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Party Region 2023 2020 2018
Sudan EMR Answer not provided تم تحديث اللجنة الوطنية وتفعيل دورها في مكافحة التبغ تم وضع مقترح اولي لاستراتيجية مكافحة التبغ علي ان تجاز من اللجنة الوطنية تم الموافقة المبدئية من قبل جهاز الاتصالات في العام 2018 5-1 تم التخطيط لوضع خطة استراتيجية لمدة 5 سنوات مع الجهات ذات الصلة 5-2 تم التنسيق لمركز اتصال لمكافحة التبغ
Suriname AMR Answer not provided A tobacco control Unit/ a national coordinating mechanism for tobacco control as mentioned in our Tobacco law Art 19 was installed for 1 year 2013-2014.. This unit needs to be re-installed. This National Coordination Mechanism is not operational currently/ no work meetings since the end o this period (2013 -2014). Ministry of Health is in the process to reinstall this mechanism. Answer not provided
Sweden EUR Answer not provided Sweden has adopted a new law on tobacco and similar Products (2018:2088) The government 2015 gave the Swedish Customs, the Swedish Police, The Swedish Economic Crime Authority and the Swedish Tax Agency a commission to mapping how the work to prevent illegal handling of excise duty goods is done by of the agencies and analyze how co-operation can be improved. The results were remitted in February 2018. http://www.regeringen.se/492373/contentassets/7a861eed2e4d4dcf96024cfb6443a157/vissa-kontrollfragor-och-andra-fragor-pa-punktskatteomradet.pdf
Syrian Arab Republic EMR Answer not provided تم اعادة تشكيل اللجنة الوطنية لمكافحة التدخين اواخر عام 2016 وتحديث للخطة الوطنية التي ستعمل بالفترة المقلة على تعزيز القوانين والتشريعات الوطنية المستندة على االاتفاقية الاطارية الصحة العالمية لمكافحة التدخين تم اعادة تشكيل اللجنة الوطنية لمكافحة التدخين اواخر عام 2016 وتحديث للخطة الوطنية التي ستعمل بالفترة المقلة على تعزيز القوانين والتشريعات الوطنية المستندة على االاتفاقية الاطارية الصحة العالمية لمكافحة التدخين
Tajikistan EUR Report not provided Report not provided Report not provided
Thailand SEA Thailand Government announced it would set a new target of reducing smoking rates below 14 % by 2027. The new target reflects the Government’s ongoing commitment to reducing tobacco use in Thailand. Currently, The Third National Strategic Plan for Tobacco Control, 2022–2027 (B.E. 2565–2577) sets out a national policy framework for the Thailand Government to work together and in collaboration with non-government organizations (NGOs) to improve the health of all Thailand by reducing the prevalence of smoking and its associated health, social and economic costs, and the inequalities it causes. This National Strategic Plan is multidisciplinary and was approved by the Cabinet on February 15, 2022. This National Strategic Plan consists of six strategies, which are Strategy 1: Strengthen and enhance the country's tobacco control capability. Strategy 2: Prevent the emergence of new tobacco users and monitor tobacco businesses. Strategy 3: Provide treatment for addicts to help them stop using tobacco. Strategy 4: Control, inspect, monitor, and disclose the ingredient lists of tobacco products Strategy 5: Create a smoke-free environment Strategy 6: Enforce measures for tax collection and for the prevention and suppression of illegal tobacco products. Tobacco products control in Thailand has been financially supported by various organizations, such as ThaiHealth Promotion Foundation, World Health Organization (WHO), Tobacco Control Research and Knowledge Management Center (TRC). ThaiHealth Promotion Foundation is an autonomous state agency which outside the formal structure of government. ThaiHealth Promotion Foundation is funded by sin taxes - 2% surcharge of excise tax on cigarettes and alcohol beverages. The fund is used as monetary support for various activities related health promotion including tobacco control for government, non-government and civil society since 2001. The strategic national control plan has extended for 2 more years (from originally 2015 -2019) to further achieve smoking prevalence at 16.7% and exposure from second hand smoke at 25%. In 2019, standardized packaging for cigarette was introduced and in 2020 standardized packaging for shredded tobacco was introduced. For article 5.1 (financial resources and mechanisms of assistance), Tobacco Control in Thailand has been financially supported by various organizations, such as Health Promotion Foundation, CDCF, WHO, Tobacco Control Research and Knowledge Management Center (TRC). ThaiHealth is an autonomous state agency which outside the formal structure of government. ThaiHealth is funded by sin taxes - 2% surcharge of excise tax on cigarettes and alcohol beverages. The fund is used as monetary support for various activities related health promotion including tobacco control for government, non-government and civil society since 2001. For article 5.2 (reporting and exchange of information), in the past two years Thailand attended various meetings for sharing information and lessons learned, such as 7th Conference of Parties of the WHO FCTC , Working Group on Article 5.3, 6, 9 and 10,15, Technical Workshop on Tobacco Plain Packaging, ASEAN Health cluster 1 :Promoting Health Lifestyle, Third Meeting on South-South and Triangular Cooperation to Promote Implementation of the WHO FCTC in the era of the SDGs, First Meeting of the Global Tobacco Regulators Forum
Timor-Leste SEA Report not provided Report not provided The comprehensive of the national tobacco control decree law was developed and it was approved on June 2016 by the President of Timor-Leste
Tonga WPR Answer not provided Over the past two years since the last report, there has been better coordination and active collaboration from all sectors involved in terms of responsibility and roles they played in the national tobacco control coordination and management levels. There were more funding secured from Tonga Health as the primary donor for implementation of the national strategy including tobacco control, and also better coordination of the implementation of the national Strategy. There is also strong political support from government that allows consistent increases in tobacco taxation more recently. Also support from Church Leaders in enforcement of the tobacco free places in church facilities. Over the past two years since the last report submission in 2016, there has been better coordination and active collaboration from all sectors involved in terms of responsibility and roles they played in the national tobacco control coordination and management levels. There were more funding secured from Tonga Health as the primary donor for implementation of the national strategy including tobacco control, and also better coordination of the implementation of the national Strategy. There is also strong political support from government that allows consistent increases in tobacco taxation more recently. Also support from Church Leaders in enforcement of the tobacco free places in church facilities.
Trinidad and Tobago AMR On September 26, 2022, Legal Notice No. 191 of 2022: The Tobacco Control (Amendment) Regulations, 2019 was published in the Trinidad and Tobago Gazette. This therefore signified the end of the one-year administrative moratorium on tobacco products mandating that all tobacco products for sale in TTO must bear all the packaging and labelling requirements of the legislation, inclusive of the graphic health messages (pictures and text). Focal unit established, with multisectoral partnership. Amendments to the Tobacco Control Regulations of 2013 to include pictorial health warnings are to be tabled before Parliament. Four (4) additional smoking cessation clinics have been established since last reporting cycle, to bring total number of existing clinics to six (6). Adherence to prohibitions relating to smoking in public places continues as well as the public outreach education programme which targets schools and the general public. Focal unit established, with multisectoral partnership. The Tobacco Control Act was passed in 2009, and the Tobacco Control Regulations was passed in 2013. Draft tobacco control policy submitted for ratification. There is adherence to prohibitions relating to smoking in public places. Two pilot smoking cessation clinics established. We have a strong public outreach education programme, targeting schools and the general public.
Tunisia EMR dans le cadre de l'officialisation du Comité National de Lutte contre le Tabac, un Décret Présidentiel à été élaboré par les différents secteurs et partenaires concernés, qui est actuellement en instance de validation par la Présidence du Gouvernement 1- La législation * La loi N°17/98 du 23 Février 1998 relative à la prévention contre les méfaits du tabac * Le décret N° 2248 de l’année 1998 relatif à l’identification des lieux publics où il est interdit de fumer (structures éducatives, sanitaires, moyens de transport, bibliothèques, salles d’attente, ….) * Ce décret a été complété par le décret N°2611 du 14 septembre 2009 qui prévoit l’interdiction partielle de fumer dans les cafés et restaurants *La Tunisie a ratifié la convention cadre de lutte contre le tabagisme le 07 Juin 2010. révision de la Loi 17/98 selon les directives mpower de la FCTC, en instance de ratification par le parlement Tunisien 2- L’information, la sensibilisation et l’éducation: renforcée pour les différentes catégories et dans les différents milieux, surtout scolaire et travail, impliquant les différents partenaires 3- Laide au sevrage: -Existence de 72 consultations daide au sevrage dans les structures de 1ère ligne (diminution du nombre de consultations fonctionnelles selon la dernière évaluation) avec disponibilité gratuite de substituts nicotiniques, dapLa lutte anti-tabagique a été renforcée par la création d’une stratégie nationale multisectorielle de prévention et de contrôle des Maladies Non transmissibles où la lutte antitabac occupe une place importantepareils de mesure de CO et formation adaptée des professionnels de la santé 4-La lutte anti-tabagique a été renforcée par la création d’une stratégie nationale multi-sectorielle de prévention et de contrôle des Maladies Non transmissibles où la lutte antitabac occupe une place importante 1- La législation * La loi N°17 du 23 Février 1998 relative à la prévention contre les méfaits du tabac * Le décret N° 2248 de l’année 1998 relatif à l’identification des lieux publics où il est interdit de fumer (structures éducatives, sanitaires, moyens de transport, bibliothèques, salles d’attente, ….) * Ce décret a été complété par le décret N°2611 du 14 septembre 2009 qui prévoit l’interdiction partielle de fumer dans les cafés et restaurants *La Tunisie a ratifié la convention cadre de lutte contre le tabagisme le 07 Juin 2010. 2- L’information, la sensibilisation et l’éducation: renforcée pour les différentes catégories et dans les différents milieux, implicant les différents partenaires 3- Laide au sevrage: -Existence de 100 consultations daide au sevrage dans les structures de 1ère ligne (diminution du nombre de consultations fonctionnelles selon la dernière évaluation) avec disponibilité gratuite de substituts nicotiniques, dappareils de mesure de CO et formation adaptée des professionnels de santé
Turkmenistan EUR Answer not provided Туркменистан усиливает борьбу с табаком на всей территории страны. Ужесточены административные наказания за курение в общественных местах. Пересматриваются денежные штрафы за курение в общественных местах в сторону увеличения. Составлен и утвержден новый национальный план Туркменистана по борьбе с табаком на период 2017-2021 годы. Разрабатываются различные руководства по мониторингу запрета на курение в общественных местах. Ежегодно, начиная с 2014 года с 1 по 31 мая, по всей стране проводится месячник по борьбе с табакокурением. В это мероприятие вовлечены все государственные структуры страны, а также неправительственные организации и частный бизнес. В рамках месячника проводится конкурс на самое некурящее предприятие страны Туркменистан усиливает борьбу с табаком на всей территории страны. Ужесточены административные наказания за курение в общественных местах. Пересматриваются денежные штрафы за курение в общественных местах в сторону увеличения. Составлен и утвержден новый национальный план Туркменистана по борьбе с табаком на период 2017-2021 годы. Разрабатываются различные руководства по мониторингу запрета на курение в общественных местах. Ежегодно, начиная с 2014 года с 1 по 31 мая по всей стране проводится месячник по борьбе с табакокурением. В это мероприятие вовлечены все государственные структуры страны, а также неправительственные организации и частный бизнес.В рамках месячника проводится конкурс на самое некурящее предприятие страны
Tuvalu WPR Answer not provided Answer not provided Report not provided
Uganda AFR Report not provided Report not provided Report not provided
Ukraine EUR Tobacco control is among the priorities as it is related to the EU-Ukraine integration process; new legislation adopted, and new bylaws should be adopted. Answer not provided Answer not provided
United Arab Emirates EMR Tobacco Control is one of the most important priorities of the Ministry of Health and Prevention. Since UAE ratification of the WHO Framework Convention on Tobacco Control in November 2005, Ministry of Health had developed an integrated strategy to combat this epidemic through the National Tobacco Control Program. It issued legislation supporting tobacco control measures, adopted international best practices, and consequently reducing tobacco consumption became one of the most important indicators of the national agenda for the UAE Vision 2021, in order to advance the development process and achieve the best levels of global competitiveness. Tobacco control work is going in two parallel directions one is the primary prevention of tobacco use through raising awareness of community about hazards of smoking & working in collaboration with our local parties to activate and implement the articles of law and bylaw. The secondary prevention of tobacco use by offering the cessation services through wide spread network of clinics and health facilities with well trained doctors providing counselling service and prescribing medications تم إدراج مكافحة التبغ من خلال قياس مؤشر استهلاك التبغ بين الرجال والنساء والذي يعد أحد مؤشرات الأجندة الوطنية لرؤية الإمارات 2021 والذي يتم متابعته من مجلس الوزراء تم إدراج مكافحة التبغ من خلال قياس مؤشر استهلاك التبغ بين الرجال والنساء والذي يعد أحد مؤشرات الأجندة الوطنية لرؤية الإمارات 2021 والذي يتم متابعته من مجلس الوزراء
United Kingdom of Great Britain and Northern Ireland EUR Scotland have published a tobacco control strategy and in 2013 also published a smoke free ambition of 5% or less by 2034. The Tobacco Action Plan was refreshed in 2018 and another refresh is in development for 2023. This will reaffirm commitment to the 5% target. To support England’s Smokefree 2030 ambition, the UK Government commissioned Dr Javed Khan OBE to undertake an Independent Review which was published in June 2022. Following this, in April 2023, the Government set out new action to help more people in England to quit smoking in order to meet the Smokefree 2030 ambition. We also announced further measures to protect children from the use of vaping products. ‘Towards a Smokefree Generation: A Tobacco Control Plan for England’ was published in July 2017. It sets out the national ambition to create a smokefree generation. This will be achieved when smoking prevalence is at 5% or below. Work is continuing to achieve this ambition. Advancing our health: prevention in the 2020s published in July 2019 set the ambition to go ‘smoke-free’ in England by 2030. Northern Ireland have published a tobacco control strategy with the overall aim to create a tobacco-free society. Scotland have published a tobacco control strategy and in 2013 also published a smoke free ambition of 5% or less by 2034. Wales have a tobacco control delivery plan setting out a vision of a smokefree Wales. The plan ends in December 2020. There is a commitment to develop a new framework for tobacco control in Wales for beyond 2020. Jersey have published a tobacco strategy for 2017-2022 with the ambition to create a generation of non-smokers. Guernsey have published a tobacco control strategy and new combined tobacco alcohol and drugs strategy is currently being written and targets will be set out in that when it is published later in 2020. In 2016, the UK transposed the European Union Tobacco Products Directive through the Tobacco and Related Products Regulations 2016. In 2016, standardised packaging of tobacco was introduced across the UK. Jersey plan to introduce standardised packaging in 2020. Guernsey does not yet have standardised packaging. ‘Towards a Smokefree Generation: A Tobacco Control Plan for England’ was published in July 2017. It sets out the national ambition to create a smokefree generation. This will be achieved when smoking prevalence is at 5% or below. Tobacco Control Strategies have also been published in other parts of the UK, including Northern Ireland and Scotland, who have set national smokefree ambitions, by which time they aim for 5% or less of the population to be smoking. • Northern Ireland – 2025 • Scotland - 2034 In 2016, the UK transposed the European Union Tobacco Products Directive through the Tobacco and Related Products Regulations 2016. In 2016, standardised packaging of tobacco was introduced across the UK.
United Republic of Tanzania AFR Report not provided A national coordinating mechanism is in place, and we have developed and implemented a comprehensive, multisectoral tobacco-control strategies, plans. Only legislations to prevent and reduce tobacco use, nicotine addiction and exposure to tobacco smoke need to be strengthened. This process is protected from the interests of the tobacco industry. Answer not provided
Uzbekistan EUR Группа по предотвращению и сокращению вредных привычек Центра поддержки здорового образа жизни и повышения физической активности населения инициировал разработку и продвижение нового Закона Республики Узбекистан «Об ограничении распространения и употребления алкогольной и табачной продукции». Данный Закон принят Законодательной палатой Олий Мажлиса 25 октября 2022 года и одобрен Сенатом Олий Мажлиса 27 декабря 2022 года. Новый Закон вступит в силу спустя три месяца после подписания Президентом Узбекистана. Положения данного Закона разработаны на основе требований РКБТ ВОЗ. Однако, в частично принято во внимание требования статьи 12 РКБ ВОЗ по рекламе, стимулированию продажи и спонсорства табачных изделий. В настоящее время разрабатывается Концепция и Дорожная карта по осуществлению положений нового Закона. Report not provided Report not provided
Vanuatu WPR HPF was now incorporate in the MOH corporate planning 2022-2024 The current government is committed to increasing multisectoral work to support tobacco control and enforcement. Report not provided
Venezuela AMR Report not provided Actualmente no se ha observado progreso en estos artículos. Report not provided
Viet Nam WPR Answer not provided Vietnam Tobacco Control Fund support for 99 grantees including 67 provinces/ cities, 10 hospitals, 22 ministries/ civil society organizations in order to implement tobacco control actvities. Since 2014, Vietnam National Assembly passed the Revised Excise Law No 70/2014/QH13 Since April 25, 2014, the Minister of Finance also issued the Circular No 45 guiding the financial management mechanism and collection, payment of compulsory contribution for Vietnam Tobacco Control Fund - Promulgating Decree No 124/2015/ND-CP of the Government: amdending and supplementing some articles of the government’s Decree No 185/2013/ND-CP dated November 15, 2013 on administrative violation in commercial activities, production, trading of fake goods, banned goods and protection of consumers’ intererests, including increasing the levels of administrative sanctions on acts of trading, transporting and storing, delivery prohibited goods are smuggled cigarettes. - Promulgating Decree 106/2017/ND-CP supplementing some articles of the government’s Decree No 67/2013/ND-CP dated June 27,2013on some measures to enforce Tobacco Control Law, which has removed some contents related to the conditions for licensing the purchase and sale of tobacco products, such as the conditions on the area of retail business locations, the conditions for means of transport in meeting the requirements of preserving quality of tobacco products during transit. - Promulgating Circular No 23/2015/TT-BYT of Ministry of Health on National Technical Standard on cigarettes, in which maximum tar and nicotine content in smoke of one cigarette as follows: tar content: 16.0 (mg/smoke of 1 cigarette); nicotine content: 1.4 (mg/smoke 1 cigarette). - Promulgating Directive No 6036/CT-BGDDT dated December 17,2014 on strengthening implementation and abuse of alcoholic beverages in the education sector, which strictly regulates on ban smoking in schools, and the inclusion of tobacco control content into annual workplan, criteria for consideration of emulation and commendation titles of officials, public employees, officials and employees of agencies, units, schools. Since 2014, Vietnam National Assembly passed the Revised Excise Law No 70/2014/QH13 Since April 25, 2014, the Minister of Finance also issued the Circular No 45 guiding the financial management mechanism and collection, payment of compulsory contribution for Vietnam Tobacco Control Fund No significant progress made in the past two years
Zambia AFR Report not provided Report not provided Tobacco Control is part of the annual activity plans of the Ministry of Health and in the new structure of the Ministry of Health, there will be an officer to be specifically designated for planning and management of tobacco control activities. In April, 2017, the Multi-sectoral Tobacco Control Coordinating Committee, was set up.
Russian Federation EUR Распоряжением Правительства Российской Федерации от 30.04.2021 г. № 1151-р утвержден План мероприятий по реализации Концепции осуществления государственной политики противодействия потребления табака и иной никотинсодержащей продукции в Российской Федерации на период до 2035 года и дальнейшую перспективу. В соответствии со статьей 5 Конвенции Распоряжением Правительства Российской Федерации от 18 ноября 2019 г. № 2732-р утверждена Концепция осуществления государственной политики противодействия потреблению табака и иной никотинсодержащей продукции в России на период до 2035 г. и дальнейшую перспективу. Целью Концепции является снижение распространенности потребления табака и иной никотинсодержащей продукции, а также последующее рассмотрение возможности поэтапного вывода табачной и иной никотинсодержащей продукции из гражданского оборота на территории Российской Федерации для достижения максимального сокращения показателей заболеваемости и смертности от болезней, связанных с потреблением табака. Координацию деятельности по обеспечению согласованных действий федеральных органов исполнительной власти во взаимодействии с органами государственной власти субъектов Российской Федерации, направленной на реализацию основных задач государственной политики, осуществляет Координационный совет по борьбе против табака при Министерстве здравоохранения Российской Федерации. The goal of the Concept also is to consider the possibility of further tobacco and other nicotine-containing products elimination from the legal market in Russia to achieve maximal decline in tobacco-related mortality and morbidity. Report not provided
Rwanda AFR Report not provided Report not provided Nomination of the Focal point for tobacco control program,We have tobacco a tobacco control law and its implementing tools as well as national tobacco control plan which is implemented in collaboration with other sectors.
Saint Kitts and Nevis AMR Answer not provided Report not provided Report not provided
Saint Lucia AMR A national tobacco control policy was developed with support of the Bloomberg Philanthropies. A multi-sectoral committee comprised of public agencies and civil society organisations (The Tobacco Control Work Group) was established in 2017 to coordinate tobacco control efforts. A multi-sectoral committee comprised of public agencies and civil society organisations (The Tobacco Control Work Group) was established in 2017 to coordinate tobacco control efforts.
Samoa WPR Answer not provided Samoa has implemented a multisectoral committee to enforce tobacco control and we have regulated for tobacco control through an Act and Regulation. Samoa has implemented a multisectoral committee to enforce tobacco control and we have regulated for tobacco control through an Act and Regulation.
Sao Tome and Principe AFR Answer not provided Answer not provided Answer not provided
Saudi Arabia EMR The number of members of the National Committee for Tobacco Control has increased to 14 ministries and institutions to ensure comprehensive actions. تم تحديث الإستراتيجية الوطنية لمكافحة التبغ عام 2019. تم تحديث اللائحة التنفيذية لنظام مكافحة التبغ تم عمل شراكات مع جمعيات مكافحة التبغ لتوحيد التعاون Answer not provided
Serbia EUR Ministry of Health appointed in 2021 a multisectoral Working group for the improvement of legislation in accordance with the FCTC. In order to completely ban smoking in the hospitality sector and include novel tobacco and nicotine products, Working group prepared amendments to the Law on Protection of the Citizens from Exposure to Tobacco Smoke (2010) in 2022. The procedure for amending the law is ongoing. No progress has been made. The amendments to the Law on Protection of the Citizens from Exposure to Tobacco Smoke (2010) that completely ban smoking in all enclosed premises, including hospitality sector, prepared by Working Group appointed by the Ministry of Health in December 2015 along with the National Committee for Tobacco Control have not been considered yet. The same is with the draft version of the Tobacco Control Strategy 2016-2025 with accompanying Action Plan 2016- 2020 which were submitted to the Ministry of Health in July 2016. The focus of the Strategy was to include as much as possible all effective and scientifically approved measures of tobacco control that are mentioned in the WHO FCTC and EU directives. However, so far they were not taken into consideration. The Working Group appointed by the Ministry of Health in October 2015 along with the National Committee for Tobacco Control prepared the amendments to the Law on Protection of the Citizens from Exposure to Tobacco Smoke (2010), with two main changes: - total smoking ban in all enclosed public and working places, including the whole hospitality sector, with no designated smoking rooms allowed anywhere; and - establishment of a multisectorial National Tobacco Control Council with a mandate to coordinate and evaluate all tobacco control activities in the country. Since then, the Draft version of the amendments to the Law was not considered within different relevant ministries nor put into the Parliament procedure for adoption. The National Committee for Tobacco Control prepared draft version of the Tobacco Control Strategy 2016-2025 with accompanying Action Plan 2016- 2020 and they were submitted to the Ministry of Health in July 2016. The focus of the Strategy was to include as much as possible all effective and scientifically approved measures of tobacco control that are mentioned in the WHO FCTC and EU directives. However, so far they were not taken into consideration.
Seychelles AFR The existing national tobacco control act has been revised with the inclusion and regulating the Electronic Nicotine Delivers Systems. The main provisions of the amendment includes among other restrictions, 1) to a ban on advertising and promotion; a ban of usage in enclosed public places, work places and public transports; a ban on sale by/to minors; 2) display of prescribed health warnings for ENDS, 3) the content in nicotine and other main ingredients in ENDS is displayed on the ENDS package. 4) ban ENDS that produce attractive flavors (e.g. fruit medley, candy-lie aromas). The amendment to the bill has been approved by the cabinet in 2022 and expected to be presented to the national Assembly in 2023. Following the enactment of the National Tobacco Control Act 2009, which is comprehensive and largely compliant with the FCTC requirements include; 1) total ban in all enclosed public places, work places, public transports, 2) total ban on advertising, sponsorship and promotion, 3) requirement for health warnings on tobacco packets, 4) ban of sales by/to minors, 5) provisions on illicit trade 6) setting up of national tobacco control board and many others. Related regulations have been developed during the past 2 years. As per section 27 (f) and (g) of the Tobacco Control Act, a regulation on Sale of Packages and Single Cigarette was implemented as from 1st July 2019. The regulation includes mandatory sale of cigarettes by packets of not less than 10 sticks and ban the sale of individual cigarettes. The regulation also includes a spot fine of SCR 5,000 and upon conviction of fine not exceeding SCR20,000 for anyone who fails to comply. The regulation can be downloaded at https://seylii.org/sc/legislation/si/2019/30-0. Several sensitization programs have been organised for the implementation of the act and the related regulations. The total ban in enclosed public and work places has been well implemented; reference: Impact of a smoking ban in enclosed public places; Report: Bovet. P. Viswanathan.B, Bastienne. H, Gedeon. J. Compliance of hospitality premises to the ban on smoking in all enclosed public places in the Seychelles, 24 May 2015. Following the enactment of the National Tobacco Control Act 2009, which is comprehensive and largely compliant with the FCTC requirements include; 1) total ban in all enclosed public places, work places, public transports, 2) total ban on advertising, sponsorship and promotion, 3) requirement for health warnings on tobacco packets, 4) ban of sales by/to minors, 5) provisions on illicit trade 6) setting up of national tobacco control board and many others. Related regulations have been developed during the past 2 years. This includes the regulation on display of the health warnings on tobacco packages which specify that all cigarette packets displayed or sold in the Seychelles will need to bear a health warning that covers at least 50% of the main display areas with the characteristics specified as per the stated documents including the presence of any of 8 images (pictorial warnings) and associated texts. The regulation will be enforced as from 1st December 2016. Several sensitization programs have been organised for the implementation of the act and the related regulations. The total ban in enclosed public and work places has been well implemented; reference: Impact of a smoking ban in enclosed public places; Report: Bovet. P. Viswanathan.B, Bastienne. H, Gedeon. J. Compliance of hospitality premises to the ban on smoking in all enclosed public places in the Seychelles, 24 May 2015.
Sierra Leone AFR Answer not provided A National Tobacco Control Strategic Plan 2018 to 2022 has been approved by the Ministry of Health and sent to the WHO FCTC Secretariat. A draft tobacco control bill has been popularized throughout the country. The draft bill is now in its final stage for submission to parliament for approval and subsequently passed into law when signed by the president. The Directorate is currently reviewing the Noncommunicable Diseases strategic plan that will speak to the tobacco bill. A National Tobacco Control Strategic Plan 2018 to 2022 has been approved by the Ministry of Health and sent to the WHO FCTC Secretariat. What we are looking forward to now is, finalize the draft bill and get it through parliament as soon as possible. The moment this is accomplished, the reactivated or newly setup task force will then accelerate efforts in working with the WHO Country office to implement the outlined activities. There existed a Noncommunicable Diseases Strategic Plan but it expired in 2016 and due for review.
