C2817 - Additional information concerning tobacco dependence and cessation

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Party 2020 2018 2016 Region
Afghanistan Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Albania Report not provided Report not provided Report not provided WHO European Region
Algeria Answer not provided Answer not provided Answer not provided WHO African Region
Andorra Report not provided Report not provided Report not provided WHO European Region
Angola Answer not provided Answer not provided Answer not provided WHO African Region
Antigua and Barbuda Answer not provided Report not provided Answer not provided WHO Region of the Americas
Armenia Not available. Report not provided Report not provided WHO European Region
Australia Updated Royal Australian College of GPs smoking cessation guidelines: https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/supporting-smoking-cessation Answer not provided Answer not provided WHO Western Pacific Region
Austria Answer not provided Answer not provided Answer not provided WHO European Region
Azerbaijan Answer not provided On 01 December 2017 the new Law of Azerbaijan Republic "On restriction of tobacco use" was adopted. The article 15 of the Law widely refers of demand reduction measures concerning tobacco dependence and cessation. On November- December 2016, Public Health and Reforms center conduct a pilot project on consultative help (cabinet) to quit smoking and organized the quit-line. In frame of the pilot project were conducted a number of trainings to primary health care specialists. Today there are practically no nicotine replacement therapies and cessation services provided in Azerbaijan. Still, there is an intention to establish a health service network in Azerbaijan available for people who want to quit smoking and interested in receiving financial / technical assistance in aforementioned area. WHO European Region
Bahamas Report not provided Report not provided Legislation drafted. WHO Region of the Americas
Bahrain (Kingdom of) Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Bangladesh Answer not provided Answer not provided Answer not provided WHO South-East Asia Region
Barbados Answer not provided Answer not provided Answer not provided WHO Region of the Americas
Belarus Пояснения к вопросу С 287. Специализированные системы здравоохранения - это республиканские научно-практические центры (например, РНПЦ "Кардиология" и др.) Прочее - это коммерческие, частные медицинские центры, где пациент сам платит за услуги, или оплату услуг, оказываемых пациенту, осуществляет негосударственная организация, в которой он работает. Answer not provided Answer not provided WHO European Region
Belgium Answer not provided Answer not provided Answer not provided WHO European Region
Belize Answer not provided Report not provided Answer not provided WHO Region of the Americas
Benin Answer not provided Answer not provided Answer not provided WHO African Region
Bhutan Answer not provided Answer not provided Answer not provided WHO South-East Asia Region
Bolivia (Plurinational State of) Answer not provided Answer not provided Report not provided WHO Region of the Americas
Bosnia and Herzegovina Answer not provided Answer not provided Answer not provided WHO European Region
Botswana |None |None Report not provided WHO African Region
Brazil xxx xxx xxx WHO Region of the Americas
Brunei Darussalam Answer not provided Answer not provided Report not provided WHO Western Pacific Region
Bulgaria Answer not provided Answer not provided Answer not provided WHO European Region
Burkina Faso Absence de ressources pour la formation du personnel Answer not provided Answer not provided WHO African Region
Burundi Answer not provided Report not provided Answer not provided WHO African Region
Cabo Verde Answer not provided Answer not provided Answer not provided WHO African Region
Cambodia Answer not provided Answer not provided Report not provided WHO Western Pacific Region
Cameroon Answer not provided Answer not provided Answer not provided WHO African Region
Canada The Public Health Agency of Canada addresses tobacco cessation and prevention through grants and contribution programming. The Healthy Living and Chronic Disease Prevention-Multi-Sectoral Partnerships program provides expertise in testing and scaling up interventions to prevent and mitigate the common risk factors, including tobacco use, that contribute to chronic diseases such as cancer, diabetes and cardiovascular disease. This program model successfully leverages private and public sector investment and reach to support interventions that address complex social issues involving multiple sectors. Walk or Run to Quit: Walk or Run to Quit is a smoking cessation program developed collaboratively by the Canadian Cancer Society and the Running Room that provides Canadians a unique opportunity to engage in physical activity as a means to quit smoking. The ten week walking or running program provides resources and coaching support to quit smoking and encourages participation in a 5km event at the completion of the program. So far, it has reached 3,500 participants both in-person and on-line. Quit rates for participants who completed the program and who reported not smoking at the end the program and in the 6 months following were 28% in 2016 and 33% in 2017. In addition, physical activity increased from baseline to end of program for both cohorts and was maintained at 6-month follow up. Participants also noted an increase in physical and mental wellbeing and in the confidence to quit smoking. Build Smoke Free: Under the leadership of the Canadian Cancer Society, this project offers a tailored workplace tobacco cessation support program for employees at construction sites across Canada. Based on best practices from various Canadian workplace-based tobacco programs, it builds on evidence from a pilot that demonstrated a 21% quit rate at six months post-intervention. The project combines a mix of individually customized cessation support from trained staff, the provision of nicotine replacement therapy and other on-site resources, as well as the use of a contest to incentivize quitting. All Together Now!: The All Together Now! project is a community-based participatory initiative, led by the University of Toronto, involving LGBTQ2S+ partners, young adults and other stakeholders who will co-create, implement and evaluate a theory and evidence-informed smoking cessation and prevention approach tailored to LGBTQ2S+ young adults. The aim of this initiative is to develop messaging and tailored social-media based marketing strategies that associate non-smoking with salient social norms to create the desired behaviour changes. It will include messaging featuring personal testimonials from LGBTQ2S+ former smokers, online social support, and linkages to LGBTQ2S+ friendly cessation services. Note that CancerCare Manitoba offers a Quit Smoking Program (QSP) to patients, their families and staff. The program