Framework Convention on Tobacco Control (WHO FCTC) Is the First Treaty Negotiated Under the Auspices of the World Health Organization
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A Policy Perspective on the Global Use of Smokeless Tobacco
Curr Addict Rep DOI 10.1007/s40429-017-0166-7 TOBACCO (AH WEINBERGER, SECTION EDITOR) A Policy Perspective on the Global Use of Smokeless Tobacco Kamran Siddiqi1 & Aishwarya Lakshmi Vidyasagaran1 & Anne Readshaw1 & Ray Croucher2 # The Author(s) 2017. This article is an open access publication Abstract Keywords Smokeless tobacco . Snus . Tobacco control . Background Globally, over 300 million people consume di- Global health verse smokeless tobacco (ST) products. They are addictive, cause cancer, increased cardiovascular mortality risks and poor pregnancy outcomes. Introduction Purpose of Review To identify gaps in implementing key ST demand-reduction measures, focused literature reviews were “Smokeless tobacco” (ST) comprises tobacco products that do conducted and findings synthesized according to relevant not involve a combustion process, such as chewing, nasal and WHO Framework Convention on Tobacco Control (FCTC) oral tobacco [1•]. Globally, over 300 million people consume Articles. ST [1•], yet ST has been largely neglected in research and Recent Findings The literature supports implementation of policy arenas because it is generally regarded as less harmful ST demand-reduction measures. For taxation, labelling and than cigarettes. It is also seen as a regional rather than a global packaging, most administrations have weaker policies for ST problem, and too diverse and complex to control. than cigarettes. Capacity to regulate ST contents and offer ST use is reported in at least 116 countries worldwide, cessation support is lacking. There is poor compliance with including countries in Africa, Asia, Europe and the bans on ST advertising, promotion and sponsorship. Americas [2•]. Smokeless tobacco consumption is therefore Summary The literature on implementation of WHO a global public health issue. -
Boosting the Tobacco Control Vaccine: Recognizing the Role of the Retail Environment in Addressing Tobacco Use Anddisparities
Special communication Tob Control: first published as 10.1136/tobaccocontrol-2020-055722 on 23 September 2020. Downloaded from Boosting the Tobacco Control Vaccine: recognizing the role of the retail environment in addressing tobacco use and disparities Amanda Y. Kong ,1 Brian A. King2 1Department of Health Behavior, ABSTRACT the sales of combustible tobacco products.8 To date, Gillings School of Global Public Much of the progress in reducing cigarette smoking several countries have instituted varying smoking Health, University of North Carolina at Chapel Hill, Chapel and tobacco- related morbidity and mortality among prevalence endgame targets, including New Zealand Hill, North Carolina, USA youth and adults is attributable to population- level (5% smoking prevalence by 2025), Scotland (<5% 2Office on Smoking and Health, strategies previously described in the context of the by 2034) and Hong Kong (5% by 2022).7 Centers for Disease Control and Tobacco Control Vaccine. The retail environment is The USA has not set an endgame target, but Prevention, Atlanta, Georgia, used heavily by the tobacco industry to promote and two of the primary strategies discussed in recent USA advertise its products, and variations in exposure to and Surgeon General Reports include POS- related strat- characteristics of the retail environment exist across egies, including bans on the sales of some catego- Correspondence to 9 10 Amanda Y. Kong, Department demographic groups. It is therefore also an essential ries of tobacco products. As the tobacco control of Health Behavior, Gillings environment for further reducing smoking, as well as landscape has evolved in recent decades, the retail School of Global Public Health, ameliorating racial, ethnic and socioeconomic tobacco- sector has become an increasingly prominent place University of North Carolina at related disparities. -
Best Practices User Guides-Health Equity in Tobacco Prevention and Control
