Australian Tobacco Action Plan 2007 - 2011

8/9/2019 Australian Tobacco Action Plan 2007 - 2011

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Western Australian

Tobacco Action Plan

2007 2011


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Foreword

The Western Australian Tobacco Action Plan (WA TAP) 2007-2011 provides a ramework or tobacco

control activities in Western Australia or the next ve years. It outlines public health policy on

tobacco control or Western Australia and acilitates implementation o key recommendations o the

National Tobacco Strategy (NTS) 2004-2009.

Although there has been signicant progress made in the reduction o tobacco smoking rates in

Western Australia, smoking remains the main cause o preventable drug-related death and disease

in Western Australia. The greatest burden o tobacco-caused death and disease occurs among those

most in need. Each year tobacco use kills over 1,400 Western Australians and places an enormous

strain on the health budget o WA, being responsible or $60 million per year in hospital costs alone.

This ve-year plan aims to improve the health o Western Australians by reducing the harm caused

by tobacco, especially among priority population groups. The WA TAP 2007-2011 is based on best

practice in tobacco control and complements and builds on existing international, national and statepolicy rameworks and guidelines.

Signicant progress has been made in the past year to urther strengthen tobacco control legislation

in WA. The Tobacco Products Control Act 2006 was passed in the Western Australian Parliament on

28 March 2006 introducing a number o new tobacco control initiatives including a licensing scheme

or retailers and wholesalers and bans on tobacco advertising at point o sale. As o 31 July 2006 a

total ban on smoking in all enclosed public places, including pubs and clubs was also introduced.

Implementing the key strategies outlined in this plan is achievable i collectively government,

non-government agencies and other stakeholders work together. Maintaining strong partnerships,

strengthening legislation and progressing the comprehensive range o strategies outlined in the plan

will ensure that the quality o lie o all Western Australians is advanced.

The Hon Jim McGinty MLA

Minister or Health

1

Western Australian Tobacco Action Plan 2007 - 2011


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Table o Contents

Foreword 1

Background 3

The WA Tobacco Action Plan 2007-2011 consultation 3

The WA Tobacco Action Plan 2007-2011 structure 3

Section 1: Context o WA Tobacco Action Plan 2007-2011 5

1.1 International context 5

1.2 National context 6

1.3 Western Australian context 6

Section 2: Overview o WA Tobacco Action Plan 2007-2011 9

2.1 Goal 92.2 Priority population groups 9

2.3 Objectives 10

2.4 Key action areas 10

WA Tobacco Action Plan 2007-2011 ramework 12

Section 3: Evidence or action 13

3.1 Harm caused by tobacco use 13

3.1.1 Death 13

3.1.2 Disease 13

3.1.3 Exposure to Second Hand Smoke (SHS) 13

3.1.4 Hospitalisation 13

3.1.5 Cost o tobacco smoking to the community and the Health Care System 14

3.2 Prevalence 14

3.2.1 Adults 14

3.3 Smoking by specic priority population groups 14

3.3.1 Aboriginal and Torres Strait Islander (ATSI) peoples 14

3.3.2 People rom Culturally and Linguistically Diverse (CaLD) backgrounds 14

3.3.3 People with a mental illness 14

3.3.4 Oenders and detainees 15

3.3.5 Young people 15

3.3.6 Parents and carers o children 15

3.3.7 Pregnant women 15

3.3.8 People living in rural and remote locations 16

3.3.9 People at high risk o or with chronic diseases 16

3.3.10 People living in low socioeconomic circumstances 16

Section 4: Action areas and activities 17

Section 5: Current activity in tobacco control in Western Australia 31

Section 6: Reerences 39

Section 7: List o acronyms 42

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Background

The Western Australian Tobacco Action Plan (WA TAP) 2007-2011 will essentially be a tool to guide

tobacco control activities in Western Australia or the next ve years. It outlines public health policy

on tobacco control or Western Australia and acilitates implementation o key recommendations o

the National Tobacco Strategy 2004-2009.

While the National Tobacco Strategy 2004-2009provides a national ramework or tobacco control

in Australia, individual jurisdictions are responsible or determining the detail o their involvement

in the strategy. The WA TAP 2007-2011 ocuses on those recommendations and strategies most

relevant to Western Australia.

The WA Tobacco Action Plan 2007-2011 consultation

In response the National Tobacco Strategy 2004-2009the Tobacco Control Branch (TCB) o the

Department o Health (WA) coordinated the development o the WA TAP 2007-2011 in consultationwith a wide range o stakeholders rom government and non-government organisations that have an

interest in tobacco control issues.

The consultation process or development o the WA TAP 2007-2011 provided stakeholders with a

number o avenues through which to contribute their eedback. These consisted o:

1. An inormation session with a Commonwealth commissioned tobacco control expert

regarding the National Tobacco Strategy 2004-2009.

2. A state-wide audit o current tobacco control activities and achievements.

3. A consultation workshop held in February 2006.

4. Distribution o a drat ramework in April 2006 seeking comments.

5. Distribution o a drat plan in July 2006 seeking comments.

6. Collation o stakeholder comments and recommendations September/October 2006.

A temporary delay in the timeline or nalisation o the WA TAP occurred in late 2006 due to

development o the WA Health Promotion Strategic Framework (WA HPSF). In order to avoid possible

conusion and to acilitate alignment between the documents, the delay was intended to contribute

to better achieving overall state-wide health promotion objectives.

The WA Tobacco Action Plan 2007-2011 structure

The WA TAP 2007-2011 is divided into ve sections.

Section One discusses the contextual issues or uture tobacco control activities in WA and provides

a short description o the most relevant international, national and state documents, which

oer important scientic evidence about tobacco-related harm as well as policy rameworks and

guidelines or tobacco control.

Section Two provides an overview o the plan and outlines the goal, objectives, action areas and

priority population groups requiring special attention.

Section Three presents key data and inormation on harm caused by tobacco use and exposure in

Western Australia.

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Section Four outlines action areas and recommended activities to be employed over the next ve

years. Timerames and data sources or key indicators are provided (where available) and those

involved in the development and implementation o activities are identied.

Section Five provides sel-reported details o key agencies involved in tobacco control in WA and

inormation about the current and ongoing programs they deliver. This will be updated annually via

Internet posting at www.health.wa.gov.au/watap.

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Section 1Context o the WA Tobacco Action Plan 2007-2011

The WA TAP 2007-2011 complements and builds on existing state, national and internationaldocuments, which provide important scientic evidence about tobacco-caused harm as well as

policy rameworks and guidelines or tobacco control. A short description o the most relevant is set

out below.

1.1 International context

1.1.1 World Health Organisations (WHO) Framework Convention on Tobacco Control

(FCTC).

The WHO FCTC was developed in response to the globalisation o the tobacco epidemic1. Essentially

the FCTC is an international tool to reduce consumption and the increasing death toll arising rom

tobacco consumption worldwide. The treaty and its protocols address diverse issues relating totobacco manuacturing, trade and consumption2. Recommendations contained in the FCTC include:

Price and tax measures to reduce demand or tobacco.

Non-price measures to reduce demand or tobacco, namely:

Protection rom exposure to tobacco smoke.

Regulation o the contents o tobacco products.

Regulation o tobacco product disclosures.

Packaging and labelling o tobacco products.

Education, communication, training and public awareness.

Regulation o tobacco advertising, promotion and sponsorship.

Demand reduction measures concerning tobacco dependence and cessation.

1.1.2 The 28th United States Surgeon Generals Report on Smoking and Health: The

Health Consequences o Smoking.

For over 40 years the US Surgeon General has published evidence-based reports on the harmul

health eects o smoking. The evidence reviewed in the most recent report, The 28th United States

Surgeon Generals Report on Smoking and Health: The Health Consequences of Smoking, and other

reports o the Surgeon General concludes the ollowing:

Smoking harms almost every organ in the body, causing many diseases and reduces the health

o the smokers in general.

Quitting smoking has immediate as well as long-term benets.

Smoking cigarettes with lower yields o tar and nicotine provides no clear benet to health.

The list o diseases caused by smoking has been expanded to include abdominal aortic

aneurysm, acute myeloid leukaemia, cervical cancer, kidney cancer, pancreatic cancer,

stomach cancer, periodontitis, pneumonia and cataracts.

Second hand smoke is a serious health hazard that causes premature death and disease in

children and non-smoking adults3.

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1.2 National context

1.2.1 The Australian National Tobacco Strategy 2004-2009

In March 2005, the Ministerial Council on Drug Strategy (MCDS) endorsed the National TobaccoStrategy 2004-2009. The Strategy is a statement o the resolve o ederal, state and territory

governments to work together and in collaboration with non-government agencies on a long-

term, comprehensive, evidence based and coordinated national plan to reduce the harm caused

by tobacco smoking in Australia. The goal o the National Tobacco Strategy 2004-2009is to

signicantly improve health and to reduce the social costs caused by, and the inequity exacerbated

by, tobacco in all its orms4. To achieve this the Strategy has committed to eight areas or action.

