smoking in finland 1950-99
DESCRIPTION
Smoking in Finland 1950-99. %. Men. Women. Daily smokers by education in Finland. Male. Female. Education. Tobacco Act 1977 in Finland. Main goal: to protect people of the health risks of tobacco smoke. advertising ban obligatory warnings to the tobacco packages - PowerPoint PPT PresentationTRANSCRIPT
Smoking in Finland 1950-99
0
10
20
30
40
50
60
70
80
50
60
70
80
85
90
95
98
99
%
Men
Women
Daily smokers by education in Finland
0
10
20
30
40
50
78-82 83-86 87-90 91-94 95-98
0-9 years 10-12 years
13+ years
0
10
20
30
40
50
78-82 83-86 87-90 91-94 95-98
Education
Male Female
Tobacco Act 1977 in Finland
Main goal: to protect people of the health risks of tobacco smoke.
• advertising ban
• obligatory warnings to the tobacco packages
• maximum limits of harmful substances
• prohibition of sales of tobacco products to any person under the age of 16 years
• smoke-free public premises (schools, public indoor places - except in smoking rooms)
• smoking prohibition on most public transport
• 0,5 % of tobacco tax money for anti-smoking research
Amendment to Tobacco Act in 1995in Finland
• Prohibition of smoking at all work sites (except individual offices or smoking rooms)
• Sale of tobacco products under 18 years prohibited
• Sale of smokeless tobacco prohibited
• Indirect tobacco advertising and sponsoring prohibited
• Smoking prohibited also in school yards
Exposure to ETS
0
5
10
15
20
25
30
35
40
83-85 86-88 89-90 91-92 93-94 95 96 97 98
At home At work
%
Amendment to Tobacco Act in 2000in Finland
• Restaurants have to increase the smoke-free area => 50% for non-smokers by 2001
• Tobacco smoke was included into the national list of carcinogenic substances
Lung Cancer in Finland 1953-97
0
20
40
60
80
1953
-57
58-6
2
63-6
7
68-7
2
73-7
7
78-8
2
83-8
7
88-9
2 93 94 95 96 97
/100000, age-adjusted
Finnish Cancer Registry
Men
Women
Smoking and lung cancer in Finland 1950-97
0
10
20
30
40
50
60
70
80
50
60
70
80
85
90
95
97
%, /100000, age adjusted
Men
Women
Coronary Heart Disease Mortality among
35-64 years old in Finland in 1952-96
0
100
200
300
400
500
600
52 55 58 61 64 67 70 73 76 79 82 85 88 91 93 95 96
Men Women
/100000, age adjusted
National Public Health Institute
Rimpelä A, et al: Adolescent Health Study 1999. Finland´s ASH
Proportion of daily smokers (%) among young people1979 - 1999
0
5
10
15
20
25
30
35
79 81 83 85 87 89 91 93 95 97 99
14-18 year old boys 14-18 year old girls
Rimpelä A, et al: Adolescent Health Study, 1999. Finland´s ASH
Proportion of daily smokers (%)among 14 year old boys and girls
1979 - 1999
0
2
4
6
8
10
12
14
16
18
79 81 83 85 87 89 91 93 95 97 99
boys
girls
Tobacco Advertising Ban in the European Union
• Nearly one third of the population in EU smokes.
• The fight against smoking is one of the priorities in EU.
• 1989 no television advertising for tobacco in EU.
• 1997 directive to ban all advertising for tobacco in EU– aim is to reduce the consumption of tobacco by Europeans
– by 2003 national laws in member states in force
– by 2006 including Formula I motor racing events
GLOBAL TOBACCO BURDEN(J. Mackay 1999)
2000 2030
No of smokers 1.1 b 1.6 b
Annual deaths 4 m 10 m
Children exposed to ETS
at home 700 m 770 m
Economic costs > losses, USD 200 b ???
WHAT IS QUIT AND WIN
• Smoking cessation contest for adults• Collaboration between governments, NGOs etc.• Positive approach to stop smoking • Cost-effective method• International - translates across different cultures• Chance to win prizes - but above all HEALTH
INTERNATIONAL QUIT & WINSeries
participants
• 1994 13 countries 60.000
• 1996 25 countries 70.000
• 1998 48 countries 200.000
• 2000 83 countries 500.000 - 1 million
INTERNATIONAL QUIT & WIN: Experiences
•One-year total abstinence rates: (1996 follow-up) national: men 22%, women 16%
regional: men 27%, women 27%
• Good cost-effectiveness ratio, great public health value
• In addition to specific effects, many obvious secondary impacts to support national antismoking work
WHY ARE THE NGO’S INTERESTED IN QUIT & WIN?
• participation in important public health work
• Quit & Win offers simple, practical tool
• great human and media interest (competition, winners, etc.)
