australian tobacco action plan 2007 - 2011
TRANSCRIPT
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Western Australian
Tobacco Action Plan
2007 2011
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Foreword
The Western Australian Tobacco Action Plan (WA TAP) 2007-2011 provides a ramework or tobacco
control activities in Western Australia or the next ve years. It outlines public health policy on
tobacco control or Western Australia and acilitates implementation o key recommendations o the
National Tobacco Strategy (NTS) 2004-2009.
Although there has been signicant progress made in the reduction o tobacco smoking rates in
Western Australia, smoking remains the main cause o preventable drug-related death and disease
in Western Australia. The greatest burden o tobacco-caused death and disease occurs among those
most in need. Each year tobacco use kills over 1,400 Western Australians and places an enormous
strain on the health budget o WA, being responsible or $60 million per year in hospital costs alone.
This ve-year plan aims to improve the health o Western Australians by reducing the harm caused
by tobacco, especially among priority population groups. The WA TAP 2007-2011 is based on best
practice in tobacco control and complements and builds on existing international, national and statepolicy rameworks and guidelines.
Signicant progress has been made in the past year to urther strengthen tobacco control legislation
in WA. The Tobacco Products Control Act 2006 was passed in the Western Australian Parliament on
28 March 2006 introducing a number o new tobacco control initiatives including a licensing scheme
or retailers and wholesalers and bans on tobacco advertising at point o sale. As o 31 July 2006 a
total ban on smoking in all enclosed public places, including pubs and clubs was also introduced.
Implementing the key strategies outlined in this plan is achievable i collectively government,
non-government agencies and other stakeholders work together. Maintaining strong partnerships,
strengthening legislation and progressing the comprehensive range o strategies outlined in the plan
will ensure that the quality o lie o all Western Australians is advanced.
The Hon Jim McGinty MLA
Minister or Health
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Table o Contents
Foreword 1
Background 3
The WA Tobacco Action Plan 2007-2011 consultation 3
The WA Tobacco Action Plan 2007-2011 structure 3
Section 1: Context o WA Tobacco Action Plan 2007-2011 5
1.1 International context 5
1.2 National context 6
1.3 Western Australian context 6
Section 2: Overview o WA Tobacco Action Plan 2007-2011 9
2.1 Goal 92.2 Priority population groups 9
2.3 Objectives 10
2.4 Key action areas 10
WA Tobacco Action Plan 2007-2011 ramework 12
Section 3: Evidence or action 13
3.1 Harm caused by tobacco use 13
3.1.1 Death 13
3.1.2 Disease 13
3.1.3 Exposure to Second Hand Smoke (SHS) 13
3.1.4 Hospitalisation 13
3.1.5 Cost o tobacco smoking to the community and the Health Care System 14
3.2 Prevalence 14
3.2.1 Adults 14
3.3 Smoking by specic priority population groups 14
3.3.1 Aboriginal and Torres Strait Islander (ATSI) peoples 14
3.3.2 People rom Culturally and Linguistically Diverse (CaLD) backgrounds 14
3.3.3 People with a mental illness 14
3.3.4 Oenders and detainees 15
3.3.5 Young people 15
3.3.6 Parents and carers o children 15
3.3.7 Pregnant women 15
3.3.8 People living in rural and remote locations 16
3.3.9 People at high risk o or with chronic diseases 16
3.3.10 People living in low socioeconomic circumstances 16
Section 4: Action areas and activities 17
Section 5: Current activity in tobacco control in Western Australia 31
Section 6: Reerences 39
Section 7: List o acronyms 42
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Background
The Western Australian Tobacco Action Plan (WA TAP) 2007-2011 will essentially be a tool to guide
tobacco control activities in Western Australia or the next ve years. It outlines public health policy
on tobacco control or Western Australia and acilitates implementation o key recommendations o
the National Tobacco Strategy 2004-2009.
While the National Tobacco Strategy 2004-2009provides a national ramework or tobacco control
in Australia, individual jurisdictions are responsible or determining the detail o their involvement
in the strategy. The WA TAP 2007-2011 ocuses on those recommendations and strategies most
relevant to Western Australia.
The WA Tobacco Action Plan 2007-2011 consultation
In response the National Tobacco Strategy 2004-2009the Tobacco Control Branch (TCB) o the
Department o Health (WA) coordinated the development o the WA TAP 2007-2011 in consultationwith a wide range o stakeholders rom government and non-government organisations that have an
interest in tobacco control issues.
The consultation process or development o the WA TAP 2007-2011 provided stakeholders with a
number o avenues through which to contribute their eedback. These consisted o:
1. An inormation session with a Commonwealth commissioned tobacco control expert
regarding the National Tobacco Strategy 2004-2009.
2. A state-wide audit o current tobacco control activities and achievements.
3. A consultation workshop held in February 2006.
4. Distribution o a drat ramework in April 2006 seeking comments.
5. Distribution o a drat plan in July 2006 seeking comments.
6. Collation o stakeholder comments and recommendations September/October 2006.
A temporary delay in the timeline or nalisation o the WA TAP occurred in late 2006 due to
development o the WA Health Promotion Strategic Framework (WA HPSF). In order to avoid possible
conusion and to acilitate alignment between the documents, the delay was intended to contribute
to better achieving overall state-wide health promotion objectives.
The WA Tobacco Action Plan 2007-2011 structure
The WA TAP 2007-2011 is divided into ve sections.
Section One discusses the contextual issues or uture tobacco control activities in WA and provides
a short description o the most relevant international, national and state documents, which
oer important scientic evidence about tobacco-related harm as well as policy rameworks and
guidelines or tobacco control.
Section Two provides an overview o the plan and outlines the goal, objectives, action areas and
priority population groups requiring special attention.
Section Three presents key data and inormation on harm caused by tobacco use and exposure in
Western Australia.
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Section Four outlines action areas and recommended activities to be employed over the next ve
years. Timerames and data sources or key indicators are provided (where available) and those
involved in the development and implementation o activities are identied.
Section Five provides sel-reported details o key agencies involved in tobacco control in WA and
inormation about the current and ongoing programs they deliver. This will be updated annually via
Internet posting at www.health.wa.gov.au/watap.
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Section 1Context o the WA Tobacco Action Plan 2007-2011
The WA TAP 2007-2011 complements and builds on existing state, national and internationaldocuments, which provide important scientic evidence about tobacco-caused harm as well as
policy rameworks and guidelines or tobacco control. A short description o the most relevant is set
out below.
1.1 International context
1.1.1 World Health Organisations (WHO) Framework Convention on Tobacco Control
(FCTC).
The WHO FCTC was developed in response to the globalisation o the tobacco epidemic1. Essentially
the FCTC is an international tool to reduce consumption and the increasing death toll arising rom
tobacco consumption worldwide. The treaty and its protocols address diverse issues relating totobacco manuacturing, trade and consumption2. Recommendations contained in the FCTC include:
Price and tax measures to reduce demand or tobacco.
Non-price measures to reduce demand or tobacco, namely:
Protection rom exposure to tobacco smoke.
Regulation o the contents o tobacco products.
Regulation o tobacco product disclosures.
Packaging and labelling o tobacco products.
Education, communication, training and public awareness.
Regulation o tobacco advertising, promotion and sponsorship.
Demand reduction measures concerning tobacco dependence and cessation.
1.1.2 The 28th United States Surgeon Generals Report on Smoking and Health: The
Health Consequences o Smoking.
For over 40 years the US Surgeon General has published evidence-based reports on the harmul
health eects o smoking. The evidence reviewed in the most recent report, The 28th United States
Surgeon Generals Report on Smoking and Health: The Health Consequences of Smoking, and other
reports o the Surgeon General concludes the ollowing:
Smoking harms almost every organ in the body, causing many diseases and reduces the health
o the smokers in general.
Quitting smoking has immediate as well as long-term benets.
Smoking cigarettes with lower yields o tar and nicotine provides no clear benet to health.
The list o diseases caused by smoking has been expanded to include abdominal aortic
aneurysm, acute myeloid leukaemia, cervical cancer, kidney cancer, pancreatic cancer,
stomach cancer, periodontitis, pneumonia and cataracts.
Second hand smoke is a serious health hazard that causes premature death and disease in
children and non-smoking adults3.
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1.2 National context
1.2.1 The Australian National Tobacco Strategy 2004-2009
In March 2005, the Ministerial Council on Drug Strategy (MCDS) endorsed the National TobaccoStrategy 2004-2009. The Strategy is a statement o the resolve o ederal, state and territory
governments to work together and in collaboration with non-government agencies on a long-
term, comprehensive, evidence based and coordinated national plan to reduce the harm caused
by tobacco smoking in Australia. The goal o the National Tobacco Strategy 2004-2009is to
signicantly improve health and to reduce the social costs caused by, and the inequity exacerbated
by, tobacco in all its orms4. To achieve this the Strategy has committed to eight areas or action.
