Global Alliance Against Respiratory Disease Primary Prevention

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Global Alliance Against Respiratory
DiseasePrimary Prevention Health Promotion
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WG1. Defining the Burden, Risk Factors,
Surveillance
WG2.?????????
WG3. Prevention, Health Promotion
W???????????,??????? Control of CRD Allergies,
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WG4. Diagnosis of CRD Allergies.
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Phasing out the Cooking Fires
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USA Age Standardised Death Rates
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The Irish Office of Tobacco Control
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Concerted Action on Tobacco
Since the Irish Office of Tobacco Control was
established in 2001 the of the population
smokin g has fallen by a quarter (31 to
23.5). Smoking is banned in all public places
including Bars since 2004.
?2001?????????,???????1/4 (?31??23.5)
?2004??,????????????????
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No. of Smokers fallen by 25 ?
Slan Surveys OTC/MRBI Tracker
Smoking Ban ???
OTC/MRBI?????
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Why is cessation so important?
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• If we focus only on prevention it will be 40
  years before the substantial benefits will be
  fully realised.
• Cessation substantially reduces smoking related
  risks within 12 years.

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Price Increases can stop teenagers smoking
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8-17
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Very Unlikely To Continue Smoking
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• Price increase

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Building a National Partnership
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• Members of the Parliamentary Committee
• NGOs - Cancer Society, Heart Foundation etc.
• Public Health leaders focus on ET Smoke
• The Minister of Health
• Statutory Agencies
• Health Safety Authority
• Environmental Health Office
• (The Tobacco Industry - soon excluded)

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Seven Tier Plan
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• Educate people about smoking and its effects
• Provide more help for smokers to quit
• Further regulate the Tobacco Industry
• Protect everyone from Passive Smoking (ETS)
• Dont just pass laws implement them
• Extend ownership to the people
• Use International Co-operation Advice

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Power to Prohibit Restrict Smoking
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The Tobacco Acts

• Public Transport
• Hospitals and Clinics
• Schools and Colleges
• Public Offices
• Places of work
• Cinemas, Theatres, Concert Halls, etc.
• Pubs, Bars, Clubs, and Restaurants
• Other Specified Places

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Offence to smoke or to permit it Person in
Charge is Guilty of an Offence
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Key Influences Opportunities
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• An All-Party Committee disenchanted
• The WHO, FCTC, European contacts
• Dedicated Office of Tobacco Control
• Workers rights to a smoke-free workplace
• Trade Union (later) Employer Support
• A Courageous Ambitious Minister
• A small but highly committed OTC (15 staff)

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WHO, FCTC???
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International Support for ETS Ban
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• WHO FCTC
• International NGOs, Conferences, Networks.
• Experience in New York and elsewhere
• Authoritative Evidence Research
• The week-long visit media, public, private
• Ministerial Visits

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All Better Educated
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OTC Preparatory Expert Reports
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• Expert Report on E.T.S. (Allwright et al.)
• What do smokers want? (Loscher, MRBI)
• Productivity Costs smokers and society (Welte)
• Statement by Medical Colleges and Deans
• Irish Women and Tobacco (WHO, Slan, MRBI)
• Ventilation (James Repace USA)
• Economic Effects on the Hospitality Industry
• (TNS- MRBI, Durcan/McDowell,UCD)

E.T.S????
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Ventilation
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• No Acceptable level of exposure
• Effective Ventilation rates are impractical?
• Ventilation Costs?
• Level playing pitch?
• Tobacco industry hospitality programmes
• Ventilation doesnt address health effects
• (Courtesy of Choice pmoptions)

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• Key messages
• Everyone has the right to live in a clean air
  environment.
• Repeated exposure to environmental smoke causes
  incurable COPD, asthma, cardiovascular disease
  and cancer.
• Complete elimination of the harmful smoke is the
  only way to remove the risk.
• This applies to tobacco smoke and all other at
  risk environments.

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Building Compliant Environments
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• Majority obey the law smokers and non-smokers
• Strong support from key stakeholders - unions,
  health community, policymakers, rep. orgs.
  (hotel, restaurant, tourism)
• Intensive compliance building locally -
• EHOs - in partnership with business

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After Two Years
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• Compliance very high
• Prosecutions to date only 37
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• 94 of all workplaces included such as..
• 93 of hotels
• 99 of restaurants
• 90 of bars
• 97 of other premises

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90???
97?????
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Strong Public Support Still Growing
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• 67 support before the law
• 89 success after introduction
• Support one year on (inc. smokers)
• 98 believe workplaces are healthier
• (94 of smokers)
• 96 think law is a success (89 of smokers)
• 93 think it is a good idea (80 of smokers)

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98?????????(??94???)
96??????(??89???)
93??????(??80???)
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The Possibility of a Major Breakthrough
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Thats all folks !