They include:

1. Regulation o tobacco.

2. Promotion o Quit and smoke ree messages.

3. Cessation services and treatment.

4. Community support and education.

5. Addressing social, economic and cultural determinants o health.

6. Tailoring initiatives or disadvantaged groups.

7. Research, evaluation and monitoring and surveillance.

8. Workorce development.

1.3 Western Australian context

1.3.1 WA Health Our Strategic Intent 2005-2010

The WA Health Strategic Intent 2005-2010 outlines key intentions and commitments or the next ve

years to deliver a healthy WA.

The vision o this document is to Improve and protect the health o Western Australians by

providing a sae, high quality, accountable and sustainable health care system5.

To achieve this vision the document sets out and describes six priority areas:

Healthy workorce

Healthy hospitals

Healthy partnerships

Healthy communities

Healthy resources

Healthy leadership.

1.3.2 Western Australian Health Promotion Strategic Framework 2007-2011

The Western Australian Health Promotion Strategic Framework 2007-2011 (WA HPSF) outlines

the key directions or the promotion o healthier and saer liestyles or the Western Australian

population over the next ve years.

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The WA HPSF takes a cluster approach to the prevention o chronic diseases such as cardiovascular

disease, diabetes and certain cancers. This approach targets a number o risk actors shared by

these and other chronic conditions, namely, physical inactivity, poor nutrition, smoking, harmul

alcohol use and obesity. The WA HPSF also identies priorities or action to prevent injury.

The WA HPSF promotes the use o population based approaches to ensure that appropriate

prevention activities occur across the continuum rom wellness to ill health, or the overall

population, specic sub groups and individuals at greater risk o harm. This whole-o-system

approach shares the responsibility or health promotion across the health system.

In relation to preventing smoking, the WA HPSF outlines seven key strategic directions or action:

1. Eectively monitor and enorce legislative controls on the sale, supply, advertising and

promotion o tobacco.

2. Increase the urgency o stopping smoking and o protecting others rom exposure to second

hand smoke.

3. Reduce exposure to second hand smoke.

4. Improve access to smoking cessation support across the continuum o health care and the

community.

5. Discourage the uptake o smoking by young people.

6. Broader community engagement in tobacco control interventions and issues.

7. More innovative programs to address smoking among Aboriginal people and other high-risk

groups.

The WA TAP 2007-2011 lists a broad range o specic recommended activities that are aligned withthe NTS and encompass the aorementioned strategic directions o the WA HPSF.

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Section 2Overview o WA Tobacco Action Plan 2007-2011

WA Tobacco Action Plan 2007 -2011

The Western Australian Tobacco Action Plan (WA TAP) 2007-2011 continues on rom and builds on

the ramework developed under the previous WA TAP 2001-2004. It outlines public health policy on

tobacco control or Western Australia and acilitates implementation o key recommendations o the

National Tobacco Strategy (NTS) 2004-2009.

The WA TAP 2007-2011 is a ramework that enables government, non-government organisations,

individuals and community groups to work in collaboration to achieve successul tobacco control

outcomes. It is an evidence based reerence tool or anyone associated with tobacco control in

Western Australia, and is intended to contribute to the design and development o programs and

activities across the state.

The WA TAP 2007-2011 also aligns with other key strategic initiatives within WA Health, including

Health Networks and the WA Health Promotion Strategic Framework (WA HPSF).

Monitoring and reporting on the WA Tobacco Action Plan 2007-2011

As part o its state-wide policy coordination role in relation to tobacco control, the Tobacco Control

Branch o the Department o Health will be responsible or collating data on the implementation

o the WA TAP 2007-2011 and reporting on its progress to the Commonwealth Government and key

stakeholders.

2.1 GoalTo improve the health o Western Australians by reducing the harm caused by tobacco, especially

among priority population groups.

2.2 Priority population groups

Priority population groups means any population group that is, or traditionally has been excluded

rom tobacco control planning, decision-making, or the benets o tobacco control programs or

interventions. Priority populations have disproportionate rates in relation to population numbers,

tobacco use or tobacco-related morbidity or mortality, and experiences a disproportionate rate o

exposure to tobacco smoke and tobacco industry promotional practices7. They include:

Aboriginal and Torres Strait Islander people

People rom culturally and linguistically diverse backgrounds

People with mental illness

Oenders and detainees

Young people

Parents and carers o children

Pregnant women

People living in rural and remote locations

People at high risk o or with chronic diseases

People living in low socioeconomic circumstances

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2.3 Objectives

In order to achieve its goal, the WA TAP 2007-2011 aims to:

Prevent the uptake o smoking.

Reduce the number o people using tobacco.

Reduce exposure to tobacco and the harm it causes.

2.4 Key action areas

To address the WA TAP 2007-2011 objectives, there are our action areas.

2.4.1 Regulation

The health eects o exposure to second hand smoke (SHS) are well documented and indisputable.

Numerous scientic studies have demonstrated that exposure to SHS causes a number o illnesses

and diseases, including lung cancer and heart disease. Tobacco control legislation includes

programs, which place control on the promotion, sale and use o tobacco products in order to

limit the exposure o people within the community to second hand smoke, encourage non-smokers

particularly young people, to not start to smoke and to reduce smoking rates in the community

generally.

This action area will include a series o strategies to address the ollowing:

Regulating the promotion o tobacco products.

Regulating the place o sale o tobacco products.

Regulating place o use o tobacco products.

Regulating the packaging o tobacco products.

Regulating tobacco tax.

Regulating tobacco products.

Action Area 1 relates to NTS 2004-2009 Policy Area 1 Regulation of tobacco.

2.4.2 Community education

Western Australia is a leader in public education and inormation strategies aimed at raising

awareness o harm caused by tobacco in the community. A range o government and non

government agencies conduct public education strategies that promote the eects o smoking onhealth in an eort to encourage smokers to quit smoking and deter young people rom taking up

smoking. These public education strategies range rom state-wide mass media based campaigns

to community-based programs and a wide range o public advocacy on tobacco control issues.

The recommended activities in relation to this action area centre on maintaining and improving

advocacy and existing education strategies, as well as ensuring a collaborative and cooperative

approach to developing and conducting community based initiatives that target priority population

groups and the general community.


Promotion o prevention, cessation and smokeree environment messages.

Building the capacity o those working in tobacco control at a national, state or local level.

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Broader community engagement in tobacco control interventions and issues.

More innovative programs to address smoking among Aboriginal people and other high risk

groups.

Action Area 2 relates to the NTS 2004-2009 Policy Area 2 Promotion of Quit and Smokefree

messages and Policy Area 4 Community support and education.

2.4.3 Cessation services and treatment

Quitting smoking remains one o the most important measures to reducing smoking-caused death

and disease in Western Australia.

Quitting smoking at any age results in immediate health benets, irrespective o how long a person

has been smoking. Many people nd quitting dicult and usually need multiple attempts to quit

successully. It is thereore important that all smokers have access to a range o smoking cessation

services and treatments that are appropriate and accessible to them in order to maximise theirchances o success.


Behavioural and support services.

Pharmacotherapies.

Counselling and reerral by health proessionals.

Action Area 3 relates to NTS 2004-2009 Policy Area 3 cessation services and treatment.

2.4.4 Research and evaluation

Comprehensive research and evaluation activities are important or ensuring that current and

proposed tobacco control programs and policies are appropriate and eective. Eective research

and evaluation will assist with priority setting, identiying new and emerging trends and issues,

refecting on achievements, and establish uture goals.


Research to develop new methodologies or tobacco control.

Evaluation o the eectiveness o current tobacco control activities.

Monitoring o smoking behaviour, attitudes and prevalence.

Analysis and dissemination o research ndings.

Action Area 4 relates to NTS 2004 2009 Policy Area 7 Research, evaluation and monitoring and

surveillance.

NTS 2004-2009 Policy Area 5 Addressing social, economic and cultural determinants of health,

Policy Area 6 Tailoring initiatives for disadvantaged groups and Policy Area 8 Workforce

development will be integrated across all WA TAP 2007- 2011 Action Areas 1-4.

See Figure 1: WA TAP 2007-2011 Framework

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Figure 1: WA Tobacco Action Plan 2007 - 2011 Framework

To improve the health o Western Australians by reducing the harm caused by tobacco,especially among priority population groups.

Aboriginal and Torres Strait Islander people; people rom culturally andlinguistically diverse backgrounds; people with mental illness; oenders anddetainees; young people; parents and carers o children; pregnant women;

people living in rural and remote locations; people at high risk o or withchronic diseases; people living in low socioeconomic circumstances

Goal

Objectives

Priority population groups

To prevent theuptake o smoking.

To reduce thenumber o people

using tobacco.

To reduce exposureto tobacco and the

harm it causes.

1. Regulation

Regulation otobacco

promotion andproducts, place

o sale, place o use,packaging, tax.

2. CommunityEducation

Promotion oprevention,

cessation andsmokeree

environmentmessages.