They include:
1. Regulation o tobacco.
2. Promotion o Quit and smoke ree messages.
3. Cessation services and treatment.
4. Community support and education.
5. Addressing social, economic and cultural determinants o health.
6. Tailoring initiatives or disadvantaged groups.
7. Research, evaluation and monitoring and surveillance.
8. Workorce development.
1.3 Western Australian context
1.3.1 WA Health Our Strategic Intent 2005-2010
The WA Health Strategic Intent 2005-2010 outlines key intentions and commitments or the next ve
years to deliver a healthy WA.
The vision o this document is to Improve and protect the health o Western Australians by
providing a sae, high quality, accountable and sustainable health care system5.
To achieve this vision the document sets out and describes six priority areas:
Healthy workorce
Healthy hospitals
Healthy partnerships
Healthy communities
Healthy resources
Healthy leadership.
1.3.2 Western Australian Health Promotion Strategic Framework 2007-2011
The Western Australian Health Promotion Strategic Framework 2007-2011 (WA HPSF) outlines
the key directions or the promotion o healthier and saer liestyles or the Western Australian
population over the next ve years.
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The WA HPSF takes a cluster approach to the prevention o chronic diseases such as cardiovascular
disease, diabetes and certain cancers. This approach targets a number o risk actors shared by
these and other chronic conditions, namely, physical inactivity, poor nutrition, smoking, harmul
alcohol use and obesity. The WA HPSF also identies priorities or action to prevent injury.
The WA HPSF promotes the use o population based approaches to ensure that appropriate
prevention activities occur across the continuum rom wellness to ill health, or the overall
population, specic sub groups and individuals at greater risk o harm. This whole-o-system
approach shares the responsibility or health promotion across the health system.
In relation to preventing smoking, the WA HPSF outlines seven key strategic directions or action:
1. Eectively monitor and enorce legislative controls on the sale, supply, advertising and
promotion o tobacco.
2. Increase the urgency o stopping smoking and o protecting others rom exposure to second
hand smoke.
3. Reduce exposure to second hand smoke.
4. Improve access to smoking cessation support across the continuum o health care and the
community.
5. Discourage the uptake o smoking by young people.
6. Broader community engagement in tobacco control interventions and issues.
7. More innovative programs to address smoking among Aboriginal people and other high-risk
groups.
The WA TAP 2007-2011 lists a broad range o specic recommended activities that are aligned withthe NTS and encompass the aorementioned strategic directions o the WA HPSF.
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Section 2Overview o WA Tobacco Action Plan 2007-2011
WA Tobacco Action Plan 2007 -2011
The Western Australian Tobacco Action Plan (WA TAP) 2007-2011 continues on rom and builds on
the ramework developed under the previous WA TAP 2001-2004. It outlines public health policy on
tobacco control or Western Australia and acilitates implementation o key recommendations o the
National Tobacco Strategy (NTS) 2004-2009.
The WA TAP 2007-2011 is a ramework that enables government, non-government organisations,
individuals and community groups to work in collaboration to achieve successul tobacco control
outcomes. It is an evidence based reerence tool or anyone associated with tobacco control in
Western Australia, and is intended to contribute to the design and development o programs and
activities across the state.
The WA TAP 2007-2011 also aligns with other key strategic initiatives within WA Health, including
Health Networks and the WA Health Promotion Strategic Framework (WA HPSF).
Monitoring and reporting on the WA Tobacco Action Plan 2007-2011
As part o its state-wide policy coordination role in relation to tobacco control, the Tobacco Control
Branch o the Department o Health will be responsible or collating data on the implementation
o the WA TAP 2007-2011 and reporting on its progress to the Commonwealth Government and key
stakeholders.
2.1 GoalTo improve the health o Western Australians by reducing the harm caused by tobacco, especially
among priority population groups.
2.2 Priority population groups
Priority population groups means any population group that is, or traditionally has been excluded
rom tobacco control planning, decision-making, or the benets o tobacco control programs or
interventions. Priority populations have disproportionate rates in relation to population numbers,
tobacco use or tobacco-related morbidity or mortality, and experiences a disproportionate rate o
exposure to tobacco smoke and tobacco industry promotional practices7. They include:
Aboriginal and Torres Strait Islander people
People rom culturally and linguistically diverse backgrounds
People with mental illness
Oenders and detainees
Young people
Parents and carers o children
Pregnant women
People living in rural and remote locations
People at high risk o or with chronic diseases
People living in low socioeconomic circumstances
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2.3 Objectives
In order to achieve its goal, the WA TAP 2007-2011 aims to:
Prevent the uptake o smoking.
Reduce the number o people using tobacco.
Reduce exposure to tobacco and the harm it causes.
2.4 Key action areas
To address the WA TAP 2007-2011 objectives, there are our action areas.
2.4.1 Regulation
The health eects o exposure to second hand smoke (SHS) are well documented and indisputable.
Numerous scientic studies have demonstrated that exposure to SHS causes a number o illnesses
and diseases, including lung cancer and heart disease. Tobacco control legislation includes
programs, which place control on the promotion, sale and use o tobacco products in order to
limit the exposure o people within the community to second hand smoke, encourage non-smokers
particularly young people, to not start to smoke and to reduce smoking rates in the community
generally.
This action area will include a series o strategies to address the ollowing:
Regulating the promotion o tobacco products.
Regulating the place o sale o tobacco products.
Regulating place o use o tobacco products.
Regulating the packaging o tobacco products.
Regulating tobacco tax.
Regulating tobacco products.
Action Area 1 relates to NTS 2004-2009 Policy Area 1 Regulation of tobacco.
2.4.2 Community education
Western Australia is a leader in public education and inormation strategies aimed at raising
awareness o harm caused by tobacco in the community. A range o government and non
government agencies conduct public education strategies that promote the eects o smoking onhealth in an eort to encourage smokers to quit smoking and deter young people rom taking up
smoking. These public education strategies range rom state-wide mass media based campaigns
to community-based programs and a wide range o public advocacy on tobacco control issues.
The recommended activities in relation to this action area centre on maintaining and improving
advocacy and existing education strategies, as well as ensuring a collaborative and cooperative
approach to developing and conducting community based initiatives that target priority population
groups and the general community.
This action area will include a series o strategies to address the ollowing:
Promotion o prevention, cessation and smokeree environment messages.
Building the capacity o those working in tobacco control at a national, state or local level.
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Broader community engagement in tobacco control interventions and issues.
More innovative programs to address smoking among Aboriginal people and other high risk
groups.
Action Area 2 relates to the NTS 2004-2009 Policy Area 2 Promotion of Quit and Smokefree
messages and Policy Area 4 Community support and education.
2.4.3 Cessation services and treatment
Quitting smoking remains one o the most important measures to reducing smoking-caused death
and disease in Western Australia.
Quitting smoking at any age results in immediate health benets, irrespective o how long a person
has been smoking. Many people nd quitting dicult and usually need multiple attempts to quit
successully. It is thereore important that all smokers have access to a range o smoking cessation
services and treatments that are appropriate and accessible to them in order to maximise theirchances o success.
This action area will include a series o strategies to address the ollowing:
Behavioural and support services.
Pharmacotherapies.
Counselling and reerral by health proessionals.
Action Area 3 relates to NTS 2004-2009 Policy Area 3 cessation services and treatment.
2.4.4 Research and evaluation
Comprehensive research and evaluation activities are important or ensuring that current and
proposed tobacco control programs and policies are appropriate and eective. Eective research
and evaluation will assist with priority setting, identiying new and emerging trends and issues,
refecting on achievements, and establish uture goals.
This action area will include a series o strategies to address the ollowing:
Research to develop new methodologies or tobacco control.
Evaluation o the eectiveness o current tobacco control activities.
Monitoring o smoking behaviour, attitudes and prevalence.
Analysis and dissemination o research ndings.
Action Area 4 relates to NTS 2004 2009 Policy Area 7 Research, evaluation and monitoring and
surveillance.
NTS 2004-2009 Policy Area 5 Addressing social, economic and cultural determinants of health,
Policy Area 6 Tailoring initiatives for disadvantaged groups and Policy Area 8 Workforce
development will be integrated across all WA TAP 2007- 2011 Action Areas 1-4.
See Figure 1: WA TAP 2007-2011 Framework
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Western Australian Tobacco Action Plan 2007 - 2011
Figure 1: WA Tobacco Action Plan 2007 - 2011 Framework
To improve the health o Western Australians by reducing the harm caused by tobacco,especially among priority population groups.
Aboriginal and Torres Strait Islander people; people rom culturally andlinguistically diverse backgrounds; people with mental illness; oenders anddetainees; young people; parents and carers o children; pregnant women;
people living in rural and remote locations; people at high risk o or withchronic diseases; people living in low socioeconomic circumstances
Goal
Objectives
Priority population groups
To prevent theuptake o smoking.
To reduce thenumber o people
using tobacco.
To reduce exposureto tobacco and the
harm it causes.
1. Regulation
Regulation otobacco
promotion andproducts, place
o sale, place o use,packaging, tax.
2. CommunityEducation
Promotion oprevention,
cessation andsmokeree
environmentmessages.
4. Research and
Evaluation
Research on newmethodologies,evaluation o
tobacco controlactivities,
monitoring o
smoking behaviour,analysis &dissemination o
ndings.
3. CessationServices andTreatment
Behavioural andsupport services,
pharmacotherapies,counselling and
reerrals by healthproessionals.
Action areas
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Section 3Evidence or action
This section provides data and inormation on the extent o the harm caused by tobacco use andexposure in Western Australia.
3.1 Harm caused by tobacco use
3.1.1 Death
Tobacco smoking is the largest single preventable cause o death and disease in Australia. In
Australia, tobacco accounts or over 15,500 deaths each year8.
In Western Australia, an estimated 18 percent o all male deaths and 10 percent o all emale
deaths in 2001 were due to tobacco smoking. Between 1983 and 2001 more than twice as many
males died than emales9
.
In Western Australia between 1983 and 2001, tobacco was responsible or 29,044 deaths, an
average o over 1,500 deaths per year. Five conditions were responsible or 85 percent o tobacco-
caused deaths over this period, including lung cancer (30%), ischaemic heart disease (23%), chronic
obstructive pulmonary disease (19%), stroke (8%) and atherosclerosis (5%)9.
3.1.2 Disease
Tobacco smoking is a major risk actor or a range o disabling and atal conditions including
cardiovascular and lung diseases and some cancers. In addition, men and women are at risk o
developing a number o gender-specic health problems due to smoking, such as reduced ertility or
menstrual problems in women and impotence in men. Women who smoke during pregnancy are atgreater risk o miscarriage, premature labour, and stillbirth, bearing an unhealthy birth weight baby
or experiencing complications during labour10.
3.1.3 Exposure to Second Hand Smoke (SHS)
Exposure to SHS is also a signicant cause o disease, including some cancers, cardiovascular
disease, bronchitis, pneumonia, and irritation o the upper respiratory tract, increase requency
and severity o asthma symptoms, new cases o asthma and Sudden Inant Death Syndrome (SIDS) in
babies. The irritant eects associated with exposure to SHS on the eyes, nose, throat and airway
passages are also well known10.
3.1.4 Hospitalisation
In Western Australia in 2004, tobacco was responsible or 14,714 hospital admissions and 84,281
bed days11. In 2001, ve tobacco-related conditions were responsible or 68 percent o the tobacco-
caused hospital admissions in that year, including chronic obstructive pulmonary disease (24%),
ischaemic heart disease (21%), lung cancer (9%), atherosclerosis (7%) and cardiac dysrhythmias
(7%)9.
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3.1.5 Cost o tobacco smoking to the community and the health care system
Tobacco smoking places a substantial nancial burden on the community. Health economists have
estimated that in 1998-99 the tangible and intangible costs o smoking to Australia were $21.1
billion12.
The tangible costs reer to the total combined cost o health care expenditure, loss o human
productivity, res and resources used in abusive consumption. The intangible costs reer to the loss
o lie.
In 2001, smoking related hospitalisations cost the West Australian health care system over $60
million11.
3.2 Prevalence
3.2.1 Adults
A survey conducted in 1984 reported that 32 percent o adult Western Australians smoked. In 2004,
the prevalence o smoking among Western Australians aged 14 years and over was 15.5 percent13.
Twenty three percent o adult males are daily smokers compared to 19 percent o adult emales14.
3.3 Smoking by specifc priority population groups
3.3.1 Aboriginal and Torres Strait Islander (ATSI) people
Aboriginal people comprise approximately 3 percent o the total population in Western Australia15.
In 2004-05, 50 percent o ATSI people were current daily smokers compared to 17 percent o non-
Indigenous people14,16. Over one third (35%) o young Aboriginal people aged 12 to 17 years have
smoked regularly17.
The high prevalence o smoking within the Aboriginal community means that the eects o active
and passive smoking are greatly magnied. ATSI people experience higher mortality rates rom
a number o diseases caused by smoking compared to the general Australian population18. These
conditions include cardiovascular disease, respiratory disease, and a number o cancers. In Western
Australia, the rates o hospitalisation and death rom conditions caused by smoking are estimated to
be 2 to 5 times higher or Aboriginal people compared to non-Indigenous people19.
3.3.2 People rom Culturally and Linguistically Diverse backgrounds (CaLD)
Many people migrating to Australia and reugees come rom countries where smoking rates are high.
Among men, those born in the Middle East, Southern Europe and Western Europe have the highestsmoking prevalence20. Western Australia has a culturally and linguistically diverse population
comprised o many dierent ethnic communities.
3.3.3 People with mental illness
People with mental illness have signicantly higher smoking rates than the general population.
The 1997/98 Survey o Mental Health and Wellbeing ound that 43 percent o Western Australians
diagnosed with mental illness were current smokers compared with 24 percent o the general
population. People with mental illness also experience higher mortality rates rom cancer, heart
disease, circulatory diseases and respiratory diseases than the general population21.
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3.3.4 Oenders and detainees
In 2004, almost 84 percent o the Western Australian adult prisoner population and 68 percent o
juveniles identied themselves as smokers on receival to custodial institutions. Aboriginal people
are highly over-represented in the prison system, representing approximately 3 percent o thegeneral WA population but 46 percent o the prisoner population.19
Poor educational attainment, unemployment, social isolation, interpersonal conficts, nancial
dependence, mental illness and substance abuse are eatures common to prisoner populations.
Womens prisons have the additional concerns related to the risks to the unborn child and young
children23,24,25.
Historically cigarettes have been purchased by adult prisoners through the prisoners canteen at a
discounted rate o $2-$3 cheaper than the same packet in the community. Further compounding
the smoking problem in prison is that prisoners usually smoke a brand o pouch tobacco, which
has higher nicotine and tar content than manuactured cigarettes. Furthermore shared ventilation
systems in accommodation units expose all prisoners and sta to tobacco pollutants.
3.3.5 Young people
Most adults who smoke commence this behaviour as adolescents. The younger someone starts to
smoke, the more likely they are to be heavy users o tobacco and, consequently, the greater risk
they have o ill health rom smoking26. The prevalence o smoking among WA students aged 12 to 17
years is at its lowest level since 1984. Current smoking prevalence has decreased rom 11.5 percent
in 2002 to 6 percent in 200527.
In 2005 8.7 percent o students had smoked in the last month, 17.6 percent in the last year and 31.5
percent had ever smoked at least part o a cigarette27
.
3.3.6 Parents and carers o children
In Australia, almost 40 percent o children under 12 years o age live in homes where at least one
adult is a regular smoker28. Second hand smoke is considered a actor in respiratory inections,
middle ear inections, the onset and worsening o asthma, decreased lung unction, eye and
nose irritation, low birth weight and sudden inant death syndrome29,30. The benets o reducing
childrens exposure to second hand smoke at home also includes reduced school absenteeism,
increased school perormance, reduced uptake o smoking and decreased consumption o tobacco
among children who smoke30.
3.3.7 Pregnant women
Nearly 18 percent o Western Australian women smoke during pregnancy31 and an estimated 5,000
Western Australian babies are born to mothers who smoke each year. Unortunately, hal o women
who quit smoking throughout their pregnancy relapse within six months o delivery and 70 percent
relapse within 12 months32.
Indigenous women are also more likely to smoke during pregnancy when compared to non-
Indigenous women33,34. A recent survey into the health o Western Australian Indigenous children
ound that 49 percent o Indigenous women used tobacco whilst pregnant35. Research rom other
states has ound that in some Indigenous communities, up to 72 percent o women smoke whilst
pregnant36.
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Pregnant women who smoke have a greater risk o:
having an unhealthy birth weight baby
Sudden Inant Death Syndrome (SIDS)premature labour
miscarriage
ectopic pregnancy
the child developing respiratory problems such as asthma, croup, bronchitis and pneumonia.
3.3.8 People living in rural and remote locations
Rural residents are more likely to smoke than Perth metropolitan residents. In 2004 the Kimberley,
the Pilbara-Gascoyne, Midwest-Murchison and the Goldelds-South East o Western Australia had
signicantly higher proportions o both male and emale smokers compared with other areas o theState37.
People living in rural and remote locations have less access to general and specialist public health
medical services making it less likely or them to be reerred to the Quitline or be prescribed
smoking cessation treatments20.
3.3.9 People at high risk o or with chronic diseases
Smoking is a key risk actor or a number o the chronic disease conditions that aect Western
Australians, which include: cardiovascular disease, type 2 diabetes, several cancers, asthma and
arthritis. In 2000, these conditions were responsible or almost hal o the total burden o disease in
Western Australia38
.
In 2005, the hospitalisation costs or a number o key preventable chronic diseases in Western
Australia were approximately $114 million - cardiovascular disease (47 million), preventable cancers
($41 million), diabetes ($17 million), lung cancer ($ 6 million), and asthma ($3 million)39.
Reduction in the number o people smoking is undamental to the achievement and maintenance o
health throughout the lie cycle, and extending into uture generations6.
3.3.10 People living in low socioeconomic circumstances
Unlike the situation in many other countries, in Australia since the advent o mass media campaigns,
smoking prevalence has reduced in parallel among higher and lower socioeconomic status (SES)groups. Nevertheless, there remains a clear relationship between SES and smoking, with people
in blue collar occupations, the unemployed and those with less ormal education smoking at
signicantly higher rates than people in white collar jobs and those with tertiary qualications4.
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Western Australian Tobacco Action Plan 2007 - 2011
ActionArea1.
Regulation
Recommendedactivities
Whoneedstobe
infuenced?
Whoisinvolvedinthis
activ
ity?
Timeline
Datasourcesorkeyindicatorsc
urrently
available
07
08
09
10
11
Prom
otion,sale,packaging
1.1Im
plementTobaccoProducts
ControlAct2006andassociated
regulations.
R
etailers
A
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W
holesalers
E
mployers/
E
mployees
G
eneralCommunity
T
obaccoCompanies
WAHealth
1.2D
evelopandimplementstate-
wide
complianceprogramstosupport
regulationopromotion,placeosale,
place
ouseandpackagingotobacco
produ
cts.
R
etailers
A
IEH
W
holesalers
E
mployers
E
mployees
G
eneralCommunity
T
obaccoCompanies
WAHealth
Police
LocalGovernment
DOCEP
Place
ouse
1.3Supportandadvocateor
increasedpublicnon-smokingoutdoor
areas
andevents.
O
ccupiers
L
ocalGovernment
R
egulators
E
ventManagers
NGOs
Healthway
LocalGovernment
LotteryWest
WAHealth
DCA
Percentageopeoplereportingno
exposure
tosmokingineverydaylie.
l
AIHW2
001
Sect
ion4
Actionareasandactivities
4.1
R
egulation:Regulatingthep
romotion,
theplaceosale,
theuseandpackagingotobaccoproductsandreg
ulating
tobaccotaxandproducts.
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ActionArea1.
Regulation
Recommendedactivities
Whoneedstobe
infuenced?
Whoisinvolvedinthis
activity?
Timeline
Datasourcesorkeyindicators
currently
available
07
08
09
10
11
Place
ouse(continued)
1.4Supportthedevelopmentand
imple
mentationoSmokereeprojects
andp
oliciesnotcoveredbylegislation.
Employees
Employers
LocalGovernment
Governmentagencies
WAHealth
Healthway
LocalGovernment
NGOs
Government
agencies
Employers
Employees
Percentageochildreninhomeswhere
parentsaresmokersandparentssmoke
indoorsandincars.
l
ACAMSurvey
l
NDSHS2004,2007,2010
l
ASSAD2005,2008,2011
1.5D
evelopandimplementSmokeree
WAH
ealthSystem
PolicyacrossallWA
healt
hservicesandacilities.
Employees
GeneralCommunity
WAHealth
NGOs
1.6Supportthedevelopmentoa
wholeogovernmentpolicythat
restrictstobaccopromotion,saleand
usea
tanyvenueoracilitythatis
unde
d(inwholeorpart)orowned
byGo
vernment.
DPC
Governmentunders
EventManagers
NGOs
DPC
WAHealth
Healthway
Percentageogovernmentunded
residential,mentalhealthandco
rrectional
acilitiesthatprohibitorlimitsm
oking
indoors.
1.7W
orksaeWAtocontinueto
educateandenorceregulations3.44A
to3.44IotheOccupationalSaetyand
Healt
hRegulations1996,dealingwith
prote
ctionrom
tobaccosmokewithin
thew
orkplace.
Employers
Employees
DOCEP
Employers
Percentageopeoplewhoreport
no
smokingattheirworkplace.
l
NDSHS2004,2007,2010
1.8A
dvocateorchangestotobacco
contr
ollegislationtoberefectedin
OccupationalSaetyandHealthAct.
StateGovernment
Commonwealth
Government
DOCEP
WAHealth
Employers
WorkplaceO
SH
Committees
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ActionArea1.
Regulation
Recommendedactivities
Whoneedstobe
infuenced?
Whoisinvolvedinthis
activity?
Timeline
Datasourcesorkeyindicators
currently
available
07
08
09
10
1
1
Regulationotobaccoproducts
1.9A
dvocateorurther
Comm
onwealthregulationotobacco
produ
ctpromotion.
Commonwealth
Government
StateGovernment
NGOs
1.10Advocateortobaccoindustryto
bere
quiredtodisclosethecontentso
tobac
coproducts.
Commonwealth
Government
WAHealth
StateGover
nment
NGOs
1.11Advocateorincreasesintaxation
todiscouragetheuseotobacco
produ
cts.
Commonwealth
Government
NGOs
Averagenumberocigarettesstu
dents
aged12to17yearscanbuyonanaverage
weekspocketmoney.
l
ASSAD,2005,2008,2011
Averagereportedpricepaidorc
igarettes
byadults.
l
NTC2008
1.12Supportinitiativestoregulate
nicotineunderCommonwealthpoisons
legisl
ation.
Commonwealth
Government
NGOs
WAHealth
1.13Advocateorcontinuedeective
healt
hwarningsoncigarettepackets.
Commonwealth
Government
NGOs
1.14Developandimplementtobacco
sellerslicensingscheme.
LocalGovernment
Employers
Employees
GeneralCommunity
TobaccoIndustry
WAHealth
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ActionArea1.
Regulation
Recommendedactivities
Who
needstobe
infuenced?
Whoisinvolvedin
this
activity?
Timeline
Datasourcesorkeyindicatorscurrently
available
07
08
09
10
11
Regulationotobaccoproducts(continued)
1.15Investigateopportunities
orNationallyconsistent
tobac
cocontrollegislation.
Regulators
Tobacc
oindustry
WAHealth
Commonwealth
organisations
NGOs
Legis
lativereview
1.16Conductreviewsocurrent
tobac
colegislationinlinewith
legisl
ativereviewprovisions.
Retaile
rs
Wholes
alers
Employ
ers/
Employ
ees
Genera
lCommunity
Tobacc
oCompanies
Police
LocalG
overnment
Others
tate
governmentagencies
WAHealth
Healthway
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ActionArea2.
Communityeducation
Recommendedactivities
W
honeedstobe
infuenced?
Whoisinvolvedinthis
activity?
Timeline
Datasourcesorkeyindicatorsc
urrently
available
07
08
09
10
11
Cessa
tionsupport
2.1PromotetheQuitlineas
areli
ablesourceocessation
inormationandsupport.
Quitlinestandardsworking
group
Developsstandardsbased
onaNatio
nalQuitlineReview
that
wouldenabletheQuitlinetodeliver
aresponsive,consistentandresearch
basedeffe
ctiveservicetosmokersin
Australia.
WAHealth
NGOs
WAHealth
Retailers
EnorcementOcers
Patternsandnumbersocallstoth
eQuitline
andhitstothewebsite.
2.2Extensivelypromotethe
Quitlinecounsellingservice
ando
thersmokingcessation
servicesamonghealthservice
providersandconsumers.
NGOs
Healthway
DAO
NGOs
WAHealth
PreandpostcampaignQuitlineact
ivity.
Cessationsel-helpmaterialuptake
among
healthproessionalsandhealthservices.
Mass
media
2.3D
evelop,provideadequate
undi
ngandsupportNational
ands
tate-widemedia
camp
aigns.
QuitGr
oupFacilitatesthe
sharingof
knowledge,expertise,
informatio
nandresourcesamong
StateandTerritoryQuitorganisations
andheads
ofcomprehensive,
dedicated
tobaccocontrolprograms.
Commo
nwealthandState
Govern
ment
Tobacc
oCampaign
plannin
ggroup
NGOs
WAHealth
Commonwealthand
StateGovernm
ent
Healthway
Percentageawarenessocampaign
advertisingandrecallomessagea
mong
smokersandrecentquitters.
l
PreandPostcampaignevalua
tion.
l
Percentageoquitterswhoattribute
quittingtocampaign.
2.4D
evelop,implement
ands
upportlongterm
comp
rehensivemedia
camp
aignsthatpersonalise
theh
ealthrisksosmoking,
increaseknowledgeothe
quittingprocessandmotivate
quitting.
Smoker
s
Non-sm
okers
NGOs
WAHealth
Healthway
Trackingstudyosmokersattitude
s,
knowledgeandawarenessothehe
alth
eectsassociatedwithsmokingpreandpost
campaignactivity.
Trackingstudyocessationactivity
among
smokers.
l
TCBTrackingstudy2002-2005
.
l
AIHWReductionindiseasean
ddeaths
causedbysmoking.
4.2
C
ommunityeducation:Mass
media,cessationsupport,
exposuretotobaccosmok
e,prioritypopulations,policy
andl
egislation
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ActionArea2.
Communityeducation
Recommendedactivities
Whoneedstobe
infuenced?
Whoisinvolvedinthis
activity?
Timeline
Datasourcesorkeyindicatorsc
urrently
available
07
08
09
10
11
ExposuretoSHS
2.5Promotemessagestochildren
topreventtheuptakeosmoking
throu
ghmassmediacampaignsand
schoo
lbasededucationandharm
minim
isationstrategies.
DETCom
munityhealth
nur
ses
Com
monwealthand
StateGovernment
NGOs
WAHealth
Healthway
DET
Enorcement
Ocers
Retailers
Existenceomassmediacampaignsand
communitybasedactivitytargetingyouth.
l
ASSAD2005,2008,2011
2.6PromoteSmokereeandother
tobac
cocontrolmessagesand
policiesatpubliceventsand/or
comm
unityprojects.
