Smoking in Finland 1950-99 % Men Women. Daily smokers by education in Finland Education MaleFemale.
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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
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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
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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
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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
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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
%
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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
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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
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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
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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
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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
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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
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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
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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 ???
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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QUIT & WIN:Superprize winners
1994 Malta
1996 China
1998 Chile
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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
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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
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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
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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
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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
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ENYPATEuropean Network on Young People and Tobacco
Smoke Free Parnerships:
* School- and community-based
* Targets 9-15 year olds + parents
* Education materials
* Five countries
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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
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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
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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
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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
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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
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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
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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!
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Mr Nicotine is here to get you!