includes an interdisciplinary clinic involving a nurse practitioner, nurse, social worker, pharmacist and pharmacy technician. The clinic’s services help participants deal with the emotional and physical aspects of quitting smoking through a full range of supportive cessation treatments. Patients are screened, assessed, counselled and provided treatment of nicotine replacement and drug therapy at no cost to participants. In January, 2016 up to $1.0 million in new funding was provided for the implementation of a provincial nicotine replacement therapy (NRT) program that provides, free of charge, up to 8 weeks of NRT annually to eligible smokers looking to quit. In Ontario, one of Canadas sub-national jurisdiction, new social marketing campaigns were implemented that targets adult regular smokers, and public education campaigns were implemented to advise the public about new smoking regulations. The 2015 Pan American and Parapan American Games were hosted in the City of Toronto and declared smoke-free and secondly, as a legacy component, the public was educated about the importance of smoke-free outdoor public spaces, particularly sporting fields. The Public Health Agency of Canada (PHAC), a federal partner in Canadas Federal Tobacco Control Strategy, co-funded a number of tobacco projects designed to promote healthy living and to prevent chronic disease. • Led by Manitoba Tobacco Reduction Alliance, the MANTRA project is establishing a certification program in tobacco addiction treatment at University of Manitoba and expanding Cancer Care Manitoba’s Quit Smoking Program to seven outreach centres across the province. The MANTRA project complements the Canadian Partnership Against Cancer work to better integrate tobacco cessation into cancer care settings to improve patient access to healthcare professionals trained in tobacco addiction treatment. Partners for this project include Cancer Care Manitoba and Canadian Network for Respiratory Care. The project expects to reach 250 healthcare professionals. • The Picking Up the PACE project led by the Centre for Addiction and Mental Health (CAMH) is enhancing the content of online training and implementing a peer coaching model with the aim of increasing the ability of healthcare professionals to offer interventions to address modifiable risk factors and improve smoking cessation outcomes. CAMH is partnering with the Medical Psychiatry Alliance in the development of the content that will be used with 350 healthcare providers in Ontario and will inform the online component of the Training Enhancement in Applied Cessation Counselling and Health (TEACH), an evidence-based program accredited by the University of Toronto Faculty of Medicine, professional regulatory bodies and the international Association for the Treatment of Tobacco Use and Dependence. • Evidence in the field of tobacco control recognizes the relationship between tobacco cessation behaviour and other risk factors (e.g., unhealthy eating and inactivity) and identifies the need for chronic disease prevention strategies that address these interrelated risks. As a result a more recent, Canada-wide project called Run to Quit was launched, in partnership with the Canadian Cancer Society and the Running Room, to implement a tobacco cessation project while improving physical activity levels. Early results showed that 28% of participants had quit smoking and had successfully not smoked in six months. In addition, 43% of participants interviewed said they were still running, on average, three times a week. Participants also noted increased physical and mental wellbeing and confidence to quit smoking. These results are encouraging since rates for people trying to quit “cold turkey” average around 4%. The Province of Alberta provides a number of resources which target under aged girls, young women, and pregnant women. These include the "Reproductive Years Guidelines" for health care providers which was designed to assist health care providers in supporting women and girls to stop or reduce the use of tobacco. They also provide a practical hands on guide entitled "Baby Steps Help Guide" for health care providers working with girls and women who use tobacco and tobacco-like products and are planning a pregnancy, are pregnant, or postpartum. CancerCare Manitoba offers a Quit Smoking Program (QSP) to patients, their families and staff. The program includes an interdisciplinary clinic involving a nurse practitioner, nurse, social worker, pharmacist and pharmacy technician. The clinic’s services help participants deal with the emotional and physical aspects of quitting smoking through a full range of supportive cessation treatments. Patients are screened, assessed, counseled and provided treatment of nicotine replacement and drug therapy at no cost to participants. In 2015/16 up to $1.0 million in new funding is being provided for the implementation of a provincial nicotine replacement therapy (NRT) program that will provide, free of charge, up to 8 weeks of NRT annually to eligible smokers looking to quit. Development of this program has begun and is anticipated to officially launch in spring 2016. In Ontario, one of Canadas sub national jurisdiction, new social marketing campaigns were implemented that targets adult regular smokers, and public education campaigns were implemented to advise the public about new smoking regulations. The 2015 Pan American and Parapan American Games were hosted in the City of Toronto and declared smoke-free and secondly, as a legacy component, the public was educated about the importnac4 of smoke-free outdoor public spaces, particularly sporting fields. The Public Health Agency of Canada (PHAC), a federal partner in Canadas Federal Tobacco Control Strategy, co-funded a number of tobacco projects designed to promote healthy living and to prevent chronic disease. The "Enhancing the Capacity of Health Care Professionals to Integrate Evidence-based Smoking Cessation Interventions", led by the Canadian Network for Respiratory Care (CNRC), developed a competency based tobacco cessation training curriculum and certification program targeting health care providers. The aim was to develop the most current information on tobacco cessation interventions and prevention, and to ensure that health care providers stay up-to-date with advancement in these areas through a rigorous recertification process and continuing education in order to maintain their credentials. Partners included Pear Healthcare, iMD Health, Pfizer Canada Novartis Pharmaceuticals Canada, Professional Targeted Marketing, University of Ottawa Heart Institute. Led by the University of Ottawa Heart Institute, the aim of the "National Smoking Cessation Program in Respiratory and Diabetes Education Clinics (INSPIRE)" was to integrate evidence-based smoking cessation practices and services in respiratory and diabetes clinics in Ontario, British Columbia and New Brunswick. The project was initiated as an expansion of a program already