4. Research and

Evaluation

Research on newmethodologies,evaluation o

tobacco controlactivities,

monitoring o

smoking behaviour,analysis &dissemination o

ndings.

3. CessationServices andTreatment

Behavioural andsupport services,

pharmacotherapies,counselling and

reerrals by healthproessionals.

Action areas


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Section 3Evidence or action

This section provides data and inormation on the extent o the harm caused by tobacco use andexposure in Western Australia.

3.1 Harm caused by tobacco use

3.1.1 Death

Tobacco smoking is the largest single preventable cause o death and disease in Australia. In

Australia, tobacco accounts or over 15,500 deaths each year8.

In Western Australia, an estimated 18 percent o all male deaths and 10 percent o all emale

deaths in 2001 were due to tobacco smoking. Between 1983 and 2001 more than twice as many

males died than emales9

.

In Western Australia between 1983 and 2001, tobacco was responsible or 29,044 deaths, an

average o over 1,500 deaths per year. Five conditions were responsible or 85 percent o tobacco-

caused deaths over this period, including lung cancer (30%), ischaemic heart disease (23%), chronic

obstructive pulmonary disease (19%), stroke (8%) and atherosclerosis (5%)9.

3.1.2 Disease

Tobacco smoking is a major risk actor or a range o disabling and atal conditions including

cardiovascular and lung diseases and some cancers. In addition, men and women are at risk o

developing a number o gender-specic health problems due to smoking, such as reduced ertility or

menstrual problems in women and impotence in men. Women who smoke during pregnancy are atgreater risk o miscarriage, premature labour, and stillbirth, bearing an unhealthy birth weight baby

or experiencing complications during labour10.

3.1.3 Exposure to Second Hand Smoke (SHS)

Exposure to SHS is also a signicant cause o disease, including some cancers, cardiovascular

disease, bronchitis, pneumonia, and irritation o the upper respiratory tract, increase requency

and severity o asthma symptoms, new cases o asthma and Sudden Inant Death Syndrome (SIDS) in

babies. The irritant eects associated with exposure to SHS on the eyes, nose, throat and airway

passages are also well known10.

3.1.4 Hospitalisation

In Western Australia in 2004, tobacco was responsible or 14,714 hospital admissions and 84,281

bed days11. In 2001, ve tobacco-related conditions were responsible or 68 percent o the tobacco-

caused hospital admissions in that year, including chronic obstructive pulmonary disease (24%),

ischaemic heart disease (21%), lung cancer (9%), atherosclerosis (7%) and cardiac dysrhythmias

(7%)9.

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3.1.5 Cost o tobacco smoking to the community and the health care system

Tobacco smoking places a substantial nancial burden on the community. Health economists have

estimated that in 1998-99 the tangible and intangible costs o smoking to Australia were $21.1

billion12.

The tangible costs reer to the total combined cost o health care expenditure, loss o human

productivity, res and resources used in abusive consumption. The intangible costs reer to the loss

o lie.

In 2001, smoking related hospitalisations cost the West Australian health care system over $60

million11.

3.2 Prevalence

3.2.1 Adults

A survey conducted in 1984 reported that 32 percent o adult Western Australians smoked. In 2004,

the prevalence o smoking among Western Australians aged 14 years and over was 15.5 percent13.

Twenty three percent o adult males are daily smokers compared to 19 percent o adult emales14.

3.3 Smoking by specifc priority population groups

3.3.1 Aboriginal and Torres Strait Islander (ATSI) people

Aboriginal people comprise approximately 3 percent o the total population in Western Australia15.

In 2004-05, 50 percent o ATSI people were current daily smokers compared to 17 percent o non-

Indigenous people14,16. Over one third (35%) o young Aboriginal people aged 12 to 17 years have

smoked regularly17.

The high prevalence o smoking within the Aboriginal community means that the eects o active

and passive smoking are greatly magnied. ATSI people experience higher mortality rates rom

a number o diseases caused by smoking compared to the general Australian population18. These

conditions include cardiovascular disease, respiratory disease, and a number o cancers. In Western

Australia, the rates o hospitalisation and death rom conditions caused by smoking are estimated to

be 2 to 5 times higher or Aboriginal people compared to non-Indigenous people19.

3.3.2 People rom Culturally and Linguistically Diverse backgrounds (CaLD)

Many people migrating to Australia and reugees come rom countries where smoking rates are high.

Among men, those born in the Middle East, Southern Europe and Western Europe have the highestsmoking prevalence20. Western Australia has a culturally and linguistically diverse population

comprised o many dierent ethnic communities.

3.3.3 People with mental illness

People with mental illness have signicantly higher smoking rates than the general population.

The 1997/98 Survey o Mental Health and Wellbeing ound that 43 percent o Western Australians

diagnosed with mental illness were current smokers compared with 24 percent o the general

population. People with mental illness also experience higher mortality rates rom cancer, heart

disease, circulatory diseases and respiratory diseases than the general population21.

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3.3.4 Oenders and detainees

In 2004, almost 84 percent o the Western Australian adult prisoner population and 68 percent o

juveniles identied themselves as smokers on receival to custodial institutions. Aboriginal people

are highly over-represented in the prison system, representing approximately 3 percent o thegeneral WA population but 46 percent o the prisoner population.19

Poor educational attainment, unemployment, social isolation, interpersonal conficts, nancial

dependence, mental illness and substance abuse are eatures common to prisoner populations.

Womens prisons have the additional concerns related to the risks to the unborn child and young

children23,24,25.

Historically cigarettes have been purchased by adult prisoners through the prisoners canteen at a

discounted rate o $2-$3 cheaper than the same packet in the community. Further compounding

the smoking problem in prison is that prisoners usually smoke a brand o pouch tobacco, which

has higher nicotine and tar content than manuactured cigarettes. Furthermore shared ventilation

systems in accommodation units expose all prisoners and sta to tobacco pollutants.

3.3.5 Young people

Most adults who smoke commence this behaviour as adolescents. The younger someone starts to

smoke, the more likely they are to be heavy users o tobacco and, consequently, the greater risk

they have o ill health rom smoking26. The prevalence o smoking among WA students aged 12 to 17

years is at its lowest level since 1984. Current smoking prevalence has decreased rom 11.5 percent

in 2002 to 6 percent in 200527.

In 2005 8.7 percent o students had smoked in the last month, 17.6 percent in the last year and 31.5

percent had ever smoked at least part o a cigarette27

.

3.3.6 Parents and carers o children

In Australia, almost 40 percent o children under 12 years o age live in homes where at least one

adult is a regular smoker28. Second hand smoke is considered a actor in respiratory inections,

middle ear inections, the onset and worsening o asthma, decreased lung unction, eye and

nose irritation, low birth weight and sudden inant death syndrome29,30. The benets o reducing

childrens exposure to second hand smoke at home also includes reduced school absenteeism,

increased school perormance, reduced uptake o smoking and decreased consumption o tobacco

among children who smoke30.

3.3.7 Pregnant women

Nearly 18 percent o Western Australian women smoke during pregnancy31 and an estimated 5,000

Western Australian babies are born to mothers who smoke each year. Unortunately, hal o women

who quit smoking throughout their pregnancy relapse within six months o delivery and 70 percent

relapse within 12 months32.

Indigenous women are also more likely to smoke during pregnancy when compared to non-

Indigenous women33,34. A recent survey into the health o Western Australian Indigenous children

ound that 49 percent o Indigenous women used tobacco whilst pregnant35. Research rom other

states has ound that in some Indigenous communities, up to 72 percent o women smoke whilst

pregnant36.

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Pregnant women who smoke have a greater risk o:

having an unhealthy birth weight baby

Sudden Inant Death Syndrome (SIDS)premature labour

miscarriage

ectopic pregnancy

the child developing respiratory problems such as asthma, croup, bronchitis and pneumonia.

3.3.8 People living in rural and remote locations

Rural residents are more likely to smoke than Perth metropolitan residents. In 2004 the Kimberley,

the Pilbara-Gascoyne, Midwest-Murchison and the Goldelds-South East o Western Australia had

signicantly higher proportions o both male and emale smokers compared with other areas o theState37.

People living in rural and remote locations have less access to general and specialist public health

medical services making it less likely or them to be reerred to the Quitline or be prescribed

smoking cessation treatments20.

3.3.9 People at high risk o or with chronic diseases

Smoking is a key risk actor or a number o the chronic disease conditions that aect Western

Australians, which include: cardiovascular disease, type 2 diabetes, several cancers, asthma and

arthritis. In 2000, these conditions were responsible or almost hal o the total burden o disease in

Western Australia38

.

In 2005, the hospitalisation costs or a number o key preventable chronic diseases in Western

Australia were approximately $114 million - cardiovascular disease (47 million), preventable cancers

($41 million), diabetes ($17 million), lung cancer ($ 6 million), and asthma ($3 million)39.

Reduction in the number o people smoking is undamental to the achievement and maintenance o

health throughout the lie cycle, and extending into uture generations6.

