The Tobacco Control Scale 2021 in Europe
The survey was conducted in 2004, 2005 (1), 2007 (3), 2010 (4), 2013 (5), 2016 (6), 2019 (7), and 2021. In 2004, the survey involved 28 countries: 25 European Union (EU) countries plus Switzerland, Iceland and Norway. In 2005 and 2007, the survey was repeated in 30 European countries (27 EU countries plus Switzerland, Iceland and Norway) (3), and in 2010 in 31 European countries (the 2007 sample plus Turkey). The 2016 survey was conducted in 35 European countries: the 2010 sample plus Croatia, Serbia, Ukraine and the Russian Federation. In 2019, Israel was added to the list of countries. In 2021, we have scored 37 countries with the inclusion of Bosnia & Herzegovina. The correspondents who provided the information in 2021 are shown in Table 1.
The data used for the 2021 survey refers to legislation in force on 1 January 2022, to 2020 cigarette price data, and to the tobacco control budget in 2020. Any legislation, price increase, or funding introduced or enforced after those dates are not included.
A questionnaire was used to collect information about countries’ tobacco control budgets and tobacco dependence treatment provisions from the contributors consulted (Table 1). The following other data sources were used:
SMOKE FREE LEGISLATION
TOBACCO CONTROL AND CESSATION BUDGET
TOBACCO INDUSTRY INTERFERENCE
ILLICIT TOBACCO TRADE
Countries that ratified the WHO FCTC Protocol to Eliminate the Illicit Trade in Tobacco Products (FCTC Protocol) received 1 point. A track and trace system for tobacco products, fully WHO FCTC Protocol compliant, is 2 points and a track and trace system for tobacco products, but not fully WHO FCTC Protocol compliant, is 1 point. A whole range of measures, well enforced, monitored and sanctioned, to restrict tobacco industry interference is 2 points. Some measures, well enforced, to restrict tobacco industry interference is 1 point. A single measure to limit the tobacco industry interaction at the Ministry of Health level (and not the whole government) is not enough to obtain 1 point. Examples of policies could include the recording and disclosure of meetings with the tobacco industry, the limitation of interactions with the tobacco industry to those only strictly necessary, or a code of conduct for public officials with which they should comply in their dealings with the tobacco industry.
The Tobacco Control Scale is partly funded by operating funding from the European Commission to Smoke Free Partnership. The views expressed in this website do not necessarily reflect the official views of the European Union institutions.