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Klima Bez Dima Magazine

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Klima Bez Dima

Initiative Highlights


04 Events

28

Multimedia

Contest

05

09

14

20

Mostar’s Youth Take a Stand Against

Banja Luka Spoke: Let Us Breathe with

Clean Lungs

We Must Protect Those Most Vulnerable

to Second-hand Smoke

Mitigating the Adverse Impacts of

Smoking: Are Excise on Tobacco Taxes

2 Klima

CONTE

Bez Dima


Journalistic

Publications

41

56

Women

Influencers

23

Smoke Surrounds Us Wherever We

Go. We Demand a Solution!!!

36

25

Sport and Unity: “Two Cities, One

38

Dream”

30

Mirela Biković, 1st Place

42

31

Nikola Kandić, 3rd Place

46

32

Nedžad Spahalić, 2nd Place

50

34

Zerina Bekoli, Honorable Mention

53

35 Kristina Rendić, Honorable Mention

Nejra Džananović, Honorable Mention

Mirnes Bakija, Honorable Mention

Open Fun Football Schools in Bosnia

and Herzegovina

Exposing Children to Tobacco Smoke

is Unacceptable

A Ban On Smoking as a Means to Attract

More Tourists

Smoking and Women’s Health: The

Disproportionate Effects Among the

Sexes

NT

Initiative Highlights

3


4 Klima

Bez DimaEVENTS


MOSTAR’S YOUTH

TAKE A STAND

AGAINST TOBACCO

SMOKE

By Marko Mlikota

Initiative Highlights

5


January 31st marks No Tobacco Day.

Launched in 1982 as a way to alert the

public to the harmful effects of tobacco

smoke, this day is now celebrated

across the region. This year, activists

from the “Klima Bez Dima” (“Environment Without

Smoke”) initiative decided to organize an action

in Mostar to commemorate the occasion.

A creative and interactive video presentation titled

“A Life in Smoke – Save Me!” was presented

at Mostar’s Mepas Mall. As part of the presentation,

the people of Mostar could press a button

that stood in front of a smoke-filled screen to

grant clean air to the person behind the smoke

and symbolically save a life.

Organizers of the Klima Bez Dima event, together

with young people from the Mostar Gymnasium

and the Dance Club “Stars”, and with the support

of the Public Health Institute of the Federation of

BiH, celebrated life and pointed out the necessity

of protecting citizens from exposure to secondhand

smoke.

This event was part of a series of actions organized

in Sarajevo, Banja Luka, and Mostar that

aimed to collect 10,000 signatures of support

as well as to send a message to decision makers

in the legislative bodies of both the Republika

Srpska (RS) and Federation of Bosnia and

Herzegovina (FBiH) entities to work on adopting

and implementing legal solutions that will better

regulate issues related to tobacco control.

Dr. Davor Pehar, Director of the Public Health Institute

of FBiH, states that smoking is the most

widespread addiction in the Federation. He says

that more than 11,000 deaths per year can be

linked to diseases that are directly related to

smoking and exposure to second-hand smoke.

“We hope to encourage the adoption of a tobacco

control law that can support an environment

where smoking in all public spaces is prohibited,

which would reduce the harmful impact of second-hand

smoke on our health,” Pehar adds.

Mostar youth came to show their support for Klima Bez Dima.

Mostar high school teacher, Valentina Planinić,

states that since a law has not been devised to

forbid indoor smoking, there is a smokers’ room

in her school where teachers can smoke.

“It is very hard to educate children about the

dangers of smoking if their educators smoke and

they see them doing it every day. The adoption

of such a law would make educational activities

easier. It would be easier to tell students that

smoking isn’t healthy; that it is very harmful and

that they don’t have the right to endanger others’

health. A smoker not only jeopardizes themselves

but also those around them,” she explains.

Nela Azinović, a student from Mostar, says she

is exposed to tobacco smoke on a daily basis

as most of her friends and family members are

smokers.

“I often advise people to stop smoking, but that

rarely works. As a former student of medicine, I

am more familiar with this problem and with the

harmful effects of it, and I am very concerned

6 Klima

Bez Dima


for the people around me as well as for myself,”

Nela adds, emphasizing that she will be supporting

the Klima Bez Dima initiative because she believes

it can bring about positive and significant

changes for future generations.

Matea Perić, a high school teacher, is also exposed

to the harmful effects of tobacco smoke

on a daily basis.

“When I think about it, I realize that the problem

is a major health threat for the population

in general. Everyone is so accustomed to being

exposed to smoke that it simply ceases to be a

cause for concern. I, therefore, support this initiative

and consider the prohibition of smoking in

public places necessary. This would likely reduce

the number of smokers because they would have

limited opportunities to smoke and there would

be far fewer places where cigarettes would be allowed,”

she says.

Luka Miloš from Mostar is in a similar situation.

Although he is a non-smoker, he is still constantly

exposed to tobacco smoke.

“I’m terribly bothered by this because, first and

foremost, it’s not a pleasant smell and, secondly,

because I often have difficulties breathing due to

my health problems.”

The Klima Bez Dima campaign is a continuation

of efforts designed to raise citizens’ awareness

of the harmful effects of smoking and the consequences

of exposure to second-hand smoke. Everyone,

including children, pregnant women, and

elderly people, is constantly exposed to secondhand

smoke in all public spaces across BiH.

The percentage of tobacco-related mortality in

BiH is among the highest in the world. According

to the World Bank in BiH, more than 9,000

people in BiH die each year from smoking-related

illnesses. The campaign’s initiators point out

that a complete ban on smoking in indoor public

spaces is the only way to protect people from exposure

to tobacco smoke.

Student Marija Sučić explains that, as a nonsmoker,

she is affected by her exposure to smokers

everywhere she goes; from her own home to

public areas such as parks and promenades to

catering facilities.

Special performance by dancers from the “Stars” Dance Club.

Photos: Media Publikum Agency

Initiative Highlights

7


“Tobacco smoke is harmful, especially for young

people and children. I, thus, believe that smokers

should respect other people’s right to breathe

clean air and should not trap them in a room

where the smoke is so thick it resembles fog,”

she says.

Marija also thinks that institutions have a responsibility

to educate youth about the negative

aspects of a smoker’s life.

Student Stjepan Nižić sees smoking as a significant

problem and says that he doesn’t feel relaxed

when in the company of smokers.

“I think this situation presents a problem for the

health of the environment and for the health of

the smokers themselves. The number of young

people who smoke is steadily increasing, despite

the fact that we often see how harmful cigarettes

are and how negatively they can affect our

health, and this worries me,” he explains.

Student Ante Bagarić also views smoking as a

threat to health and the environment. He fully

supports any initiative to implement better laws

in this area.

“I’ve been to countries where smoking in public

places is prohibited and I would personally

like such laws implemented in BiH because they

would improve the quality of health here. I absolutely

support the Klima Bez Dima initiative and

I will definitely sign the pledge to support their

actions. We really need these kinds of initiatives

to bring about lasting changes that will benefit

our society in the long-term,” he concludes.

