
France implements smoking ban at beaches and parks in step towards ‘tobacco-free generation'
Anyone who lights up on a beach or in a public park in France will be breaking the law from Sunday under new rules aimed at protecting children from the dangers of passive smoking.
Bus shelters and areas in the immediate vicinity of libraries, swimming pools and schools will also be affected by the ban, which is coming into force one day after its publication in the official government gazette on Saturday.
The rule is being imposed one week before the beginning of the school holidays in France in a bid to immediately protect children from smoke on the beach.
However, to the disappointment of some anti-tobacco activists, the ban does not cover the terraces of bars and restaurants where many French still happily smoke.
They are also unhappy that the ban does not apply to electronic cigarettes.
The rules had initially been expected to come into force on Tuesday after a previous announcement by the health ministry but the publication in the official gazette means this has now been brought forward to Sunday.
People should also not smoke within 10 metres of schools, swimming pools, libraries and other places where smoking could hurt minors.
The health ministry said it would soon reveal the sign used to designate such areas.
Violators of the ban could face a fine of 135 euros ($160) up to a maximum of 700 euros.
'Tobacco must disappear from places where there are children. A park, a beach, a school – these are places to play, learn, and breathe. Not for smoking,' health and family minister Catherine Vautrin said.
This is another step 'towards a tobacco-free generation', she added, which France is targeting from 2032.
Yves Martinet, president of the National Committee Against Smoking (CNCT), said the ban was 'a step in the right direction, but remains insufficient', criticising the continued permission to smoke on cafe terraces.
'The minister points to the protection of children,' but children 'also go to the terraces', said Martinet, who is a pulmonologist.
He lamented the absence of e-cigarettes from the text, saying flavours are used to 'hook young people'.
But Frank Delvau, president of the Union of Hotel Trades and Industries (UMIH) for the Paris region, said a ban on smoking on cafe terraces 'would only shift the problem because people on terraces would go smoke next to these establishments'.
Franck Trouet, of the hospitality association Hotels and Restaurants of France (GHR), said 'smokers and non-smokers can coexist' on terraces, the 'last places of conviviality and freedom'.
In France, passive exposure to tobacco smoke causes 3,000 to 5,000 deaths per year, according to official figures.
Smoking is steadily declining in France with 'the lowest prevalence ever recorded since 2000', according to France addiction agency the OFDT.
Less than a quarter of adults aged 18 to 75 reported smoking daily in 2023, according to the agency. Smoking causes 75,000 deaths per year in France and, again according to the OFDT, costs society 156bn euros annually, counting factors including lost lives, quality of life, productivity, prevention, law enforcement and healthcare.
According to a recent opinion survey, 62% of French people favour a smoking ban in public places.
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BBC News
an hour ago
- BBC News
Welsh Ambulance Service volunteer 999 responders part of overhaul
There are some things that ambulance call handlers cannot detect over the phone - and that's where Jackie Hatton-Bell comes is one of 130 volunteers in Wales trained to attend the scene of 999 calls to provide "eyes and ears" observations for staff in the control role is part of a raft of changes being brought in by the Welsh Ambulance Service from Tuesday, including a new "purple" category for aim is to improve patient outcomes in a country where less than 5% of people survive having an out-of-hospital cardiac or respiratory arrest, compared to 9% in Scotland, 10% in England and as many as 25% in some European countries. Jackie and the other volunteer community welfare responders receive two days of cannot provide treatment, but Jackie's actions have already helped to save one occasion, the "observations" she was trained to take – blood pressure, oxygen levels or spotting signs of a stroke – determined a patient was actually having a heart attack. "We spoke to the clinical desk and in six minutes the paramedic turned up," Jackie the flip side, she said the information she had gathered has also "de-escalated" some calls to more appropriate options in the community. What else is the Welsh Ambulance Service changing? A new "purple" category for calls to patients in suspected cardiac and respiratory arrest A "red" emergency category for major trauma or other incidents which could lead to cardiac or respiratory arrestsFor both new categories, it is expected crews