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2. Tobacco control

The term tobacco control refers to an internationally recognised, evidence based approach to tackling the harm caused by tobacco. National and international evidence has demonstrated that in order to eliminate the health and economic burden of tobacco use, there is a need for a comprehensive mix of educational, clinical, regulatory, economic and social strategies. The ultimate aim of these combined strategies will be the de-normalisation of tobacco use amongst those populations at most risk of tobacco-related harm.

Every year about 200,000 young people start smoking in the UK and evidence shows that the primary risk factor is having parents or siblings who smoke. Children with family members who smoke are up to three times more likely to become smokers themselves than children whose parents are non-smokers[1]. There is limited evidence for the effectiveness of  interventions that focus on reducing the uptake of smoking by young people.  In South Gloucestershire we will use a range of interventions to encourage current smokers to stop and the prevention of young smokers starting to smoke.

The need for a comprehensive, multi-stranded and sustained programme of tobacco control is recognised in the World Health Organisation’s (WHO) Framework Convention for Tobacco Control (FCTC). Comprehensive tobacco control plans are built upon six internationally recognised strands, which are:

  • Preventing the promotion of tobacco by enforcing bans on tobacco advertising, promotion and sponsorship
  • Making tobacco less affordable
  • Effective regulation of tobacco products and clamping down on illicit supplies
  • Helping smokers to quit
  • Reducing exposure to second-hand smoke
  • Effective communications to improve awareness of the harm caused by tobacco

This three year strategy sets out a range of actions across the following three themes:

Prevention

We will continue to deliver effective communication and education campaigns to increase awareness of the risk of smoking and prevent uptake of tobacco use.

We will ensure our campaigns reach the communities with already high smoking prevalence including routine and manual workforce, deprived communities, and those in mental health settings.

We will work towards creating environments where young people and adults choose not to smoke.

We will continue to train the wider public health workforce on the harms of smoking tobacco and second-hand smoke so that they have the skills to intervene early.

Protection

We will work with the wider public health workforce, partners and community groups to reduce exposure to and protect people from second-hand smoke.

We will work with partners to reduce the availability and supply of tobacco products to children and young people.

We will work with partners to ensure compliance with Smokefree and tobacco sales legislation.

We will work with partners to reduce supply and demand for illegal tobacco.

Cessation

We will continue to support all smokers who wish to quit tobacco.

We will continue to deliver high quality social marketing campaigns, increasing motivation amongst those who are contemplating a quit attempt.

We will work with other healthcare professionals and partners to deliver Smokefree Brief Interventions, Making Every Contact Count.

We will ensure services meet the needs of communities with high smoking prevalence including routine and manual workforce, deprived communities and mental health service users.

We will ensure that all Smokefree Services reach out to users of electronic nicotine delivery devices who wish to quit tobacco.

We will continue to support the Smokefree Service workforce to deliver high quality services through the provision of ongoing Continuous Professional Development.


[1] Leonardi-Bee J, Jere ML, Britton J. Exposure to parental and sibling smoking and the risk of smoking uptake in childhood and adolescence: a systematic review and meta-analysis. Thorax 15 Feb. 2011 doi:10.1136/thx.2010.153379