Singapore WPR On 1st Jan 2021, the minimum legal age was raised from 20 to 21. From 1 July 2022 there was an extension of Smoking Prohibition at the three new types of premises listed below. · All remaining public parks and gardens · Active, Beautiful, Clean Waters (ABC Waters) sites, and · 10 recreational beaches The multi-pronged approach employed by the National Tobacco Control Programme (NTCP) strives to reduce both the demand and supply of tobacco. This includes taxation, tobacco control legislation, public education and the provision of smoking cessation services. Many of these efforts are through collaborative partnerships with governmental and non-governmental agencies, at both regional and international levels. In addition, the NTCP is moving towards a more ground-up approach, encompassing new media strategies and advocacy in delivering programmes to reach target populations in recognition of the fact that the buy-in and the participation of our target population is key to an effective programme. HPB, which is the national focal point for tobacco control, works together with partner agencies such as the Health Sciences Authority, which enforces licensing regime of tobacco sellers; the National Environment Agency, which enforces ban of smoking in certain places and the Singapore Customs, which enforces licensing of trade in tobacco and regulates border control of any tobacco products. A ban on shisha came into effect on 28 Nov 2014. As a transitional measure, existing licensed tobacco importers and retailers who imported or sold shisha tobacco were allowed to continue importing and retailing shisha until 31 July 2016. This was to allow them ample time to deplete their stock and restructure their businesses away from shisha. From 1 Aug 2016, no importers or retailers were allowed to import or retail shisha. In addition, a two-phased ban came into force to prohibit the sale, distribution and offer for sale of emerging tobacco products. The first phase that was implemented on 15 Dec 2015 covered products which were not available in Singapore (e.g. dissolvable tobacco). The second phase was implemented on 1 Aug 2016 to include products that were already sold in Singapore (e.g. gutkha). In 2016, MOH amended the Tobacco (Control of Advertisements and Sales) Act (TCASA) to ban the Point-of-Sale Display (POSD) of tobacco products at retail outlets. This came into effect on 1st August 2017. In Nov 2017, the TCASA was amended to increase the minimum legal age (MLA) for the purchase, use and possession of tobacco products from 18 to 21. This change will take place in a stepwise fashion, whereby the MLA will be increased yearly from 2019 to 2021 (i.e. MLA will be 19 from 1 Jan 2019, 20 from 1 Jan 2020 and finally 21 from 1 Jan 2021). The TCASA was also amended to prohibit the purchase, use and possession of imitation and emerging tobacco products, in addition to their sale, distribution and offer for sale, on 1st Feb 2018. On the 7th March 2019, the TCASA was amended to empower Minister to introduce Regulations on the appearance, packaging and labelling of tobacco products (standardised packaging). On the 1st July 2019 Regulations for the appearance, packaging and labelling of tobacco products (standardised packaging) were gazetted and will be in force on the 1st July 2020. The multi-pronged approach employed by the National Tobacco Control Programme (NTCP) strives to reduce both the demand and supply of tobacco. This includes taxation, tobacco control legislation, public education and the provision of smoking cessation services. Many of these efforts are through collaborative partnerships with governmental and non-governmental agencies, at both regional and international levels. In addition, the NTCP is moving towards a more ground-up approach, encompassing new media strategies and advocacy in delivering programmes to reach target populations in recognition of the fact that the buy-in and the participation of our target population is key to an effective programme. HPB, which is the national focal point for tobacco control, works together with partner agencies such as the Health Sciences Authority, which enforces licensing regime of tobacco sellers; the National Environment Agency, which enforces ban of smoking in certain places and the Singapore Customs, which enforces licensing of trade in tobacco and regulates border control of any tobacco products. . In 2016, MOH amended the Tobacco (Control of Advertisement and Sales) Act to ban the Point-of-Sale Display (POSD) of tobacco products at retail outlets, this came into effect 1st August 2017. A ban on shisha came into effect on 28 Nov 2014. As a transitional measure, existing licensed tobacco importers and retailers who import or sell shisha tobacco will be allowed to continue importing and retailing shisha until 31 July 2016. This is to allow them ample time to deplete their stock and restructure their businesses away from Shisha. From 1 Aug 2016, no importers or retailers will be allowed to import or retail shisha as well. In addition, a two-phased ban came into force to prohibit emerging tobacco products. The first phase that was implemented on 15 Dec 2015 included products not available in Singapore (e.g. dissolvable tobacco). The second phase that will be effected from 1 Aug 2016 will include products that are already sold in Singapore (e.g. gutka). In Nov 2017, the TCASA was amended to increase the minimum legal age (MLA) for the purchase, use and possession of tobacco products from 18 to 21. This change will take place in a stepwise fashion, whereby the MLA will be increased yearly from 2019 to 2021 (i.e. MLA will be 19 from 1 Jan 2019, 20 from 1 Jan 2020 and finally 21 from 1 Jan 2021). The TCASA was also amended to prohibit the purchase, use and possession of imitation and emerging tobacco products, in addition to their sale, distribution and offer for sale, on 1st Feb 2018.
Slovakia EUR Answer not provided Answer not provided Answer not provided
Slovenia EUR Report not provided Report not provided The Restriction of the Use of Tobacco and Related Products Act (Official Gazette of RS, Nos. 9/17 and 29/17) was adopted by the National Assembly of the Republic of Slovenia on 15th February 2017 and stepped into force on 11th March 2017. The new Act provides formation of a coordination group consisting of the representatives of ministries competent for health, finances, and public administration, of authorities competent for carrying out the supervision of the provisions of this Act, the National Public Health Institute, the National Laboratory of Health, Environment and Food, and of the NGO’s participating in the implementation of preventive programmes in the areas governed by this Act, namely with the following tasks: - to monitor the effects of tobacco and related products on the health of the population; - to monitor the implementation of this Act, the strategy for minimising the consequences of tobacco use and implementation plans that include measures referred to in Article 5 of this Act. The strategy referred to in the preceding paragraph shall be prepared by the ministry competent for health (hereinafter: the Ministry) and shall be adopted by the Government of the Republic of Slovenia. The implementation plans referred to in the preceding paragraph shall be adopted by the Ministry. In Slovenia we are planning to prepare the strategy till the end of 2018 for 10 years period.
Solomon Islands WPR Report not provided Tobacco Focal Point shifted from Health Promotions department to NCD Department. Tobacco Control Taskforce Committee has been the coordinating body for efforts concerning tobacco control in the country for the past two year under the leadership and guidance of the tobacco control focal point who is also the Director for NCDs in country. Tobacco Control Multisectoral Committee following their establishment 4 years ago continues to meet quarterly. TCTFC plus additional members endorsed to be the technical advisory group (TAG) for tobacco control in the country and provisions for the Tobacco Control TAG is reflected in the amendments of the Tobacco Control Act 2010 Tobacco Focal Point shifted from Health Promotions department to NCD Department. Tobacco Control Taskforce Committee has been the coordinating body for efforts concerning tobacco control in the country for the past two year under the leadership and guidance of the tobacco control focal point who is also the Director for NCDs in country. Tobacco Control Multisectoral Committee following their establishment 4 years ago continues to meet quarterly. TCTFC plus additional members endorsed to be the technical advisory group (TAG) for tobacco control in the country and provisions for the Tobacco Control TAG is reflected in the amendments of the Tobacco Control Act 2010
Sri Lanka SEA Answer not provided National Authority on Tobacco and Alcohol in placed and implemented the tobacco control provisions of the WHO Framework Convention on Tobacco Control (WHO FCTC) - reduce the demand National Authority on Tobacco and Alcohol in placed and implemented the tobacco control provisions of the WHO Framework Convention on Tobacco Control (WHO FCTC) - reduce the demand
Nigeria AFR Nigeria has a draft Tobacco Control Strategic Plan which would be finalized and launched in 2023. Also, in 2017 the MOH setup the Tobacco Control Unit. There is also, a multisectoral National Tobacco Control Committee (NATOCC) National Tobacco Control Act came into force on 26th May, 2015 Regulations regarding the National Tobacco Control Act 2015 drafted National Tobacco Control Committee inaugurated 12th July 2016 Tobacco Control Unit Established Sept. 2017 National Tobacco Control Act came into force on 26th May, 2015 Regulations regarding the National Tobacco Control Act 2015 drafted National Tobacco Control Committee inaugurated 12th July 2016 Tobacco Control Unit Established Sept. 2017
Norway EUR A new national tobacco control strategy was launched in March 2023: (pages 44 to 50) https://www.regjeringen.no/contentassets/918eb71926fc44c8802fe3c2e0b9a75a/nn-no/pdfs/stm202220230015000dddpdfs.pdf (Not translated into English yet) No progress. The tobacco control unit has suffered from budget cuts. No progress. The tobacco control unit has suffered from budget cuts.
Oman EMR يوجد مكتب لمكافحة التبغ تابع للجنة الوطنية لمكافحة التبغ توجد لجنة وطنية لمكافحة التبغ من القطاعات المعنية المتعددة توجد أية تنسيق وطنية وجود قوانين لحظر استخدام التبغ في الأماكن العامة المغلقة في جميع محافظات السلطنة حظر استيراد وتداول التبغ غير المدخن وضع مواصفة قياسية تم بموجبها وضع الصور والتحذيرات على علب منتجات التبغ يتم حاليا اجراء دراسة لاستخدام التبغ بين البالغين يوجد قانون بحظر استيراد وتداول السجائر والشيشة الالكترونية حظر الترويج لمنتجات التبغ منغ عمل التخفيضات على منتجات التبغ لا يتم مقابلة شركات التبغ بشكل عام وتم ايجاد استمارة تعارض مصالح لاعضاء اللجنة الوطنية لمكافحة التبغ والتنبه على دوائر الوزارة بعدم شراء ادوية من وكلاء شركات التبغ وكذلك التنبيه على جميع الوحدات الحكومية المعنية بعدم قبول معونات وهبات من شركات التبغ. فرض ضريبة انقائية ورفع اسعار منتجات التبغ توجد أية تنسيق وطنية وجود قوانين لحظر استخدام التبغ في الأماكن العامة المغلقة في جميع محافظات السلطنة حظر استيراد وتداول التبغ غير المدخن وضع مواصفة قياسية تم بموجبها وضع الصور والتحذيرات على علب منتجات التبغ يتم حاليا اجراء دراسة لاستخدام التبغ بين البالغين يوجد قانون بحظر استيراد وتداول السجائر والشيشة الالكترونية حظر الترويج لمنتجات التبغ منغ عمل التخفيضات على منتجات التبغ لا يتم مقابلة شركات التبغ بشكل عام وتم ايجاد استمارة تعارض مصالح لاعضاء اللجنة الوطنية لمكافحة التبغ والتنبه على دوائر الوزارة بعدم شراء ادوية من وكلاء شركات التبغ وكذلك التنبيه على جميع الوحدات الحكومية المعنية بعدم قبول معونات وهبات من شركات التبغ.
Pakistan EMR Report not provided Tobacco Control Cell has developed National Tobacco Control Policy with consultation of all stakeholders. Important aspect of this policy is toassure sustainable funding mechanism for tobacco control in Pakistan. The Cell coordinates with Provincial Governments to sustain tobacco control activities at subnational level. Resultantly, Provincial Tobacco Control Cell have been established in KPK and Balochistan. Same commitment has been shown by other provinces. There is no comprehensive multisectoral national tobacco control strategy in place in Pakistan. Rather, a strategic plan of action for tobacco control was established by Tobacco Control Cell. Moreover, a dedicated Tobacco Control Cell is working at Federal Level and coordinating with provincial governments and other stakeholders for implementation of plans. Tobacco Control Cell is devising a sustainable funding mechanism for tobacco control in Pakistan. The Cell coordinates with Provincial Governments to sustain tobacco control activities at subnational level. Resultantly, Provincial Tobacco Control Cell have been established in KPK and Balochistan. Same commitment has been shown by other provinces.
Paraguay AMR El MSPBS a través del PRONATERC ha impulsado legislaciones que benefician al control del tabaco como el decreto N° 4624/19 donde se prohíbe fumar/vapear en lugares cerrados y espacios donde exista reunión de personas al aire libre. Así mismo para controlar el uso de los SEAN/SSSN se promulgo una resolución ministerial N° 630/19 ,además de otras resoluciones y ordenanzas municipales que contribuyan a facilitar la aplicación de las políticas de salud, así como un leve incremento de los impuestos, y la aprobación del protocolo para la eliminación del comercio ilícito de tabaco (ley 6950/22 ) La Resolución Nº 347/14, aprueba la estructura organizacional de la Dirección de Vigilancia de Enfermedades no Transmisibles, dependiente de la Dirección General de Vigilancia de la Salud, del MSP. En la misma se establece a la Sección de Control de Tabaquismo, como parte de la sección de factores de riesgo en el marco del Plan Nacional de Acción para la Prevención y el Control de las Enfermedades no Transmisibles 2014-2024. A fin de dar una mirada integral a la problemática y vigilar el impacto sobre las ENT. Asi como la creacion del Programa nacional de prevencion y control de las enfermedades respiratorias cronicas que implementa el Programa de casacion y los consultorios de deteccion y tratamiento en la Red de Servicios de Salud. En base del artículo 5.1 se crea a través del decreto Nº 1711/19 la comisión Nacional Ejecutiva para la implementación del Convenio Marco. Con respecto al 5.2 el programa Nacional fue creado en este contexto por resolución 0657/18, y financiado con fondos provenientes de presupuesto general de gastos de la nación La Resolución Nº 347/14, aprueba la estructura organizacional de la Dirección de Vigilancia de Enfermedades no Transmisibles, dependiente de la Dirección General de Vigilancia de la Salud, del MSP. En la misma se establece a la Sección de Control de Tabaquismo, como parte de la sección de factores de riesgo en el marco del Plan Nacional de Acción para la Prevención y el Control de las Enfermedades no Transmisibles 2014-2024. A fin de dar una mirada integral a la problemática y vigilar el impacto sobre las ENT. Asi como la creacion del Programa nacional de prevencion y control de las enfermedades respiratorias cronicas que implementa el Programa de casacion y los consultorios de deteccion y tratamiento en la Red de Servicios de Salud.
Peru AMR En el marco de la pandemia por COVID-19 con alto impacto sanitario en Perú durante el 2020-2022, no se ha generado cambios en relación a la presentación del ultimo informe del país. En el Ministerio de Salud desde la Dirección de Promoción de la Salud , en el marco de sus funciones; asume como área coordinadora. 5.1. Se viene desarrollando la formulación y validación de un plan multisectorial de control de tabaco en el Perú para los próximos 10 años. Este plan implica la formalización de un mecanismo de coordinación de control de tabaco que viene trabajando en el país desde hace 2 años. Así como, se tiene la propuesta de Decreto Supremo de la creación de la Comisión Multisectorial para la implementación del Convenio Marco para el Control del Tabaco (COMCTAS), actualmente se encuentra en la Presidencia de Consejo de Ministros (PCM) para su aprobación. 5.2. Existe un mecanismo coordinador nacional que es el punto focal de tabaco en el Ministerio de Salud, quien articula con los diversos sectores a nivel nacional, regional y local, acciones de control de tabaco. Este mecanismo promueve el desarrollo de acciones administrativas, propone legislación y coopera con diversas partes políticas para prevenir y reducir el consumo de tabaco, la adicción a la nicotina y la exposición al humo de tabaco. Se ha elevado al despacho del Viceministerio de Salud Pública del Ministerio de Salud la propuesta de decreto supremo de la creación de la Comisión Multisectorial para la implementación del Convenio Marco para el Control del Tabaco (COMCTAS).
Poland EUR No substantial progress in implementing above Articles in the past two years. From 2018 comprehensive multisectoral national tobacco control strategies has implemented in National Health Programme. The biggest achievement in strengthening public health capacities and services in the period 2010-2015 was the Act from 11th September 2015 on public health (Journal of Laws pos. 1916). It opens a new chapter in approach to the health and quality of life of society connected with it. It is also a reply to the need for constant counteraction against negative epidemiological trends and increasing chronic and non-communicable diseases and disabilities in society. From 2018 the National Health Programme for the years 2016-2020, with is issued on the basis of art. 9 par. 1 of the Public Health Act of 11 September 2015 (Dz. U. item 1916) will include comprehensive multisectoral national tobacco contol strategies.
Portugal EUR The last two years have been atypical due to the COVID 19 pandemic. Despite this fact, continuity was given to tobacco prevention and control activities. Of particular note were the activities to promote health literacy in different topics: information about smoking and SARS Cov-2; production of health education digital materials for schools - in close cooperation with the General Directorate of Education; production and dissemination of smoking cessation self help materials. The NHS smoking cessation counsultations were maintained but, due to COVID 19 pandemic, reduced to some extent, and mainly done via distance means. In the field of Enviromental Tobacco Smoke protection, the Ordinance 154/2022 of june 2 was published. This ordinance regulates the conditions to create a smnoking room. Considering that smoking rooms are not an effective ETS protecion solution, but they were aproved by the last version of the tobacco law, this Ordinance imposes very strict conditions for its creation. In particular, they can only be created in certain catering and beverage establishments with an área superior to 100 square meters, they cannot have services inside, nor can they be used by minors under the age of 18. They will be equipped with an antechamber with automatic doors and must be kept under negative pressure with direct air extraction to the outside. This ordinance entered into force on the 1st january 2023. The National Programme for Smoking Prevention and Tobacco Control has four main strategies: Prevention of the initiation of consumption in adolescents and young people; Promotion of smoking cessation, with a particular focus on smokers under 40 years of age, in women and during pregnancy; Protection of environmental tobacco smoke; Reducing health inequalities, including regional inequalities associated with the prevention, treatment and control of smoking; and two horizontal approaches:one to information, education , health literacy and public awareness and other to research, professional training and knowledge dissemination. The Programme strategies are based on FCTC guidelines and the MPOWER strategies.Under the Smoking Prevention and Control Programme, the General Directorate of Health established regional health teams for co-ordination of the implementation of the Programme at national level. Several activities are being undertaken: local projects in the community settings, meetings, research studies, national media campaigns, implementation of a strategy for training of health professionals, edition of profissional guidellines, periodic publications with statistics and information, health education brochures and posters. Training of health Professionals in Brief Interventions. An annualy report on smoking prevention and control statistic data had been released since 2013. Last report published in 2019. The number of consultations to support smoking cessation in National Health Service has increased, as well as the number of smoking cessation consultation units. In 2016, and for the first time, the reimbursement of anti-tobacco drugs subject to medical prescription was implemented. Since January 2017, vareniclin is reimbursed by 37%. Recently, Law n.º 63/2017, of August 3, made the second amendment to Law n.º 37/2007, of August 14, responding to the need to include, in the concept of smoking, the new novel tobacco products that produce aerosols, vapours, gases or particulates (like heat-not-burn cigarette). This revised law also reinforced the measures to be applied to these new products in relation to protection of environmental tobacco smoke, advertising and promotion.The present law also introduced two new articles concerning the protection of workers and the drugs state reimbursement to support smoking cessation. The National Programme for Smoking Prevention and Tobacco Control has 4 main strategies: Prevention of the initiation of consumption in adolescents and young people; Promotion of smoking cessation, with a particular focus on smokers under 40 years of age, in women and during pregnancy; Protection of environmental tobacco smoke; Reducing health inequalities, including regional inequalities associated with the prevention, treatment and control of smoking; and two horizontal approaches:one to information, education , health literacy and public awareness and other to research, professional training and kowlwdge dissemination. The Programme strategies are based on FCTC guidelines and the MPOWER strategies.Under the Smoking Prevention and Control Programme, the General Directorate of Health established regional health teams for co-ordination of the implementation of the Programme at national level. Several activities are being undertaken: local projects in the community settings, meetings, research studies, national media campaigns, implementation of a strategy for training of health professionals, edition of profissional guidellines, periodic publications with statistics and information, health education brochures and posters. Training of healths Professional in Brief Interventions. An annualy report on somking prevention and control statistic data had been released since 2013. The number of consultations to support smoking cessation in National Health Service has increased, as well as the number of smoking cessation consultation units. In 2016, and for the first time, the reimbursement of anti-tobacco drugs subject to medical prescription was implemented. Since January 2017, vareniclin has been reimbursed by 37%. Recently, Law n.º 63/2017, of August 3, made the second amendment to Law n.º 37/2007, of August 14, responding to the need to include, in the concept of smoking, the new novel tobacco products that produce aerosols, vapours, gases or particulates (like heat-not-burn cigarette). This revised law also reinforced the measures to be applied to these new products in relation to protection of environmental tobacco smoke, advertising and promotion.The present law also introduced two new articles concerning the protection of workers and the drugs state reimbursement to support smoking cessation.
Qatar EMR Answer not provided Under the National Health Strategy 2018-2022 plus the national Public Health Strategy 2018-2022 a project was established to reduce tobacco use. A fundamental part of the project was to align the national interventions with the FCTC and MPOWER. it sets out a range of actions for the health sector and its partners to take to tackle tobacco use. In doing so it provides a direction for tobacco cessation activity and policy in Qatar that allows partners to identify and prioritize work both now and in the future. Under the National Health Strategy 2018-2022 plus the national Public Health Strategy 2018-2022 a project was established to reduce tobacco use. A fundamental part of the project was to align the national interventions with the FCTC and MPOWER. it sets out a range of actions for the health sector and its partners to take to tackle tobacco use. In doing so it provides a direction for tobacco cessation activity and policy in Qatar that allows partners to identify and prioritize work both now and in the future.
Republic of Korea WPR Revision and enforcement of the National Health Promotion Act and its Enforcement Decree to reinforce the management and regulation of novel tobacco products. - (Price regulation) Taxes will also be imposed on tobacco products made from any part of tobacco other than the leaves, such as liquid electronic cigarettes made from stem or root extracts of the tobacco. (Aug. 2021) - (Non-price regulation) Expansion or the range of tobacco products from “leaf tobacco” to “tobacco and similar forms” and the enforcement of the provision through the revision of the Enforcement Decree of the National Health Promotion Act (Dec. 2021) *Ministry of Health and Welfare announced the Comprehensive Tobacco Control Policies to uproot smoking-encouraging environment(May 21st, 2019) 1) Reinforcement restrictions on tobacco ads and promotional activities: Expand of pictorial health warning of the package, introduction of plain packaging, regulatory requirement of anti-smoking campaign inside stores having tobacco ads, prohibition of the use of animal/cartoon characters for the tobacco ads and reinforcement of crackdown of external exposure of tobacco ads, introduction of voluntary preliminary deliberation of tobacco ads, consolidation of regulation and monitoring on tobacco promotional activities, and active response to smoking scene exposure to media 2) Reinforcement of tobacco and other nicotine-included product and smoking device: Gradual prohibition of flavor addition to tobacco, reinforcement of control and management of nicotine-included product and smoking device, requirement of the submission and disclosure of the tobacco products contents and emissions 3) Active cut-off of exposure to tobacco smoke for the protection of public health: Gradual prohibition of indoor smoking inside public facilities and shut down of smoking area, and separate designation of outdoor smoking zone to prevent exposure to tobacco smoke in the street 4) Reinforcement of smoking prevention education and smoking cessation: Consolidation of smoking prevention education for children/teenager/youth, provision of active support and sophisticated services of smoking cessation care for smokers, and review of the national health insurance payment for smoking cessation care 5) Preparation of scientific ground of tobacco control policy and stronger international cooperation: Preparation of science-based policy, ratification of protocol to eliminate illicit trade in tobacco products *Ministry of Health and Welfare with the Ministry of Strategy and Finance announced the Action Plan for Non-price Tobacco Control Measures(May 10th, 2016) 1) Assurance of full implementation of pictorial warning on tobacco products (entry into force on December 23th, 2016) 2) Tackling any efforts to hide or conceal pictorial health warning when displaying tobacco products 3) Proposing ban on advertising of tobacco at retail shops around schools 4) Review and amendment of taxation for e-cigarette, establishing verification system for indicated ingredients, improving safety control of nicotine liquid 5) Proposing ban on sale of “kiddie pack(less than 20 cigarettes)”, ban on flavouring 6) Improving national tobacco cessation services and anti-tobacco campaign
New Zealand WPR Please see the links to The Smokefree Aotearoa 2025 Action Plan, The Smokefree Environments and Regulated Products (Smoked Tobacco) Amendment Act 2022 and the Smokefree Environments and Regulated Products Regulations 2021. New Zealand has a goal of reducing smoking prevalence and tobacco availability to minimal levels, making us essentially smokefree by 2025. In the last two years New Zealand has progressed implementing its tobacco control programme, which includes but is not limited to: -increasing tax excise rates by 10 percent on 1 January 2018, 2019, and 2020 -supporting the provision of stop smoking services and Quitline (which runs 24/7) -supporting the provision health promotion campaigns by New Zealand’s Health Promotion Agency, as well as other advocacy services by other key stakeholders -developing improvement strategies and initiatives for groups with high smoking rates, starting with young Māori women -developing legislation that prohibits smoking in motor vehicles carrying children and young people under 18 years of age -working on improving the regulatory framework for e-cigarettes, smokeless tobacco products, and emerging tobacco and nicotine delivery products New Zealand has a goal of reducing smoking prevalence and tobacco availability to minimal levels, making us essentially smokefree by 2025 (Smokefree 2025). In the last two years New Zealand has progressed implementing its tobacco control programme, which includes but is not limited to: - increasing tax excise rates by 10 percent on 1 January 2016, 2017 and 2018 - introducing tobacco standardised packaging in March 2018 - monitoring the governments "better help for smokers to quit" target to ensure that over 95% of smokers admitted to hospital, over 90% of smokers who receive primary health care and 90% of pregnant women receiving maternity care who smoke are provided with smoking cessation advice - supporting the provision of stop smoking services and Quitline (which runs 24/7) - supporting the provision health promotion campaigns by New Zealands Health Promotion Agency, as well as other advocacy services by other key stakeholders
Nicaragua AMR 5.1- Estrategias sobre la aplicación de advertencias sanitarias en los empaques primarios del los cigarrillos a partir del año 2021. (Resolución Ministerial 032-2021). Se inicio desde el año 2019 el obligatorio registro de los importadores y distribuidores de tabaco, se otorgan licencias de importador, distribuidor y fabricantes, a los que cumplen con el etiquetado obligatorio, que tengan su registro y cumplan con inspección del local de su empresa. Answer not provided
Niger AFR Report not provided Le Niger a parachevé la mise en place de son dispositif juridique en matière de lutte contre le Tabac, avec ladoption des derniers arrêtés sur louverture et lexploitation des points de vente et les avertissements graphiques. Report not provided
Netherlands EUR Since last report various legislation on tobacco control came into force. - display ban supermarkets - july 2020 - display ban other points of sale (except speciality shops) - jan 2021 - smoke free eductaion facilities- august 2020 - plain packaging cigarettes and smoking tobacco- october 2020 - extension smoking ban with END , ENND and HTP- july 2020 - strengthening advertisement ban - july 2022 - HTP and its device under Tobacco Act- july 2022 - neutral cigarette- july 2022 - ban on flavours e-cigarette- january 2023 - ban on nicotine pouches containing more than 0.035 mg nicotine - nov 2022 in 2018 we developed a comprehensive strategie to reach a Tobacco free generation by 2040 https://www.rijksoverheid.nl/documenten/convenanten/2018/11/23/nationaal-preventieakkoord Answer not provided
Madagascar AFR Report not provided Un Comité Consultatif de Lutte Antitabac (CCOLAT) a été mis en place aussi et il travaille en collaboration étroite avec lOFNALAT qui harmonise et coordonne les activités. Un arrêté interministériel a été élaboré pour officialiser cette comité, Cet comité est composé de tous les départements Ministériels ainsi que les ONG et Associations œuvrant dans la LAT, une antenne de ce comité a été mis en place progressivement au niveau des chefs lieux de la région de Madagascar Un Comité Consultatif de Lutte Antitabac (CCOLAT) a été mis en place aussi et il travaille en collaboration étroite avec lOFNALAT qui harmonise et coordonne les activités. Un arrêté interministériel a été élaboré pour officialiser cette comité
Malaysia WPR NA Malaysian government had given a mandate to Ministry of Health to develop our own Tobacco and Smoking Act to replace Control of Tobacco Products (CTPR) 2004. The draft is yet to be presented. In October 2016, Malaysian government had given a mandate to Ministry of Health to develop our own Tobacco and Smoking Act to replace Control of Tobacco Products (CTPR) 2004.
