contributions of the public health administrations to the change of the partial smoking ban
DESCRIPTION
Esteve Saltó Public Health Agency of Catalonia ICO-WHO Symposium 2012TRANSCRIPT
“Contributions of the public health administrations 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 [email protected]
L’Hospitalet de Llobregat, Barcelona, 5th July , 2012
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.
+ 75%The key role of the media:Trends in the number of published articles on tobaccoCatalonia, 1997-2005
Average Evaluation (scale 1-10) of the Law 28/2005 by smoking statusDec 2005-June 2006- March 2007- June 2008
CATALONIA, SPAIN
Saltó E et al.. Rev Esp Salud, 2006
Never smokers
Current smokers
Ex smokers
Phone interview; samples: 800 pers.
JHU--Source: Eurobarometer 2005y 2008.
Average Evaluation (scale 1-10) of the Law 28/2005 by smoking statusDec 2005-June 2006- March 2007- June 2008
CATALONIA, SPAIN
Saltó E et al.. Rev Esp Salud, 2006
Never smokers
Current smokers
Ex smokers
Phone interview; samples: 800 pers.
JHU--
SPAIN, general population
Source: Eurobarometer 2005y 2008.
Attitude towards smoke-free regulations (all in favor) Spain, 2005 & 2008
Unfortunately, despite the overall political consensus achieved, negative elements had soon appeared that severely 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.
ChecklistOA% = ( C
RA- C SA) x (C RA- C OA) x 100
ChecklistOA% = ( C
RA- C SA) x (C RA- C OA) x 100
SENTENCIA No 2321TRIBUNAL SUPERIOR DE JUSTICIA DE MADRIDSALA DE LO CONTENCIOSO-ADMINISTRATIVO
SECCIÓN NOVENA
FALLAMOS
Que debemos estimar el recurso contencioso administrativo promovido por el Abogado del Estado en defensa del Ministerio de Sanidad y Consumo; por la entidad “Asociación NOFUMADORES.ORG” representada por la Procuradora Doña Paloma Rabadán 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, de desarrollo y ejecución de la Ley 28/2005, de 26 de diciembre, de medidas sanitarias frente al tabaquismo y reguladora de la venta, el suministro, el consumo y la publicidad de los productos del tabaco en la Comunidad de Madrid y, en consecuencia, declaramos su nulidad de pleno derecho por haberse omitido en su elaboración el informe preceptivo del Consejo de Consumo de la Comunidad de Madrid.
En la Villa de Madrid, a treinta de diciembre de dos mil ocho (2008).
BALEARESCASTILLA Y LEÓNLA RIOJAC. VALENCIANA
Law EnforcementComplaints, inspections and sanctions imposed by
period 2006-2008 in five autonomous regions
Catalonia, March 2006
OCU-Spain, May 2007
9,4
90,6
38,6
61,4
37,7
62,3
30
70
0
20
40
60
80
100
Smoker Exsmoker Non smoker Total
YES NO
Have difficulties to find a bar/cafeteria of their preferences
by smoking status
CATALONIA, March 2007
E.Saltó et al. ECToH-Basel 2007
Initiatives led from professionals, scientists and social agents and the evidence of the inadequacy of the 2005 model, prompted the Ministry of Health to promote in 2010 a legislative change that would allow getting smoke free environments.
Despite the reluctance - that still exists - in some sectors, it was possible to generalize the total ban on bars and restaurants and finalizing a model perversely exported.
Initiatives led from professionals, scientists and social agents and the evidence of the inadequacy of the 2005 model, prompted the Ministry of Health to promote in 2010 a legislative change that would allow getting smoke free environments.
Despite the reluctance - that still exists - in some sectors, it was possible to generalize the total ban on bars and restaurants and finalizing a model perversely exported.
Complaints, inspections and sanctionsCatalonia 2011
Servei Regional
Denúncies
Nombre Inspeccio
ns RetolacióConsum tabac
Altres
Expedients
incoatsResolt
s
Incorrect
a Correcta No Sí
Tarragona 23 1960 277 1683 1952 8 24 11 5
Terres de l'Ebre 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 10Catalunya 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
%
Complaints, inspections and sanctionsCatalonia 2011
Servei Regional
Denúncies
Nombre Inspeccio
ns RetolacióConsum tabac
Altres
Expedients
incoatsResolt
s
Incorrect
a Correcta No Sí
Tarragona 23 1960 277 1683 1952 8 24 11 5
Terres de l'Ebre 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 10Catalunya 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
%
Very high compliance (96-100%)
Catalonia, Andalucía, Aragón , Basque Country…
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
• 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).
The process has been possible mainly due to:
Quitline
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
10
16
27
73
58
4
30
74
4547
3436 37
9
4
28 27 27
3
9
17
43
11
3
14
9
3
3133 34
25
13
3
10
34
27
22
InformativesLínia d'ajuda per deixar de fumar-Quitline
8 times more than in the same period of the previous year
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.
Aguirre reclama que se pueda fumar en casinos para mejorar la recaudación
POLÉMICA | Tachan las palabras de la presidenta de 'ataque frontal' a la Ley
El Comité para la Prevención del Tabaquismo rechaza la medida de AguirreEuropa Press | MadridActualizado miércoles 27/06/2012
Mato, “dispuesta a estudiar argumentos” sobre el tabaco tras el reto de Aguirre"Evidentemente, la prohibición de fumar se cambiará", ha dicho la presidenta madrileña
Los epidemiólogos, frente a Eurovegas: no quieren tabaco en los bingosEFE | 18/06/2012
Aguirre reclama que se pueda fumar en casinos para mejorar la recaudación
POLÉMICA | Tachan las palabras de la presidenta de 'ataque frontal' a la Ley
El Comité para la Prevención del Tabaquismo rechaza la medida de AguirreEuropa Press | MadridActualizado miércoles 27/06/2012
Mato, “dispuesta a estudiar argumentos” sobre el tabaco tras el reto de Aguirre"Evidentemente, la prohibición de fumar se cambiará", ha dicho la presidenta madrileña
Mato asegura que el Gobierno mantendrá la
ley del tabaco
BOTELLA, A FAVOR
Los epidemiólogos, frente a Eurovegas: no quieren tabaco en los bingosEFE | 18/06/2012