3.3.10 People living in low socioeconomic circumstances

Unlike the situation in many other countries, in Australia since the advent o mass media campaigns,

smoking prevalence has reduced in parallel among higher and lower socioeconomic status (SES)groups. Nevertheless, there remains a clear relationship between SES and smoking, with people

in blue collar occupations, the unemployed and those with less ormal education smoking at

signicantly higher rates than people in white collar jobs and those with tertiary qualications4.

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ActionArea1.

Regulation

Recommendedactivities

Whoneedstobe

infuenced?

Whoisinvolvedinthis

activ

ity?

Timeline

Datasourcesorkeyindicatorsc

urrently

available

07

08

09

10

11

Prom

otion,sale,packaging

1.1Im

plementTobaccoProducts

ControlAct2006andassociated

regulations.

R

etailers

A

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G

eneralCommunity

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obaccoCompanies

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1.2D

evelopandimplementstate-

wide

complianceprogramstosupport

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place

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produ

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R

etailers

A

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W

holesalers

E

mployers

E

mployees

G

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WAHealth

Police

LocalGovernment

DOCEP

Place

ouse

1.3Supportandadvocateor

increasedpublicnon-smokingoutdoor

areas

andevents.

O

ccupiers

L

ocalGovernment

R

egulators

E

ventManagers

NGOs

Healthway

LocalGovernment

LotteryWest

WAHealth

DCA

Percentageopeoplereportingno

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AIHW2

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Sect

ion4

Actionareasandactivities

4.1

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egulation:Regulatingthep

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theplaceosale,

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ulating

tobaccotaxandproducts.


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ActionArea1.

Regulation


Whoneedstobe

infuenced?

Whoisinvolvedinthis

activity?

Timeline

Datasourcesorkeyindicators

currently

available

07

08

09

10

11

Place

ouse(continued)

1.4Supportthedevelopmentand

imple

mentationoSmokereeprojects

andp

oliciesnotcoveredbylegislation.

Employees

Employers

LocalGovernment

Governmentagencies

WAHealth

Healthway

LocalGovernment

NGOs

Government

agencies

Employers

Employees

Percentageochildreninhomeswhere

parentsaresmokersandparentssmoke

indoorsandincars.

l

ACAMSurvey

l

NDSHS2004,2007,2010

l

ASSAD2005,2008,2011

1.5D

evelopandimplementSmokeree

WAH

ealthSystem

PolicyacrossallWA

healt

hservicesandacilities.

Employees

GeneralCommunity

WAHealth

NGOs

1.6Supportthedevelopmentoa

wholeogovernmentpolicythat

restrictstobaccopromotion,saleand

usea

tanyvenueoracilitythatis

unde

d(inwholeorpart)orowned

byGo

vernment.

DPC

Governmentunders

EventManagers

NGOs

DPC

WAHealth

Healthway

Percentageogovernmentunded

residential,mentalhealthandco

rrectional

acilitiesthatprohibitorlimitsm

oking

indoors.

1.7W

orksaeWAtocontinueto

educateandenorceregulations3.44A

to3.44IotheOccupationalSaetyand

Healt

hRegulations1996,dealingwith

prote

ctionrom

tobaccosmokewithin

thew

orkplace.

Employers

Employees

DOCEP

Employers

Percentageopeoplewhoreport

no

smokingattheirworkplace.

l

NDSHS2004,2007,2010

1.8A

dvocateorchangestotobacco

contr

ollegislationtoberefectedin

OccupationalSaetyandHealthAct.

StateGovernment

Commonwealth

Government

DOCEP

WAHealth

Employers

WorkplaceO

SH

Committees


20/4519


ActionArea1.

Regulation


Whoneedstobe

infuenced?

Whoisinvolvedinthis

activity?

Timeline

Datasourcesorkeyindicators

currently

available

07

08

09

10

1

1

Regulationotobaccoproducts

1.9A

dvocateorurther

Comm

onwealthregulationotobacco

produ

ctpromotion.

Commonwealth

Government

StateGovernment

NGOs

1.10Advocateortobaccoindustryto

bere

quiredtodisclosethecontentso

tobac

coproducts.

Commonwealth

Government

WAHealth

StateGover

nment

NGOs

1.11Advocateorincreasesintaxation

todiscouragetheuseotobacco

produ

cts.

Commonwealth

Government

NGOs

Averagenumberocigarettesstu

dents

aged12to17yearscanbuyonanaverage

weekspocketmoney.

l

ASSAD,2005,2008,2011

Averagereportedpricepaidorc

igarettes

byadults.

l

NTC2008

1.12Supportinitiativestoregulate

nicotineunderCommonwealthpoisons

legisl

ation.

Commonwealth

Government

NGOs

WAHealth

1.13Advocateorcontinuedeective

healt

hwarningsoncigarettepackets.

Commonwealth

Government

NGOs

1.14Developandimplementtobacco

sellerslicensingscheme.

LocalGovernment

Employers

Employees

GeneralCommunity

TobaccoIndustry

WAHealth


21/4520


ActionArea1.

Regulation


Who

needstobe

infuenced?

Whoisinvolvedin

this

activity?

Timeline

Datasourcesorkeyindicatorscurrently

available

07

08

09

10

11

Regulationotobaccoproducts(continued)

1.15Investigateopportunities

orNationallyconsistent

tobac

cocontrollegislation.

Regulators

Tobacc

oindustry

WAHealth

Commonwealth

organisations

NGOs

Legis

lativereview

1.16Conductreviewsocurrent

tobac

colegislationinlinewith

legisl

ativereviewprovisions.

Retaile

rs

Wholes

alers

Employ

ers/

Employ

ees

Genera

lCommunity

Tobacc

oCompanies

Police

LocalG

overnment

Others

tate

governmentagencies

WAHealth

Healthway


22/4521


ActionArea2.

Communityeducation


W

honeedstobe

infuenced?

Whoisinvolvedinthis

activity?

Timeline


urrently

available

07

08

09

10

11

Cessa

tionsupport

2.1PromotetheQuitlineas

areli

ablesourceocessation

inormationandsupport.

Quitlinestandardsworking

group

Developsstandardsbased

onaNatio

nalQuitlineReview

that

wouldenabletheQuitlinetodeliver

aresponsive,consistentandresearch

basedeffe

ctiveservicetosmokersin

Australia.

WAHealth

NGOs

WAHealth

Retailers

EnorcementOcers

Patternsandnumbersocallstoth

eQuitline

andhitstothewebsite.

2.2Extensivelypromotethe

Quitlinecounsellingservice

ando

thersmokingcessation

servicesamonghealthservice

providersandconsumers.

NGOs

Healthway

DAO

NGOs

WAHealth

PreandpostcampaignQuitlineact

ivity.

Cessationsel-helpmaterialuptake

among

healthproessionalsandhealthservices.

Mass

media

2.3D

evelop,provideadequate

undi

ngandsupportNational

ands

tate-widemedia

camp

aigns.

QuitGr

oupFacilitatesthe

sharingof

knowledge,expertise,

informatio

nandresourcesamong

StateandTerritoryQuitorganisations

andheads

ofcomprehensive,

dedicated

tobaccocontrolprograms.

Commo

nwealthandState

Govern

ment

Tobacc

oCampaign

plannin

ggroup

NGOs

WAHealth

Commonwealthand

StateGovernm

ent

Healthway

Percentageawarenessocampaign

advertisingandrecallomessagea

mong

smokersandrecentquitters.

l

PreandPostcampaignevalua

tion.

l

Percentageoquitterswhoattribute

quittingtocampaign.

2.4D

evelop,implement

ands

upportlongterm

comp

rehensivemedia

camp

aignsthatpersonalise

theh

ealthrisksosmoking,

increaseknowledgeothe

quittingprocessandmotivate

quitting.

Smoker

s

Non-sm

okers

NGOs

WAHealth

Healthway

Trackingstudyosmokersattitude

s,

knowledgeandawarenessothehe

alth

eectsassociatedwithsmokingpreandpost

campaignactivity.

Trackingstudyocessationactivity

among

smokers.

l

TCBTrackingstudy2002-2005

.

l

AIHWReductionindiseasean

ddeaths

causedbysmoking.

4.2

C

ommunityeducation:Mass

media,cessationsupport,

exposuretotobaccosmok

e,prioritypopulations,policy

andl

egislation


23/4522


ActionArea2.

Communityeducation


Whoneedstobe

infuenced?

Whoisinvolvedinthis

activity?

Timeline


urrently

available

07

08

09

10

11

ExposuretoSHS

2.5Promotemessagestochildren

topreventtheuptakeosmoking

throu

ghmassmediacampaignsand

schoo

lbasededucationandharm

minim

isationstrategies.

DETCom

munityhealth

nur

ses

Com

monwealthand

StateGovernment

NGOs

WAHealth

Healthway

DET

Enorcement

Ocers

Retailers

Existenceomassmediacampaignsand

communitybasedactivitytargetingyouth.

l

ASSAD2005,2008,2011

2.6PromoteSmokereeandother

tobac

cocontrolmessagesand

policiesatpubliceventsand/or

comm

unityprojects.

