Research to support a Tobacco Free Ireland
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1 Research to support a Tobacco Free Ireland Tuesday, 14 June am pm Clayton Hotel, Ormeau Avenue, Belfast Prof Luke Clancy, Director General TobaccoFree Research Institute Ireland, Dublin
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4 In Dec Minister Brian Cowen TD agreed with ASH to establish the Institute This was confirmed in the government policy document, "Ireland - a Smoke Free Zone Towards a Tobacco Free Society" (2000) The Institute was Incorporated in January 2002
5 Towards a Tobacco Free Society TobaccoFree Research Institute Ireland (Jan 2002) Transdisciplinary approach Provide the evidence base for Tobacco Control interventions. Office of Tobacco Control (NTO) (May 2002) Raise public awareness of dangers of smoking Provide additional protections against second-hand smoke Ensure better enforcement of tobacco control laws
6 Authors concluded ETS causes heart disease cancer and respiratory problems Employees need to be protected Ventilation is ineffective Legislative measures are required
7 Evaluation of Irish Smokefree Legislation Exposure to secondhand smoke Health Effects
8 Exposure Reduction Micrograms/m3 Goodman P, Agnew M, McCaffrey M, Paul G, Clancy L. Am J Respir Crit Care Med 2007 Jan 4 Average PM2.5 Levels (42 pubs) Pre Ban Post Ban Time of Monitoring Pre Ban Range: 3.2 to ( gm -3 ) Post Ban Range: 21.4 to 0.6 ( gm -3 ) Benzene 18.8(14) 3.72(1.6) -80.2% P<0.01
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10 Socioeconomic Differentials in the Immediate Mortality Effects of the National Irish Smoking Ban Sericea Stallings-Smith1*, Pat Goodman2,3, Zubair Kabir4, Luke Clancy3, Ariana Zeka1* PLOS ONE 1 June 2014 Volume 9 Issue 6 e98617
11 Analysis of print media coverage of the Irish workplace smoking ban: Lessons from the campaign for Tobacco Control in EU Declan Fahy, Dublin City University (DCU) Brian Trench, DCU Luke Clancy, Research Institute for a Tobacco Free Society
12 Fully Comprehensive V Fully Comprehensive? Ire + Sco Ita + Fra
13 Smokefree Ireland It has helped change the culture of Smoking in Ireland and globally It has improved public health and saved lives It has cost nothing and is hugely popular
14 Project Overview Prof Luke Clancy TobaccoFree Research Institute Ireland, Dublin Coordinator FP7 Grant no Brussels 26th April 2012
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16 SimSmoke Modelling David Levy
17 The effect of tobacco control policies on smoking prevalence and smoking-attributable deaths in Ireland using the IrelandSS simulation model Laura M Currie Kenneth Blackman Luke Clancy David T Levy Tob Control : e25-e32 originally published online May 26, 2012
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19 Predictions from SimSmoke Ireland Even with full compliance with MPOWER no country that we examined can reach elimination by 2040 We need more and better policies particularly on the supply side
20 Results of the Smokefree Playground Project 2011 Millennium Park Blanchardstown
21 Tobacco Litter and the Environment Cigarette butt litter is the world s greatest environmental litter problem In 2008 cigarette waste formed 47.73% of the overall litter composition in Fingal Cigarette butts 42.99% Cigarette boxes & wrappers 2.93% Matchboxes & lighters 0.96% Matches 0.85%
22 Human Resource Needs Shortage of the necessary scientists Research Training Recruitment and Retention Financial Quantum Accessibility Continuity
23 Evidence base for TC in Ireland Advertising, sponsorship and promotion Smokefree, Workplace 29 th March 2004 but outside areas and ecigs POS July 2009 but ecigs Taxation -High prices 10.50/pack but Australia and ecigs Labeling and packaging-graphic Images 2011, 2013 and now TPD but assessment Bylaws Smokefree Playgrounds 70% Plain Packaging 2015 law but June 2016 and still no PP Ban on Smoking in cars-legislation but no assessment available
