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Housing and Community Safety Select Committee 7 June 2012

This review provides an overview of the effects of smoking on health and the local tobacco control approach in Stockton-on-Tees. It includes statistics on smoking prevalence, health outcomes, and achievements to date. The future development of tobacco control, including plain packaging and targeting vulnerable groups, is also discussed.

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Housing and Community Safety Select Committee 7 June 2012

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  1. Housing and Community Safety Select Committee7 June 2012 Review of Tobacco Control

  2. Tobacco Control: An overview Ruth Hill Assistant Director of Health Improvement

  3. Background: smoking • Smoking is the single biggest preventable cause of premature death in Stockton • 18% of deaths in adults over 35 are a result of smoking (approx. 290 deaths per yr in Stockton) • Smoking accounts for over half of the difference in risk of premature death between social classes • Smoking costs Stockton approx. £56 million each year

  4. Smoking: Effects on health • 28% of premature deaths in Stockton are smoking attributable (Approx. 291 each year) • Smoking is associated with a range of diseases: • Cardiovascular Disease (CVD) • Respiratory diseases including Chronic Obstructive Pulmonary Disorder (COPD) and asthma • Cancer • Smoking in pregnancy – increases risk miscarriage, premature births and a range of other health outcomes

  5. Smoking Prevalence in Stockton-on-Tees • 19.6% of adults smoke (approx. 35,000 people) • Massive inequalities in smoking prevalence across Stockton wards • strong correlation between smoking & deprivation • 48% smoking prevalence in Stockton town centre • Young people: • no robust mechanisms for measuring prevalence • Stockton Social Norms Project: identified that approx. 15% of college students in sample smoked, with 38% taking up smoking at 14 years of age

  6. Smoking prevalence continued… • Pregnancy: 18.4% of pregnant mothers in Stockton were reported as smokers at time of delivery • Mental health: High prevalence of smoking in those with mental health problems (70% in inpatient units) • Prison & probation: High prevalence in those in prison and probation services (80% of prisoners)

  7. Local Tobacco Control Approach • Based on the 6 strands of tobacco control: • Build Stop Smoking Services and strengthen local action • Reduce exposure to second-hand smoke • Support national education and media campaigns • Reduce tobacco promotion • Tobacco regulation • Reduce the availability and supply of tobacco products. • FRESH North East – provide regional support & coordination

  8. Some Achievements to date… • Year–on-year reduction in av. smoking prevalence • Stop smoking training – mandatory for all midwives • Tobacco control resources developed and delivered within secondary schools as part of PSHE • 719 premises inspected (11/12), Majority complied with smoke free legislation • 11 HMRC referrals relating to illicit tobacco & approx. 8,000 counterfeit cigarettes seized • 17 underage test purchases – 0 sales to under 18s • Year-on-year increases in smoking quitters

  9. Future Development • Strengthen tobacco control regulation & promotion • Plain standardised packaging • Second hand smoke in cars • Preventing smoking uptake by young people • Strengthening stop smoking services • Focus on smoking in pregnancy • Focus on vulnerable groups and reducing health inequalities • Public Health transition – transfer of responsibilities

  10. Tobacco Control and Regulation in Stockton-on-Tees Dave Kitching Trading Standards and Licensing Manager

  11. Tobacco Control & Regulation • Tobacco - a Stockton perspective • What is tobacco and tobacco control? • Regulation at point of sale • Age restrictions and control • Tobacco promotion • Illicit tobacco

  12. Tobacco Definition A ‘tobacco product’ is defined as consisting wholly or partly of tobacco and intended to be smoked, sniffed, sucked or chewed

  13. Tobacco Control Definition

  14. Regulation At Point Of Sale

  15. Regulation At Point Of Sale

  16. Age Restrictions & Controls It has been illegal to sell to under 16’s since 1908 and under 18’s since 2007

  17. Age Restrictions & Controls

  18. Tobacco Promotion

  19. Illicit Tobacco

  20. Illicit Tobacco Tobacco fraud costs UK taxpayer over £2 billion per annum

  21. Illicit Tobacco

  22. Plain Packaging

  23. Plain Packaging

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