running in cardiovascular care clinics across Canada. It encouraged health care providers to support evidence-based smoking cessation intervention within their practice. Partners included Pfizer Canada, Pfizer GRAND and the Government of New Brunswick Canada. Led by the Manitoba Tobacco Reduction Alliance, the "MANTRA project" will establish a certification program in tobacco addiction treatment at the University of Manitoba so that more healthcare professionals can be trained in smoking cessation counselling. The project will also expand Cancer Care Manitoba’s Quit Smoking program from one to seven outreach centres across the province, creating opportunities for more Manitobans to have access to healthcare professionals trained specifically in tobacco addiction treatment who can guide and support patients in their efforts to quit smoking. This project was launched in 2015 and complements the work of the Canadian Partnership Against Cancer to better integrate tobacco cessation into cancer care settings in Manitoba. Partners include Cancer Care Manitoba and Canadian Network for Respiratory Care. Run to Quit is planned for August 2015 with the aim of decreasing tobacco use among Canadians while increasing physical activity by incorporating an evidence-based smoking cessation curriculum with a coach-led program. Over the next five years, the Canadian Cancer Society will implement this innovative smoking cessation program in partnership with Running Room Canada. Based on Running Room’s proven method, the Run to Quit program provides a gentle, progressive running program to meet participants at their own fitness level, while at the same time offering an evidence-based, comprehensive 10-week program curriculum that teaches participants effective ways to quit smoking. WHO Region of the Americas
Central African Republic Report not provided Report not provided Report not provided WHO African Region
Chad Answer not provided Answer not provided Report not provided WHO African Region
Chile No hay información No hay información Answer not provided WHO Region of the Americas
China Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Colombia ABC cigarrillo electrónico Anexo 15 y en el siguiente enlace: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/abece-general-cigarrilos-electronicos.pdf Acto normativo prevención consumo cigarrillo electrónico Circular 32 de 2019. Ver Anexo 16 y en el siguiente enlace: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/circular-32-de-2019.pdf Answer not provided Answer not provided WHO Region of the Americas
Comoros Answer not provided Answer not provided Report not provided WHO African Region
Congo Answer not provided Report not provided Answer not provided WHO African Region
Cook Islands no change since the last report no change since the last report Answer not provided WHO Western Pacific Region
Costa Rica Answer not provided Se ha estado trabajando intersectorialmente en la construcción de la Estrategia Nacional de Cesación y en la actualización de las Directrices Nacionales de Cesación de Tabaco, aunque esta aún no se ha podido consolidar. Articulo 14.2(b) C289 En cuanto a este punto la CCSS por medio del CENDEIS en el CAMPUS VIRTUAL tiene el curso Atención Integral a las personas consumidoras de sustancias psicoactivas en donde participan Profesionales en medicina y enfermería del I y II nivel . Cuenta con un módulo llamado II. La persona consumidora de tabaco Se ha estado trabajando intersectorialmente en la construcción de la Estrategia Nacional de Cesación y en la actualización de las Directrices Nacionales de Cesación de Tabaco. Articulo 14.2(b) C289 En cuanto a este punto la CCSS por medio del CENDEIS en el CAMPUS VIRTUAL tiene el curso Atención Integral a las personas consumidoras de sustancias psicoactivas en donde participan Profesionales en medicina y enfermería del I y II nivel . Cuenta con un módulo llamado II. La persona consumidora de tabaco WHO Region of the Americas
Côte d'Ivoire Answer not provided Answer not provided Answer not provided WHO African Region
Croatia Answer not provided Answer not provided Answer not provided WHO European Region
Cyprus Answer not provided Answer not provided Answer not provided WHO European Region
Czech Republic Explanatory notes: Note to C288: Except for physicians, nurses and pharmacists are mostly involved. The theme of tobacco dependence is also included in the education of addictologists. Note to C2813: The pharmacotherapy is not reimbursed generally by health insurance companies – only some of them financially support pharmacotherapy for their clients treated in the specialized Centres for Tobacco-Dependent and addictology centres or in certified pharmacies. Information on National Register of Therapy of Drug users is in C434. Further information on some related activities to Article 14 (traning of health professionals, campaigns etc.) is also mentioned in C268. Explanatory notes: Note to C288: Except for physicians, nurses and pharmacists are mostly involved. The theme of tobacco dependence is also included in the education of addictologists. Note to C2813: The pharmacotherapy is not reimbursed generally by health insurance companies – only some of them financially support pharmacotherapy for their clients treated in the specialized Centres for Tobacco-Dependent and addictology centres or in certified pharmacies. Information on National Register of Therapy of Drug users is in C438. Further information on some related activities to Article 14 (traning of health professionals, campaigns etc.) is also mentioned in C268. Explanatory notes: to C288: Except for physicians, nurses and pharmacists are mostly involved. The theme of tobacco dependence is also included in the education of addictologists. to C2813: A pharmacotherapy is not reimbursed generally by health insurance companies – only some of them financially support pharmacotherapy for their clients treated in the specialized Centres for Tobacco-Dependent . WHO European Region
Democratic People's Republic of Korea Answer not provided Answer not provided Report not provided WHO South-East Asia Region
Democratic Republic of the Congo Answer not provided Answer not provided Answer not provided WHO African Region
Denmark Answer not provided Answer not provided Answer not provided WHO European Region
Djibouti Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Dominica Report not provided Report not provided Answer not provided WHO Region of the Americas
Ecuador Desde el Ministerio de Salud Pública del Ecuador se cuenta con el “Protocolo Atención Integral del consumo nocivo de alcohol, tabaco y otras drogas”, mismo que ha sido socializado y capacitado a los equipos de salud de los establecimientos en los tres niveles de atención. Esta normativa contempla los tratamientos farmacológicos relativos a la dependencia y al abandono del tabaco; tales como: tratamiento de remplazo con nicotina – TRN, bupropión, vareniclina, clonidina. Dichos medicamentos no constan en la Lista de Medicamentos Esenciales del Cuadro Nacional de Medicamentos Básicos – CNMB vigente, y requieren justificación técnica conforme la normativa vigente para su adquisición en la Red Pública Integral de Salud - RPIS y Red Privada Complementaria- RPC en el marco de la prestación de servicios de salud a pacientes derivados desde la RPIS. A la fecha los medicamentos antes citados no han sido solicitados para autorización de adquisición, en el marco de la normativa emitida para el efecto, por parte de los establecimientos de salud de la RPIS, RPC y Programa de Salud Mental. Desde el Ministerio de Salud Pública del Ecuador se cuenta con el “Protocolo Atención Integral del consumo nocivo de alcohol, tabaco y otras drogas”, mismo que ha sido socializado y capacitado a los equipos de salud de los establecimientos en los tres niveles de atención. Esta normativa contempla los tratamientos farmacológicos relativos a la dependencia y al abandono del tabaco; tales como: tratamiento de remplazo con nicotina – TRN, bupropión, vareniclina, clonidina. Dichos medicamentos no constan en la Lista de Medicamentos Esenciales del Cuadro Nacional de Medicamentos Básicos – CNMB vigente, y requieren justificación técnica conforme la normativa vigente para su adquisición en la Red Pública Integral de Salud - RPIS y Red Privada Complementaria- RPC en el marco de la prestación de servicios de salud a pacientes derivados desde la RPIS. A la fecha los medicamentos antes citados no han sido solicitados para autorización de adquisición, en el marco de la normativa emitida para el efecto, por parte de los establecimientos de salud de la RPIS, RPC y Programa de Salud Mental. En el marco de la implementación del Proyecto Creación e Implementación de Servicios de la Red de Salud Mental Comunitaria y Centros Estatales de Recuperación de Adicciones y del Modelo de Atención de Salud Mental con enfoque familiar y Comunitario se incluye el tratamiento a personas que usan o consumen tabaco con el fin de proporcionar atención integral en salud. Por otra parte en el Protocolo de atención integral del consumo nocivo de alcohol, tabaco y otras drogas, también se ha incluido el tratamiento a personas que usan tabaco con los protocolos para ser atendidas y la medicación a utilizar, al momento el país no dispone de estos medicamentos sin embargo se ha iniciado el proceso para la adquisición y disponibilidad de los mismos WHO Region of the Americas
Egypt Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
El Salvador A finales de 2018, se desarrolló una estrategia Nacional para la Cesación del Uso de Tabaco, la cual contenía una hoja de ruta sobre las medidas que son viables y factibles para desarrollar en el Sistema nacional de Salud; entre las que, se incluyen garantizar la detección, consejo breve, cesación y registro mandatorio en el primer nivel de atención en salud y la accesibilidad y asequibilidad del tratamiento de la pandemia del tabaco en los servicios de salud especializados. A la fecha dicha estrategia ha sido remitida al Ministerio de salud de El Salvador para las acciones de oficialización correspondientes Se ha iniciado el proceso de creación de la Estrategia Nacional de Cesación de tabaco, y se están usando las directrices del art. 14. Este proceso se está llevando a cabo con la asesoría técnica del Centro de Cooperación Internacional para el Control de Tabaco de Uruguay, mediante un proyecto de cooperación Sur Sur, con la Agencia Uruguaya de Cooperación Internacional. Answer not provided WHO Region of the Americas
Equatorial Guinea NO NO NO WHO African Region
Estonia Answer not provided Answer not provided Answer not provided WHO European Region
Eswatini Report not provided Report not provided Answer not provided WHO African Region
Ethiopia Report not provided Report not provided Report not provided WHO African Region
European Union Answer not provided Answer not provided Answer not provided WHO European Region
Fiji Answer not provided Report not provided Report not provided WHO Western Pacific Region
Finland - STUMPPI, a tobacco cessation phone line and an Internet portal (www.stumppi.fi) organized by the Organisation for Respiratory Health FILHA (Finnish Lung Health Association): - During 2018 a special emphasis was put on developing tobacco cessation for mental health and substance abuse patients in a government funded project including 11/21 hospital districts in Finland. The work was executed by training health professionals, improving e.g. medical record documentation and referral practices as well as including peer support elements in the cessation support provided by health professionals. - Filha has developed cessation practices and tobacco dependence treatment for maternal health care and pregnant women in 2018-2019. The practical tool kit developed by the project can be found at www.filha.fi/tupakka (in Finnish). - During 2019 Filha produced an online training course on Tobacco-free surgery for surgeons as part of the nation-wide Health Village (www.terveyskyla.fi) online service for health professionals. The course focus on how to start the discussion about tobacco cessation with the patient and why it is beneficial to counsel tobacco users to stop before surgery. - Filha has developed a peer support-based tobacco cessation counselling model including group and individual face-to-face as well as online counseling. The model has during 2018-2019 been developed especially taking into consideration vulnerable population groups that on average use a lot of tobacco products such as mental health patients, unemployed, certain immigrant groups and prisoners. - Filha has conducted nation-wide trainings (face-to-face and online) of health professionals in tobacco dependence treatment best practices ever since the national Current Care guideline first was introduced in 2002. - Filha continues to work in collaboration with the Defense Forces of Finland influencing attitudes and practices in tobacco control. This is done by increasing general knowledge and cessation support about tobacco products and especially regarding the use of Swedish snuff (snus). Implementation of the Guideline for Tobacco-free Defence Forces is also enforced with the help of Filha. As part of the project Filha also conducts research about tobacco and nicotine use among military conscripts and personnel of the Defense Forces. Answer not provided Answer not provided WHO European Region
France Les traitements de substitution nicotiniques sont maintenant remboursés comme les médicaments essentiels : quatre-vingt-quatre spécialités de substituts nicotiniques sont remboursées à ce jour. Le nombre de bénéficiaires mensuel est de 1,5 à 3 fois plus important en 2019 qu’en 2018. Fin octobre 2019, près de 162 000 fumeurs avaient bénéficié d’un remboursement. Les 26-50 ans représentaient la moitié des bénéficiaires d’un remboursement en 2018. Les patients en affectation longue durée représentent le tiers des bénéficiaires. L’effectif des femmes enceintes parmi les bénéficiaires a doublé ( 22 814). Le nombre de bénéficiaires de la CMU-C pris en charge passe de 22 000 à 73 000 personnes. Answer not provided Answer not provided WHO European Region
