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Protection from Second-hand Smoke  in the Western Pacific Region Dr Susan Mercado Regional Adviser Tobacco-Free Initiative...
Research clearly shows that there is no safe level of exposure to  second-hand smoke.
A third of the world’s smokers are in the Region.
2 people die each minute from a tobacco-related disease in the Region.
Most Recent Scientific Evidence: Exposure to SHS Source: adapted by CTLT from U.S. Surgeon General’s Report. (2006).
Second-hand smoke increases the risk of coronary heart disease by 25–30% and the risk of lung cancer in non-smokers by 20–...
Sub national data Sub national data
Sub national data Sub national data
50% youth 13-15 years old are exposed to second hand smoke at home.
Sub national data Sub national data
Smoke-free environments help smokers who want to quit. Smoke-free policies in workplaces in several industrialized nations...
Smoke-free public places also encourage families to make their homes smoke-free, which protects children and other family ...
Positive Health Impact of Smoke-Free Environments Source: Navas , A. (2007). DIRECT INDIRECT
Reject the myths!
MPOWER: A Policy Package for  Global Tobacco Control  The six demand reduction policies to support complete implementation...
WHO Regional Initiatives  <ul><li>Dissemination of the Guidelines for Article 8 of the WHO FCTC </li></ul><ul><li>Developm...
RESTAURANTS PUBLIC TRANSPORT INDOOR OFFICES EDUCATIONAL FACILITIES ALL OTHER PUBLIC PLACES GOVERNMENT FACILITIES PUBS AND ...
Indoor Air Concentrations <ul><li>The concentration of secondhand smoke in the air can be determined by measuring the conc...
Source: Navas-Acien, et al. (2004); Image source: New York City Department of Health and Mental Hygiene. Air Nicotine Conc...
TRAINING ON SECOND-HAND SMOKE MONITORING
See next slide
 
 
 
TOBACCO FREE SPORTS <ul><li>Beijing, China </li></ul><ul><li>Viet Nam </li></ul><ul><li>Laos People’s Democratic Republic ...
 
Gender and tobacco (Viet Nam and Palau)
2008 WHO Awards  and the Alliance for Healthy Cities <ul><li>COMPREHENSIVE TOBACCO CONTROL IN CITIES </li></ul><ul><li>Sin...
HEALTHY URBAN TRANSPORT Lloyd Wright
Pilot on the Red Orchid Awards for Tobacco-Free Settings, Philippines, 2009
Second-hand Smoke Busters! Use of youth data to monitor tobacco control programme progress.
 
 
 
TOBACCO CONTROL DATA APPLICATION PROJECTS (GYTS) Smoke-free schools in Seam Riap, Cambodia
Regional Action Plan (2010-2014) for the Tobacco Free Initiative in the Western Pacific Moving Toward the Next Level:  Com...
Regional Action Plan (2010-2014) for the Tobacco Free Initiative in the Western Pacific <ul><li>VISION:   Tobacco free peo...
Three Point Strategy 1  Promote and advocate for complete WHO FCTC Implementation 2   Mobilize for public action 3  Streng...
Approaches <ul><li>Development and/or updating of national action plans </li></ul><ul><li>Establishment and/or strengtheni...
Overall indicators <ul><li>By 2014 </li></ul><ul><li>All countries have developed national action plans or equivalents and...
Regional programme targets relevant to protection from second-hand smoke exposure <ul><li>100% of countries  </li></ul><ul...
The Regional Action Plan (2010-2014) Tobacco Free Initiative for the Western Pacific contains a menu of actions and indica...
Sub national data Sub national data
Yuhta Ohishi, 15 years old, Japan World No Tobacco Day Awardee, 2008 Recipient of Director General’s Special Recognition c...
 
