Anti-Smoking policies in Ireland

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Anti-Smoking policies in Ireland. Jennings S. Conference on Cardiovascular Diseases (Madrid: Ministry of Health and Social Policy; 2010).

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Anti-Smoking policies in Ireland

  1. 1. Anti – smoking policies in Ireland Dr Siobhan Jennings, Consultant in Public Health Medicine Health Service Executive and representative for Irish Cardiac Society
  2. 2. M P O W E R
  3. 3. TOBACCO USE IS A RISK FACTOR FOR SIX OF THE EIGHT LEADING CAUSES OF DEATH IN THE WORLD Source: MPOWER: a Policy Package to Reverse the Tobacco Epidemic
  4. 4. M P O W E R
  5. 5. Monitoring tobacco use and prevention in Ireland 1. SLAN survey 1998, 2002 and 2006 2. HBSC survey in children 2002 and 2006 3. Office for Tobacco Control (OTC) monthly telephone survey
  6. 6. SLAN 07 Smoking rates Overall smoking prevalence 29% in SLAN 07 male (31%), female (27%)
  7. 7. Health Behaviour in School-aged Children Study (BOYS)
  8. 8. Health Behaviour in School-aged Children Study (GIRLS)
  9. 9. Protect people from tobacco smoke
  10. 10. Milestones in tobacco control in Ireland • 1964 Voluntary Advertising Ban • 1988 Ban on sale to < 16yr olds, raised to < 18 yrs in 2001 • 1990s Health strategy (also CHD strategy), Quitline, health warning on tobacco products, restrictions on advertising • 2000 ‘Towards a Tobacco Free Society’ , Ban on all print advertising, end of sponsorship, OTC and RIFTFS • 2003 Report on health effects of environmental tobacco smoke • 2004 Legislation ‘Smoking ban’ • 2006 Packets of cigs < 20 banned. • 2009 Point of sale ban on display of cigs and advertising Two hospitals banned smoking on campus
  11. 11. Protect people from tobacco smoke March 2004 Legislation prohibiting smoking in workplaces ‘Smoking Ban’ Evaluation (Office for Tobacco Control) High compliance 2005 93% in hotels, 99% in restaurants, 90% in licensed premises / pubs 2008 97% workplaces compliant Hugh public support 96% believed smoking ban ‘was successful’ (89% of smokers) 98% believed that workplaces were more healthy (94% of smokers)
  12. 12. SLAN 07
  13. 13. Office of Tobacco Control, Monthly telephone survey of trend in prevalence in smoking in Ireland, 2003 - 2008
  14. 14. Impact of a national smoking ban on the rate of admissions to hospital with acute coronary syndromes – CHAIR Registry, Ireland (population ~550,000) Smoking ban in 2004… 11% decrease in following year 1400 1215 1200 1079 1072 No. of ACS patients 1000 800 600 400 200 0 29.03.03- 29.03.04- 29.03.05­ 28.03.04 28.03.05 28.03.06 Acknowledgement Edmond Cronin 1, Patricia Kearney 2, Peter Kearney 1, Pat Sullivan 3 1 Cork University Hospital, 2 University College Cork, and 3 Mallow General Hospital, Ireland
  15. 15. Ban on smoking in public places, 2008 Malta
  16. 16. Offer help to quit tobacco use Benefits for those who quit smoking • Within 20 minutes Blood pressure and pulse drop • Within 8 hours Carbon monoxide levels return to normal • Within 24 hours Risk of heart attack decreases • Within 72 hours Lung capacity increases • After 1 year Risk of sudden death from heart attack is almost cut in half • After 5 years Lung cancer death rate for the average smoker decreases • Within 10 years Risk of sudden heart attack and strokes becomes almost the same as a non smoker, risk of cancer drops significantly Source: Burnside, G., Spiers, A., Winckles, W. Help Smokers Quit Kit. Ulster Cancer Foundation, Northern Ireland.
  17. 17. Offer help to quit tobacco use 1. National telephone Quitline (trained counsellors) 2.www.giveupsmoking.ie launched May 2009 information, personal quit plan 3. Smoking cessation services 4. NRT therapies
  18. 18. Offer help to quit tobacco use 1. National telephone Quitline (trained counsellors) 2.www.giveupsmoking.ie launched May 2009 information, personal quit plan 3. Smoking cessation services 4. NRT therapies
  19. 19. Warn about dangers of tobacco Social marketing campaigns – ‘Break the habit for good: NICO’ – targeting youth in 2000 – Dangers of Second Hand Smoke in 2004 – ‘Every cigarette is doing you damage’ in 2003/04 – ‘Beauty of Quitting’ in 2007 - targeting young women – Promotion of Quitline – Campaigns targeting parents – EU campaigns - ‘Feel free to say No’
  20. 20. Expenditure on social marketing campaigns warning of dangers of tobacco HSE Expenditure on Anti-smoking campaigns (€ ) 1,200,000 1,000,000 800,000 600,000 Expenditure 400,000 200,000 0 2006 2007 2008 2009 € 625k in 2009 = € 0.15c per head (Recommended € 2 - 3 per head)
  21. 21. Consideration being given to photo warning on cigarette packs in Ireland
  22. 22. Enforce advertising and sponsorship bans Tobacco product display prior to Ban in 2009
  23. 23. Tobacco product display in back lit panels in stores
  24. 24. Display Till Covers
  25. 25. Advertising on beer mats
  26. 26. Enforce bans on advertising, promotion and sponsorship • From July 2009 New Legislation to protect minors – Point of sale ban on advertising or display of tobacco products – Introduction of closed container/dispensers to store tobacco products – Tighter control on location and operation of vending machines – Register of retailers who sell tobacco
  27. 27. Raise taxes on tobacco
  28. 28. Trend in the price of a pack of 20 cigarettes, the Tax Take and Tax Exclusive Price in Ireland Ireland has the highest tax take on cigarettes in EU (tax = >70% )
  29. 29. 2009 • € 95.8m smuggled tobacco seized in 2009 ($50m from single seizure in October) - 70% increase on 2008 seizures • Finance Bill in 2010 - increase in fines by a factor of 10
  30. 30. Summary • Ireland – 2nd on WHO Tobacco Control Scales – Many elements of MPOWER – Became complacent?? – Point of sale advertising ban in 2009 (expected to pay dividends in medium term) • Reflections – Sustained nature of tobacco control – Multi level activity needed – Benefits of collaboration and sharing internationally – Leadership within EU - MPOWER standards in ALL countries

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