User Guides Health Equity in Tobacco Prevention and Control Acknowledgements This guide was produced by the Center for Public Health Systems Science (CPHSS) at the Brown School at Washington University in St. Louis. Primary contributors: Laura Brossart, Sarah Moreland-Russell, Stephanie Andersen, Anne Shea, Heidi Walsh, Sarah Schell, Laura Bach, Jennifer Cameron, Anneke Mohr, Laura Edison, Megan Multack, Susan Vorkoper Valued input was provided by: Stephen Babb, Diane Beistle, Rebecca Bunnell, Gloria Bryan, Kevin Collins, Shanna Cox, Monica Eischen, John Francis, Bridgette Garrett, Carissa Holmes, Brian King, Brick Lancaster, Rod Lew, Tim McAfee, Jane Mitchko, Jeannette Noltenius, Janet Porter, Gabbi Promoff, Coletta Reid, Brenda Richards, William Robinson, Robert Rodes, Anna Schecter, Scout, Karla Sneegas, Anne Sowell Valued input for the case studies was provided by: Bob Gordon, California LGBT Tobacco Education Partnership Janae Duncan, Utah Tobacco Prevention and Control Program Other contributions: Photograph on page 12 from the collection of Stanford University (tobacco.stanford.edu) Photograph on page 14 courtesy of Jóvenes de Salud Photograph on page 15 courtesy of Counter Tobacco Photograph on page 22 courtesy of Oklahoma State Department of Health Photograph on page 32 courtesy of the Jefferson County Department of Health and the Health Action Partnership Photograph on page 34 courtesy of the LGBT Tobacco Education Partnership, California Table of Contents Guide to the Reader ......................................................................... -
2020 International Narcotics Control Strategy Report
United States Department of State Bureau for International Narcotics and Law Enforcement Affairs International Narcotics Control Strategy Report Volume I Drug and Chemical Control March 2020 INCSR 2020 Volume 1 Table of Contents Table of Contents Common Abbreviations ..................................................................................................................................... iii International Agreements.................................................................................................................................... v INTRODUCTION ..................................................................................................................................... 1 Legislative Basis for the INCSR ......................................................................................................................... 2 Presidential Determination ................................................................................................................................. 7 Policy and Program Developments .................................................................................................... 12 Overview ......................................................................................................................................................... 13 Methodology for U.S. Government Estimates of Illegal Drug Production .......................................................... 18 Parties to UN Conventions .............................................................................................................................. -
Finland Country Drug Report 2017
Finland Country Drug Report 2017 Contents: At a glance | National drug strategy and coordination (p. 2) | Public expenditure (p. 3) | Drug laws and drug law offences (p. 4) | Drug use (p. 5) | Drug harms (p. 8) | Prevention (p. 10) | Harm reduction (p. 11) | Treatment (p. 12) | Drug use and responses in prison (p. 14) | Quality assurance (p. 15) | Drug-related research (p. 15) | Drug markets (p. 16) | Key drug statistics for Finland (p. 18) | EU Dashboard (p. 20) THE DRUG PROBLEM IN FINLAND AT A GLANCE Drug use Treatment entrants Overdose deaths Drug law offences in young adults (15-34 years) by primary drug in the last year 250 Cannabis 200 23 478 166 150 13.5 % Top 5 drugs seized 100 ranked according to quantities Cannabis, 21% 50 measured in kilograms Amphetamines, 15 % Cocaine, 0 % 0 1. Amphetamine 2011 2012 2013 2015 2014 Opioids, 52 % 2010 2007 2008 2006 9 % 17.9 % 2009 Other, 12 % 2. Herbal cannabis Other