8 Klima

Bez Dima

Photo: Marko Milikota


Banja Luka Speaks Out:

Let Us Breathe with

Clear Lungs

Tobacco came to Europe in the 16th century. In the beginning, only members of the

upper class – predominantly males – had access to it. Nowadays, however, it is available

across the globe and is easily accessible to anyone and everyone.

By Andrea Aleksić

Students from Banja Luka University’s Faculty of Medicine.

T

obacco is one of the primary

ingredients in a cigarette,

which also contains tar and seven

thousand other substances

that are harmful to humans and

the environment. The victims of

tobacco smoke’s harmful effects

are not just the smokers, but the

people around them who inhale

the smoke coming from the cigarette

as well as the smoke that

is exhaled out of the smokers’

mouth.

The negative impact that cigarettes

have on human health

was noticed since the early 20th

century, however, there are still

many countries around the world

that have yet to take any measure

to reduce people’s exposure

to air that is contaminated with

tobacco smoke. One of those

countries is Bosnia and Herzegovina

(BiH). Unlike developed

European countries or the United

States, smoking in public, indoor

spaces is still permitted in BiH.

Such conditions directly endanger

both the smokers as well as

the non-smokers who have no

other option but to inhale contaminated

air.

Initiative Highlights

9


In an effort to change this country’s current

situation and make our environment healthier,

an initiative called “Klima Bez Dima” was

launched. As part of this initiative, a series

of educational and informational events have

been organized across the country. One such

event was held on January 31st, or No Tobacco

Day, in Banja Luka. The event, titled

“A Life in Smoke: Save Me!” was attended by

students from the Medical University of Banja

Luka, young singers from the MaMa Vox Music

School, and Banja Luka citizens who, alongside

the event’s organizers, shared their opinions

on this important topic.

“Unfortunately, I am constantly exposed to

tobacco smoke. I am not a smoker. I do not

smoke, and my husband stopped smoking four

years ago at the behest of me and our daughter,

so we’ve helped him. In the interest of our

children, I would really love to see this initiative

grow,” says Mirjana (43) from Banja Luka.

Zoran (51), another concerned parent, agrees:

“Most of the parents support this initiative and

I believe it will be successful.”

Nataša (37), an attendee of the event, explains:

“The thing that bothers me the most

is the smoke in public places, especially in the

shopping malls where there are no smoke-free

areas you can take your children to avoid exposure.

Unfortunately, our children are constantly

exposed to contaminated air and there

is no way for us to protect them. I sincerely

hope this initiative will catch on. I will be giving

my support and I really hope others will also.”

The greatest concern regarding this issue was

shown by parents who, even if they are not

cigarette or tobacco product consumers, are

unable to prevent their children’s exposure to

second-hand smoke. Young people typically

grow accustomed to the smoke and, thus, do

not give the issue too much significance.

Srđan (24) says: “I’ve been to countries where

smoking in public places is prohibited. Here, it

doesn’t bother me because pretty much everyone

around me smokes, but it’s undeniable

that this has a bad influence on our health.

This is why I support the initiative to reduce

tobacco smoke in public places.”

In the interest

of our children,

I would really

love to see this

initiative grow.

– Mirjana (43), Banja Luka

10

Klima Bez Dima


We asked student of medicine, Tatjana Grabovac,

for her professional opinion about the

health impact of smoking and exposure to second-hand

smoke. She responded: “Tobacco

smoke is extremely harmful and leads to an increase

in cancer cases, especially lung cancer.

In addition to cancer, smoking and exposure to

tobacco smoke can negatively affect other organs

and systems of the body, which can lead

to a variety of health issues such as cardiovascular

disease, impotence in men, pregnancy

complications in woman, and even blindness.”

Tatjana explains that, although nobody in her

immediate company smokes, she is still constantly

surrounded by tobacco smoke when

she goes out to clubs or coffee places with her

friends. “We need to draw attention to the fact

that you unwillingly become a passive smoker

as a result of continued and prolonged exposure

to second-hand smoke, which increases

your risk of illness. Klima Bez Dima and similar

initiatives incorporate an educational component

that aims to get people to start thinking

more deeply about their life decisions as well

as to motivate them to make the ultimate decision

to quit smoking.”

Smoking is an addiction that has plagued our

society for over five centuries. According to the

World Health Organization (WHO), more than

5 million people die worldwide each year as a

direct consequence of active smoking, while an

additional 500 thousand deaths can be directly

linked to the effects associated with exposure

to second-hand smoke. Tobacco kills more

people than tuberculosis, HIV/AIDS, and malaria

combined, and, according to estimates,

if appropriate measures are not taken in time,

more than 1 billion people will die of tobaccorelated

illnesses over the course of the 21st

century.

Tatjana says that smoking should be viewed as

“one of the risk factors that we ourselves can

prevent, thus reducing the likelihood of cancer

and other related illnesses. We control the

strings, and we all deserve a long and healthy

life.”

Special performance by young singers from the MAMA VOX Music School.

Photos: Media Publikum Agency

Initiative Highlights

11


MIA DEDOVIĆ

12

Klima Bez Dima


(17), Goražde

Klima Bez Dima Multimedia Contest submission

Initiative Highlights

13


WE MUST PROTECT

THOSE MOST

VULNERABLE TO

SECOND-HAND

SMOKE

By Armin Halilović

No Tobacco Day was celebrated in cities across Bosnia and Herzegovina (BiH) with the interactive

multimedia exhibition and artistic performance series called “A Life in Smoke – Save Me!”

organized by members of the “Klima Bez Dima” (“Environment Without Smoke”) initiative.

A

14

s part of Klima Bez Dima’s

No Tobacco Day activities

in Sarajevo, the Athletic Club

“Atleta” from Novi Grad Sarajevo

held an event called “A Race

for the Lives of Young Champions”

while young martial artists

from Karate Club “Perfekt” Sarajevo

delivered an artistic performance

during which they utilized

their craft to symbolically

disperse the dark clouds of tobacco

smoke the envelop much

of Sarajevo’s public spaces.

32-year-old Amel Kapo, the

founder of the first and only

swimming club in BiH for people

with disabilities “Spid”, says

Klima Bez Dima

that he supports the Klima Bez

Dima campaign and initiative.

“First off, my entire family and I

are non-smokers and it definitely

bothers me when I go into an

enclosed area that is filled with

smoke. When we get home afterward,

we literally have to take

off all of our clothes because

they stink of tobacco. If one of

our goals is European Union integration,

then we need to have

and enforce non-smoking regulations.

One of our club’s sayings

is “We are all equal in water,”

so why not be equal on dry

land too?” says Kapo.