will arrive in an average time of between six and eight minutesThe primary measure for purple calls will be the percentage of people to have a heartbeat restored after a cardiac arrest, until arrival at hospital Another change is the creation of a new position in the control room - called "clinical navigators" - who closely monitor the list of those waiting for an of service, Gill Pleming, explained that these trained paramedics and nurses would screen the calls to decide if some needed "enhanced clinical triage".They may also call patients back to check for symptom changes where appropriate, re-prioritise their place in the queue or, when necessary, deploy community welfare responders like Jackie. "I see it as instead of a patient having to wait a number of hours where it's potentially not such a serious condition, we can go out and be the eyes-on," said Jackie, who volunteers for a minimum of eight hours each information she gathers is then fed back to paramedics and nurses in the control room to make a clinical decision."That's saving the ambulances going out to absolutely everything," she a large chunk of rural west Wales, Jackie said many in the traditional farming community were "made of tough stuff" which meant they could down-play their the day the BBC spent with Jackie in Pembroke Dock, a call came in at lunchtime for a patient in their mid-50s who had fallen overnight and vomited."You start thinking there has been a head injury, because of the vomiting," said Jackie, 53."But when I got to the patient there was a significant injury. It had happened in the night and they rang 999 at midday, so [they] had waited all that time in severe pain."The detail given to call handlers by a relative had not conveyed the full extent of the injuries but Jackie was able to elevate the call, with an ambulance and fire service arriving within an hour to help safely transfer the patient to hospital."We don't go to the most serious and we won't go to under-18s, but we will take anything in between," she added. It is a far cry from Jackie's previous career in human resources, and more latterly running a restaurant with her husband in diagnosed with breast cancer in 2020 changed her outlook and she decided not to return to she answered an advert seeking Welsh Ambulance Service volunteers and expected to be driving patients to and from hospital."I turned up to the interview and there was a lot of equipment, manikins and defibs and I suddenly realised it wasn't driving patients," she laughed."I thought 'I'm going to give it a go', and it's the best mistake I've ever made."She said friends and family were surprised by the move, as she had always been quite squeamish."But you put this uniform on and you don't see that, you just see the patient. It's given me the confidence to go forward to be a first responder, which is what I'm doing next." Improving survival Over time, it is hoped that these changes will help to improve survival rates for out-of-hospital cardiac and respiratory arrests in Crothers, from Cardiff, said he was well aware that he was "one of the lucky ones" after he had a cardiac arrest last October near the café at Three Cliffs Bay, his friend, the café owner and – by chance – a passing doctor, they were able to use the nearby defibrillator and get his heart beating using CPR. A paramedic was also on the scene within 15 minutes, followed by the Air Ambulance. Anthony woke up two-and-a-half weeks later in the intensive care unit of the University Hospital of Wales in had always been fit and healthy, but a scare earlier in the year had flagged that he had also had a familial risk of heart attacks and had made lifestyle changes to improve his health - but the cardiac arrest came as a huge shock."I was apparently in the right place at the right time, surrounded by all the right people," he said. "If I'd been down on the beach – as I was half an hour before – it might have been a very different outcome."He said he was eternally grateful to his friend Glyn who reacted so quickly, as well as the bystanders walking past who "jumped in and did something"."I've consequently learned that doing something is better than nothing. The training for CPR takes about 15 minutes and I think we should all have some appreciation of what to do."Wales' health secretary, Jeremy Miles, said the changes were intended to "save more lives"."Until now, cardiac arrests have been categorised in the same way as less critical problems like breathing difficulties. This new approach ensures ambulance teams prioritise people with the most urgent needs," he Killens, chief executive of the Welsh Ambulance Service, said: "The ambulance service of today provides much more sophisticated care, so shifting the focus to how many people survive a life-or-death emergency because of our interventions, rather than how many minutes it takes us to arrive, is an important step to reflect that."