drugs Opioid substitution HIV diagnoses 3. Cannabis resin MDMA 2.5 % treatment clients attributed to injecting 4. Cocaine Amphetamines 2.4 % 14 5. Heroin Cocaine 1 % 12 3 000 10 Population 8 (15-64 years) 6 7 High-risk opioid users Syringes distributeddistributed 4 through specialised 2 3 483 757 programmes 0 13 836 2011 2012 2013 2015 2014 2010 2007 2008 2006 2009 Source: EUROSTAT (12 700 - 15 090) 5 301 000 Source: ECDC Extracted on: 26/03/2017 NB: Data presented here are either national estimates (prevalence of use, opioid drug users) or reported numbers through the EMCDDA indicators (treatment clients, syringes, deaths and HIV diagnosis, drug law offences and seizures). -
DEMAND REDUCTION a Glossary of Terms
UNITED NATIONS PUBLICATION Sales No. E.00.XI.9 ISBN: 92-1-148129-5 ACKNOWLEDGEMENTS This document was prepared by the: United Nations International Drug Control Programme (UNDCP), Vienna, Austria, in consultation with the Commonwealth of Health and Aged Care, Australia, and the informal international reference group. ii Contents Page Foreword . xi Demand reduction: A glossary of terms . 1 Abstinence . 1 Abuse . 1 Abuse liability . 2 Action research . 2 Addiction, addict . 2 Administration (method of) . 3 Adverse drug reaction . 4 Advice services . 4 Advocacy . 4 Agonist . 4 AIDS . 5 Al-Anon . 5 Alcohol . 5 Alcoholics Anonymous (AA) . 6 Alternatives to drug use . 6 Amfetamine . 6 Amotivational syndrome . 6 Amphetamine . 6 Amyl nitrate . 8 Analgesic . 8 iii Page Antagonist . 8 Anti-anxiety drug . 8 Antidepressant . 8 Backloading . 9 Bad trip . 9 Barbiturate . 9 Benzodiazepine . 10 Blood-borne virus . 10 Brief intervention . 11 Buprenorphine . 11 Caffeine . 12 Cannabis . 12 Chasing . 13 Cocaine . 13 Coca leaves . 14 Coca paste . 14 Cold turkey . 14 Community empowerment . 15 Co-morbidity . 15 Comprehensive Multidisciplinary Outline of Future Activities in Drug Abuse Control (CMO) . 15 Controlled substance . 15 Counselling and psychotherapy . 16 Court diversion . 16 Crash . 16 Cross-dependence . 17 Cross-tolerance . 17 Custody diversion . 17 Dance drug . 18 Decriminalization or depenalization . 18 Demand . 18 iv Page Demand reduction . 19 Dependence, dependence syndrome . 19 Dependence liability . 20 Depressant . 20 Designer drug . 20 Detoxification . 20 Diacetylmorphine/Diamorphine . 21 Diuretic . 21 Drug . 21 Drug abuse . 22 Drug abuse-related harm . 22 Drug abuse-related problem . 22 Drug policy . 23 Drug seeking . 23 Drug substitution . 23 Drug testing . 24 Drug use . -
American Indian Views of Smoking: Risk and Protective Factors
Volume 1, Issue 2 (December 2010) http://www.hawaii.edu/sswork/jivsw http://hdl.handle.net/10125/12527 E-ISSN 2151-349X pp. 1-18 ‘This Tobacco Has Always Been Here for Us,’ American Indian Views of Smoking: Risk and Protective Factors Sandra L. Momper Beth Glover Reed University of Michigan University of Michigan Mary Kate Dennis University of Michigan Abstract We utilized eight talking circles to elicit American Indian views of smoking on a U.S. reservation. We report on (1) the historical context of tobacco use among Ojibwe Indians; (2) risk factors that facilitate use: peer/parental smoking, acceptability/ availability of cigarettes; (3) cessation efforts/ inhibiting factors for cessation: smoking while pregnant, smoking to reduce stress , beliefs that cessation leads to debilitating withdrawals; and (4) protective factors that inhibit smoking initiation/ use: negative health effects of smoking, parental and familial smoking behaviors, encouragement from youth to quit smoking, positive health benefits, “cold turkey” quitting, prohibition of smoking in tribal buildings/homes. Smoking is prevalent, but protective behaviors are evident and can assist in designing culturally sensitive prevention, intervention and cessation programs. Key Words American Indians • Native Americans • Indigenous • tobacco • smoking • community based research Acknowledgments We would like to say thank you (Miigwetch) to all tribal members for their willingness to share their stories and work with us, and in particular, the Research Associate and Observer (Chi-Miigwetch). This investigation was supported by the National Institutes of Health under Ruth L. Kirschstein National Research Service Award T32 DA007267 via the University of Michigan Substance Abuse Research Center (UMSARC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH or UMSARC. -
