Tobacco control strategy for Northern Ireland

Dr Naresh ChadaSenior Medical Officer

DHSSPS

Smoking prevalenceC

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okers

New

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okers

Sm

okers

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Qu

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Prevalence

Smoking prevalence

1998

/99

2000

/01

2002

/03

2004

/05

2006

/07

2007

/08

2008

/09

2009

/10

2010

/11

2011

/12

2012

/13

0

5

10

15

20

25

30

35

40

Smoking Prevalence Northern Ireland 1998/99-2010/11

All Adults

Manual Workers

Year

Per

cen

tag

e

Smoking and health inequalities

Profe

ssion

al

Emplo

yer,

Man

ager

Inte

rmed

iate

non-

man

ual

Junio

r non

-man

ual

Skilled

man

ual

Semi-s

killed

man

ual

Unskil

led m

anua

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10

20

30

40

50

60

1983 2012/13

Socio-economic group

Per

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tag

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f sm

oke

rs

10-year tobacco strategyLong-term aim - tobacco-free societyPrevent uptake, support quitting and protect

people from exposure to smoke3 priority groupsSmoking prevalence targets aspired to by

2020: 15% adults 3% of 11-16 year olds 9% pregnant women 20% manual workers

ImplementationPublic Health Agency established

TSISGFive work streamsNew public information campaignAnnual investment £2.5m

Partners

DHSSPS

Voluntary Organisatio

ns

Department of Justice

Department of

Education

HM Revenue

and Customs

District Councils

Health and Social Care

Family

HSE

Supporting people to quit645 specialist smoking cessation services

In total, 83% of all pharmacies and 38% of GP practices were registered to deliver services

33,000 people set a quit date 2012/13

At 4 weeks, 18,500 had successfully quit (57%)

At 52 weeks, quit rate was 17%

Campaign activity and use of tobacco resources

Restricting access to tobacco

Increase in age of saleBan on tobacco sales from vending machines

Tobacco Retailers Act

De-normalisation & protection from SHS

Smoke-free legislation introduced in 2007

Regulations banning the display of tobacco products introduced from October 2012

EU Tobacco Products Directive

Revised Directive came into force on 19 May 2014Member States have 2 years to transpose into

domestic lawKey measures include:

a ban on characterising flavours, such as mentholhealth warnings to cover 65% of packs, front & backa ban on packs of 10 cigarettesregulation of e-cigarettes as consumer products

DHSSPS working with DH London and DAs on transposition of the Directive

E-cigarettesUp to 2m users in the UKRegulated as consumer products under

revised TPDCurrently no age of sale restrictions on e-

cigarettes in Northern IrelandProvisions inserted to the draft Health

(Miscellaneous Provisions) Bill aimed at prohibiting sale of e-cigarettes to under 18s

Areas for considerationStandardised packagingIntroduction of further restrictions on smoking in:

private vehicleshospital campusesplaygrounds