Calikoglu Elif Oksan, Koycegiz Edanur
Department of Public Health, Atatürk University School of Medicine, Erzurum, Turkey.
Eurasian J Med. 2019 Feb;51(1):80-84. doi: 10.5152/eurasianjmed.2018.18009. Epub 2018 Dec 3.
Tobacco consumption is a worldwide health problem threatening all, making no differentiation between gender, age, race, and cultural or educational background. Tobacco is responsible for 7 million deaths each year. Over 6 million deaths are directly related to tobacco consumption, and over 890.000 deaths involve non-smokers exposed to tobacco smoke. Although the harmful effects of cigarettes on human health have been confirmed repeatedly, still over 1 billion people worldwide are tobacco consumers, and according the World Health Organization (WHO), unless a strict action plan is implemented, tobacco-related deaths will rise to more than 8 million per year by 2030. The WHO published the Framework Convention on Tobacco Control in 2003, which could form a common policy to guide countries in the struggle against tobacco. Tobacco control in the Convention is defined as "a range of supply, demand and harm reduction strategies that aim to improve the health of a population by eliminating or reducing their consumption of tobacco products and exposure to tobacco smoke." This agreement was adopted by Turkey in 2004 with the Law No. 5261. In 2008, the WHO published the MPOWER package, containing the following six basic strategies, which are parallel with the Tobacco Framework Convention measures and practices: Monitor tobacco use.Protect people from tobacco smoke.Offer help to quit tobacco use.Warn about the dangers of tobacco.Enforce bans on tobacco advertising and promotion.Raise taxes on tobacco products. In the 2013 Global Tobacco Control Report by the WHO, Turkey was announced as the first country achieving a high level of success in the six MPOWER strategies, and other countries were advised to adopt the Turkish policies. Here we review Turkey's MPOWER tobacco control strategies one by one.
烟草消费是一个全球性的健康问题,威胁着所有人,无论性别、年龄、种族以及文化或教育背景如何。烟草每年导致700万人死亡。其中超过600万人的死亡与烟草消费直接相关,另有超过89万人的死亡涉及接触烟草烟雾的非吸烟者。尽管香烟对人类健康的有害影响已被反复证实,但全球仍有超过10亿人是烟草消费者。而且,根据世界卫生组织(WHO)的数据,除非实施严格的行动计划,到2030年,与烟草相关的死亡人数将增至每年800多万人。WHO于2003年发布了《烟草控制框架公约》,该公约可为各国在抗击烟草的斗争中提供共同政策指导。《公约》中的烟草控制被定义为“一系列旨在通过消除或减少烟草产品消费及接触烟草烟雾来改善人群健康的供应、需求和减少危害战略”。土耳其于2004年通过第5261号法律采纳了该协议。2008年,WHO发布了MPOWER综合措施,其中包含以下六项基本战略,这些战略与《烟草框架公约》的措施和做法并行:监测烟草使用情况;保护人们免受烟草烟雾危害;提供戒烟帮助;警示烟草危害;执行烟草广告和促销禁令;提高烟草产品税。在WHO发布的《2013年全球烟草控制报告》中,土耳其被宣布为在MPOWER的六项战略中取得高度成功的首个国家,同时建议其他国家采用土耳其的政策。在此,我们逐一回顾土耳其的MPOWER烟草控制战略。