Com
munitygroups
DSRCom
monwealthand
StateGovernment
Loc
alGovernment
Healthway
WAHealth
NGOs
2.7Promoteawarenessregarding
exposuretoenvironmentaltobacco
smokeintheworkplace.
Employers
employeesandunions
Com
monwealthand
StateGovernment
Loc
alGovernment
DOCEP(Worksae)
WAHealth
NGOs
2.8Promotepublicawarenessand
understandingothehealthrisks
assoc
iatedwiththeexposureto
environmentaltobaccosmokein
allse
ttingseg.Homes,carsandin
publicplaces.
WA
Community
WA
Health
Com
monwealth
Government
Governmentagencies
StateHousing
Com
mission
WAHealth
NGOs
Percentageoadultsmokerswhoreport
regularsmoking,smokingoutdoors
andin
cars.
l
ACAMSurvey,AIHW
Percentageoschoolstudentsrepo
rting
exposuretotobaccosmokeathom
e.
l
ASSAD2005,2008,2011
2.9Supportthedevelopmentoa
natio
nalpubliceducationcampaign
toreducetheexposureochildren
anda
dultstoenvironmental
tobac
cosmoke.
WA
Community
WA
Health
Worksae
Com
monwealth
Government
StateHousing
Com
mission
NGOs
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ActionArea2.
Communityeducation
Recommendedactivities
W
honeedstobe
infuenced?
Whoisinvolve
dinthis
activity
?
Timeline
Datasourcesorkeyindicatorscu
rrently
available
07
08
09
10
11
Prior
itypopulations
2.10DevelopandImplement
cultu
rallysensitiveandrelevant
tobac
coeducationstrategiesin
partn
ershipwithprioritypopulation
group
s.
CaL
Dcommunity
groups
ATS
ICommunity
groups
NGOs
Healthway
WAHealth
CaLDcommunitygroups
ATSICommunity
groups
2.11Integratetobaccocontrol
educationintoexistinghealth
andlieskillprogramsand
interventions.
Loc
alGovernment
Com
munitygroups
NGOs
WAHealth
Parents,youth,children
2.12Providesupporttoparentsand
other
stopreventtheuptakeo
smokingamongchildren.
WA
Community
Loc
alGovt
Com
munityGroups
You
thservices
ParentsandCarers
Children/youth
NGOs
WAHealth
Healthway
2.13Encouragewomenplanning
apre
gnancy,pregnantwomen,
newmothersandtheirpartners
toqu
itsmokingthroughtargeted
educationcampaigns,programsand
BIscr
eening.
Gen
eralPractice
Abo
riginalMedical
Services
Hea
lthway
WA
Health
NGOs
WAHealth
2.14Implementinitiatives
thatbuildonthehighlevelo
comm
unitysupportortobacco
contr
olmeasuresandencourage
and
acilitatebroadercommunity
engagementintobaccocontrol
interventionsandissues.
Loc
alGovernment
You
thServices
Com
munitygroups
CaL
DGroups
ATS
IGroups
Ter
tiaryInstitutions
GeneralCommu
nity
NGOs
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ActionArea2.
Communityeducation
Recommendedactivities
Who
needstobe
infuenced?
Whoisinvolvedin
this
activity?
Timeline
Datasourcesorkeyindicatorscurrently
available
07
08
09
10
11
Policyandlegislation
2.15Provideadviceon
Smok
ereepolicydevelopment
andimplementationor
hospi
talsandhealthcare
camp
uses.
WACom
munity
WAHealth
WAHealth
2.16Provideadviceon
Smok
ereepolicydevelopment
andimplementationor
workplaces.
Genera
lcommunity
Employ
ers
Employ
ees
LocalG
overnment
WAHealth
2.17Developandconduct
educationprogramstopromote
comp
liancewithtobacco
contr
ollegislation.
LocalG
overnment
LocalGovernment
WAHealth
Police
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ActionArea3.
Cessationservic
esandtreatment
Recommendedactivities
Whoneedstobe
infuenced?
Whoisinvolvedinthis
a
ctivity?
Timeline
Datasourcesorkeyindic
ators
currentlyavailable
07
08
09
10
11
Work
orcedevelopment
3.1T
rainandsupporthealthcareand
comm
unityworkerstoassistdierent
populationgroupstoquitthrough
evide
ncebasedbrieinterventionsmoking
cessa
tionadvice,individualcounselling
andg
roupcourses.
HealthProessionals
SocialWorkers
CommunityWorkers
CHPRCECU
Healthway
NGOs
WAHealt
h
HealthSe
rvices
Percentageosmokersattemptingto
quitpromptedbyhealthproessionals.
l
Numberoreerralstoth
eGP
Quitlinereerralproject.
3.2Encourageundergraduateand
gradu
atetrainingprogramsorall
relevanthealthproessionalstoinclude
tobac
coandsmokingcessationmodules,
whichprovideknowledgeontobacco
contr
olpractices,priorities,resources
andr
eerralopportunities.
Universities
TAFES
Colleges
WAHealt
h
NGOs
TertiaryI
nstitutions
Healthwa
y
Percentageograduatehealth
proessionalsawareotobacco
related
healtheectsandguidelinesa
ndbest
practiceinaddressingsmoking.
l
Courseoutlines/corecurricula.
3.3Supportthedevelopmentoan
accre
ditationschemeorhealth
proe
ssionalstrainedindeliveringsmoking
cessa
tioncounselling.
Peakhealth
proessional
Accreditationbodies
WAHealth
WAHealt
h
NGOs
Cessa
tionsupport
3.4Publishanddistributetailoredsel-
helpquittingresourcesthatareaccessible
todierentpopulationgroups.
HealthProessionals
NGOs
WAHealt
h
4.3
C
essationservicesandtreatment:Workorcedevelopm
ent,cessationsupport,dependenceandNRTmanagement,
sta
cessationandintegrationo
cessationsupport.
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ActionArea3.
Cessationservic
esandtreatment
R
ecommendedactivities
Wh
oneedstobe
infuenced?
Whoisinvolved
inthis
activity?
Timeline
Datasourcesorkeyindicatorscurrently
available
07
08
09
10
11
Cessa
tionsupport(continued)
3.5Ensurethedeliveryo
individualcounsellingandgroup
cessa
tioncoursesareappropriate
anda
ccessibletosmokersrom
dierentpopulationgroups.
Healt
hProessionals
Accre
dited
organ
isations
NGOs
WAHealth
l
Providersocessationservices.
l
SFWAHSPolicyevaluation.
3.6Ensuresmokingcessation
advic
eandsupportprovided
throu
ghtheQuitlinetelephone
counsellingserviceisreadily
accessibleandabletomeetthe
needsosmokersrom
dierent
populationgroups.
Peak
priority
populationbodies
Quitlinestandards
workinggroup
WAHealth
DAO
l
ADISQuitlinereporting.
3.7Promoteandsupport
them
anagementonicotine
dependenceinavarietyo
settin
gsinparticularpeople
withmentalillness,in-patients,
prisons,emergencycaresettings
andw
orkplaces.
WAH
ealth
Corre
ctiveServices
Healthway
Prisonmanagement
Workplacemanag
ement
SFWAHS
PolicyCoordinators
l
SFWAHSPolicyevaluation.
3.8EnsuretheQuitlinetelephone
counsellingservicemeetsthe
agree
dNationalminimum
stand
ards.
WAH
ealth
ADISCounsellors
Quitlinestandards
workinggroup
TCB
DAO
l
2006NationalQuitlineStandardsFinal
Report.
l
2006QuitlinestandardsImplemen
tation
Report.
3.9Ensureelectronicsmoking
cessa
tionsupportservicesare
available.
WAH
ealth
NGOs
TCB
3.10Providesmokingcessation
advic
eandsupporttoallhealth
servicestawhosmoke.
Hospital
Administration
WAH
ealth
WAHealth
CSPs
NGOs
l
SFWAHSPolicyevaluation.
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ActionArea3.
Cessationservic
esandtreatment
R
ecommendedactivities
Whoneedstobe
infuenced?
Whoisinvolvedinthis
activity?
Timeline
Datasourcesorkeyindicatorscur
rently
available
07
08
09
10
11
Cessa
tionsupport(continued)
3.11Providesupporttoschools
toassiststudentsalready
smokingtoreduceorquit
smoking.
Schoo
ls
Schoo
lnurses
NGOs
WAHealth
Depe
ndenceandNRTmanagement
3.12Developandimplement
bestpracticeguidelinesin
thetreatmentotobacco
dependencewithindierent
populationgroupsandsettings.
HealthProessionals
WAHealth
WAHealth
l
LetsTakeAMoment
l
NationalGPGuidelines
3.13Establishmechanismsor
theidenticationandtreatment
oall
smokersincontactwithWA
healt
hservices.
WAHealth
WAHealth
NGO
l
LetsTakeAMomentNSWHealth
l
NationalGPGuidelines
l
WAHealthStrategicPlan
l
WA
Health-Healthnetworks
3.14Supporttheprovisiono
subsidisednicotinereplacement
thera
py.
