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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Estonian Health Promoting Hospitals (Hph) Uniting as a Common Front against Tobacco

Tiiu Härm, MD, Health Promotion, National Institute for Health Development, Hiiu 42, Tallinn, 11619, Estonia

Objective: The National Strategy for Prevention of Cardiovascular Diseases 2005 – 2020 is implemented in Estonia. CVD are the main reason for early loss of work capacity (at an age below 65) and death in Estonia. The reduction in the prevalence of tobacco consumption is a long-term national priority (2005-2020). 45% of men and 18% of women in Estonia are smokers. 2000 death and 3500 new diseases (CVD, COPD, cancer) per year are caused by smoking in Estonia.

Methods: Ensuring the availability of long-term counselling and treatment services for quitters together with training of the relevant staff and appropriate guidance material are the tasks of Estonian HP hospitals. Estonian HPH Network (including 22 hospitals) joined the European Smoke Free Hospitals Network in 2005. Since 2005 the counselling service for quitters is provided in 20 smoking cessation clinics of 18 HP hospitals throughout all 15 counties of Estonia. 60 health professionals are educated as counsellors. 3 Estonian HP hospitals have declared themselves smoke-free.

Results: By 2020 the CVD mortality of men and women under 65 should be reduced by 40 and 30 percent respectively. The smoking habit is diminishing among the 16-64 years' old men to 40% by 2008 and to 30% by 2020 and among the 16-64 years' women to 16% by 2008 and to10% by 2020. The efficient implementation of the national strategy requires working as a united front at all levels. It is the only way expected results for 2005-2020 can be achieved.