Tax, Price and Cigarette Smoking
i62 Tob Control: first published as 10.1136/tc.11.suppl_1.i62 on 1 March 2002. Downloaded from Tax, price and cigarette smoking: evidence from the tobacco documents and implications for tobacco company marketing strategies F J Chaloupka, K M Cummings, CP Morley, JK Horan ............................................................................................................................. Tobacco Control 2002;11(Suppl I):i62–i72 Objective: To examine tobacco company documents to determine what the companies knew about the impact of cigarette prices on smoking among youth, young adults, and adults, and to evaluate how this understanding affected their pricing and price related marketing strategies. Methods: Data for this study come from tobacco industry documents contained in the Youth and Marketing database created by the Roswell Park Cancer Institute and available through http:// roswell.tobaccodocuments.org, supplemented with documents obtained from http://www. See end of article for tobaccodocuments.org. authors’ affiliations Results: Tobacco company documents provide clear evidence on the impact of cigarette prices on ....................... cigarette smoking, describing how tax related and other price increases lead to significant reductions in smoking, particularly among young persons. This information was very important in developing the Correspondence to: F J Chaloupka, Department industry’s pricing strategies, including the development of lower price branded generics and the pass of Economics (m/c 144), through of cigarette excise tax increases, and in developing a variety of price related marketing efforts, University of Illinois at including multi-pack discounts, couponing, and others. Chicago, 601 South Conclusions: Pricing and price related promotions are among the most important marketing tools Morgan Street, Chicago, IL 60607-7121, USA; employed by tobacco companies. -
COVID and Beyond Dart RC Opioid Abuse
Trends within Drug Abuse and Healthcare – COVID and Beyond Richard C. Dart, MD, PhD Director, Rocky Mountain Poison and Drug Safety, Denver Health Executive Director, RADARS® System Professor, University of Colorado School of Medicine Competing Interests RADARS® System is the property of The Denver Health and Hospital Authority (DHHA), a political subdivision of the State of Colorado. RADARS® System is supported by subscriptions from pharmaceutical manufacturers, government and nongovernment agencies for surveillance, research, and reporting services. No subscriber participated in the conception, analysis, drafting, or review of this presentation. 2 3 What Caused the US Opioid Crisis - HHS • In the late 1990s, pharmaceutical companies reassured the medical community that patients would not become addicted to opioid pain relievers and health care providers began to prescribe them at greater rates. • Increased prescription of opioid medications led to widespread misuse of both prescription and non-prescription opioids before it came clear that these medications could indeed be highly addictive. • 2017 HHS declared a public health emergency and announced a five point strategy to combat the opioid crisis https://www.hhs.gov/opioids/about-the-epidemic/index.html 4 What Really Happened? • Health care systems and regulation • Fifth vital sign, patient “satisfaction,” etc. • Careless doctors • We knew better, but let convenience win out. • Criminal behavior • Opioid marketing • Aggressive, irresponsible • Increased supply of illicit opioids • Lack of treatment for OUD • Good, but after the fact, insufficient to meet demand • Increased demand? 5 What Happened to Rx Drug Abuse? 10 Years ago… Prescription drug abuse is the Nation's fastest-growing drug problem, and the Centers for Disease Control and Prevention has classified prescription drug abuse as an epidemic. -
Best Practices for Comprehensive Tobacco Control Programs: 2014