Maldives SEA NCD National Action Plan Revised (includes tobacco control) The Tobacco Control Board is currently not in session, as its term has expired. Members for a new term is being selected. The Tobacco Control Board is currently not in session, as its term has expired. Members for a new term is being selected.
Mali AFR Report not provided Déjà des réunions ont été tenues. Le protocole sur le commerce illicite est déposé à lAssemblée pour être voté. Une augmentation des taxes a été adoptée en Conseil des Ministres. Déjà des réunions ont été tenues. Le protocole sur le commerce illicite est déposé à lAssemblée pour être voté. Une augmentation des taxes a été adoptée en Conseil des Ministres.
Marshall Islands WPR Answer not provided Report not provided Answer not provided
Mauritania AFR Report not provided rien de neuf rien de neuf
Mauritius AFR Answer not provided A National Action Plan for Tobacco Products (NAPTC) 2015-2018 has been validated and implemented with regards to different tobacco control programmes and initiatives planned during the stated year. A new NAPTC covering period 2021-2025 will be prepared this year to govern forthcoming tobacco control initiatives of the Ministry of Health and Wellness. It is to be noted that all the tobacco control initiatives of the Ministry of Health and Wellness are in line with the provisions of the WHO FCTC and the provisions of the Public Health (Restrictions on Tobacco Products) Regulations 2008. The second set of pictorial health warnings which has been pre-tested and launched in 2018 will be rotated over Plain Packaging of Tobacco Products which has already been agreed by the Cabinet of Ministers in 2018 and the relevant legislations governing same is in process of being amended. As Party to the Protocol to Eliminate Illicit Trade in Tobacco Products, the relevant articles of the Protocol are being implemented and our current legislation is also being amended to align its provisions with the philosophy of the said Protocol. The National Action Plan for Tobacco Control (NAPTC) 2015-2018 having been validated was implemented with regards to the Tobacco Control programmes and initiatives planned throughout the period stated and will still be covered throughout this year. The tobacco control initiatives of the Ministry are governed by the NAPTC. The actions initiated in Tobacco control at the level of the Ministry is governed by the articles of the WHO FCTC and the provisions of the FCTC compliant tobacco legislations in force.The second set of graphic health warnings initially selected is being pre-tested actually and will be launched officially during WNTD 2018. The protocol for the Elimination of Illicit Trade is also in the process of being acceded and Mauritius is also working on the introduction of Plain Packaging as well.
Micronesia (Federated States of) WPR Answer not provided The Tobacco Control Advisory Council is the FSM version of the National Coordinating Mechanism. Its roles and responsibilities are included in the Terms of Reference created by the President of FSM. The Advisory was established in August 2014 and consisted of 7 members representing different agencies of the Government. The Advisory members were instrumental in the recommendations toward the Packaging and Labeling Bill, Tobacco Control Bill, Tax Increase Bill and other tobacco related issues such as the control of using and selling areca nuts. The costs of its operation is jointly supported by each agencies. The Tobacco Control Advisory Council is the FSM version of the National Coordinating Mechanism. Its roles and responsibilities are included in the Terms of Reference created by the President of FSM. The Advisory was established in August 2014 and consisted of 7 members representing different agencies of the Government. The Advisory members were instrumental in the recommendations toward the Packaging and Labeling Bill, Tobacco Control Bill, Tax Increase Bill and other tobacco related issues such as the control of using and selling areca nuts. The costs of its operation is jointly supported by each agencies.
Mongolia WPR Report not provided Multi-sectoral Plan of Action of FCTC in Mongolia and National Law on Tobacco control of Mongolia were developed in 2016, appointed full time officer in charge of Tobacco policy implementation at the National Center for Mental Health. half time officer appointed at the National center for Public Health. Multi-sectoral Plan of Action of FCTC in Mongolia and National Law on Tobacco control of Mongolia were developed in 2016, appointed full time officer in charge of Tobacco policy implementation at the National Center for Mental Health. half time officer appointed at the National center for Public Health.
Mozambique AFR Report not provided Answer not provided Answer not provided
Myanmar SEA Answer not provided - Regarding article 5.1 (financial resources and mechanisms of assistance), the National Tobacco Control Programme had mostly relied on the WHO biennium budget up to 2013 and there is no earmarked tax or sin tax yet for health promotion including tobacco control. The GYTS, GSPS surveys were done in 2001, 2004, 2007, 2011 and 2016 by the technical and financial support from CDC. In 2013, the National Tobacco Control Programme received the funding support from the Bloomberg Initiative Grant for 2 years’ project starting from 2013 and till now. - Myanmar is also being selected as one of the FCTC 2030 Partner party in March 2017 for 4 yr. project. Implementation started in 2018. - Regarding article 5.2 (reporting and exchange of information), Ministry of Health and Sports, the focal Ministry for tobacco control, has shared the information to related Ministries and all stakeholders, and has also exchanged the information related to tobacco control at regional workshops and meetings. - Regarding article 5.1 (financial resources and mechanisms of assistance), the National Tobacco Control Programme had mostly relied on the WHO biennium budget up to 2013 and there is no earmarked tax or sin tax yet for health promotion including tobacco control. The GYTS, GSPS surveys were done in 2001, 2004, 2007, 2011 and 2016 by the technical and financial support from CDC. In 2013, the National Tobacco Control Programme received the funding support from the Bloomberg Initiative Grant for 2 years’ project (2013-2015). - Myanmar has recently signed the MoU with South East Asia Tobacco Alliance for implementing 1 yr. project for tobacco free generation. - Myanmar is also being selected as one of the FCTC 2030 Partner party in March 2017 for 4 yr. project. - Regarding article 5.2 (reporting and exchange of information), Ministry of Health and Sports, the focal Ministry for tobacco control, has shared the information to related Ministries and all stakeholders, and has also exchanged the information related to tobacco control at regional workshops and meetings.
Namibia AFR Report not provided 5.1 is not properly implemented, 5.2 focal unit is set though not well supported financially. A new comprehensive tobacco control law (Tobacco products control Act No 1 of 2010) was published in the Government Gazette on 14 April 2010 (see Annex 3 to this report) and regulations are currently being finalized. Report not provided
Nauru WPR Report not provided 2015-2020 NCD Strategy includes tobacco control Report not provided
Jamaica AMR Due to the COVID pandemic and internal staffing, there has little progress in implementing 5.1 and 5.2. There a proposed Tobacco Control Act 2020 that is currently being considered by a Committee of Parliament which will enable greater progress in the implementation of Articles 5.1. and 5.2. On July 15, 2013 the Public Health (Tobacco Control) Regulations 2013 was promulgated and subsequently amended in 2014. Over the past two years, there has been increased collaboration with several ministries, departments and agencies with a view to understanding and adhering to Jamaicas obligations under the FCTC and enforcing the regulations. Jamaica commenced implementation of a National Strategic Plan for the Prevention and Control of NCDs in Jamaica 2013 to 2018. Cabinet has approved the development of a comprehensive tobacco control legislation to fully address all of Jamaicas obligations under the FCTC. Significant steps have been taken in the development of this legislation. A review of the fourth draft of this legislation was undertaken, and the Ministry recently submitted drafting instructions to the Office of the Chief Parliamentary Counsel. On July 15, 2013 the Public Health (Tobacco Control) Regulations 2013 was promulgated and subsequently amended in 2014. Over the past two years, there has been increased collaboration with several ministries, departments and agencies with a view to understanding and adhering to Jamaicas obligations under the FCTC and enforcing the regulations. Jamaica commenced implementation of a National Strategic Plan for the Prevention and Control of NCDs in Jamaica 2013 to 2018. We have engaged stakeholders and have obtained written comments in relation to a Cabinet Submission on the impending Framework Convention on Tobacco Control (Implementation) Bill. The Cabinet Submission has been reviewed based on stakeholder feedback is now being finalized for presentation to Cabinet for approval to proceed with the drafting of the Bill in short order.
Jordan EMR Answer not provided تقوم اللجنة الوطنية للوقاية من اضرار التدخين بعقد اجتماعات دورية وتعمل على تحديد السياسات العامة ومراجعتها في مجال التدخين وهى برئاسة رئيس الوزراء والوزراء من الجهات ذات العلاقة بالتيغ ويتبع لها لجنة فنية ، ويعمل قسم الوقاية من اضرار التدخين كمنسق بين جميع الجهات المختلفة المعنية بالتبغ لتنظيم العمل والمراقبة والمتابعة والتدريب واجراء الدراسات ويتمثل دور عيادات الاقلاع عن التدخين بتقديم المشورة في الاقلاع عن التدخين مجانا لجميع المواطنين تم اعداد الخطة الوطنية وتم تعديل قانون الصحة العامة رقم 11لسنة 2017 وتغليظ العقوبات ولتفعيل القانون تم تكليف 750 ضابط ارتباط لمكافحة التدخين وقد تم اعداد مسودة قانون لمكافحة التبغ لكن قيد الاجراء والمداولات ولم يتم اقرارة على المستوى الرسمي تم وضع سياسة منع التدخين في المؤسسات الصحية . تقوم اللجنة الوطنية للوقاية من اضرار التدخين بعقد اجتماعات دورية وتعمل على تحديد السياسات العامة ومراجعتها في مجال التدخين ، ويعمل قسم الوقاية من اضرار التدخين كمنسق بين جميع الجهات المختلفة المعنية بالتبغ لتنظيم العمل والمراقبة والمتابعة والتدريب واجراء الدراسات ويتمثل دور عيادات الاقلاع عن التدخين بتقديم المشورة في الاقلاع عن التدخين مجانا لجميع المواطنين تم اعداد الخطة الوطنية وتم تعديل قانون الصحة العامة رقم 11لسنة 2017 وتغليظ العقوبات ولتفعيل القانون تم تكليف 750 ضابط ارتباط لمكافحة التدخين .
Kazakhstan EUR нет данных Report not provided Answer not provided
Kiribati WPR NCD is a body to control all programs in the health but the Tobacco Focal Point is looking after the program.In 2020 the NCD and Tobacco already set up Multisectoral Committee to involve in the Tobacco Control activities and this is very strong now. Article 5.1 - The focal person is supervised by the NCD Coordinator.His main duty is to establish strategies and policies to combat tobacco use by promoting awareness and anti-smoking advocacy programmes. Article 5.1 - The focal person is supervised by the NCD Coordinator.His main duty is to establish strategies and policies to combat tobacco use by promoting awareness and anti-smoking advocacy programmes.
Kuwait EMR Answer not provided Implementation of The new Environment Protection Law 42/2014 will help a lot in tobacco control The new Environment Protection Law 42/2014 will help alot in tobacco control
Lao People's Democratic Republic WPR Report not provided The National Tobacco Control Committee was established in 2012 with composition with health and non-health sector. At provincial level 10 out of 18 provinces established Tobacco Control Committees. The National Tobacco Control Committee was established in 2012 with composition with health and non-health sector.
Lebanon EMR Answer not provided Limited progress since last report. Mostly relating to conducting a national situational analysis, developing a national smoking cessation plan and starting with its implementation. Limited progress since last report. Mostly relating to conducting a national situational analysis, developing a national smoking cessation plan and starting with its implementation.
Lesotho AFR Report not provided Answer not provided Report not provided
Liberia AFR Report not provided Report not provided Answer not provided
Libya EMR للاسف لا يوجد اي تقدم محرز تم إتخاذ تدابيرمنها استحداث اللجنة الوطنية لمكافحة التدخين واستخدام التنبغ ومشاركة عدد كبير من الوزارات في تنفيذ الالتزامات المتعلقة بمكافحة استخدام التبغ كما تم التوقيع على البروتوكول الخاص بمكافحة الاتجار غير المشروع بمنتجات التبغ تم إتخاذ تدابيرمنها استحداث اللجنة الوطنية لمكافحة التدخين واستخدام التنبغ ومشاركة عدد كبير من الوزارات في تنفيذ الالتزامات المتعلقة بمكافحة استخدام التبغ كما تم التوقيع على البروتوكول الخاص بمكافحة الاتجار غير المشروع بمنتجات التبغ
Lithuania EUR Answer not provided The new Governmental Program Implementation Plan for 2017-2020 (approved in 13/03/2017) sets a priority to strengthen public health (incl. reduction of demand and supply of tobacco, support people having unhealthy habits). The State drugs, tobacco and alcohol control and prevention programme for 2018-2028 was adopted 2018/12-13 by the Parliament of the Republic of Lithuania: https://e-seimas.lrs.lt/portal/legalAct/lt/TAD/a50bec00035b11e9a017f05dde6559c6 The State drugs, tobacco and alcohol prevention Inter-Institutional Action Plan (adopted by the Government of the Republic of Lithuania) sets variety of activities, implemented by different institutions. The mentioned Inter-Institutional Action Plan is being annually updated (last update in 2019/07/18: https://e-seimas.lrs.lt/portal/legalAct/lt/TAD/df289a11c0d311e48799bc57840226ce/asr). Coordinating Institution of the mentioned Inter-Institutional Action Plan is the Drug, tobacco and alcohol control department. The new Governmental Program Implementation Plan for 2017-2020 (approved in 13/03/2017) sets a priority to strengthen public health (incl. reduction of demand and supply of tobacco, support people having unhealthy habits). The State drug, tobacco and alcohol control and prevention programme for next period (2018-2028) is being prepared by inter-sectoral working group.
Luxembourg EUR 5.1: Evaluation finale en cours du Plan national de lutte contre le tabagisme (2016-2020) lien: https://sante.public.lu/dam-assets/fr/publications/p/plan-national-tabac-2016-2020/plan-national-tabac-2016.pdf. A partir des conclusions tirées du plan, il sera procédé à un recadrage de notre stratégie de lutte antitabac. 5.2: Amélioration en cours de notre programme de sevrage tabagique pour aider les fumeurs qui le désirent à se sevrer du tabac. Campagnes de prévention et promotion de l'aide au sevrage tabagique programmées pour 2023 et années suivantes. -transposition de la directive européenne 2014/40/UE en droit national. -mise en place du système de traçabilité et de sécurité des produits du tabac, conformément aux articles 15 & 16 de la directive européenne 2004/40/UE. -la loi du 21 août 2018 portant modification de la loi modifiée du 11 août 2006 relative à la lutte antitabac, interdit toute forme de vente à distance de produits du tabac, ceci inluant aussi les cigarettes électroniques. -élaboration dun nouveau plan de lutte contre le tabagisme national 2016-2020. -transposition de la directive européenne 2014/40/UE en droit national. -campagne dinformation sur la nouvelle loi anti-tabac du Luxembourg.
Eswatini AFR Report not provided Report not provided Report not provided
Ethiopia AFR Report not provided Report not provided Report not provided
European Union EUR The European Commission discusses matters of tobacco control regularly, within the different departments of the Commission as well as with the EU Member States. This is partly done in formal settings such as the Tobacco Products Committee and the Expert Group on Tobacco Policy, and partly in an informal ad-hoc manner. On the basis of the existing coordination, and as regards smoke-free environments, a network of national focal points has been put in place in order to exchange best practice and work on common indicators across the EU. In 2021, the European Commission adopted and published the report on the application of the Tobacco Products Directive 2014/40/EU, which examines the progress achieved so far: the Directive contributed to the reduction of tobacco consumption and generated positive outcomes for public health. The report also describes the Directive’s strengths and weaknesses as well as indicates elements requiring adaptation. See: https://eurlex.europa.eu/legal-content/EN/TXT/?qid=1621500846386&uri=COM%3A2021%3A249%3AFIN Also in 2021, European Commission adopted Europe’s Beating Cancer Plan which has put forward actions as of 2021 to help create a ‘Tobacco-Free Generation’ where less than 5% of the population uses tobacco by 2040, compared to around 25% today, and to support Member States in full implementation of the FCTC. See: https://eur-lex.europa.eu/legal-content/en/TXT/?uri=COM%3A2021%3A44%3AFIN In the framework of the 2nd Action Plan to fight illicit tobacco trade (2018-2022), the EU led and carried out a range of activities in relation with various tobacco issues, including implementation of the FCTC Protocol, cooperation with third countries, anti-fraud capacities, awareness campaign and change of EU legislation. See document COM(2018)846 of 7 December 2018: https://anti-fraud.ec.europa.eu/system/files/2021-09/communication_2nd_action_plan_fight_illicit_tobacco_trade_en.pdf The European Commission discusses matters of tobacco control regularly, within the different departments of the Commission as well as with the EU Member States. This is partly done in formal settings such as the Tobacco Products Committee and the Expert Group on Tobacco Policy, and partly in an informal ad-hoc manner. On the basis of the existing co-ordination, and as regards smoke-free environments, a network of national focal points has been put in place in order to exchange best practice and work on common indicators across the EU. Aditionally, the European Union produced a progress report in May 2017 on its comprehensive strategy on “Stepping up the fight against cigarette smuggling and other forms of illicit trade in tobacco products” of 2013. https://ec.europa.eu/anti-fraud/sites/antifraud/files/tobacco_implementation_report_12052017_en.pdf In the Framework of this progress report on the strategy, the Commission intends to prepare an Action Plan to counter tobacco smuggling in 2018. The European Commission discusses matters of tobacco control regularly, within the different departments of the Commission as well as with the EU Member States. This is partly done in formal settings such as the Tobacco Products Committee and the Expert Group on Tobacco Policy, and partly in an informal ad-hoc manner. On the basis of the existing co-ordination, and as regards smoke-free environments, a network of national focal points has been put in place in order to exchange best practice and work on common indicators across the EU. Aditionally, the European Union produced a progress report in May 2017 on its comprehensive strategy on “Stepping up the fight against cigarette smuggling and other forms of illicit trade in tobacco products” of 2013. https://ec.europa.eu/anti-fraud/sites/antifraud/files/tobacco_implementation_report_12052017_en.pdf In the Framework of this progress report on the strategy, the Commission intends to prepare an Action Plan to counter tobacco smuggling in 2018.
Fiji WPR Report not provided No changes in the past 2 years; however, ENDS regulated in 2014. In 2019, the Tobacco Control Decree became the Tobacco Control Act. Report not provided
Finland EUR In 2022, the Ministry of Social Affairs and Health appointed a working group tasked with making proposals for legislative amendments and other measures that support and promote the end of the use of tobacco and nicotine products by 2030. The report of the working group was published on January 2023. The measures proposed in the report create the conditions for eliminating the use of tobacco and other nicotine products. Further efforts are needed every few years to achieve this goal. The working group’s proposals concern taxation, prevention of starting the use of tobacco and nicotine products by young people, smoke-free environments, sales and marketing, support for quitting, passenger imports, regulation of new nicotine products, enhanced enforcement, and resourcing, monitoring and evaluation. Report of the working group on improving the tobacco and nicotine policy (in Finnish, the English translation will be available later): https://julkaisut.valtioneuvosto.fi/handle/10024/164595 The reform of the Tobacco Act was made in 2016. The aim of the Act is to end the use of tobacco and nicotine-containing products In order to achieve the aim, systematic actions must be developed and implemented. In 2018, a working group (appointed by the Ministry of Social Affairs and Health) prepared a Roadmap, 44 proposals to tobacco legislation and other tobacco policy measures. The proposals of the working group are focused on taxation, prevention, smoke-free environments, smoking cessation, communication, marketing, new nicotine products, improving the effectiveness of enforcement and monitoring. The Roadmap is available (in English): http://julkaisut.valtioneuvosto.fi/handle/10024/161214 Tobacco Act (549/2016) in English (not official translation): http://www.finlex.fi/en/laki/kaannokset/2016/en20160549 The reform of the Tobacco Act was finished in 2016. The previous Tobacco Act was from 1976 and it was changed more than 40 times during 40 years.
Gambia AFR Answer not provided The Gambia has a comprehensive tobacco control law called "Tobacco Control Act, 2016" which came into force in December 2018. There is also a "Tobacco Control Regulations" which was published in the Gazette in July 2019 and enforced in October 2019. A Tobacco Control Committee has been established and launched in April 2019. The government established a multisectoral working group on tobacco control. There is NCD unit and a focal point for tobacco. There is a draft National Tobacco control Bill and Enforcement and compliance plan.
Ghana AFR strengthening of the Tobacco Control Inter-Agency Coordinating committee (TC-IACC) by reconstituting it formation. Draft national tobacco control strategy In the Disease Control Policy of Ghana is embodied the Tobacco Control Policy. The Programmes Of Work of the Ministry of Health (MOH POW) since 2013 has always captured Tobacco Control as national Priority (See Attachment). The TC, IACC meets quarterly and the decisions taken are implemented by the relevant agencies or ministries In the Disease Control Policy of Ghana is embodied the Tobacco Control Policy. The Programmes Of Work of the Ministry of Health (MOH POW) since 2013 has always captured Tobacco Control as national Priority (See Attachment). The TC, IACC meets quarterly and the decisions taken are implemented by the relevant agencies or ministries
Greece EUR There has been an update of legislation regarding smoking ban in public enclosed spaces. There has been the National Action Plan for Public Health 2021-25 Report not provided a) A National Steering Committee for Tobacco Control was active until October 2015. The restructure and reactivation of this multi sectional Committee is still pending. b) Another multi sectional Committee was established within the Ministry of Health in order to make a proposal on the implementation of the FCTC Protocol for illicit trade control. The final report of this Committee was not signed by the representatives of the Ministry of Finance and it was never activated although it was signed by all the other Ministries’ participants.
Grenada AMR Report not provided A draft comprehensive tobacco control legislation have been developed and is before the legal department for drafting and ratification A draft comprehensive tobacco control legislation have been developed and is before the legal department for drafting and ratification
Guatemala AMR Se han adoptado estrategias de comunicación para divulgar los efectos negativos en el consumo de productos de tabaco y cigarrillos electrónicos. Se persigue la conformación de un Mecanismo Coordinador Nacional. Se ha reforzado la capacidad para acciones de vigilancia, con énfasis en la exposición al humo. Se persigue la conformación de un Mecanismo Coordinador Nacional. Se ha reforzado la capacidad para acciones de vigilancia, con énfasis en la exposición al humo.
Guinea-Bissau AFR Answer not provided Aucun progrès réalisé en raison de labsence de ratification de la Convention-cadre de lOMS pour la lutte antitabac. Aucun progrès réalisé en raison de labsence de ratification de la Convention-cadre de lOMS pour la lutte antitabac.
Guyana AMR Answer not provided The tobacco control focal point is the employed at the Ministry of Public Health. The strategies and policies are guided by those outlined in the Integrated Prevention and Control of Non Comunicable Diseases: Strategic Plan 2013- 2020. The focal point works in collaboration with the Health Promotions Advisors of the Pan American Health Organization and the Health Promotions officer at the Ministry of Education, and all other parties that are involved in Tobacco Control in Guyana. The Tobacco Control Unit is working to implement and enforce the articles of The Tobacco Control Act 2017. The tobacco control focal point is the employed at the Ministry of Public Health. The strategies and policies are guided by those outlined in the Integrated Prevention and Control of Non Comunicable Diseases: Strategic Plan 2013- 2020. The focal point works in collaboration with the Health Promotions Advisors of the Pan American Health Organization and the Health Promotions officer at the Ministry of Education, and all other parties that are involved in Tobacco Control in Guyana.
Honduras AMR Report not provided El Instituto Hondureño para la Prevención del Alcoholismo, Drogadicción y Farmacodependencia (IHADFA) se ha empoderado de sus funciones y atribuciones en la aplicación control y seguimiento del Convenio Marco para el Control del Tabaco de la OMS, y de la Ley Especial para el Control del Tabaco y su Reglamentación a nivel nacional de Honduras. Ha trabajado en equipo con la Organización Panamericana de la Salud de la OMS, así como, con las diversas organizaciones e instituciones públicas del Estado de Honduras responsables de cooperar en dichas funciones y atribuciones de acuerdo a sus competencias; y adicionalmente ha trabajado hombro a hombro con las organizaciones de la sociedad civil como la Alianza Hondureña Antitabaco, con el objeto de llevar a cabo un trabajo objetivo de aplicación de dicha legislación nacional vigente sobre el tema en referencia. Logrando el Plan Nacional para el Control del Tabaco en el año del 2017. El Instituto Hondureño para la Prevención del Alcoholismo, Drogadicción y Farmacodependencia (IHADFA) se ha empoderado de sus funciones y atribuciones en la aplicación control y seguimiento del Convenio Marco para el Control del Tabaco de la OMS, y de la Ley Especial para el Control del Tabaco y su Reglamentación a nivel nacional de Honduras. Ha trabajado en equipo con la Organización Panamericana de la Salud de la OMS, así como, con las diversas organizaciones e instituciones públicas del Estado de Honduras responsables de cooperar en dichas funciones y atribuciones de acuerdo a sus competencias; y adicionalmente ha trabajado hombro a hombro con las organizaciones de la sociedad civil como la Alianza Hondureña Antitabaco, con el objeto de llevar a cabo un trabajo objetivo de aplicación de dicha legislación nacional vigente sobre el tema en referencia.
Hungary EUR In the period of reports the followings have been functioning constantly: - The Tobacco Focal Point - The National Methodology Center for Smoking Cessation Support operates the quitline (06 80 44-20- 44, available free of charge); website (www.leszokastamogatas.hu) - Outpatient Pulmonary Clinics and health promotion offices offer individual and group cessation support. - Government offices have been monitoring the restrictions and prohibitions related to smoking. From 29 June 2021 The specific consumption of nicotine-containing products that replace smoking (in addition to the already existed rules about the traditional smoking products of course) is prohibited in public educational institutions, as well as in child welfare and child protection institutions. From 1.February 2023 the definition of herbal product for smoking has been widened with the heating usage method: “herbal product for smoking: plant, herbal or fruit-based product that does not contain tobacco and can be consumed by heating or burning “ In the period of reports the followings have been functioning constantly: - The Tobacco Focal Point - The National Methodology Center for Smoking Cessation Support operates the quitline (06 80 44-20-44, available free of charge); website (www.leszokastamogatas.hu) - Outpatient Pulmonary Clinics offer individual and group cessation support - Government offices have been monitoring the restrictions and prohibitions related to smoking. The European Parliament and The Council released their 2014/40/EU directive on 3rd April 2014. (DIRECTIVE 2014/40/EU OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 3 April 2014 on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products and repealing Directive 2001/37/EC), based on it, Hungary was obliged to take measures on the harmonisation of legislations. We have successfully implemented the Directive. From 2016, August 20th the introduction of plain (without brand designation) packaging: the new brand of cigarettes and RYO tobacco products can only be circulated with this packaging. Products already in circulation will have temporary exemption, however from 2022 May 20th every cigarette and tobacco product must have the integrated (plain) packaging. In the period of reports the followings have been functioning constantly:  The Tobacco Focal Point  The Methodological Support Center for Smoking Cessation’s call center (06 80 44-20-44, callable free of charge); website (www.leszokaspont.hu)  Pulmonologies’ personal and group cessation support  Government offices has been monitoring the restrictions and prohibitions related to smoking. The European Parliament and The Council released their 2014/40/EU directive on 3rd April 2014. (DIRECTIVE 2014/40/EU OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 3 April 2014 on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products and repealing Directive 2001/37/EC), based on it, Hungary was obliged to take measures on the harmonisation of legislations. We have successfully implemented the Directive. The definitions of tobacco products, smoking, and combined health warnings were corrected. From 2016, August 20th the introduction of integrated (without brand designation) packaging: the new cigarettes and tobacco products can only be circulated with this packaging. Products already in circulation will have temporary exemption, however from 2019 May 20th every cigarette and tobacco product must have the integrated (neutral) packaging. The harmonization of law of the directive’s implementing decisions is happening with changes in the relevant legislation, which will probably not end until 2020 May 20th.
