.cat
  2. 2. The period before to enactment of Law 28/2005 (with partial bans) induced an unprecedented public debate in Spain that led to the crystallization of a strong feeling for the protection against SHS.The key role of the media:Trends in the number of published articles on tobacco + 75%Catalonia, 1997-2005
  3. 3. Average Evaluation (scale 1-10) of the Law 28/2005 by smoking status Dec 2005-June 2006- March 2007- June 2008 CATALONIA, SPAIN Never smokers Ex smokers Current smokers Source: Eurobarometer 2005y 2008. JHU -Phone interview;samples: 800 pers. Saltó E et al.. Rev Esp Salud, 2006
  4. 4. Average Evaluation (scale 1-10) of the Law 28/2005 by smoking status Dec 2005-June 2006- March 2007- June 2008 CATALONIA, SPAIN SPAIN, general population Never smokers Attitude towards smoke-free Ex smokers regulations (all in favor) Spain, 2005 & 2008 Current smokers Source: Eurobarometer 2005y 2008. JHU -Phone interview;samples: 800 pers. Saltó E et al.. Rev Esp Salud, 2006
  5. 5. Unfortunately, despite the overall political consensusachieved, negative elements had soon appeared thatseverely mortgaged the process: complexity/ambiguity of the legislative text which hindered its implementation by the authorities, especially regarding to the mixed model in the hospitality sector poor coordination between public administrations with a territorial patchwork of enforcement “à la carte” and even regional decrees that reduced the standards of the law progressive deterioration of the situation with a growing distance between reality (very heterogeneous depending the territories) and the social norm that demanded a good model.
  6. 6. Checklist
  7. 7. Checklist
  8. 8. SENTENCIA No 2321 TRIBUNAL SUPERIOR DE JUSTICIA DE MADRID SALA DE LO CONTENCIOSO-ADMINISTRATIVO SECCIÓN NOVENAEn la Villa de Madrid, a treinta de diciembrede dos mil ocho (2008). FALLAMOSQue debemos estimar el recurso contencioso administrativo promovido por elAbogado del Estado en defensa del Ministerio de Sanidad y Consumo; por la entidad“Asociación NOFUMADORES.ORG” representada por la Procuradora Doña PalomaRabadán Chaves, y por la “Organización de Consumidores y Usuarios” (OCU)representada por el Procurador D. José Luís Ferrer Recuero, contra el Decreto 93/2006,de 2 de noviembre, del Consejo de Gobierno de la Comunidad de Madrid, dedesarrollo y ejecución de la Ley 28/2005, de 26 de diciembre, de medidas sanitariasfrente al tabaquismo y reguladora de la venta, el suministro, el consumo y la publicidadde los productos del tabaco en la Comunidad de Madrid y, en consecuencia,declaramos su nulidad de pleno derecho por haberse omitido en su elaboración elinforme preceptivo del Consejo de Consumo de la Comunidad de Madrid.
  9. 9. Law EnforcementComplaints, inspections and sanctions imposed by period 2006-2008 in five autonomous regions
  10. 10. Catalonia, March 2006OCU-Spain, May 2007
  11. 11. Have difficulties to find a bar/cafeteria of their preferences by smoking status CATALONIA, March 2007100 90,6 80 70 60 61,4 62,3 40 38,6 37,7 30 20 9,4 0 Smoker Exsmoker Non smoker Total YES NO E.Saltó et al. ECToH-Basel 2007
  12. 12. Initiatives led from professionals,scientists and social agents and theevidence of the inadequacy of the2005 model, prompted the Ministryof Health to promote in 2010 alegislative change that would allowgetting smoke free environments.Despite the reluctance - that stillexists - in some sectors, it waspossible to generalize the total banon bars and restaurants and finalizinga model perversely exported.
  13. 13. Initiatives led from professionals,scientists and social agents and theevidence of the inadequacy of the2005 model, prompted the Ministryof Health to promote in 2010 alegislative change that would allowgetting smoke free environments.Despite the reluctance - that stillexists - in some sectors, it waspossible to generalize the total banon bars and restaurants and finalizinga model perversely exported.