Gabon Answer not provided Answer not provided Answer not provided WHO African Region
Gambia Answer not provided Answer not provided Answer not provided WHO African Region
Georgia Answer not provided Answer not provided Answer not provided WHO European Region
Germany People who want to participate in smoking cessation training can ask their health insurance company to reimburse the training and will get a reimbursement. Some health insurance companies offer these trainings for their clients. Medication is not reimbursed; Bupropion and Varenicline have to be prescribed by physicians. Brief advice by doctors is covered as part of the general financing of primary health. People who want to participate in smoking cessation training can ask their health insurance company to reimburse the training and will get a reimbursement. Some health insurance companies offer these trainings for their clients. Medication is not reimbursed; Bupropion and Varenicline have to be prescribed by physicians. Brief advice by doctors is covered as part of the general financing of primary health. People who want to participate in smoking cessation training can ask their health insurance company to reimburse the training and will get a reimbursement. Some health insurance companies offer these trainings for their clients. Medication is not reimbursed; Bupropion and Varenicline have to be prescribed by physicians. Brief advice by doctors is covered as part of the general financing of primary health. WHO European Region
Ghana Answer not provided Answer not provided Answer not provided WHO African Region
Greece The guidelines that have been developed are the European Network for Smoking and Tobacco prevention (ENSP) guidelines. Available from www.elearning-ensp.eu The guidelines that have been developed are the European Network for Smoking and Tobacco prevention (ENSP) guidelines. Available from www.elearning-ensp.eu The guidelines that have been developed are the European Network for Smoking and Tobacco prevention (ENSP) guidelines. Available from www.elearning-ensp.eu WHO European Region
Grenada NA NA Answer not provided WHO Region of the Americas
Guatemala Answer not provided Answer not provided Answer not provided WHO Region of the Americas
Guinea Report not provided Report not provided Answer not provided WHO African Region
Guinea-Bissau Answer not provided Answer not provided Answer not provided WHO African Region
Guyana Answer not provided Answer not provided Answer not provided WHO Region of the Americas
Honduras En la medida de las posibilidades económicas el IHADFA continuará inaugurando más Centros de Atención Integral en otras ciudades del país, en cumplimiento al Artículo 14 del CMCT de la OMS sobre las medidas de reducción de la demanda relativa a la dependencia y al abandono del tabaco. En la medida de las posibilidades económicas el IHADFA continuará inaugurando más Centros de Atención Integral en otras ciudades del país, en cumplimiento al Artículo 14 del CMCT de la OMS sobre las medidas de reducción de la demanda relativa a la dependencia y al abandono del tabaco. En la medida de las posibilidades económicas el IHADFA continuará inaugurando más Centros de Atención Integral en otras ciudades del país, en cumplimiento al Artículo 14 del CMCT de la OMS sobre las medidas de reducción de la demanda relativa a la dependencia y al abandono del tabaco. WHO Region of the Americas
Hungary Answer not provided Answer not provided Answer not provided WHO European Region
Iceland Answer not provided Answer not provided Answer not provided WHO European Region
India Answer not provided Answer not provided Answer not provided WHO South-East Asia Region
Iran (Islamic Republic of) Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Iraq Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Ireland Answer not provided Answer not provided Answer not provided WHO European Region
Israel Answer not provided Report not provided Report not provided WHO European Region
Italy Answer not provided Answer not provided Answer not provided WHO European Region
Jamaica A national Guideline for nicotine use disorder was developed in 2007. Training was conducted on the Guideline.A directory of tobacco cessation services available island-wide was developed. Teams were also trained throughout the island to support scaling up of the services. Answer not provided Answer not provided WHO Region of the Americas
Japan Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Jordan يتم عمل دورات تدريبية للكوادر وكذلك تم اصدار دليل تدريبي لمعالجة الاعتماد على التبغ بالتعاون مع منظمة الصحة العالمية ومركز الحسين للسرطان وتعقد وزارة الصحة لكوادرها دورات تدريبية في هذا المجال من اطباء واطباء اسنان وصيادلة وتمريض والكوادر الفنية الاخرى لادماج هذة الخدمات ضمن منظومة الرعاية الصحية الاولية حين الاقتضاء وقد تم تدريب 15 طبيب من اطباء اختصاص طب الاسرة لتغطية العمل في العيادات يتم عمل دورات تدريبية للكوادر وكذلك تم اصدار دليل تدريبي لمعالجة الاعتماد على التبغ بالتعاون مع منظمة الصحة العالمية ومركز الحسين للسرطان وتعقد وزارة الصحة لكوادرها دورات تدريبية في هذا المجال من اطباء واطباء اسنان وصيادلة وتمريض والكوادر الفنية الاخرى لادماج هذة الخدمات ضمن منظومة الرعاية الصحية الاولية حين الاقتضاء يتم عمل دورات تدريبية للكوادر وكذلك تم اصدار دليل تدريبي لمعالجة الاعتماد على التبغ بالتعاون مع منظمة الصحة العالمية ومركز الحسين للسرطان WHO Eastern Mediterranean Region
Kazakhstan Answer not provided Answer not provided Report not provided WHO European Region
Kenya Answer not provided Answer not provided Answer not provided WHO African Region
Kiribati Not available Not available Not available WHO Western Pacific Region
Kuwait Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Kyrgyzstan Report not provided Report not provided Answer not provided WHO European Region
Lao People's Democratic Republic Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Latvia Answer not provided Answer not provided Answer not provided WHO European Region
Lebanon Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Lesotho Answer not provided Report not provided Report not provided WHO African Region
Liberia Answer not provided Answer not provided Answer not provided WHO African Region
Libya Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Lithuania Answer not provided Answer not provided Answer not provided WHO European Region
Luxembourg Answer not provided Answer not provided Answer not provided WHO European Region
Madagascar nous envisageons de faire un bâtiment pour le sevrage tabagique nous envisageons de faire une guide de sevrage . nous envisageons de faire une formation professionnelle sur le tabacologie et laddictologie . WHO African Region
Malaysia Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Maldives NONE NONE NONE WHO South-East Asia Region
Mali Answer not provided Answer not provided Answer not provided WHO African Region
