Smoking in Finland 1950-99 % Men Women. Daily smokers by education in Finland Education MaleFemale.

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

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

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

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

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

%

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

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

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

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

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

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

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

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 ???

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

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

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

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

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

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

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

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

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

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

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

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

QUIT & WIN:Superprize winners

1994 Malta

1996 China

1998 Chile

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


FUNDED: Europe against Cancer Programme of the European Commission

HOSTED:1993-96 ASH Scotland1997- National Public Health Institute (KTL), Finland

SUPPORTED: The Advisory Board


FROM THE BEGINNING

Information exchange between people working in the fields of young people, tobacco and health

=> Newsletter Interaction

=> Database about people and projects


NEW ROLE:

To develop, co-ordinate and administer wider and more coherent smoking prevention programmes at European level

=> Framework Project

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


Smoke Free Parnerships:

* School- and community-based

* Targets 9-15 year olds + parents

* Education materials

* Five countries


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


Berlin Youth Conference

* in June 2000

* 300 young people from 15 countries

* present creative non-smoking activities

* workshops

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

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


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


* 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


Campaigns as SFC

* positive

* quite easy to organize

* wide audience

* media interested

* promising results

But only supportive action - not solution!

Mr Nicotine is here to get you!

Smoking in Finland 1950-99 % Men Women. Daily smokers by education in Finland Education MaleFemale.

Documents

health slide

tobacco act

consumption of tobacco

tobacco advertising

antismoking research

prohibited smoking

indirect tobacco advertising

finland prohibition