Costa Rica AMR 5.1 Se ha definido hasta la fecha, ocho 'Campañas de Advertencias Sanitarias de Productos de Tabaco'. Se cuenta con un 'chatbot', a través del cual se brinda atención virtual a las personas que desean dejar de fumar. (Ref. https://saludmovil.go.cr/) Se cuenta con un borrador del 'Plan Nacional de Control de Tabaco 2022-2030'. Sin embargo, se debe someter a validación de los actores sociales incorporados al mismo. 5.2 A través del 'Proyecto FCTC 2030' se proporcionó al país la documentación necesaria para establecer un Mecanismo de Coordinación Nacional. Sin embargo, se encuentra pendiente su revisión y someterlo a valoración de las autoridades institucionales. Mediante contratación administrativa, se elabora el Plan Estratégico del Programa de Control de Tabaco. Que tiene como objetivo definir una estrategia nacional en el que participen instituciones del sector salud y fuera de este. Se proyecta su finalización en Julio del 2020. En el año 2018 se conformó la Comisión Interinstitucional Técnica Ley N° 9028 (CITCOT), conformada por representantes de instituciones que reciben fondos del impuesto específico (Art. 29, Ley N° 9028). Los siguientes documentos se publicaron en la Gaceta Oficial y el Boletín en el período del informe: Etiquetado: 2014 Gaceta # 223 página 18 Pauta DM -EC- 4979-14 II período de campaña 2015/2016, actual / finaliza en noviembre de 2016. Gaceta # 240 2015 Página 18 Pauta DM -EC- 4960-15.III Comienza el período de campaña 2016/2017 Septiembre de 2016. Actualmente están rigiendo los pictogramas de la campaña 2017/2018. Sanciones (salario base): Boletín judicial núm. 6 Circular 2 216 Multas salariales basadas en el Boletín Judicial # 2014 245 260 página 5 Circular 2015 Multas salariales base Boletín Judicial # 14 página 14 Circular 241 multas Sueldo base para 2016 Excise duty 2014 Gaceta 71 page 10 Updating the specific tax on snuff and products derived therefrom 2015 Gazette 58 page 12 Updating the specific tax on snuff and products derived therefrom 2016 Gazette reaches 50 page 9 Updating the specific tax on snuff and products of the same
Côte d'Ivoire AFR Answer not provided Adoption dun plan stratégique national 2019-2021 de lutte contre le tabagisme. Augmentation des droits dassise sur les produits du tabac. Adoption de la Loi N° 2019-676 du 23 juillet 2019 relative à la lutte Antitabac. Ratification du protocole pour éliminer le commerce illicite des produits du tabac, Augmentation des droits dassise sur les produits du tabac.
Croatia EUR no changes since last report Answer not provided Answer not provided
Cyprus EUR Answer not provided The Ministry of Health has successfully passed a new legislation in 2017 for tobacco control for the endorsement of article 8 of the Convention and harmonisation with EU directive 2014/40/EU. The Ministry of Health has successfully passed a new legislation in 2017 for tobacco control for the endorsement of article 8 of the Convention and harmonisation with EU directive 2014/40/EU.
Democratic People's Republic of Korea SEA Report not provided National Tobacco Control Law, DPRK 2016 is being implemented in DPRK.The government is engaging with different stakeholders and partners for implementation of smoke-free laws and multi-sectoral efforts are being made to enforce strict implementation of national tobacco control law. MoPH took initiatives for strengthening implementation of national tobacco control law including multi-sectoral workshops with different stakeholders, especially focusing tobacco free premises and to disseminate awareness messages through mass media on tobacco control law and harmful effects of tobacco use. Number of health care providers from tobacco cessation centers are trained as trainers on tobacco cessation counseling and they are providing counselling services on harmful use of tobacco products and motivate smokers for cessation. The “World No Tobacco Day” observed every year to raise awareness on the health and other risks associated with tobacco use and strengthen policies and actions to reduce tobacco use in DPR Korea. IEC campaigns are conducted to raise awareness on smoke-free legislation and its implementation which would help the community change their social norms, limit initiation of smoking in young adults and initiate cessation among smokers and curve tobacco prevalence. Tobacco Control Law, DPRK was updated on 24 June 2016 and being implemented in the country. Multi-sectoral workshops conducted on several occasions to strengthen the collaboration between different sectors and involve different stakeholders in tobacco control. The “World No Tobacco Day” activities conducted every year to raise awareness on the health and other risks associated with tobacco use and strengthen policies and actions to reduce tobacco use in DPR Korea. IEC campaigns are conducted focusing on danger of the exposure of second-hand smoke including mass media.
Democratic Republic of the Congo AFR - Mise en place d'une tripartite de lutte antitabac composée du Ministère de la santé/PNLCT-OMS et la Socièté Civile - Elaboration de la loi cadre de santé publique avec les elements de lutte antitabac integrés - Elaboration de l'arreté portant interdiction de la publicité, de la promotion, du parrainage et de fumer dans les lieux publics - Sensibilisation de la population contre le tabagisme. 1) Le Programme a émargé au budget de lEtat 2015 et 2016; 2) Un plan stratégique national élaboré et intégré au Plan National de Développement Sanitaire (PNDS 2016-2020). 1) le Programme a émargé au budget de lEtat 2015 et 2016; 2) Un plan stratégique national viens dêtre élaboré et intégré au Plan National de Développement Sanitaire (PNDS 2016-2020).
Denmark EUR In December 2019, the Danish Government and a majority of the political parties in Parliament agreed on a national action plan targeting tobacco use among children and young people, and in December 2020 was the bill implementing the action plan adopted. Since then has following initiatives been implemented: Display ban - Plain packaging - Further strictions on advertising and sponsorship - Further restrictions on tobacco use in institutions and schools for children and adolescents, i.a. ban on any form of tobacco use during school hours -Ban on characterising flavours ind cigarettes and e-cigarettes (except menthol in e-cigarettes). The proposed ban does not apply to cigars and pipe tobacco. - Regulation of non-tobacco nicotine products. - Strengthened control of sales of tobacco products to minors and increased fines. In December 2019, the Danish Government and a majority of the political parties in Parliament agreed on a national action plan targeting tobacco use among children and young people. Some of the initiatives are: - Display ban - Plain packaging - Further restrictions on advertising and sponsorship - Further restrictions on tobacco use in institutions and schools for children and adolescents. Ban on any form of tobacco use during school hours - the ban also applies to pupils leaving the property of the institution during schools hours, for instance during excursions etc. Ban on tobacco sale in these schools and institutions. - Ban on characterising flavours except menthol and tobacco. The proposed ban does not apply to cigars and pipe tobacco. - Regulation of non-tobacco nicotine products. - Strengthened control of sales of tobacco products to minors and increased fines. - Increased fines for violations of the Smoke-free Environments Act The political agreement on a national action plan can be found here: https://www.regeringen.dk/media/8732/aftaletekst.pdf The Bill implementing the national action plan will we introduced in 2020. -
Djibouti EMR Report not provided Depuis le dernier rapport, deux propositions de decret ont été élaborées mais non encore validés : 1- Sur lapplication de larticle 11 pour le conditionnement du tabac à chicha 2- Sur lapplication de larticle 8 dans les restaurants et les hôtels. Létude sur une politique fiscale est toujours en cours. Depuis le dernier rapport, deux propositions de decret ont été élaborées mais non encore validés : 1- Sur lapplication de larticle 11 pour le conditionnement du tabac à chicha 2- Sur lapplication de larticle 8 dans les restaurants et les hôtels. Létude sur une politique fiscale est toujours en cours.
Dominica AMR Report not provided Report not provided Report not provided
Egypt EMR Answer not provided تعتبر زيادة نسبه الضرائب علي منتجات التبغ المحليه و المستورده من اهم انجازات العامين السابقين حيث تم التنسيق مع وزاره الماليه المصريه لزياده اسعار منتجات التبغ و ذلك للحد من الاستهلاك حيث تم زياده الضرائب مرتين علي عامين متتاليين كما تم التنسيق مع وزاره التعليم العالي لتطبيق سياسات منع التدخين في الاماكن المغلقه داخل الجامعات تعتبر زيادة نسبه الضرائب علي منتجات التبغ المحليه و المستورده من اهم انجازات العامين السابقين حيث تم التنسيق مع وزاره الماليه المصريه لزياده اسعار منتجات التبغ و ذلك للحد من الاستهلاك حيث تم زياده الضرائب مرتين علي عامين متتاليين كما تم التنسيق مع وزاره التعليم العالي لتطبيق سياسات منع التدخين في الاماكن المغلقه داخل الجامعات
El Salvador AMR Answer not provided Mediante Decreto Ejecutivo No. 63, de fecha 29 de mayo de 2015, publicado en el Diario Oficial No. 101, Tomo 407, de fecha 5 de junio de 2015, se emitió el Reglamento de la Ley para el Control del Tabaco, en su artículo 12, establece que el Titular del Ministerio de Salud nombrará la Comisión Técnica Multidisciplinaria que analizará los empaques primarios y secundarios para verificar si estos cumplen con todo lo establecido en la Ley para el Control del Tabaco y el Reglamento, así como con las normas técnicas sobre las advertencias sanitarias, imágenes y pictogramas emitidos por el Ministerio de Salud. De conformidad a sus facultades legales la Titular del Ministerio de Salud, en fecha 31 de agosto de 2015, a través de Acuerdo Ministerial No. 1239 conformó la Comisión Técnica Multidisciplinaria de Tabaco. Mediante Decreto Ejecutivo No. 63, de fecha 29 de mayo de 2015, publicado en el Diario Oficial No. 101, Tomo 407, de fecha 5 de junio de 2015, se emitió el Reglamento de la Ley para el Control del Tabaco, en su artículo 12, establece que el Titular del Ministerio de Salud nombrará la Comisión Técnica Multidisciplinaria que analizará los empaques primarios y secundarios para verificar si estos cumplen con todo lo establecido en la Ley para el Control del Tabaco y el Reglamento, así como con las normas técnicas sobre las advertencias sanitarias, imágenes y pictogramas emitidos por el Ministerio de Salud. De conformidad a sus facultades legales la Titular del Ministerio de Salud, en fecha 31 de agosto de 2015, a través de Acuerdo Ministerial No. 1239 conformó la Comisión Técnica Multidisciplinaria de Tabaco.
Equatorial Guinea AFR Report not provided Report not provided EL PLAN ESTRATEGICO NO ESTA VALIDADO
Estonia EUR Answer not provided The tobacco point of sale display ban and ban of disanace sale of tobacco products entered into force in 01.07.2019. Ammendments of Tobacco Act from 2017: tobacco point of sale display ban and ban of disanace sale of tobacco products will enter into force in 01.07.2019.
Brunei Darussalam WPR The team is currently doing preparatory work for drafting its first national tobacco strategy. The Tobacco Order 2005 and its regulations is currently being reviewed. Implementation of Tobacco Order 2005 and its Regulations since 1st June 2008; the Order is currently being reviewed. Brunei Darussalam also enforces a very strict Anti-Corruption Laws.
Bulgaria EUR Answer not provided The national NCD program 2014-2020 was developed in accordance with the guidelines of the FCTC. Goals and objectives are in accordance with Art. 5.1. and Art. 5.2 As mentioned above, The national program for the prevention of chronic non-communicable diseases 2014-2020. It was developed in accordance with the guidelines of the FCTC. Goals and objectives are in accordance with art. 5.1. and 5.2
Burkina Faso AFR Answer not provided Pour larticle 5.1, le Burkina Faso a mis en œuvre son premier plan stratégique de lutte antitabac 2009-2013. Ce plan a été évalué et un nouveau plan stratégique couvrant la période 2015-2019 a été élaboré. Par faute de financement, la période a été revu pour couvrir 2016-2020. Pour larticle 5.2, le Point focal ne dispose pas de moyens conséquents pour coordonner la lutte antitabac. Il nexiste de ligne budgétaire . La Direction en charge de la lutte antitabac assure lle secrétariat technique du Comité national de lutte antitabac Pour larticle 5.1, le Burkina Faso a mis en œuvre son premier plan stratégique de lutte antitabac 2009-2013. Ce plan a été évalué et un nouveau plan stratégique couvrant la période 2015-2019 a été élaboré. Par faute de financement, la période a été revu pour couvrir 2016-2020. Pour larticle 5.2, le Point focal ne dispose pas de moyens conséquents pour coordonner la lutte antitabac. Une ligne budgétaire a été mise en place et cette ligne est insuffisamment ravitaillée. La Direction en charge de la lutte antitabac est le secrétariat technique du Comité national de lutte antitabac
Burundi AFR Report not provided Elaboration du plan stratégique national de lutte contre le tabagisme 2016-2020(PSNLT) Mise en place dune commission multisectorielle de travail sur la lutte contre le commerce illicite des produits du tabac Adoption et promulgation d’une loi nationale anti-tabac en Mai 2018 Elaboration des textes de mise en application de la loi antitabac est en cours. Report not provided
Cabo Verde AFR Answer not provided Nous navons pas encore présentés aucun rapport. Point focal pour le control du tabac au sein du Ministere de la santé Nous avons deja un plan national estrategique multisectoriel homologué,´sur lequel on a deja commence a travailler. Comission National multisectorial mise en place e a fonctioner. Revision de la loi du tabac. On attend une nouvelle loi qui est dejá approuvée dans le conseil de minsitre et doit etre prete souvain. Nous navons pas encore présentés aucun rapport. Indication du point focal Lignes directrices pour la définition dun plan daction préliminaire
Cambodia WPR Report not provided Implementation and enforcement of the law on Tobacco Control and its regulations at national and provincial levels. The achievements of the five year strategic plan on Tobacco Education and Reduction 2011-2015 are: - Tobacco Control Law has been ratified. - All tobacco products have health warnings in Khmer as required by the sub decree - The sub-decree on 55% Pictorial Health Warning, 2015 - The Prakas on measurement of Pictorial Health Warning, 2016 - The Prakas on display of tobacco products at point of sale, 2015 - The Sub-decree on banning smoke free workplace and public places, 2016 - The Prakas on No-smoking sign, 2016 - The Sub-decree on establishing National Tobacco Control Committee, 2017 - Tax on retail price of tobacco products decreased from 22%-28% in 2014 to 25%-31.1% in 2016 - Training on smoking cessation to health center staff at health centers. - Integrate tobacco control indicators and targets in health sector strategic plan 2016 - 2020 - Integrate tobacco control indicators and targets in Multi-sectorial action plan for Non Communicable Diseases 2017 - 2026 - Establish smoke free program for six city/provinces (Phnom Penh, Siem Reap, Battambang, Kampong Cham, Preahsihanouk and Kandal province) - Campaign on smoke free workplace and public places in Siem Reap city - Disseminate tobacco control legislation to public - Conduct monitoring on the compliance of Pictorial Health Warning (PHW), Smoke free workplace and public places, Tobacco advertising promotion and sponsorship (TAPS) and display tobacco products at point of sale. - Issue warning letters to tobacco industries to enforce the regulation on PHW and TAPS - Issue warning letters to the owners, managers of supermarkets, recreational setting, historical setting, Ministry of Religion and Cults to comply with Sub-decree on banning smoking at public and public places - Study on Health Costs Associated with Active Tobacco Use, 2013 - A national survey to assess peoples opinion on tobacco control, Cambodia, 2015 - Study on effectiveness of PHW, 2014 and 2016 - The prevalence of tobacco use among adults male decreased from 39.1% in 2011 to 32.9% in 2014 and adults female from 3.4% in 2011 to 2.4% in 2014. - The prevalence of tobacco use among youth male decrease from 7.9% in 2011 to 2.9% in 2016 and female from 5.0% in 2010 to 1.9% in 2016 - No tobacco advertisement and promotion and sponsorship as required by the sub decree - Half of enclosed public workplaces and buildings are smoke free
Canada AMR Health Canada is reviewing Canada’s Tobacco Strategy and exploring new opportunities to reduce tobacco consumption and achieve less than 5% by 2035. We continue to strengthen regulations to prevent youth and people who do not smoke from becoming addicted and to provide Canadians with information on the health hazards of tobacco use. In 2022, we published proposed regulations to update health warning messages and to extend to all tobacco product packages to maintain their effectiveness. Additionally, we have proposed regulations which would make Canada the first country to introduce written health warnings on certain individual tobacco products, such as cigarettes, to make it nearly impossible to avoid health warnings altogether. Health Canada recently completed the first legislative review of the Tobacco and Vaping Products Act, which determined that the Act is making progress towards protecting youth and achieving its vaping-related objectives. It also identified areas for potential action, such as strengthening our compliance and enforcement. Another review will begin in 2023. Finally, Health Canada is developing guidance on Article 5.3 which we will share across government departments in order to increase our compliance with Article 5.3. The Government of Canada addresses the public health issue of tobacco control through Canada’s Tobacco Strategy (CTS). Launched in 2018, it replaced the Federal Tobacco Control Strategy (FTCS), which had been in existence since 2001. CTS is the result of extensive consultation and engagement with Canadians across the country, leveraging strengthened authorities granted by the Tobacco and Vaping Products Act (TVPA) and significantly increased ongoing funding for federal action on tobacco announced in 2018. The Tobacco and Vaping Products Act (TVPA) – formerly the Tobacco Act - was enacted on May 23, 2018. Canadas Tobacco Strategy is a comprehensive, integrated and sustained approach to drive down the smoking rate in Canada to less than 5% by 2035 through focused action to help Canadians quit smoking, including groups of Canadians with the highest rates of tobacco use, and to prevent youth and non-tobacco user from nicotine addiction. It also takes a pragmatic and compassionate approach to support Canadians who already use tobacco to reduce the negative consequences of nicotine addiction. CTS priority areas include: • help Canadians quit tobacco; • protect youth and non-tobacco users from nicotine addiction; • work with Indigenous groups to create specific plans for Indigenous people; • strengthen our science, surveillance and partnerships. Through Canada’s Tobacco Strategy, the Government of Canada is: • continuing to strengthen legislative and regulatory measures to protect youth and non-smokers and actively enforcing current requirements under the federal Tobacco and Vaping Products Act and regulations; • working with the provinces and territories to modernize smoking cessation services across the country to make it easier, faster and more appealing for smokers to access the support and tools they need in a way that best works for them; • expanding funding for tobacco programs that target groups of Canadians disproportionately affected by smoking; • updating and improving the effectiveness of public education resources, including marketing campaigns to educate youth, young adults and their parents about the harms and risks associated with tobacco and vaping products and nicotine addiction; • exploring and consulting on potential options that could further reduce the appeal and addictiveness of tobacco and vaping products, including the regulation of nicotine content; • studying the health impacts of nicotine products and understanding how Canadians use them to inform decision-making; and • maintaining and supporting work done around the world as a part of the World Health Organization’s Framework Convention on Tobacco Control. In collaboration with the provinces and territories, First Nations, and international law enforcement partners, the Government of Canada also continues to combat illicit tobacco, and is undertaking independent research to better understand and assess Canada’s evolving contraband tobacco market. In Canada, tobacco control responsibilities are shared by multiple levels of government. In addition to federal initiatives, all provinces and territories (P/Ts) currently have tobacco control legislation in place, some with restrictions beyond those found in the federal TVPA. For example, a number of Canadas provinces and territories have enacted legislation raising the minimum age for furnishing a tobacco or vaping product from 18 to 19 or even 21 years of age. Rules on smoke-free spaces are generally the responsibility of P/T and municipal governments, with the exception of federal workplaces and federally regulated spaces, such as banks and commercial aircraft. All P/Ts also have extensive tobacco control strategies in place. P/T spending on tobacco control is estimated to represent more than half of the total tobacco control expenditure in Canada. The Government of Canada has implemented nearly all of the available measures recognized by the WHO as good practices in tobacco control and continues to expand and explore opportunities for further action to drive down smoking rates. The Government of Canada is also addressing a rapid rise in youth vaping, which threatens Canada’s hard-earned gains in tobacco control. Recent federal initiatives to address tobacco and vaping products include: • the launch of a national public education campaign in January 2019 to inform youth of the health risks of vaping; • public consultations launched in April 2019 on potential regulatory measures to reduce youth access and appeal of vaping products, including measures to restrict the concentration and/or delivery of nicotine, prohibit the manufacture and sale of vaping products with certain flavours or flavour ingredients and/or prohibit the promotion of certain flavours; • new Tobacco Products Regulations (Plain and Standardized Appearance) for tobacco packages and products that came into force in November 2019; • new Vaping Products Labeling and Packaging Regulations published in December 2019 that will require that all vaping substances display important health and safety information as well as health warning messages and child resistant packaging; and • proposed new regulations announced in December 2019 to prohibit the promotion and advertising of vaping products anywhere they can be seen or heard by youth. The Government of Canada also continues to monitor tobacco and vaping use through the bi-annual Canadian Student Tobacco, Alcohol and Drugs Survey (CSTADS) and recently launched a new semi-annual Canadian Tobacco and Nicotine Survey (CTNS) to monitor tobacco and vaping product use in Canada. The Government of Canada is also conducting new qualitative surveillance activities, including the launch of a longitudinal Vaper Panel Survey and conducting public opinion research to better understand and improve the effectiveness of federal programs and policies to address the use of tobacco and vaping product use in Canada. The Government of Canada addresses the public health issue of tobacco control through the Federal Tobacco Control Strategy (FTCS). Launched in 2001, the FTCS was designed as a comprehensive, integrated and sustained approach to achieving reductions in tobacco use. The Government of Canada renewed the Federal Tobacco Control Strategy (FTCS) for five years in 2012. The current phase of the FTCS has two objectives: to preserve the gains in tobacco control made since 2001 and to maintain the downward trend in smoking prevalence. Priorities include: • supporting the pan-Canadian quitline and web portal to help inform Canadians about the availability of cessation services, and to support provinces and territories (P/Ts) in their efforts to provide cessation services; • on-Reserve First Nations and Inuit tobacco control initiatives; • marketing, awareness and outreach campaign to encourage cessation; • introducing matched funding and pay-for-performance for chronic disease focused grants and contributions; and • continuing coordination and support for Canada’s membership in the World Health Organization’s Framework Convention on Tobacco Control (WHO-FCTC). The current phase of the FTCS expires on March 31, 2018. Public consultations on the future of tobacco control were carried out in 2017 and steps are underway to renew the strategy. Canada has a comprehensive tobacco control environment with responsibilities shared by multiple levels of government. In addition to federal initiatives, all provinces and territories (P/Ts) currently have tobacco control legislation in place, some with restrictions beyond those found in the federal Tobacco Act. For example, a number of Canadas provinces and territories have enacted legislation addressing electronic cigarettes. Rules on smoke-free spaces are generally the responsibility of P/T and municipal governments, with the exception of federal workplaces and federally regulated spaces, such as banks and commercial aircraft. All P/Ts also have extensive tobacco control strategies in place. P/T spending on tobacco control is estimated to represent more than half of the total tobacco control expenditure in Canada. P/T roles in tobacco control and health care service delivery will be taken into consideration in the development of the next phase of the FTCS. Recent federal initiatives on tobacco: The federal government has implemented nearly all of the available measures recognized by the WHO as good practices in tobacco control. Recent federal initiatives include: Flavouring additives • In 2009, Canada became the first country in the world to ban the use of certain additives, including flavours like chocolate and bubble gum in cigarettes, little cigars and blunt wraps that were making these tobacco products more appealing to youth. • The Schedule to the Tobacco Act was amended in 2009 to further restrict the use of flavouring additives in additional cigar types that appeal to youth. Building on changes that came into force in 2009 and 2015, which banned the use of certain additives, including flavours like chocolate and bubble gum to make them less attractive to youth, the Government of Canada finalized amendment to the Tobacco Act in 2017 to ban the use of menthol in cigarettes, blunt wraps and most cigars sold on the Canadian market. Graphic health warnings • In 2000, Canada became the first country in the world to require pictorial health warnings on tobacco packages. In 2011, Health Canada increased the size of the graphic health warning messages from 50% to 75% of the front and back of cigarette and little cigar packages. The messages also include the toll-free pan-Canadian quitline number and web address to inform smokers about the availability of cessation services. • Regulations to introduce a new rotation of graphic health warning messages are under development. Advertising prohibitions: • The advertising of tobacco products has been further restricted by prohibiting advertising in Canadian publications that are typically viewed by young persons. Provinces and territories have also taken action to ban tobacco retail displays. In the province of Quebec, in November, 2015, royal assent was granted for Bill n°44 : An Act to bolster tobacco control. This act introduced restrictions unique to Quebec regarding the advertising of tobacco products by tobacco manufacturers/importers/wholesalers directed at retailers. Increased outreach as part of the 2012-2017 FTCS renewal: • A marketing, awareness, and outreach campaign has been implemented with a focus on encouraging cessation behaviour for young adult smokers ($4.8M over five years). Contraband tobacco • A new Criminal Code offence with mandatory penalties of imprisonment for repeat offenders was created in 2014 to combat the trafficking and cross-border smuggling of contraband tobacco. These illegal, lower-priced cigarettes fund criminality and undermine tax and public health measures put in place to reduce tobacco use. Plain Packaging Canada is committed to introduce plain packaging requirements for tobacco products. Health Canada undertook consultations in 2016 with partners and stakeholders, including provinces and territories, on the development of a proposal for plain packaging. A bill to enable plain and standardized packaging of tobacco products was introduced in parliament in November, 2016.