Tomislav Cvitanušić from the association

“Maraton” in Sarajevo

notes that health is an integral

part of maintaining a stable

society, and, although a societal

shift towards embracing a

healthier lifestyle is a long-term

process, he believes that initiatives

such as Klima Bez Dima

play a crucial role in moving BiH

forward down this path.

“We are falling behind when

compared to other countries in

our region and in Europe. This

is why it’s even more important

for us to implement such regulations

at an accelerated pace,”

Cvitanušić asserts.


Initiative Highlights

15


A youth member of the Athletic Club “Atleta” from Novi

Grad Sarajevo performs a long jump.

The informal coalition “Partnership for a

Smoke-free BiH” saw No Tobacco Day 2019

as an opportunity to appeal to all levels of

BiH government to fulfill their obligations

and ensure the respect and protection of

the human rights to life and a healthy environment.

The coalition, which is comprised

of forty member organizations, is demanding

the immediate adoption of a new legal

framework that falls in line with the World

Health Organization (WHO) Framework Convention

on Tobacco Control.

An insistence on the adoption of tobacco

control legislation that will improve the

overall health of the population was emphasized

throughout the day’s promotion of the

Klima Bez Dima campaign and BiH is obliged

to comply with the ratified Framework Convention

on Tobacco Control.

Director of Cooperation at the Swiss Embassy

in BiH, Barbara Dätwyler Scheuer, says

that everyone is aware that smoking is allowed

in most public places in BiH, but that

many citizens and decision makers are still

unaware of the harmful effects of exposure

to tobacco smoke and that children are often

the first victims.

“We are joining a call for public action to

Let’s protect the children,

the pregnant women, the

elderly, the non-smokers

and all others who choose

to live a life free of tobacco

smoke.

– Barbara Dätwyler Scheuer, Director

of Cooperation at the Swiss Embassy in

BiH

save lives and ban smoking in public places.

Let’s protect the children, the pregnant

women, the elderly, the non-smokers and all

others who choose to live a life free of tobacco

smoke,” she said.

Professor Aida Ramić Čatak spoke about the

negative health effects of tobacco smoke,

stating that passive and involuntary smoking

involves more people than just those

who are active smokers. Active smokers exhale

three-quarters of their tobacco smoke

into the surrounding environment, thus endangering

all those around them.

Students from the Medical High School Sarajevo come to show

their support for a smoke-free environment.

16

Klima Bez Dima


Special performance by young martial artists from Karate Club “Perfekt” Sarajevo.

The Professor reminds us that anyone who

is staying in a room with other smokers

has the same chance of getting sick from a

smoking-related illness as if they were an

active smoker themselves. Children, newborns,

pregnant women, and patients suffering

from chronic illnesses are particularly

vulnerable under these conditions.

He adds that about 9,000 people die each

year from tobacco-related diseases in BiH

and another 900 die as a result of exposure

to tobacco smoke.

“The average family spends more than

2,000 BAM on cigarettes annually, which is

a lot of money,” concludes Rigolini.

In her opinion, the adoption of legislation is

only one link in the chain, but it is a necessary

link to enforce regulations under which

no one can use their addition to justify the

right to endanger the health of others.

Jamele Rigolini, a Lead Economist and Program

Leader for Human Development and

Poverty for the World Bank, believes that

smoking affects not only health but all aspects

of life, including economics. He states

that the financial costs of tobacco products

in BiH amount to around 900 million BAM

annually, which includes the direct and indirect

costs of the healthcare sector.

Director of Cooperation at the Swiss Embassy in BiH, Barbara

Dätwyler Scheuer (left), and Lead Economist and Program

Leader for Human Development and Poverty for the World

Bank, Jamele Rigolini (right).

Photos: Diego Diaz Tellez

Initiative Highlights

17


18

Klima Bez Dima


Klima Bez Dima was proud to support the smoke-free

charity concert “Positive Vibrations”, which was organized

to contribute to the development of Srebrenica’s music

and art scene. The event was proof that indoor public

smoking is not a prerequisite for a good party!

Photos: Diego Diaz Tellez Initiative Highlights 19


Mitigating the Adverse

Are Excise Taxes on To

Every year more than 8,600 people in Bosnia

and Herzegovina (BiH) die from tobacco-induced

diseases. According to the U.S. Department

of Health and Human Services, tobacco consumption

contributes to a number of health-related diseases

such as cancer, respiratory problems, and

cardiovascular diseases, and evidence shows that

there is also a causal relationship between second-hand

smoking and cardiovascular diseases.

Tobacco’s death toll continues to rise in BiH each

year, while the tobacco industry remains insulated

and the tobacco epidemic rages on with more

than 2,000 children (ages 10-14) and 1,053,000

adults (ages 15+) using tobacco on a daily basis

(The Tobacco Atlas, 2019).

The World Bank Group published a report in February

2019 titled “Time to Quit: The Tobacco Tax

Increase and Household Welfare in Bosnia and

Herzegovina”. The study, which was recently presented

in Sarajevo, is part of a set of assessments

that the World Bank has conducted in countries

across the world. What makes this study unique,

is that it is the first of its kind to be conducted in

BiH. The economists that contributed to the study

are hoping that the empirical evidence gathered

will shed new light on BiH’s tobacco problem and

inform the policy discussions on its tobacco consumption

and excise taxes.

According to the World Bank’s senior economist,

Alan Fuchs, the aim of the study was to assess the

20

Alan Fuchs, World Bank’s Senior Economist at the presentation of the study “Time to Quit: The Tobacco Tax

Increase and Household Welfare in Bosnia and Herzegovina” on 15 February in Sarajevo.

Klima Bez Dima

Photo courtesy of the Post-Conflict Research Center


Impacts of Smoking:

bacco the Solution?

By Paraskevi Peglidou

Photo: Irma Ahmetspahić

distributional effects of increasing the price of tobacco

in BiH. This was done by examining the impact of

three indicators: (1) the increase in the price of tobacco

through tax increases, (2) the reduction in medical

expenses, and (3) the increase in revenues due to the

prolonged years of employment as a result of the higher

life expectancy. In order to evaluate the relative impact

of these indicators, the paper estimates the price

elasticity of tobacco across different income groups

and calculates the welfare gains in each group. The

study concludes that more than 60% of the population

will benefit from subsequent increases in the price of

cigarettes.

In a nutshell, tax increases would raise the price of

tobacco, leading to an overall reduction in its consumption,

which would reduce the adverse effects

of smoking in the long term. Interestingly, the study

also reveals that the benefits for lower-income

households are accentuated, as these households

are more likely to react to price increases by cutting

back on their consumption of tobacco.

The impacts of tobacco consumption extend beyond

just health-related diseases, and issues such

as the vast economic costs of smoking in BiH cannot

be overlooked. The negative consequences on

Initiative Highlights

21


human capital development include an increased

economic burden that results as a loss of labor productivity,

lower earnings due to early mortality and

morbidity, and an increase in the cost of healthcare

expenditures, which currently total around 891 million

convertible marks annually. Estimates suggest

that the total economic costs attributable to smoking

constitute 3.4 percent of BiH’s GDP (World Bank,

2019).

Reducing tobacco consumption in BiH has become

a priority for the World Health Organization (WHO),

not only because of the high health care costs but

also because adjusting current excise tax policies is

a necessity for the country’s accession to the European

Union (EU). The continued harmonization of

excise policy in line with EU standards is required

by every prospective member to the EU, and BiH is

currently only halfway to reaching the minimum EU

excise duty on tobacco. However, the constant and

regular increase in excise duties has resulted in consistent

price increases on tobacco products, which,

according to the WHO Report on the Global Tobacco

Epidemic (2017), has led to a significant decrease in

cigarette smoking among both genders.

According to another report by the Global Youth Tobacco

Survey, the prevalence of cigarette use among

youth (ages 13-15) has also declined from 14.3%

in 2008 to 12.7% in 2013. Another benefit of the

excise taxes is that it results in higher government

revenues, which may then be used to lower taxes

elsewhere or for financing the necessary prevention

and control of cigarette-related diseases.

One of the primary goals of the WHO is to reduce

the consumption of tobacco by promoting the implementation

of MPOWER control policies, which

include tobacco monitoring, smoke-free policies,

smoking cessation support programs, the provision

of health advice and deterrents as well as

taxation policies. Among these policies, tobacco

taxation is considered one of the most efficient

measures to reduce tobacco consumption (World

Bank, 1999).

However, the World Bank’s Country Manager for

BiH, Emmanuel Salinas, recognizes that taxation

of tobacco is only part of the answer and that other

solutions also need to be considered. The effectiveness

of tobacco taxation additionally depends

on how the tax increases impact the final price

paid by consumers. The report concludes that an

integrative approach to anti-tobacco policies that

combine taxation and behavioral change policies

is needed to yield positive social returns.

Emanuel Salinas, World Bank’s Country Manager for Bosnia and Herzegovina at the presentation of the study

“Time to Quit: The Tobacco Tax Increase and Household Welfare in Bosnia and Herzegovina” on 15 February in

Sarajevo.

22

Klima Bez Dima

Photo courtesy of the Post-Conflict Research Center


Smoke Surrounds

Us Wherever We Go.

We Demand a

Solution!!!

The activities of the Klima Bez Dima initiative were presented to

visitors of the 2019 International Economy Fair in Mostar.

Text and photos by Marko Mlikota

Adviser to the Minister of the Federal Ministry of Health Vedran Marčinko.

With the display of the creative “A Life in Smoke”

installation, visitors had the opportunity to get

informed about the goals of the initiative and to

sign a petition to support the creation of a healthier, smokefree

environment in Bosnia and Herzegovina (BiH).

Initiators of Klima Bez Dima are persistent in their goal to

implement amendments to the law on tobacco control in

BiH, which would, in turn, prohibit smoking in public areas.

To accomplish this, they need to gather 10 thousand signatures.

The results of the initiative will soon be presented

during World Anti-Smoking Day, which is celebrated on the

31st of May.

“This bill does not want to ban smoking, but to introduce

order in public places so that tobacco smoke is not inhaled

by people who do not consume tobacco,” said Adviser to the

Minister of the Federal Ministry of Health, Vedran Marčinko.

Minister of Education, Science, Culture and Sports of Herzegovina-Neretva

Canton, Rašid Hadžović, believes that a

healthy environment without tobacco smoke is absolutely

Initiative Highlights

23


Minister of Education, Science, Culture and Sports of Herzegovina-Neretva Canton Rašid Hadžović

gave his support to the Klima Bez Dima initiative by signing the petition during the 2019 International

Economy Fair in Mostar.

necessary, especially for the people his ministry represents

with – the young people.

“As a minister and a man who does not consume cigarettes,

I consider this a good and positive initiative. All of our young

people should turn to a healthy life without tobacco smoke,

and to a healthy life in general. Given that we are surrounded

by smoke wherever we go, I think that a law is needed to ban

smoking in public places,” Hadžović said.

Sabina Memić from the City Administration of the City of Mostar

points out that by supporting a change in the law we

are also working toward the welfare and betterment of our

children’s future lives.

Ivana Ćosić believes that with the implementation of legally

imposed fines, the number of tobacoo product consumers

could be affected. “I think that such initiatives can bring

small, but significant, changes to our society. Changes in

the law would, indeed, contribute to improving the health of

both active smokers and passive ones. The passive smokers

are increasingly being exposed to tobacco smoke on a daily

basis.” says Ćosić.

Andrea Raguž, a student from Mostar, agrees with Ćosić. She

says that “this project is very useful for us and for future

generations, and I hope it will be successful. All people, both

smokers and non-smokers alike, deserve to live in a healthy

environment.”

“We are able to contribute to and present new perspectives

to people about the importance of reducing tobacco consumption

and promoting healthy lifestyles so that our country

and our descendants can live as healthily and happily as

possible,” Memić said.

Danijel Prgomet, a Croatian student who is living in Mostar

during his studies, thinks that smokers’ behaviors towards

non-smokers, and children especially, are inappropriate at

best.

“I’m exposed to tobacco smoke every day, and I think it’s a

health concern. It’s not right that people who smoke poison

the people who don’t smoke. I’m also worried about the fact

that children who are still developing are suffering in this

regard,” Prgomet said.

Sabina Memić, City Administration of the City of Mostar.

24

Klima Bez Dima


Sport and Unity:

“Two Cities,

One Dream”

The European Youth Olympics Festival (EYOF) that took

place February 2019, joined two cities – Sarajevo and East

Sarajevo – in a positive spirit of unity and collective pride to

host this remarkable event.

By Paraskevi Peglidou

“Two cities, one dream,” was the EYOF motto for

2019, and the Festival provided a unique opportunity

for cooperation between Sarajevo and East Sarajevo

to share of a common vision and further build

a sustainable relationship for the future.

The EYOF also presented the opportunity to gain

support and momentum in an area that constitutes

an endemic problem in Bosnia and Herzegovina

(BiH); smoking. According to the World Bank’s report

“Time to Quit: The Tobacco Tax Increase and

Household Welfare in Bosnia and Herzegovina”

(January 2019), over 8,500 people die every year

from tobacco-related diseases. This is a staggering

number of deaths that can be prevented through

the promotion of a smoke-free environment in the

country.

The Swiss Government, the World Bank BiH, entity

Ministries of Health, entity Public Health Institutes,

and other local stakeholders have been working together

to encourage BiH citizens to adopt healthy

lifestyles as well as to develop regulations within

areas influencing the health risk factors of tobacco

and alcohol. As a result of these efforts, the “Klima

Bez Dima” initiative was established as a central

part of the broader project “Reducing Health Risk

Factors in BiH” in an effort to gain public support

for the amendment of the country’s tobacco control

laws.