Best Practices for Comprehensive Tobacco Control Programs 2014 Suggested Citation Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs — 2014. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. Ordering Information To download or order copies of this report, go to www.cdc.gov/tobacco or to order single copies, call toll-free 1 (800) CDC-INFO 1 (800) 232-4636 Best Practices for Comprehensive Tobacco Control Programs 2014 The following individuals from the Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health (OSH), were primary contributors to the preparation of this publication: Brian King, PhD, MPH Terry Pechacek, PhD Peter Mariolis, PhD The following OSH staff also contributed to the preparation of this publication: Judy Ahearn, BS; Stephen Babb, MPH; Diane Beistle, BA; Rebecca Bunnell, PhD; Ralph Caraballo, PhD; Shanta Dube, PhD, MPH; Monica Eischen, BS; Jami Fraze, PhD; Erika Fulmer, MHA; Bridgette Garrett, PhD, MS; Karen Gutierrez, BA; Carissa Holmes, MPH; David Homa, PhD, MPH; Brandon Kenemer, MPH; Rene Lavinghouze, MA; Allison MacNeil, MPH; Ann Malarcher, PhD, MSPH; Kristy Marynak, MPP; Timothy A. McAfee, MD, MPH; Sarah O’Leary, MPH, MA; Gabbi Promoff, MA; Robert Rodes, MS, MBA, MEd; Patti Seikus, MPH; Shawna Shields, MPH; Kisha Smith, MPH; Karla S. Sneegas, MPH; Xin Xu, PhD; and Lei Zhang, PhD. OSH also gratefully acknowledges the contributions provided by the following individuals: David Abrams, PhD, Legacy; Rob Adsit, MEd, University of Wisconsin; Linda Bailey, MHS, JD, North American Quitline Consortium; Cathy Callaway, BS, American Cancer Society Cancer Action Network; Jennifer Cantrell, DrPH, MPA, Legacy; Thomas Carr, BA, American Lung Association; Julia Cartwright, BA, Legacy; Frank Chaloupka, PhD, University of Illinois–Chicago; K. -
Civil Society Monitoring of Harm Reduction in Europe, 2019
Correlation Correlation European DATA REPORT Eropean Harm Reduction R C Network C Network CIVIL SOCIETY MONITORING OF HARM REDUCTION IN EUROPE, 2019 DATA REPORT 1 CIVIL SOCIETY MONITORING OF HARM REDUCTION IN EUROPE, 2019 ® Correlation – European Harm Reduction Network, 2019. This publication of Correlation – European Harm Reduction Network is protected by copyright. Reproduction is authorised provided the source is acknowledged. Recommended citation: Tammi, T., Rigoni, R., Matičič, M., Schäffer, D., van der Gouwe, D., Schiffer, K., Perez Gayo, R., Schatz, E. (2020): Civil Society Monitoring of Harm Reduction in Europe, 2019. Data Report. Correlation European Harm Reduction Network, Amsterdam. Correlation – European Harm Reduction Network c/o Foundation De REGENBOOG GROEP Droogbak 1d 1013 GE Amsterdam The Netherlands www.correlation-net.org This project has been supported by the European Commission. Correlation - European Harm Reduction Network is co-funded by the European Union 2 Correlation European DATA REPORT Harm Reduction C Network CIVIL SOCIETY MONITORING OF HARM REDUCTION IN EUROPE, 2019 DATA REPORT 3 CIVIL SOCIETY MONITORING OF HARM REDUCTION IN EUROPE, 2019 CONTRIBUTORS Editor: The data network: Graham Shaw Albania: Genci Mucollari, Aksion Plus Austria: Alexandra Karden & Barbara Siokola, Scientific expert group: Suchthilfe Wien Tuukka Tammi (THL), Dagmar Hedrich (EMCDDA), Belgium: Peter Blanckaert & Tessa Windelinckx, Sam Shirley-Beavan (HRI), Perrine Roux (INSERM). Free Clinic Bosnia and Herzegovina: Samir Ibisevic, PROI -
Tobacco Control
TOBACCO CONTROL Playbook World Health Organization ABSTRACT Tobacco control is difficult and complex and obstructed by the tactics of the tobacco industry and its allies to oppose effective tobacco control measures. This document was developed by the WHO Regional Office for Europe by collecting numerous evidence-based arguments from different thematic areas, reflecting the challenges that tobacco control leaders have faced while implementing various articles of the WHO FCTC and highlighting arguments they have developed in order to counter and succeed against the tobacco industry. KEY WORDS TOBACCO CONTROL WHO FCTC HEALTH EFFECTS TOBACCO INDUSTRY ARGUMENTS © World Health Organization 2019 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication.