Retrospective Analysis of Tobacco Control Measures and Policies in China

2021 ◽  
Vol 7 (4) ◽  
pp. 295-299
Author(s):  
Lian He ◽  
Xiaoxin Chen ◽  
Chunzi Shao

Objectives: Tobacco control measures can be divided into three types: regulatory, economic, and informational respectively. This paper focuses on the role and effect of different types of tobacco control measures during the epidemic prevention and control period in China. Conclusion: Firstly, as strong and powerful measures, economic measures can significantly reduce cigarette sales in the short term. However, the Chinese government did not adjust the cigarette consumption-tax rate during the period. Economic measures thus did not play an important role. Secondly, Due to few people in public places and workplaces, regulatory measures were "out of effect" in a short term. Therefore, there were insufficient evidence to find out whether regulatory measures are effective or not. Finally, China's tobacco production increased slightly during this period. This reflected that informational measures did not play an effective role.

2021 ◽  
Vol 10 (7) ◽  
pp. 479
Author(s):  
Yihang Li ◽  
Liyan Xu

The COVID-19 pandemic is a major challenge for society as a whole, and analyzing the impact of the spread of the epidemic and government control measures on the travel patterns of urban residents can provide powerful help for city managers to designate top-level epidemic prevention policies and specific epidemic prevention measures. This study investigates whether it is more appropriate to use groups of POIs with similar pedestrian flow patterns as the unit of study rather than functional categories of POIs. In this study, we analyzed the hour-by-hour pedestrian flow data of key locations in Beijing before, during, and after the strict epidemic prevention and control period, and we found that the pedestrian flow patterns differed greatly in different periods by using a composite clustering index; we interpreted the clustering results from two perspectives: groups of pedestrian flow patterns and functional categories. The results show that depending on the specific stage of epidemic prevention and control, the number of unique pedestrian flow patterns decreased from four before the epidemic to two during the strict control stage and then increased to six during the initial resumption of work. The restrictions on movement are correlated with most of the visitations, and the release of restrictions led to an increase in the variety of unique pedestrian flow patterns compared to that in the pre-restriction period, even though the overall number of visitations decreased, indicating that social restrictions led to differences in the flow patterns of POIs and increased social distance.


2020 ◽  
Author(s):  
Chuang Qian ◽  
Yiming Zheng ◽  
Junrong Meng ◽  
Hao Li ◽  
Dahui Wang

Abstract Background: The Chinese government has taken strong prevention and control measures against the COVID-19 pandemic, and has achieved phased victory in the fight against it. The outbreak of COVID-19 pandemic provides an opportunity to study the influence of governmental prevention and control response on orthopedic trauma in children.Methods: We collected and reviewed data on orthopedic trauma from the first half of 2018, 2019, and 2020. The data were divided according to the time of prevention and control response level in 2020. By comparing the relevant data from orthopedic emergency and operating rooms from the past three years, the influence of governmental pandemic prevention measures on orthopedic trauma in children was analyzed. Results: A total of 36301 children were included in the study cohort. Before the prevention and control response, the data of the orthopedic emergency department in 2020 was the same as the previous two years. Under the first-level response, the number of fractures, open injuries, radial head subluxation, and surgery were significantly reduced, and the severity of patients with surgery was also significantly reduced. Under the second-level response, the number of operations began to increase, and the severity of the disease also began to rise. Under the third-level response control, the number of fractures, open injuries, and operations have returned to the levels of the previous two years. The severity of the operation has also returned to its previous level. The number of subluxations of the radial head is still different from before.Conclusion: The pandemic of COVID-19 has affected the social activities of Shanghai residents and reduced the incidence of orthopedic trauma in children. With the control of the pandemic, the living conditions of Shanghai residents have basically recovered.Level of Evidence: Retrospective study Level II


2020 ◽  
pp. tobaccocontrol-2019-055487
Author(s):  
Michael V Maciosek ◽  
Ann W St Claire ◽  
Paula A Keller ◽  
Amy B LaFrance ◽  
Zack Xu ◽  
...  

BackgroundThe benefits to adults who quit smoking increase over time as former smokers live longer, healthier lives. Youth who never smoke will benefit for decades. Thus, the long-term population effects of tobacco prevention and control policies may be substantial. Yet they are rarely quantified in evaluations of state tobacco control programmes.MethodsUsing a microsimulation model, we predicted the benefits to Minnesotans from 2018 to 2037 of having reduced cigarette smoking prevalence from 1998 to 2017. We first simulated the health and economic harms of tobacco that would have occurred had smoking prevalence stayed at 1997 levels. The harms produced by that scenario were then compared with harms in scenarios with smoking declining at observed rates from 1998 to 2017 and either expected declines from 2018 to 2037 or a greater decline to 5% prevalence in 2037.ResultsWith expected smoking prevalence decreases from 2018 to 2037, Minnesotans will experience 12 298 fewer cancers, 72 208 fewer hospitalisations for cardiovascular disease and diabetes, 31 913 fewer respiratory disease hospitalisations, 14 063 fewer smoking-attributable deaths, $10.2 billion less in smoking-attributable medical expenditures and $9.4 billion in productivity gains than if prevalence had stayed at 1997 levels. These gains are two to four times greater than for the previous 20 years, and would be about 15% higher if Minnesota achieves a 5% adult prevalence rate by 2037.ConclusionsThe tobacco control measures implemented from 1998 to 2017 will produce accelerated benefits during 2018–2037 if modest progress in tobacco prevalence rates is maintained.


2021 ◽  
pp. tobaccocontrol-2021-056755
Author(s):  
Nigar Nargis

ObjectiveThe Healthy People 2030 goal is to reduce US current adult cigarette smoking prevalence to 5% by 2030. The objective of this report is to investigate if this goal is achievable using state cigarette excise tax increases.MethodsState-specific linear trends in smoking prevalence over 2011–2019 were determined using fractional logit regression and compared with the desired linear trends for achieving 5% smoking prevalence by 2030 in individual states and the District of Columbia (DC). The gaps between price-adjusted and desired trends were used in a simulation model for identifying state-specific systematic annual increases in state cigarette excise tax rates based on state-specific price elasticity of smoking prevalence, maintaining the status quo in other non-tax tobacco control measures.ResultsThe price-adjusted trends in smoking prevalence observed over 2011–2019 exceed the desired trends for achieving 5% smoking prevalence target by 2030 in only five states (eg, Washington, Utah, Rhode Island, Massachusetts and Maryland) and the DC. It suggests that majority of states and USA overall will miss the target smoking prevalence at the current rate of reduction in smoking. 45 states would need systematic annual increases in cigarette excise tax rate in a range of $0.02–$1.37 per pack over 2022–2030 to meet the target.ConclusionsThe feasibility of reaching the Healthy People 2030 goal would critically depend on the acceleration of progress in tobacco control. Tax increases tailored to the needs of individual states combined with scaled-up non-tax tobacco control policy interventions can help achieve the desired progress.


2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Xinyi Wei ◽  
Xiaoke Sun ◽  
Zhi Chen ◽  
Xiao Du ◽  
Jing Li ◽  
...  

Background: Since December 2019, many patients with novel coronavirus pneumonia (NCP) have appeared in Wuhan, Hubei Province, China. The pneumonia was caused by a novel coronavirus named “coronavirus disease 2019, COVID-19” by the WHO on February 11, 2020. The COVID-19 outbreak has created a global public health crisis, and the challenge of combatting this pandemic and its impact is daunting. At present, vaccines and prophylactic therapies for COVID-19 are not available. What we can do now is to aggressively implement infection control measures to prevent the spread of COVID-19 via human-to-human transmission. Objectives: The study aimed to summarize the effect of classification and division management methods on the prevention and control of COVID-19 in the Pediatric Immunology and Rheumatology Department. Methods: Corresponding and targeted medical countermeasures for the prevention and control of COVID-19 from the aspects of personnel, ward, and process management were retrospectively analyzed. Results: From January 16, 2020, to July 31, 2020, there were 11,000 outpatients with rheumatic disease visiting our hospital and 565 children with rheumatic diseases hospitalized in our department. All the patients received timely and reasonable treatment. None of the patients, their caregivers, or medical staff acquired COVID-19 infection in our department, and no suspected COVID-19 case was confirmed in our ward. Conclusions: The model of classification and division management ensured the orderly and safe treatment of children with rheumatic disease during the epidemic prevention and control period, and protected the medical staff from occupational injuries at work, and brought the pandemic under control.


2011 ◽  
Vol 152 (21) ◽  
pp. 828-833 ◽  
Author(s):  
Ildikó Tóth ◽  
József Rinfel ◽  
János Oberling ◽  
László Prugberger ◽  
Lajos Nagy

In some countries strict tobacco control measures successfully reduced the number of smokers. Although these measures do not have immediate effects, they may serve as investments in the future healthcare. Health care experts should take part actively in the decision making. Aims: To investigate medical students’ relation to smoking and their attitudes about tobacco control measures. Methods: Authors applied the Hungarian translation of the Global Health Professionals Student Survey. Medical students from the first and fifth year filled in the survey anonymously during the seminars. Statistical analysis was performed with SPSS. Results: Altogether 245 students completed the questionnaire. It was found that the knowledge of students about health damages caused by tobacco smoking was very good. However, a large number of students are exposed to tobacco smoke (68% of them at home and 85% at public places). Their opinion about tobacco control measures reflects recent law, as only 43% of the students would support a smoking ban in bars and discotheques. Conclusions: Hungarian health care experts have to take part with more effort in the prevention of tobacco smoking. Medical students have to be trained in this field. Orv. Hetil., 2011, 152, 828–833.


2021 ◽  
pp. tobaccocontrol-2021-056655
Author(s):  
Connie Hoe ◽  
Joanna E Cohen ◽  
Tingzhong Yang ◽  
Sihui Peng ◽  
Weifang Zhang

The primary aims of this study are to examine the associations between two key environmental factors—regional cigarette tobacco production and tobacco retail outlet density—and secondhand smoke (SHS) exposure in urban China and to explore the possible mechanisms that explain this association.MethodsA cross-sectional multistage sampling design was used to collect individual information in 21 cities in China. Environmental variables were retrieved from national databases. Multilevel logistic regression analysis was conducted to examine the associations between regional cigarette tobacco production, tobacco retail outlet density and SHS exposure. Structural equation modelling was employed to determine possible mechanisms.ResultsSHS exposure prevalence defined as daily exposure to SHS for at least 15 min/day at the time of the survey was found to be 28.1% among non-smokers (95% CI 27.1 to 29.0) across the 21 cities. The multilevel logistic regressions showed that province-level per capital cigarette production (OR: 2.72 (95% CI 1.56 to 4.76)and per GDP cigarette production(OR:1.69(95% CI 1,42,2.01), and city-level tobacco retail outlet density (OR: 2.66 (95% CI 1.63 to 4.38)) were significantly associated with SHS exposure. Moreover, results showed that these associations may be explained by the level of tobacco advertisement, which influences social norms, including attitudes and behaviours toward SHS exposure.ConclusionsFindings shed light on the role of cigarette manufacturers and retailers in producing environmental SHS pollution. To address the health and economic burden associated with SHS in China, it will be critical for the Chinese government to enact tobacco control measures consistent with the Framework Convention for Tobacco Control. Efforts should also focus on restricting the permitted density of tobacco retail outlets, and tobacco production in China.


2020 ◽  
Author(s):  
Mingzhao Wang ◽  
Juanying Xie ◽  
Shengquan Xu

Abstract Background: COVID-19 epidemic has been widely spread all over the world. During it appears in China, Chinese government quickly put forward and implement prevention and control measures to keep its spread within limits. This study aims to investigate the impacts of the prevention and control measures in controlling COVID-19 epidemic in China, so as to give a clue to control its spread in the world. Methods: We establish a two-stage dynamics transmission model with "lockdown of Wuhan city" as the time line. The first stage is the SEIR derived model that considers the contagious of the exposed. It simulates the COVID-19 epidemic in Hubei Province before "lockdown of Wuhan city". The second stage is a novel transmission dynamics model named SEIRQH. It takes into account the influence on the COVID-19 epidemic from the series of measures such as travel restriction, contact tracing, centralized treatment, the asymptomatic infected patients, hospitalized patients and so on. It simulates the COVID-19 epidemic in China after "lockdown of Wuhan city". The least square method is used to estimate the parameters of SEIR derived model and the proposed SEIRQH model based on the collected epidemic data of COVID-19 from Hubei Province and the mainland of China. Results: The SEIR derived model fits the actual data in Hubei Province before "lockdown of Wuhan city". The basic reproduction number of COVID-19 epidemic in Hubei Province is 3.2035 before "lockdown of Wuhan city". The SEIRQH model fits the number of the hospitalized persons of COVID-19 in Hubei Province and the mainland of China perfectly. The control reproductive number are 0.11428 and 0.09796 in Hubei Province and the mainland of China, respectively. The prevention and control measures taken by Chinese government play the significant role against the COVID-19 spread in China. Conclusions: Our two-stage dynamics transmission model simulates the COVID-19 in China, especially our SEIRQH model fits the actual data very well. The prevention and control measures implemented by Chinese government are effective in preventing the wide spread of COVID-19 epidemic in China. These measures give the reference to World Health Organization and other countries in controlling COVID-19 epidemic.


2021 ◽  
Author(s):  
Chuang Qian ◽  
Yiming Zheng ◽  
Junrong Meng ◽  
Hao Li ◽  
Dahui Wang

Abstract Background: The Chinese government has taken strong prevention and control measures against the COVID-19 pandemic, and has achieved phased victory in the fight against it. The outbreak of COVID-19 pandemic provides an opportunity to study the influence of governmental prevention and control response on orthopedic trauma in children.Methods: We collected and reviewed data on orthopedic trauma from the first half of 2018, 2019, and 2020. The data were divided according to the time of prevention and control response level in 2020. By comparing the relevant data from orthopedic emergency and operating rooms from the past three years, the influence of governmental pandemic prevention measures on orthopedic trauma in children was analyzed. Results: A total of 36301 children were included in the study cohort. Before the prevention and control response, the data of the orthopedic emergency department in 2020 was the same as the previous two years. Under the first-level response, the number of fractures, open injuries, radial head subluxation, and surgery were significantly reduced, and the severity of patients with surgery was also significantly reduced. Under the second-level response, the number of operations began to increase, and the severity of the disease also began to rise. Under the third-level response control, the number of fractures, open injuries, and operations have returned to the levels of the previous two years. The severity of the operation has also returned to its previous level. The number of subluxations of the radial head is still different from before.Conclusion: The pandemic of COVID-19 has affected the social activities of Shanghai residents and reduced the incidence of orthopedic trauma in children. With the control of the pandemic, the living conditions of Shanghai residents have basically recovered.


Author(s):  
Quan ZHOU ◽  
Sufang HUANG ◽  
Yaru XIAO ◽  
Miqi LI ◽  
Zhiran GUO

At present, new coronavirus pneumonia (COVID-19) is circulating worldwide. The pathogen of this coronavirus pneumonia is named SARS-CoV-2. The virus has a long incubation period and is highly contagious. There is currently no specific targeted drug treatment. The focus of anti-epidemic work should be more on prevention and control while cutting off the virus transmission route while treating infected patients, and protecting healthy people. In order to protect the safety and health of the Chinese citizens and to maintain the safety of world public health, the Chinese government and people have made unprecedented efforts to control the epidemic. Many people in the international community have joined in limiting the spread of COVID-19. This article combines the development of COVID-19 epidemic situation in Wuhan, the relevant prevention and control measures of the Wuhan government and local health authorities to share Wuhan’s experience on control the cluster epidemic and provide new suggestions and ideas for epidemic prevention and control.


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