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National strategies and implementations on tobacco control

National strategies and implementations on tobacco control. Prof. Nazmi Bilir MD Hacettepe Univ. Faculty of Medicine Dept. of Public Health nbilir@hacettepe.edu.tr 7 May 2010 – İstanbul. İbrahim Efendi; Chief medical officer Some efforts , unsuccessful

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National strategies and implementations on tobacco control

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  1. National strategies and implementations on tobacco control Prof. Nazmi Bilir MD Hacettepe Univ. Faculty of Medicine Dept. of Public Health nbilir@hacettepe.edu.tr 7 May 2010 – İstanbul

  2. İbrahim Efendi; Chiefmedicalofficer Someefforts, unsuccessful 17. c: complete ban Murat 4th.“concern; fire” .... 1926: Dr. Fuat – “proposal on TC Law” – not passed …. 1987: MoHinitiatives 1991: TC Law – “vetoed” 1995: Establishment of SSUK (Natl. Colalition on TC) 1996: Law on Prevention of Harms of Tobacco (No.4207) 2004: FCTC signed, thenratified 2007: National TC Program andAction Plan 2008: Amendment of theLaw No. 4207 2008: Privatizationandselling of TEKEL (StateMonopoly) Tobacco control in Turkey

  3. First Anti-Tobacco Law, Nov. 1996 • Law on Prevention of Harms of Tobacco Products, (No.4207) • Ban smoking in public places, • Ban smoking – health and educational institutions, • Ban “all kinds of” advertisements, • Health warning on the packages • Prohibition of selling to minors – 18 yrs. • TV airtime, 90 min/month – “harms of smoking” • Fines

  4. LAW on ROLES and RESPONSIBILITIES of TOBACCO REGULATORY AUTHORITYNo: 4733 – 09 Jan. 2002 (official Gazette, 15.4.2008 No.26848) Article 1- The aim of this Law is to describe the establishment of, and roles and responsibilities of Tobacco Regulatory Authority.

  5. RATIFICATION of FCTC 25 Nov. 2004, No 5621 Article 1: WHO FCTC has been ratified by the Grand National Assembly.

  6. National Tobacco Control Program (2007)prevalence of non-smokers15+ age group %80 ---- below 15 years %100 A – Decraesing the demand for tobacco önlemler A.1. Increasing public awareness A.2. Smoking cessation A.3. Tobacco taxes and pricing A.4. Second hand smoking A.5. Advertisement, promotion and sponsorlship A.6. Product control and information to the smokers B – Decreasing the supply of tobacco B.1. Illegal trade B.2. Access of youngsters B.3. Alternative tobacco policies C – Monitoring of TC programs

  7. Law Amending The TC Law (No. 5727) “LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS” No. 4207 3 Jan.v2008 Implementation: 19 May 2008 --- 19 July 2009

  8. Aim The aim of this Law is to protect the people and future generations from harms of tobacco products

  9. LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS Article 2 “use of tobacco products in closed areas is forbidden” Public places, including the corridors Closed and open areas of schools Health, education, sports, cultural, trade, entertainment, hotels, ... Public transport, including commercial taxis Restaurants, cafes, cafeterias, pubs,, ... Exceptions: mental diseases hospitals, prisons, houses for the elderly

  10. Advertisement, promotion and sponsorship ban, Article 3 (1 –7. items) (1) promotion by the names or logos of the tobacco industry in forbidden (3) cars can not carry the topbacco names or logos (4) distribution of gifts is forbidden (5) any annoucements using the name or logo …. (6) appearance of cigarette in the films, .. (7) selling of tobacco products is banned at helath, education and sports establishments LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS

  11. Selling tobacco to minors : 18 yrs. Article 3 (8-14. fıkralar) (8) selling of tobacco to minors is forbidden (imprisonment : 6-12 months) .... ..... (10) individual cigarett selling … (11) vending machines …. forbidden .... .... (14) candy, jiclet, toys, accessories … banned LAW on PREVENTION of HARMS and CONTOL of TOBACCO PRODUCTS

  12. TV air time: 90 min/ month .... All the natşional, regional or local public and private TV channels …. 08:00-22:00 hours At least 30 min between 17:00-22:00 hrs. LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS

  13. Health warnings At least 40% of the main surface and 30% of the reverse side …. İn Turkish Emissions and levels LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS

  14. Fines Misdemanors act Art. 38 Violations by individuals 70 TL Owners of the establishments 570 – 5700 TL (Belediye, mülki amir) Tobacco company 50 000 – 250 000 (TAPDK) Radio-TV: 1000-5000-10 000-100 000 (RTÜK) LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS

  15. Results of the implementations

  16. Particle measurements -1, before and after 19 May, 2008 mcg/m3 Public office Municipality office Professional org. Hospital canteen Physician office Before After

  17. Particle measurements -2, before and after 19 May, 2008 mcg/m3 Shopping Mall Stationery Boutique Coiffure-1 Coiffure-2 Market Before After

  18. Hospitality workplaces, Closed places, New openings (Aug 2008-Oct. 2009)

  19. AMOUNT of VAT PAID by HOSPITALITY WORKPLACES (JAN-OCT 2009)

  20. INSPECTIONS Inspection teams: 31 Mart 2010:---2857 teams 7240 inspectors

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