Emplo
yers
HealthServices
Comm
onwealth
Gover
nment
WAHealth
NGOs
Commonwealth
Government
Sta
Cessationsupport
3.16Providesmokingcessation
supporttotheprivatebusiness
secto
rtoassiststawhosmoke.
Privat
esector
management
Small
Business
Development
Corpo
ration
Chambero
Comm
erce
Businesssector
WAHealth
NGOs
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ActionArea3.
Cessationservic
esandtreatment
Recommendedactivities
Who
needstobe
infuenced?
Whoisinvolvedin
this
activity?
Timeline
Datasourcesorkeyindicatorscurrently
available
07
08
09
10
11
Integ
rationocessationsupport
3.17Encourageprivatehealth
unds
toproviderebatesor
smokingcessationtreatments/
services.
Private
healthunds
Commo
nwealth
Govern
ment
WAHealth
NGOs
3.18Whereappropriate
integrateBIsmokingcessation
interventionintootherhealth
andlieskillprogramsand
interventions.
LocalG
overnment
DEET
DCD
WAHealth
WAHealth
NGOs
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Actionarea4.
Researchandev
aluation
Recommendedactivities
Who
needstobe
infuenced?
Whoisinvolvedin
this
activity?
Timeline
Datasourcesorkeyindicatorscurrently
available
07
08
09
10
11
Legis
lation
4.1C
onductsurveystomonitor
thew
illingnessoretailers
toselltobaccoproductsto
children.
Retaile
rs
Genera
lCommunity
WAHealth
WAHealth
l
2004S2Mssurvey
l
ASSAD2005,2008,2011
Toba
ccocontrolactivities
4.2C
onductongoingauditand
evalu
ationotobaccocontrol
activitiesinWesternAustralia.
Tobacc
ocontrol
agencie
s
WAHealth
Data
collection
4.3Supportthedevelopment
oau
niorm
state-widesystem
withinhospitalsettingsorthe
collectionodataonpatients
smokingstatus.
WAHealth
Health
Inormation
Division
WAHealth
l
Numberopatientsidentiyingassmokerson
admissiontohospital.
4.4In
creasingdataseton
pregn
antwomenincluding
smokingstatus,historyand
consu
mption.
WAHealth
WAHealth
l
HealthInormationDivision
WAHealth
4.5Supportandcoordinate
Natio
nalsurveysorexample
ASSADandNDSHSinorderto
collectdatarelatedtotobacco
use.
WAHealth
Genera
lCommunity
DET
Primaryand
secondaryschools
TCB
DAO
l
ASSAD2008,2011
l
NDSHS2007,2010
4.4
R
esearchandevaluation:Legislation,evaluationotobaccocontrolactivities,da
tacollectiononsmoking
prevalence,consumption,
beha
viour,prioritypopulations,economicandsocialcosts
andNRTuptake.
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Actionarea4.
Researchandev
aluation
Recommendedactivities
Who
needstobe
infuenced?
Whoisinvolvedin
this
activity?
Timeline
Datasourcesorkeyindicatorscurrently
available
07
08
09
10
11
Data
collection(continued)
4.6In
vestigateoptionsor
improvingthecollectionodata
onsm
okingtobetterrepresent
prioritypopulationgroups
particularlyCaLDgroupsand
AboriginalandTorresStrait
Island
erpeople.
CEITC
Univers
ities
ICHR
DeptoMulticultural
Interests
EthnicCommunities
Council
PeakCaLD
organis
ations
WAHealth
Healthway
NGOs
4.7Supportprioritydriven
resea
rchtoguidetobacco
contr
olprogramsandpolicy
development.
Univers
ities
Researchers
WAHealth
Healthway
NGOs
4.8Ensurecollectionodata
onth
emorbidityandmortality,
expenditureandsocialcostso
tobac
co.
WAHealth
WAHealth
NGOs
4.9R
esearchuptakeand
attitu
detowardsNRTproduct
eca
cyanduse.
Researchers
Pharma
ceutical
companies
WAHealth
Healthway
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Section 5Current activity in Tobacco Control in Western Australia
The ollowing table provides sel-reported details o key agencies involved in tobacco control in WAand inormation about the current and ongoing programs they deliver. This directory can be used
to quickly identiy who is involved in specic tobacco control activities and whether there may be
opportunities or collaboration. This section will be updated annually via Internet posting at www.
health.wa.gov.au/watap.
Organisation Activity
Alcohol and Drug InormationService
PO Box 126MOUNT LAWLEY WA 6929
Phone: (08) 9442 5000www.dao.health.wa.gov.au
Name o Program: Quitline (WA)
Target Group(s): Western Australian smokers wanting quittinginormation and support or themselves and others.
Aim o Program: To provide telephone counselling to support smokerswanting to quit and those wanting to help others to quit.
Asthma Foundation o WA
36 Ord StreetWEST PERTH WA 6005Phone: (08) 9289 3600www.asthmawa.org.auwww.smokereebaby.org.au
Name o Program: Newborns Asthma and Parental Smoking Project(NAPS)
Target Group(s): Pregnant women and new mothers includingIndigenous women living in Western Australia.
Aim o Program: To reduce the prevalence o smoking amongpregnant women and new mothers in Western Australia and contributeto a reduction in childhood asthma and associated poor healthoutcomes.
Name o Program: NAPS Indigenous Womens Project
Target Group(s): Pregnant Indigenous women and new mothers livingin the Perth metropolitan area and Wheatbelt region.
Aim o Program: To reduce the prevalence o smoking amongIndigenous pregnant women and new mothers in Western Australiaand contribute to a reduction in childhood asthma and associated poorhealth outcomes.
Australian Council on Smoking
and Health
Level 1, 46 Ventnor AvenueWEST PERTH WA 6005Phone: (08) 9212 4300
www.acosh.org
Name o Program: Tobacco Control Advocacy
Target Group(s): Policy makers, opinion leaders, the media and thebroader community.
Aim o Program: The long term aim o ACOSH is that outlined by theWorld Health Organisation, to improve the health o a population by
eliminating or reducing their consumption o tobacco products andexposure to tobacco smoke.
Cancer Council WA
Tobacco Programs46 Ventnor AvenueWEST PERTH WA 6005Phone: (08) 9212 4333www.cancerwa.asn.au/prevention/tobacco/
Name o Program: Make Smoking History Campaign and Fresh StartProgram
Target Group(s): Primary Adult smokers, particularly those o lowersocio-economic status; Secondary General community and healthproessionals.
Aim o Program: Contribute to state eorts to reduce the prevalenceo smoking among adults in Western Australia. Make Smoking Historyuses a comprehensive range o strategies to reduce tobacco-causedharm, with mass media a key component. The Fresh Start Programspecialises in cessation support, oering group quitting courses to the
public and workplaces, and training or health proessionals in helpingothers to quit. The Cancer Council WA also plays a major role in thedevelopment o public policy and research on tobacco at state andnational levels.
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Organisation Activity
Child Health Promotion
Research Centre
Edith Cowan UniversityPearson StreetCHURCHLANDS WA 6018Phone: (08) 9273 8268
Name o Program(1):Optimising School Nurse Involvement in YouthBased Tobacco Control Programs
Target Group(s): School nurses, 11-17 year olds, teachers andparents.
Aim o Program: The purpose o this Healthway unded researchproject is to examine, prioritise and empirically test promisingareas o research and intervention success in youth tobacco controlincluding harm minimisation strategies targeting 11-17 year olds,involving teachers, parents and in particular, school nurses. Theprogram is also designed to build capacity at two tiers: by trainingschool nurses to deliver smoking cessation and harm minimisationinterventions and by working with young researchers to build theirresearch experience and capacity in the area o smoking cessation.
Name o Program(2): Parental Smoking Cessation and Childrens
Smoking Attitudes and Behaviours
Target Group(s): Parents o young children aged 4 8 years.
Aim o Program: This Healthway unded study aims to determine themost eective harm reduction strategies and messages or use withparents o young children to develop an intervention aimed at helpingparents quit smoking and communicate more eectively with theirchildren about smoking.
Department o Health Commonwealth
Department o Health and
Ageing
GPO Box 9848PERTH WA 6001Phone: 1800 198 008www.health.gov.au
Australia has developed the National Tobacco strategy since 1999.The revised strategy, the National Tobacco Strategy 2004-2009(NTS 2004-2009) which builds on initiatives in the previous strategy,
was endorsed by the Ministerial Council on Drugs Strategy on 12November 2004. The NTS 2004-2009 refects evidence around thehealth eects o tobacco and the views o experts on the best waysto reduce tobacco related harm. The NTS 2004-2009 also refectscommon agreement between the Australian Government and Statesand Territories toward broad policy direction that is needed to reducetobacco related disease.
WA Health
WA Health
189 Royal StEAST PERTH 6004(08) 9222 4222
Name o Program: The six strategic directions or priority areas WAHealth ollows are: Healthy Workorce, Healthy Hospitals, HealthyPartnerships, Healthy Communities, Healthy Resources and HealthyLeadership.