• collaboration with health services and governmental agencies
• good possibilities for sponsors
• international aspects
QUIT AND WIN: NATIONAL IMPLEMENTATION PRINCIPLES
• Each country organizes the Q&W by itself, with local resources, but following the international rules (same core)
• Coordinating agency (+ contact person): national institute, NGO,
university or ministry
• Usually broad coalitions: health agencies, health services, NGO’s
(tobacco, cancer, heart, lung etc.), pharmaceutical industry, media
• Innovative solutions in the practical implementation, i.e.in the
distribution of materials / recruitment of smokers
• Promotional support from International Quit and Win
QUIT & WIN 2000: RULES
• at least 18 years old, current daily smoker
• quit date: 2nd May 2000
• participants must fill an entry form -> to local organizer
by 2nd May
• draw for winners: after 4 weeks’ attempted abstinence
• testing + interview of winners
• national prizes + international super prizes
• standardized one-year follow-up + process evaluation
• optional supporters’ contest
SUPPORTERS’ CONTEST: OPTIONAL
• one supporter, indicated at the end of the smoker’s registration form
• supporter(s) win their prize(s), if their respective smoker participant(s) win
INTERNATIONAL QUIT & WIN 2000
target: 75-100 countries
500.000 - 1.000.000 smokersprizes: International Superprize :10.000 USD
6 Regional prizes: 2.500 USD each
•support of WHO Tobacco Free Initiative
•International Steering Committee
•Collaboration: WHO, NGOs, KTL+ countries
•Coordinating Centre: KTL, Finland
Quit and Win 2000Coordinating Centre
• Information – Circulars etc.
• International campaign material (posters, video, leaflets etc.)• Quit and Win handbook
– in English, Spanish, Russian & Chinese• Training and motivation workshops• International media relations• Internet site• Super prizes• Bio chemical tests
QUIT AND WIN 2000: TIMETABLE (1)• SUMMER & AUTUMN 1999: - International Q & W
promotion materials
- Start of Q &W 2000 planning in countries
• END OF 1999: - Decision to participate by countries
•END OF 1999, EARLY 2000: - National coalitions - Planning of national materials
•APRIL - 2ND MAY 2000: - Intensive media campaign
QUIT AND WIN 2000: TIMETABLE (2)
• 2 MAY 2000: - Quit date (end of receiving or mailing of registrations)
• 25 - 30 MAY 2000: - National draws
• 31 MAY OR LATER 2000: - Announcement of national winners
• 9 JUNE 2000 in Malta: - International draw for super prizes
• 29 AUGUST 2000 at EXPO - Awarding the Super prize $10.0002000 in Hannover, Germany
• MAY 2001: - Standardized 1-year follow-up
COUNTRIES ORGANIZING QUIT & WIN 2000
• AFRO (Africa)
• EMRO (Eastern Mediterranean)
• EURO (Europe)
• PAHO (Americas)
• SEARO (South-East Asia)
• WPRO (Western Pacific)
• 7
• 11
• 33
• 15
• 6
• 11
----------
83
QUIT & WIN:Superprize winners
1994 Malta
1996 China
1998 Chile
ENYPATEuropean Network on Young People and Tobacco
AIM: to contribute to the reduction of tobacco use among young people at European level
=> Information exchange
=> European-wide collaboration
=> Programme building
=> Policy development
ENYPATEuropean Network on Young People and Tobacco
FUNDED: Europe against Cancer Programme of the European Commission
HOSTED:1993-96 ASH Scotland1997- National Public Health Institute (KTL), Finland
SUPPORTED: The Advisory Board
ENYPATEuropean Network on Young People and Tobacco
FROM THE BEGINNING
Information exchange between people working in the fields of young people, tobacco and health
=> Newsletter Interaction
=> Database about people and projects
ENYPATEuropean Network on Young People and Tobacco
NEW ROLE:
To develop, co-ordinate and administer wider and more coherent smoking prevention programmes at European level
=> Framework Project
ENYPAT Framework Project1999-2000
ENSPEuropean Netw ork forSm oking Prevention
The Smokefree C lassCompetititon
Sm oke FreePartnerships
Quit and w in -Don't start and w in
Com petition forYoung People
Youth ConferenceJune 2000in Berlin
ENYPATEuropean Netw ork on
Young People and Tobacco
Europe Against Cancer Programmeof the European Commission
ENYPATEuropean Network on Young People and Tobacco
Smoke Free Parnerships:
* School- and community-based
* Targets 9-15 year olds + parents
* Education materials
* Five countries
ENYPATEuropean Network on Young People and Tobacco
Quit and Win - Do Not Start and Win
* Aim: to help young smokers to quit and non-smokers to stay non-smokers
* 3 months: two draws with attractive prizes
* In 7 countries
ENYPATEuropean Network on Young People and Tobacco
Berlin Youth Conference
* in June 2000
* 300 young people from 15 countries
* present creative non-smoking activities
* workshops
Smokefree Class CompetitionIn Europe
* since 1997 at European level* prevent the onset of smoking* pupils aged 11-15 (7th and 8th grades)* the class jointly decides* period of 6 months* national and European draw
Smokefree Class Competition in Europe
* 1997/98 in 7 countries: 100 000 pupils
* 1998/99 in 11 countries: 160 000 pupils
*1999/00 in 13 countries: 230 000 pupils
* Austria, Belgium, Denmark, Finland, France, Germany, Greece, Iceland, Italy, L:bourg, Spain, Netherlands, UK
Smokefree Class Competition in Europe
Denmark: classes have to carry out an activity
Belgium: each pupil get a small prize
Germany: teachers have workshops
Spain: classes should make own slogan
www.ift-nord.de/sfc
Smokefree Class Competition in Europe
* evaluated in Finland and in Germany
* control-group studies with repeated measurements, 1 year follow-up
* result of both evaluation: the competition delays the onset of smoking
ENYPATEuropean Network on Young People and Tobacco
Campaigns as SFC
* positive
* quite easy to organize
* wide audience
* media interested
* promising results
But only supportive action - not solution!
Mr Nicotine is here to get you!