24 TFRI Recent Irish Research Projects Factors Associated with E-Cigarette Use Among Irish Teenagers Perceptions of EC Tobacco Products Directive (TPD) cigarette packs and fully standardized Irish cigarette packs: A survey of Irish Schools Tobacco Use among People Living with HIV and AIDS European Schools Service Project on Alcohol And Other Drugs (ESPAD) 2015
25 Measures Within-subject experimental design based on three levels of tobacco packaging: Image 1: Fully Branded Image 2: EU TPD Image 3: Standardised Packs:
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29 TFRI Recent strategically relevant publications Young people s perceptions of tobacco packaging: a comparison of EU Tobacco Products Directive & Ireland s Standardisation of Tobacco Act Kate Babineau, Luke Clancy BMJ Open 2015;5:e doi: /bmjopen Electronic Cigarette Use among Irish Youth: A Cross Sectional Study of Prevalence and Associated Factors Kate Babineau, Keishia Taylor, Luke Clancy TobaccoFree Research Institute Ireland, DIT Focas Institute, Dublin, Ireland PLOS ONE DOI: /journal.pone May 27, 2015
30 Data from the GUIDE Clinic In Summer 2014, the TFRI collected data from a sample of 423 people living with HIV and AIDS who attend the GUIDE clinic. 81.5% of service users had heard of e-cigarettes. Of those who were aware of e-cigarettes, 5.1% (15) used e-cigarettes on a daily basis. An additional 3.3% (10) used e-cigarettes at least once a month.
31 TFRI Current Research Projects Qualitative research on Ecigs and RYO in young adults Is Allen Carr s Easyway to Stop Smoking Programme superior to Smoking Cessation services. A randomised controlled trial European Schools Service Project on Alcohol And Other Drugs (ESPAD) 2015 SILNE-R Horizon 2020 Socio-economic inequalities in Smoking Tack-SHS Horizon 2020 Tackling Secondhand tobacco smoke and e-cigarette emissions: exposure, novel interventions, lung diseases and economic burden European populations Tob-G Horizon 2020 Tobacco Cessation Guidelines For High Risk Groups
32 Ecigs research Positive: May be as good as NRT for quitting Maybe nearly as safe as NRT but inhalation of particles May be a tool for harm reduction May be less frequently addictive than cigarettes Negative: Renormalise smoking weakening smokefree Perpetuates addiction to nicotine May be a Gateway drug Addictive Ownership by TI Threatens advertising bans Threatens use of price as most potent TC intervention
33 Ecigs -Further considerations Are they a disruptive technology? Are they divisive in TC? Are they bringing PHE and RCP into disrepute? Are they a major threat to FCTC? Article 5.3 Article 6 Article 8 Article 13 Article 14
34 Is Allen Carr s Easyway to Stop Smoking Programme superior to Smoking Cessation service delivered by Quit.ie? -A randomised controlled trial S Keogan
35 A Tobacco Free Ireland in 2025 How
36 Contributions to Tobacco Control by Ministers of Health CHARLES HAUGHEY RAISE taxes on tobacco Raised price of 20 cigarettes BARRY DESMOND PROTECT People from tobacco Banned dipping tobacco (Skoal Bandits ) BRIAN COWEN TOWARDS A TOBACCO FREE SOCIETY, 2000 TFRI & OTC CHARLES HAUGHEY BARRY DESMOND BRIAN COWEN
37 PROTECT People from tobacco Smoke Free Workplaces (2004) FCTC ratification TFRI, OTC & FCTC ENFORCE POS advertising ban BUT abolished OTC, withdrew funding for TFRI, no real price rise ENFORCE Tobacco Free Ireland Plain Packaging Smoking in cars Tobacco Products Directive MICHEÁL MARTIN MARY HARNEY JAMES REILLY
38 Real price Ireland (
39 Not a single elected politician in the Dáil or Seanad voted against the Standardised Packaging of Tobacco Act 2015
40 The Tobacco Industry FCTC Article 5.3
41 Death of a salesman Gerard B Hastings Crawford Moodie April 2015, Volume 24, Suppl 2 Implementation and evaluation of the Australian tobacco plain packaging policy Special communication Research papers Brief reports Research letter PostScript Lighter Side
42 Tobacco Control Research Provides the evidence base for intervention Challenges the Tobacco Industry Promotes interest in tobacco control among academia
Smoking Mortality. Tackling inequalities in Smoking Implications for tobacco control at European, national and local levels 9/12/14
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