State of Tobacco Control in Ireland, Dr Paul Kavanagh, HSE Tobacco Free Ireland Programme

Transcription

1 State of Tobacco Control in Ireland, 2018 Dr Paul Kavanagh, HSE Tobacco Free Ireland Programme

2 Declaration of interest MONTH/YEAR MONTH/YEAR MONTH/YEAR Change the storyline. and bring it to an end

3 Overview Why did we do this work? Prevalence and trends in tobacco use Impact of tobacco use on health HSE control activities What have we learned and what next?

4 Why did we do this work?

5 Inform HSE Tobacco Free Ireland Programme Planning by Document our story. Assessing health needs, whole population and groups decide where it goes next Quantifying impact of problem Trends, reach and impact of HSE control activities Proposing recommendations and metrics

6 How did we do it? Secondary analysis of population surveys incl HI, TILDA, HBSC, HSE Tracker Population attributable fractions using Vital Statistics (CSO), HIPE, HI and ICF (DH) HSE Tobacco Free Ireland business intelligence Special survey of smoking cessation services

7 Prevalence and trends in tobacco use

8 Current prevalence and recent trends, whole population Trend in crude prevalence, 2005 (base) to % or 1.9% p.a. Progress.. but pace sufficient for TFI 2025 Target?

9 Current prevalence and recent trends, population groups Change in crude prevalence, 2005 (base) to 2017 Change in crude prevalence, 2005 (base) to 2017 Progress.. but shared fairly across population groups?

10 Current prevalence and recent trends, special groups Smoking in pregnancy Youth smoking Smoking and mental health Progress.. but continuing focus needed on special groups

11 Changing face of the problem? Occasional smoking Roll your own

12 Changing face of the problem? E-cigarettes

13 Quitting intention and behaviour

14 Impact of tobacco use on health

15 Smoking Attributable Mortality and Hospitalisations Over 100 deaths/week Over 1,000 hospitalisations/week 2-in-5 respiratory & 1-in-3 cancer deaths 1-in-5 respiratory, cancer and CVD episodes

16 Health and wellbeing, adults and older people Positive Self-rated Health Depressive Symptoms 43% increased odds Long Term Illness 51% increased odds 45% increased odds

17 Health and wellbeing, children 3.3 fold increased odds 2.5 fold increased odds

18 Scale, reach and impact of HSE activities

19 HSE Tobacco Free Ireland Programme

20 Building and enforcing legislative compliance ,885 retail outlets (counter & vending machines) 162 complaints and 1,813 queries 31,101 Tobacco product Directive submissions Inspections Convictions Test purchases with minors

21 Communicating with the public Quit Plan Sign-Ups Females Younger people

22 Communicating with the public 56% increase QUIT helpline call 89% increase QUIT website sessions 102% increase in QUIT Plan sign-ups

23 Offering help to quit Face to face Females Older people Economically inactive Medical/GP card Source 1-in-2 Hospital 1-in-5 Self-refer 1-in-5 GP Support 3-in-4 NRT/meds

24 Offering help to quit Patient Management System

25 Protecting people from tobacco smoke

26 What have we learned and what next?

27 Inform, develop and strengthen HSE contribution. Where does the story go next and how do we end it? <5% by 2025

28 From business-as-usual to tobacco endgame

29 From business-as-usual to tobacco endgame

30 From business-as-usual to tobacco endgame Leadership, Government and Management Public and patient groups Communications Public Health and Health Improvement Other organisations HSE Environmental Health Smoking cessation services Political system Partners

31 From business-as-usual to tobacco endgame Mobilising Community Action Sharing the story. Changing the story. And ending it. TOGETHER

32 Thank you