Com

munitygroups

DSRCom

monwealthand

StateGovernment

Loc

alGovernment

Healthway

WAHealth

NGOs

2.7Promoteawarenessregarding

exposuretoenvironmentaltobacco

smokeintheworkplace.

Employers

employeesandunions

Com

monwealthand

StateGovernment

Loc

alGovernment

DOCEP(Worksae)

WAHealth

NGOs

2.8Promotepublicawarenessand

understandingothehealthrisks

assoc

iatedwiththeexposureto

environmentaltobaccosmokein

allse

ttingseg.Homes,carsandin

publicplaces.

WA

Community

WA

Health

Com

monwealth

Government

Governmentagencies

StateHousing

Com

mission

WAHealth

NGOs

Percentageoadultsmokerswhoreport

regularsmoking,smokingoutdoors

andin

cars.

l

ACAMSurvey,AIHW

Percentageoschoolstudentsrepo

rting

exposuretotobaccosmokeathom

e.

l

ASSAD2005,2008,2011

2.9Supportthedevelopmentoa

natio

nalpubliceducationcampaign

toreducetheexposureochildren

anda

dultstoenvironmental

tobac

cosmoke.

WA

Community

WA

Health

Worksae

Com

monwealth

Government

StateHousing

Com

mission

NGOs


24/4523


ActionArea2.

Communityeducation


W

honeedstobe

infuenced?

Whoisinvolve

dinthis

activity

?

Timeline

Datasourcesorkeyindicatorscu

rrently

available

07

08

09

10

11

Prior

itypopulations

2.10DevelopandImplement

cultu

rallysensitiveandrelevant

tobac

coeducationstrategiesin

partn

ershipwithprioritypopulation

group

s.

CaL

Dcommunity

groups

ATS

ICommunity

groups

NGOs

Healthway

WAHealth

CaLDcommunitygroups

ATSICommunity

groups

2.11Integratetobaccocontrol

educationintoexistinghealth

andlieskillprogramsand

interventions.

Loc

alGovernment

Com

munitygroups

NGOs

WAHealth

Parents,youth,children

2.12Providesupporttoparentsand

other

stopreventtheuptakeo

smokingamongchildren.

WA

Community

Loc

alGovt

Com

munityGroups

You

thservices

ParentsandCarers

Children/youth

NGOs

WAHealth

Healthway

2.13Encouragewomenplanning

apre

gnancy,pregnantwomen,

newmothersandtheirpartners

toqu

itsmokingthroughtargeted

educationcampaigns,programsand

BIscr

eening.

Gen

eralPractice

Abo

riginalMedical

Services

Hea

lthway

WA

Health

NGOs

WAHealth

2.14Implementinitiatives

thatbuildonthehighlevelo

comm

unitysupportortobacco

contr

olmeasuresandencourage

and

acilitatebroadercommunity

engagementintobaccocontrol

interventionsandissues.

Loc

alGovernment

You

thServices

Com

munitygroups

CaL

DGroups

ATS

IGroups

Ter

tiaryInstitutions

GeneralCommu

nity

NGOs


25/4524


ActionArea2.

Communityeducation


Who

needstobe

infuenced?

Whoisinvolvedin

this

activity?

Timeline


available

07

08

09

10

11

Policyandlegislation

2.15Provideadviceon

Smok

ereepolicydevelopment

andimplementationor

hospi

talsandhealthcare

camp

uses.

WACom

munity

WAHealth

WAHealth

2.16Provideadviceon

Smok

ereepolicydevelopment

andimplementationor

workplaces.

Genera

lcommunity

Employ

ers

Employ

ees

LocalG

overnment

WAHealth

2.17Developandconduct

educationprogramstopromote

comp

liancewithtobacco

contr

ollegislation.

LocalG

overnment

LocalGovernment

WAHealth

Police


26/4525


ActionArea3.

Cessationservic

esandtreatment


Whoneedstobe

infuenced?

Whoisinvolvedinthis

a

ctivity?

Timeline

Datasourcesorkeyindic

ators

currentlyavailable

07

08

09

10

11

Work

orcedevelopment

3.1T

rainandsupporthealthcareand

comm

unityworkerstoassistdierent

populationgroupstoquitthrough

evide

ncebasedbrieinterventionsmoking

cessa

tionadvice,individualcounselling

andg

roupcourses.

HealthProessionals

SocialWorkers

CommunityWorkers

CHPRCECU

Healthway

NGOs

WAHealt

h

HealthSe

rvices

Percentageosmokersattemptingto

quitpromptedbyhealthproessionals.

l

Numberoreerralstoth

eGP

Quitlinereerralproject.

3.2Encourageundergraduateand

gradu

atetrainingprogramsorall

relevanthealthproessionalstoinclude

tobac

coandsmokingcessationmodules,

whichprovideknowledgeontobacco

contr

olpractices,priorities,resources

andr

eerralopportunities.

Universities

TAFES

Colleges

WAHealt

h

NGOs

TertiaryI

nstitutions

Healthwa

y

Percentageograduatehealth

proessionalsawareotobacco

related

healtheectsandguidelinesa

ndbest

practiceinaddressingsmoking.

l

Courseoutlines/corecurricula.

3.3Supportthedevelopmentoan

accre

ditationschemeorhealth

proe

ssionalstrainedindeliveringsmoking

cessa

tioncounselling.

Peakhealth

proessional

Accreditationbodies

WAHealth

WAHealt

h

NGOs

Cessa

tionsupport

3.4Publishanddistributetailoredsel-

helpquittingresourcesthatareaccessible

todierentpopulationgroups.

HealthProessionals

NGOs

WAHealt

h

4.3

C

essationservicesandtreatment:Workorcedevelopm

ent,cessationsupport,dependenceandNRTmanagement,

sta

cessationandintegrationo

cessationsupport.


27/4526


ActionArea3.

Cessationservic

esandtreatment

R

ecommendedactivities

Wh

oneedstobe

infuenced?

Whoisinvolved

inthis

activity?

Timeline


available

07

08

09

10

11

Cessa

tionsupport(continued)

3.5Ensurethedeliveryo

individualcounsellingandgroup

cessa

tioncoursesareappropriate

anda

ccessibletosmokersrom

dierentpopulationgroups.

Healt

hProessionals

Accre

dited

organ

isations

NGOs

WAHealth

l

Providersocessationservices.

l

SFWAHSPolicyevaluation.

3.6Ensuresmokingcessation

advic

eandsupportprovided

throu

ghtheQuitlinetelephone

counsellingserviceisreadily

accessibleandabletomeetthe

needsosmokersrom

dierent

populationgroups.

Peak

priority

populationbodies

Quitlinestandards

workinggroup

WAHealth

DAO

l

ADISQuitlinereporting.

3.7Promoteandsupport

them

anagementonicotine

dependenceinavarietyo

settin

gsinparticularpeople

withmentalillness,in-patients,

prisons,emergencycaresettings

andw

orkplaces.

WAH

ealth

Corre

ctiveServices

Healthway

Prisonmanagement

Workplacemanag

ement

SFWAHS

PolicyCoordinators

l


3.8EnsuretheQuitlinetelephone

counsellingservicemeetsthe

agree

dNationalminimum

stand

ards.

WAH

ealth

ADISCounsellors

Quitlinestandards

workinggroup

TCB

DAO

l

2006NationalQuitlineStandardsFinal

Report.

l

2006QuitlinestandardsImplemen

tation

Report.

3.9Ensureelectronicsmoking

cessa

tionsupportservicesare

available.

WAH

ealth

NGOs

TCB

3.10Providesmokingcessation

advic

eandsupporttoallhealth

servicestawhosmoke.

Hospital

Administration

WAH

ealth

WAHealth

CSPs

NGOs

l



28/4527


ActionArea3.

Cessationservic

esandtreatment

R

ecommendedactivities

Whoneedstobe

infuenced?

Whoisinvolvedinthis

activity?

Timeline

Datasourcesorkeyindicatorscur

rently

available

07

08

09

10

11

Cessa

tionsupport(continued)

3.11Providesupporttoschools

toassiststudentsalready

smokingtoreduceorquit

smoking.

Schoo

ls

Schoo

lnurses

NGOs

WAHealth

Depe

ndenceandNRTmanagement

3.12Developandimplement

bestpracticeguidelinesin

thetreatmentotobacco

dependencewithindierent

populationgroupsandsettings.

HealthProessionals

WAHealth

WAHealth

l

LetsTakeAMoment

l

NationalGPGuidelines

3.13Establishmechanismsor

theidenticationandtreatment

oall

smokersincontactwithWA

healt

hservices.

WAHealth

WAHealth

NGO

l

LetsTakeAMomentNSWHealth

l

NationalGPGuidelines

l

WAHealthStrategicPlan

l

WA

Health-Healthnetworks

3.14Supporttheprovisiono

subsidisednicotinereplacement

thera

py.