  14. 14. Complaints, inspections and sanctions Catalonia 2011 Nombre ExpedientsServei Regional Denúncies Inspeccions Retolació Consum tabac Altres incoats Resolts Incorrecta Correcta No Sí Tarragona 23 1960 277 1683 1952 8 24 11 5 Terres de lEbre 46 927 49 878 915 12 23 9 4 Barcelona ciutat-ASPB 172 7582 490 7092 7575 7 1 0 0 Barcelona 65 2419 419 2000 2385 34 14 32 10 Catalunya Central 24 708 92 616 706 2 9 5 4 Lleida-APIA 57 7040 178 6862 7027 13 0 18 13 Girona 78 4263 304 3959 4244 19 17 21 7 Total 465 24899 1809 23090 24804 95 88 96 43 7,27% 92,73% 99,62% 0,38% 0,35%
  15. 15. Complaints, inspections and sanctions Catalonia 2011 Nombre ExpedientsServei Regional Denúncies Inspeccions Retolació Consum tabac Altres incoats Resolts Incorrecta Correcta No Sí Tarragona 23 1960 277 1683 1952 8 24 11 5 Terres de lEbre 46 927 49 878 915 12 23 9 4 Barcelona ciutat-ASPB 172 7582 490 7092 7575 7 1 0 0 Barcelona 65 2419 419 2000 2385 34 14 32 10 Catalunya Central 24 708 92 616 706 2 9 5 4 Lleida-APIA 57 7040 178 6862 7027 13 0 18 13 Girona 78 4263 304 3959 4244 19 high compliance Very 17 21 7 (96-100%) Total 465 24899 1809 23090 24804 95 88 96 Catalonia, Andalucía, 43 Aragón , Basque Country… 7,27% 92,73% 99,62% 0,38% 0,35%
  16. 16. The process has been possible mainly due to:• a legal text (Law 42/2010) clear, with little margin for biased interpretations• the flexible leadership from Public Health Directorate (Ministry of Health), with strong support from the more active Autonomous Communities
  17. 17. The process has been possible mainly due to: • the positive interaction with CNPT, scientists, social groups, trade unions … • the addition of other key measures (public information and structured aid to smokers, in many territories).
  18. 18. Quitline Informatives Línia dajuda per deixar de fumar-Quitline 73 58 47 45 43 36 37 33 34 34 30 31 27 28 27 27 25 22 16 17 14 13 10 11 10 9 9 9 7 3 4 3 4 3 3 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 198 times more than in the same period of theprevious year
  19. 19. Current threats• the failure to keep the favourable social climate• to implement other control measures (such as taxation)• the discontinuity at ministerial level• and some potential "aggressions" encouraged by severe economic crisis.
  20. 20. Aguirre reclama que se pueda fumar en casinos para mejorar la recaudaciónPOLÉMICA | Tachan las palabras de la presidenta deataque frontal a la LeyEl Comité para la Prevencióndel Tabaquismo rechaza lamedida de AguirreEuropa Press | Madrid Mato, “dispuesta a estudiarActualizado miércoles 27/06/2012 argumentos” sobre el tabaco trasLos epidemiólogos, frente a el reto de AguirreEurovegas: no quieren tabaco en "Evidentemente, la prohibición delos bingos fumar se cambiará", ha dicho laEFE | 18/06/2012 presidenta madrileña
  21. 21. Aguirre reclama que se pueda fumar en casinos para mejorar la recaudación BOTELLA, APOLÉMICA | Tachan las palabras de la presidenta de FAVORataque frontal a la LeyEl Comité para la Prevencióndel Tabaquismo rechaza lamedida de AguirreEuropa Press | Madrid Mato, “dispuesta a estudiarActualizado miércoles 27/06/2012 argumentos” sobre el tabaco trasLos epidemiólogos, frente a el reto de AguirreEurovegas: no quieren tabaco en "Evidentemente, la prohibición delos bingos fumar se cambiará", ha dicho laEFE | 18/06/2012 presidenta madrileña
  22. 22. Thank youesteve.salto@gencat.catesteve.salto@ub.edu

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