NI Smoking Prevalence and Tobacco Control Strategies
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This document outlines smoking prevalence rates and policies in Northern Ireland. It discusses the goals of the 10-year tobacco strategy to reduce smoking rates to 15% of adults, 3% of 11-16 year olds, 9% of pregnant women, and 20% of manual workers by 2020. The strategy aims to prevent smoking uptake, support quitting, and protect people from secondhand smoke. It also outlines policies to de-normalize smoking, restrict youth access to tobacco, regulate e-cigarettes, and implement the EU Tobacco Products Directive.
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NI Smoking Prevalence and Tobacco Control Strategies
- 1. Gerard Collins Head of Health Improvement Policy Branch DHSSPS
- 3. Smoking prevalence 0 5 10 15 20 25 30 35 40 Percentage Year Smoking Prevalence Northern Ireland 1998/99-2010/11 All Adults Manual Workers
- 4. Smoking and health inequalities 0 10 20 30 40 50 60 Percentageofsmokers Socio-economic group 1983 2012/13
- 5. 10-year tobacco strategy Long-term aim - tobacco-free society Prevent uptake, support quitting and protect people from exposure to smoke 3 priority groups Smoking prevalence targets aspired to by 2020: 15% adults 3% of 11-16 year olds 9% pregnant women 20% manual workers
- 6. Implementation Public Health Agency established TSISG Five work streams New public information campaign Annual investment £2.5m
- 7. Partners DHSSPS Voluntary Organisations Department of Justice Department of Education HM Revenue and Customs District Councils Health and Social Care Family HSE
- 8. Supporting people to quit 645 specialist smoking cessation services In total, 83% of all pharmacies and 38% of GP practices were registered to deliver services 33,000 people set a quit date 2012/13 At 4 weeks, 18,500 had successfully quit (57%) At 52 weeks, quit rate was 17%
- 9. Campaign activity and use of tobacco resources
- 10. Restricting access to tobacco Increase in age of sale Ban on tobacco sales from vending machines Tobacco Retailers Act
- 11. De-normalisation & protection from SHS Smoke-free legislation introduced in 2007 Regulations banning the display of tobacco products introduced from October 2012
- 12. EU Tobacco Products Directive Revised Directive came into force on 19 May 2014 Member States have 2 years to transpose into domestic law Key measures include: a ban on characterising flavours, such as menthol health warnings to cover 65% of packs, front & back a ban on packs of 10 cigarettes regulation of e-cigarettes as consumer products DHSSPS working with DH London and DAs on transposition of the Directive
- 13. E-cigarettes Up to 2m users in the UK Regulated as consumer products under revised TPD Currently no age of sale restrictions on e-cigarettes in Northern Ireland Provisions inserted to the draft Health (Miscellaneous Provisions) Bill aimed at prohibiting sale of e-cigarettes to under 18s
- 14. Areas for consideration Standardised packaging Introduction of further restrictions on smoking in: private vehicles hospital campuses playgrounds
Editor's Notes
- A number of organisations work on the delivery of tobacco control measures in partnership with the Department
- Decrease of 6,490 from previous year in those accessing services 52% successfully quit after 4 weeks in 2011/12 – increase in number of successful quitters after 4 weeks 52 week quit rate for previous year was 17% Services are provided in a range of settings including hospitals, GP surgeries, pharmacies and community centres. Pharmacies delivered the greatest proportion of services (69%), followed by GPs (21%)
- Increase in demand for tobacco resources corresponds directly with campaign activity. Emphasises the need for regular public information campaigns in order to encourage people to quit and also to prevent young people from taking up smoking.
- Age of sale for tobacco products increased from 16 to 18 in 2008 (in line with the rest of the UK) Vending machine ban introduced in March 2012 – Tobacco Retailers Act – strengthened during evidence sessions with Health Committee to: take account of offences for illicit tobacco sales; introduce proxy purchasing; increase existing fines and provide for the creation of a central register.
- Smoke-free legislation introduced in 2007 - prohibited smoking in: enclosed public and workplaces work vehicles Very high compliance with public and workplace ban Issues around compliance with work vehicles - Display ban introduced in October 2012 for large shops – will apply to small shops from April 2015
- Original Directive adopted in 2001 – concerned with the manufacture, presentation and sale of tobacco. Scientific, market and international developments have taken place over the past ten years and the revised Directive is designed to address these. Manufacturers of menthol tobacco products will be given an additional 4 years to phase out the flavour Regulation of e-cigarettes as consumer products only applies to those with a nicotine threshold of 20mg/ml or less. Products containing more than 20mg/ml of nicotine, or those products which make health claims, must apply for medicines regulation.
- Rapid growth in market in recent years Any products containing more than 20 mg/ml of nicotine must apply for medicines regulation. This also applies if health claims about the products are made. Draft Health (Miscellaneous Provisions) Bill due to be issued for consultation during the summer
- Further UK-wide consultation planned on standardised packaging to include draft regulations. Six-week consultation expected to be launched in June. Will inform final decision as to whether this measure will be introduced in the UK. Consultation on smoking in cars has been put on hold for the time being due to other legislative work being taken forward – Department will monitor the developments in other jurisdictions with a view to implementing similar legislation here in the future. Western Trust introduced complete ban on smoking in hospital grounds from March 2014 – other Trusts to follow suit. Need to consider introducing voluntary bans on smoking in areas used mainly by children e.g. playgrounds