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SLOVENIA

SLOVENIA. OSI seminar – Romania, 23-26 April 2003 . Amendments, December 2002: Cigarette packet: ban on use of descriptors, such as "light", "low tar" "mild" etc; new health warnings (30% front site, 40% back site) . L ist of all ingredients and quantities thereof !

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SLOVENIA

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  1. SLOVENIA

  2. OSI seminar – Romania, 23-26 April 2003 Amendments, December 2002: • Cigarette packet: ban on use of descriptors, such as "light", "low tar" "mild" etc; new health warnings (30% front site, 40% back site). • List of all ingredients and quantities thereof! • Ban on free offer of tobacco products in public places. • Ban on smoking in restaurants: Responsibility of owner, leaseholder or user of building.

  3. OSI seminar – Romania, 23-26 April 2003 How to engage doctors? Vesna-Kerstin Petrič,MD, MSc Ministry of health Slovenia

  4. OSI seminar – Romania, 23-26 April 2003 Why to engage doctors in tobacco control?

  5. OSI seminar – Romania, 23-26 April 2003 • Doctors are dealing with patients suffering from smoking induced disease. • Smoking is the big public health problem of our time with preventable cause. • Doctors are regarded the most reliable source of advice and information on health issues.

  6. OSI seminar – Romania, 23-26 April 2003 Some more facts on Slovenia: • GPs are in general well informed through CINDI program – seminars. • We have free smoking cessation program in Primary Health Care Centers. • Our doctors smoke less than general population. • We have a total ban on smoking in hospitals.

  7. OSI seminar – Romania, 23-26 April 2003 BUT: • Doctors and other staff at hospitals are often not engaged in smoking cessation programs and are not taking their role as no-smoking advocates. • During their stay in hospital patients are asked not to smoke but are often not given any advice on how to cope with it. • No hospital in Slovenia is a member of WHO health promoting hospitals network.

  8. OSI seminar – Romania, 23-26 April 2003 I.What did we want?

  9. OSI seminar – Romania, 23-26 April 2003 • Doctors in hospital should take more active approach towards their smoking patients. • A link from hospital to cessation programs in primary health care centers. • Replacement and pharmacotherapy more accessible to smoking patients.

  10. OSI seminar – Romania, 23-26 April 2003 • Better implementation of the tobacco law in the hospitals. • Hospital as an important partner in tobacco control advocacy in local community.

  11. OSI seminar – Romania, 23-26 April 2003 II. Who can give it to us?

  12. OSI seminar – Romania, 23-26 April 2003 HOSPITAL • Management • A Team • Doctors • Nurses • Health educators

  13. OSI seminar – Romania, 23-26 April 2003 OTHERS • Health care centre • Public health institute • Ministry of health – Task group • WHO office • National Public Health Institute • Medical Association • Medical Chamber • Pharmaceutical Industry

  14. OSI seminar – Romania, 23-26 April 2003 III. What do they need to hear?

  15. OSI seminar – Romania, 23-26 April 2003 • About their potential and their obligation to take their role as tobacco control advocates • About the role they have in helping smokers to quit • About the tools available • Brief intervention • Motivational interview • Pharmacotherapy • Cessation programs

  16. OSI seminar – Romania, 23-26 April 2003 IV. Whom do they need to hear it from?

  17. OSI seminar – Romania, 23-26 April 2003 HOSPITAL Doctors Management Health educators Nurses Patients Relatives

  18. OSI seminar – Romania, 23-26 April 2003 LOCAL COMMUNITY • Public health institute • Primary Health Care Centre • NGOs • Local Authorities • Schools • Local Media

  19. OSI seminar – Romania, 23-26 April 2003 NATIONAL LEVEL • Ministry of health • Medical Faculty • National Public Health Institute • CINDI program • Medical Chamber • Medical Association • Pharmaceutical industry • Association of tobacco control NGOs • Media

  20. OSI seminar – Romania, 23-26 April 2003 V. How to get them to hear it?

  21. OSI seminar – Romania, 23-26 April 2003 Adopt a Smoker 11 November 2002 Smoke-out campaign

  22. OSI seminar – Romania, 23-26 April 2003 • OSI and ACS • Ministry of Health and WHO Office • NGO Association for tobacco control • Institute of Public health • CINDI Slovenia • Medical Association and Chamber • Medical faculty

  23. OSI seminar – Romania, 23-26 April 2003 ACTION! • Media conference • Letter from the minister to hospital management • “How to quit” brochures distributed!

  24. OSI seminar – Romania, 23-26 April 2003 • Leaflets for staff, visitors and patients • Posters

  25. OSI seminar – Romania, 23-26 April 2003 EVENT • Public health institutes • Schools • Health care centres • Local media

  26. OSI seminar – Romania, 23-26 April 2003 RESULTS - good media coverage: When will Slovenia become California? Smoke out campaign for the first time in Slovenia! One quarter of us is smoking! It is never too late! Adopt a smoker! Ten million deaths per year!

  27. OSI seminar – Romania, 23-26 April 2003 RESULTS • Hospital staff informed • Tools in place • Management informed • Patients informed • Local teams enforced • Liaison between hospital and PHC established • Professional organizations informed • NGOs – common goal, common action

  28. OSI seminar – Romania, 23-26 April 2003 The campaigne should result in a process!! • Workshops for hospital staff (brief intervention and motivational interview, pharmaceutical therapy) • Official establishment of tobacco control teams in hospitals • Local action group in community • Health promoting hospitals • Involvment of medical students organization

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