Klima Bez Dima volunteers joined the EYOF at the

ice hockey finals between the Czech Republic and

Belarus. They spoke with the public, informed them

about the initiative, and asked them to actively show

their support by signing the pledge to restrict smoking

in public spaces. Overall, there was substantial

interest in the initiative and positive feedback. The

event was a promising step towards gaining the

Initiative Highlights

25


support needed for the adoption and implementation

of effective smoke-free policies.

Željko Kajtaz, a member of the Armed Forces of BiH

who was providing security services for the EYOF

event said: “I strongly believe in and support this

initiative. Firstly, we should ban public smoking

because it affects our health. Secondly, because it

affects the environment and stops us from having

a good time in public spaces.”

Saša, a visitor attending the hockey game said: “I

was recently in Germany where smoking in public

places is banned and, truthfully, being back to Bosnia

now makes me ill. I’ve noticed how much environments

with smoke affect my eyes and breathing.

We need to ban smoking in public spaces for

the wellbeing of all of our people.”

This year’s EYOF welcomed more than 1,500

young and talented athletes from 46 European

countries to compete in a variety of sports ranging

from alpine skiing and ice hockey, to figure skating

and curling. Their presence in the city spread the

values of respect, tolerance, and friendship. The

potential of youth as a leading and influential force

of progress made the significance of this event

even greater, and initiatives like Klima Bez Dima

are of immense importance as they aim to create a

healthier environment for the country’s youth.

The positive impact of sport and its power to bring

people together was echoed by Josef Liba, Chair of

the European Olympic Committee CoCom for the

Winter EYOF 2019 in his statement: “From the beginning,

the main goal behind bringing the EYOF to

Sarajevo and East Sarajevo was to show the local

26

Klima Bez Dima


people that there is happiness in the

world, something we can achieve

through sport.”

At the ceremony on 31 January

2019, Nenad Vuković the Mayor of

East Sarajevo said in a statement

to the Balkan Investigative Regional

Reporting Network: “EYOF 2019

sends a message of good cooperation

between the two cities and is a

project that shows that we can cooperate

on the basis on interests

when we estimate that projects will

benefit both cities.” Abdulah Skaka,

the Mayor of Sarajevo, said: “With

this project we have succeeded in

bringing together politics, economy,

culture, and sports.”

Photos: Diego Diaz Tellez Initiative Highlights 27


MultimediaC

28

Klima Bez Dima


Photo: IRMA AHMETSPAHIĆ (20), Sarajevo

K

lima Bez Dima invited youth from

across Bosnia and Herzegovina to

submit creative multimedia content that

tackles topics related to smoking in BiH

and its impacts and/or that promotes the

benefits of a smoke-free environment. The

content submitted as a part of this contest

was featured on the Klima Bez Dima social

media platforms in an effort to promote the

amendment of BiH tobacco control laws

and advocate for a healthier environment

for the country’s citizens.

In total, 35 submissions from 15 different

cities across Bosnia and Herzegovina

were received. Three top winners and four

honorable mentions were selected to win

a cash prize.

ontest

Initiative Highlights

29


1 st PLACE

MIRELA BIKOVIĆ

22 years old, Lukavac

Mirela’s winning video submission explores the physical and mental health effects of

cigarettes and presents two potential realities - one is a life consumed by cigarettes,

while the other is a life free of smoke. Her short film first reveals the smoker, who is

irritable, anxious, and unfocused, followed by the non-smoker, who is happy, calm,

and able to enjoy the clean air. Mirela also presents data on the physical health

effects of smoking. Surprisingly, smokers inhale only 15% of the tobacco smoke;

the rest impacts the second-hand smokers around them. The video concludes

with the actress making the choice to live a life without smoke and she urges others

to do so as well.

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Klima Bez Dima


3 rd PLACE

Nikola’s winning video submission shares a message from the perspective of an

active smoker who is all too familiar with the ramifications of smoking on their

health, such as an increased risk of cancer, heart attack, and bodily changes. They

also know that it impacts their finances, but despite their knowledge of the dangers

and downsides, quitting proves difficult. The central message of Nikola’s video,

however, is that although one may be an active smoker, one still has the choice

not to endange those around them. You don’t have to be a non-smoker to be a

supporter of Klima Bez Dima!

NIKOLA KANDIĆ

26 years old, Bileća

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31


Nedžad

32

Klima Bez Dima


2 nd PLACE

- Got fire?

- Nope. Only fresh

spring water today.

19 years old, Sarajevo

Spahalić

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33


HONORABLE MENTIONS

ZERINA BEKOLI

14 years old, Sarajevo

At just 14 years old, Zerina received special permission to participate in the contest

and her creative video submission highlights the history of cigarette production,

the harmful health effects of cigarette toxins, and the impacts of secondhand

smoke on children. Zerina points out that current cigarette production

uses 50 toxins, including hazardous rat poison, and that these toxins can lead

to harmful health outcomes, such as damage to the smokers’ respiratory and

urinary systems. They can also lead to various forms of cancer, including lung,

cervical, and esophageal cancer, as well as fatal heart diseases. With these negative

health effects in mind, Zerina is an avid supporter of the Klima bez Dima

initiative.

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Klima Bez Dima


KRISTINA RENDIĆ

26 years old, Prijedor

Kristina’s winning video submission showcases international support for the Klima

Bez Dima initiative and a life without tobacco smoke. Smoking indoors can harm

those who chose not to smoke through second-hand smoke. Kirstina believes that

active smokers have a responsibility to ensure that their choice does not harm the

non-smokers around them and she is not alone in that belief! Her friends from across

the globe, some of whom are medical professionals, also support the initiative. Her

friends from Banja Luka, Gradiška, Bihać, Novi Grad, Novi Sad, Belgrade, Podgorica,

Budva, Germany, Hungary, Poland, Russia, Turkey, and France, all hold up a sign

that reads: “I want a life without tobacco smoke”.

Initiative Highlights

35


36

Klima Bez Dima


NEJRA DŽANANOVIĆ (24), Sarajevo

Initiative Highlights

37


My Quitting

It’s been exactly one year, seven months, and 28

days since I smoked my last cigarette.

A mere 20 minutes after quitting, Anyone who has quit smoking knows how difficult

your blood pressure decreases, and painstaking the process is. From the time I

and your heart rate normalizes.

high school until the age of 29, I saw cigarettes as

a reward, a comfort, a five-minute break from work

The app informed me that the

or lectures, an ideal way to spend time while waiting

for city transport, or, very often, just a habit that

carbon monoxide in my blood

had dropped to normal levels

was very difficult to give up on.

within 12 hours.

As usual, I would prepare my cigarettes and coffee

right after I woke up. The combination of that morning

coffee and a cigarette is really good. So good

that even today, nearly two years after I quit smoking,

I still envy smokers for being able to partake in

that morning ritual.