Malta nil nil Answer not provided WHO European Region
Marshall Islands Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Mauritania - - - WHO African Region
Mauritius NONE NONE Answer not provided WHO African Region
Mexico Answer not provided Answer not provided Answer not provided WHO Region of the Americas
Micronesia (Federated States of) Cessation program for FSM is partially conducted traditionally (using the faith-based) therefore it will be different in nature on its implementation . A Brief Tobacco Intervention Activity is still in its initial stages to be rolled out in all 4 states. Cessation program for FSM is partially conducted traditionally (using the faith-based) therefore it will be different in nature on its implementation . A Brief Tobacco Intervention Activity is still in its initial stages to be rolled out in all 4 states. Cessation program for FSM is partially conducted traditionally (using the faith-based) therefore it will be different in nature on its implementation WHO Western Pacific Region
Mongolia Answer not provided Answer not provided Report not provided WHO Western Pacific Region
Montenegro Answer not provided Already uploaded file in C26 Already uploaded file in C26 WHO European Region
Myanmar Answer not provided Answer not provided Answer not provided WHO South-East Asia Region
Namibia Answer not provided Report not provided Report not provided WHO African Region
Nauru Answer not provided Report not provided Answer not provided WHO Western Pacific Region
Nepal Answer not provided Answer not provided Report not provided WHO South-East Asia Region
Netherlands Answer not provided Answer not provided Answer not provided WHO European Region
New Zealand Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Nicaragua Answer not provided Answer not provided Answer not provided WHO Region of the Americas
Niger Answer not provided Report not provided Answer not provided WHO African Region
Nigeria Answer not provided Answer not provided Answer not provided WHO African Region
Niue Answer not provided Report not provided Report not provided WHO Western Pacific Region
Norway Answer not provided Answer not provided A mobile app "Slutta" was launched in 2013, and has since been downloaded over 400 000 times in a country with a population of about 5 million. WHO European Region
Oman لا يوجد لا يوجد لا يوجد WHO Eastern Mediterranean Region
Pakistan Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Palau Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Panama El II CONGRESO MULTIDISCIPLINARIO INTERNACIONAL DE TABAQUISMO Y ENFERMEDADES NO TRANSMISIBLES fue realizado del 21 al 23 de noviembre del 2018 con el LEMA: “EL TABACO ROMPE CORAZONES. ELIGE SALUD NO TABACO se abordó en el pre-congreso el tema de cesación de tabaco. Los resultados de la GYTS 2017 indican que cerca de 1 de cada 2 (53.4%) de los jóvenes fumadores pensaron dejar de fumar como consecuencia de las advertencias sanitarias colocadas en los productos de tabaco (chicos: 61.3% -chicas: 47.4%). Estos mensajes impactaron más a los chicos que a las chicas con 13.9 puntos porcentuales por arriba. En el II CONGRESO MUNDIAL DE TABAQUISMO Y ENT Y III CONGRESO MULTIDICIPLINARIO CIENTÍFICO NACIONAL realizado en diciembre del 2016, se abordó en múltiples sesiones el tema de cesación de tabaco. Los resultados preliminares de la GYTS 2017 indican que cerca de 1 de cada 2 (53.4%) de los jóvenes fumadores pensaron dejar de fumar como consecuencia de las advertencias sanitarias colocadas en los productos de tabaco (chicos: 61.3% -chicas: 47.4%). Estos mensajes impactaron más a los chicos que a las chicas con 13.9 puntos porcentuales por arriba. El Congreso Mundial de Estudiantes de Medicina realizado en el 2015 dedicó un día para efectuar sesiones paralelas relacionadas con el tema de control de tabaco, donde uno de los talleres efectuados fue sobre cesación de tabaco, durante el mismo se presentaron las experiencias exitosas de clínicas de cesación de fumar, intervenciones breves y cambios en el estilo de vida y la vulnerabilidad a las conductas adictivas. También se abordaron conferencias magistrales sobre obesidad y tabaquismo, tabaquismo como precursor de cáncer, herramientas para lograr estilos de vida libres de tabaco. El evento contó con la participación del Dr. Eduardo Bianco de Uruguay, experto en cesación de tabaquismo. WHO Region of the Americas
Papua New Guinea Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Paraguay El Ministerio de Salud no cuenta con toda la línea de medicamentos destinados a la rehabilitación del paciente fumador. El Ministerio de Salud no cuenta con toda la línea de medicamentos destinados a la rehabilitación del paciente fumador. El Ministerio de Salud no cuenta con toda la línea de medicamentos destinados a la rehabilitación del paciente fumador. WHO Region of the Americas
Peru Answer not provided Answer not provided Answer not provided WHO Region of the Americas
Philippines Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Poland Answer not provided Answer not provided Answer not provided WHO European Region
Portugal C287. The consultation for intensive care for smoking cessation are free of charge in the NHS and public rehabilitation centers for alcohol and drugs treatment. Private services and rehabilitation services are not covered. Answer not provided Answer not provided WHO European Region
Qatar LAW NO. 10 OF 2016 ON THE CONTROL OF TOBACCO AND ITS DERIVATIVES states Article 10 The allocation of stores for sales of cigarettes, tobacco, or its derivatives without obtaining a license shall be prohibited. Stores that offer cigarettes or tobacco or its derivatives for sale shall designate a selling place inside the store, and shall prominently and legibly display the cautionary statements and images described in Article 6 herein inside the store or on other conspicuous banners, in accordance with the regulations of the decision promulgated by the Minister. Article 13: The sale of cigarettes or tobacco or its derivatives at a distance of less than 1000 meters from schools and other educational and training institutions shall be prohibited. LAW NO. 10 OF 2016 ON THE CONTROL OF TOBACCO AND ITS DERIVATIVES states Article 10 The allocation of stores for sales of cigarettes, tobacco, or its derivatives without obtaining a license shall be prohibited. Stores that offer cigarettes or tobacco or its derivatives for sale shall designate a selling place inside the store, and shall prominently and legibly display the cautionary statements and images described in Article 6 herein inside the store or on other conspicuous banners, in accordance with the regulations of the decision promulgated by the Minister. Article 13: The sale of cigarettes or tobacco or its derivatives at a distance of less than 1000 meters from schools and other educational and training institutions shall be prohibited. Answer not provided WHO Eastern Mediterranean Region
