scholarly journals Tobacco control in Mexico: A decade of progress and challenges

10.21149/9360 ◽  
2019 ◽  
Vol 61 (3, may-jun) ◽  
pp. 292 ◽  
Author(s):  
Luz Myriam Reynales-Shigematsu ◽  
Heather Wipfli ◽  
Jonathan Samet ◽  
Justino Regalado-Pineda ◽  
Mauricio Hernández-Ávila

Mexico was the first country in the Americas to sign and ratify the World Health Organization’s (WHO) Framework Convention on Tobacco Control (FCTC) in 2004. More than a decade later, it is appropriate to evaluate legislative and regulatory progress and the associated challenges; and also, to propose a roadmap to prioritize the problems to be addressed to achieve long-term sustainable solutions. Mexico has made substantial progress in tobacco control. However, regulations have been only weakly enforced. The tobacco industry continues to interfere with full implementation of the WHO-FCTC. As a result, tobacco consumption remains stable at about 17.6%, with a trend upwards among vulne­rable groups: adolescents, women and low-income groups. The growing popularity of new tobacco products (electronic cigarettes or e-cigs) among young Mexicans is an increasing challenge. Our review reveals the need to implement all provisions of the WHO-FCTC in its full extent, and that laws and regulations will not be effective in decreasing the tobacco epidemic unless they are strictly enforced.

2018 ◽  
Vol 49 (2) ◽  
pp. 199-205
Author(s):  
Catherine O Egbe ◽  
Charles DH Parry ◽  
Bronwyn Myers

Tobacco use is the single largest preventable cause of death globally. For years, the tobacco industry sought to create a tobacco product that is less controversial than conventional cigarettes. Electronic cigarettes were created out of the supposed need to supply consumers of tobacco products with a less harmful tobacco product. The question remains, is it really less harmful for consumers of traditional cigarettes and other tobacco products to switch to electronic cigarettes? This article takes a closer look at the overall harm in relation to benefits of using electronic cigarettes for the individual and public health and the unintended negative consequences the introduction of electronic cigarette has had on overall public health. Given the evidence that the use of electronic cigarettes is a gateway to the use of other tobacco products especially among adolescents, we view electronic cigarettes as having the potential to cause a rebound of the tobacco use glut which the global public health community has been succeeding in reversing. We therefore support the World Health Organization’s suggestion that electronic cigarettes should be regulated as other tobacco products since there is, as yet, no harmless tobacco product. In the same vein, we view the new Tobacco Products and Electronic Delivery Systems Bill seeking to regulate electronic cigarettes in South Africa as other tobacco products as a step in the right direction.


2009 ◽  
Vol 16 (2_suppl) ◽  
pp. 38-90 ◽  
Author(s):  
Charles W. Warren ◽  
Veronica Lea ◽  
Juliette Lee ◽  
Nathan R. Jones ◽  
Samira Asma ◽  
...  

Tobacco use is the leading preventable cause of death and disease in the world; yet little is known about the levels or patterns of youth tobacco use on a global basis. The purpose of this paper is to focus on change in youth tobacco use using data from 100 sites that have conducted repeat Global Youth Tobacco Surveys (GYTS). The GYTS is a school-based survey that collects data from students aged 13–15 years using a standardized methodology for constructing the sample frame, selecting schools and classes, and processing data. GYTS is conducted in school classes using self-administered anonymous data collection. The GYTS sample produces representative, independent, cross-sectional estimates for each sampling frame. Of the 100 sites surveyed, 61 reported no change over time in prevalence of cigarette smoking, likewise in 50 of the 97 sites with data on use of other tobacco products there was no change. However, 34 sites reported an increase in other tobacco use. This appears to be attributed to waterpipe, an emerging trend in tobacco use. Evidence was found supporting the idea that tobacco use among adolescent girls is likely increasing. The global tobacco control effort continues to face many challenges in reversing the tobacco epidemic. Few countries have implemented comprehensive tobacco control legislation laid out by the World Health Organization. The few countries that have adopted some of these proven policies can serve as examples in achieving positive results in curbing the tobacco epidemic. (Global Health Promotion, 2009; Supp (2): pp. 38–90)


1993 ◽  
Vol 9 (5) ◽  
pp. 913-959 ◽  
Author(s):  
Marion Moses ◽  
Eric S. Johnson ◽  
W. Kent Anger ◽  
Virlyn W. Burse ◽  
Sanford W. Horstman ◽  
...  

Although people of color and low-income groups bear a disproportionate share of the health risks from exposure to pesticides, research attention has been meager, and data on acute and chronic health effects related to their toxic exposures are generally lacking. Increased resources are needed both to study this issue and to mitigate problems already identified. People of color should be a major research focus, with priority on long-term effects, particularly cancer, neurodevelopmental and neurobehavioral effects, long-term neurological dysfunction, and reproductive outcome. Suitable populations at high risk that have not been studied include noncertified pesticide applicators and seasonal and migrant farm workers, including children.


