ORDER OF THE GOVERNMENT OF THE KYRGYZ REPUBLIC

of April 4, 2008 No. 122

About measures for implementation of the Law of the Kyrgyz Republic "About protection of health of citizens of the Kyrgyz Republic against harmful effects of tobacco"

According to the Law of the Kyrgyz Republic "About protection of health of citizens of the Kyrgyz Republic against harmful effects of tobacco" and the Framework Convention of the World Health Organization on fight against tobacco the Government of the Kyrgyz Republic decides:

1. Form Intersectoral coordination council on protection of health of citizens against harmful effects of tobacco under the Government of the Kyrgyz Republic in structure according to appendix.

2. Approve enclosed:

- The state program on protection of health of citizens of the Kyrgyz Republic against harmful effects of tobacco for 2008-2015;

- the short-term plan of actions for accomplishment of the State program on protection of health of citizens of the Kyrgyz Republic against harmful effects of tobacco for 2008-2015;

- Regulations on Intersectoral coordination council on protection of health of citizens of the Kyrgyz Republic against harmful effects of tobacco under the Government of the Kyrgyz Republic (further - Council).

3. To council to submit for approval in the Government of the Kyrgyz Republic:

- in three-months time - the regulating documents and procedure regulating implementation of the Law of the Kyrgyz Republic "About protection of health of citizens of the Kyrgyz Republic against harmful effects of tobacco" according to the short-term plan of actions for accomplishment of the State program on protection of health of citizens against harmful effects of tobacco in the Kyrgyz Republic for 2008-2015;

- in six-months time - offers on modification and amendments in the laws of the Kyrgyz Republic for the purpose of their reduction in compliance with the Law of the Kyrgyz Republic "About protection of public health of the Kyrgyz Republic from harmful effects of tobacco".

4. To the ministries, state committees, administrative departments, local public administrations and local government bodies:

- bring the regulatory legal acts into accord with this resolution;

- provide implementation of the Law of the Kyrgyz Republic "About protection of health of citizens of the Kyrgyz Republic against harmful effects of tobacco", the State program and the short-term plan of actions for accomplishment of actions for protection of health of citizens of the Kyrgyz Republic against harmful effects of tobacco for 2008-2015.

5. To impose control over the implementation of this resolution on the relevant departments of Government office of the Kyrgyz Republic.

Approved by the order of the Government of the Kyrgyz Republic of April 4, 2008 No. 122

The state program on protection of health of citizens of the Kyrgyz Republic against harmful effects of tobacco for 2008 - 2015

1. Introduction

The problem of consumption of tobacco is the global social problem facing as Kyrgyzstan, and all world community. Distribution of consumption of tobacco represents health hazard of the population of the whole world. Smoking around the world about 5 million people annually claim the lives. It corresponds, approximately, one thousand 13,5 to fatal cases in day, or to 10 cases every minute (WHO, 2002). If not to carry out preventive measures today, then approximately in 20 years 10 million people, and, according to forecasts of experts of the World Health Organization (WHO) can die from harmful effects of tobacco, smoking will become the main reason of death rate in the world from which 70 percent is necessary on developing countries. Tobacco is one of major factors of risk of development for 25 diseases. Danger of tobacco is that effects of its consumption affect in 20-30 years, and 50 percent of children and youth who smokes today, will practically not live up to 70 years.

Cancer and emphysema of lungs - the most dangerous effects of smoking. Consumption of tobacco products doubles development of the atherosclerosis leading to stroke, stenocardia, myocardial infarction and many other frustration. Among patients with stomach ulcer of stomach the smoking people constitute 98%. Smoking of tobacco products causes 30% of death of men at the age of 35-69 years, that is, most strikes the most productive part of society. WHO classifies smoking as dependence (Syndrome of dependence on tobacco: Classification F 17.2 in the International Classification of Diseases). In case of establishment of psychoactive drugs on dependence degree nicotine is put on higher place in comparison with heroin, cocaine, alcohol, caffeine and marijuana.

Smoking does harm not only to the smoker: only 20% of tobacco smoke are inhaled by the smoker, and all the rest falls to the share of people around. And if to consider that 3-4 non-smoking persons are the share of one smoker, so practically health of all population is exposed to danger. Serious health hazard and lives of future child are represented by active or passive smoking of parents. The big percent of chronic poisoning with tobacco toxins leads to development of anatomic defects in these or those bodies of fruit (at the same time also their functions suffer) that has an adverse effect further on the child's life. If the expectant mother or people (the husband, the father, the brother) surrounding her smokes, then also future child surely "smokes".

One of urgent problems for the republic is also consumption of smokeless tobacco - nasvy (further - насвай). Consumption nasvy also, as well as smoking of cigarettes, promotes development of many chronic noninfectious diseases, first of all cancer of mucous membrane of lips, oral cavity. Cultivation and production nasvy in the republic is widespread. It is made illegally, handicraft image, at home, its sale is conducted also illegally on markets, on streets and in recent years even in mini-booths and pavilions of the city of Bishkek.

The structure of the reasons of death rate of the last years demonstrates that the republic already faces death rate burden from noninfectious diseases (82-85% of cases) where consumption of tobacco products is one of the main reasons of its development. Considering that between age of the beginning of smoking (consumption nasvy) and age of the beginning of the diseases and death caused by their consumption there is rather long period, that burden of future diseases and death depends on the current situation of prevalence of consumption of tobacco products.

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