Emplo

yers

HealthServices

Comm

onwealth

Gover

nment

WAHealth

NGOs

Commonwealth

Government

Sta

Cessationsupport

3.16Providesmokingcessation

supporttotheprivatebusiness

secto

rtoassiststawhosmoke.

Privat

esector

management

Small

Business

Development

Corpo

ration

Chambero

Comm

erce

Businesssector

WAHealth

NGOs


29/4528


ActionArea3.

Cessationservic

esandtreatment


Who

needstobe

infuenced?

Whoisinvolvedin

this

activity?

Timeline


available

07

08

09

10

11

Integ

rationocessationsupport

3.17Encourageprivatehealth

unds

toproviderebatesor

smokingcessationtreatments/

services.

Private

healthunds

Commo

nwealth

Govern

ment

WAHealth

NGOs

3.18Whereappropriate

integrateBIsmokingcessation

interventionintootherhealth

andlieskillprogramsand

interventions.

LocalG

overnment

DEET

DCD

WAHealth

WAHealth

NGOs


30/4529


Actionarea4.

Researchandev

aluation


Who

needstobe

infuenced?

Whoisinvolvedin

this

activity?

Timeline


available

07

08

09

10

11

Legis

lation

4.1C

onductsurveystomonitor

thew

illingnessoretailers

toselltobaccoproductsto

children.

Retaile

rs

Genera

lCommunity

WAHealth

WAHealth

l

2004S2Mssurvey

l

ASSAD2005,2008,2011

Toba

ccocontrolactivities

4.2C

onductongoingauditand

evalu

ationotobaccocontrol

activitiesinWesternAustralia.

Tobacc

ocontrol

agencie

s

WAHealth

Data

collection

4.3Supportthedevelopment

oau

niorm

state-widesystem

withinhospitalsettingsorthe

collectionodataonpatients

smokingstatus.

WAHealth

Health

Inormation

Division

WAHealth

l

Numberopatientsidentiyingassmokerson

admissiontohospital.

4.4In

creasingdataseton

pregn

antwomenincluding

smokingstatus,historyand

consu

mption.

WAHealth

WAHealth

l

HealthInormationDivision

WAHealth

4.5Supportandcoordinate

Natio

nalsurveysorexample

ASSADandNDSHSinorderto

collectdatarelatedtotobacco

use.

WAHealth

Genera

lCommunity

DET

Primaryand

secondaryschools

TCB

DAO

l

ASSAD2008,2011

l

NDSHS2007,2010

4.4

R

esearchandevaluation:Legislation,evaluationotobaccocontrolactivities,da

tacollectiononsmoking

prevalence,consumption,

beha

viour,prioritypopulations,economicandsocialcosts

andNRTuptake.


31/4530


Actionarea4.

Researchandev

aluation


Who

needstobe

infuenced?

Whoisinvolvedin

this

activity?

Timeline


available

07

08

09

10

11

Data

collection(continued)

4.6In

vestigateoptionsor

improvingthecollectionodata

onsm

okingtobetterrepresent

prioritypopulationgroups

particularlyCaLDgroupsand

AboriginalandTorresStrait

Island

erpeople.

CEITC

Univers

ities

ICHR

DeptoMulticultural

Interests

EthnicCommunities

Council

PeakCaLD

organis

ations

WAHealth

Healthway

NGOs

4.7Supportprioritydriven

resea

rchtoguidetobacco

contr

olprogramsandpolicy

development.

Univers

ities

Researchers

WAHealth

Healthway

NGOs

4.8Ensurecollectionodata

onth

emorbidityandmortality,

expenditureandsocialcostso

tobac

co.

WAHealth

WAHealth

NGOs

4.9R

esearchuptakeand

attitu

detowardsNRTproduct

eca

cyanduse.

Researchers

Pharma

ceutical

companies

WAHealth

Healthway


32/4531


Section 5Current activity in Tobacco Control in Western Australia

The ollowing table provides sel-reported details o key agencies involved in tobacco control in WAand inormation about the current and ongoing programs they deliver. This directory can be used

to quickly identiy who is involved in specic tobacco control activities and whether there may be

opportunities or collaboration. This section will be updated annually via Internet posting at www.

health.wa.gov.au/watap.

Organisation Activity

Alcohol and Drug InormationService

PO Box 126MOUNT LAWLEY WA 6929

Phone: (08) 9442 5000www.dao.health.wa.gov.au

Name o Program: Quitline (WA)

Target Group(s): Western Australian smokers wanting quittinginormation and support or themselves and others.

Aim o Program: To provide telephone counselling to support smokerswanting to quit and those wanting to help others to quit.

Asthma Foundation o WA

36 Ord StreetWEST PERTH WA 6005Phone: (08) 9289 3600www.asthmawa.org.auwww.smokereebaby.org.au

Name o Program: Newborns Asthma and Parental Smoking Project(NAPS)

Target Group(s): Pregnant women and new mothers includingIndigenous women living in Western Australia.

Aim o Program: To reduce the prevalence o smoking amongpregnant women and new mothers in Western Australia and contributeto a reduction in childhood asthma and associated poor healthoutcomes.

Name o Program: NAPS Indigenous Womens Project

Target Group(s): Pregnant Indigenous women and new mothers livingin the Perth metropolitan area and Wheatbelt region.

Aim o Program: To reduce the prevalence o smoking amongIndigenous pregnant women and new mothers in Western Australiaand contribute to a reduction in childhood asthma and associated poorhealth outcomes.

Australian Council on Smoking

and Health

Level 1, 46 Ventnor AvenueWEST PERTH WA 6005Phone: (08) 9212 4300

www.acosh.org

Name o Program: Tobacco Control Advocacy

Target Group(s): Policy makers, opinion leaders, the media and thebroader community.

Aim o Program: The long term aim o ACOSH is that outlined by theWorld Health Organisation, to improve the health o a population by

eliminating or reducing their consumption o tobacco products andexposure to tobacco smoke.

Cancer Council WA

Tobacco Programs46 Ventnor AvenueWEST PERTH WA 6005Phone: (08) 9212 4333www.cancerwa.asn.au/prevention/tobacco/

Name o Program: Make Smoking History Campaign and Fresh StartProgram

Target Group(s): Primary Adult smokers, particularly those o lowersocio-economic status; Secondary General community and healthproessionals.

Aim o Program: Contribute to state eorts to reduce the prevalenceo smoking among adults in Western Australia. Make Smoking Historyuses a comprehensive range o strategies to reduce tobacco-causedharm, with mass media a key component. The Fresh Start Programspecialises in cessation support, oering group quitting courses to the

public and workplaces, and training or health proessionals in helpingothers to quit. The Cancer Council WA also plays a major role in thedevelopment o public policy and research on tobacco at state andnational levels.


33/4532



Child Health Promotion

Research Centre

Edith Cowan UniversityPearson StreetCHURCHLANDS WA 6018Phone: (08) 9273 8268

Name o Program(1):Optimising School Nurse Involvement in YouthBased Tobacco Control Programs

Target Group(s): School nurses, 11-17 year olds, teachers andparents.

Aim o Program: The purpose o this Healthway unded researchproject is to examine, prioritise and empirically test promisingareas o research and intervention success in youth tobacco controlincluding harm minimisation strategies targeting 11-17 year olds,involving teachers, parents and in particular, school nurses. Theprogram is also designed to build capacity at two tiers: by trainingschool nurses to deliver smoking cessation and harm minimisationinterventions and by working with young researchers to build theirresearch experience and capacity in the area o smoking cessation.

Name o Program(2): Parental Smoking Cessation and Childrens

Smoking Attitudes and Behaviours

Target Group(s): Parents o young children aged 4 8 years.

Aim o Program: This Healthway unded study aims to determine themost eective harm reduction strategies and messages or use withparents o young children to develop an intervention aimed at helpingparents quit smoking and communicate more eectively with theirchildren about smoking.

Department o Health Commonwealth

Department o Health and

Ageing

GPO Box 9848PERTH WA 6001Phone: 1800 198 008www.health.gov.au

Australia has developed the National Tobacco strategy since 1999.The revised strategy, the National Tobacco Strategy 2004-2009(NTS 2004-2009) which builds on initiatives in the previous strategy,

was endorsed by the Ministerial Council on Drugs Strategy on 12November 2004. The NTS 2004-2009 refects evidence around thehealth eects o tobacco and the views o experts on the best waysto reduce tobacco related harm. The NTS 2004-2009 also refectscommon agreement between the Australian Government and Statesand Territories toward broad policy direction that is needed to reducetobacco related disease.

WA Health

WA Health

189 Royal StEAST PERTH 6004(08) 9222 4222

Name o Program: The six strategic directions or priority areas WAHealth ollows are: Healthy Workorce, Healthy Hospitals, HealthyPartnerships, Healthy Communities, Healthy Resources and HealthyLeadership.

Target Group: All Western Australians.

