Tobacco control in three North African countries: Tunisia, Algeria and Morocco
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Hopital Abderrahmen Mami, Ariana, Tunisia
Publication date: 2019-10-12
Corresponding author
Radhouane Fakhfakh   

Hopital Abderrahmen Mami, Ariana, Tunisia
Tob. Induc. Dis. 2019;17(Suppl 1):A44
The aim of the study is to describe the main challenges of tobacco control in 3 north African countries: Tunisia, Algeria and Morocco.

Data information was obtained from peer-reviewed articles, official government documents, reports, decrees and grey literature in French, Arabic and English. Main keywords in use were “policies”, “MPOWER”, “tobacco control”, “Tunisia” “Algeria”.

The highest prevalence in the general population were noted in Tunisia with an overall prevalence at 25%. This prevalence was 16% in Morocco and 14% in Algeria. The mortality attributable to tobacco among men was 18.2% (for 35 years old and over) in Morocco and 22% (25 years and over) in Tunisia. It was 3.4% and 4% among women successively for Morocco and Tunisia. This latter adopted anti-tobacco law on 1998, In Morocco a tobacco control law was enacted in 1996 and in 1985 in Algeria. Added to this Tunisia and Algeria adopted the FCTC but not Morocco. This country only signed the convention.
All laws in these countries included bans on advertising, on sponsorship and on smoking in public transport and educational and health care facilities.  The law requires that all packs of cigarettes display messages warning about the harmful effects of tobacco. However, these laws have not been strictly enforced and has generally not been respected by the general population.
Therefore, it is essential to highlight that Morocco adopts the FCTC. All three countries should raise efforts to implement tobacco control legislation that fully complies with the Framework Convention on Tobacco Control. In order to achieve these countries should prioritize resources for capacity building for strong FCTC compliant legislation, including strengthening the monitoring system of the MPOWER policies: a national surveillance system; communication campaigns; promoting and expanding the coverage of the smoking cessation care; actions to control advertisement, promotion, sponsorship, and smuggled cigarettes; and increasing tax.

Effective tobacco control should be implemented in Tunisia, Algeria and Morocco. Commitments from their governments are crucial for this tobacco control actions.

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