Republic of Korea *C282 -In addition to the National Smoking Cessation Clinic which can be utilized in-person (refer to section C2811), to support smokers, and under the auspice of the Ministry of Health and Welfare, the quit-line under the National Cancer Centre has been implemented since 2006. -The Internet is already being utilized to disseminate information on smoking cessation since 2002 in the form of a guide (http://nosmokeguide.or.kr/). *C288 -In regards to C288, there is no separate restriction for smoking cessation counselling, so general medical practitioners including practitioners who complete public health are also able to provide counselling. -In addition, only those in possession of a nursing license are able to conduct the services of a midwife in Korea, thus it’d be ambiguous and inefficient to distinguish the two in terms of licensing. *C289 -(Medicine, Pharmacology) To include curriculum on the diagnosis of smokers, circumstances and ingredients of medication -(Dentistry) To include curriculum on the relationship between smoking and plaque, cavity and carcinoma of the oral cavity -(Nursing) To include curriculum on community-based nursing interventions for the treatment of smoking -(Health Sciences) To include content on smoking-related diagnosis and examination on medical records *C282 -In addition to the National Smoking Cessation Clinic which can be utilized in-person (refer to section C2811), to support smokers, and under the auspice of the Ministry of Health and Welfare, the quit-line under the National Cancer Centre has been implemented since 2006. -The Internet is already being utilized to disseminate information on smoking cessation since 2002 in the form of a guide (http://nosmokeguide.or.kr/). *C288 -In regards to C288, there is no separate restriction for smoking cessation counselling, so general medical practitioners including practitioners who complete public health are also able to provide counselling. -In addition, only those in possession of a nursing license are able to conduct the services of a midwife in Korea, thus it’d be ambiguous and inefficient to distinguish the two in terms of licensing. *C289 -(Medicine, Pharmacology) To include curriculum on the diagnosis of smokers, circumstances and ingredients of medication -(Dentistry) To include curriculum on the relationship between smoking and plaque, cavity and carcinoma of the oral cavity -(Nursing) To include curriculum on community-based nursing interventions for the treatment of smoking -(Health Sciences) To include content on smoking-related diagnosis and examination on medical records *C282 -In addition to the National Smoking Cessation Clinic which can be utilized in-person (refer to section C2811), to support smokers, and under the auspice of the Ministry of Health and Welfare, the quit-line under the National Cancer Centre has been implemented since 2006. -The Internet is already being utilized to disseminate information on smoking cessation since 2002 in the form of a guide (http://nosmokeguide.or.kr/). *C288 -In regards to C288, there is no separate restriction for smoking cessation counselling, so general medical practitioners including practitioners who complete public health are also able to provide counselling. -In addition, only those in possession of a nursing license are able to conduct the services of a midwife in Korea, thus it’d be ambiguous and inefficient to distinguish the two in terms of licensing. *C289 -(Medicine, Pharmacology) To include curriculum on the diagnosis of smokers, circumstances and ingredients of medication -(Dentistry) To include curriculum on the relationship between smoking and plaque, cavity and carcinoma of the oral cavity -(Nursing) To include curriculum on community-based nursing interventions for the treatment of smoking -(Health Sciences) To include content on smoking-related diagnosis and examination on medical records WHO Western Pacific Region
Republic of Moldova Answer not provided Answer not provided Answer not provided WHO European Region
Romania Report not provided Report not provided Report not provided WHO European Region
Russian Federation Answer not provided Report not provided Answer not provided WHO European Region
Rwanda Answer not provided Answer not provided Report not provided WHO African Region
Saint Kitts and Nevis Report not provided Report not provided Answer not provided WHO Region of the Americas
Saint Lucia Answer not provided Answer not provided Answer not provided WHO Region of the Americas
Saint Vincent and the Grenadines Report not provided Report not provided Report not provided WHO Region of the Americas
Samoa Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
San Marino Answer not provided Answer not provided Answer not provided WHO European Region
Sao Tome and Principe De forma muy genérica sólo tenemos lo siguiente, careciendo de aplicación práctica: Artículo 20 Consultas de cesación tabáquica 1. Deben crearse consultas especializadas de apoyo a los fumadores que deseen dejar de fumar para los funcionarios y los usuarios en todos los centros de salud integrados en el Servicio Nacional de Salud y en los servicios hospitalarios públicos, en particular en los servicios de cardiología, neumología , psiquiatría, en los servicios de oncología, servicios de obstetricia, hospitales psiquiátricos y centros de atención a alcohólicos y toxicómanos. 2. Cuando la dimensión de los servicios y de la población afectada no justifique la creación de una consulta especializada, deben establecerse protocolos con otras consultas especializadas para garantizar el acceso adecuado de los fumadores que necesiten este tipo de apoyo para dejar de fumar. De forma muy genérica sólo tenemos lo siguiente, careciendo de aplicación práctica: Artículo 20 Consultas de cesación tabáquica 1. Deben crearse consultas especializadas de apoyo a los fumadores que deseen dejar de fumar para los funcionarios y los usuarios en todos los centros de salud integrados en el Servicio Nacional de Salud y en los servicios hospitalarios públicos, en particular en los servicios de cardiología, neumología , psiquiatría, en los servicios de oncología, servicios de obstetricia, hospitales psiquiátricos y centros de atención a alcohólicos y toxicómanos. 2. Cuando la dimensión de los servicios y de la población afectada no justifique la creación de una consulta especializada, deben establecerse protocolos con otras consultas especializadas para garantizar el acceso adecuado de los fumadores que necesiten este tipo de apoyo para dejar de fumar. Report not provided WHO African Region
Saudi Arabia Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Senegal Answer not provided Answer not provided Answer not provided WHO African Region
Serbia Answer not provided Answer not provided Answer not provided WHO European Region
Seychelles A unit on NCD in ministry of health provides advice and NRT to smokers willing to quit . A unit on NCD in ministry of health provides advice and NRT to smokers willing to quit . A unit on NCD in ministry of health provides advice and NRT when available to smokers willing to quit . Provision of NRT has not been sustained under the Ministry of Health budget and currently advocating for the same. WHO African Region