Aim o Program: Healthy Communities: To ocus on improvingliestyles, working on the prevention o ill health, and theimplementation o a long-term, integrated health promotionprogram. This will be done in collaboration with government and non-government agencies, general practitioners, and community groups.


34/4533



WA Health (continued)

Health Policy and ClinicalReorm Division

Health Network Branch1 Centro AvenueSubiaco WA 6008

Name o Program: Health Networks Models o Care.Target Population: General Population o WA

At risk population groups.

Aim o Program: Policy development to reduce the prevalence osmoking through primary, secondary and tertiary prevention.

Chronic disease models o care provide the overarching policy and setthe direction or service delivery or population and health conditions.Priority has been given to reduce the incidence o chronic diseasesuch as diabetes, heart ailure, chronic pulmonary obstructive disease(COPD), asthma, renal disease, stroke and arthritis. These chronicdisease models ocus on reducing the prevalence o smoking toimprove health outcomes.

Respiratory Health Network(sponsor)

Health Network Branch1 Centro AvenueSubiaco WA 6008

Name o Program: Smoke Free WA Health System.

Target Population: All patients, sta, visitors and contractors to WAhealth sites and acilities.

Aim o Program: From 1 January 2008, smoking will not be permittedon all Department o Health (DOH) premises and grounds throughoutWestern Australia. This policy will apply to all sta, patients,visitors, contractors and other persons who enter DOH owned orleased buildings, grounds or vehicles or any purpose whatsoever.The rationale is simply that environmental tobacco smoke (ETS) isan occupational health and saety issue or sta, patients and thecommunity.

Health Policy and ClinicalReorm Division

Population Health Policy Branch.189 Royal StreetEast Perth 6004.Phone: (08) 9222 4478

The Population Health Policy Branch is responsible or development ohealthy liestyle and chronic disease prevention policy and strategicplanning. The Branch recently developed, in consultation withother experts, the Western Australian Health Promotion StrategicFramework 2007-2011. The Branch manages the contracting o majortobacco control campaigns and programs to the non-governmentsector.

North Metropolitan AreaHealth Service King EdwardMemorial Hospital or Women

374 Bagot RdSUBIACO WA 6008

Phone: (08) 9340 1407wchs.health.wa.gov.au/

Name o Program: Prohibition o smoking on the King EdwardMemorial Hospital or Women (KEMH) site

Target Group(s): Sta, patients and visitors o KEMH.

Aim o Program: To reduce exposure o environmental tobacco smokeamong sta, patients and visitors o KEMH and encourage sta,

patients and visitors o KEMH that smoke to make a quit attempt.

North Metropolitan AreaHealth Service PrincessMargaret Hospital

Roberts RdSUBIACO WA 6008

Name o Program: Prohibition o smoking on the Princess MargaretHospital or Children (PMH) site

Target Group(s): Sta, patients and visitors o PMH.

Aim o Program: To reduce exposure o environmental tobaccosmoke among sta, patients and visitors o PMH and encourage sta,patients and visitors o PMH who smoke to make a quit attempt.

Ofce o Mental HealthDepartment o Health

189 Royal Street

EAST PERTH WA 6004Phone: (08) 9222 4099www.mental.health.wa.gov.au

Name o Program: WA Smoking Cessation and Mental Health Strategy2005-2010

Target Group(s): Psychiatric in-patients (public hospitals) and sta o

psychiatric in-patient units.

Aim o Program: Reduce the prevalence o smoking in psychiatric in-patient units.


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South Metropolitan PublicHealth Unit

PO Box 546FREMANTLE WA 6959Phone: (08) 431 0200

Name o Program(1)

: Tobacco Brie Intervention Program In MentalHealth in partnership with the Alma St Centre in the mental healthservice in Fremantle.

Target Group(s): Health proessionals and clients at the Alma StCentre, Fremantle Mental Health Service.

Aim o Program: To develop and implement a tobacco cessationproject or sta and clients at the Alma Street Centre.

Name o Program(2): Support implementation o the WA HealthSmokeree WA Health System Policy across SMAHS

Target Group(s): Sta, patients and visitors, contractors and otherpersons who enter DOH owned or leased buildings, grounds or vehicles

in SMAHS.Aim o Program: To reduce exposure to environmental tobacco smokeamong sta, patients and visitors in DOH acilities in SMAHS.

Name o Program(3): Smoking cessation or respiratory inpatients withsmoking related illnesses. The project is a collaborative partnershipbetween SMPHU and the Respiratory Health Networks.

Target Group(s): Primary: Inpatients at Fremantle and Royal PerthHospital with smoking related respiratory illness.

Aim o Program: To identiy whether successul smoking cessationprograms incorporating NRT, cognitive behavioural elements, postdischarge ollow-up and amily involvement that have been successul

interstate and overseas would be as successul in two public hospitalsin WA namely RPH and FH.

Tobacco Control BranchDepartment o Health

PO Box 8172Perth Business CentrePERTH WA 6849

The Tobacco Control Branch (TCB) o the Department o Health(ormerly known as Quit WA) is located within the EnvironmentalHealth Directorate o the Health Protection Group. The TCB isresponsible or:

l State-wide tobacco control policy development, coordination andstrategic planning.

l Administration and monitoring o legislative tobacco controlmeasures.

l Coordination and unding o tobacco cessation services includingthe Quitline telephone cessation service, online cessation program,

online GP education and production and distribution o cessationsel help material.

l Monitoring and collating evaluation o the perormance o tobaccocontrol programs.

l Aligning the State health strategic plan and the tobacco controlworkorce plan to build capacity with key stakeholders and healthproessionals regarding tobacco control interventions.

l Advising on resource allocation in relation to the managemento state-wide programs to reduce the prevalence and uptake osmoking.


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WA Country Health ServiceArea Oce189 Wellington StreetEAST PERTHPO Box 6680 Perth Business CentreWA 6892Phone: 08 9223 8572

Name o Program: Brie InterventionTarget Group(s): In-patients and Out-patients.

Aim o Program: To undertake Brie Interventions includingassessment, eedback and reerral relating to the alcohol and tobaccouse o clients. The aim is to reduce harm caused by alcohol andtobacco and to provide supportive and non-judgemental care.

Name o Program: WA Smokeree Health Service Policy

Target Group(s): Employees, patients, visitors and contractors.

Aim o Program: To implement the policy as per the supportingguidelines.

WA Country Health Service

South West Area Health Service6 Fairbairn RoadBUSSELTON WA 6280Phone: (08) 9752 6300

Name o Program1: Collie Brie Interventions Program

Target Group(s): In-patients at Collie Health Service and Sta atCollie Health Service Community Education.

Aim o Program:Primary- To increase the percentage o patients who reduce smoking.

Secondary Increase sta skills in screening and reerral or smokersand increase screening and reerral by GPs.

WA Country Health ServiceMidwest Murchison PopulationHealth

PO Box 22

GERALDTON WA 6531Phone: (08) 9956 2213

Name o Program2: Newborns Asthma and Parental Smoking Training

Target Group(s): Child Health Nurses.

Aim o Program: Educate Child Health Nurses.

Name o Program(1): Smokeree Hospitals Project

Target Group(s): WA Country Health Service Midwest Murchisonemployees, patients, visitors.

Aim o Program:Primary- to reduce exposure o environmental tobacco smoke tosta, patients and visitors.

Secondary- increase quit attempts by sta and patients.

Name o Program(2): SmokeCheck Training (through Say No to SmokesProject)

Target Group(s): Aboriginal health proessionals and health

proessionals working with Aboriginal people.

Aim o Program: Up skill health workers and health proessionalsworking with indigenous clients to provide motivational interviewingand brie intervention to their clients.

Name o Program(3): Brie Intervention Training

Target Group(s): Health proessionals specically targeting AlliedHealth, Nurses, Pharmacists and Pharmacy Assistants, Dentists, DentalAssistants, Practice Nurses and GPs.

Aim o Program: Up skill health proessionals to provide motivationalinterviewing and brie intervention to their clients.


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WA Country Health ServiceMidwest Murchison Population

Health (continued)

Name o Program(4)

: Sta quit smoking supportTarget Group(s): All WA Country Health Service Midwest Murchisonemployees who smoke.

Aim o Program: To support sta who smoke to quit.

Name o Program(5): How to Quit Inormation Sessions

Target Group(s): All smokers, specically those thinking aboutquitting or ready to quit.

Aim o Program: Recruit smokers to Fresh Start b) provideinormation and support to assist smokers in quitting.

WA Country Health Service

Great Southern Public Health UnitPO Box 5147ALBANY WA 6332

Name o Program(1): Tobacco Brie Interventions

Target Group(s): Great Southern health clients (hospitals andPopulation Health sta with a clinical ocus, child, community, alliedand maternal health sta).

Aim o Program: Increase number o clients who are assessed ortobacco use.

Name o Program(2): Tobacco Retailer Compliance Survey

Target Group(s):Primary Retailers.

Secondary Minors and the general community.

Aim o Program: Reduce supply o tobacco to minors.

