Unfinished business - Tobacco control in the Nordic countries
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Transcript of Unfinished business - Tobacco control in the Nordic countries
Unfinished business – Tobacco control in the Nordic countries
7th ECToH, Conference on Tobacco or Health, Porto, Portugal, 22-25 March, 2017
Unfinished business – Tobacco control in the Nordic countries
Status of smoking and tobacco control in the Nordic countries
Niels Them Kjær (DK)
Strengths and drawbacks in each country
Astrid Knudsen (DK), Mervi Hara (FI), Guðlaug B. Guðjónsdóttir (IS),
Ingrid Stenstadvold Ross (NO), Margaretha Haglund (SE)
Future challenges and possibilities
Ewy Thörnqvist (SE)
Status of smoking and tobacco control in the Nordic countries
Niels Them Kjær (DK)
Nordic countriesDenmark: 5.7 mio. – 16 % daily smokers
Finland: 5.5 mio. – 14 % daily smokers
Norway: 5.2 mio. – 12 % daily smokers
Iceland: 0.33 mio. – 10 % daily smokers
Sweden: 10.0 mio. – 9 % daily smokers
All numbers from 2016
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1950 1960 1970 1980 1990 2000 2010 2020
Daily smoking women, Nordic countriesDenmark Norway Finland Iceland Sweden
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1950 1960 1970 1980 1990 2000 2010 2020
Daily smoking men, Nordic countriesDenmark Norway Finland Iceland Sweden
Tobacco Control Scale – Nordic countries
www.tobaccocontrolscale.org
L. Joossens, 2017
Strengths and drawbacks in each country
Astrid Knudsen (DK), Mervi Hara (FI), Guðlaug B. Guðjónsdóttir (IS),
Ingrid Stenstadvold Ross (NO), Margaretha Haglund (SE)
Strengths of tobacco control in Denmark
Smoke Free Future Partnership initiated
Smoking cessation counselling
• Local, free access to smoking cessation interventions, apps and a central quitline
Local engagement
• Smokefree working hours (15 out of 100) municipalities
• Cities with their own endgame goals
Drawbacks of tobacco control in Denmark
Tobacco industry interference
Smoking ban with exemptions
• Designated smoking rooms
• Smoking allowed at bars (< 40 m2)
• Private daycare homes
Point of sales marketing
• Point of sale marketing
• Music festivals: Promotion and sponsorships
Lessons from Finland
Strengths:
• Long-term experience, legislation dates from 1970’s
• Comprehensive cooperation
• Public/media support
• Political will
• Clear aim: Endgame
Lessons from Finland
Drawbacks:
• Slow progress
• Lost political interest, ”ready-made legislation”
• Poor price and tax policy
• Interference from the tobacco companies
- Make friends with third parties
• Early start of tobacco control
• Comprehensive ban on tobacco advertising and promotion. Display ban
• The biggest foodstore chains not selling tobacco
• Funding (0.9% of gross tobacco sales)
• Low frequency of smoking
Strengths of tobacco control in Iceland
Drawbacks of tobacco control in Iceand
• Lack of new legislation and strategy
• The tax and price policy (price index)
• Lack of political support
• Lack of resources (cessation) – the health care inactive
Strengths of tobacco control in Norway
• Continuing decline in smoking prevalence
• Interdisciplinary approach and a broad network of global civil society actors and academics in tobacco control
• Political will to protect children and youth against the harm of tobacco.
Together we can seize these opportunities to:
• Implement Plain Packaging
• Adopt a new tobacco control strategy
• Ratify the protocol to eliminate illicit tobacco products
• Introduce a licensing system for sale of tobacco products
• Potential tobacco industry challenge, especially to the plain packaging law
• Implementation of FCTC 5.3
• Election year: still political momentum?
• We need more focus on tobacco cessation!
• Financial resources for tobacco control, especially tobacco cessation: lack of funding for prevention in the public sector led to the closure of the national quit-line in January this year.
Drawbacks of tobacco control in Norway
Lessons from Sweden
Strengths:
• Step by step legislation - the early start already in the 1970’s
• The NGO advocacy
• The early start of smoke-free movement already in the 1970’s
• The precise targeting of women in the 1990’s
• Continuity in the advocats
Lessons from Sweden
Drawbacks:
• The social acceptability of snuff and the snuff industry
• The tax and price policy
• The weak political support
• Lack of continuity in funding
• The relocation incl. change of the task of the Public Health Institute
Future challenges and possibilities
Ewy Thörnqvist (SE)
Challenges in the Nordic countries
• Tobacco industry interferenceand threats
• New nicotine/tobacco products
• Health inequalities
• Politics
• Advocates a step behind
• Resources
Opportunities in the Nordic countries
• FCTC, law and protocol
• EU Tobacco Products Directive
• Endgame: Governmental goals/strategies for a Smoke Free future in 2025, 2030....
• Public support and opinion
• History of the welfare states
• Long term appropriate funding of NGO’s
• New allies: HR Movement, NCD, SDG
• Strong strategic Nordic cooperation