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Smoking in Finland 1950-99

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

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Smoking in Finland 1950-99

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  1. Smoking in Finland 1950-99 % Men Women

  2. Daily smokers by education in Finland Male Female Education

  3. 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

  4. 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

  5. Exposure to ETS %

  6. 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

  7. Lung Cancer in Finland 1953-97 /100000, age-adjusted Men Women Finnish Cancer Registry

  8. Smoking and lung cancer in Finland 1950-97 %, /100000, age adjusted Men Women

  9. Coronary Heart Disease Mortality among 35-64 years old in Finland in 1952-96 /100000, age adjusted National Public Health Institute

  10. Proportion of daily smokers (%) among young people1979 - 1999 Rimpelä A, et al: Adolescent Health Study 1999. Finland´s ASH

  11. Proportion of daily smokers (%)among 14 year old boys and girls 1979 - 1999 Rimpelä A, et al: Adolescent Health Study, 1999. Finland´s ASH

  12. 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

  13. GLOBAL TOBACCO BURDEN(J. Mackay 1999) 20002030 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 ???

  14. 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

  15. 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

  16. 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

  17. 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

  18. QUIT AND WIN: NATIONAL IMPLEMENTATION PRINCIPLES Each country organizes the Q&W by itself, with local resources, but following theinternational rules (same core) Coordinating agency (+ contact person): national institute, NGO, university orministry 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

  19. 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

  20. 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

  21. INTERNATIONAL QUIT & WIN 2000 target: 75-100 countries 500.000 - 1.000.000 smokers prizes: 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

  22. 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

  23. 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

  24. 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 $10.000 2000 in Hannover, Germany MAY 2001: - Standardized 1-year follow-up

  25. AFRO (Africa) EMRO (Eastern Mediterranean) EURO (Europe) PAHO (Americas) SEARO (South-East Asia) WPRO (Western Pacific) 7 11 33 15 6 11 ---------- 83 COUNTRIES ORGANIZING QUIT & WIN 2000

  26. QUIT & WIN:Superprize winners 1994 Malta 1996 China 1998 Chile

  27. 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

  28. ENYPATEuropean Network on Young People and Tobacco FUNDED: Europe against Cancer Programme of the European Commission HOSTED: 1993-96 ASH Scotland 1997- National Public Health Institute (KTL), Finland SUPPORTED: The Advisory Board

  29. 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

  30. 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

  31. ENYPAT Framework Project1999-2000

  32. ENYPATEuropean Network on Young People and Tobacco Smoke Free Parnerships: * School- and community-based * Targets 9-15 year olds + parents * Education materials * Five countries

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

  38. 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

  39. 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!

  40. Mr Nicotine is here to get you!

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