2018 ◽  
Vol 27 (Suppl 1) ◽  
pp. s111-s117 ◽  
Author(s):  
Stella A Bialous ◽  
Stanton A Glantz

There has been a global decline in tobacco consumption that, if continued, will negatively impact the tobacco industry’s profits. This decline led the industry to invent and market new products, including heated tobacco products (HTP). HTP are an extension of the industry’s strategies to undermine government’s tobacco regulatory efforts as they are being promoted as part of the solution for the tobacco epidemic. Under the moniker of ‘harm reduction’, the tobacco companies are attempting to rehabilitate their reputation so they can more effectively influence governments to roll back existing tobacco control policies or create exemptions for their HTP. Rolling back tobacco control policies will make it easier for the companies to renormalise tobacco use to increase social acceptability for all their products. When regulations are absent or when loopholes exist in classifying HTP as a tobacco product (thus subject to all tobacco control regulations), the industry’s marketing of HTP is making these products more visible to the public and more accessible. Governments need to ensure that HTP are regulated as tobacco products or drugs and reject partnerships with the tobacco companies to promote ‘harm reduction’. The tobacco companies remain the vector of the tobacco-caused epidemic and cannot be part of the global tobacco control solution.


1986 ◽  
Vol 18 (7) ◽  
pp. 901-911 ◽  
Author(s):  
A D H Crook

This is the third in a series of four papers describing and evaluating the British Government's policies of privatising housing. In this paper the research on the short-run impact of the low-cost homeownership programme is examined, by looking at the right to buy, shared ownership, improvement for sale, and homesteading, and at starter homes and licence schemes. The purchasers who have benefited from the programme are identified and the reasons for some of the failures of the policy to reach priority groups and areas of need are examined. An evaluation of the programme is made under three headings: the extent to which new investment is generated, the extent to which benefits are restricted to groups in need, and the long-term consequences of expanding homeownership amongst low-income groups. It is concluded that privatisation cannot be achieved without continued state support and regulation.


2018 ◽  
Vol 28 (Suppl 2) ◽  
pp. s119-s128 ◽  
Author(s):  
Janet Chung-Hall ◽  
Lorraine Craig ◽  
Shannon Gravely ◽  
Natalie Sansone ◽  
Geoffrey T Fong

ObjectiveTo present findings of a narrative review on the implementation and effectiveness of 17 Articles of the WHO Framework Convention on Tobacco Control (FCTC) during the Treaty’s first decade.Data sourcesPublished reports on global FCTC implementation; searches of four databases through June 2016; hand-search of publications/online resources; tobacco control experts.Study selectionWHO Convention Secretariat global progress reports (2010, 2012, 2014); 2015 WHO report on the global tobacco epidemic; studies of social, behavioural, health, economic and/or environmental impacts of FCTC policies.Data extractionProgress in the implementation of 17 FCTC Articles was categorised (higher/intermediate/lower) by consensus. 128 studies were independently selected by multiple authors in consultation with experts.Data synthesisImplementation was highest for smoke-free laws, health warnings and education campaigns, youth access laws, and reporting/information exchange, and lowest for measures to counter industry interference, regulate tobacco product contents, promote alternative livelihoods and protect health/environment. Price/tax increases, comprehensive smoking and marketing bans, health warnings, and cessation treatment are associated with decreased tobacco consumption/health risks and increased quitting. Mass media campaigns and youth access laws prevent smoking initiation, decrease prevalence and promote cessation. There were few studies on the effectiveness of policies in several domains, including measures to prevent industry interference and regulate tobacco product contents.ConclusionsThe FCTC has increased the implementation of measures across several policy domains, and these implementations have resulted in measurable impacts on tobacco consumption, prevalence and other outcomes. However, FCTC implementation must be accelerated, and Parties need to meet all their Treaty obligations and consider measures that exceed minimum requirements.