The Sun
2 hours ago
- The Sun
I'm a beauty expert – three tips to protect your face from sweat & sun this summer
WITH the summer holidays officially underway, now is the peak time for families to jet off abroad. Even those who aren't planning on heading to the airport still have a packed summer with gigs, festivals, and days out under the hot sun. But even though we all love a bit of sunshine and high temperatures, it can really take a toll on your skin. Long exposure to the sun and heat can make our skin red and dry, and over time, it can lead to wrinkles, age spots and leathery skin. Which is why protecting our faces usually comes at the top of the priority list. So, in a bid to help, one beauty expert has revealed exactly how we can look after our skin in the summer. Professionals at Fresha have shared their top three tips on how you can protect your face from sweat and the sun. And it works for everything from abroad holidays to festivals and weekends away - or any time where you might not have the time to go through your usual, detailed beauty routine. While it's normal for your usual beauty routine to take a back seat during a weekend, it's crucial not to neglect your skincare routine entirely Experts at Fresha The first thing to do is stock up on your cleanser, according to the experts. They said: "Over the summer, cleanser will easily be a crucial part of your skincare routine. "The build-up of oils and dirt after spending a day out can easily result in breakouts, which is why it's so essential that you're still cleansing your skin at the end of each day. "As washing your face in running water may be difficult if you're out at a festival, don't forget to pack plenty of cleansing wipes with you. I let my kid start wearing make-up aged 3 - I've spent £1.5K on her 200 products & her skincare regime has 9 steps "Ensure that you're cleansing your face each morning and evening, ideally with a make-up removing wipe. "Ensure that the cleansing wipes are suitable for sensitive skin and do not contain alcohol to avoid any irritation. "Ideally, aim to bring a small bottle of micellar water and some cotton wool pads with you to thoroughly remove any excess oils." Another thing that the experts recommend is remembering to keep topping up your moisturiser - but not too much. They added: "After cleansing your skin, you should ideally be applying a light layer of moisturiser. "Moisturiser is essential when it comes to maintaining your skin's hydration, particularly during warmer weather. "However, it's important to ensure that you're not over-applying moisturiser to reduce the risk of clogged pores. "Travel-size moisturisers can be a lifesaver during the summer when it comes to maintaining that sought-after glow on the move." Finally, the beauty pros warn that everyone should remember and bring SPF regardless of where they go or what they do. They said: "It's essential to bring plenty of SPF products with you. BEAUTY experts at Fresha have also shared a bonus tip to help look after your face in the summer. The professionals say you should always remove your make-up before going to sleep. They said: "While this may seem like an obvious tip, make-up removal can often take a back seat during the summer or festival season. "Sleeping in make-up can be incredibly bad for your skin, even if it's just for one or two nights. "Failing to remove your make-up, particularly after a busy day at a festival, can result in clogged pores, inflamed skin, irritation, and breakouts. "Sleeping in make-up restricts your skin's ability to breathe and repair itself, which is why it's so important that you bring make-up removing wipes or micellar water with you. "Ideally, you should be cleansing your skin of any make-up each morning and evening to thoroughly reduce the risk of breakouts." "After cleansing and moisturising, ensure that you're applying SPF as the very last step in your skincare routine before heading out for the day. "It's also recommended to reapply SPF every two hours to reduce the risk of the sun drying it off the skin. "If possible, wait at least twenty minutes before going outside after initially applying SPF to thoroughly protect against sun damage." And they've even revealed the easy way to top it up without ruining your make-up. They revealed: "Make-up isn't enough to protect you from the sun, so don't forget to apply a layer of SPF over any make-up to stay protected from any sun damage. "Using a beauty blender or a make-up sponge is an easy way to keep the SPF topped up without rubbing away any make-up. "Sunscreen mists, sprays, and waters can also effectively protect you from the sun while keeping your make-up intact." 2


The Guardian
5 hours ago
- The Guardian
Britain's ‘medieval' health inequality is devastating NHS, experts say
