Why tobacco control must remain a priority Martin Dockrell Director of Policy and Research
Falling, but too slowly? Cigarette smoking prevalence 1972 - 2010 Men 40 Women Overall 30 20 10 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
The North West’s £2bn habit Estimated cost of smoking in the North West (£millions) Output lost from early £597 million death £422.9 million Smoking breaks £393.8 million NHS care £364.6 million Sick days £103 million Passive smoking* *Passive smoking: lost productivity from early death (not including NHS £73.9 million Domestic fires costs and absenteeism) £49.9 million Smoking litter 0 100 200 300 400 500 600 700
…doubled when you include the cost to smokers Estimated cost to smokers and society in the North West (£millions) Smokers' spending £2,200m on tobacco North West Total costs to £2,000m society 0 500 1,000 1,500 2,000 2,500
A burden on employers Cost to the NW employers in £millions 364.5 Sick days 442.9 Smoking breaks 597 Lost output 0 100 200 300 400 500 600 700
A burden across the region Cost in £millions 38.7 Halton 36 Cost to smokers 49.4 Warrington 45.9 Cost to society 51.8 St Helens 48.2 59.2 Knowsley 55.1 71.6 Sefton 66.7 80.7 Cheshire W. & Chester 75.1 85.2 Cheshire East 79.2 102.2 Wirral 95.1 147.5 Liverpool 137 0 20 40 60 80 100 120 140 160
An unequal burden Cigarette smoking in Great Britain by Deprivation 1973 2009 80 70 72 60 57 55 50 52 46 40 46 42 30 32 20 20 10 12 0 0 1 2 3 4
More unequal, more burdensome Smoking in pregnancy in England 2010 by SEG 60 50 40 40 26 30 20 20 14 10 10 4 0 2010 (before or 2010 (throughout) during) M & P Intermediate R & M
More unequal, more burdensome Smoking in pregnancy in England 2005 & 2010 by SEG 60 48 50 40 40 30 29 26 30 20 19 20 14 12 10 7 10 4 0 2005 (before or 2005 (throughout) 2010 (before or 2010 (throughout) during) during) M & P Intermediate R & M
More unequal, more burdensome Smoking in pregnancy in England 2010 by Age 70 60 58 50 40 44 36 30 26 20 21 17 10 11 9 6 6 0 2010 (before or during) 2010 (throughout) Under 20 20-24 25-29 30-34 35+
Smoking in pregnancy by region London 6.3% South Central 11.0% South East Coast 12.8% East of England 13.3% South West 13.5% East Midlands 15.6% West Midlands 15.9% Yorkshire & Humber 16.9% North West 17.7% North East 21.1% 0% 5% 10% 15% 20% 25%
Making the local case Toolkit provides: • Template slide sets to tailor with local level data • “Reckoner” on local costs of smoking • Opinion data on local public support • Councillor briefings co- branded with LGA & FPH Ash.org.uk/localtoolkit Estimated cost to smokers and society in Hackney (£ millions) Smokers' spending on £82.7m tobacco Total costs to society £73m 0 10 20 30 40 50 60 70 80 90 Millions (£)
Making the case briefly
Pushing back on secondhand smoke 82% of homes in the North West are smokefree 51% of smokers live in smokefree homes 84% of adults in the North West believe 22% of smokers believe smoking in cars smoke has little or no should be banned effect on a child’s health
Pushing back on tobacco marketing 62% of adults in the North West support plain packaging 10% oppose For every 5 smokers who oppose plain packs 6 are in favour
Plain packs The writing is on the wall “expect plain packaging to spread to France the UK and beyond” “we think plain packs will survive litigation” “Imperial is most exposed… this would represent 33% of Imperial’s profits”
Pushing back With comprehensive local action • Protecting health policy from the tobacco industry • Pension funds and tobacco companies • A balanced local strategy • Harmonising local priorities and national guidance
Pushing back With comprehensive local action • Self assessment a pause for structured reflection • Peer assessment adds rigour and provides external validation • Equal validity to “home” and “away” assessment scores • Assessment report identifies improvement, clearly, briefly and with impact.
“The CLeaR approach – bottom up, peer led and evidence-based – seems to me to be exactly right and we know it works. Everything is in place to make a flying start and for you to track your progress over these next crucial years. Many Councils all around the country have already signed up to the CLeaR standard since it was launched in May this year and I encourage everyone to do the same.” www.ash.org.uk/clear
“The CLeaR approach – bottom up, peer led and evidence-based – seems to me to be exactly right and we know it works. Everything is in place to make a flying start and for you to track your progress over these next crucial years. Many Councils all around the country have already signed up to the CLeaR standard since it was launched in May this year and I encourage everyone to do the same.” Duncan Selbie Chief Executive, Public Health England www.ash.org.uk/clear
• www.ash.org.uk/clear • www.ash.org.uk/localtoolkit • Martin.dockrell@ash.org.uk
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