1. Smoking in Finland 1950-99 % Men Women

2. Daily smokers by education in Finland Education MaleFemale

3. Tobacco Act 1977 in Finland Main goal: to protect people of the health risks of tobacco smoke. advertising ban obligatory warnings to the tobacco packages maximum limits of harmful substances prohibition of sales of tobacco products to any person under the age of 16 years smoke-free public premises (schools, public indoor places - except in smoking rooms) smoking prohibition on most public transport 0,5 % of tobacco tax money for anti-smoking research

4. Amendment to Tobacco Act in 1995 in Finland Prohibition of smoking at all work sites (except individual offices or smoking rooms) Sale of tobacco products under 18 years prohibited Sale of smokeless tobacco prohibited Indirect tobacco advertising and sponsoring prohibited Smoking prohibited also in school yards

5. Exposure to ETS %

6. Amendment to Tobacco Act in 2000 in Finland Restaurants have to increase the smoke-free area => 50% for non-smokers by 2001 Tobacco smoke was included into the national list of carcinogenic substances

7. Lung Cancer in Finland 1953-97 /100000, age-adjusted Finnish Cancer Registry Men Women

8. Smoking and lung cancer in Finland 1950-97 %, /100000, age adjusted Men Women

9. Coronary Heart Disease Mortality among 35-64 years old in Finland in 1952-96 /100000, age adjusted National Public Health Institute

10. Rimpelä A, et al: Adolescent Health Study 1999. Finland´s ASH Proportion of daily smokers (%) among young people1979 - 1999

11. Rimpelä A, et al: Adolescent Health Study, 1999. Finland´s ASH Proportion of daily smokers (%) among 14 year old boys and girls 1979 - 1999

12. Tobacco Advertising Ban in the European Union Nearly one third of the population in EU smokes. The fight against smoking is one of the priorities in EU. 1989 no television advertising for tobacco in EU. 1997 directive to ban all advertising for tobacco in EU –aim is to reduce the consumption of tobacco by Europeans –by 2003 national laws in member states in force –by 2006 including Formula I motor racing events

13. GLOBAL TOBACCO BURDEN (J. Mackay 1999) 20002030 No of smokers1.1 b1.6 b Annual deaths 4 m 10 m Children exposed to ETS at home700 m770 m Economic costs > losses, USD200 b ???

14. WHAT IS QUIT AND WIN Smoking cessation contest for adults Collaboration between governments, NGOs etc. Positive approach to stop smoking Cost-effective method International - translates across different cultures Chance to win prizes - but above all HEALTH

15. INTERNATIONAL QUIT & WIN Series participants 199413 countries 60.000 199625 countries 70.000 199848 countries200.000 200083 countries500.000 - 1 million

16. INTERNATIONAL QUIT & WIN: Experiences One-year total abstinence rates: (1996 follow-up) national: men 22%, women 16% regional: men 27%, women 27% Good cost-effectiveness ratio, great public health value In addition to specific effects, many obvious secondary impacts to support national antismoking work

17. WHY ARE THE NGO’S INTERESTED IN QUIT & WIN? participation in important public health work Quit & Win offers simple, practical tool great human and media interest (competition, winners, etc.) collaboration with health services and governmental agencies good possibilities for sponsors international aspects

18. QUIT AND WIN: NATIONAL IMPLEMENTATION PRINCIPLES Each country organizes the Q&W by itself, with local resources, but following the international rules (same core) Coordinating agency (+ contact person): national institute, NGO, university or ministry Usually broad coalitions: health agencies, health services, NGO’s (tobacco, cancer, heart, lung etc.), pharmaceutical industry, media Innovative solutions in the practical implementation, i.e.in the distribution of materials / recruitment of smokers Promotional support from International Quit and Win

19. QUIT & WIN 2000: RULES at least 18 years old, current daily smoker quit date: 2nd May 2000 participants must fill an entry form -> to local organizer by 2nd May draw for winners: after 4 weeks’ attempted abstinence testing + interview of winners national prizes + international super prizes standardized one-year follow-up + process evaluation optional supporters’ contest

20. SUPPORTERS’ CONTEST: OPTIONAL one supporter, indicated at the end of the smoker’s registration form supporter(s) win their prize(s), if their respective smoker participant(s) win