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Rachel Reeves, the chancellor, last week unveiled a £29bn real-terms increase in day-to-day NHS spending – up to £226bn by 2029 – rising to almost half of all non-capital public spending by the government in that time. Wes Streeting, the health secretary, last week pledged to direct billions of pounds of extra NHS funding into poor areas by banning hospitals from overspending and overhauling the formula used to decide the levels of funding GP surgeries receive. This Thursday he will unveil the government's 10 year health plan, which will include radical plans to transform the NHS from a service primarily focused on treating illness to preventing it. However, NHS trust leaders are warning that cuts to other key areas – and long-delayed plans to reform social care and tackle child poverty – will leave hospitals and GPs having to 'deal with the fallout'. There is also unease about how Wes Streeting's ambition to shift the health service from treatment to prevention, to be unveiled next month as part of the plan, square with the deep cuts to regional independent care boards, which are under pressure to axe as many as 12,500 jobs by the end of this year. Saffron Cordery, the deputy chief executive of NHS Providers, which represents NHS trusts, called for a cross-governmental approach to tackle the impact of poverty on health. 'Prevention is better than cure but after many years of underinvestment and cuts there is a lot more to do to achieve the government's ambition of a clearer focus on preventing ill health,' she said. 'Made worse by the cost of living crisis, poverty has played a part in driving record demand for stretched mental health services, particularly among children and young people.' A comprehensive report published by the Joseph Rowntree Foundation (JRF) in 2016 estimated that £29bn of NHS spending was associated with poverty. One of the report's authors, Prof Donald Hirsch of Loughborough University said that although the exact cost today cannot be known without repeating the study, it was likely to be much higher. 'We spend a lot more on the NHS now than in 2014, and if the fraction attributable to poverty were the same, the cost would have risen to nearly £50bn,' he said. 'In fact it could be much higher, since far more people are experiencing severe hardship, including hunger and destitution, which could have strengthened the links between poverty and ill health, and hence higher health spending.' Studies suggest about a quarter of all spending in acute hospital care and primary care can be attributed to greater use of these services by people in poverty. At £50bn a year, spending on health deprivation would be similar to the defence budget and account for about £1 in every £10 spent by the government on all public services. A report by the Royal College of Physicians, published last week, estimated that air pollution – which disproportionately affects deprived communities – was contributing to about 30,000 deaths a year and about £500m a week in NHS and economic costs. Katie Schmuecker, the principal policy adviser at the JRF, said: 'Without an urgent commitment to tackling deep poverty, no plan to improve public services can succeed and the NHS and economy will continue to suffer as a result. 'Hardship is causing avoidable harm to people's health as well as holding back our economy, and failing to act on this costs us all dear.' Schmuecker said widespread deprivation was having a 'devastating' effect on the NHS and the economy. Studies have shown that those living in poverty are getting sicker and access healthcare later, contributing to A&E admissions that are nearly twice as high in the poorest groups and emergency admissions that are 68% higher. Dr Andy Knox, the acting medical director of Lancashire and South Cumbria integrated care board, which spans some of the poorest areas of Britain, said only 'full systemic change' in the approach to public health would curb widening inequality. 'There is an urgency to the situation we find ourselves in,' he said. 'We have not created a healthy society, and particularly for our most disadvantaged communities, this is now having a profoundly negative effect and placing huge pressure on our health and care system.' A report by the Health Foundation last year found that health inequalities are expected to continue over the next 20 years, with people in the poorest areas likely to be diagnosed with major illness a decade earlier than people in the wealthiest. The life expectancy gap between these areas has widened across Britain since 2013, according to the Office for National Statistics. Hugh Alderwick, of the Health Foundation, said the government's mission to tackle poverty and its impact on health 'appears to be missing in action'. He said pressure on the NHS would continue to grow without 'meaningful policy action to improve people's social and economic conditions'. A government spokesperson said ministers were 'determined to change people's lives for the better, helping them out of poverty and protecting those who need it most'. The spokesperson added: 'As part of our plan for change we announced a new £1bn package to reform crisis support, as well as the expansion to free breakfast clubs, increasing the national minimum wage and supporting 700,000 of the poorest families by introducing a fair repayment rate on universal credit deductions. 'We are also reforming the NHS so it is there for everyone, regardless of who they are or where they live, and have hit the ground running, delivering an extra 3.6m appointments since July to cut waiting lists.'