Chad AFR Answer not provided la mise en place de l comité national multisectoriel de lutte antitabac (CNLT), créée en 2007 et sous le leadership du ministère de la santé publique. Ce comité se réunit régulièrement et participe à toutes les activités de la lutte antitabac. Cest un comité très vaste qui regroupe plusieurs ministères, les partenaires et les organisations de la société civile (CNLT) en 2007 et des comités provinciaux CPLT en 2019 dans 10 Délégations sanitaires provinciales et la mise en place de groupe de travail technique surveillance IDT en 2020 la tenue régulière des réunions de coordination avec le comité national de lutte contre le tabagisme (CNLT) et les comités provinciaux Réalisation dune évaluation des besoins en octobre 2017; adoption de l’arrêté N°039 portant conditionnement et étiquetage des produits de tabac au Tchad; Élaboration en cours du plan stratégique multisectoriel de lutte contre le tabagisme, etc - Élaboration du plan stratégique multisectoriel de lutte antitabac pour 2018-2022; et de plan de communication 2019 - 2023; -la mise en place des clubs scolaires de de lutte Anti-tabac dans les établissements scolaire ; - adoption en cours du nouveau arrêté portant restructuration du comité multisectoriel de lutte Anti-tabac crée en 2007; - le Tchad est partie partenaire du projet FCTC 2030; élaboration de 2 projets des décrets portant interdiction de vente des produits de tabac par les mineurs et portant interdiction de fumer dans les lieux publics; adoption de Décret 1522 portant interdiction de fumer dans les lieux publics et Décret 1523 Portant prévention de lingérence de lIDT Organisation de plusieurs campagne de sensibilisation, des conférences débats, des émissions télévisées et radiodiffusé; etc -la tenue régulière des réunions de coordination avec le comité national de lutte contre le tabagisme (CNLT) crée en 2007: révision de larrêté N385 portant création du CNLT en 2007 en Conseil National de Lutte contre le tabagisme (CNLT) ayant deux niveaux: un niveau supérieur placé sous la responsabilité du Premier Ministre, Chef du Gouvernement et un intermédiaire et local comme comité technique sous la responsabilité du Ministre de la Santé Publique en cours dadoption; Réalisation dune évaluation des besoins en octobre 2017; adoption de larrêté N°039 portant conditionnement et étiquetage des produits de tabac au Tchad; Elaboration de quatre décrets dapplication de la loi 10 portant lutte antitabac en cours dadoption; Elaboration en cours dun plan stratégique multisectoriel de lutte contre le tabagisme, etc - Elaboration en cours du plan stratégique de lutte antitabac pour 2018-2022; -Amorce de mise en place des unités de lutte Anti-tabac dans les établissements scolares en 2009; - ladoption en cours dun nouveau arrêté portant restructuration du comité multisectoriel de lutte Anti-tabac crée en 2007; - le Tchad est partie partenaire du projet FCTC 2030; lélaboration de 2 projets des décrets portant interdiction de vente des produits de tabac par les mineurs et portant interdiction de fumer dans les lieux publics; lélaboration dun projet darrêté portant règlementation des points de vente des produits de tabac lélaboration dune code de conduite pour lapplication de larticle 5.3 de CCLAT; Organisation de plusieurs campagne de sensibilisation, des conférences débats, des émissions télévisées et radiodiffusé; etc
Chile AMR Durante este periodo se ha reformulado la estrategia de comunicación de riesgos asociadas al consumo de tabaco definiendo una población específica de adolescentes de 12 a 14 años considerando que el inicio del consumo de tabaco en Chile corresponde a las 12,7 años. La estratregia principal ha sido la conformación de un grupo de adolescentes que han permitió evaluar las campañas en el proceso de producción como también luego de su exhibición con el fin de desarrollar un mecanismo de mejora continua para esta estrategia. Se desarrollo el diseño de un programa para el tratamiento del tabaquismo para población general, que tiene como base la atención primaria de salud y la población de 15 y mas años perteneciente al sistema público de salud. A la fecha no se ha podido implementar mas allá de un piloto. De ha desarrollado una modificación de la ley de tabaco (Nº 19.419) que establece una regulación para los SEAN y SESN. se encuentra en segundo trámite constitucional El Ministerio de Salud a través de Oficina de Prevención del Consumo de Tabaco, es el referente técnico para las acciones implementadas en el país, ha participado en las propuestas de modificación de la Ley 19.419, que en la actualidad se encuentran en proceso de ser aprobadas por el poder Legislativo . En la actualidad con las nuevas indicaciones propuesta a la ley de tabaco se plantea prohibir la exhibiciones de los productos de tabaco como también la implementación de empaqueto plano de productos. Otra acciones intersectorial está asociado a incorporar la prevención del consumo de tabaco en lo planes de estudios de educación basica y media. Además de lo anterior se ha trabajado en un el desarrollo de un Piloto de Cesación. Campañas comunicacionales preventivas. Trabajos territoriales en las regiones del país, coordinación intersectorial para control del comercio ilícito .y desarrollo de estudios relacionados con Empaque genérico, Condiciones de vida de los agricultores de tabaco, Exhibición de productos de tabaco durante el período. Durante 2019, las autoridades de salud enviaron al Congreso un proyecto de ley que regula los cigarrillos electrónicos y vapeadores como dispositivos de tabaco. Este proyecto, homologa todos los productos de tabaco a la ley que rige desde 2013. Esto significa que dichos dispositivos tendrán las mismas normas que los cigarrillos tradicionales, por lo cual no se podrán vender ni distribuir a menores de edad, tampoco hacer publicidad o promoción, no se podrá fumar o vapear en lugares públicos cerrados y deberán llevar advertencia sanitaria. El Ministerio de Salud a través de Oficina de Prevención del Consumo de Tabaco, es el referente técnico para las acciones implementadas en el país, ha participado en las propuestas de modificación de la Ley 19.419, que en la actualidad se encuentran en proceso de ser aprobadas por el poder Legislativo . En la actualidad con las nuevas indicaciones propuesta a la ley de tabaco se plantea prohibir la exhibiciones de los productos de tabaco como también la implementación de empaqueto plano de productos. Otra acciones intersectorial está asociado a incorporar la prevención del consumo de tabaco en lo planes de estudios de educación basica y media. Además de lo anterior se ha trabajado en un el desarrollo de un Piloto de Cesación. Campañas comunicacionales preventivas. Trabajos territoriales en las regiones del país, coordinación intersectorial para control del comercio ilícito .y desarrollo de estudios relacionados con Empaque genérico, Condiciones de vida de los agricultores de tabaco, Exhibición de productos de tabaco durante el período.
Colombia AMR "El 27 de diciembre de 2006 se sancionó la Ley 1109, por medio de la cual se aprobó el “Convenio Marco de la OMS para el control del tabaco”. Este tratado fue declarado exequible por la Corte Constitucional mediante Sentencia C-665-07 de 29 de agosto de 2007. Mediante el Decreto 2871 de 2008, se promulgó finalmente el Convenio Marco de la OMS para el control del Tabaco”. 2. En el Plan Decenal de Salud Pública (PDSP) 2012-2021, y de acuerdo con lo establecido en el CMCT, se incluyeron metas específicas para control de tabaco, en el componente de condiciones crónicas prevalentes, y el componente de modos, condiciones y estilos de vida saludable (dimensión Vida Saludable y Condiciones No Transmisibles). En este último componente se contempla explícitamente como estrategia la “protección de las políticas públicas de salud frente a los intereses comerciales o de otra índole de la industria tabacalera (Artículo 5.3 del CMCT). 3. En el Plan Decenal para el control del Cáncer 2012-2021, en su línea estratégica número 1 (Control del riesgo, prevención primaria), se plantean metas relacionadas con la reducción de la prevalencia de consumo de tabaco en adultos y en jóvenes, el aumento de los impuestos al consumo de tabaco, y el aumento del tamaño de las advertencias sanitarias a un 70%. Para el cumplimiento de estas metas, se establecieron acciones en el nivel político, normativo, comunitario y en los servicios de salud. 4. En el actual Plan Nacional de Desarrollo 2018 – 2022, en el documento Bases del Plan Nacional de Desarrollo, se incluye en el “III Pacto por la equidad: política social moderna centrada en la familia, eficiente, de calidad y conectada a mercados”, en la línea de “Salud para todos con calidad y eficiencia, sostenible por todos”, en el “Objetivo 2. Definir prioridades e implementar las intervenciones en salud pública, para la transformación de la calidad de vida con deberes y derechos”, “Estrategia a. Definir prioridades en salud pública de acuerdo con la carga de la enfermedad”; s se encuentra la mención explícita a la identificación de prioridades, atendiendo los compromisos establecidos en instrumentos internacionales como los Objetivos de Desarrollo Sostenible y el Convenio Marco para el Control de Tabaco Al interior de la Mesa Intersectorial se está trabajando de manera conjunta en la construcción del Decreto de Formalización por medio del cual se espera crear el mecanismo de coordinación intersectorial para el control del tabaco de Colombia. El mismo fue circulado por el Ministerio de Salud y Protección Social y está en proceso de revisión por parte de las diferentes entidades del orden nacional involucradas en el proceso de implementación del Convenio Marco para el Control del Tabaco. El desarrollo del modelo de decreto necesario para la constitución del mecanismo multisectorial fue uno de los productos que se desarrollaron a través del proyecto FCTC 2030 del cual Colombia fue beneficiario por 5 años. El dereto tiene por objeto crear el Mecanismo de coordinación intersectorial para el control del tabaco (en adelante el Mecanismo). Este Mecanismo tendrá como fin ser el espacio gubernamental de articulación y fortalecimiento de las acciones de política pública para el control del tabaco en el país. esté mecanismo se integrará por 15 entidades gubernamentales de carácter nacional y tendrá como funciones principales: 1. Definir la agenda gubernamental intersectorial para el cumplimiento de las obligaciones derivadas del CMCT de la OMS y la normatividad nacional sobre control de tabaco; 2. Promover el desarrollo, implementación y evaluación de estrategias, planes y programas, así como políticas, legislación y otras medidas, para cumplir con las obligaciones previstas en el CMCT de la OMS y la normatividad nacional sobre control de tabaco; 3. Generar espacios de dialogo y retroalimentación con instituciones y entidades nacionales e internacionales, cuyos objetivos y actividades puedan hacer una contribución relevante al cumplimiento del CMCT de la OMS y la normatividad nacional sobre control de tabaco; 4. Promover estudios e investigaciones sobre temas relacionados con materias de interés del CMCT de la OMS y la normatividad nacional sobre control de tabaco; 5. Establecer la posición del país en las Conferencias de las Partes (COP), máximo órgano de decisión y representación de los Estados parte del CMCT de la OMS; 6. Generar la información y demás insumos pertinentes para el Observatorio del CMCT de la OMS, plataforma administrada por el Ministerio de Salud y Protección Social; 7)Las demás que le sean asignadas al interior de la Instancia o que sean necesarias para su adecuado funcionamiento. Vale la pena destacar que dicho documento en el momento se encuentra en una etapa de revisión por parte de las entidades involucradas y es suceptible de modificaciones, puesto que aún se encuentra en procesos de validación por parte de las entidades." 1. El 27 de diciembre de 2006 se sancionó la Ley 1109, por medio de la cual se aprobó el “Convenio Marco de la OMS para el control del tabaco”. Este tratado fue declarado exequible por la Corte Constitucional mediante Sentencia C-665-07 de 29 de agosto de 2007. Mediante el Decreto 2871 de 2008, se promulgó finalmente el Convenio Marco de la OMS para el control del Tabaco”. 2. En el Plan Decenal de Salud Pública (PDSP) 2012-2021, y de acuerdo con lo establecido en el CMCT, se incluyeron metas específicas para control de tabaco, en el componente de condiciones crónicas prevalentes, y el componente de modos, condiciones y estilos de vida saludable (dimensión Vida Saludable y Condiciones No Transmisibles). En este último componente se contempla explícitamente como estrategia la “protección de las políticas públicas de salud frente a los intereses comerciales o de otra índole de la industria tabacalera (Artículo 5.3 del CMCT). 3. En el Plan Decenal para el control del Cáncer 2012-2021, en su línea estratégica número 1 (Control del riesgo, prevención primaria), se plantean metas relacionadas con la reducción de la prevalencia de consumo de tabaco en adultos y en jóvenes, el aumento de los impuestos al consumo de tabaco, y el aumento del tamaño de las advertencias sanitarias a un 70%. Para el cumplimiento de estas metas, se establecieron acciones en el nivel político, normativo, comunitario y en los servicios de salud. 4. En el actual Plan Nacional de Desarrollo 2018 – 2022, en el documento Bases del Plan Nacional de Desarrollo, se incluye en el “III Pacto por la equidad: política social moderna centrada en la familia, eficiente, de calidad y conectada a mercados”, en la línea de “Salud para todos con calidad y eficiencia, sostenible por todos”, en el “Objetivo 2. Definir prioridades e implementar las intervenciones en salud pública, para la transformación de la calidad de vida con deberes y derechos”, “Estrategia a. Definir prioridades en salud pública de acuerdo con la carga de la enfermedad”; s se encuentra la mención explícita a la identificación de prioridades, atendiendo los compromisos establecidos en instrumentos internacionales como los Objetivos de Desarrollo Sostenible y el Convenio Marco para el Control de Tabaco Ver páginas 269 y 270 en el siguiente enlace: https://colaboracion.dnp.gov.co/CDT/Prensa/BasesPND2018-2022n.pdf 5. El 21 de julio de 2009, el Congreso de la República de Colombia aprobó la Ley 1335 de 2009 (denominada como la “Ley de Control del Tabaco”), la cual se ha venido reglamentando con el fin de abordar las obligaciones que figuran en los siguientes artículos del CMCT: Artículo 5.1 (Obligaciones generales) Artículo 8 (Protección contra la exposición al humo de tabaco) Artículo 10 (Reglamentación de la divulgación de información sobre los productos de tabaco) Artículo 11 (Empaquetado y etiquetado de los productos de tabaco) Artículo 12 (Educación, comunicación, formación y concientización del público) Artículo 13 (Publicidad, promoción y patrocinio del tabaco) Artículo 14 (Medidas de reducción de la demanda relativas a la dependencia y al abandono del tabaco) Artículo 15 (Comercio ilícito de productos de tabaco) Artículo 16 (Ventas a menores y por menores) Artículo 20 (Investigación, vigilancia e intercambio de información) del Convenio 6. Ley 1751 de 2015, Ley estatutaria de que regula el derecho a la salud. En esta norma, se menciona específicamente, entre otras cosas, el compromiso del Estado colombiano en el abordaje de los determinantes sociales de la salud. 7. Ley 1819 de 2016, por medio de la cual se adopta una reforma tributaria estructural, se fortalecen los mecanismos para la lucha contra la evasión y la elusión fiscal, y se dictan otras disposiciones. En esta Ley, se aprobó el incremento gradual al componente específico a los impuestos al tabaco, y el impuesto al valor agregado (IVA). 8. Programa Nacional para la Cesación del consumo de tabaco y atención del tabaquismo, el cual incorpora las intervenciones más costo-eficaces. Ver Anexo 12. 1. En el Plan Decenal de Salud Pública (PDSP) 2012-2021, y de acuerdo con lo establecido en el CMCT, se incluyeron metas específicas para control de tabaco, en el componente de condiciones crónicas prevalentes, y el componente de modos, condiciones y estilos de vida saludable (dimensión Vida Saludable y Condiciones No Transmisibles). En este último componente se contempla explícitamente como estrategia la “protección de las políticas públicas de salud frente a los intereses comerciales o de otra índole de la industria tabacalera (Artículo 5.3 del CMCT). 2. En el Plan Decenal para el control del Cáncer 2012-2021, en su línea estratégica número 1 (Control del riesgo, prevención primaria), se plantean metas relacionadas con la reducción de la prevalencia de consumo de tabaco en adultos y en jóvenes, el aumento de los impuestos al consumo de tabaco, y el aumento del tamaño de las advertencias sanitarias a un 70%. Para el cumplimiento de estas metas, se establecieron acciones en el nivel político, normativo, comunitario y en los servicios de salud. 3. En el actual Plan Nacional de Desarrollo 2014-2018, en el marco de la Estrategia 4x4 ampliada (cuyo objetivo es promover la actividad física, la alimentación saludable, la reducción del consumo de alcohol y el no consumo y exposición al tabaco, para reducir la morbi-mortalidad y discapacidad por cáncer, las enfermedades cardiovasculares, la diabetes y las enfermedades pulmonares. Se incluye, además, la gestión integrada para la salud mental y la salud bucal, visual y auditiva), y de lo establecido en el PDSP, se incorporan las acciones para mejorar la implementación del CMCT en Colombia, teniendo en cuenta que la promoción de los entornos para los estilos, modos y condiciones de vida saludable, se constituye en un medio para reposicionar al sector de la salud como generador de bienestar. Se definió, además, como mega meta, la reducción en un 8% de la tasa de mortalidad por enfermedades prevenibles, como las Enfermedades No Transmisibles (ENT), en la población entre 30 y 70 años de edad. Ver: https://colaboracion.dnp.gov.co/cdt/prensa/bases%20plan%20nacional%20de%20desarrollo%202014-2018.pdf 4. El 21 de julio de 2009, el Congreso de la República de Colombia aprobó la Ley 1335 de 2009 (denominada como la “Ley de Control del Tabaco”), la cual se ha venido reglamentando con el fin de abordar las obligaciones que figuran en los siguientes artículos del CMCT: Artículo 5.1 (Obligaciones generales) Artículo 8 (Protección contra la exposición al humo de tabaco) Artículo 10 (Reglamentación de la divulgación de información sobre los productos de tabaco) Artículo 11 (Empaquetado y etiquetado de los productos de tabaco) Artículo 12 (Educación, comunicación, formación y concientización del público) Artículo 13 (Publicidad, promoción y patrocinio del tabaco) Artículo 14 (Medidas de reducción de la demanda relativas a la dependencia y al abandono del tabaco) Artículo 15 (Comercio ilícito de productos de tabaco) Artículo 16 (Ventas a menores y por menores) Artículo 20 (Investigación, vigilancia e intercambio de información) del Convenio 5. Programa Nacional para la Cesación del consumo de tabaco y atención del tabaquismo, el cual incorpora las intervenciones más costo-eficaces. Este se desarrolla en el marco de la Política y Modelo de Atención Integral en Salud.
Comoros AFR Dans les traditions des mariages comoriens , il y avait l'utilisation des produits du tabac dans les cérémonies de mariage. Depuis l'année passée, les chefs communautaires ont interdit l'utilisation de ces produits . Prise de conscience progressive de la population et des autorités sur le danger du tabac et surtaxation du produit pour le rendre de plus en plus inaxessible Prise de conscience progressive de la population et des autorités sur le danger du tabac et surtaxation du produit pour le rendre de plus en plus inaxessible
Congo AFR Pas des progrès surtout avec la crise de la pandemie COVID-79 qu'a connu le monde, le Congo n'était pas épargné Pas de progrès réalisé dans ce domaine car le dispositif na pas de moyen de fonctionnement , il n y a pas une ligne budgétaire et le point focal nest pas renforcé ni doté des moyens pour la mise en œuvre de la CCLAT. Report not provided
Australia WPR The National Tobacco Strategy (NTS) sets out a national policy framework for the Australian Government and state and territory governments to work together and in collaboration with non-government organisations (NGOs) to improve the health of all Australians by reducing the prevalence of smoking and its associated health, social and economic costs, and the inequalities it causes. A new NTS has been endorsed by national and sub-national governments. The Australian Government announced it would set a new target of reducing smoking rates below 10 per cent by 2025. The new target reflects the Government’s ongoing commitment to reducing tobacco use in Australia. The next iteration of the National Tobacco Strategy is expected to commence in 2020. The new strategy will complement the development of a new 10-year National Preventive Health Strategy, which will address a range of topics including tobacco control. The new strategy also will provide a national framework to work towards the Government’s target to reduce smoking rates to below 10 per cent by 2025. Currently the National Tobacco Strategy (NTS) 2012-2018 sets out a national policy framework for the Australian Government and state and territory governments to work together and in collaboration with non-government organisations (NGOs) to improve the health of all Australians by reducing the prevalence of smoking and its associated health, social and economic costs, and the inequalities it causes. The National Tobacco Strategy 2012-2018 (NTS 2012-2018) sets out a national policy framework for the Australian Government and state and territory governments to work together and in collaboration with non-government organisations (NGOs) to improve the health of all Australians by reducing the prevalence of smoking and its associated health, social and economic costs, and the inequalities it causes. Under the COAG National Healthcare Agreement (NHA) by 2018, Australian governments have committed to: • reducing the daily national smoking rate among Australian adults (aged 18 years or older) from 19.1% (age-standardised) in 2007-08 to 10%; and • halving the daily national smoking rate among Aboriginal and Torres Strait Islander adults (aged 18 years or older) from 47.7% (44.8% age-standardised) in the same period. Progress against the Council of Australian Governments (COAG) performance benchmark for tobacco is being measured against the results from the Australian Bureau of Statistics National Health Survey (NHS) to monitor changes in smoking prevalence in the general population using age standardised rates. Part Seven of the NTS 2012-2018 notes that in order to assess whether Australia is on track to meet the COAG performance benchmark for tobacco, a Mid-Point Review of progress would be undertaken. The Mid-point review of the NTS 2012-2018 included two components: a data analysis component, which was undertaken by the Australian Health and Welfare Institute and a policy analysis component, undertaken by Health Policy Analysis Pty Ltd. Work on both reports was undertaken in 2016 and are available at: http://www.nationaldrugstrategy.gov.au/internet/drugstrategy/publishing.nsf/Content/national_ts_2012_2018 Findings from the Mid-Point Review will assist the Commonwealth, states and territories and relevant NGOs in developing and implementing priorities in tobacco control for the remainder of the NTS 2012-2018. The findings will also provide a useful resource in the development of a new NTS beyond 2018.
Austria EUR As of 01.01.2021, pursuant to Section 6e. of the Health and Food Safety Act (GESG), the "Tobacco Coordination Office" was established as a joint institution of the Ministry of Health and AGES and entrusted with the tasks related to the enforcement of the Tobacco and Non-Smoker Protection Act (TNRSG). The responsibilities of the Office of Tobacco Coordination include: - Planning of the statutory monitoring and control of tobacco and related products in accordance with the requirements of the Ministry of Health, including further arrangements and documentation of results; - Monitoring and sampling of tobacco and related products on the market, within the scope of the respective annual inspection plan or, in case of need, by specially trained bodies of the Agency; - Examination, analysis, appraisal and risk assessment of tobacco and related products, including monitoring of reporting by manufacturers or importers, as well as control and evaluation of reporting data; - Preparation of correspondence with authorities, commercial enterprises and business enterprises, especially in the case of findings of defects in tobacco and related products, including preparation of the initiation of administrative penal proceedings and their documentation; - Co-supervision of the rapid alert, communication and information systems, in particular the interfaces to RAPEX, IRASFF, ICSMS, EWS/EMCDDA and the Poison Control Center of Gesundheit Österreich GmbH as far as tobacco and related products are concerned; - Technical and legal handling of submissions and inquiries by authorities, business representatives, interest groups, international organizations and persons of the general public, in preparation for the handling of the submissions and inquiries by the Minister of Health as the competent authority; - Technical and organizational matters of the flat-rate annual fees pursuant to the TNRSG in connection with the determination of a cost-covering annual fee for the supervision of tobacco products and for the approval of novel tobacco products, including the performance of the annual evaluation; - Technical evaluation within the scope of approval of novel tobacco products in connection with the regulation of the Ministry of Health regarding the approval of novel tobacco products; - Technical tasks of the survey of tobacco product ingredients in accordance with the Tobacco Product Ingredient Survey Ordinance; - Publication of technical information on tobacco and related products; - Preparation of technical reports, expert opinions, evaluations and statements on tobacco and related products; - Participation in national and international projects and working groups in the field. It is planned that an amendment of the TNRSG will go through the parliamentary review process within the next few months. The amendment is expected to include, among other things, the inclusion of previously unregulated products, in particular tobacco-free nicotine-containing products (nicotine pouches, nicotine sachets etc.) in the legal regime of the TNRSG and the extension of existing advertising and sponsoring bans etc. At the moment a national tobacco and nicotine strategy is currently being developed, focussing especially on developing measures to minimize tobacco and nicotine consumption; the strategy is planned to be completed by the end of 2023. Furthermore, there is a national addiction forum in preparation, which will bring together all relevant stakeholders in the field of addiction with the aim of developing action plans. The consultative meeting is planned for the end of 2023/beginning of 2024. In 2020, the Constitutional Court confirmed the constitutionality of the annual fee to be paid by tobacco industry (E 248/2019-17, E 269/2019-18). In 2022, an adjustment was made with regard to the rates of the cost-covering annual fees that have to be paid by the industry for the supervision of tobacco and related products and for the approval of novel tobacco products (Tobacco Fees Ordinance 2022, Federal Law Gazette No. 43/2017). The FMoH has developed a national addiction prevention strategy which was adopted by the Council of Ministers in February 2016. This strategy covers all kinds of addiction: non-substance as well as substance related addictions including alcohol and tobacco. This strategy is based on a study (“Delphi-Study”) through which well-known experts and practitioners in the fields of science and addiction related matters were consulted. On the provincial level, addiction prevention strategies are taking into account tobacco prevention measures/activities (monitored by the FMH). The Austrian smoking cessation quitline, which in 2014 was renamed from “Rauchertelefon” (“smoking quitline”) into” Rauchfrei Telefon” (“smokefree quitline”), is continuing to be offered free of charge. Due to an amendment of the Austrian tobacco law (being set into force on 20 May 2016) which implements the regulations of the 2014 EU tobacco product directive (no. 2014/40/EU ) into national law, all cigarette packages have to provide information on and help for somking cessation. The FMH has developed a national addiction prevention strategy which was adopted by the Council of Ministers in February 2016. This strategy covers all kinds of addiction: non-substance as well as substance related addictions including alcohol and tobacco. This strategy is based on a study (“Delphi-Study”) through which well-known experts and practitioners in the fields of science and addiction related matters were consulted. On the provincial level, addiction prevention strategies are taking into account tobacco prevention measures/activities (monitored by the FMH). The Austrian smoking cessation quitline, which in 2014 was renamed from “Rauchertelefon” (“smoking quitline”) into” Rauchfrei Telefon” (“smokefree quitline”), is continuing to be offered free of charge. Due to an amendment of the Austrian tobacco law (being set into force on 20 May 2016) which implements the regulations of the 2014 EU tobacco product directive (no. 2014/40/EU ) into national law, all cigarette packages have to provide information on and help for somking cessation.
Azerbaijan EUR Answer not provided After adopting the new Law of Azerbaijan Republic "On restriction of tobacco use" in 2017, the positive changes were affect to number of related tobacco control legislation in Azerbaijan. The new Law defines the legal basis for protection of population health, promoting healthy lifestyles, reduction of harmful effects of tobacco use and environmental tobacco smoke. All hookahs and electronic cigarettes are also equated with tobacco products within the scope of this law. On October 04 , 2018, by the Decree № 290 of the President of Azerbaijan Republic the new paragraph was added to the "Statute of the Ministry of Health of Azerbaijan Republic" - "8.10-3. To implement state policy and state control in the field of protection from harmful effects of tobacco use" On December 19, 2019 the Public Health and Reforms Center of the Ministry of Health and the WHO Azerbaijan country office conducted the Second National NCD Conference on "The burden of non-communicable diseases and strategies to tackle NCDs". On 01 December 2017 the new Law of Azerbaijan Republic "On restriction of tobacco use" was adopted by the Parliament of Azerbaijan, and on 29 December, 2017 signed by Decree of the President of Azerbaijan Republic on applying of the new Law. The new Law defines the legal basis for protection of population health, promoting healthy lifestyles, reduction of harmful effects of tobacco use and environmental tobacco smoke. All hookahs and electronic cigarettes are also equated with tobacco products within the scope of this law. The adoption of this law is a great importance in protection of the population, especially children, teens and young people, from exposure to tobacco smoke. Moreover, it is expected that after adopting of new Law the positive changes will affect to all related tobacco control legislation in Azerbaijan. On 18 December, 2017 Public Health and Reforms Center and the Azerbaijan Medical University conducted the first National NCD Conference. On 20 December, 2017 Public Health and Reforms Center of the MoH conducted 4th National Tobacco Control Conference for advocacy of the new Law of Azerbaijan Republic "On restriction of tobacco use".
Bangladesh SEA Bangladesh has a national focal point on tobacco control and a separate unit (NTCC). MOHFW has amended the tobacco control law with the compliance and priorities of FCTC. Smokeless tobacco and pictorial health warning has been included in the law. A draft National strategic plan of action for tobacco control 2014-19 has been developed, which is yet to approve by the ministry. National Tobacco Control Cell (NTCC), MOHFW has conducted a number of workshops at administrative divisions and districts. Conducting capacity building training for the district taskforce committee members, conducted workshop for Executive Magistrates and other Authorized Officers on law enforcement. A model district and a model upazilla (sub-district) for Tobacco Advertising, Promotion and Sponsorship (TAPS) ban has been piloted. Tobacco-Free Hospital has been piloted in 4 Hospitals (at district and upazilla level). MOHFW has amended the tobacco control law with the compliance and priorities of FCTC. Smokeless tobacco and pictorial health warning has been included in the law. A draft National strategic plan of action for tobacco control 2014-19 has been developed, which is yet to approve by the ministry. National Tobacco Control Cell (NTCC), MOHFW has conducted a number of workshops at administrative divisions and districts. Conducting capacity building training for the district taskforce committee members, conducted workshop for Executive Magistrates and other Authorized Officers on law enforcement. A model district and a model upazilla (sub-district) for Tobacco Advertising, Promotion and Sponsorship (TAPS) ban has been piloted. Tobacco-Free Hospital has been piloted in 4 Hospitals (at district and upazilla level).