2020 ◽  
Author(s):  
Fatih Uznay ◽  
Sevtap Gumus

BACKGROUND IQOS is a heated tobacco product which has been spreading worldwide. The manufacturer of the product claims that IQOS is less harmful than conventional cigarettes. OBJECTIVE This study determined the perceptions and attitudes of IQOS users in Turkey and evaluated the possible impacts of heated tobacco products (HTPs) on tobacco control policies and their implementation in the future. METHODS HTPs are banned in Turkey. However, obtaining IQOS in the black market is easy. We conducted a survey consisting of 30 questions by reaching 100 IQOS users within 13 months in the city of Izmir. We used descriptive statistics to analyse the data. RESULTS Of the 100 IQOS users surveyed, (1) 98% stated that IQOS is less harmful than conventional cigarettes (CC); (2) 98% experienced positive changes to their health after completely switching to IQOS from CC; (3) 76% used IQOS in closed spaces; (4) 82% did not reduce their daily tobacco consumption; (5) 62% stated that IQOS encourages ex-smokers to relapse; (6) 80% stated that IQOS stimulates children and young people to start smoking; (7) 86% stated that the smoking satisfaction from IQOS is very close/equal to that from CC; (8) 56% stated that IQOS makes a positive contribution to their personal image; and (9) 40% claimed that quitting IQOS can be easier than quitting CC. CONCLUSIONS HTPs could cause the tobacco epidemic to grow by undermining smokers’ efforts to quit and encouraging ex-smokers, children and young people to start smoking. The idea that IQOS is less harmful than CC, together with the emerging misleading suggestion that nicotine may block COVID-19 symptoms, could trigger the proliferation of HTPs during the COVID-19 pandemic.


2019 ◽  
Vol 66 (4) ◽  
pp. 510
Author(s):  
Marilyn Urrutia-Pereira ◽  
Herberto José Chong-Neto ◽  
Dirceu Solé

Smoking is still the leading cause of illness and preventable death across the world. The financial cost of smoking is estimated at 1.4 billion USD per year around the world. The Report on Tobacco Control in the Region of The Americas aims to provide an overview of the current state of trends in the tobacco epidemic and the implementation of effective policies to combat it. This report presents updated and validated data about prevalence, tobacco-related mortality, and progress on adopting legislation and policies associated with the six known measures to stop smoking, MPOWER of the World Health Organization.


2019 ◽  
Author(s):  
Ke Liu . ◽  
Jiawei Leng

BritainandChinahaveexperiencedperiodsofrapidpopulationgrowthandinadequate housing construction. Social housing is a form of housing tenure easing the housing pressure. It solves residential demands of different living patterns in middle to low-income groups. The sustainable strategy lies in three aspects:1. Making the utmost use of the local natural environment;2. Providing reasonable public spaceandsuitabletraffic to revitalize community awareness; and 3. The holistic design of multiple dwelling units for different people and long-term needs. This paper shows two projects – Park Hill in Sheffield, UK and Longnan Garden in Shanghai – as precedents of how to design social housing with sustainable approaches by following the local natural characteristics,by respecting traditions and the different demands of residents and the long-term housing usage. UP TO HERE Compared with China’s 20-year social housing development, that in Britain has a long history and presents complicated multiplicities, could provide significant references. This paper shows that such communities could be design in steps: using the organic gallery apartment building layout, the special corridor system connecting the public function to neighborhoods, SI House theories optimizing the hostile design of dwelling units and components. During the design, the local nature and tradition should be respected. Specifically, the Park Hill is built up along the sloping field, four types of apartment units are based on the traditional terraced house, designed holistically for different families; the deck, which is called “street in the sky”, is not only the traffic but also the active place promoting public and neighborhoods relationships; the renovation design retains the former structure and makesthemaximizationofindoorflexibility.LongnanGardenissurroundedbyexisting resident districts; the organic planning based on the traditional courtyards ensures the enough sunlight and river views in the community; the community environment is improved by the courtyards,which include the ground are and roof gardens;elevated corridors run through courtyards connecting common rooms on the second floor; the 7.6-meter-heightskeletonisinnovatedfromSIhousingandtheexperienceofEuropean social housing. The paper summarizes the development tendency of social housing and provides reference for future.


2021 ◽  
Vol 27 (2) ◽  
pp. 239-243
Author(s):  
Luisa S. Flor ◽  
Marissa B. Reitsma ◽  
Vinay Gupta ◽  
Marie Ng ◽  
Emmanuela Gakidou

AbstractSubstantial global effort has been devoted to curtailing the tobacco epidemic over the past two decades, especially after the adoption of the Framework Convention on Tobacco Control1 by the World Health Organization in 2003. In 2015, in recognition of the burden resulting from tobacco use, strengthened tobacco control was included as a global development target in the 2030 Agenda for Sustainable Development2. Here we show that comprehensive tobacco control policies—including smoking bans, health warnings, advertising bans and tobacco taxes—are effective in reducing smoking prevalence; amplified positive effects are seen when these policies are implemented simultaneously within a given country. We find that if all 155 countries included in our counterfactual analysis had adopted smoking bans, health warnings and advertising bans at the strictest level and raised cigarette prices to at least 7.73 international dollars in 2009, there would have been about 100 million fewer smokers in the world in 2017. These findings highlight the urgent need for countries to move toward an accelerated implementation of a set of strong tobacco control practices, thus curbing the burden of smoking-attributable diseases and deaths.


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