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Who And Sfe

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Who And Sfe

  1. 1. Protection from Second-hand Smoke in the Western Pacific Region Dr Susan Mercado Regional Adviser Tobacco-Free Initiative World Health Organization Western Pacific Regional Office
  2. 2. Research clearly shows that there is no safe level of exposure to second-hand smoke.
  3. 3. A third of the world’s smokers are in the Region.
  4. 4. 2 people die each minute from a tobacco-related disease in the Region.
  5. 5. Most Recent Scientific Evidence: Exposure to SHS Source: adapted by CTLT from U.S. Surgeon General’s Report. (2006).
  6. 6. Second-hand smoke increases the risk of coronary heart disease by 25–30% and the risk of lung cancer in non-smokers by 20–30%. Second-hand smoke exposure has been conclusively linked to breast cancer.
  7. 7. Sub national data Sub national data
  8. 8. Sub national data Sub national data
  9. 9. 50% youth 13-15 years old are exposed to second hand smoke at home.
  10. 10. Sub national data Sub national data
  11. 11. Smoke-free environments help smokers who want to quit. Smoke-free policies in workplaces in several industrialized nations have reduced total tobacco consumption among workers by an average of 29%.
  12. 12. Smoke-free public places also encourage families to make their homes smoke-free, which protects children and other family members from the dangers of second-hand smoke.
  13. 13. Positive Health Impact of Smoke-Free Environments Source: Navas , A. (2007). DIRECT INDIRECT
  14. 14. Reject the myths!
  15. 15. MPOWER: A Policy Package for Global Tobacco Control The six demand reduction policies to support complete implementation of the WHO Framework Convention on Tobacco Control <ul><li>Monitor tobacco use and prevention policies </li></ul><ul><li>Protect people from tobacco smoke </li></ul><ul><li>Offer help to quit tobacco use </li></ul><ul><li>Warn about the dangers of tobacco </li></ul><ul><li>Enforce bans on tobacco advertising, promotion and sponsorship </li></ul><ul><li>Raise taxes on tobacco </li></ul>
  16. 16. WHO Regional Initiatives <ul><li>Dissemination of the Guidelines for Article 8 of the WHO FCTC </li></ul><ul><li>Development of tools and training on monitoring of second-hand smoke </li></ul><ul><li>Promotion of tobacco-free sports </li></ul><ul><li>Development of guidance and awards for good practices and best proposals for MPOWER and Healthy Cities </li></ul><ul><li>The Red Orchid Awards </li></ul><ul><li>Tobacco and gender </li></ul><ul><li>Healthy urban transport (smoke-free criteria) </li></ul><ul><li>Support for projects to use GYTS data for policies and action </li></ul>
  17. 17. RESTAURANTS PUBLIC TRANSPORT INDOOR OFFICES EDUCATIONAL FACILITIES ALL OTHER PUBLIC PLACES GOVERNMENT FACILITIES PUBS AND BARS HEALTH CARE FACILITIES 1 2 3 4 SHS SPIDERGRAM
  18. 18. Indoor Air Concentrations <ul><li>The concentration of secondhand smoke in the air can be determined by measuring the concentration of its components </li></ul><ul><li>Measurements of airborne nicotine, carbon dioxide, or particulate matter can indicate the extent of secondhand smoke exposure in a particular location </li></ul><ul><li>Passive air nicotine monitors are accurate, relatively inexpensive, and easy to use. </li></ul>Nicotine Particulate Matter
  19. 19. Source: Navas-Acien, et al. (2004); Image source: New York City Department of Health and Mental Hygiene. Air Nicotine Concentrations ( µ g/m 3 ) in Restaurants in 10 Countries* Smoking policy N Median (IQR) † No policy 54 1.15 (0.32–2.44) Smoking section 32 1.30 (0.43–2.31) Nonsmoking 20 0.66 (0.20–1.10) Smoking ban 7 0.07 (0.003–0.10) * Countries: Argentina, Brazil, Chile, Costa Rica, Paraguay, Peru, Uruguay, Honduras, Mexico and Panama † IQR: interquartile range
  20. 20. TRAINING ON SECOND-HAND SMOKE MONITORING
  21. 21. See next slide
  22. 25. TOBACCO FREE SPORTS <ul><li>Beijing, China </li></ul><ul><li>Viet Nam </li></ul><ul><li>Laos People’s Democratic Republic </li></ul><ul><li>Viet Nam </li></ul><ul><li>Guangzhou, China </li></ul><ul><li>Cook Islands </li></ul>