Target Group: All Western Australians.
Aim o Program: Healthy Communities: To ocus on improvingliestyles, working on the prevention o ill health, and theimplementation o a long-term, integrated health promotionprogram. This will be done in collaboration with government and non-government agencies, general practitioners, and community groups.
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Organisation Activity
WA Health (continued)
Health Policy and ClinicalReorm Division
Health Network Branch1 Centro AvenueSubiaco WA 6008
Name o Program: Health Networks Models o Care.Target Population: General Population o WA
At risk population groups.
Aim o Program: Policy development to reduce the prevalence osmoking through primary, secondary and tertiary prevention.
Chronic disease models o care provide the overarching policy and setthe direction or service delivery or population and health conditions.Priority has been given to reduce the incidence o chronic diseasesuch as diabetes, heart ailure, chronic pulmonary obstructive disease(COPD), asthma, renal disease, stroke and arthritis. These chronicdisease models ocus on reducing the prevalence o smoking toimprove health outcomes.
Respiratory Health Network(sponsor)
Health Network Branch1 Centro AvenueSubiaco WA 6008
Name o Program: Smoke Free WA Health System.
Target Population: All patients, sta, visitors and contractors to WAhealth sites and acilities.
Aim o Program: From 1 January 2008, smoking will not be permittedon all Department o Health (DOH) premises and grounds throughoutWestern Australia. This policy will apply to all sta, patients,visitors, contractors and other persons who enter DOH owned orleased buildings, grounds or vehicles or any purpose whatsoever.The rationale is simply that environmental tobacco smoke (ETS) isan occupational health and saety issue or sta, patients and thecommunity.
Health Policy and ClinicalReorm Division
Population Health Policy Branch.189 Royal StreetEast Perth 6004.Phone: (08) 9222 4478
The Population Health Policy Branch is responsible or development ohealthy liestyle and chronic disease prevention policy and strategicplanning. The Branch recently developed, in consultation withother experts, the Western Australian Health Promotion StrategicFramework 2007-2011. The Branch manages the contracting o majortobacco control campaigns and programs to the non-governmentsector.
North Metropolitan AreaHealth Service King EdwardMemorial Hospital or Women
374 Bagot RdSUBIACO WA 6008
Phone: (08) 9340 1407wchs.health.wa.gov.au/
Name o Program: Prohibition o smoking on the King EdwardMemorial Hospital or Women (KEMH) site
Target Group(s): Sta, patients and visitors o KEMH.
Aim o Program: To reduce exposure o environmental tobacco smokeamong sta, patients and visitors o KEMH and encourage sta,
patients and visitors o KEMH that smoke to make a quit attempt.
North Metropolitan AreaHealth Service PrincessMargaret Hospital
Roberts RdSUBIACO WA 6008
Name o Program: Prohibition o smoking on the Princess MargaretHospital or Children (PMH) site
Target Group(s): Sta, patients and visitors o PMH.
Aim o Program: To reduce exposure o environmental tobaccosmoke among sta, patients and visitors o PMH and encourage sta,patients and visitors o PMH who smoke to make a quit attempt.
Ofce o Mental HealthDepartment o Health
189 Royal Street
EAST PERTH WA 6004Phone: (08) 9222 4099www.mental.health.wa.gov.au
Name o Program: WA Smoking Cessation and Mental Health Strategy2005-2010
Target Group(s): Psychiatric in-patients (public hospitals) and sta o
psychiatric in-patient units.
Aim o Program: Reduce the prevalence o smoking in psychiatric in-patient units.
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Organisation Activity
WA Health (continued)
South Metropolitan PublicHealth Unit
PO Box 546FREMANTLE WA 6959Phone: (08) 431 0200
Name o Program(1)
: Tobacco Brie Intervention Program In MentalHealth in partnership with the Alma St Centre in the mental healthservice in Fremantle.
Target Group(s): Health proessionals and clients at the Alma StCentre, Fremantle Mental Health Service.
Aim o Program: To develop and implement a tobacco cessationproject or sta and clients at the Alma Street Centre.
Name o Program(2): Support implementation o the WA HealthSmokeree WA Health System Policy across SMAHS
Target Group(s): Sta, patients and visitors, contractors and otherpersons who enter DOH owned or leased buildings, grounds or vehicles
in SMAHS.Aim o Program: To reduce exposure to environmental tobacco smokeamong sta, patients and visitors in DOH acilities in SMAHS.
Name o Program(3): Smoking cessation or respiratory inpatients withsmoking related illnesses. The project is a collaborative partnershipbetween SMPHU and the Respiratory Health Networks.
Target Group(s): Primary: Inpatients at Fremantle and Royal PerthHospital with smoking related respiratory illness.
Aim o Program: To identiy whether successul smoking cessationprograms incorporating NRT, cognitive behavioural elements, postdischarge ollow-up and amily involvement that have been successul
interstate and overseas would be as successul in two public hospitalsin WA namely RPH and FH.
Tobacco Control BranchDepartment o Health
PO Box 8172Perth Business CentrePERTH WA 6849
The Tobacco Control Branch (TCB) o the Department o Health(ormerly known as Quit WA) is located within the EnvironmentalHealth Directorate o the Health Protection Group. The TCB isresponsible or:
l State-wide tobacco control policy development, coordination andstrategic planning.
l Administration and monitoring o legislative tobacco controlmeasures.
l Coordination and unding o tobacco cessation services includingthe Quitline telephone cessation service, online cessation program,
online GP education and production and distribution o cessationsel help material.
l Monitoring and collating evaluation o the perormance o tobaccocontrol programs.
l Aligning the State health strategic plan and the tobacco controlworkorce plan to build capacity with key stakeholders and healthproessionals regarding tobacco control interventions.
l Advising on resource allocation in relation to the managemento state-wide programs to reduce the prevalence and uptake osmoking.
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Organisation Activity
WA Health (continued)
WA Country Health ServiceArea Oce189 Wellington StreetEAST PERTHPO Box 6680 Perth Business CentreWA 6892Phone: 08 9223 8572
Name o Program: Brie InterventionTarget Group(s): In-patients and Out-patients.
Aim o Program: To undertake Brie Interventions includingassessment, eedback and reerral relating to the alcohol and tobaccouse o clients. The aim is to reduce harm caused by alcohol andtobacco and to provide supportive and non-judgemental care.
Name o Program: WA Smokeree Health Service Policy
Target Group(s): Employees, patients, visitors and contractors.
Aim o Program: To implement the policy as per the supportingguidelines.
WA Country Health Service
South West Area Health Service6 Fairbairn RoadBUSSELTON WA 6280Phone: (08) 9752 6300
Name o Program1: Collie Brie Interventions Program
Target Group(s): In-patients at Collie Health Service and Sta atCollie Health Service Community Education.
Aim o Program:Primary- To increase the percentage o patients who reduce smoking.
Secondary Increase sta skills in screening and reerral or smokersand increase screening and reerral by GPs.
WA Country Health ServiceMidwest Murchison PopulationHealth
PO Box 22
GERALDTON WA 6531Phone: (08) 9956 2213
Name o Program2: Newborns Asthma and Parental Smoking Training
Target Group(s): Child Health Nurses.
Aim o Program: Educate Child Health Nurses.
Name o Program(1): Smokeree Hospitals Project
Target Group(s): WA Country Health Service Midwest Murchisonemployees, patients, visitors.
Aim o Program:Primary- to reduce exposure o environmental tobacco smoke tosta, patients and visitors.
Secondary- increase quit attempts by sta and patients.
Name o Program(2): SmokeCheck Training (through Say No to SmokesProject)
Target Group(s): Aboriginal health proessionals and health
proessionals working with Aboriginal people.
Aim o Program: Up skill health workers and health proessionalsworking with indigenous clients to provide motivational interviewingand brie intervention to their clients.
Name o Program(3): Brie Intervention Training
Target Group(s): Health proessionals specically targeting AlliedHealth, Nurses, Pharmacists and Pharmacy Assistants, Dentists, DentalAssistants, Practice Nurses and GPs.
Aim o Program: Up skill health proessionals to provide motivationalinterviewing and brie intervention to their clients.
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Organisation Activity
WA Health (continued)
WA Country Health ServiceMidwest Murchison Population
Health (continued)
Name o Program(4)
: Sta quit smoking supportTarget Group(s): All WA Country Health Service Midwest Murchisonemployees who smoke.
Aim o Program: To support sta who smoke to quit.
Name o Program(5): How to Quit Inormation Sessions
Target Group(s): All smokers, specically those thinking aboutquitting or ready to quit.
Aim o Program: Recruit smokers to Fresh Start b) provideinormation and support to assist smokers in quitting.
WA Country Health Service
Great Southern Public Health UnitPO Box 5147ALBANY WA 6332
Name o Program(1): Tobacco Brie Interventions
Target Group(s): Great Southern health clients (hospitals andPopulation Health sta with a clinical ocus, child, community, alliedand maternal health sta).
Aim o Program: Increase number o clients who are assessed ortobacco use.
Name o Program(2): Tobacco Retailer Compliance Survey
Target Group(s):Primary Retailers.