21. INTERNATIONAL QUIT & WIN 2000 target: 75-100 countries 500.000 - 1.000.000 smokers prizes:International Superprize :10.000 USD 6 Regional prizes: 2.500 USD each support of WHO Tobacco Free Initiative International Steering Committee Collaboration: WHO, NGOs, KTL+ countries Coordinating Centre: KTL, Finland

22. Quit and Win 2000 Coordinating Centre Information –Circulars etc. International campaign material (posters, video, leaflets etc.) Quit and Win handbook –in English, Spanish, Russian & Chinese Training and motivation workshops International media relations Internet site Super prizes Bio chemical tests

23. QUIT AND WIN 2000: TIMETABLE (1) SUMMER & AUTUMN 1999: - International Q & W promotion materials - Start of Q &W 2000 planning in countries END OF 1999: - Decision to participate by countries END OF 1999, EARLY 2000: - National coalitions - Planning of national materials APRIL - 2ND MAY 2000: - Intensive media campaign

24. QUIT AND WIN 2000: TIMETABLE (2) 2 MAY 2000: - Quit date (end of receiving or mailing of registrations) 25 - 30 MAY 2000:- National draws 31 MAY OR LATER 2000:- Announcement of national winners 9 JUNE 2000 in Malta: - International draw for super prizes 29 AUGUST 2000 at EXPO- Awarding the Super prize $10.000 2000 in Hannover, Germany MAY 2001:- Standardized 1-year follow-up

25. COUNTRIES ORGANIZING QUIT & WIN 2000 AFRO (Africa) EMRO (Eastern Mediterranean) EURO (Europe) PAHO (Americas) SEARO (South-East Asia) WPRO (Western Pacific) 7 11 33 15 6 11 ---------- 83

26. QUIT & WIN: Superprize winners 1994 Malta 1996 China 1998 Chile

27. ENYPAT European Network on Young People and Tobacco AIM: to contribute to the reduction of tobacco use among young people at European level => Information exchange => European-wide collaboration => Programme building => Policy development

28. ENYPAT European Network on Young People and Tobacco FUNDED: Europe against Cancer Programme of the European Commission HOSTED: 1993-96 ASH Scotland 1997- National Public Health Institute (KTL), Finland SUPPORTED: The Advisory Board

29. ENYPAT European Network on Young People and Tobacco FROM THE BEGINNING Information exchange between people working in the fields of young people, tobacco and health => Newsletter Interaction => Database about people and projects

30. ENYPAT European Network on Young People and Tobacco NEW ROLE: To develop, co-ordinate and administer wider and more coherent smoking prevention programmes at European level => Framework Project

31. ENYPAT Framework Project 1999-2000

32. ENYPAT European Network on Young People and Tobacco Smoke Free Parnerships: * School- and community-based * Targets 9-15 year olds + parents * Education materials * Five countries

33. ENYPAT European Network on Young People and Tobacco Quit and Win - Do Not Start and Win * Aim: to help young smokers to quit and non-smokers to stay non-smokers * 3 months: two draws with attractive prizes * In 7 countries

34. ENYPAT European Network on Young People and Tobacco Berlin Youth Conference * in June 2000 * 300 young people from 15 countries * present creative non-smoking activities * workshops

35. Smokefree Class Competition In Europe * since 1997 at European level * prevent the onset of smoking * pupils aged 11-15 (7 th and 8 th grades) * the class jointly decides * period of 6 months * national and European draw

36. Smokefree Class Competition in Europe * 1997/98 in 7 countries: 100 000 pupils * 1998/99 in 11 countries: 160 000 pupils *1999/00 in 13 countries: 230 000 pupils * Austria, Belgium, Denmark, Finland, France, Germany, Greece, Iceland, Italy, L:bourg, Spain, Netherlands, UK

37. Smokefree Class Competition in Europe Denmark: classes have to carry out an activity Belgium: each pupil get a small prize Germany: teachers have workshops Spain: classes should make own slogan www.ift-nord.de/sfc

38. Smokefree Class Competition in Europe * evaluated in Finland and in Germany * control-group studies with repeated measurements, 1 year follow-up * result of both evaluation: the competition delays the onset of smoking

39. ENYPAT European Network on Young People and Tobacco Campaigns as SFC * positive * quite easy to organize * wide audience * media interested * promising results But only supportive action - not solution!

40. Mr Nicotine is here to get you!