1.  2007 Johns Hopkins Bloomberg School of Public Health Section C Case Study: Ireland

2.  2007 Johns Hopkins Bloomberg School of Public Health 2 Smoke-Free Policies in Other Places: Ireland Image source: adapted by CTLT from Wikimedia Commons. (2004).

3.  2007 Johns Hopkins Bloomberg School of Public Health 3 Image source: Ireland’s Department of Health and Children. (2004). Implementing Smoke-Free Workplace Policy in Ireland Ireland’s smoke-free policy took effect in March, 2004 ITC project: www.itcproject.org  Ireland: 1,000 randomly selected adult smokers  United Kingdom (U.K.): 600 randomly selected adult smokers  35-minute phone survey  Cohort Assessments January, 2004; January, 2005; and January, 2006

4.  2007 Johns Hopkins Bloomberg School of Public Health 4 International Tobacco Control (ITC) Survey Details Image source: Tobacco Control. (2006).

5.  2007 Johns Hopkins Bloomberg School of Public Health 5 Support for Smoke-Free Laws among Smokers Important barrier to policy  The perception that smokers would not support a smoke-free law Key question  How did support among Irish smokers change after the implementation of the law?

6.  2007 Johns Hopkins Bloomberg School of Public Health 6 Support for Total Ban in Bars/Pubs Source: adapted by CTLT from Fong, et al. (2006).

7.  2007 Johns Hopkins Bloomberg School of Public Health 7 Support for Total Ban in Restaurants Source: adapted by CTLT from Fong, et al. (2006).

8.  2007 Johns Hopkins Bloomberg School of Public Health 8 Support for Total Ban in Workplaces Source: adapted by CTLT from Fong, et al. (2006).

9.  2007 Johns Hopkins Bloomberg School of Public Health 9 What Happens When Places Go Smoke-Free? Evaluation questions  Does SHS exposure decrease and health improve?  Do people comply with the rules?  Does the hospitality economy suffer?  Unintended consequences  Are smokers more likely to seek treatment services and stop smoking?  Smoke more at home?

10.  2007 Johns Hopkins Bloomberg School of Public Health 10 Secondhand Smoke Exposure: Ireland and the U.K. Source: adapted by CTLT from Fong, et al. (2006).

11.  2007 Johns Hopkins Bloomberg School of Public Health 11 Secondhand Smoke Exposure: Ireland and the U.K. Source: adapted by CTLT from Fong, et al. (2006).

12.  2007 Johns Hopkins Bloomberg School of Public Health 12 Secondhand Smoke Exposure: Ireland and the U.K. Source: adapted by CTLT from Fong, et al. (2006).

13.  2007 Johns Hopkins Bloomberg School of Public Health 13 What Happens When Places Go Smoke-Free? Does SHS exposure decrease and health improve? Do people comply with the rules? Does the hospitality economy suffer? Unintended consequences  Are smokers more likely to seek treatment services and stop smoking?  Smoke more at home?

14.  2007 Johns Hopkins Bloomberg School of Public Health 14 Smoking Cessation Indicators: Ireland and UK Source: adapted by CTLT from Hyland, et al.

15.  2007 Johns Hopkins Bloomberg School of Public Health 15 What Happens When Places Go Smoke-Free? Does SHS exposure decrease and health improve? Do people comply with the rules? Does the hospitality economy suffer? Unintended consequences  Are smokers more likely to seek treatment services and stop smoking?  Smoke more at home?  Smoke more and drink more in the home?

16.  2007 Johns Hopkins Bloomberg School of Public Health 16 Home Smoking Indicators: Ireland and UK Source: adapted by CTLT from Hyland, et al.

17.  2007 Johns Hopkins Bloomberg School of Public Health 17 Source: adapted by CTLT from Hyland, et al. (In press). Home Smoking Indicators: Ireland, Scotland, UK

18.  2007 Johns Hopkins Bloomberg School of Public Health 18 Source: adapted by CTLT from Hyland, et al. (In press). Alcohol Drinking Patterns: Ireland, Scotland, UK

19.  2007 Johns Hopkins Bloomberg School of Public Health 19 Summary: Ireland Experience Secondhand smoke exposure dramatically reduced No large clear trend toward increased cessation behavior, but people report the law was a factor in decisions about quitting  Might have missed the uptake in Ireland  Long pre-law campaign  Delayed implementation  Could be other policies/programs  Advertising ban  Warning labels  Different media campaigns  Effects might take more time to manifest

20.  2007 Johns Hopkins Bloomberg School of Public Health 20 Summary Evaluation questions  Less SHS exposure? better health outcomes?  Support and compliance?  Economic changes?  Unintended consequences? Evaluation methods  Examples provided during talk  See IARC handbook chapter for specific details Evidence from New York, Ireland, and elsewhere suggests smoke- free policies work to clean up the air and increase public support without adverse economic harm

21.  2007 Johns Hopkins Bloomberg School of Public Health 21 Questions Contact me at: Andrew.hyland@roswellpark.org Website: www.tobaccofreeair.org Contact me at: Andrew.hyland@roswellpark.org Website: www.tobaccofreeair.org