  23. 27. Gender and tobacco (Viet Nam and Palau)
  24. 28. 2008 WHO Awards and the Alliance for Healthy Cities <ul><li>COMPREHENSIVE TOBACCO CONTROL IN CITIES </li></ul><ul><li>Singapore Health Promotion Board </li></ul><ul><li>Taicang, China </li></ul><ul><li>Wonju, Republic of Korea </li></ul><ul><li>BEST PROPOSAL FOR COMPREHENSIVE TOBACCO CONTROL IN CITIES </li></ul><ul><li>Chanwon, Republic of Korea </li></ul>
  25. 29. HEALTHY URBAN TRANSPORT Lloyd Wright
  26. 30. Pilot on the Red Orchid Awards for Tobacco-Free Settings, Philippines, 2009
  27. 31. Second-hand Smoke Busters! Use of youth data to monitor tobacco control programme progress.
  28. 35. TOBACCO CONTROL DATA APPLICATION PROJECTS (GYTS) Smoke-free schools in Seam Riap, Cambodia
  29. 36. Regional Action Plan (2010-2014) for the Tobacco Free Initiative in the Western Pacific Moving Toward the Next Level: Complete implementation of the WHO Framework Convention on Tobacco Control
  30. 37. Regional Action Plan (2010-2014) for the Tobacco Free Initiative in the Western Pacific <ul><li>VISION: Tobacco free people, communities and environments </li></ul><ul><li>MISSION: To advocate, enable and support complete implementation of the WHO Framework Convention on Tobacco Control </li></ul><ul><li>GOAL: To attain the lowest possible tobacco use prevalence and the highest level of protection from second-hand smoke </li></ul>
  31. 38. Three Point Strategy 1 Promote and advocate for complete WHO FCTC Implementation 2 Mobilize for public action 3 Strengthen organizational capacity <ul><li>Legislation and policies </li></ul><ul><li>Tobacco taxation </li></ul><ul><li>Governance and local enforcement </li></ul><ul><li>Alliance and partnerships </li></ul><ul><li>Investment planning and resource management </li></ul><ul><li>Leadership training and human resource development </li></ul><ul><li>Surveillance, monitoring and knowledge management </li></ul><ul><li>Public awareness, education, communication and advocacy </li></ul><ul><li>Treatment of tobacco dependence </li></ul>
  32. 39. Approaches <ul><li>Development and/or updating of national action plans </li></ul><ul><li>Establishment and/or strengthening of national coordinating mechanisms for tobacco control </li></ul><ul><li>Adoption of targets and prevalence indicators to monitor progress </li></ul>
  33. 40. Overall indicators <ul><li>By 2014 </li></ul><ul><li>All countries have developed national action plans or equivalents and established or strengthened national coordinating mechanisms </li></ul><ul><li>All parties in the Region have ratified all WHO FCTC protocols </li></ul><ul><li>Reliable adult and youth tobacco use data are available in all countries </li></ul><ul><li>Prevalence of adults (men and women) and youth (boys and girls) current tobacco use (smoking and smokeless) is reduced by 10% from the most recent baseline </li></ul>
  34. 41. Regional programme targets relevant to protection from second-hand smoke exposure <ul><li>100% of countries </li></ul><ul><li>- have adopted measures compliant with Articles 5.3 & 8 </li></ul><ul><li>- monitoring and enforcement of Article 5.3 & 8 </li></ul><ul><li>- have a list of existing and potential partners </li></ul><ul><li>- have multi-year human resource development plans </li></ul><ul><li>- have reliable and comparable population level data </li></ul><ul><li>- have implemented national communication plans </li></ul><ul><li>- have national tobacco dependence treatment guidelines </li></ul><ul><li>- have trained health workers giving brief cessation advice </li></ul><ul><li>50% of countries </li></ul><ul><li>- convene meetings with multisectoral partners </li></ul><ul><li>- publicly recognize outstanding contributions </li></ul><ul><li>- have multi-year budget estimates </li></ul>
  35. 42. The Regional Action Plan (2010-2014) Tobacco Free Initiative for the Western Pacific contains a menu of actions and indicators for countries and WHO.
  36. 43. Sub national data Sub national data
  37. 44. Yuhta Ohishi, 15 years old, Japan World No Tobacco Day Awardee, 2008 Recipient of Director General’s Special Recognition certificate

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