Sierra Leone Answer not provided Answer not provided Answer not provided WHO African Region
Singapore Nil. Nil. Nil. WHO Western Pacific Region
Slovakia Answer not provided Answer not provided Answer not provided WHO European Region
Slovenia Report not provided Answer not provided Answer not provided WHO European Region
Solomon Islands Answer not provided Answer not provided Report not provided WHO Western Pacific Region
South Africa Answer not provided Answer not provided Answer not provided WHO African Region
Spain Como experiencias de financiación en Comunidades Autónomas, cabe mencionar que la Comunidad Foral de Navarra ha aprobado el "DECRETO FORAL 111/2017, de 13 de diciembre, por el que se establecen las condiciones de acceso a la prestación farmacológica de ayuda a dejar de fumar" para la población general. El programa para 2018-2019, que ha sido recientemente evaluado, ha obtenido resultados muy favorables. Además de esta experiencia ha habido otros programas en otras Comunidades y Ciudades Autónomas en periodos anteriores que incluían financiación específica a grupos especialmente vulnerables. Finalmente y como novedad, en diciembre de 2019 el Sistema Nacional de Salud aprueba por primera vez la financiación a nivel nacional de los tratamientos farmacológicos para dejar de fumar (vareniclina y bupropion). https://www.mscbs.gob.es/gabinete/notasPrensa.do?id=4764 . La financiación, que ha entrado en vigor el 1 de enero de 2020, se materializa a través de programas específicos de apoyo individual y/o grupal de cesación tabáquica desarrollados por las diferentes Comunidades Autónomas competentes, en donde se definen aspectos tales como el personal sanitario implicado o la estrategia de intervención. A finales del primer año de su implementación se llevará a cabo una evaluación de su efectividad. - Algunas de las respuestas facilitadas en el apartado C283 han sido con información recogida en el borrador del Plan Vasco de Salud 2013-2020. En el canal de comunicación por internet de la administración vasca con la ciudadanía (Irekia), se presenta el plan por el consejero de Salud del Gobierno Vasco, aprobado en el último consejo de gobierno en diciembre de 2013: http://www.irekia.euskadi.net/es/news/17484-plan-salud-2013-2020-del-gobierno-vasco-contempla-146-acciones-especificas-para-mejorar-los-resultados-eficiencia-las-politicas-publicas-terminos-equidad-bienestar-salud - Salvo algunas experiencias concretas con determinadas poblaciones de riesgo, los tratamientos para dejar de fumar no se financian. Cabe mencionar que recientemente, la Comunidad Foral de Navarra ha aprobado el "DECRETO FORAL 111/2017, de 13 de diciembre, por el que se establecen las condiciones de acceso a la prestación farmacológica de ayuda a dejar de fumar" para la población general. - Respecto a la pregunta C287, aclarar que la respuesta dada de cobertura parcial se refiere al Sistema Nacional de Salud y no comprende al sistema de asistencia sanitaria privado. - Algunas de las respuestas facilitadas en el apartado C283 han sido con información recogida en el borrador del Plan Vasco de Salud 2013-2020. En el canal de comunicación por internet de la administración vasca con la ciudadanía (Irekia), se presenta el plan por el consejero de Salud del Gobierno Vasco, aprobado en el último consejo de gobierno en diciembre de 2013: http://www.irekia.euskadi.net/es/news/17484-plan-salud-2013-2020-del-gobierno-vasco-contempla-146-acciones-especificas-para-mejorar-los-resultados-eficiencia-las-politicas-publicas-terminos-equidad-bienestar-salud - Salvo algunas experiencias concretas, los tratamientos de deshabituación no se financian. - Respecto a la pregunta C287, aclarar que la respuesta dada de cobertura parcial se refiere al Sistema Nacional de Salud y no comprende al sistema de asistencia sanitaria privado. WHO European Region
Sri Lanka Answer not provided Answer not provided Answer not provided WHO South-East Asia Region
Sudan توجد مشكلة في العلاج وادوية الاقلاع عن التبغ لذلك نجد ان اغلب العلاج عبارة عن ارشاد نفسي Answer not provided Report not provided WHO Eastern Mediterranean Region
Suriname Answer not provided Answer not provided Answer not provided WHO Region of the Americas
Sweden Answer not provided Answer not provided Answer not provided WHO European Region
Syrian Arab Republic سيتم ايلاء هذا الموضوع اهتماما اكبر في الفترة المقبلة سيتم ايلاء هذا الموضوع اهتماما اكبر في الفترة المقبلة سيتم ايلاء هذا الموضوع اهتماما اكبر في الفترة المقبلة WHO Eastern Mediterranean Region
Tajikistan Report not provided Report not provided Report not provided WHO European Region
Thailand Answer not provided Answer not provided Answer not provided WHO South-East Asia Region
The former Yugoslav Republic of Macedonia Answer not provided Answer not provided Answer not provided WHO European Region
Timor-Leste Answer not provided Answer not provided Report not provided WHO South-East Asia Region
Togo Answer not provided Answer not provided Answer not provided WHO African Region
Tonga Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Trinidad and Tobago - Answer not provided Answer not provided WHO Region of the Americas
Tunisia Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Turkey Answer not provided Answer not provided Answer not provided WHO European Region
Turkmenistan Внутренний документ Министерства здравоохранения и медицинской промышленности Туркменистана Answer not provided Answer not provided WHO European Region
Tuvalu Answer not provided Report not provided Report not provided WHO Western Pacific Region
Uganda Report not provided Report not provided Answer not provided WHO African Region
Ukraine Answer not provided Answer not provided Answer not provided WHO European Region
United Arab Emirates Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
United Kingdom of Great Britain and Northern Ireland Answer not provided Answer not provided Answer not provided WHO European Region
United Republic of Tanzania Answer not provided Answer not provided Answer not provided WHO African Region
Uruguay Answer not provided Answer not provided Answer not provided WHO Region of the Americas
Uzbekistan Report not provided Report not provided Answer not provided WHO European Region
Vanuatu Answer not provided Report not provided Answer not provided WHO Western Pacific Region
Venezuela Answer not provided Report not provided Report not provided WHO Region of the Americas
Viet Nam Answer not provided Answer not provided Answer not provided WHO Western Pacific Region
Yemen Answer not provided Answer not provided Answer not provided WHO Eastern Mediterranean Region
Zambia Answer not provided Answer not provided Answer not provided WHO African Region
Zimbabwe None None Answer not provided WHO African Region
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