No smoking from A to ZThe HMAA’s anti-tobacco

campaign in Hungary

RETURN Meeting Nov 6, 2010, Budapest

Eszter Bodnár, MD - HMAA Hungary Chapter PresidentTamás Peredy, MD - HMAA Past PresidentSándor Matolcsy, MD – HMAA Past PresidentDávid László Tárnoki, MDÁdám Domonkos Tárnoki, MD

Eszter Bodnár, MD - HMAA Hungary Chapter PresidentTamás Peredy, MD - HMAA Past PresidentSándor Matolcsy, MD – HMAA Past PresidentDávid László Tárnoki, MDÁdám Domonkos Tárnoki, MD

HMAA anti-tobacco campaign

HMAA anti-tobacco conference 2008 Budapest

Delegation to the ministry of health

First Hungarian indoor air pollution study

Letter to the prime minister May 2010 – to strengthen indoor public smoking law

Annual HMAA Student Conference Balatonfüred – section dedicated how to prevent and treat smoking

Teaching secondary school students about the harmful effects of smoking and secondhand smoking (30-40% of students 14-18y/o smoke!, 30% exposed to secondhand smoking)

HMAA anti-tobacco conference 2008 Budapest

300 participants from Hungary and abroad (USA, Canada)

Multispecialty Conference ( public health, cardiology, pulmonology, pediatrics, internal medicine, psychiatry, primary care, oncology etc..)

World-famous lecturers: Cummings KM (leader of USA anti-tobacco campaign), Fong G (leader of Canadian campaign)

Teamwork for changing Hungarian smoking policies

HMAA delegation in the Ministry of Health

HMAA delegation (25 August, 2008): Laszlo L. Mechtler, M.D., President of HMAA

Tamás Peredy, M.D., President – Elect HMAA

László Csáthy, M.D. HMAA Board Member

K. Michael Cummings, PhD, MPH, leader of American anti-tobacco campaign

Prof. Geoffrey Fong, MD, leader of Canadian anti-tobacco campaign

Declaration issued by the Minister of Health

Result: Minister of Health expressed to support to change the law to protect non-smokers and initiate lecture series in elementary schools and high schools

Ádám and Dávid Tárnoki, MD – First Hungarian Indoor Air Monitoring Study 2008

Minimum of 30 minutes spent in each venue – 40 locations

PM2.5 levels were more than an order of magnitude higher in places where smoking was observed compared to smoke free venues.

Smoking was commonly observed in places where smoking was prohibited.

If smoking were banned indoors, the levels of indoor air pollution would decline by 90% resulting in rapid improvement in public health (heart attacks, respiratory problems – COPD, cancer)

Figure 6Average PM2.5 Levels Observed in Various Workplace Venues in

Hungary, 2008

155

94

5

0

100

200

Smoking Observed: Notsmoke-free

Smoking Observed:Smoke-free in separate

sections

No Smoking Observed:Smoking prohibited

Me

an

PM

2.5

(μg

ram

s/m

3 )

1515

EPA maximum safe exposure (15 μg/m3)

EPA maximum safe exposure (15 μg/m3)

Publications

Tárnoki Á, Tárnoki D, Travers M, Hyland A, Dobson K, Mechtler L, Cummings K. Tobacco smoke is a major source of indoor air pollution in Hungary’s bars, restaurants and transportation venues. Clinical and Experimental Medical Journal 2009;3(1):131-138.

A.D.Tarnoki, D.L.Tarnoki, M.J.Travers, A.Hyland, K.Dobson, L.Mechtler, K. M.Cummings: Hungarian Indoor Air Quality Study. Hung Med J (Orv Hetil), 2010;151(6):213-219

Tobacco

Contains over 4000 toxic materials including 200 cancer-related agents…

Diseases thanks to tobacco

Mortality causes

Mission

Assisting in the adoption of the WHO Anti-Tobacco laws in Hungary

Decreasing the percent of Hungarian MD’s that smoke – positive example

Promoting better health initiatives for all Hungarians

Increase awareness of the effects of tobacco during pregnancy and childhood.

Media coverage and interest in 2008

ATV news MTV – Az Este Duna TV news Index.hu news Dental Haon Lanchid radio HirTV Betegszoba.hu Euroastra Hazipatika.com website Medicalonline Ministry of Health Hungarian Television Tudobeteg.hu respiratory website

Thank you for your attention!

Hungarian Medical Association of Americawww.hmaa.org