A tobacco history timeline published showcases a decrease in smoking among adults, from 42.2 percent in 1965 to about 18 percent today.
We briefly unpack Scott Leischow‘s tobacco workshop presentation at the 2013 PHASA conference on pharmacodynamics and nicotine dependence.
Between 1993 and 2003, smoking prevalence decreased from 34% to 21.4% in South Africa through the implementation of its various anti-tobacco policies and legislation that have resulted in a ban of all tobacco advertisements, the enforcement of health warnings on cigarette packages, and an increase in excise taxes among a plethora of other interventions. A predictable consequence of cigarette price increases is that some people will switch to cheaper substitutes, like roll-your-own (RYO) tobacco. This may negate the effect of taxation and increases the negative consequences for their health.
The Centre for Tobacco Control in Africa (CTCA) was established to build and sustain institutional capacity of African governments in tobacco control. This is done through the provision technical and financial resources to create comprehensive and strong tobacco control bills, policies and regulations. Additionally, the Centre has provided a platform for dialogue among the tobacco control actors including parliamentarians, civil society organizations (CSOs), academia and media fraternity. Furthermore, CTCA has built capacity of African governments and CSOs through training, developing and availing toolkits and orientation of key stakeholders in several countries.
PHASA has written a letter to Dr Aaron Motsoaledi, the Minister of Health, to show our support for the new regulations.
Tobacco use has been identified as the leading cause of preventable deaths in the world, giving rise to an estimated 5 million deaths per year. By the year 2020, this is expected to nearly double with 70% of the deaths occurring in the developing countries. To prevent the projected number of deaths, many attempts are being made to curb the current smoking patterns. In South Africa, the Tobacco Products Control Amendment Act of 1999 was formulated and has resulted in the decreasing prevalence of smoking. This paper discusses approaches to smoking cessation and proposes a context for action by all health care professionals. We suggest changing the social acceptability of smoking, strengthening community participation, integrating tobacco cessation with other healthcare services and specifying the role of healthcare professionals to increase tobacco use cessation.
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