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Creating a generation free from tobacco:
the importance of partnership working
Sheila Duffy
Chief Executive, ASH Scotland
Wednesday 26 March 2014
Global burden of tobacco
• Tobacco kills ~6 million
globally each year
• Projected to be one billion
deaths in next century
• Most of this death and
disease will be in low and
middle income countries
• A double burden for health
systems that are still
engaged in tackling
infectious disease
Source: American Cancer Society, World Lung
Foundation. The Tobacco Atlas: 4th Edition. 2012.
Available from: http://www.tobaccoatlas.org/
"Infectious diseases do not employ multinational
public relations firms. There are no front groups to
promote the spread of cholera. Mosquitoes have
no lobbyists” World Health Organisation. Tobacco Company Strategies to Undermine Tobacco Control
Activities at the World Health Organization: Report of the Committee of Experts on
Tobacco Industry Documents. Geneva: World Health Organization. 2000.
Source: World Health Organisation. World No Tobacco Day 2012: Tobacco industry interference. Available from:
http://www.who.int/tobacco/wntd/2012/industry_interference/en/
Tobacco industry interference
1. Manoeuvring to hijack the
political and legislative process
2. Exaggerating the economic
importance of the industry
3. Manipulating public opinion to
gain the appearance of
respectability
4. Fabricating support through front
groups
5. Discrediting proven science
6. Intimidating governments with
litigation or the threat of litigation
International problems require an international solution
• WHO Framework Convention
on Tobacco Control
• Framework Convention
Alliance
• European Network for
Smoking Prevention
• 13,000 deaths in Scotland annually (a quarter of all
deaths) and around 56,000 hospital admissions are
attributed to smoking
• Those who die from smoking lose on average 10
years of life and those who die in middle age (35-
69) lose on average 22 years of life
• £1.1 billion is lost from the Scottish economy every
year.
The cost of the epidemic in Scotland
Where we’ve come from:
How are we doing? – Adult smoking
Why tobacco & inequality matters
www.instituteofhealthequity.org
Strong, persistent associations
between smoking & socioeconomic disadvantage
Smoking as a greater source of health inequality than social position
“The present study’s key finding is that smokers in all social positions
have poorer survival than those who never smoked in even the lowest
social positions.” Gruer L, Hart CL, Gordon DS, Watt GC. Effect of tobacco smoking on survival of men and women by
social position: a 28 year cohort study. BMJ. 2009 Feb 17;338:b480. doi: 10.1136/bmj.b480.
So how do we get to here? (Scottish Government 2034 smoking target)
2034
Local partnership action
‘Creating a tobacco-free generation: A tobacco control strategy for Scotland’.
Scottish Government. 2013.
http://www.scotland.gov.uk/Resource/0041/00417331.pdf
Benefits of partnership action
• gain a better understanding of each others aims and objectives, enabling the development of a broader perspective and vision;
• pool resources and co-ordinate efforts avoiding duplication of, for example, campaigns and services;
• widen the reach and deepen the impact of initiatives;
• share information in order to debate and develop a shared strategy;
• influence policy makers and practitioners across organisations facilitating changes to policy and practice;
• gain a better understanding of the requirements of the local population;
• encourage and support fellow partners;
• maximise media opportunities.
Delivering comprehensive tobacco control measures requires
partnership working with responsibilities and commitment shared
between health services, local authorities, voluntary organisations
and communities.
Partnerships that target
health inequality • Debt advisory service and smoking cessation;
helping those with least resources to quit and win
• Trading standards, police, local traders, healthy living centre; mobilising local people against organised criminals selling illicit tobacco which undermines the health effects of tobacco taxation
• NHS, nursery education and housing associations; working to reduce child exposure to second-hand smoke
• Youth clubs, football clubs and community education; creating role models of their volunteers and smoke-free youth work policies.
Will we create a generation free
from tobacco?
• In Scotland we have made great progress, but
need to redouble our efforts and look to
innovative approaches to meet ambitious targets
• Worldwide, other nations face significant
challenges in implementing even very basic
tobacco control measures, we have a duty to
support them
• The tobacco industry will fight (with formidable
resources) any measures that threaten its profits;
we need to be ready for this, and have solidarity
with nations being intimidated by the industry
Thank you – comments/questions?
ASH Scotland
8 Frederick Street
Edinburgh, EH2 2HB
Tel. 0131 225 4725
Fax. 0131 225 4759
Email. [email protected]
www.ashscotland.org.uk
Action on Smoking & Health (Scotland) (ASH Scotland) is a registered Scottish
charity (SC 010412) and a company limited by guarantee(Scottish company no
141711).