I never imagined that I would say goodbye to my

long-standing habit that morning.

In the latter days of my addiction, I noticed that I

began to cough a lot, but I didn’t pay much attention

to it. My mother was very worried, and she

said that I should stop smoking, to which I always

responded negatively, although I really did wan a

life without cigarettes. Some smokers advised me

to switch cigarettes, but I was so loyal to the brand

I was consuming that even that seemed like a big

change for which I didn’t have the courage.

It was a pleasant, sunny September day when I

went with friends to the local pool. I packed my

cigarettes and went to go take part in one of my

Photo: Armin Halilović

favorite activities – swimming. I remember it well.

38 Klima Bez Dima


Journey

MIRNES BAKIJA (31), Sarajevo

There were five cigarettes left in the

box, which I decided was enough to

get me through my time at the pool.

However, rather than enjoying what

was once one of my favorite activities,

swimming now often turned into

a torture due to my lack of physical

fitness, which I had difficulties accepting.

I knew that smokers were less fit

and got tired more quickly than did

non-smokers, but that was truly the

day that convinced me of that fact.

Although I was already coughing, I lit

a third cigarette to go along with my

afternoon coffee. Suddenly I began to

think about how my fitness will deteriorate

more and more in the future

and, at that moment, something just

snapped inside of me. As I was holding

a cigarette in my hand, I turned to

a group of my friends and announced

that this was my last cigarette. I remember

how they laughed, thinking I

was kidding.

The Day After My Emotional

Break-up with Cigarettes

On that first morning without a cigarette,

a coffee without a cigarette, the

mere thought of life without cigarettes

sounded terrible. I was very nervous,

and I had to let some steam off on

someone, because I guess I thought

there must be a culprit for the difficult

situation I was in.

The second day was twice as hard and

I remember how I managed to get in a

fight with almost anyone with whom I

came into contact, so I made the decision

to stay home. I thought I would

probably lose all my friends if I continued

to fight with everyone. I was lazy

that day, and I laid around wondering

why cigarettes were so important to

me and what they represented.

When someone wants to quit smoking,

they simply have to learn to live without

cigarettes. From today’s perspective,

to quit smoking is to learn how to

do all the things we did as smokers,

but now as non-smokers. If we “survive”

all the situations where cigarettes

were an important factor, then

I believe that we would be fortunate

enough to say that we are truly nonsmokers.

To this day, I’ve kept the box that

holds those two remaining cigarettes

as a reminder of how hard it was to

quit, but also as a proud reminder of

the decision I made and stuck with it.

Initiative Highlights

39


Phone Apps to Quit Smoking are Really Motivating

The mobile app that I used at the start of my journey,

and that even still use today, is called “Smoke Free”.

I felt a new sense of motivation each night when I

received an electronic badge in the app that marked

another day without cigarettes. Collecting those

electronic badges gave me immense satisfaction for

some reason.

A mere 20 minutes after quitting, your blood pressure

decreases, and your heart rate normalizes. The

app informed me that the carbon monoxide in my

blood had dropped to normal levels within 12 hours. I

received a second notification that my circulation had

improved significantly and that my lung function had

increased, which was noticeable when I breathed. I

experienced an occasional cough for the first nine

months, which then disappeared right around the

time the app informed that the coughing would subside.

After almost a year and 8 months of nicotine abstinence,

the app says that the risk of pulmonary

carcinoma has decreased by 16% and that the risk of

a heart attack has decreased by 11%. These statistics

tell us how much cigarettes actually damage our

organs, and it takes up to 10 years to fully recover.

Today, the 603rd day since I gave up smoking, the

application shows me that I have saved 2,657.00

BAM. I now use that money to travel, which makes me

happy and keeps me far away from the temptation of

cigarettes.

Physical Activity is a Good Ally

For many, weight gain after quitting is a common occurrence,

so you should try to increase your physical

activity and adjust your diet as much as possible. I

decided to eat whatever I wanted for the first month

until the worst part had passed. The fact that I was

already thin made it a bit easier, so the eight kilograms

I gained wasn’t so terrible.

Walking after work gave me great pleasure because I

was finally able to walk five kilometers without experiencing

difficulties breathing. Every time cigarettes

entered my mind, I would get up and go take a walk

through nature or the city. After a certain period of

time, I started running, and the first time I ran five

kilometers was really a special day for me.

It all felt like I was being reborn. You simply feel

healthier and more energized. You can easily wake up

in the morning and your brain works much better.

One of My Best Life Decisions

Quitting cigarettes requires a lot of work and effort,

but today I consider it one of my best life decisions.

It wouldn’t be honest to say that I never think about

cigarettes, but unlike the first days and months after

I quit, the thought now only crosses my mind for a

few here and there. No matter how strong our bond

with cigarettes is, we very often only smoke out of

boredom.

In 2018, the World Health Organization stated that

tobacco is the leading cause of preventable deaths.

Eight million people die annually from the effects of

active or passive smoking, and one smoker dies every

six seconds. Lung disease, stroke, heart attack, and

cancer are the major diseases associated with the

consumption of cigarettes. In the 20th century alone,

more people died from the effects of smoking than in

the First and Second World War combined.

Today, I read every text that presents information

about the harmful effects of smoking, whereas before

and I would skip such media content. And, every time

I read about the consequences of smoking, I’m proud

and happy that I’m no longer a part of those dark

statistics.

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Klima Bez Dima


JOURNALISTIC

PUBLICATIONS

Initiative Highlights

41


Open Fun Footbal

in Bosnia and Herz

The importance of sports for children and young adults cannot be underestimated.

Sports are a great way for children to learn essential life skills that will

serve them in later life, such as teamwork, cooperation, and the principles of a

healthy lifestyle.

F

or the last 21 years, the small team at the

Cross Cultures Project Association (CCPA)

has been working to re-engage people of different

backgrounds in Bosnia and Herzegovina (BiH)

through sports, with an emphasis on football, to

create safe “meeting places” to help people rebuild

trust and breakdown hatred and fear. Since

the program began in 1998, CCPA has engaged

66,950 children in BiH alone, and 244,451 children

throughout the Balkans, in multi-ethnic football

programs. Many of these programs’ past participants

have returned as young adults to coach the

next generation of children.

After working in BiH for the UNHCR during the war,

Anders Levinsen decided to return to the country in

42

Klima Bez Dima


l Schools

egovina

By David Lander

1998 to help rebuild. It was during

that time that Levinsen came

up with the idea to use football

as an uncomplicated and relaxed

way to rebuild trust and break

down the hatred, fear, and animosity

that lingered in communities

that remained divided. Thus,

CCPA was founded with a vision

to utilize football schools and

camp programs to create safe

‘meeting-places’ for BiH youth.

