Andrés Zamorano, prevention professional: “The tobacco pack should now rise to 10 euros and steadily to twenty”


NIUS interviews the president of the National Committee for the Prevention of Smoking, who proposes elevating the worth of packs to twenty euros “Never has such a big downside been handled in such a trivial approach, it is wonderful”, cries the coordinator of the smoking group of SEMGThe specialist denounces the delay within the implementation of a complete plan to battle in opposition to a behavior that causes 60,000 deaths a yr, solely in Spain

In France, research point out a rise in tobacco use after the pandemic. After an unprecedented drop in smoking in recent times, the most recent information from the French Public Health Barometer verify that there isn’t a longer such a drop and that there has even been a rise in each day smoking amongst ladies and the much less educated sectors of the inhabitants. the inhabitants. The motive, they level out, could also be linked to the well being disaster attributable to covid-19. Has the identical occurred in Spain? There are nonetheless no research that verify this, says Andrés Zamorano, president of the National Committee for the Prevention of Smoking (CNPT) and coordinator of the smoking group of the Spanish Society of General and Family Physicians (SEMG). In any case, it could not be stunning, taking into consideration that in France the worth of a pack reaches 10 euros and in Spain lower than six.

What there’s, he factors out, is a transparent try by the tobacco business to draw new generations by way of digital cigarettes, so there could also be a rebound in people who smoke. Andrés Zamorano (El Romeral, Toledo, 1954) makes it clear on this interview what could be the measures to undertake to place an finish to a illness of unaffordable numbers: greater than 60,000 folks die every year in Spain because of energetic or passive consumption of tobacco. Eight million on the earth. It is the main reason behind preventable untimely loss of life in Spain and no motion is taken, denounces

Health has within the drawer a complete smoking plan 2021-2025 that has aroused a broad consensus and that’s already 12 months late. Why? The Ministry of Carolina Darias doesn’t give a solution, the physician complains, so the one clarification is that the tobacco business is utilizing its “lengthy tentacles” to place a cease to it. The totally different departments and ministries “proceed engaged on it,” say the Health sources consulted by NIUS.

E-cigarettes are not aimed toward youngsters, however at kids

Question: After years of decline, Spain has additionally seen a rise in new people who smoke, particularly amongst adolescents.

Answer: Now there’s a twin consumption of digital cigarettes and basic flamable cigarettes. These varieties of nicotine-free digital cigarettes are very modern, and it’s clearly seen that they’re not aimed toward adolescents, however at kids. They present that, because it doesn’t have nicotine, they don’t seem to be harmful, and they’re additionally utilizing colours, flavors and smells which are similar to the sweets themselves: cotton clouds, licorice, cherry… But they don’t seem to be innocent and are even harmful as a result of, Although they don’t include nicotine, they include poisonous and carcinogenic substances, as acknowledged by the WHO or the Ministry of Health.

It is a method of the tobacco business, which is the proprietor of digital cigarettes. All tobacco corporations are occupied with folks smoking no matter; as a result of those that now smoke with out nicotine are the area of interest of future people who smoke of digital cigarettes with nicotine and conventional cigarettes. So we imagine that there could also be a rebound in smoking, however above all as a result of what ought to be carried out shouldn’t be being carried out.

Q. And what ought to be carried out that’s not being carried out?

R. If in France, a rustic that has elevated the worth of a pack to 10 euros, there was an increase in people who smoke, it’s not stunning that the identical factor occurs in Spain, the place tobacco prices half as a lot. If the worth shouldn’t be acted upon, if smoke-free areas aren’t expanded, if there isn’t a impartial packaging, if periodic campaigns segmented by age aren’t carried out, additionally emphasizing gender; If assist shouldn’t be supplied to give up smoking with efficient and protected remedies, then it’s regular for there to be upturns.

If the homework shouldn’t be carried out, if the excellent smoking plan shouldn’t be revealed, which might be the germ of the brand new tobacco regulation; if there isn’t a motion and no laws, then we’re more likely to have a rebound in smoking. Minister Carolina Darias promised to hold out the excellent smoking plan on this legislature and promote a brand new smoking regulation, however she has not carried out so. So maybe we should not have the affirmation, as in France, that consumption is rising, however we do have the truth that there isn’t a battle to curb tobacco use, the truth is, what’s being stopped is the approval of the plan.

