Welcome and IntroductionsWelcome and Introductions––

BUILDING CAPACITY FOR BUILDING CAPACITY FOR TOBACCO RESEARCH IN TOBACCO RESEARCH IN

ROMANIAROMANIA

Ábrám ZoltánÁbrám Zoltán, MD, PhD, MD, PhD

University of Medicine and Pharmacy from Targu Mures

Location: Tîrgu Mureș, Târgu-Mureș University of Medicine and Pharmacy

and partners Tobacco research in Romania Building Capacity for Tobacco

Research in Romania

University of Medicine and University of Medicine and PharmacyPharmacy

PartnersPartners

Babes-Bolyai University

Sapientia University

Mures County General Directorate of Social Assistance and Child Protection

Tobacco research in RomaniaTobacco research in Romania

*** Fumatul şi sănătatea publică în România. Cunoştinţe, atitudini şi practici legate de consumul de produse din tutun în rândul populaţiei generale din România, editat de Centrul pentru Politici şi Servicii de Sănătate, Bucuresti, 2004. (coord. Prof. dr. Cristian Vlădescu)

*** Cunoştinţele, atitudinile şi practicile populaţiei generale referitoare la de consumul de tutun si la prevederile legislative in domeniu. Centrul pentru Politici şi Servicii de Sănătate, Bucuresti, 2007.

Ordinului comun MS & CNAS privind Programele Nationale (PN) de Sanatate 2011 si 2012 din 30/12/2010, Programul naţional nr. 5 de evaluare şi promovare a sănătăţii şi educaţie pentru sănătate cuprinde subprogramul 2. Prevenire şi combatere a consumului de tutun.

Recent surveysRecent surveys

Global Youth Tobacco Survey (GYTS) 2003 – Hungary2004, 2009 – RomaniaIrimie S. et al. Tobacco Use among students from Romania 2004

versus 2009 GYTS data. Applied Medical Informatics, 2010, 27: 55-61

Global Adults Tobacco Survey (GATS) 2011 – RomaniaInstitutul Român pentru Evaluare și Strategie. Fumatul și sănătatea.

Comportamente și atitudini, 2011

Recent surveysRecent surveys

European Monitoring Centre for Drugs and Drug Addiction, National Anti-drug Agency, Bucharest, 2011 National Report

Raport național privind situația drogurilor. Noi evoluții, tendințe și informații detailate cu privire la temele de interes european. Agenția Națională Antidrog, București, 2011

Programul Stop FumatProgramul Stop Fumat

A national network of doctors and psychologists (100)

Counsel, treatment, hot line (TelVerde): 0213356920

Rate of succes: 39,1% quit to smoke/2009

Negoescu R. Ancheta de supraveghere la 1 an a campaniei de renunţare la fumat Quit&Win 2008 România. Institutul de Sănătate Publică Bucuresti, 2009.

EurobarometerEurobarometer

Special Eurobarometer 332 „Tobacco”. Directorate General Communication, European Commission, Brussels, 2010

15- year

You smoke at the present time?

- smoking is highest in Greece (40%),Bulgaria (39%) and Hungary (38%)- is lowest in Sweden (16%) and Finland (21%)- EU27 average is 29%- Romania: 30%, 12-14.

Smokers at the present timeSmokers at the present time

In the European Union in three years the proportion of smokers has declined by three points:

from 32% in 2006 to 29% in 2009. Romania

2006 - 31%2009 - 30%

Number of cigarettes smoked each dayNumber of cigarettes smoked each day

Smoking is allowed inside the houseSmoking is allowed inside the house

You used to smoke but you have stopped

- EU27 average is 22%- The Netherlands (33%), Sweden (31%) and

Denmark (31%) have the greatest proportion of respondents who have given up smoking

- The lowest proportions of ex-smokers among the EU member States: Romania (12%) , Portugal (13%) and Greece (14%).

Attempts to quit smoking in the last 12 Attempts to quit smoking in the last 12 monthsmonths

ConclusionConclusion

In Romania smoking prevalence, SHS presence and the number of cigarettes smoked are quite high, while here is reported the lowest proportions of ex-smokers among the EU member States and a high percentage of the attempts to quit smoking,

so that tobacco research and tobacco cessation intervention have good perspectives.

Building Capacity for Tobacco Building Capacity for Tobacco Research in RomaniaResearch in Romania

Antecedents: Hungarian research model, personal professional relationships

12 August 2011 – visit of Kristie Foley and Peter Balazs at the UMPh Tg. Mures

14 Sept 2011– grant submitted to NIH March-July 2012 – scientific review and

funding decision

6 June 2012 – Annual Fogarty-team meeting, Budapest, Hungary to Romania: not an ending, a beginning (KF)

September 2012 – Subaward Agreement

12 September 2012 – meeting of local lead scientists

17 October 2012 – first common meeting of all scientists

ProjectsProjects School-based Prevention & Cessation of Tobacco Use

among Adolescents A Community-Based Prevention Program among

Teenagers from Diverse Communities Smoking and SHS Exposure among Pregnant Women &

Children Adopting Systems-Level Changes to Promote Cessation

among Residents in Social Institutions* Implementation of a Smoking Cessation Program for

CVD Patients and Medical Students Economic Impacts of Smoking Air Quality Monitoring for SHS Exposure and Policy

Advocacy***3 year

**4 year

ScientistsScientists

Zoltan Abram, UMPh Tg. Mures, Consortium PI

Valentin Nadasan, UMPh Tg. Mures, CoI Eniko Albert-Lorincz, Babes-Bolyai University Monica Tarcea, UMPh Tg. Mures, Lorand Schmidt, Children Protection Authority Pal Kikeli, UMPh Tg. Mures Arpad Szabo, Sapientia University Zsuzsanna Szasz, UMPh Tg. Mures

Role of mentorsRole of mentors

Conduct new rigorous, transdisciplinary, high impact tobacco research in Romania by fillingstrategic gaps and by building the individual capacity of tobacco scientists.

Create institutional capacity that will support scientists and advocates engaged in tobaccoresearch.

Translate research findings into programs and policies to reduce tobacco use in Romania.

ExpectationsExpectations high-quality intervention-oriented tobacco

research innovation: special ages (10- year),

vulnerable populations (ethnicity, residents in social institutions),

new topic (economics)accent on secondhand smokingair quality measurements accent on prevention, on cessation

better knowledge: new informationconsultations, trainings, workshops

ExpectationsExpectations

wide perspectives in the collaboration of scientists and institutions, tobacco-control partnerships

presence at conferences, scientifical meetings paper publications (ISI), books, informative

leaflets, presence in mass media etc. new preventive and tobacco cessation programs

(ex. online program, medical students) contribution to programs (policies) to reduce

smoking and SHS exposure contribution to a useful collaboration among local

authorities, institutions, NGOs to develop teaching skills

American, Hungarian and Romanian researchers together will answer the questions and will realize the expectations by sharing of ideas and results, by a succesful communication and by new partnerships.

I wish succes for everybody!

Thank you for your attention!Thank you for your attention!