Vildana Delalić-Elezović, CCPA’s

Project Coordinator for BiH, described

that, during those initial

years, there was, “a lot of rebuilding

in terms of new roads, new

bridges, new infrastructure, new

everything, but hardly anything

was done to rebuild communities

and the relationships between

people.”

football programs for people regardless

of their skill level, gender,

and social, ethnic, religious or

political backgrounds. Each event

follows a “two-city approach” in

which at least two municipalities

of largely different ethnic makeups

are brought together, engaging

children from each community.

In addition, rather than

splitting the participants into two

teams to play against each other

as would be the case in a typical

football match, they are divided

into twelve groups by age,

intermixing children from each

municipality. The twelve groups

of children then spend their time

transitioning through twelve different

stations to learn football

skills and play games that incorporate

various approaches to cooperation

and teamwork. These

games additionally allow the children

to build relationships among

peers within their age group by

simply being on a team together.

The OFFS program not only encourages

relationship-building

among its youth participants but

also adults from different communities,

which begins long before

the actual events take place.

Using football as the central and

primary focus, the OFFS program

The organization’s main program

is its Open Fun Football Schools

(OFFS), which operates under

the simple and powerful Cross

Cultures slogan of “bringing people

together” and offers children

from across ethnic and social divides

and from different regions

and municipalities are offered a

way to interact and build relationships

through a shared love

for football. The OFFS provide allinclusive,

five-day and one-day

Initiative Highlights

43


creates a safe space for adults from different societies

and backgrounds to meet and interact with one

another in positive ways. With incredible buy-in

from the municipalities, the program has never had

to pay or rent a football field for their programs,

and, as a special bonus, CCPA donates all of the

football equipment to the communities involved for

continued use following the event.

The OFFS program has achieved great success over

the past two decades. Since its inception in 1998,

CCPA has led 325 five-day OFFS programs in BiH

and 1,228 programs across the Balkans in Serbia,

Croatia, Montenegro, Kosovo, and Macedonia.

These programs have not only engaged 244,451

children throughout the Balkans but have also inspired

many of their former youth participants to

return as counselors and coaches to replicate the

lessons they learned and help build relationships

similar to those they established as a result of their

previous participation.

In addition to teaching young people football and

how to be teammates with other children from

different communities and backgrounds, CCPA

has been able to impart other important lessons

to those involved in their programs. During each

OFFS event, the organization creates what it calls

“Station 13”, which is dedicated to teaching participants

about subjects outside of football. In the

past, Station 13 has included lessons about landmine

awareness, ecology, and efforts to reduce littering.

These lessons delivered during play, physical

exercise, and football matches help contribute

to the holistic development of youth throughout the

Balkans. In the future, CCPA hopes to use “Station

13” to deliver lessons about the dangers of smoking

as part of BiH’s national Klima Bez Dima antismoking

initiative. Several studies show that youth

involvement in sports can greatly contribute to the

prevention of tobacco, alcohol, and drug abuse.

One such study of U.S. public high school students

entitled ‘Her Life Depends On It III’ conducted by

the Women’s Sports Foundation, found that those

who participated in organized sports were 22%

less likely to smoke cigarettes and that the more

involved a girl was in sports, the less likely she was

to smoke.

In August 2018, the OFFS programs were further

expanded to include young migrant children living

in BiH. During a five-day OFFS program, which

was held in the Bosnian town of Cazin, CCPA-BiH,

with the support of the International Organization

of Migration (IOM), was able to engage migrant

children from a nearby migrant reception center.

One of the program’s trainers described how the

migrant and local youth were able to actively socialize

and build relationships despite the fact that

they did not speak the same language. He described,

“They have found a way to overcome the

language barrier using the international language

of sports.” Programs like these demonstrate the

inherent willingness and desire among children to

find ways to interact and build relationships with

one another no matter their differences. Through

their extensive football programs, CCPA has been

able to teach children from different communities

and backgrounds that they can become friends and

teammates despite their differences.

44

Klima Bez Dima

Photos courtesy of the Cross Cultures Project Association


FARIS ŠABOTIĆ (19), Sarejevo

Klima Bez Dima Multimedia Contest submission

Initiative Highlights

45


Smoke is U

Exposing Ch

According to a study

by the World Bank,

more than one million

adults and two thousand

children aged

10 to 14 in Bosnia and

Herzegovina are daily

tobacco users. Not

only does tobacco

usage impact the users,

but also creates

issues such as exposing

non-smokers to

second-hand smoke,

and experts warn that

even brief exposure

warrants risk.

Medical doctor Stela Stojisavljevic says that passive smoking (inhaling tobacco

smoke from the environment created by others who smoke tobacco and tobacco

products) is harmful to the health of both children and adults.

46

Klima Bez Dima

“For people who have never smoked, inhaling of tobacco smoke causes severe difficulties

in breathing, a feeling of constriction of the lungs, and coughing. Passive smoking

also increases the risk of cardiovascular disease, stroke, and lung cancer and is particularly

detrimental to young children as it affects their growth and development,” she

explains to Balkan Diskurs.

According to Stojisavljevic, children who are regularly exposed to smoking rooms are


ildren to Tobacco

nacceptable

By Tatjana Milovanović

Photo: Mirko Pincelli

more likely to experience ear infections, bronchitis, asthma, and

other respiratory illnesses.

“Even brief exposure to passive smoking is a risk to one’s health.

In addition to the health effects, passive smoking also has economic

consequences: smoking rooms must be painted more frequently,

clothes must be washed more frequently, and the need to

frequently “air out” rooms during the winter requires the use of

additional heating,” she adds.

Another significant issue is the fact that smoking is still allowed

inside of BiH schools, despite the numerous warnings of health

care workers.

Nusreta Jamakovic, a teacher in Sarajevo, says that the most effective

solution would be a complete ban on smoking inside of

schools and school districts.

“Another option could be the placement of a cage-like smoking

room next to the main building where everyone could see us. I

Initiative Highlights

47


think that many of us would be too ashamed to go out there to

smoke and would, thus, opt not to do so,” she said.

One of the tobacco control measures that has proven most

successful, according to Dr. Stela Stojisavljevic, is a ban on

smoking in public places.

“A ban on smoking in public places results in a gradual decrease

in the number of cigarettes smoked by smokers, which

gradually leads to a decrease in the number of smokers. A ban

on smoking in public places also reduces exposure to tobacco

smoke for the non-smokers that make up the majority of the

population,” she says.

The percentage of tobacco-related deaths in Bosnia and Herzegovina

is one of the largest in the world. A study conducted

by the World Bank warns that passive smoking causes many

respiratory illnesses, both in children and adults, and it is estimated

that smoking results in nine thousand deaths a year, of

which around ten percent are non-smokers who are exposed

to tobacco smoke.

Stojisavljevic explains that by banning smoking in public places,

a social message would be sent that smoking is not a socially

acceptable behavior, which has a proven impact on the

attitudes of young people about smoking, and, in turn, could

mean they would be less likely to start smoking.

“Education and health care workers should serve as role models

and, therefore, it is not advisable for them to expose young

people to their smoking habits,” Stojisavljevic says.