Barbados AMR Tobacco control strategies are included in the draft NCD Plan 2023-2028 Report not provided There is a section in the National NCD Strategic Plan 2015-2019 that speaks to tobacco prevention and control in Barbados. It identifies critical areas such as as advertising, sponsorship and packaging and labeling of tobacco products as well as periodic adult and youth surveys.
Belize AMR Answer not provided Drafted a National Tobacco Bill for the Creation of a National Tobacco Control Council. This bill has been reviewed by the Ministry of Health and the Attorney Generals Ministry, however it has not been adopted nor legislated. Report not provided
Benin AFR en 2020, grâce au financement du centre du contrôle du tabac en Afrique (CTCA) le point focal tabac a pu élaboré un atelier de validation des avertissements sanitaires sous forme d'images et de messages écrits à imprimer sur les paquets de cigarettes à commercialiser au Bénin An 2021, l'arrêté ministériel qui formalise les avertissements sanitaires en images et écrits, à imprimer sur les emballages des produits de cigarettes au Bénin a été signé un comité multisectoriel de lutte antitabac est crée en mars 2016, mais il nest pas fonctionnel à ce jour car les documents de création soumis nont pas été signés à ce jour, pas de budget de fonctionnement le plan stratégique de lutte antitabac est validé depuis avril 2016 , la mise en oeuvre du plan nest pas effective, il y a des activités du plan qui sont budgétisés dans le plan daction 2018 de lOMS pays, non réalisé un comité multisectoriel de lutte antitabac est crée en mars 2016, mais il nest pas fonctionnel à ce jour car les documents de création soumis nont pas été signés à ce jour, pas de budget de fonctionnement le plan stratégique de lutte antitabac est validé depuis avril 2016 , la mise en oeuvre du plan nest pas effective, il y a des activités du plan qui sont budgétisés dans le plan daction 2018 de lOMS pays
Bhutan SEA The Tobacco Control Act of Bhutan has been amended in 2022 legalizing sales of tobacco products after 18 years of endorsement (ban on sales) by the Parliament of Bhutan Report not provided There has been substantial progress made in the area of tobacco control since the Tobacco Control Act 2010 and Tobacco Control Rule and regulations came into effect. Periodic checking of the sale of tobacco products. Sensitization of tobacco laws and ill effects in collaboration with stakeholders. Tobacco Control Rules and Regulation amended on 15th January 2016 in line with the Amendment of Tobacco Control Act in 2014.The institutionalization of Tobacco inspection program in border towns and major districts. The Establishment of a toll-free number at Health Help Centre under ministry of Health as part of Tobacco Cessation Program. Introduced Nicotine Replacement Therapy during the World No Tobacco Day.
Bolivia (Plurinational State of) AMR Answer not provided El Estado Plurinacional de Bolivia tanto desde el Ministerio de Salud como desde la Asamblea Legislativa han impulsado nuevos proyectos de Ley para mejorar la Ley 3029. El 13 de Febrero del 2020 se Promulga la LEY DE PREVENCIÓN Y CONTROL AL CONSUMO DE LOS PRODUCTOS DE TABACO El Estado Plurinacional de Bolivia tanto desde el Ministerio de Salud como desde la Asamblea Legislativa han impulsado nuevos proyectos de Ley para mejorar la Ley 3029. Lastimosamente a la fecha no se cuenta con la aprobación de la misma.
Bosnia and Herzegovina EUR For the Federation of BIH: Enforced new Law on control and limited use of tobacco, tobacco products and other smoking products in the Federation of BIH ("Official Gazette of the Federation of BIH", No. 38/22). Republic of Srpska By invitation of the Ministry of Health and Social Welfare in the Government of the Republic of Srpska, the Public Health Institute of the Republic of Srpska is involved in preparation and monitoring of implementation of tobacco control documents, surveillance of tobacco use and tobacco products and collaborates with the tobacco control coordinator of the Republic of Srpska and other organizations and institutions involved in tobacco control. Answer not provided
Botswana AFR Answer not provided The repeal of current tobacco legislation is at advance stage and National Tobacco Control Technical Working Group has been established. However the manpower is a challenge. Focal Point has not capacitated well in order to cope with growing or emerging challenges of tobacco use. The repeal of current tobacco legislation is at advance stage and National Tobacco Control Technical Working Group has been established. However the manpower is a challenge. Focal Point has not capacitated well in order to cope with growing or emerging challenges of tobacco use.
Brazil AMR XXXX Some initiatives taken to strengthen the management and governance of the National Tobacco Control Policy included: - Strengthening and maintaing transparency and dialogue between CONICQ and civil society organizations and tobacco industry representatives, through specific opened meetings; - Establishment of monthly meetings between tobacco control partners (involving government and civil society representatives) to better articulate actions and policies; - Establishment of a virtual group to exchange information on the status of the Protocol to Eliminate Illicit Trade in Tobacco Products; - Maintaing updated information about the FCTC implementation in Brazil through a website (the Observatory of National Tobacco Control Policy); - Establishment of monthly meetings between tobacco control partners (involving government and civil society representatives) to better articulate actions and policies. Some initiatives taken to strengthen the management and governance of the National Tobacco Control Policy included: - Strengthening and maintaing transparency and dialogue between CONICQ and civil society organizations and tobacco industry representatives, through specific opened meetings; - Establishment of monthly meetings between tobacco control partners (involving government and civil society representatives) to better articulate actions and policies; - Maintaining the production of weekly virtual journal to CONICQ members with the main legislative and political situation, new researches, tobacco control measures and media releases; - Establishment of a virtual group to exchange information on the status of the Protocol to Eliminate Illicit Trade in Tobacco Products; - Maintaing updated information about the FCTC implementation in Brazil through a website (the Observatory of National Tobacco Control Policy); - Establishment of monthly meetings between tobacco control partners (involving government and civil society representatives) to better articulate actions and policies; - Referrals for the creation of an advisory council of experts to scientifically subsidize CONICQ.
Algeria AFR - création d'un comité multisectoriel de lutte contre les facteurs de risques des MNT en 2022 Answer not provided Answer not provided
Andorra EUR Actualmente se esta elaborando la nueva ley del control del tabaco que dará cumplimento con la aplicación de dichos artículos. Report not provided Report not provided
Angola AFR Answer not provided Report not provided In 2014, Angola put in place a National Strategic Plan for Tobacco control. A Draft law on Tobacco control is also going to be validated soon before its submission to the national Parliament.
Antigua and Barbuda AMR Answer not provided The Tobacco Act was passed in 2018 and a new focal point was appointed in the same year Report not provided
France EUR Answer not provided Le fonds de lutte contre le tabac, créé par le décret n°2016-1671 du 5 décembre 2016 au sein de la Caisse nationale de l’Assurance Maladie, contribue au financement d’actions de lutte contre le tabagisme au niveau local, national et international en cohérence avec les orientations du PNLT. Il permet de définir un cadre de financement stratégique qui s’est traduit par un plan d’actions. Depuis 2019, l’objet du Fonds a été élargi et il est devenu le fonds de lutte contre les addictions - tabac, alcool et substances illicites- (présidé par la CNAM autour d’une gouvernance DGS-DSS-DGOS-CNAM-MILDECA), En juin 2016, une instruction aux ARS leur a demandé de décliner localement le PNRT. Ainsi, dans la totalité des Agences régionales de santé (ARS) existe dorénavant un programme régional de réduction du tabagisme (P2RT) ainsi qu’une gouvernance régionale. En 2017, les actions de prévention et d’aide à l’arrêt prévues dans le cadre du PNRT ont été poursuivies et amplifiées. La France aura été le deuxième pays au monde à rendre effective l’obligation de paquets neutres pour les cigarettes et le tabac à rouler. La gouvernance régionale s’est développée : 14 ARS se sont armées d’un programme régional de réduction du tabagisme (P2RT) qui s’inscrit, pour 12 d’entre eux, dans le Programme Régional de Santé 2018-2022 (PRS). 11 ARS ont un parcours de santé addictions dans le PRS. Les P2RT et l’opération emblématique #Moissanstabac ont créé une mobilisation nouvelle d’un grand nombre d’acteurs, au plus proche de la population. Créé au premier janvier 2017, le nouveau fonds de lutte contre le tabac sera alimenté en 2018 par une contribution sociale issue de la distribution du tabac. Cela permettra de financer des actions dans les champs de la recherche, de la prévention, ainsi que soutenir les initiatives de la société civile et épauler les Agences régionales dans le déploiement de leurs P2RT.
Ecuador AMR Answer not provided Las acciones multisectoriales integrales de control de tabaco en Ecuador se realizan a través del CILA, el cual sesiona por lo menos una vez al año y opera de acuerdo al Reglamento de Funcionamiento aprobado en el Acuerdo Ministerial No. 2486, de fecha 28 de noviembre de 2012. Anteriormente, se desarrollaban actividades a nivel nacional con CILAs provinciales. Sin embargo, considerando la nueva distribución administrativa de Ecuador, ahora se está potenciando el trabajo a nivel distrital (más descentralizado). En el año 2016, se realizó la conformación del grupo de discusión subregional sudamericano sobre los artículos 6 y 15 del CMCT. Ecuador está representado por expertos del Ministerio de Salud Pública, Ministerio de Economía y Finanzas, Servicio de Rentas Internas y Servicio Nacional de Aduana. En el 2017, se realizó la evaluación de necesidades en relación al Convenio Marco de la OMS para el Control de Tabaco, mediante un taller de cuatro días, en el cual se coordinó varias reuniones interinstitucionales para conocer el estado actual del cumplimiento del CMCT del país. También se realizaron las siguientes actividades: - Tercera reunión sobre cooperación Sur-Sur y Triangular para la implementación del CMCT en la era de los ODS: con la participación de delegados del Ministerio de Salud y el Servicio de Rentas Internas, el país participó en tres mesas de trabajo. - La Organización Mundial de la Salud otorgó al Ecuador el premio por el Día Mundial Sin Tabaco. - Se realizó la sesión del pleno del CILA mediante un taller de sensibilización e información sobre control de tabaco y construcción del plan de acción 2017-2020. - Se realizó el taller sobre los artículos 6 y 15 del CMCT en el marco de la cooperación Sur-Sur: la experiencia de Ecuador en medidas fiscales y de seguimiento y localización. En el 2018 se realizó el taller de entrenamiento a entrenadores e intervenciones de cesación de consumo de tabaco. Las acciones multisectoriales integrales de control de tabaco en Ecuador se realizan a través del CILA, el cual sesiona por lo menos una vez al año y opera de acuerdo al Reglamento de Funcionamiento aprobado en el Acuerdo Ministerial No. 2486, de fecha 28 de noviembre de 2012. Anteriormente, se desarrollaban actividades a nivel nacional con CILAs provinciales. Sin embargo, considerando la nueva distribución administrativa de Ecuador, ahora se está potenciando el trabajo a nivel distrital (más descentralizado). En el año 2016, se realizó la conformación del grupo de discusión subregional sudamericano sobre los artículos 6 y 15 del CMCT. Ecuador está representado por expertos del Ministerio de Salud Pública, Ministerio de Economía y Finanzas, Servicio de Rentas Internas y Servicio Nacional de Aduana. En el 2017, se realizó la evaluación de necesidades en relación al Convenio Marco de la OMS para el Control de Tabaco, mediante un taller de cuatro días, en el cual se coordinó varias reuniones interinstitucionales para conocer el estado actual del cumplimiento del CMCT del país. También se realizaron las siguientes actividades: - Tercera reunión sobre cooperación Sur-Sur y Triangular para la implementación del CMCT en la era de los ODS: con la participación de delegados del Ministerio de Salud y el Servicio de Rentas Internas, el país participó en tres mesas de trabajo. - La Organización Mundial de la Salud otorgó al Ecuador el premio por el Día Mundial Sin Tabaco. - Se realizó la sesión del pleno del CILA mediante un taller de sensibilización e información sobre control de tabaco y construcción del plan de acción 2017-2020. - Se realizó el taller sobre los artículos 6 y 15 del CMCT en el marco de la cooperación Sur-Sur: la experiencia de Ecuador en medidas fiscales y de seguimiento y localización. En el 2018 se realizó el taller de entrenamiento a entrenadores e intervenciones de cesación de consumo de tabaco.
Cook Islands WPR Answer not provided Government funding scheme – PROBOCs Funds, about $195, 000 NZD comes back to the Ministry of Health for NCD and Tobacco Control programs. Government funding scheme – PROBOCs Funds, about $195, 000 NZD comes back to the Ministry of Health for NCD and Tobacco Control programs.
China WPR 1.2021年6月1日,《中华人民共和国未成年人保护法》实施,明确规定:任何人不得在学校、幼儿园和其他未成年人集中活动的公共场所吸烟、饮酒。 2.2020年6月1日,《中华人民共和国基本医疗卫生与健康促进法》实施,明确:国家采取措施,减少吸烟对公民健康的危害。公共场所控制吸烟,强化监督执法。 3.2022年5月1日,《电子烟管理办法》实施,明确国家和社会加强吸电子烟危害健康的宣传教育,劝阻青少年吸电子烟,禁止中小学生吸电子烟。禁止销售除烟草口味外的调味电子烟和可自行添加雾化物的电子烟。 4.2022年10月1日,《电子烟国家标准》实施,对电子烟的术语和定义做了界定,规定了电子烟设计与原材料的要求、技术要求等。 5.2022年10月,财政部、海关总署和税务总局联合颁布了《关于电子烟征收消费税的公告》,将电子烟纳入消费税征收范围,在烟税目下增设电子烟子目。 6.2022年5月,《电子烟警语标识规定》颁布,明确电子烟及其销售包装上应标注警语及具体的警语内容。 7.2021年12月,全国爱卫会在原国家卫生城镇评审管理办法和相关标准的基础上,制订了《国家卫生城镇评审管理办法》《国家卫生城市和国家卫生县标准》《国家卫生乡镇标准》,明确将全面无烟法规纳入国家卫生城市和国家卫生县评价指标。 8.2020年4月,国家卫生健康委、中央文明办、全国爱卫办联合颁布了《关于加强无烟党政机关的通知》,明确各地各级党政机关参照《无烟党政机关建设指南》开展建设并进行自评,为2022年底全面建成无烟党政机关奠定了基础。 9.2020年6月,教育部颁布了《关于深入开展新时代校园爱国卫生运动的通知》,明确提出落实托幼机构、中小学校、中等职业学校的室内和校园全面禁烟以及普通高等学校教学区、办公区、图书馆等场所室内全面禁烟要求。 10.2020年11月,国家卫生健康委、教育部颁布了《关于进一步加强无烟学校建设工作的通知》,提出全面营造无烟环境,力争到2022年底,实现各级各类学校全面建成无烟学校。颁布了《无烟学校建设指南》。 11.2020年11月,国家卫生健康委和全国妇联、中国计生协联合颁布了《关于倡导无烟家庭建设的通知》,对深入推进无烟家庭建设等有关事宜做了部署,并颁布了“无烟家庭建设基本要求”。 12.2020年7月,国家卫生健康委和国家中医药局联合颁布了《关于进一步加强无烟医疗卫生机构建设工作的通知》,要求各省继续发挥医疗卫生机构及医务人员的示范引领作用,进一步巩固无烟医疗卫生机构建设成果。 13.2021年11月10日,《国务院关于修改〈中华人民共和国烟草专卖法实施条例〉的决定》发布并施行。增加规定:“电子烟等新型烟草制品参照本条例卷烟的有关规定执行。”《决定》明确了电子烟监管的法律依据,对于加强烟草控制至关重要。 14.2021年3月13日,《中华人民共和国国民经济和社会发展第十四个五年规划和2035年远景目标纲要》发布,明确提出“开展控烟限酒行动”。 15.2020年11月14日,国务院发布《国务院关于深入开展爱国卫生运动的意见》,提出:“加快无烟机关、无烟家庭、无烟医院、无烟学校等无烟环境建设。” 16. 制定《关于指导推进家庭教育的五年规划(2021-2025年)》,修订《家长家庭教育基本行为规范》,指导家长用正确行动教育孩子,拒绝烟草,远离伤害。 17.国务院颁布《中国妇女发展纲要(2021-2030年)》和《中国儿童发展纲要(2021-2030年)》,将“面向妇女开展控制烟草危害等宣传教育”“推进平安家庭、无烟家庭建设”“预防和制止儿童吸烟(含电子烟)等,保护儿童远离毒品”等任务纳入。 1.2018年,党和政府机构改革明确由国家卫生健康委牵头承担控烟履约职责。2019年4月,国务院调整烟草控制框架公约履约工作部际协调领导小组成员单位组成,在原领导小组基础上新增5家。 2.2019年6月,国务院发布《关于实施健康中国行动的意见》,从全方位干预健康影响因素、维护全生命周期健康和防控重大疾病等三方面提出实施15项行动。控烟行动作为《健康中国行动(2019-2030年)》中的一项行动,确定了6项行动目标,从个人和家庭、社会、政府3个层面提出多项具体举措。国家卫生健康委等14个部门和单位合力推动控烟行动,各省份也分别制定了各自的行动目标,要求到2022年和2030年15岁以上人群吸烟率分别低于24.5%和20%。 3.2019年12月28日,第十三届全国人民代表大会常务委员会第十五次会议通过《基本医疗卫生与健康促进法》,这是中国卫生与健康领域第一部基础性、综合性的法律。该法将在2020年6月1日起施行,其中第七十八条对控烟进行了规定:“国家采取措施,减少吸烟对公民健康的危害。公共场所控制吸烟,强化监督执法。烟草制品包装应当印制带有说明吸烟危害的警示。禁止向未成年人出售烟酒。” 4.2019年10月,国家卫生健康委、中宣部、教育部、市场监管总局、广电总局、国家烟草局、 共青团中央、全国妇联等8部门联合印发了《关于进一步加强青少年控烟工作的通知》,从强化青少年控烟宣传引导、严厉查处违法向未成年人销售烟草制品、加大对违法烟草广告的打击力度、加强影视作品中吸烟镜头的审查、全面开展电子烟危害宣传和规范管理、全力推进无烟中小学校建设等方面着手,切实营造青少年远离烟草的良好环境。 5.2018年8月,国家市场监督管理总局、国家烟草局联合发布了《关于禁止向未成年人出售电子烟的通告》;2019年11月,国家市场监督管理总局和国家烟草局联合发布了《关于进一步保护未成年人免受电子烟侵害的通告》。通过加强电子烟监管,进而保护未成年人免受电子烟危害。 《中华人民共和国国民经济和社会发展第十三个五年规划纲要》提出“大力推进公共场所禁烟”。2016年,中共中央、国务院印发了《“健康中国2030”规划纲要》,提出“全面推进控烟履约,加大控烟力度,运用价格、税收、法律等手段提高控烟成效。深入开展控烟宣传教育。积极推进无烟环境建设,强化公共场所控烟监督执法。推进公共场所禁烟工作,逐步实现室内公共场所全面禁烟。领导干部要带头在公共场所禁烟,把党政机关建成无烟机关。强化戒烟服务。到2030年,15岁以上人群吸烟率降低到20%” 。
Central African Republic AFR Report not provided Report not provided Report not provided
Cameroon AFR Report not provided La mise en place dun mécanisme de coordination antitabac constitue le progrès accomplis depuis la rédaction du dernier rapport. La mise en place dun mécanisme de coordination antitabac constitue le progrès accomplis depuis la rédaction du dernier rapport.
Belgium EUR - Une nouvelle stratégie interfédérale 2022_2028 pour une génération sans tabac a été approuvée en décembre 2022. Pas de changements majeurs Answer not provided
Belarus EUR Report not provided Во исполнение п.1. подпрограммы 2 «Профилактика и контроль неинфекционных заболеваний» Государственной программы «Здоровье народа и демографическая безопасность Республики Беларусь на 2016-2020 г.г.» с целью дальнейшего ограничения доступности табачных изделий, электронных систем курения, жидкостей для них, а также создания условий для защиты здоровья граждан от воздействия табачного дыма на законодательном уровне с 27 июля 2019 г вступили в силу изменения и дополнения в Декрет Президента Республики Беларусь №28 «О государственном регулировании производства, оборота и потребления табачного сырья и табачных изделий» (далее – Декрет № 28). Декретом № 28 утверждено Положение о государственном регулировании производства, оборота и потребления табачного сырья и табачных изделий, производства, оборота и использования электронных систем курения, жидкостей для электронных систем курения, систем для потребления табака. Изменения касаются в том числе ограничения курения, (потребления) табачных изделий, использования электронных систем курения, систем для потребления табака – (далее - курения) – в общественных местах. Расширен перечень общественных мест, в которых запрещено курение, при этом объекты, где запрещается курение, разделены на две категории: общественные места, в которых установлен полный запрет курения, и общественные места, в которых курение запрещено, за исключением специально предназначенных для курения мест. В развитие этого нормативного правового акта издано постановление Министерства здравоохранения Республики Беларусь от 19 апреля 2019 г. № 35 «Об установлении образца и требований к размещению знака о запрете курения». Ранее в Декрет 28 были внесены изменения и дополнения, запрещающие открытую выкладку табачных изделий в торговых объектах, а также имитацию внешнего вида и (или) использование наименований видов табачных изделий в наименованиях товаров, не являющихся табачными изделиями; оптовую, розничную торговлю такими товарами. В соответствии с требованиями Технического регламента Таможенного союза «Технический регламент на табачную продукцию» (ТРТС 035/2014), который вступил в силу в мае 2016 года), на лицевой и оборотной сторонах упаковки табачных изделий размещены предупреждения о вреде курения, в виде изображения и текста, площадью 50% каждой из больших сторон пачки. Введено обязательное нанесение на упаковку информации о содержании в табачном изделии канцерогенных и мутагенных веществ. Не допускается нанесение на упаковку количественных показателей содержания смолы, никотина и монооксида углерода в дыме. Также в соответствие с приказом Министерства Здравоохранения Республики Беларусь от 01.07.2011 № 710 «Об утверждении Инструкции о порядке осуществления действенного контроля за соблюдением запрета курения в организациях здравоохранения и на прилегающих территориях и Примерного положения о комиссии по контролю за запретом курения в организации здравоохранения»; и Постановления Министерства здравоохранения Республики Беларусь от 03.11.2011г. "О внесении дополнений и изменений в некоторые санитарные нормы, правила и гигиенические нормативы", касающиеся запрещения курения в учреждениях (организациях) здравоохранения, образования, спорта, на объектах торговли и бытового обслуживания населения, на объектах общественного питания, вокзалах, станциях метрополитена, в вагонах поездов, на речных судах (за исключением мест, специально предназначенных для курения) осуществляется контроль за недопущением курения в организациях здравоохранения и мониторинг должностными лицами органов и учреждений, осуществляющих государственный санитарный надзор, по осуществлению контроля за соблюдением запрета курения. Продолжается создание территорий, свободных от курения – парки, организации, изменены требования к упаковке табачных изделий, запрещена реклама табачных изделий, увеличилось количество информации о вреде потребления табачных изделий в СМИ. В соответствие с приказом Министерства Здравоохранения Республики Беларусь от 01.07.2011 № 710 «Об утверждении Инструкции о порядке осуществления действенного контроля за соблюдением запрета курения в организациях здравоохранения и на прилегающих территориях и Примерного положения о комиссии по контролю за запретом курения в организации здравоохранения»; и Постановления Министерства здравоохранения Республики Беларусь от 03.11.2011г. "О внесении дополнений и изменений в некоторые санитарные нормы, правила и гигиенические нормативы", касающиеся запрещения курения в учреждениях (организациях) здравоохранения, образования, спорта, на объектах торговли и бытового обслуживания населения, на объектах общественного питания, вокзалах, станциях метрополитена, в вагонах поездов, на речных судах (за исключением мест, специально предназначенных для курения) осуществляется контроль за недопущением курения в организациях здравоохранения и мониторинг должностными лицами органов и учреждений, осуществляющих государственный санитарный надзор, по осуществлению контроля за соблюдением запрета курения. По инициативе Министерства здравоохранения Республики Беларусь внесены изменения и дополнения в Декрет №28, запрещающие открытую выкладку табачных изделий в торговых объектах, а также имитацию внешнего вида и (или) использование наименований видов табачных изделий в наименованиях товаров, не являющихся табачными изделиями; оптовая, розничная торговля такими товарами», что частично повлияло и на оборот «электронных сигарет». Новые требования определены Технический регламент Таможенного союза «Технический регламент на табачную продукцию»(ТРТС 035/2014), который вступил в силу в мае 2016 года). На лицевой и оборотной сторонах будут размещены предупреждения о вреде курения, в виде изображения и текста, площадью 50% каждой из больших сторон пачки. (Сейчас в Республике Беларусь предупреждения на пачке или боксе табачных изделий занимают 30 % и не содержат изображение). Вводится обязательное нанесение на упаковку информации о содержании в табачном изделии канцерогенных и мутагенных веществ. Не допускается нанесение на упаковку количественных показателей содержания смолы, никотина и монооксида углерода в дыме. Продолжается создание территорий, свободных от курения – парки, организации, изменены требования к упаковке табачных изделий, запрещена реклама табачных изделий, увеличилось количество информации о вреде потребления табачных изделий в СМИ, в учреждениях общепита вводится зонирование – залы для курящих и некурящих.
Bahrain (Kingdom of) EMR In 2022, the National Antismoking committee was reformulated with objectives to enhance coordination, unify procedures, improve communication and strengthen smoking cessation services. In December 2017, The national Antismoking Committee approved the National Tobacco Plan for the years 2018-2030. The plan was formulated based on the GCC Tobacco control plan taking into consideration the Sustainable Development Goals. Furthermore, a fund was specified for the National Antismoking Committee to run tobacco control activates through out the year In December 2017, The national Antismoking Committee approved the National Tobacco Plan for the years 2018-2030. The plan was formulated based on the GCC Tobacco control plan taking into consideration the Sustainable Development Goals.
Bahamas AMR Report not provided Report not provided Report not provided
Armenia EUR Answer not provided Government allocate funds for the development of the public awareness concerning anti tobacco, healthy lifestyle campaigns and cessation service activities. Report not provided
Albania EUR There is a new amendment to the Tobacco Law. No 56 2019, which strengthen the control of smoking in public spaces and includes other tobacco products as well as the electronic devices for smoking Report not provided Report not provided
Afghanistan EMR Report not provided Revision, approve and ratifying of tobacco control law Establish High Commission for tobacco control establishing technical committee to develop plan and guidelines Translation and adaption of Protocol of elimination of illicit trade in tobacco products to Dari language but the parliament reject and proposed to translate in second formal languages pashto as well . development of sale procedure on tobacco products . regular meetings of tobacco control commission. the protocol of elimination of illicit trade in tobacco products is translated in both national languages and we have send that to Afghanistan parliament for approval Revision, approve and ratifying of tobacco control law Establish High Commission for tobacco control establishing technical committee to develop plan and guidelines Translation and adaption of Protocol of elimination of illicit trade in tobacco products to Dari language but the parliament reject and proposed to translate in second formal languages pashto as well . development of sale procedure on tobacco products .