Secondary Minors and the general community.
Aim o Program: Reduce supply o tobacco to minors.
Department o CorrectiveServices
141 St Georges TerracePERTH WA 6000Phone: (08) 9264 1275
Name o Program: Smoking Reorm Strategy
Target Group(s): All smokers in prisons, work camps and detentioncentres.
Aim o Program: To reduce incidence o smoking among oendersand detainees in custody by 34 percent within 5 years. To reduceincidence o smoking among sta o prisons, work camps anddetention centres.
Diabetes Australia WA
48 Wickham StreetEAST PERTH WA 6004Phone: (08) 9323 7699
www.diabetesaustralia.com.au
Smoking is a contributing actor to diabetes complications andthereore inormation on smoking is included in such publications asDont Ignore Diabetes (DID). Through the Diabetes Inormation AdviceLine (DIAL) Diabetes Educators also provide clients with Quit kits and
make reerrals to the Quitline.
Healthway
PO Box 1284WEST PERTH WA 6872Phone: (08) 9476 7000www.healthway.wa.gov.au
Healthway was established under 1990 Tobacco Control Legislation(now replaced with TPCA 2006) as an independent statutory body. Itscore unction is to und activities that promote health, particularlythat o young people through providing grants to health and researchorganisations as well as sponsorship to sport, arts, racing andcommunity groups which encourage healthy liestyles and advancehealth promotion programs.
Target Group(s): The broad WA community but with a ocus onyoung people and children, Indigenous people, rural and remotecommunities, economically, socially or educationally disadvantagedgroups, other disadvantaged groups or groups in whom inequalities
exist.
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Organisation Activity
Healthway (continued) Tobacco control receives the greatest ocus as a health issue throughHealthways programs, which support a comprehensive, multi
level approach in Western Australia including public awareness andeducation campaigns, prevention o young people taking up smoking,school and community based projects, advocacy and research,complemented by sponsorships and the creation o smoke reeenvironments.
1. Smarter Than Smoking Project (National Heart Foundation WA)
2. Make Smoking History Project (Cancer Council WA)
3. Fresh Start Program (Cancer Council WA) to December 2006
4. Say No To Smokes (North Metropolitan Area Health Service,Population Health Unit) to December 2006
5. Newborns Asthma and Parental Smoking Project (NAPS) (AsthmaFoundation WA)
6. Tobacco Control Advocacy (Australian Council on Smoking andHealth)
7. Tobacco Control Research Development Programs through WAuniversities.
And: Healthway sponsorship program - sponsorship o sport, arts andracing organisations and activities to create smoke ree environmentsand promote tobacco control messages.
National Heart Foundation
(WA Division)
334 Rokeby RoadSUBIACO WA 6008
Phone: (08) 9388 3343www.heartoundation.com.au
Name O Program(1): National Tobacco Control
Target Group(s): Politicians and other opinion leaders, generalcommunity and smokers.
Aim o Program: To infuence politicians and opinion leaders to adopt
population wide policies that reduce smoking.
Name o Program(2): Smarter Than Smoking Project
Target Group(s):Primary- Young people aged 10 to 15 years in Western Australia, owhich priority populations include young people living in low socio-economic, and regional areas and young Aboriginal Torres StraitIslander (ATSI) people.
Secondary- Key intermediaries rom health, education and youthnetworks working with priority populations, parents, school teachers,administrators and school nurses.
Aim o Program: To contribute to a decline in smoking prevalence
among 10 to 15-year-olds in Western Australia to 5 percent by theyear 2008.
Name O Program(1): Heart Health Skill Set (Aboriginal Health WorkerTraining)
Target Group(s): Aboriginal Health Workers.
Aim o Program: To educate Aboriginal Health Workers on risk actorintervention, smoking cessation and Smokeree policy.
Notre Dame University
PO Box 1225FREMANTLE WA 6959
Phone: (08) 9433 0555www.nd.edu.au
Name o Program: Smokeree University
Target Group(s): All students and sta.
Aim o Program: To encourage all sta and students to uphold the
Smokeree status o the university and to provide support or studentsand sta who wish to reduce their level o smoking or to quit.
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Organisation Activity
Pharmaceutical Council oWestern Australia
21 Hamilton StreetSUBIACO WA 6008Phone: (08) 9388 2886www.pcwa.com.au
Name o Program: Smoking Cessation Program
Target Group(s): Visitors and pharmacy clients.Aim o Program: To encourage quitting as part o a healthier liestyleto reduce the cardiovascular risks associated with smoking.
Telethon Institute o ChildHealth Research
PO Box 855WEST PERTH WA 6872Phone: (08) 9489 7754www.ichr.uwa.edu.au
Contribution o data and members o the Institute are co-investigatorson a number o research activities relating to smoking in pregnancy.
Target Group: Aboriginal women.
Town o Kwinana
PO Box 21KWINANA WA 6966Phone: (08) 9429 0200
Name o Program: Quit in Kwinana
Target Group(s): Adults living in the Kwinana area with an emphasison women and youth 10-15 years olds.
Aim o Program:Primary to improve the health o the people o the Town O Kwinanaby reducing or eliminating their exposure to tobacco smoke.
Secondary To lower the prevalence o tobacco smokers in the Towno Kwinana by 5 percent by 2008.
University o WesternAustralia School o Dentistryand School o PopulationHealth
35 Stirling HighwayCRAWLEY WA 6009Phone: (08) 6488 1260
Name o Program: Solid Boodjari Yorgas (Indigenous Pregnancy andSmoking Research Project)
Target Group(s): Pregnant Indigenous Women and mothers.
Aim o Program: This Healthway unded research project aims toinvestigate issues relating to smoking in pregnant Indigenous womenusing a qualitative approach. Focus groups and interviews withpregnant Indigenous women and mothers who smoke are undertakento provide an understanding o attitudes to smoking and actorsassociated with smoking.
Curtin University oTechnology
WA Centre or Health PromotionResearchPO Box U1987PERTH WA 6845Phone: (08) 9266 9266
Name o Program: Web-based alcohol and tobacco intervention
Target Group(s): Males and emales aged 18-25 years old.
Aim o Program: To reduce harmul and hazardous drinking levelsand tobacco consumption among tertiary students via a web-basedintervention.
Western Australian PoliceAlcohol and Drug CoordinationSection
8 Burton StreetCANNINGTON WA 6107www.police.wa.gov.au
Name o Program: Alcohol and Crime Investigation Course
Target Group: Police Ocers.
Aim o Program: To inorm police ocers o changes to legislation(including tobacco control legislation) and ensure police have anunderstanding o their role in enorcement and involvement with theHealth Department.
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Section 6Reerences
1. Who Framework Convention on Tobacco Control www.who.int/tobacco/ramework/download/en/index.html
2. Chukwujindu, M. Ogwezzy, LL.B (Law), B.L. Ratication and Enorcement o the Framework
Convention on Tobacco Control (FCTC): A Panacea or Curbing the Tobacco Epidemics in the
Developing Countries. Framework Convention Alliance, Tobacco Control Project o Nigeria.
3. The 29th United States Surgeon Generals Report on Smoking and Health: The Health
Consequences o Smoking. www.cdc.gov/Tobacco/sgr/sgr_2004/index.htm
4. The Australian National Tobacco Strategy 2004-2009. (2005). Ministerial Council on Drug
Strategy. Commonwealth o Australia.
5. Department o Health Western Australia. 2005. Strategic Intent 2005-2010
6. Department o Health Western Australia. 2007. Western Australian Health Promotion Strategic
Framework 2007-2011.
7. Rose, N. 2004. International Union or Health Promotion and Education, France, First Edition.
8. Begg S, Vos T, Barker B, Stevenson C, Stanley L & Lopez A (orthcoming). The burden o disease
and injury in Australia 2003. AIHW cat. no. PHE 82. Canberra: AIHW.
9. Unwin E, Codde J, Bartu A. 2003. The impact o tobacco smoking on the health o Western
Australians. Perth: Drug and Alcohol Oce and the Epidemiology Branch, Department o
Health, Western Australia.
10. Winstanley M, Woodward S, Walker N. 1995. Tobacco in Australia: Facts and Issues 1995, 2nd
edition. Melbourne: Victorian Smoking and Health Program.
11. Epidemiology Branch, Health Inormation Centre, Department o Health. 2003. Overview o the
major causes o hospitalisations or State residents. Perth: Department o Health.
12. Collins DJ, Lapsley HM. 2002. Counting the costs: Estimates o the social costs o drug abuse in
Australia in 1998-99. Canberra: Commonwealth o Australia.
13. Public Health Division. 1998. Smoking and Health in Western Australia 1998 Resource Book.
Perth: Health Department o Western Australia.
14. Australian Institute o Health and Welare. 2004. National Household Drug Survey. First Results
(Drug Statistics Series No 13). AIHW cat no. PHE 57. Canberra: 2005.
15. Health Department o Western Australia. 1999. Future Trends and Issues Aecting Health in
Western Australia.
16. National Aboriginal and Torres Strait Islander Survey 2004-05. 2006. Australian Bureau o
Statistics.
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