Comprehensive tobacco control strategy at city level: An experimental project
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Grand Est Sans Tabac, Nancy, France
Comité National Contre le Tabagisme, Paris, France
Publication date: 2020-10-22
Tob. Prev. Cessation 2020;6(Supplement):A70
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The French ‘Programme National de Réduction du Tabagisme (PNRT) 2014-2019’ recommended the development of regional/local tobacco-control strategies in addition to current national tobacco regulations. Indeed, local initiatives, in addition to national measures, can increase tobacco control global efficiency.
The French regional NGO ‘Grand Est Sans Tabac’ (GEST) decided to experiment with the construction and implementation of city-specific comprehensive tobacco-control strategies in north-east of France (Grand Est).
This project is funded by the Grand Est Regional Health Agency (ARS GE) and MILDECA.

GEST goal is to develop together with each city authorities a specific and comprehensive local tobacco-control program (Programme Local de Lutte contre le Tabac, PLLT), based on current French laws, the Programme Régional de Lutte contre le Tabac (PRLT), and FCTC provisions. It will include, youth smoking prevention, help for tobacco smoking cessation, and tobacco use denormalization through current laws implementation monitoring, developing new tobacco-free public spaces, diffusing information about tobacco use issues, protecting local environment ...

Three volunteer cities of different sizes have been chosen: Joinville, roughly 3000 inhabitants, Thionville 40000, and Mulhouse 110000. A tobacco-control committee has been set up in each city including among others: members of local authorities, education, healthcare, and social professionals etc. These committees will decide on the suitable actions to implement for their own city.
The first concrete action will be the implementation of smoke-free city halls, in order for the local authorities to be exemplary. Each city will create a specific committee composed of city employees and politicians in order to set up the smoke-free city hall policy, including help for smoking cessation.

According to the results of this project, guidelines will be proposed to other cities willing to implement such a comprehensive local tobacco-control program.

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