Tobacco Control (Part II)
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Transcript of Tobacco Control (Part II)
Tobacco Control – Lessons learnt from
fieldTara Singh Bam – Regional Advisor The Union Asia Pacific Office, SingaporeEmail: [email protected]
The Tobacco Epidemic Worsening... Unless We Act Now
World Health Organization. WHO report on the global tobacco epidemic, 2008
The Leading Preventable Cause of Death in the World
World Health Organization. WHO report on the global tobacco epidemic, 2008
World Cigarette consumption- 2009Nearly 5.9 trillion cigarette consumed
• About 800 million adult men worldwide smoke cigarette (20% in high income and 80% in low income countries)
• Nearly 200 million adult women worldwide smoke cigarette
World cigarette consumption by region, 2009
Today’s teenager is tomorrow’s potential regular customer – Philip Morris USA 1981
Tobacco industry marketing campaigns targeting youth and children
Tobacco industry tactics
Smoke-Free Indonesian Cities
2008
2014100% smokefree policy
Limited smokefree policy, allowing designated smoking areas
Neighboring country
Neighboring country
6 provinces and 22 cities and districts with comprehensive (100% SF) SF policy. They cover about 56 million population
Indonesia- Smoke-free Laws reduce indoor air pollutionMean Concentrations of PM2.5 in Buildings in Bogor
Mea
n Co
ncen
tratio
ns o
f PM
2.5
Reducing indoor air pollution due to tobacco smoke by banning tobacco smoke in all indoor public places and work places
The use of ventilation, filtration, and “designated smoking areas” do not protect the public from the harms of secondhand smoke
?
Pictorial health warning in Indonesia
Text to pictorial health warning - 2014
Target- Ban Inter-tabac Asia 2014
How Tobacco trade fair was stopped in Bali, Indonesia- lessons learned
Positive attitudes – converting the challenges into Opportunities - Change toward tobacco free
Goal- Tobacco Free Bali
Establishing target/goal
Thinking systematically
Learning from experience
Engaging others
Providing feedback
Authority- Governor
Responsibility but not authority – Udayana University, Bali-
Local actions- dissemination of local Data, smoke-free law – press meet, social mediaLetter of attention to Governor, mobilize student
Engaged people beyond health-Human Rights Commission-Muhammadiyah, NU-Bali Hotel Association-MOH-Child Protection agencies-ASEAN countries-OIC / global partners
Reviewed each activity at the end to figure out what went well.
Dortmund had planned to hold the trade fair Inter-tabac ASIA 27-28 Feb. 2014 in Bali. The company had obtained the required permits from Indonesian Ministry of Industry and Trade. Despites this, the trade fair must now be postponed. The Police of Bali have instructed this in writing
Governor statement-There is no space in Bali – you (TI) go to Hell
Bali successes encouraged – MOH circulated a letter to ban tobacco fairProvincial government of Jakarta banned
World Tobacco Asia Sep. 2014
Tobacco free world
How to lead When you are not the boss?
Mayors’ and Regents’ Alliance for Tobacco and NCD control – Indonesia -2011
Mayors Alliance to • Adopt and implement 100% smoke-free policy • Ban tobacco advertisements, promotion and
sponsorship • Advocacy for ratification of FCTC and tobacco
control law• Stop and discourage tobacco industry interferences
Some examples from Myanmar
Myanmar- Measuring indoor air (PM2.5) in smoking and non-smoking restaurants in Mandalay
Café City Mandalay- smoking Café Corner Mandalay –
Complete ban of smoking in indoor
Average level 21.7
Average level 175.6
Fine particle levels in this location are above the WHO guidance limit all of the time and suggest smoking leads to very poor air quality in this location
MOH, Myanmar February 2013 July 2013
The Government of the Republic of the Union of
Myanmar The Ministry of Health
Notification No. 5 / 2014 March 3, 2014
The notification bans smoking in all indoors of public and work places
Some examples from Nepal
Politics in pictorial health warning in Nepal 2010 -11
Always think Big
Pictorial health warning, an effective intervention in building community awareness to prevent future generation from tobacco use
Survey report of Pictorial Health warning in Nepal shows heightened the public awareness on danger
of tobacco use (n=275)
Media
What have we learnt?•building political will and its translation into actions•Enhancing people participation, enforcement •Disclosing tobacco industry interferences •Building positive story •Safeguarding tobacco control advocates
So what works?Leadership all about change. Anyone can lead •Determined the goals and act now•Perceived that challenges are the opportunities to bring changes- please – Do not miss opportunity •Systematic thinking and understanding of your environments •Engaging the people and organizations – think out of box•Self motivation inspires others •Your strategic actions lead to YOU WIN