Development of an integrated tobacco endgame strategy

Eijk, Yvette van der

doi:10.1136/tobaccocontrol-2013-051211

Cited by 19 publications

(31 citation statements)

References 23 publications

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“…Further, some countries have created the goal of being tobacco free by a certain year; these include New Zealand (2025), Finland (2040), and Scotland (2034) [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Tobacco policy in Israel: 1948–2014 and beyond

Rosen

Peled-Raz

2015

Isr J Health Policy Res

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BackgroundTobacco is the only consumer product known to kill half of its users, and is a significant cause of death and disability to exposed nonsmokers. This presents a unique conundrum for modern democracies, which emphasize personal liberty, yet are obligated to protect citizens.In Israel, the death toll in 2014 from smoking is expected to reach 8000 deaths; nearly a fifth of the population smokes, and over two-thirds of the population are exposed to tobacco smoke.AimThis paper provides an overview of tobacco policy in Israel since the inception of the State, presents the development of the National Tobacco Control Plan, and recommends future actions.MethodsSources for this article included the Knesset (Israeli Parliament) and Ministry of Health websites, Health Minister Reports to the Knesset on Smoking, and the scientific literature.ResultsIsrael has an impressive record on tobacco control policy, beginning with taxation in 1952, landmark smoke-free air and marketing legislation in the early 1980’s, tax increases and expansions of smoke-free air and marketing legislation in the ensuing years, and the addition of subsidized smoking cessation technologies in 2010. Until 2011, actions were taken by various organizations without formal coordination; since the passage of the National Tobacco Control Plan in 2011, the Ministry of Health has held responsibility for coordinating tobacco control, with an action plan.The plan has been partially implemented. Smoke-free air laws were expanded, but enforcement is poor. Passage of critical marketing and advertising restrictions is stalled. Requested funds for tobacco control did not materialize.RecommendationsIn order to prevent hundreds of thousands of preventable premature deaths in the coming decades, Israel should considerably strengthen tobacco control policies to include: guaranteed funding for tobacco control; strong curbs on advertising, promotion and sponsorship of tobacco and smoking products; public education; law enforcement; protection of children from exposure to tobacco; regulation of electronic cigarettes and other alternative harm-reducing products; tobacco control research; and systematic monitoring of, and periodic updates to, the National Tobacco Control Plan. Israel should also begin discussions of Endgame scenarios, and consider abolition of tobacco, as it continues its progress towards making smoking history.

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“…Further, some countries have created the goal of being tobacco free by a certain year; these include New Zealand (2025), Finland (2040), and Scotland (2034) [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Tobacco policy in Israel: 1948–2014 and beyond

Rosen

Peled-Raz

2015

Isr J Health Policy Res

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“…The framework method was chosen for the content analysis of transcripts because of its systematical approach, multi–disciplinary appeal and frequent application to the semi-structured interview 22. The coding process involved a broad deductive approach in which codes were first pre–selected based on a review of academical papers and government documents 2–4 12 14 19 23–25. Additional codes were then developed through the open coding of four transcripts, which were independently examined by three co-authors.…”

Section: Methodsmentioning

confidence: 99%

“…The Ministry of Social Affairs and Health subsequently published its Action Plan to achieve the endgame goal,2 which included comprehensive but conventional measures to prevent initiation (eg, regular tax increases), promote cessation (eg, training of healthcare providers) and protect against exposure to secondhand smoke (eg, more smoke-free municipalities). Many of the proposed measures are effective in reducing smoking rates below 20%, but, may not be sufficient in reaching the goal of most tobacco endgames (<5%) 3. Thus, it has been suggested that a tobacco endgame incorporate measures to change the “… structural, political and social dynamics that sustain the (tobacco) epidemic” 4…”

Section: Introductionmentioning

confidence: 99%

Strategies and barriers to achieving the goal of Finland’s tobacco endgame

et al. 2019

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ObjectivesFinland boldly legislated the end of tobacco use in its 2010 Tobacco Act, and subsequently expanded the goal in 2016 to eradicate other nicotine-containing products. This study explored stakeholders’ perceptions about the strengths, barriers, solutions and rationale for Finland’s comprehensive but conventional strategy to achieve its nicotine-free goal.DesignStudy participants were selected based on expertise in policy or practice of tobacco control (n=32). Semi-structured interviews, conducted in 2017 and 2018, covered topics ranging from consensus among stakeholders to Finland’s ranking on the 2016 Tobacco Control Scale. The framework method was chosen for analysing interview transcripts.ResultsA perceived strength of Tobacco-Free Finland 2030 was the consensus and cooperation among members of the tobacco control community. The objective of becoming a nicotine- versus smoke-free society had almost unanimous support, challenged by a small minority who argued for greater discussion of harm reduction approaches. The need for maintaining legitimacy and historical successes in tobacco control were reasons for using a conventional strategy. Barriers to achieving the endgame goal included insufficient funding and over-reliance on non-governmental organisations, political/legal constraints, impact of institutional practices on tobacco disparities, ambivalence about the role of mass media and lack of prioritising smoking cessation.ConclusionsStakeholders’ broad confidence in reaching the goal of Finland’s tobacco endgame suggests that future policy initiatives will reflect the current, conventional strategy. If the Finnish government chooses to continue this approach, then it should designate separate funds for Tobacco-Free Finland 2030 and implement structural changes that will facilitate tobacco control initiatives.

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“…However, in most countries there is still much room for improving the level of implementation of the FCTC package of interventions. This has the potential to significantly reduce tobacco use and exposure in the mediumto long-term while creating a social climate for the types of endgame strategies that are ultimately needed to achieve tobacco-free societies 15 .…”

Section: Introductionmentioning

confidence: 99%

Recommendations on how to achieve tobacco-free nations in Europe

Willemsen¹,

Walters²,

Kotz³

et al. 2019

Tob. Prev. Cessation

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European countries vary widely in the development and implementation of effective tobacco-control programs and policies. Why some countries lag behind others is inherently a political matter. National-level policymakers struggle between the need to protect public health and the need to recognize economic and ideological considerations. Within this context, use of scientific evidence plays an important role in the policy making process. Articles 20 and 22 of the World Health Organisation's Framework Convention of Tobacco Control (FCTC) oblige countries to develop and coordinate research on aspects of tobacco control and require of them to facilitate knowledge transfer and capacity building between countries. This paper considers various ways how EU and national policy makers may accomplish this. We conclude that progress in three areas is needed: 1) generation of more scientific evidence relevant for each country; 2) facilitation of policy learning between countries; and 3) building capacity and collaborations between researchers and tobacco-control advocates to bridge the gap from research to policy, especially in countries with weak tobacco-control infrastructures.

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Development of an integrated tobacco endgame strategy

Cited by 19 publications

References 23 publications

Tobacco policy in Israel: 1948–2014 and beyond

Tobacco policy in Israel: 1948–2014 and beyond

Strategies and barriers to achieving the goal of Finland’s tobacco endgame

Recommendations on how to achieve tobacco-free nations in Europe

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