Harizi Chahida, El-Awa Fatimah, Ghedira Habib, Audera-Lopez Carmen, Fakhfakh Radhouane
Department of Epidemiology and Statistics, Abderrahmen Mami Hospital, Ariana, Tunisia.
Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Tob Prev Cessat. 2020 Dec 22;6:72. doi: 10.18332/tpc/130476. eCollection 2020.
The World Health Organization Framework Convention on Tobacco Control (WHO FCTC) was the first health treaty that requires state parties to adopt and implement the MPOWER package. The aim of this study is to review the current status of tobacco control policies in Tunisia according to the WHO FCTC recommendations.
This paper is a critical narrative literature review in which information was obtained from peer-reviewed articles, official government documents, reports, decrees and grey literature in French, Arabic and English.
Modest progress in FCTC implementation in Tunisia was noted. The smoking ban in public places is not regularly or largely enforced. The advertising and promotion for tobacco and its products is prohibited by law, but, the ban does not cover the display and visibility of tobacco products at points-of-sale, through the internet, and the depiction of tobacco or tobacco use in entertainment media products. Health warnings on tobacco products consist only of text and do not exceed 30% of the main display areas but are expected to increase to 70% with graphics and text when the new law is passed.
Effective intervention efforts are urgently required. These actions should include accelerating the adoption of a new law, enforcing the present law and the new one once adopted, developing an advocacy and argument about the positive impact on state budget balance, increasing taxes, combating smuggling and illicit manufacturing and counterfeiting, increased education, increased smoking cessation support and implementing periodic surveillance.
世界卫生组织《烟草控制框架公约》（WHO FCTC）是首个要求缔约国采用并实施MPOWER综合措施的卫生条约。本研究旨在根据WHO FCTC的建议，回顾突尼斯烟草控制政策的现状。
本文是一篇批判性叙述文献综述，信息来源于同行评审文章、政府官方文件、报告、法令以及法语、阿拉伯语和英语的灰色文献。
注意到突尼斯在实施《烟草控制框架公约》方面取得了一定进展。公共场所禁烟规定并未得到定期或广泛执行。法律禁止烟草及其制品的广告和促销，但该禁令不涵盖烟草制品在销售点的展示与可见性、通过互联网的展示以及在娱乐媒体产品中对烟草或烟草使用的描绘。烟草制品上的健康警示仅为文字形式，且不超过主要展示面积的30%，但新法律通过后预计将增加至图文并茂的70%。
迫切需要采取有效的干预措施。这些行动应包括加快通过新法律、执行现行法律以及新通过的法律、就对国家预算平衡的积极影响开展宣传和论证、提高税收、打击走私以及非法制造和假冒行为、加强教育、增加戒烟支持并实施定期监测。