Uruguay AMR No ha habido cambios en cuanto al funcionamiento del Programa Nacional de Control de Tabaco del MSP. Answer not provided Answer not provided
Philippines WPR To continue and heighten the implementation of the national framework on tobacco control, the DOH issued and executes the following policies: 1. Administrative Order (AO) No. 2022-0046: Guidelines on Graphic Health Warnings for Vaporized Nicotine and Non-Nicotine Products and Novel Tobacco Products Pursuant to Republic Act Nos. 11900 or “Vaporized Nicotine and Non-Nicotine Regulation Act” and 10643 or “Graphic Health Warnings Law” 2. AO No. 2022-0003: National Policy on the Prevention and Control of the Use of Tobacco Products, Vapor Products, Heated Tobacco Products, and Other Novel, Emerging, or Similar Products 3. AO No. 2021-0051: Guidelines on Graphic Health Warnings on Vapor Products, Heated Tobacco Products and Other Similar Products 4. AO No. 2021-0041: Guidelines on the Implementation of Unified and Standardized Tobacco Cessation Services at All Levels of Care 5. Department Memorandum (DM) No. 2020-0156 dated March 16, 2020 on the “Submission of DOI relative to the acceptance of donations, assistance and partnerships in compliance with the CSC-DOH JMC 2010-01” In line with the implementation of WHO FCTC and the National Tobacco Control Strategy (2017-2022) of the Philippines, the identification of indicators and targets were done in consultation with the key stakeholders as part of the efforts in enhancing the Monitoring and Evaluation (M&E) Framework for WHO FCTC. As part of the M&E efforts, thematic discussions were also conducted in order to monitor/review progress and come up with unified agenda on the following areas of implementation: 1. Research and Service Delivery 2. Advocacy and Communication 3. Policy and Governance The Philippines also participated in the Implementation Review Mechanism (IRM) Pilot Exercise Questionnaire for the Global Strategy of WHO FCTC. This helped in reviewing the current status of implementation on other areas that were not covered in the previous reporting years. Sub-committees of the National Tobacco Control Coordinating Committee (NTCC) regularly convened meeting to harmonize strategies and address current challenges. Likewise, there is a proposal to better implement coordinating mechanism of the FCTC through the development of Administrative Order on Achieving Sustainable Development Goals (SDG3) through the Full Implementation of the WHO-FCTC.
Papua New Guinea WPR The Tobacco Implementation Plan is still in draft. Financing to be established once the regulation is endorsed. Implementation of the Tobacco Control Program is highlighted in the National Multisectoral Strategic Plan for the Prevention and Control of Non Communicable Diseases 2015-2020. The Tobacco Control Policy has been reviewed. Implementation of the Tobacco Control Program is highlighted in the National Multisectoral Strategic Plan for the Prevention and Control of Non Communicable Diseases 2015-2020. The Tobacco Control Policy has been reviewed.
Panama AMR Con respecto al Protocolo, puede indicarse que luego del intento legislativo realizado en el 2019 para la implementación de las licencias de comercialización de productos de tabaco y equipos de fabricación, este tema sigue pendiente, como también lo están la regulación de contenidos y emisiones de productos de tabaco. El país no ha avanzado con respecto a la implementación de las directrices de los artículos 9 y 10 del CMCT. Con respecto al tema impositivo, como se mencionó anteriormente, el país tiene pendiente el incremento de los impuestos a los productos de tabaco a fin de lograr una menor asequibilidad de la población vulnerable a dichos productos. El país continúa monitoreando los ambientes libres de humo a través de encuestas como la GYTS y GATS y mediante mediciones de aire ambiental utilizando los monitores SidePack AM 510 y el Dust - Track para medir partículas PM 2.5 en los sitios donde está prohibido fumar. Se continuan con la atención de quejas de residentes asociadas a vecinos que fuman, aunque en el interior de las viviendas no está prohibido fumar. A este respecto, el MINSA realiza las mediciones con el fin de determinar el nivel de contaminación ambiental por humo de tabaco. Una vez detectada las partículas PM 2.5 se orienta a los afectados sobre el procedimiento a seguir para gestionar: la evaluación de su salud, acción legal a ejercer ante los gobiernos locales (jueces de paz) y ante la administración de las viviendas sujetas al régimen de propiedad horizontal. Desde diciembre de 2017 se incluye la medición de gases vinculados a la combustión del tabaco, utilizando el equipo Tiger ION con la finalidad de identificar trazas de emisiones tóxicas que forman parte del humo de tabaco. Al mismo tiempo, puede indicarse, que no se han realizado cambios a las disposiciones de ambientes libre de humo contempladas en la Ley 13 de 2008, específicamente en lo referente a prohibir el consumo de productos de tabaco en ambientes abiertos de acceso público destinados a la concurrencia de personas, tales como terrazas, vestíbulos, patios internos, balcones, miradores, plataformas y otros similares. El empaquetado sencillo continua siendo un tema pendiente, se ha contemplado como uno de los objetivos a alcanzar por el país, en el marco del desarrollo del proyecto FCTC 2030. Para tales efectos se cuenta con un borrador de anteproyecto de Ley con la idea de ser presentado ante la Asamblea Nacional de Diputados durante este periodo legislativo (abril 2023). Mantenemos la prohibición de la comercialización, en todo el territorio nacional, de los dispositivos electrónicos administradores o no de nicotina, como también de los productos de tabaco calentados, lográndose que se aprobará la Ley 315 de 2022 que consolida las prohibiciones previamente establecidas mediante resoluciones ministeriales. Se adjunta Ley en comento que también puede ser ubicada en htpp//www.panamalibredetabaco.com El 8 de marzo de 2018 se aprobó la Resolución 0554 de la Dirección General de Salud Pública que establece que las pipas de agua, narguiles, shisha, cachimbas o de cualquier otra denominación que en el futuro se tenga, son productos de tabaco y dicta otras disposiciones. Esta resolución advierte que como productos de tabaco están sometidas a la prohibición total de la publicidad, promoción y patrocinio que se aplica a los productos de tabaco según lo dispuesto en la Ley 13 de 2008. Así mismo indica que estos dispositivos deberán tener una calcomanía con la advertencia sanitaria "Fumar este Tipo de Producto puede causar la muerte". Reiterándose el indicativo dispuesto en el artículo 6 de la Ley 13 de 2008, referente a este mensaje en los productos de tabaco. Los importadores deben contar con la aprobación previa del MINSA para la comercialización de estos productos. Esta resolución puede ser encontrada en la siguiente dirección: http://www.gorgas.gob.pa/SitioWebTabaco/Inicio.htm De manera regular, las autoridades de salud a nivel local y regional realizan inspecciones rutinarias y programadas para la vigilancia del cumplimiento de la ley de manera integral; así como operativos en las áreas de mayor riesgo. Se continúan con la investigación de las denuncias o sospechas de violación a la norma de control de tabaco vigente, las cuales se reciben a través de la línea caliente 311, correo electrónico o por cualquier otro medio que la población tenga disponible. Como parte del Sistema Mundial de Vigilancia del Consumo de Tabaco y en cumplimiento a las disposiciones de los artículos 20 y 21 del CMCT, se esta planificando el desarrollo de la quinta versión de la Encuesta Mundial de Tabaco en Jóvenes, que tendrá lugar este año. En esta ocasión se proyecta realizar una encuesta que nos permita conocer la situación de las poblaciones más vulnerables como son: Bocas del Toro, las Comarcas Guna Yala y Ngäbe Buglé, como la situación del resto del país y por supuesto la conjunción de la situación nacional. Se ha definido desagregar la data en las regiones previamente listadas en virtud de que los resultados de la Encuesta Nacional de Salud de Panamá (ENSPA 2019), efectuada en el 2019 indican que las prevalencias más elevadas en población de 15 años y más se registraron en estas áreas. En el caso de Guna Yala estaríamos efectuando la segunda versión de la GYTS, misma que evidenció una prevalencia de consumo en jóvenes de 13 a 15 años superior a la prevalencia nacional. Por otro lado, se proyecta realizar la segunda versión de la Encuesta Mundial de Tabaco en Adultos (EMTA) 2025 ya que aunque su primera versión se realizó en el 2013, el país cuenta con datos actualizados a partir de la ENSPA 2019. Ambas investigaciones contarán con financiamiento nacional y con el apoyo técnico del CDC y de la OPS/OMS. Los resultados de los siguientes informes se consignan en: 1. Informe Nacional - Encuesta Mundial de Tabaco en Jóvenes. Panamá. Año: 2017 2. Informe de la Encuesta Mundial de Tabaco en Jóvenes Guna Yala 2017 e Informe de la Encuesta Mundial de Tabaco en Adultos. Panamá. Año: 2013 https://panamalibredetabaco.com/consumo-de-tabaco1 3. Informe de la Encuesta Nacional de Salud de Panamá 2019 (ENSPA 2019) http://www.gorgas.gob.pa/SIGENSPA/Inicio.htm donde pueden encontrarse el informe general (tabaco) en http://www.gorgas.gob.pa/SIGENSPA/Informe_general.htm 4. Hojas resúmenes nacional y por región de salud en http://www.gorgas.gob.pa/SIGENSPA/Facsheet_Tabaco.htm A pesar de la pandemia COVID-19, que ha afectado la realización de eventos presenciales de cooperación técnica y financiera, según lo disponen los artículos 22 y 26 del CMCT, se ha trabajado virtualmente: con Paraguay en apoyo a la ratificación del Protocolo, con Brasil en referencia al tema de responsabilidad, con Uruguay respecto de los SEAN y con OPS Washington en el proceso de intercambio de conocimientos durante los años 2019 a la fecha. También se ha continuado desarrollando acciones orientadas a los jóvenes con base en el Acuerdo sobre Contribuciones de Cofinanciación entre el Ministerio de Salud y el Fondo de Población de las Naciones Unidas (UNFPA), para brindar asistencia técnica al Programa Nacional de Niñez y Adolescencia, orientada al fortalecimiento de los servicios de Salud Amigables para los Adolescentes, con énfasis en la Prevención de Tabaquismo y otros temas; y ejecutando el Acuerdo de cooperación técnica entre el Ministerio de Salud de la República de Panamá y la Organización Panamericana de la Salud/Organización Mundial de la Salud, para fortalecer los mecanismos nacionales y regionales de control de productos de tabaco. Panamá ratificó el Protocolo para la Eliminación del Comercio Ilícito de Productos de Tabaco mediante Ley No. 27 de 1 de julio de 2017. Con miras a su implementación el Ministerio de Salud creó la Comisión Nacional Interinstitucional para la Implementación de este protocolo mediante Decreto Ejecutivo 237 de 24 de junio de 2019. Del 25 al 28 de noviembre de 2019, Panamá fue país anfitrión de la primera reunión del grupo de trabajo sobre seguimiento y localización de productos de tabaco, lo que facilitó la participación activa del MINSA y de la Autoridad Nacional de Aduanas (ANA). Con el cambio de las autoridades (julio de 2019) se ha continuado con el fortalecimiento de la coordinación gubernamental entre el MINSA y la ANA, para lo cual se han realizado múltiples reuniones de coordinación con la ANA para determinar las fortalezas y debilidades que tenemos como país para la implementación del protocolo. Se esta elaborando el plan de trabajo para la implementación priorizando los mandatos del protocolo con términos de aplicación establecidos. También se ha identificado la necesidad de ajustar algunos marcos legales, normas, procedimientos y regulaciones nacionales específicas de la ANA. Se incluyó el requerimiento de licencias para la comercialización de productos de tabaco y equipos de fabricación en el Proyecto de Ley 136. Este proyecto fue aprobado en tercer debate pero su contenido no cumplía con las disposiciones del CMCT y sus directrices, por lo que a solicitud del Ministerio de Salud fue vetada parcialmente por la Presidencia de la República en junio de 2019. De igual forma, este mismo proyecto de Ley incluía artículos que permitirán regular contenidos y emisiones de productos de tabaco. Esto de cara a avanzar en la implementación de las directrices de los artículos 9 y 10 del CMCT. Una limitante clara es que en el debate se ha dado una amplia participación de representantes de la IT que incluían a sus abogados, consultores, lobistas y empleados de la propia IT. En cuanto a los ambientes libres de humo se realiza monitoreo del cumplimiento a través de encuestas (GYTS y GATS) como mediciones utilizando los monitores SidePack AM 510 y el Dust - Track para medir partículas PM 2.5 en los sitios donde está prohibido fumar. Además se atienden quejas de residentes por vecinos que fuman, aunque en el interior de las viviendas no está prohibido fumar, el MINSA realiza las mediciones a fin de verificar el nivel de contaminación ambiental por humo de tabaco. Una vez detectada las partículas PM 2.5 se orienta a los afectados sobre el procedimiento a seguir para gestionar la evaluación de su salud, acción legal a ejercer ante los gobiernos locales (jueces de paz) y ante la administración de las viviendas sujetas al régimen de propiedad horizontal. Desde diciembre de 2017 se incluye la medición de gases vinculados a la combustión del tabaco, utilizando el equipo Tiger - ION con la finalidad de identificar trazas de emisiones tóxicas que forman parte del humo de tabaco. Además, en el proyecto de Ley 136 se consignaban disposiciones para ampliar las prohibiciones de fumar contempladas en la Ley 13 de 2008, específicamente en lo referente a prohibir el consumo de productos de tabaco en ambientes abiertos de acceso público y destinados a la concurrencia de personas, tales como terrazas, vestíbulos, patios internos, balcones, miradores, plataformas y otros similares. Este mismo proyecto trataba sobre el establecimiento del Empaquetado Sencillo de los Productos de Tabaco. El precitado proyecto de Ley fue aprobado en III debate y vetado por el Presidente de la República, a solicitud del Ministerio de Salud debido a que el mismo no cumplía con las disposiciones del CMCT. A la fecha todo parece indicar que debido a los cambios en la conformación del cuerpo de diputados de la Asamblea Nacional será necesario generar un nuevo proyecto de Ley que aborde los temas tratado en el proyecto de Ley 136. Mantenemos la prohibición de la comercialización, en todo el territorio nacional, de los dispositivos electrónicos administradores o no de nicotina, los mismos no son considerados productos de tabaco como se indica en el artículo 1 de la Resolución 2742 de agosto de 2017 (ubicar la resolución en mención en la siguiente dirección. http://www.gorgas.gob.pa/SitioWebTabaco/Inicio.htm. ). La precitada resolución establece la ampliación de la prohibición de comercialización a cualquier elemento que pueda ser utilizado como componente, repuesto o recarga de estos sistemas. Se ha prohibido el uso de estos dispositivos en todos aquellos ambiente donde esta prohibido fumar (Decreto 1838 de 5 de diciembre de 2014). El 8 de marzo de 2018 se aprobó la Resolución 0554 de la Dirección General de Salud Pública que establece que las pipas de agua, narguiles, shisha, cachimbas o de cualquier otra denominación que en el futuro se tenga, son productos de tabaco y dicta otras disposiciones. La resolución en comento advierte que como productos de tabaco están sometidas a la prohibición total de la publicidad, promoción y patrocinio que se aplica a los productos de tabaco según lo dispuesto en la Ley 13 de 2008. Así mismo indica que estos dispositivos deberán tener una calcomanía con la advertencia sanitaria "Fumar este Tipo de Producto puede causar la muerte". Reiterándose el indicativo dispuesto en el artículo 6 de la Ley 13 de 2008, referente a este mensaje en los productos de tabaco. Los importadores deben contar con la aprobación previa del MINSA para la comercialización de estos productos. Esta resolución puede ser encontrada en la siguiente dirección: http://www.gorgas.gob.pa/SitioWebTabaco/Inicio.htm De manera regular las autoridades de salud a nivel local y regional realizan inspecciones rutinarias y programadas para la vigilancia del cumplimiento de la ley de manera integral; así como operativos a las áreas de mayor riesgo. Se continúan con la investigación de las denuncias o sospechas de violación a la norma de control de tabaco vigente, las cuales se reciben a través de la línea caliente 311, correo electrónico o de cualquier otro medio que la población tenga disponible. Como parte del Sistema Mundial de Vigilancia del Consumo de Tabaco y en cumplimiento a las disposiciones de los artículos 20 y 21 del CMCT, se ha desarrollado la cuarta versión de la Encuesta Mundial de Tabaco en Jóvenes a finales de 2017, cuyos resultados se ubican en https://panamalibredetabaco.com/consumo-de-tabaco1 y la Encuesta Mundial de Tabaco en Adultos 2013, ambas con financiamiento nacional y apoyo técnico de CDC y OPS/OMS e informe final de ambos estudios. Adicionalmente, se realizó una versión específica de la GYTS para la Comarca Kuna Yala debido a que esta Comarca es la de mayor prevalencia de consumo de productos de tabaco en el país, según resultados por región de la GATS, 2013. Los resultados de los siguientes informes se consignan en: Informe Nacional - Encuesta Mundial de Tabaco en Jóvenes. Panamá. Año: 2017 Informe de la Encuesta Mundial de Tabaco en Jóvenes Guna Yala 2017 e Informe de la Encuesta Mundial de Tabaco en Adultos. Panamá. Año: 2017 https://panamalibredetabaco.com/consumo-de-tabaco1 Adicionalmente, el país ha desarrollado el trabajo de campo de la Encuesta Nacional de Salud 2019 (ENSPA), en la cual se han integrado preguntas relativas al consumo de productos de tabaco, siguiendo el estándar de la GATS. Preguntas disponibles en http://www.gorgas.gob.pa/SitioWebTabaco/Inicio.htm. Los resultados preliminares de dicha la ENSPA 2019, en lo que se refiere a consumo de tabaco y ambientes libres de humo de tabaco aún no están disponibles, pero el informe de este estudio se podrá visualizar al final de este año en https://panamalibredetabaco.com/consumo-de-tabaco1 y en http://www.gorgas.gob.pa/ Se han realizado múltiples actividades de cooperación técnica y financiera, según lo disponen los artículos 22 y 26 del CMCT. En este marco se apoya al Secretariado de la COP. En el marco de disposiciones aprobadas durante la COP 6 en Rusia, Panamá ha continuado apoyando las diversas propuestas para el abordaje en la Asamblea Mundial de la Salud (ASM) sobre lo relacionado con la sinergia que se requiere entre la ASM y la COP. En la Corte Suprema de Justicia de Panamá se han presentado desde el 2008 a la fecha 9 demandas contra el Ministerio de Salud. Estas demandas han tenido un fallo favorable al Ministerio de Salud, fortaleciendo la capacidad institucional para enfrentar los retos que impone la vigilancia y control de la aplicación de la normativa vigente en materia de control de tabaco. Panamá ratificó el Protocolo para la Eliminación del Comercio Ilícito de Productos de Tabaco mediante Ley No. 21 de 1 de julio de 2017. Con miras a su implementación el Ministerio de Salud realizó un taller con la Autoridad Nacional de Aduanas (ANA) para determinar las fortalezas y debilidades que tenemos como país para su implementación. Entre los aspectos más relevantes figuran la necesidad de ajustar algunos marcos legales nacionales, normas, procedimientos y regulaciones específicas de la ANA. Se ha incluido el requerimiento de licencias para la comercialización de productos de tabaco y equipos de fabricación en el Proyecto de Ley 136 que actualmente se debate en la Asamblea Nacional de Diputados. De igual forma, este mismo proyecto de Ley incluye artículos que permitirán regular contenidos y emisiones de productos de tabaco. Esto de cara a avanzar en la implementación de las directrices de los artículos 9 y 10 del CMCT. Una limitante clara es que en el debate se ha dado una amplia participación de representantes de la IT que incluían a sus abogados, consultores, lobistas y empleados de la propia IT. En cuanto a los ambientes libres de humo se realiza monitoreo del cumplimiento a través de encuestas (GYTS y GATS) como mediciones utilizando los monitores SidePack AM 510 y el Dust - Track para medir partículas PM 2.5 en los sitios donde está prohibido fumar. Además se atienden quejas de residentes por vecinos que fuman, aunque en el interior de las viviendas no está prohibido fumar el MINSA realiza las mediciones a fin de verificar el nivel de contaminación ambiental por humo de tabaco. Una vez detectada las partículas PM 2.5 se orienta a los afectados sobre el procedimiento a seguir para gestionar la evaluación de su salud, acción legal a ejercer ante los gobiernos locales (jueces de paz) y ante la administración de las viviendas sujetas al régimen de propiedad horizontal. Desde diciembre de 2017 se incluye la medición de gases vinculados a la combustión del tabaco, utilizando el equipo Tiger - ION con la finalidad de identificar trazas de emisiones tóxicas que forman parte del humo de tabaco. Además, en el proyecto de Ley que esta en la Comisión de Salud de la Asamblea Nacional de Diputados se consignan disposiciones para ampliar las prohibiciones de fumar contempladas en la Ley 13 de 2008, específicamente en lo referente a prohibir el consumo de productos de tabaco en ambientes abiertos de acceso público y destinados a la concurrencia de personas, tales como terrazas, vestíbulos, patios internos, balcones, miradores, plataformas y otros similares. Este mismo proyecto incluye el establecimiento del Empaquetado Sencillo de los Productos de Tabaco. Mantenemos la prohibición de la comercialización, en todo el territorio nacional, de los dispositivos electrónicos administradores o no de nicotina, los mismos no son considerados productos de tabaco como se indica en el artículo 1 de la Resolución 2742 de agosto de 2017 (ubicar la resolución en mención en la siguiente dirección. http://www.gorgas.gob.pa/SitioWebTabaco/Inicio.htm. ). La precitada resolución establece la ampliación de la prohibición de comercialización a cualquier elemento que pueda ser utilizado como componente, repuesto o recarga de estos sistemas. Se ha prohibido el uso de estos dispositivos en todos aquellos ambiente donde esta prohibido fumar (Decreto 1838 de 5 de diciembre de 2014). El 8 de marzo de 2018 se aprobó la Resolución 0554 de la dirección General de Salud Pública que establece que las pipas de agua, narguiles, shisha, cachimbas o de cualquier otra denominación que en el futuro se tenga, son productos de tabaco y dicta otras disposiciones. La resolución en comento advierte que como productos de tabaco están sometidas a la prohibición total de la publicidad, promoción y patrocinio que se aplica a los productos de tabaco según lo dispuesto en la Ley 13 de 2008. Así mismo indica que estos dispositivos deberán tener una calcomonía con la advertencia sanitaria "Fumar este Tipo de Producto puede causar la muerte". Reiterándose el indicativo dispuesta en el artículo 6 de la Ley 13 de 2008, referente a este mensaje en los productos de tabaco. Los importadores deben contar con la aprobación previa del MINSA para la comercialización de estos productos. Esta resolución puede ser encontrada en la siguiente dirección: http://www.gorgas.gob.pa/SitioWebTabaco/Inicio.htm De manera regular las autoridades de salud a nivel local y regional realizan inspecciones rutinarias y programadas para la vigilancia del cumplimiento de la ley de manera integral; así como operativos a las áreas de mayor riesgo. Se continúan con la investigación de las denuncias o sospechas de violación a la norma de control de tabaco vigente, las cuales se reciben a través de la línea caliente 311, correo electrónico o de cualquier otro medio que la población tenga disponible. Como parte del Sistema Mundial de Vigilancia del Consumo de Tabaco y en cumplimiento a las disposiciones de los artículos 20 y 21 del CMCT, se ha desarrollado la cuarta versión de la Encuesta Mundial de Tabaco en Jóvenes a finales de 2017 de la cual estamos a la espera de sus resultados preliminares y la Encuesta Mundial de Tabaco en Adultos 2013, ambas con financiamiento nacional y apoyo técnico de CDC y OPS/OMS e informe final de ambos estudios. Adicionalmente, el país ha programado la Encuesta Nacional de Salud 2018, en la cual se han integrado preguntas relativas al consumo de productos de tabaco, siguiendo el estándar de la GATS. Preguntas disponibles en http://www.gorgas.gob.pa/SitioWebTabaco/Inicio.htm Se han realizado múltiples actividades de cooperación técnica y financiera, según lo disponen los artículos 22 y 26 del CMCT. En este marco se apoya al Secretariado de la COP. En el marco de disposiciones aprobadas durante la COP 6 en Rusia las delegaciones de Rusia, Brasil y Panamá realizaron un evento paralelo durante la Asamblea Mundial de la Salud (ASM) de año 2015 relacionado con la sinergia que se requiere entre la ASM y la COP. Posteriormente, este grupo de países se amplio lográndose la aprobación de una resolución en la Asamblea Mundial que favorece la sinergia entre ambas entidades. (WHA70(20) 31 de mayo de 2017. Fortalecimiento de las sinergias entre la Asamblea Mundial de la Salud y la Conferencia de las Partes en el Convenio Marco de la OMS para el Control del Tabaco. http://apps.who.int/gb/ebwha/pdf_files/WHA70/A70(20)-sp.pdf El Instituto Conmemorativo Gorgas de Estudios de la Salud identificó en el año 2015 importaciones de cigarrillos y de máquinas automáticas para la venta de productos entre ellos cigarrillos al igual que sus partes derivadas de tratados de libre comercio. En el caso de los cigarrillos Costa Rica, Honduras y México y con relación a las máquinas Eslovenia e Italia. Fuente. Instituto Nacional de Estadística y Censos. 2015 Se ha logrado el cese de operaciones de la fabrica Overseas United S.A a través de la suspensión de la clave de importación, entidad que había sido acogida en la Zona Franca de Albrook para la producción de cigarrillos para exportación. La ANA en seguimiento a las actividades de esta empresa identificó algunas irregularidades que conllevaron la aplicación de sanciones graduales y que culminaron en su cese definitivo de operaciones por incumplimiento a las normas nacionales. Mediante Resolución del 7 de diciembre de 2017, el pleno de la Corte Suprema de Justicia de Panamá deniega las acciones de ampara de garantías constitucionales promovidas en contra de las resoluciones 0120 y 0125 de 31 de enero de 2017 ambas proferidas por la Dirección General de Salud Pública (DIGESA) y en las que fueron desaprobadas el diseño de empaques de cigarrillo de las marcas Viceroy y Lucky Strike. La Corte señala que las actuaciones de DIGESA se apegaron a las normas internacionales y nacionales en materia de control de tabaco y de propiedad intelectual, así mismo reconoce que deben respetarse las directrices del CMCT. Ubicar la resolución en mención en la siguiente dirección. http://www.gorgas.gob.pa/SitioWebTabaco/Inicio.htm
Palau WPR Answer not provided With reference to Article 5.1, the Palau National NCD Plan was finalized in 2015 and the section on Tobacco Control serves as the FCTC implementation plan. With reference to Article 5.2, the CM was formally established in May, 2015 through Executive Order 379 as described above. Funding for activities to implement the NCD national plan are available from tobacco and alcohol taxes, per RPPL 9-57 and 10-9. With reference to Article 5.1, the Palau National NCD Plan was finalized in 2015 and the section on Tobacco Control serves as the FCTC implementation plan (see attached). With reference to Article 5.2, the CM was formally established in May, 2015 through Executive Order 379 as described above. Funding for activities to implement the NCD national plan will be available from tobacco and alcohol taxes as described in B 86 above.
Niue WPR Report not provided Since the passing of the Tobacco Control Act 2018, the Party have renewed its efforts and commitment to reviewing and implementation of measures for Articles 5.1 and 5.2. Report not provided
Montenegro EUR Answer not provided Activities of monitoring of tobacco roads were represented and implemented during the entire previous period, as well as activities on promotion life without tobacco. Activities of monitoring of tobacco roads were represented and implemented during the entire previous period, as well as activities on promotion life without tobacco. In Montenegro, National strategy for tobacco control in not in force.