We have requested conferences with Carolina Darias on a number of events and she or he has by no means obtained us

Q. What is the explanation for this delay?

R. Well, we do not clarify it to ourselves, as a result of it’s one thing that has been carried out and that has achieved the consensus of a overwhelming majority, however that’s in a drawer. Honestly, we do not know the place the brake is. The present Minister of Health has not as soon as obtained us on the National Committee for the Prevention of Smoking (CNPT) and we’re a big and necessary group in Spain, with greater than 46 societies, together with the Spanish Association Against Cancer. We have requested conferences with Carolina Darias on varied events and she or he has by no means obtained us. On the opposite hand, her predecessors, María Luisa Carcedo and Salvador Illa, obtained us and there was shut collaboration with them.

The complete plan in opposition to smoking is already ready, it was handed on to all of the associations in order that they may current their contributions. The CNPT proposed that or not it’s a plan that may depend upon the Presidency of the Government, as a result of it has a whole lot of depth and there are a lot of ministries concerned: Health, Agriculture, Finance, Ecological Transition… Everything has already been carried out, however the complete smoking plan 2021-2025 takes 12 months late. A yr ready for the minister to publish it, however Carolina Darias ignores it. Now that she goes to be a candidate for mayor of Las Palmas, hopefully she surprises us and we discover her saying: look what I promise, I hold it. Of course it could be the most effective contribution of a candidate, nonetheless on this case it appears fairly the other.

Q. Who may be within the plan not going forward?

R. The solely ones who oppose any such measure are the tobacco industries, the remainder of the folks don’t have any motive to oppose this. There is not any motive, they’re issues which are demonstrated by the WHO:

The extra the worth will increase, the extra consumption and deaths lower. The extra areas there are with out smoke, the extra individuals are inspired to give up smoking, the extra the prevalence decreases. Plain packaging has additionally served to get folks to give up the behavior. Campaigns elevate consciousness. Help to give up smoking works, as do remedies financed to finish a illness like smoking that has precipitated so many deaths

So we don’t perceive why this plan shouldn’t be revealed in a rustic that claims to be trendy and is turning into out of date with a regulation handed in 2010. In truth, Spain is without doubt one of the 10 nations within the European Union with the best tobacco consumption . We are above common.

The tobacco corporations are the one ones that profit from not legislating

Q. Are you pointing to the tobacco business as accountable?

R. There is a phrase that I feel portrays very properly what is going on: such a big downside has by no means been handled in such a trivial approach. It’s wonderful. We don’t perceive why the measures which were proven to be efficient aren’t adopted, we are able to solely assume that it’s the lengthy tentacles of the tobacco business which are holding us again. Smoking is the main reason behind preventable untimely loss of life in Spain and no motion is taken, this will solely be because of strain from the business, in any other case it’s not attainable.

The tobacco corporations are the one ones who profit from not doing these duties and never legislating. They are going to do what the laws permits them in every nation, so if there’s not a courageous, forceful laws that regulates all some of these merchandise, we’ll see folks smoke digital cigarettes with the false perception that it’s higher than the tobacco and fewer dangerous. On the opposite hand, if the nationwide smoking plan goes forward, every thing we’re demanding is included there: the Madrid Declaration 2018, the End Game Declaration to achieve 5% prevalence in 2030 and a couple of% in 2040.

P. Measures just like these just lately authorised by New Zealand.

A. Exactly. New Zealand goes to ban these born after 2009 from shopping for tobacco. It is considered one of our calls for to realize the so-called smoke-free era, that when the brand new generations attain the age of majority they can not purchase tobacco, that it’s not authorized to promote them tobacco by no means. Nor digital cigarettes, that are a transparent entry path to habit.

Electronic cigarettes in a neighborhood retailer. Andres Zamorano

In truth, amongst younger folks the rise has come from digital cigarettes. Right now we face two pandemics: that of smoking and that of digital cigarettes which are reaching all the children and that aren’t regulated like tobacco, they’re bought anyplace, in any nook retailer. Just yesterday they despatched me a photograph of a retailer with the condom machine and the digital cigarette machine subsequent to it. 60-90% of people who smoke are twin: they smoke tobacco and digital cigarettes, it’s a double epidemic that hooks one with the opposite.

Q. Do you agree with the rise within the value of tobacco in Spain?

R. What we contemplate is {that a} rise in cents is inadequate, the will increase must be not less than 20% to be efficient. What we have now proposed is that it ought to be raised all of the sudden to 10 euros after which proceed to a staggered improve to twenty. An improve for all merchandise and accompanied by remedies to make it simple to give up and tough to begin smoking.