Table 3

 The Tobacco Control Scale

Table notes. Cigarette price: Gross Domestic Product can be expressed in PPS (purchasing Power Standard). PPS per capita has been used to take account of real purchasing power in different countries; points are awarded using the same method as for public information campaign spending. Public information campaign spending: the top country, the UK, is awarded 15 points; the UK ratio (spending/GDP) is then divided by 15 and the resulting number gets 1 point; countries achieve points for multiples of that number. For a more detailed explanation please see tobcon url. Advertising: television is the medium most used for tobacco advertising in countries with no advertising restrictions; outdoor advertising (e.g. posters) is a prominently used medium when television advertising is banned; indirect advertising (e.g. clothing, watches, or other products with cigarette branding, is the industry’s favoured loophole when there are otherwise comprehensive advertising bans. Why rankings for price and spending? PPS takes account of affordability within a country. This introduces a (constantly changing) ratio, rather than absolute figures. In order to simplify this abstract ratio ranking system, we attributed the highest score to the country with the highest ratio. The method is best understood by consulting the raw data and resulting points scored, on the website.
Price of cigarettes and other tobacco products 30
Price of Marlboro, and price of most popular price category, in January 2005 – additive
The price of Marlboro in January 2005, taking into account Gross Domestic Product per capita expressed in Purchasing Power Standards (PPS). Country with highest price ratio receives 15 points. (see notes)15
The price of a packet of cigarettes in the most popular price category in January 2005, taking into account Gross Domestic Product per capita expressed in the PPS. Country with highest price ratio receives 15 points.15
Smoke free work and other public places on 1 July 2005 22
Workplaces excluding cafes and restaurants – one only of 10
Complete ban without exceptions (no smoking rooms); enforced10
Complete ban, but with closed, ventilated, designated smoking rooms; enforced8
Complete ban, but with ventilated, designated smoking rooms; enforced6
Meaningful restrictions; enforced4
Legislation, but not enforced2
Cafes and restaurants – one only of 8
Complete ban; enforced8
Complete ban, but with closed, ventilated, designated smoking rooms; enforced6
Meaningful restrictions; enforced4
Legislation, but not enforced2
Public transport and other public places – additive 4
Complete ban in domestic trains without exceptions1
Complete ban in other public transport without exceptions1
Complete ban in educational, health, government and cultural places without exceptions2
OR Ban in educational, health, government and cultural places, but with designated smoking areas or rooms1
Spending on public information campaigns in 2004 15
Tobacco control spending by the government in 2004, as a proportion of Gross Domestic Product (GDP). Country with highest ratio receives 15 points (see notes).
Comprehensive bans on advertising and promotion on 1 July 2005 13
Points for each type of ban included – additive
Complete ban on tobacco advertising on television3
Complete ban on outdoor advertising (e.g. posters)2
Complete ban on advertising in print media (e.g. newspapers and magazines)2
Complete ban on indirect advertising (e.g. cigarette branded clothes, watches, etc)2
Ban on point of sale advertising1
Ban on cinema advertising1
Ban on sponsorship1
Ban on internet advertising½
Ban on radio advertising½
Large direct health warning labels on 1 July 2005 10
Rotating health warnings 2
Size of warning – one only of 4
10% or less of packet1
11 – 25% of packet2
26 – 40% of packet3
41% or more of packet4
Contrasting colour (e.g. black lettering on white background) 1
A picture 3
Treatment to help dependent smokers stop 10
Quitline – one only of 2
Well funded national quitline or well funded quitlines in all major regions of country2
OR National quitline with limited funding or a patch work of small local quitlines1
Network of smoking cessation support 3
Reimbursement of treatment 3
Cessation support network covering whole country (3); free (3)6
Cessation support network, but only in selected areas, e.g. major cities (2); free (3)5
Cessation support network covering whole country (3), partially free (2)5
Cessation support network, but very limited, just a few centres (1), free (3)4
Cessation support network, but only in selected areas, e.g. major cities (2), partially free (2)4
Cessation support network covering whole country (3), not free (0)3
Cessation support network, but very limited, just a few centres (1), partially free (2)3
Cessation support network, but only in selected areas, e.g. major cities (2); not free (0)2
Cessation support network, just a few centres (1), not free (0)1
Reimbursement of medications – one only of 2
Reimbursement of pharmaceutical treatment products2
OR Partial reimbursement of pharmaceutical treatment products1
Maximum possible score 100