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Global Alliance Against Respiratory Disease Primary Prevention & Health Promotion

Global Alliance Against Respiratory Disease Primary Prevention & Health Promotion. WG1. Defining the Burden, Risk Factors, & Surveillance. WG2. Awareness, Advocacy, & Priority. WG3. Prevention, & Health Promotion. WG4. Diagnosis of CRD & Allergies. WG5.

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Global Alliance Against Respiratory Disease Primary Prevention & Health Promotion

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  1. Global Alliance Against Respiratory DiseasePrimary Prevention& Health Promotion Dr. Michael Boland, Irish College of General Practitioners

  2. WG1. Defining the Burden, Risk Factors, & Surveillance WG2. Awareness, Advocacy, & Priority WG3. Prevention, & Health Promotion WG4. Diagnosis of CRD & Allergies. WG5. Control of CRD & Allergies, Drug Availability & Affordability. WG6. Paediatric Asthma Dr. Michael Boland, Irish College of General Practitioners

  3. Chairmanship Composition of Group ? 2005 Annual Report 2006 Action Plan & Indicators Quarterly Telephone Conferences One face-to-face meeting/yr. WG 3. Prevention & Health Promotion Dr. Michael Boland, Irish College of General Practitioners

  4. Open Fires for Cooking & Heating Which countries ? Then selected national initiatives based on substitution Dr. Michael Boland, Irish College of General Practitioners

  5. Inform Inspect Regulate Research The Irish Office of Tobacco Control Dr. Michael Boland, Irish College of General Practitioners

  6. Educate people about smoking and its effects Provide more help for smokers to quit Further regulate the Tobacco Industry Protect everyone from Passive Smoking (ETS) Don’t just pass laws – implement them Extend ‘ownership’ to all the people Use International Co-operation & Advice Seven Tier Plan Dr. Michael Boland, Irish College of General Practitioners

  7. If we focus only on prevention it will be 40 years before the substantial benefits will be fully realised. Cessation substantially reduces smoking related risks within 1–2 years. Prevention but also Cessation Dr. Michael Boland, Irish College of General Practitioners

  8. Members of the Parliamentary Committee NGOs - Cancer Society, Heart Foundation etc. Public Health leaders focus on ET Smoke The Minister of Health Statutory Agencies Health & Safety Authority Environmental Health Office (The Tobacco Industry - soon excluded) Building a National Partnership Dr. Michael Boland, Irish College of General Practitioners

  9. Power to Prohibit & Restrict Smoking The Tobacco Acts • Public Transport • Hospitals and Clinics • Schools and Colleges • Public Offices • Places of work • Cinemas, Theatres, Concert Halls, etc. • Pubs, Bars, Clubs, and Restaurants • Other ‘Specified Places’ Offence to smoke or to permit it - ‘Person in Charge’ is Guilty of an Offence Dr. Michael Boland, Irish College of General Practitioners

  10. An All-Party Committee – disenchanted The WHO, FCTC, & European contacts Dedicated Office of Tobacco Control Workers rights to a smoke-free workplace Trade Union & (later) Employer Support A Courageous & Ambitious Minister A small but highly committed OTC (15 staff) Key Influences & Opportunities Dr. Michael Boland, Irish College of General Practitioners

  11. WHO & FCTC International NGOs, Conferences, Networks. Experience in New York and elsewhere Authoritative Evidence & Research The ‘week-long visit’ = media, public, private Ministerial & deputies foreign Visits International Support for ETS Ban All Better Educated Dr. Michael Boland, Irish College of General Practitioners

  12. Expert Report on E.T.S. (Allwright et al.) What do smokers want?(Loscher, MRBI) Productivity Costs smokers and society (Welte) Statement by Medical Colleges and Deans Irish Women and Tobacco (WHO, Slan, MRBI) Ventilation (James Repace USA) Economic Effects on the Hospitality Industry (TNS- MRBI, Durcan/McDowell,UCD) OTC Preparatory Expert Reports Dr. Michael Boland, Irish College of General Practitioners

  13. Bar staff must be protected No ‘Acceptable’ level of exposure Effective Ventilation rates are impractical? Ventilation Costs? - a level playing pitch? Tobacco industry - hospitality programmes Outdoor smoking areas – false walls. Ventilation Dr. Michael Boland, Irish College of General Practitioners

  14. Key messages: • Everyone has the right to live in clean air. • Repeated exposure to environmental smoke may cause incurable COPD, asthma, cardiovascular disease and cancer. • Complete elimination of the harmful smoke is the only way to remove the risk. • This applies to tobacco smoke in bars and all other ‘at risk’ environments. Dr. Michael Boland, Irish College of General Practitioners

  15. Price Increases can stop teenagers smoking S 8-17 Very Unlikely To Continue Smoking Price increase Dr. Michael Boland, Irish College of General Practitioners

  16. Building Compliant Environments • Most people obey the law – smokers and non-smokers • Strong support from key stakeholders - unions, health community, policymakers, hotels federation, restaurants, tourism etc. • Intensive compliance building locally - • EHO’s - in partnership with business Dr. Michael Boland, Irish College of General Practitioners

  17. Compliance very high Prosecutions after 2 yrs = only 61 (1) Throughout the country 94% of all workplaces included such as.. 93% of hotels; 99% of restaurants; 90% of bars; 97% of other premises After Two Years Dr. Michael Boland, Irish College of General Practitioners

  18. Total ban on sale of packs < 20 cigarettes Ban on sale of cigarettes to under 18 yr olds Ban on in-store advertising New register of tobacco outlets – those defying the regulations will be fined and may lose their right to sell cigarettes. Minister announced new controls on the sale of cigarettes Dr. Michael Boland, Irish College of General Practitioners

  19. 67% support before the law 89% after introduction, called it a success Support one year on (inc. smokers) 98% believe workplaces are healthier (94% of smokers) 96% think law is a success (89% of smokers) 93% think it is a good idea (80% of smokers) Strong Public Support –Still Growing Dr. Michael Boland, Irish College of General Practitioners

  20. Concerted Action on Tobacco Since the Irish Office of Tobacco Control was established in 2001 the % of the population smoking has fallen by a quarter (31% to 23.5%). Smoking is banned in all public places including Bars since 2004. Dr. Michael Boland, Irish College of General Practitioners

  21. Smoking is the leading cause of premature death killing almost 6,000 people in Ireland each year. Lifetime smokers have a 50% chance of dying from a tobacco related illness – half will die in middle age losing on average 22 years of life. Irish women smoke as much as men – by 2020 lung cancer will be mostly a female disease. One fifth of 15-18 year olds continue to smoke But lets not forget……. Dr. Michael Boland, Irish College of General Practitioners

  22. The Possibility of a Major Breakthrough Dr. Michael Boland, Irish College of General Practitioners

  23. That’s all folks ! Dr. Michael Boland, Irish College of General Practitioners

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