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New Directions in Tobacco Control. Presentation to alPHa February 25, 2010. Purpose. To outline major components of the New Directions in Tobacco Control To highlight next steps. Tobacco control is a strategic focus for MHP.

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new directions in tobacco control
New Directions in Tobacco Control

Presentation to alPHa February 25, 2010

  • To outline major components of the New Directions in Tobacco Control
  • To highlight next steps
tobacco control is a strategic focus for mhp
Tobacco control is a strategic focus for MHP
  • Tobacco use continues to be a leading cause of preventable disease and death in Ontario.
  • Over 1.7 million Ontarians still smoke.
  • Theeconomicimpactof tobaccouse in Ontario isan estimated $6.1 billion.
  • Tobacco use is highly correlated with other chronic diseases including: heart, pulmonary and respiratory diseases, diabetes and cancer.
  • Smoking rates remain high among certain populations:
      • 61% of First Nations girls and 47% of Aboriginal boys age 15 – 17 smoke
      • Prevalence of tobacco use is higher among young adults than any other age group in Ontario
      • Prevalence among blue collar workers in Ontario is more than twice that of white-collar workers
  • The tobacco industry estimates contraband represents approx. 23% -50% of market. Contraband/illegal cigarettes market has an impact on accessibility.

New Directions in Tobacco Control:Why a Renewed Strategy?

  • New Targets: Ontario risks losing ground.Need new targets/plan.
  • Economic and health benefits: Billions of dollars in direct health care costs and lost productivity, measurable impacts on related conditions (diabetes, asthma, heart disease).
  • Smoking rates have leveled off: A new approach is needed to achieve further reductions.
  • Some populations are at increased risk: e.g., Aboriginal, low SES, young males.
  • Smoking Cessation: Cessation programs reach only 4% of smokers annually, although 600,000 smokers in Ontario plan to quit in next 30 days. Need integrated and sustainable system.
  • Contraband: The rising use of low-cost illegal tobacco has removed tobacco tax increases from the tobacco control toolkit, fuelling increased tobacco use in the most price-sensitive segments (e.g., youth).
new directions in tobacco control1
New Directions in Tobacco Control


  • Develop a comprehensive 5-year government-wide strategy
  • Engage stakeholders and partners in its development and implementation

A Government-wide strategy will allow Ontario to:

  • Better coordinate tobacco control interventions.
  • Develop a more comprehensive/integrated cessation system
  • Maximize the outcomes of MHP’s current investments and leverage new investments. Better link tobacco control with other government commitments including chronic disease prevention and other relevant government strategies.
  • Better coordinate messaging and communications.
strategy development
Strategy Development
  • Reviewing the evidence
  • Ontario Agency for Health Protection and Promotion has been contracted by MHP to convene Scientific Advisory Committee (SAC) to provide a report on scientific and technical input/evidence to inform new strategy
  • Report will feature results of consultations led by SAC with tobacco stakeholders
  • Report will be provided to MHP on March 31
  • Ontario Tobacco Research Unit (OTRU) providing statistics and other research support
strategy development continued
Strategy Development continued…

2. Input from stakeholders/working groups

  • MHP has established a Tobacco Strategy Advisory Group (TSAG) to provide advice in strategy development.
      • Will review/discuss changes in tobacco control environment since the original SFO Strategy was initiated, evidence-based findings of the Scientific Advisory Committee, and, where appropriate, the work undertaken by other related working groups or advisory groups
      • Short-term committee (one year)
      • Made up of NGOs (eg: Heart and Stroke Foundation of Ontario), health HR organizations (eg: Registered Nurses Association of Ontario, Ontario Medical Association), research organizations (eg: OTRU), TCANs and Health Units (Dr. Robert Kyle and Dr. Hazel Lynn represent COMOH).
      • Co-Chaired by Jean Lam (MHP) and Dr. George Pasut (Cancer Care Ontario)
strategy development continued1
Strategy Development continued…

3. Involving other Ministries

  • ADMs’ Inter-Ministerial Committee on Tobacco Control (ICTC):
  • Members:
      • Ministry of Health Promotion (Chair)
      • Ministry of Health and Long-Term Care
      • Ministry of the Attorney General (Litigation)
      • Ministries of Revenue, Finance (Contraband strategy, taxation)
      • Ministry of Agriculture, Food and Rural Affairs (Conversion of tobacco growers)
      • Ministry of Labour (workplace)
      • Ministry of Education (youth, prevention)
      • Ministry of Aboriginal Affairs
      • Ministry of Government Services (Services available to OPS employees)
      • Ministry of Municipal Affairs and Housing
strategy development continued2
Strategy Development continued…

4. Development of New Directions in Tobacco Control Strategy

  • Input from Ontario Agency for Health Protection and Promotion/Scientific Advisory Committee, Ontario Tobacco Research Unit, Tobacco Strategy Advisory Group, ADM’s Inter-ministerial Committee on Tobacco Control and other working groups will inform development of Strategy
  • Project team policy staff reviewing tobacco control goals and strategies of other jurisdictions, enforcement activities, possible information gaps in work of SAC and TSAG that will need to be addressed
  • Target date for Strategy to be developed for government’s consideration: June 2010