national strategies and implementations on tobacco control
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National strategies and implementations on tobacco control. Prof. Nazmi Bilir MD Hacettepe Univ. Faculty of Medicine Dept. of Public Health [email protected] 7 May 2010 – İstanbul. İbrahim Efendi; Chief medical officer Some efforts , unsuccessful - PowerPoint PPT PresentationTRANSCRIPT
National strategies and implementations on tobacco control
Prof. Nazmi Bilir MDHacettepe Univ. Faculty of Medicine
Dept. of Public [email protected] May 2010 – İstanbul
• İbrahim Efendi; Chief medical officer– Some efforts, unsuccessful
• 17. c: complete ban Murat 4th.“concern; fire” • ....• 1926: Dr. Fuat – “proposal on TC Law” – not passed • ….• 1987: MoH initiatives• 1991: TC Law – “vetoed” • 1995: Establishment of SSUK (Natl. Colalition on TC)• 1996: Law on Prevention of Harms of Tobacco (No.4207)• 2004: FCTC signed, then ratified• 2007: National TC Program and Action Plan• 2008: Amendment of the Law No. 4207• 2008: Privatization and selling of TEKEL (State Monopoly)
Tobacco control in Turkey
First Anti-Tobacco Law, Nov. 1996
• Law on Prevention of Harms of Tobacco Products, (No.4207)– Ban smoking in public places, – Ban smoking – health and educational institutions, – Ban “all kinds of” advertisements, – Health warning on the packages– Prohibition of selling to minors – 18 yrs. – TV airtime, 90 min/month – “harms of smoking”– Fines
LAW on ROLES and RESPONSIBILITIES of TOBACCO REGULATORY AUTHORITY
No: 4733 – 09 Jan. 2002
(official Gazette, 15.4.2008 No.26848)
Article 1- The aim of this Law is to describe the establishment of, and roles and responsibilities of Tobacco Regulatory Authority.
RATIFICATION of FCTC 25 Nov. 2004, No 5621
• Article 1: – WHO FCTC has been ratified by the Grand National
Assembly.
National Tobacco Control Program (2007)prevalence of non-smokers
15+ age group %80 ---- below 15 years %100
A – Decraesing the demand for tobacco önlemlerA.1. Increasing public awarenessA.2. Smoking cessationA.3. Tobacco taxes and pricingA.4. Second hand smokingA.5. Advertisement, promotion and sponsorlshipA.6. Product control and information to the smokers
B – Decreasing the supply of tobacco B.1. Illegal tradeB.2. Access of youngstersB.3. Alternative tobacco policies
C – Monitoring of TC programs
Law Amending The TC Law (No. 5727)
“LAW on PREVENTION of HARMS and CONTROL of
TOBACCO PRODUCTS”
No. 4207
3 Jan.v2008
Implementation: 19 May 2008 --- 19 July 2009
Aim
The aim of this Law is to protect the people and future
generations from harms of tobacco products
LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS
• Article 2“use of tobacco products in closed areas is forbidden”
– Public places, including the corridors– Closed and open areas of schools– Health, education, sports, cultural, trade, entertainment,
hotels, ...– Public transport, including commercial taxis– Restaurants, cafes, cafeterias, pubs,, ...– Exceptions: mental diseases hospitals, prisons, houses for
the elderly
• Advertisement, promotion and sponsorship ban, • Article 3 (1 –7. items)
– (1) promotion by the names or logos of the tobacco industry in forbidden
– (3) cars can not carry the topbacco names or logos– (4) distribution of gifts is forbidden– (5) any annoucements using the name or logo ….– (6) appearance of cigarette in the films, ..– (7) selling of tobacco products is banned at helath,
education and sports establishments
LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS
• Selling tobacco to minors : 18 yrs.
• Article 3 (8-14. fıkralar) – (8) selling of tobacco to minors is forbidden
(imprisonment : 6-12 months)
.... ..... – (10) individual cigarett selling …– (11) vending machines …. forbidden .... ....– (14) candy, jiclet, toys, accessories … banned
LAW on PREVENTION of HARMS and CONTOL of TOBACCO PRODUCTS
• TV air time: 90 min/ month
• .... All the natşional, regional or local public and private TV channels ….
• 08:00-22:00 hours• At least 30 min between 17:00-22:00 hrs.
LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS
• Health warnings
• At least 40% of the main surface and 30% of the reverse side …. İn Turkish
• Emissions and levels
LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS
• Fines
• Misdemanors act Art. 38– Violations by individuals 70 TL– Owners of the establishments 570 – 5700 TL
(Belediye, mülki amir)– Tobacco company 50 000 – 250 000 (TAPDK)– Radio-TV: 1000-5000-10 000-100 000 (RTÜK)
LAW on PREVENTION of HARMS and CONTROL of TOBACCO PRODUCTS
Results of the implementations
Particle measurements -1, before and after 19 May, 2008
mcg/m3
Public office Municipality office Professional org. Hospital canteen Physician office
Before After
580
930
300440400
130 90 50 80
1850
0
500
1000
1500
2000
K ırtas iye B utik K uaför-1 K uaför-2 K uruyemiş ç i
Önce S onra
Particle measurements -2, before and after 19 May, 2008
Shopping Mall
mcg/m3
Before After
Stationery Boutique Coiffure-1 Coiffure-2 Market
Hospitality workplaces, Closed places, New openings
(Aug 2008-Oct. 2009)
AUG.-OCT 2008
JAN-JUNE 2009 JULY 2009 AUG-OCT 2009
CLOSED10720 19611 3168 4219
OPENED 15733 40953 5335 7317
DIFFERENCE + 5013 + 21343 + 2167 + 3098
AMOUNT of VAT PAID by HOSPITALITY WORKPLACES (JAN-OCT 2009)
Total number of
establishments
Number in hospitality
sector
Number serving alcohol
Amount VAT
January 929,000 368,000 25,150 835,320,692
Juna 948,000 377,000 25,700 1078944006
October 956,000 381,000 25,950 1055412088
INSPECTIONS
YEAR Number Files No. of, fines
Amount TRL Person/ establihment
2009 348 093 14 035 5730 1 151 000 TL 4191 person1539 establ.
2010 yılı (Ocak-Mart)
167 201 7032 9869 2 503 068 TL 6284 person3585 establ.
Inspection teams: 31 Mart 2010:---2857 teams 7240 inspectors