Mexico AMR Durante el presente bienio, se ha consolidado el trabajo intersectorial/intersecretarial en materia de control de tabaco, el cual se desarrolla en el marco de una estrategia nacional de coordinación denominada la "Estrategia Nacional para la Prevención de Adicciones (ENPA)", en la cual participan diversas instancias gubernamentales y no gubernamentales de México, con quienes se coordina la agenda de prevención de consumo de sustancias psicoactivas, incluido el tabaco y la nicotina, y el cual funge preliminarmente como un mecanismo coordinador para los temas de control de tabaco y de la aplicación efectiva del Convenio, tan pronto no se instituya formalmente el mecanismo nacional coordinador, a la luz del mandato del artículo 5.2 del Convenio. Cada seis años se elabora un Programa nacional contra el tabaquismo, en el que se definen las estrategias intersectoriales a desarrollarse. En el terreno del legislativo, no se ha concretado ninguna reforma a la Ley general para el control del Tabaco, en busca de alcanzar los objetivos del CMCT. Las principales medidas del MPOWER que se sostienen en esta ley general, son parciales, es decir que no cumplen la totalidad de lo dispuesto en el CMCT y en sus directrices. En octubre del 2019 se llevó a cabo una reunión de alto nivel con instituciones del gobierno federal, con el propósito de establecer una Mesa interisntitucional de seguimiento al CMCT, como el mecanismo de coordinación nacional pendiente de integrar. Esta mesa sería la responsable entre otros temas de impulsar la ratificación del Protocolo para la eliminación del comercio ilícito de productos de tabaco y preparar la posición país rumbo a las COP. Se acordó establecer las bases para su instalación, la cual quedó pendiente a 2020. Cada seis años se elabora un Programa nacional contra el tabaquismo, en el que se definen las estrategias intersectoriales a desarrollarse. En el terreno del legislativo, no se ha concretado ninguna reforma a la Ley general para el control del Tabaco, en busca de alcanzar los objetivos del CMCT. Las principales medidas del MPOWER que se sostienen en esta ley general, son parciales, es decir que no cumplen la totalidad de lo dispuesto en el CMCT y en sus directrices. Asimismo, durante el periodo a nivel de leyes subnacionales, no hubo modificaciones en correspondencia con el CMCT.
Malta EUR Answer not provided Report not provided Transposition of Tobacco Products Directive - LN 67/2016 (Manufacture, Presentation and Sale of Tobacco and Related Products Regulations, 2016)
Latvia EUR Answer not provided Although there is no national tobacco control strategy, tobacco control measures are covered by Public Health Strategy for 2014-2020. Although there is no national tobacco control strategy, tobacco control measures to be implemented are covered by Public Health Strategy for 2014-2020.
Kyrgyzstan EUR Report not provided Report not provided Report not provided
Kenya AFR Answer not provided Report not provided The Tobacco Control implementation has received some funding which was not in place in the past. The multi-sectoral approach has led to other sectors embracing tobacco control and taking part in implementing the policies that are the mandate of their respective sectors in exemplary ways. The involvement and participation of civil society has strengthened the capacity for implementation of tobacco control including monitoring of Tobacco industry interference.
Japan WPR Answer not provided Answer not provided Answer not provided
Iceland EUR Answer not provided Ministry of Health, Directorate of Health along with other stakeholders have conducted a public policy in tobacco control. This policy paper has not been published yet. Ministry of Welfare, Directorate of Health along with other stakeholders have conducted a public policy in tobacco control. This policy paper has not yet been published.
Guinea AFR Report not provided Report not provided Report not provided
Germany EUR Answer not provided In February 2012 the National Strategy on Drug and Addiction Policy was launched by the Federal Commissioner on Drugs, tobacco control measures are a part of it. http://www.drogenbeauftragte.de/fileadmin/dateien-dba/Presse/Downloads/Nationale_Strategie_Druckfassung_EN.pdf In February 2012 the National Strategy on Drug and Addiction Policy was launched by the Federal Commissioner on Drugs, tobacco control measures are a part of it. http://www.drogenbeauftragte.de/fileadmin/dateien-dba/Presse/Downloads/Nationale_Strategie_Druckfassung_EN.pdf
Georgia EUR Since the last report's submission, the Government of Georgia approved Tobacco Control State Strategy 2021-2025. These documents include provisions for implementing effective legislative, executive, administrative, and other measures to strengthen tobacco control policies in Georgia. In addition, the National Center for Disease Control and Public Health implements the Health Promotion State Program, the most significant component of which is tobacco control including monitoring, Quitline, advocacy initiatives, etc. From May 1, 2018, the “New Generation of Tobacco Control Law” came into force wich provides price and tax measures, as well as non-price measures to reduce the demand for tobacco. More specifically, the law includes regulations on the protection from exposure to tobacco smoke, regulation of the contents of tobacco products, regulation of tobacco product disclosures, regulations on the packaging and labelling of tobacco products, regulations on the prohibition tobacco advertising, promotion and sponsorship; restrictions of sales to and by minors, ect. The Committee was mandated to develop Tobacco Control National Strategy and Action Plan, both were approved by the Decrees of the Government in 2013. Necessary legislative amendments package was also prepared in accordance to the National Tobacco Control Strategy and Action Plan, which was approved by the Parliament of Georgia in May 2017. The tobacco control law amendment set is considered to be one of the most comprehensive in the region and is in full compliance to the WHO FCTC requirements. With the leadership of the Health and Social Affairs Committee of the Parliament of Georgia a Health Promotion and Prevention Council (HPPC) was created which is overseeing the overall preparation period of the implementation of new tobacco control legislation (the major provisions of the law enter into force from May 1, 2018)
Gabon AFR Mise en place d'un Comité Technique Multisectoriel regroupant 13 Administrations impliquées dans la LAT, ainsi les Partenaires (OMS et ONGs), en attendant la mise en place effective de l'Organe de Coordination Nationale. En dehors de 5 textes d’applications de la loi adoptés et promulgués en 2016, aucune autre disposition n’a été prise pour la mise en œuvre desdits textes. Le pays a adopté et promulgué cinq textes dapplications de la loi sur la lutte antitabac 006/2013 portant sur : la mise en place dune commission nationale de lutte antitabac; l’interdiction de fumer du tabac dans les lieux ouverts au public ; la Prévention de l’interférence de l’Industrie du tabac dans les politiques de santé ; le Conditionnement des produits du tabac; et l’Interdiction de la publicité.
Zimbabwe AFR Report not provided Since becoming a Party in March 2015, Zimbabwe had a two day workshop to orient members on the implementation WHO FCTC. A coordination committee from different Ministries mentioned on C115 is in place to map the way forward on the implementation. On 5.2 Zimbabwe has a Focal Point for tobacco control and a unit exit. Since becoming a Party in March 2015, Zimbabwe had a two day workshop to orient members on the implementation WHO FCTC. A coordination committee from different Ministries mentioned on C115 is in place to map the way forward on the implementation. On 5.2 Zimbabwe has a Focal Point for tobacco control and a unit exit.
Spain EUR Hemos desarrollado en colaboración con las autoridades regionales un Plan Integral de Prevención y Control del Tabaquismo, a nivel nacional pendiente de aprobación. Aunque no hay una estrategia nacional específica, la prevención del tabaquismo se incluye en las Estrategias del Sistema Nacional de Salud (EPOC, Cáncer, Ictus, enfermedades cardiovasculares, enfermedades crónicas y diabetes). Además, existe una Estrategia de Promoción de la Salud y Prevención de la enfermedad en el Sistema Nacional de Salud. La estrategia incluye la prevención del tabaquismo como determinante de salud en las políticas de estilos de vida saludables, en colaboración con la administración regional y local para su implementación. Aunque no hay una estrategia nacional específica, la prevención del tabaquismo se incluye en las Estrategias del Sistema Nacional de Salud (EPOC, Cáncer, Ictus, enfermedades cardiovasculares, enfermedades crónicas y diabetes). Además, existe una Estrategia de Promoción de la Salud y Prevención de la enfermedad en el Sistema Nacional de Salud. La estrategia incluye la prevención del tabaquismo como determinante de salud en las políticas de estilos de vida saludables, en colaboración con la administración regional y local para su implementación.
South Africa AFR Answer not provided Report not provided Since submission of the last report, South Africa focused mainly on the amendment of the Act, which is ready to be tabled to cabinet and awareness activities. The 4 key areas of the proposed Bill are: Tobacco use in indoor public places; Plain / standardized packaging with pictorials; Display at Point of sale; and Electronic Nicotine and Non Nicotine Delivery Systems (ENDS/ ENNDS)
Czechia EUR In May 2019, the National Strategy to Prevent and Reduce the Harm Associated with Addictive Behaviour, for the period 2019-2027 was approved by the Government of the Czech Republic (Government resolution No. 329, strategy on-line available at: https://www.vlada.cz/assets/ppov/protidrogova-politika/strategie-a-plany/Narodni_strategie_2019-2027_fin.pdf. Currently, new Action Plan 2023-2025 for the implementation of the Strategy is being created including tobacco control (regulation in terms of pricing or taxation according to their level of risk, availability of tobacco treatment services). The Action plan on tobacco control in the Czech Republic for the period 2015-2018 finished by the end of 2018. This first comprehensive tobacco control action plan was drafted in response to the requirements related to the implementation of Health 2020 – National Strategy for Health Protection and Promotion and Disease Prevention and also constituted a tool for the implementation of the FCTC and National Drug Policy Strategy for the period 2010-2018. In May 2019 New National Drug Policy Strategy for the period 2019-2027 was approved by the Government of the Czech Republic (Government resolution No. 329, strategy on-line available at: https://www.vlada.cz/assets/ppov/protidrogova-politika/strategie-a-plany/Narodni_strategie_2019-2027_fin.pdf ). Action Plan for the implementation of the Strategy for the period 2019-2021) was approved by the Czech Government later in 2019 (Government resolution No. 930 on-line available at: https://www.vlada.cz/cz/ppov/protidrogova-politika/strategie-a-plany/akcni-plan-realizace-narodni-strategie-prevence-a-snizovani-skod-spojenych-se-zavislostnim-chovanim-2019_2021--178678/ ) Tobacco control is integrated part of these strategic documents. Other relevant strategy for prevention of tobacco use is new Strategic Framework Health 2030, which was approved by the Government in November 2019 (Government resolution No. 817; on-line available at: https://zdravi2030.mzcr.cz/). In 2018 - 2019 there were regular meetings of Working Group for the Comprehensive Protection against Harm Caused by Tobacco. The Government Council for Drug Policy Coordination discussed some of the issues related to the tobacco control at some of its meetings, as well. In August 2015, the Action plan for the area of tobacco control in the Czech Republic for the period 2015-2018 was adopted by the government. This action plan was drafted in response to the requirements related to the implementation of Health 2020 – National Strategy for Health Protection and Promotion and Disease Prevention (this action plan is one of the three action plans* included in the action plan "Reducing Health Risk Behaviour”) and also constitutes a tool for the implementation of the National Drug Policy Strategy for the period 2010-2018. The main objectives of this action plan are: 1. To reduce the current use of tobacco products among persons over 15 years of age by at least 8 % by 2018, and by at least 10 % by 2020 (and by at least 30 % by 2025). 2. To reduce the exposure of persons to environmental tobacco smoke 3. To ensure additional necessary system and other measures to strengthen the comprehensive protection against harm caused by tobacco in the Czech Republic. The Action Plan was prepared in cooperation with the working group composed of experts and representatives of professional organizations involved in the prevention of tobacco use, the Secretariat of the Government Council for Drug Policy Coordination, with the representatives of ministries within the Inter-ministerial Working Group for the Comprehensive Protection against Harm Caused by Tobacco and with other stakeholders. The Action Plan is available on-line (only in Czech language): http://www.mzcr.cz/Admin/_upload/files/5/akční%20plány%20-%20přílohy/AP%2004b_rev%20AV.pdf Revision of the National Drug Policy Strategy for the period of 2010-2018 in terms of greater emphasis on tobacco control was adopted by the Government on 25th January 2016 (Government Resolution No. 54). Revised National Drug Policy Strategy for the period of 2010-2018 is available on-line (only in Czech language): http://www.vlada.cz/cz/ppov/protidrogova-politika/strategie-a-plany/druha-revize-narodni-strategie-protidrogove-politiky-na-obdobi-2010-2018-139834/ Another relevant action plan is the Action plan for the formation of an interdisciplinary interdepartmental framework of primary risk behaviour prevention among high-risk groups of children in the Czech Republic which was adopted by the government in August 2015 (at the same time with the Action plan on tobacco control). Since last report the action plan has been implemented. There are regular meetings of Working Group for the Comprehensive Protection against Harm Caused by Tobacco. The Government Council for Drug Policy Coordination discussed some of the issues related to the tobacco control at some of its meetings, as well.
Republic of North Macedonia EUR Report not provided / In 2015 /2016 Institute for Public Health was responsible for implementation of Global Youth Tobacco Survey, so this year we have data for prevalence of tobacco use among adolescents.
Türkiye EUR Answer not provided National Tobacco Control Program and Action Plans 2008-2012 as well as 2015-2018 have been implemented country-wide. The mentioned program and its action plan has been revised and developed through the contribution of High Council for the Fight Against Addiction and its subcommittees related to the activities of the program in line with related FCTC provision finally produced National Tobacco Control Program and Action Plan 20018-2023. Currently, the mentioned National Tobacco Control Program and Action Plan has been currently implemented for the period of 2018-2023. National Tobacco Control Program and Action Plans 2008-2012 as well as 2015-2018 have been implemented country-wide. The mentioned program and its action plan has been developed through the contribution of National Tobacco Control Committee and its working groups related to the activities of the program in line with related FCTC provision. Currently, new National Tobacco Control Program and Action Plan 20018-2023 has been developed.
Yemen EMR Answer not provided Report not provided للأسف نتيجة الصراع والظرف السياسي المتدهور خلال العامين الماضيين والذي انتهى بحرب لا تبقي ولا تذر فأنه لا يوجد تقدم يذكر عدا تنفيذ الصور التحذيرية على علب السجائر في أغسطس 2014م قبل اندلاع الحرب بعدة أشهر
Togo AFR Comme progrès majeur c'est la création et l'institutionnalisation du PNAPP. En juillet et septembre 2012 adoption de cinq décret dapplication de la loi antitabac du TOGO : Décret N° 2012-046/PR portant interdiction de fumer dans les lieux publics; Décret N° 2012-047/PR portant modalité d’application des normes relatives au conditionnement et à l’étiquetage des produits du tabac et ses produits dérivés ; Décret N°2012-050/PR portant composition, attributions et fonctionnement du comité national de lutte contre le tabac (CNLT). Décret N° 2012-071/PR portant réglementation des points de vente du tabac et ses produits dérivés ; Décret N° 2012-072/PR portant interdiction de publicité ; de promotion et de parrainage du tabac et ses produits dérivés au Togo. Élaboration du plan stratégique de lutte contre le tabac intégré au plan stratégique de la lutte contre les maladies non transmissibles dans le cadre du plan national du développement sanitaire 2012 - 2015 du Togo En juillet et septembre 2012 adoption de cinq décret dapplication de la loi antitabac du TOGO : Décret N° 2012-046/PR portant interdiction de fumer dans les lieux publics; Décret N° 2012-047/PR portant modalité d’application des normes relatives au conditionnement et à l’étiquetage des produits du tabac et ses produits dérivés ; Décret N°2012-050/PR portant composition, attributions et fonctionnement du comité national de lutte contre le tabac (CNLT). Décret N° 2012-071/PR portant réglementation des points de vente du tabac et ses produits dérivés ; Décret N° 2012-072/PR portant interdiction de publicité ; de promotion et de parrainage du tabac et ses produits dérivés au Togo. Élaboration du plan stratégique de lutte contre le tabac intégré au plan stratégique de la lutte contre les maladies non transmissibles dans le cadre du plan national du développement sanitaire 2012 - 2015 du Togo
Senegal AFR Answer not provided Durant ces deux dernières années des progrès ont été notés dans l’application des articles 5.1 et 5.2 de la CCLAT. Un plan de communication est disponible depuis 2016 et est entrain dêtre mis en œuvre. LEtat a recruté des agents et a doté le PNLT dun chapitre budgétaire afin de le rendre fonctionnel et dêtre en mesure de lutter efficacement contre le tabagisme. un plan stratégique 2019-2023 est également élaboré, validé et partagé par le PNLT avec les Partenaires Techniques et Financiers et les autres ministère impliqués dans la mise œuvre de la CCLAT. Le Ministère de la Santé et de lAction sociale et les parties prenantes ont aussi reçu la mission dévaluation des besoins pour la mise en oeuvre de la CCLAT du 08 au 12 juillet 2019. Un rapport est produit et certaines recommandations sont entrain dêtre mises en œuvre. Il sagit de la tenue de réunions du CNLT et des CRLT, de la poursuite des activités de supervision et de toute activité utile pour le respect et lapplication des dispositions phares de la loi 2014-14 du 28 mars 2014. Depuis juillet , le PNLT et ses partenaires sont entrain de mettre en oeuvre la quatrième phase de lenquête GYTS 2019 afin dobtenir des données sur la prévalence du tabagisme des jeunes en milieu scolaire Durant ces deux dernières années des progrès ont été notés dans l’application des articles 5.1 et 5.2 de la CCLAT. un plan de communication est disponible depuis 2016 et est entrain dêtre mis en oeuvre, un plan stratégique 2018-2022 est également produit par le PNLT. LEtat a recruté des agents et a doté le PNLT dun chapitre budgétaire afin de le rendre fonctionnel et dêtre en mesure de lutter efficacement contre le tabagisme.
San Marino EUR Answer not provided Report not provided Answer not provided
Saint Vincent and the Grenadines AMR Report not provided Report not provided Report not provided
Romania EUR Annual the subprogramme for prevention of smoking and encouraging smoking cessation, coordinated by the Institute of Pneumology “Marius Nasta” is revised and approved by the Ministry of Health. Report not provided Report not provided
Republic of Moldova EUR Developed third National Program on Tobacco Control for 2023-2027 years, which should be approved soon by the Government. With adoption in 2015 a new Tobacco Control Law, the Council has a permanent status as a standalone Council and is regulated by the Law. With adoption in 2015 a new Tobacco Control Law, the Council has a permanent status as a standalone Council and is regulated by the Law.
India SEA Answer not provided Ministry of Health & Family Welfare launched a dedicated tobacco control programme in 2007-08 in the 11th Five Year Plan with a three tier structure viz. National Tobacco Control Cell at Central level; State Tobacco Control Cell and District Tobacco Control, Cell at District level. There is also a provision of setting up Tobacco Cessation Services at District level. The National Tobacco Control Programme has resulted in provision of dedicated funds and manpower for implementation of the Programme. The Progrmme has been implemented in all 36 States/UT’s covering around 500 districts across the country. A. National Tobacco Control Cell The National Tobacco Control Cell (NTCC) under the Ministry of Health & Family Welfare is responsible for overall policy formulation, planning, monitoring and evaluation of the different activities envisaged under the programme. 1. The main thrust areas for the NTCP are as under: (i) Training of health and social workers, NGOs, school teachers, and enforcement officers; (ii) Information, education, and communication (IEC) activities; (iii) School programmes; (iv) Monitoring of tobacco control laws; (v) Coordination with Panchayati Raj Institutions for village level activities; (vi) Setting-up and strengthening of cessation facilities including provision of pharmacological treatment facilities at district level. 2. Major Components and activities: • Public awareness/mass media campaigns for awareness building and behavioral change. • Establishment of tobacco product testing laboratories. • Advocacy and inter-sectoral linkages and Research • Monitoring and evaluation including Global Adult Tobacco Survey (GATS)/ Global Youth Tobacco Survey (GYTS). • Expansion of cessation facilities and Setting up National Tobacco Quit-line and helpline. • Setting up Online reporting mechanism 3. State Tobacco Control Cell The State Tobacco Control Cell (STCC)is headed by a State Nodal Officer, who is a Senior Officer from State Department of Health preferably on a full time basis, to look after all the NCD programmes. Major Activities of State Tobacco Control Cell (STCC): • Training of multiple stakeholders for tobacco control through state level advocacy workshops/sensitization programmes. • Integrating Tobacco Control with other health programmes/activities . .Incorporating Tobacco Control in the state level Information, Education and Communication (IEC) activities • Support to strengthen monitoring and enforcement of anti-tobacco law in the states 4. District Tobacco Control Cell (DTCC) Every identified district shall have a District Tobacco Control Cell (DTCC). The District Tobacco Control Cell is responsible for overall planning, implementation, and monitoring of different activities and achievement of physical and financial targets under the programme at the district level. • Training and Capacity Building of relevant Stakeholders • School Awareness Programmes • Setting up and expansion of tobacco cessation facilities including support for pharmacological treatment of tobacco dependence. • Information, Education and Communication (IEC)/ Media Campaign Ministry of Health & Family Welfare launched a dedicated tobacco control programme in 2007-08 in the 11th Five Year Plan with a three tier structure viz. National Tobacco Control Cell at Central level; State Tobacco Control Cell and District Tobacco Control, Cell at District level. There is also a provision of setting up Tobacco Cessation Services at District level. The National Tobacco Control Programme has resulted in provision of dedicated funds and manpower for implementation of the Programme. The Progrmme has been implemented in all 36 States/UT’s covering around 500 districts across the country. A. National Tobacco Control Cell The National Tobacco Control Cell (NTCC) under the Ministry of Health & Family Welfare is responsible for overall policy formulation, planning, monitoring and evaluation of the different activities envisaged under the programme. 1. The main thrust areas for the NTCP are as under: (i) Training of health and social workers, NGOs, school teachers, and enforcement officers; (ii) Information, education, and communication (IEC) activities; (iii) School programmes; (iv) Monitoring of tobacco control laws; (v) Coordination with Panchayati Raj Institutions for village level activities; (vi) Setting-up and strengthening of cessation facilities including provision of pharmacological treatment facilities at district level. 2. Major Components and activities: • Public awareness/mass media campaigns for awareness building and behavioral change. • Establishment of tobacco product testing laboratories. • Advocacy and inter-sectoral linkages and Research • Monitoring and evaluation including Global Adult Tobacco Survey (GATS)/ Global Youth Tobacco Survey (GYTS). • Expansion of cessation facilities and Setting up National Tobacco Quit-line and helpline. • Setting up Online reporting mechanism 3. State Tobacco Control Cell The State Tobacco Control Cell (STCC)is headed by a State Nodal Officer, who is a Senior Officer from State Department of Health preferably on a full time basis, to look after all the NCD programmes. Major Activities of State Tobacco Control Cell (STCC): • Training of multiple stakeholders for tobacco control through state level advocacy workshops/sensitization programmes. • Integrating Tobacco Control with other health programmes/activities . .Incorporating Tobacco Control in the state level Information, Education and Communication (IEC) activities • Support to strengthen monitoring and enforcement of anti-tobacco law in the states 4. District Tobacco Control Cell (DTCC) Every identified district shall have a District Tobacco Control Cell (DTCC). The District Tobacco Control Cell is responsible for overall planning, implementation, and monitoring of different activities and achievement of physical and financial targets under the programme at the district level. • Training and Capacity Building of relevant Stakeholders • School Awareness Programmes • Setting up and expansion of tobacco cessation facilities including support for pharmacological treatment of tobacco dependence. • Information, Education and Communication (IEC)/ Media Campaign
Ireland EUR Ireland's national tobacco policy is Tobacco Free Ireland (TFI). Tobacco Free Ireland builds on existing tobacco control policies and legislation already in place. The two key themes underpinning the report are protecting children and the denormalisation of smoking. Tobacco Free Ireland Action Plan outlines the responsibilities, actions necessary and timelines for the implementation of the recommendations in Tobacco Free Ireland. TFI addresses a range of tobacco control issues and initiatives and contains over 60 recommendations. The Tobacco Free Ireland policy is currently under review in the Department of Health. A Public Health (Tobacco Products and Nicotine Inhaling Products) Bill is currently being drafted with the expectation that it will be enacted in 2023. The Bill will introduce a licensing system for the retail sale of tobacco products and nicotine inhaling products, prohibit the sale of tobacco products by persons under 18 years of age and prohibit the sale of tobacco products in vending machines, at events for children and from temporary or mobile units. Tobacco Free Ireland builds on existing tobacco control policies and legislation already in place in this country and sets a target for Ireland to be tobacco free by 2025. In practice, this will mean a smoking prevalence rate of less than 5% The two key themes underpinning the report are protecting children and the denormalisation of smoking. The Tobacco Free Ireland Action Plan outlines the responsibilities, actions and timelines for the implementation of the recommendations with over 60 recommendations. These include legislation recently introduced including mandatory standardised packaging of tobacco products and the prohibition on smoking in cars with children present. Legislation being currently developed includes the introduction of a new licensing system for the sale of tobacco products and prohibiting the sale of tobacco products from vending machines. Other recommendations include promoting tobacco free playgrounds, parks and beaches in conjunction with local authorities. A number of these campaigns are now running in cities and towns across Ireland. Tobacco Free Ireland builds on existing tobacco control policies and legislation already in place in this country and sets a target for Ireland to be tobacco free by 2025. In practice, this will mean a smoking prevalence rate of less than 5% The two key themes underpinning the report are protecting children and the denormalisation of smoking. Tobacco Free Ireland Action Plan outlines the responsibilities , actions necessary and timelines for the implementation of the recommendations in Tobacco Free Ireland (TFI) TFI addresses a range of tobacco control issues and initiatives and contains over 60 recommendations including the introduction of standardised packaging of tobacco products, the banning of smoking in cars with children present and licensing of the sale of tobacco products. Some of the other recommendations of the report are: _ legislating for the banning of smoking in primary and secondary campuses and childcare facilities - promoting tobacco free playgrounds,parks and beaches in conjunction with local authorities - developing smoking cessation services and enhancing social marketing campaigns and educational initiatives to warn about the dangers of smoking.
Italy EUR Answer not provided In the last two years the activities for tobacco control included: the implementation of the European directive on Tobacco Products 2014/40/UE with the implementation of secondary legislation; the monitoring of the progress of national and regional prevention plans (with two specific targets on Tobacco) the funding of a national media caimpagns targeted; the funding of a project to monitoring the implementation of the TPD, the funding of a project to increase the activities of the national quitline and a project to realize the website with the notifications of tobacco products and e cigarettes (as requested by article 5 and 20 of the TPD); In the last two years the activities for tobacco control included: the implementation of the European directive on Tobacco Products 2014/40/UE with the implementation of secondary legislation; the monitoring of the progress of national and regional prevention plans (with two specific targets on Tobacco) the funding of a national media caimpagns targeted; the funding of a project to monitoring the implementation of the TPD, the funding of a project to increase the activities of the national quitline and a project to realize the website with the notifications of tobacco products and e cigarettes (as requested by article 5 and 20 of the TPD);
Nepal SEA Federal government has issued a couple of letters regarding enforcement of tobacco policies at province and local levels. The meetings of tobacco control and prevention committee at federal level has been organized regularly. a. Tobacco and NCD Control Section has been established at NHEICC which now turned into Health Promotion and Tobacco control section and functioning as a national focal point for tobacco control. b. Draft National Tobacco Control Plan 2014 c. FCTC 2030 Strategy: Nepal - 2018 January d. NHEICC director is the vice-chairperson of the Tobacco Tax Fund, responsible for overall management of the funds. a. Tobacco and NCD Control Section has been established at NHEICC and functioning as a national focal point for tobacco control. b. Draft National Tobacco Control Plan 2014 c. FCTC 2030 Strategy: Nepal - 2018 January d. NHEICC director is the vice-chairperson of the Tobacco Tax Fund, responsible for overall management of the funds.
Iran (Islamic Republic of) EMR Answer not provided Since the national HQ on tobacco control has not conducted any meeting at Ministerial level, there is no update.
Iraq EMR Answer not provided The tobacco control section/ Non communicable department, adopt a national plan annually in line with WHO FCTC and MPOWER Strategy to combat tobacco, the member of high multisectoral tobacco control committee and peripheral focal point in each governorate responsible to implement the plan according to their roles and responsibilities. Answer not provided
Israel EUR Report not provided Since the approval of the strategic national Plan for Tobacco Control, the Ministry of Health allocated two positions for tobacco control, one in the headquarters of the ministry and one in the field. During the last few years a Tobacco control coalition was formed, which includes representatives from the health system, civil society organization, Academy, government ministries and others and the work on tobacco control is being done in collaboration. As a result of the new working system and the introduction of new tobacco and smoking products to the market, the amount and quality of work increased significantly. Report not provided