Rima Nakkash Assistant Professor Health Promotion and Community Health Department WHO Collaborating Center for Health Promotion and Behavioral Sciences Faculty of Health Sciences Coordinator-AUB Tobacco Control Research Group Tobacco Control Research Group 1 st International Conference on Waterpipe Tobacco Smoking Abu Dhabi,U.A.E October 20, 2013
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Loopholes in Tobacco Control Policy: as applied to Waterpipe Tobacco Smoking
Loopholes in Tobacco Control Policy: as applied to Waterpipe Tobacco Smoking. Rima Nakkash Assistant Professor Health Promotion and Community Health Department WHO Collaborating Center for Health Promotion and Behavioral Sciences Faculty of Health Sciences - PowerPoint PPT Presentation
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Rima NakkashAssistant Professor
Health Promotion and Community Health DepartmentWHO Collaborating Center for Health Promotion
and Behavioral Sciences
Faculty of Health Sciences
Coordinator-AUB Tobacco Control Research Group
Tobacco Control Research Group
1st International Conference on Waterpipe Tobacco Smoking
Any current policy practices specific to WTS needed.
Comprehensive
No single measure is sufficient to tackle tobacco – it is important to move on many fronts at once in a comprehensive effort to reduce smoking prevalence.
Advertising bans Warning labels on tobacco products Ban smoking in public places Protecting from tobacco industry
interference Other : cessation, prevention and
educational campaigns, control smuggling…..
Do we need a waterpipe tobacco smoking specific policies?
What do we know so far about waterpipe tobacco smoking regulation?
Will the same framework be needed for waterpipe tobacco smoking ?
Are there additional regulatory parameters that need to be considered that are specific for this smoking phenomenon?
Review of the regulatory gaps Flavoring (Family Smoking Prevention and Tobacco Control Act )•Free samples•Youth access•Use restrictions (tobacco vs. non tobacco products)•Point of Sale Warnings, Marketing restrictions, and broad sales prohibitions
Waterpipe tobacco smoking specific policies
Taxation Taxing delivery services Taxing serving establishments on sales–prohibitive range of prices
(currently 1USD-24 USD)Taxing tobacco packaged products for home preparation of
waterpipe or for mass production (by kg)Taxing waterpipe accessories (market size)
Research is needed to explore effect of taxation on overall consumption, changes in behaviors such as switching between products, and impact on different population groups especially the vulnerable ones….
Current Practicehttp://www.dutycalculator.com/hs-code-duty-r
Shows various countries tax structures on hookah tobacco .
Waterpipe tobacco smoking specific policies
Regulating advertising
Waterpipe tobacco product billboard advertising in Lebanon prior to March 2012
Banning sponsorship and promotion
What is this ?
Home Delivery handouts
Coal
Promoting Innovations
http://www.healthy-shisha.com
Innovations
http://www.healthy-shisha.com/
Internet promotion and sales
US Hookah Tobacco Smoking Establishments Advertised on the Internet.
-unregulated-accessible to the public-Play a role in propagating misinformation
Primack, 2012)
Social MediaBlog , online chats…who monitors?A comparison of cigarette and hookah related video’s on
youtube.:portrayed positively, don’t mention short and long term
consequences, anti smoking messages, or how to quit tobacco use.
Who is in charge of what gets on youtube ?
Pimack et. Al, 2013
Waterpipe tobacco smoking specific policies
Indoor smoking bans in public places
There should be no exception made for waterpipe tobacco smoking serving establishments
Licenses /loopholes/permits
Comparison of carcinogen, carbon monoxide, and ultrafine particle emissions from narghile waterpipe and cigarette smoking: Sidestream smoke measurements and assessment of second-hand smoke emission factors.Daher N, Saleh R, Jaroudi E, Sheheitli H, Badr T, Sepetdjian E, Al Rashidi M, Saliba N, Shihadeh A.
“ a single waterpipe use session emits in the sidestream smoke approximately four times the carcinogenic PAH, four times the volatile aldehydes, and 30 times the CO of a single cigarette. Accounting for exhaled mainstream smoke, and given a habitual smoker smoking rate of 2 cigarettes per hour, during a typical one-hour waterpipe use session a waterpipe smoker likely generates ambient carcinogens and toxicants equivalent to 2-10 cigarette smokers, depending on the compound in question.”
Atmospheric Environment, v. 44, iss. 1, p. 8-14.2010
US-Clean indoor air exemptions73 of the largest 100 cities disallowed
cigarette smoking in bars, nearly all (n = 69) of these cities may allow via exemptions.
“poorly defined exemption language resulted in certification that actually assisted” lead to a new niche tobacco market emerging…
(Primack et.al, 2012)
In London alone showed :500% increase in waterpipe premises in last 5 years (national: 210%)Exact figures unknownNot required to register with local authority
Waterpipe premises not exempt from any tobacco legislationUnderage purchase (<18 years)Smoke-free law (enforced in 2007)
UK-Legislation enforcement of the waterpipe tobacco industry