Department o CorrectiveServices

141 St Georges TerracePERTH WA 6000Phone: (08) 9264 1275

Name o Program: Smoking Reorm Strategy

Target Group(s): All smokers in prisons, work camps and detentioncentres.

Aim o Program: To reduce incidence o smoking among oendersand detainees in custody by 34 percent within 5 years. To reduceincidence o smoking among sta o prisons, work camps anddetention centres.

Diabetes Australia WA

48 Wickham StreetEAST PERTH WA 6004Phone: (08) 9323 7699

www.diabetesaustralia.com.au

Smoking is a contributing actor to diabetes complications andthereore inormation on smoking is included in such publications asDont Ignore Diabetes (DID). Through the Diabetes Inormation AdviceLine (DIAL) Diabetes Educators also provide clients with Quit kits and

make reerrals to the Quitline.

Healthway

PO Box 1284WEST PERTH WA 6872Phone: (08) 9476 7000www.healthway.wa.gov.au

Healthway was established under 1990 Tobacco Control Legislation(now replaced with TPCA 2006) as an independent statutory body. Itscore unction is to und activities that promote health, particularlythat o young people through providing grants to health and researchorganisations as well as sponsorship to sport, arts, racing andcommunity groups which encourage healthy liestyles and advancehealth promotion programs.

Target Group(s): The broad WA community but with a ocus onyoung people and children, Indigenous people, rural and remotecommunities, economically, socially or educationally disadvantagedgroups, other disadvantaged groups or groups in whom inequalities

exist.


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Healthway (continued) Tobacco control receives the greatest ocus as a health issue throughHealthways programs, which support a comprehensive, multi

level approach in Western Australia including public awareness andeducation campaigns, prevention o young people taking up smoking,school and community based projects, advocacy and research,complemented by sponsorships and the creation o smoke reeenvironments.

1. Smarter Than Smoking Project (National Heart Foundation WA)

2. Make Smoking History Project (Cancer Council WA)

3. Fresh Start Program (Cancer Council WA) to December 2006

4. Say No To Smokes (North Metropolitan Area Health Service,Population Health Unit) to December 2006

5. Newborns Asthma and Parental Smoking Project (NAPS) (AsthmaFoundation WA)

6. Tobacco Control Advocacy (Australian Council on Smoking andHealth)

7. Tobacco Control Research Development Programs through WAuniversities.

And: Healthway sponsorship program - sponsorship o sport, arts andracing organisations and activities to create smoke ree environmentsand promote tobacco control messages.

National Heart Foundation

(WA Division)

334 Rokeby RoadSUBIACO WA 6008

Phone: (08) 9388 3343www.heartoundation.com.au

Name O Program(1): National Tobacco Control

Target Group(s): Politicians and other opinion leaders, generalcommunity and smokers.

Aim o Program: To infuence politicians and opinion leaders to adopt

population wide policies that reduce smoking.

Name o Program(2): Smarter Than Smoking Project

Target Group(s):Primary- Young people aged 10 to 15 years in Western Australia, owhich priority populations include young people living in low socio-economic, and regional areas and young Aboriginal Torres StraitIslander (ATSI) people.

Secondary- Key intermediaries rom health, education and youthnetworks working with priority populations, parents, school teachers,administrators and school nurses.

Aim o Program: To contribute to a decline in smoking prevalence

among 10 to 15-year-olds in Western Australia to 5 percent by theyear 2008.

Name O Program(1): Heart Health Skill Set (Aboriginal Health WorkerTraining)

Target Group(s): Aboriginal Health Workers.

Aim o Program: To educate Aboriginal Health Workers on risk actorintervention, smoking cessation and Smokeree policy.

Notre Dame University

PO Box 1225FREMANTLE WA 6959

Phone: (08) 9433 0555www.nd.edu.au

Name o Program: Smokeree University

Target Group(s): All students and sta.

Aim o Program: To encourage all sta and students to uphold the

Smokeree status o the university and to provide support or studentsand sta who wish to reduce their level o smoking or to quit.


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Pharmaceutical Council oWestern Australia

21 Hamilton StreetSUBIACO WA 6008Phone: (08) 9388 2886www.pcwa.com.au

Name o Program: Smoking Cessation Program

Target Group(s): Visitors and pharmacy clients.Aim o Program: To encourage quitting as part o a healthier liestyleto reduce the cardiovascular risks associated with smoking.

Telethon Institute o ChildHealth Research

PO Box 855WEST PERTH WA 6872Phone: (08) 9489 7754www.ichr.uwa.edu.au

Contribution o data and members o the Institute are co-investigatorson a number o research activities relating to smoking in pregnancy.

Target Group: Aboriginal women.

Town o Kwinana

PO Box 21KWINANA WA 6966Phone: (08) 9429 0200

Name o Program: Quit in Kwinana

Target Group(s): Adults living in the Kwinana area with an emphasison women and youth 10-15 years olds.

Aim o Program:Primary to improve the health o the people o the Town O Kwinanaby reducing or eliminating their exposure to tobacco smoke.

Secondary To lower the prevalence o tobacco smokers in the Towno Kwinana by 5 percent by 2008.

University o WesternAustralia School o Dentistryand School o PopulationHealth

35 Stirling HighwayCRAWLEY WA 6009Phone: (08) 6488 1260

Name o Program: Solid Boodjari Yorgas (Indigenous Pregnancy andSmoking Research Project)

Target Group(s): Pregnant Indigenous Women and mothers.

Aim o Program: This Healthway unded research project aims toinvestigate issues relating to smoking in pregnant Indigenous womenusing a qualitative approach. Focus groups and interviews withpregnant Indigenous women and mothers who smoke are undertakento provide an understanding o attitudes to smoking and actorsassociated with smoking.

Curtin University oTechnology

WA Centre or Health PromotionResearchPO Box U1987PERTH WA 6845Phone: (08) 9266 9266

Name o Program: Web-based alcohol and tobacco intervention

Target Group(s): Males and emales aged 18-25 years old.

Aim o Program: To reduce harmul and hazardous drinking levelsand tobacco consumption among tertiary students via a web-basedintervention.

Western Australian PoliceAlcohol and Drug CoordinationSection

8 Burton StreetCANNINGTON WA 6107www.police.wa.gov.au

Name o Program: Alcohol and Crime Investigation Course

Target Group: Police Ocers.

Aim o Program: To inorm police ocers o changes to legislation(including tobacco control legislation) and ensure police have anunderstanding o their role in enorcement and involvement with theHealth Department.


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Section 6Reerences

1. Who Framework Convention on Tobacco Control www.who.int/tobacco/ramework/download/en/index.html

2. Chukwujindu, M. Ogwezzy, LL.B (Law), B.L. Ratication and Enorcement o the Framework

Convention on Tobacco Control (FCTC): A Panacea or Curbing the Tobacco Epidemics in the

Developing Countries. Framework Convention Alliance, Tobacco Control Project o Nigeria.

3. The 29th United States Surgeon Generals Report on Smoking and Health: The Health

Consequences o Smoking. www.cdc.gov/Tobacco/sgr/sgr_2004/index.htm

4. The Australian National Tobacco Strategy 2004-2009. (2005). Ministerial Council on Drug

Strategy. Commonwealth o Australia.

5. Department o Health Western Australia. 2005. Strategic Intent 2005-2010

6. Department o Health Western Australia. 2007. Western Australian Health Promotion Strategic

Framework 2007-2011.

7. Rose, N. 2004. International Union or Health Promotion and Education, France, First Edition.

8. Begg S, Vos T, Barker B, Stevenson C, Stanley L & Lopez A (orthcoming). The burden o disease

and injury in Australia 2003. AIHW cat. no. PHE 82. Canberra: AIHW.

9. Unwin E, Codde J, Bartu A. 2003. The impact o tobacco smoking on the health o Western

Australians. Perth: Drug and Alcohol Oce and the Epidemiology Branch, Department o

Health, Western Australia.

10. Winstanley M, Woodward S, Walker N. 1995. Tobacco in Australia: Facts and Issues 1995, 2nd

edition. Melbourne: Victorian Smoking and Health Program.

11. Epidemiology Branch, Health Inormation Centre, Department o Health. 2003. Overview o the

major causes o hospitalisations or State residents. Perth: Department o Health.

12. Collins DJ, Lapsley HM. 2002. Counting the costs: Estimates o the social costs o drug abuse in

Australia in 1998-99. Canberra: Commonwealth o Australia.

13. Public Health Division. 1998. Smoking and Health in Western Australia 1998 Resource Book.

Perth: Health Department o Western Australia.

14. Australian Institute o Health and Welare. 2004. National Household Drug Survey. First Results

(Drug Statistics Series No 13). AIHW cat no. PHE 57. Canberra: 2005.

15. Health Department o Western Australia. 1999. Future Trends and Issues Aecting Health in

Western Australia.

16. National Aboriginal and Torres Strait Islander Survey 2004-05. 2006. Australian Bureau o

Statistics.

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