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Tobacco Control in Turkey

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Tobacco Control in Turkey Tobacco Control in Turkey Story of commitment and leadership March 2012 Tobacco Control in Turkey Story of commitment and leadership By: Nazmi Bilir, Hilal Özcebe, Toker Ergüder and Kristina Mauer-Stender AbstractAbstract 7REDFFRFRQWURODFWLYLWLHVLQ7XUNH\KDYHEHHQKLJKO\HIIHFWLYH7KH¿UVWDQWLWREDFFRODZZDVDGRSWHG7REDFFRFRQWURODFWLYLWLHVLQ7XUNH\KDYHEHHQKLJKO\HIIHFWLYH7KH¿UVWDQWLWREDFFRODZZDVDGRSWHG LQ /DZ1R UDWL¿FDWLRQRIWKH:+2)UDPHZRUN&RQYHQWLRQRQ7REDFFR&RQWUROIROORZHGLQLQ /DZ1R UDWL¿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¿FHYLGHQFH$IWHU/DZ1RZDVHQDFWHGWKHVHSDUOLDPHQWDU\FRPPLVVLRQVDQGSURYLGLQJVFLHQWL¿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eywordsKeywords 602.,1*±SUHYHQWLRQDQGFRQWURO602.,1*±SUHYHQWLRQDQGFRQWURO 72%$&&2±OHJLVODWLRQ72%$&&2±OHJLVODWLRQ +($/7+32/,&<+($/7+32/,&< 352*5$0(9$/8$7,21352*5$0(9$/8$7,21 785.(<785.(< 3KRWRJUDSKVWDNHQE\7XQD6XQGXU:+2&RXQWU\2I¿FH7XUNH\Photographs3KRWRJUDSKVWDNHQE\7XQD6XQGXU:+2&RXQWU\2I¿FH7XUNH\ taken by Tuna Sundur, WHO Country Office, Turkey Printing by: Anıl Advertising Printing House Co. 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UHDGHU,QQRHYHQWVKDOOWKH:RUOG+HDOWK2UJDQL]DWLRQEHOLDEOHIRUGDPDJHVDULVLQJIURPLWVXVH7KHUHDGHU,QQRHYHQWVKDOOWKH:RUOG+HDOWK2UJDQL]DWLRQEHOLDEOHIRUGDPDJHVDULVLQJIURPLWVXVH7KH YLHZVH[SUHVVHGE\DXWKRUVHGLWRUVRUH[SHUWJURXSVGRQRWQHFHVVDULO\UHSUHVHQWWKHGHFLVLRQVRUWKHYLHZVH[SUHVVHGE\DXWKRUVHGLWRUVRUH[SHUWJURXSVGRQRWQHFHVVDULO\UHSUHVHQWWKHGHFLVLRQVRUWKH VWDWHGSROLF\RIWKH:RUOG+HDOWK2UJDQL]DWLRQVWDWHGSROLF\RIWKH:RUOG+HDOWK2UJDQL]DWLRQ 2 ContentsContents 3DJH3DJH 3DJH ACKNOWLEDGEMENTSACKNOWLEDGEMENTS ......................................................................................................... .........................................................................................................4 4 ACKNOWLEDGEMENTS .........................................................................................................4 FOREWORDFOREWORD ............................................................................................................................. .............................................................................................................................5 5 FOREWORD .............................................................................................................................5 PREFACEPREFACE.................................................................................................................................................................................................................................................................7 ...7 PREFACE..................................................................................................................................7 BACKGROUNDBACKGROUND ........................................................................................................................ ........................................................................................................................8 8 BACKGROUND ........................................................................................................................8 ProductionProduction and saleand saleof tobacco of tobacco ....................................................................................... .......................................................................................9 9 Production and sale of tobacco .......................................................................................9 PrevalencePrevalence studies studies ........................................................................................................ ........................................................................................................11 11 Prevalence studies ........................................................................................................ 11 HealthHealth consequences consequences of increased of increased tobacco tobacco use ........................................................... use ...........................................................17 17 Health consequences of increased tobacco use ...........................................................17 EconomicEconomic burden burden of tobacco of tobacco use .................................................................................. use ..................................................................................19 19 Economic burden of tobacco use ..................................................................................19 DevelopmentDevelopment of tobacco of tobacco control control activities activities and andlegislation legislation ............................................... ...............................................21 21 Development of tobacco control activities and legislation ...............................................21 First Firstanti-tobacco anti-tobacco law inlaw 1996 in 1996 and nongovernmentaland nongovernmental organizations organizations ............................. .............................21 21 First anti-tobacco law in 1996 and nongovernmental organizations .............................21 EstablishmentEstablishment of the of Tobacco the Tobacco Regulatory Regulatory Authority, Authority, 2002 2002 ...........................................
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