As outlined by the World Health Organization’s Framework

Convention on Tobacco Control (FCTC), effective measures

to protect people against exposure to tobacco smoke require

the complete elimination of tobacco smoke from public indoor

places.

The draft Law on Control and Restricted Use of Tobacco, Tobacco

Products and Other Smoking Products in the Federation

of Bosnia and Herzegovina (FBiH) and the draft Law on

the Protection of the Population from Tobacco Products and

Other Smoking Products in Republika Srpska (RS) fall in line

with both the Framework Convention on Tobacco Control and

the European Tobacco Products Directive (EUTPD).

In the FBiH, this draft law has been positively assessed and

adopted by the House of Representatives and the House of

Peoples following the first reading, and is currently awaiting

its final adoption by the FBiH Parliament. The RS is still awaiting

the adoption of the draft of their draft law.

It is a dismal reality that almost 60 percent of young people

aged 13 to 15 are exposed to tobacco smoke in their own

homes. Almost every BiH household has a parent that smokes

and many young people are exposed to tobacco smoke in this

way.

According to research results published in the Republika Srpska,

80.7% adults were exposed to smoking in public places

and 53.6% were exposed in the workplace. In addition, among

young people aged 13 to 15, 8.6% of boys and 7.1% percent

of girls are smokers.

Teacher Nusreta Jamakovic warns of another problem – the

increasing consumption of hookahs, which medical workers

claim is even more harmful than smoking.

“Hookah is very popular among primary school students and

the State needs to find a way to get the use of hookahs under

control. At the moment, there is no law dealing with this issue

and it is something that needs to be dealt with immediately,”

she warns.

Photo: Velija Hasanbegović

48

Klima Bez Dima


FARIS ŠABOTIĆ (19), Sarejevo

Klima Bez Dima Multimedia Contest submission

Initiative Highlights

49


A Ban On

Smoking

as a Means

to Attract

More Tourists

Bosnia and Herzegovina is currently regatded as one of the

most desirable countries for those who like tobacco smoke.

Tourist services come second to those who constantly consume

tobacco, so public places rarely have non-smoking

areas.

By Kristina Gadže

50

R

ecent research on the

health situation of the

adult population in the Federation

of Bosnia and Herzegovina

(FBiH) shows that as many as

44 percent of adults are regular

smokers, of whom 56 percent

are men and 31.6 percent

are women, with an average

consumption of 16.9 cigarettes

a day.

Klima Bez Dima

Numerous cities in BiH are trying

to halt this statistic, the

city of Mostar included. This

goal is also supported by the

“Klima Bez Dima” initiative,

which aims to support and promote

no tobacco smoke in all

catering spaces in BiH. The initiative

was launched as part of

the “Reduction of Health Risk

Factors in BiH” project supported

by the Government of

Switzerland and implemented

by the World Bank in BiH in

partnership with entity health

ministries, entity public health

institutes, and other local

stakeholders.

The Tourist Board of Hercegovacko-Neretva

County (TZ

HNŽ) points out that the exact

number of non-smoking establishments

in Mostar is unknown,

but that it is a condition

that is most certainly required


by tourists.

“Since Mostar is visited by

tourists from countries with

non-smoking laws in place

with regard to enclosed public

places, they have become accustomed

to such conditions,

so their stay in places where

smoking is allowed definitely

bothers them. We believe that

the local shops, if technically

feasible, should be asked

to have separate spaces for

smokers, especially in the areas

where food is consumed,”

says expert associate of HZ TZ,

Ramiz Basic.

According to Basic, the decision

to ban smoking in enclosed

public places would

significantly contribute to the

improvement of Mostar’s reputation

as a tourist destination

where the latest catering sector

trends are being monitored

and rules that allow tourists to

enjoy areas free of smoke are

being adopted.

According to a public map of

Mostar’s smoke-free locations,

there are only three catering

facilities that have a non-smoking

area – the Teco coffee shop,

the Kriva Cuprija Hotel, and the

McDonald’s fast-food chain.

“We believe that a decision

should be made to ban smoking

at the bus and train stations,

as well as at the Mostar

airport, at the very least. We

also think there is a need to increase

efforts to ensure that a

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51


number of the restaurants located in areas

most-frequently visited by tourists are nonsmoking,

“Basic said.

There are a large number of people from

abroad that live in Mostar who must now

adapt to this crazy way of life. “I know of only

one cafe in Mostar that has a non-smoking

area. It’s near the University of Mostar. Most

places are best suited for smokers, which

often worries me. I am concerned for the

people’s health, especially that of the young

people who smoke,” says Xiukun Meng, a

Chinese language and culture lecturer at the

University of Mostar.

According to the official Klima Bez Dima website,

9 out of 10 BiH citizens are exposed to

tobacco smoke in a public place, while 85

percent of children are exposed to tobacco

smoke in the living rooms of their own

households.

“I often have to meet with business colleagues

in smoky cafes, and that presents a

problem because they don’t like such places.

I only know of three places that support the

non-smoking initiative, of which is Lux Bar at

the INTERA Technology Park, so it’s very difficult

if someone is looking for a nice meeting

place that is free of tobacco smoke,” says

Jonathan Trousdale, a representative of the

“Every Student” association who has been

living in Mostar for years.

The Klima Bez Dima initiative has visited numerous

cities across BiH over the past couple

of years, Mostar included, with the goal

to spread awareness of the many problems

living with tobacco smoke presents. The initiative

ultimately aims to change BiH law on

tobacco control in order to prohibit smoking

in all indoor public spaces.

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Klima Bez Dima

Photos: Mladen Topić


Smoking and Women’s

Health:

The Disproportionate

Effects Among the Sexes

By Jade Penancier

In her book, “From Outrage to Courage”, feminist scholar

Anne Firth Murray remarks: “Being born female is dangerous

for your health. This reality may not be true for many

readers, but for most women living in poor countries

around the globe, it is devastating.”

Most people are aware of the devastating consequences of tobacco consumption, though few people know that

smoking unequally affects men and women. Smoking environments and the tobacco industry are particularly

dangerous to women, whether they are active smokers or non-smokers.

Global health organizations systematically disaggregate their statistical data between male and female populations.

Some primary reasons for this approach are that tobacco addiction provokes different health issues in men and women,

and that smoking behaviors generally differ between the two sexes. In a fact sheet on Gender and Tobacco published

in 2003 by the World Health Organization, the authors remark that “[…] female smokers risk increased cardiovascular

disease, in particular while using oral contraceptives, and higher rates of infertility, premature labor, low birth weight in

infants, cervical cancer, early menopause, and bone fractures.” Due to hormonal factors, women are more prone to cervical

cancers as well as complications due to the combination of contraceptive pills and tobacco chemical substances.

The difference between male and female smokers is also related to different “psycho-social aspirations” (WHO 2003).

Distinct prevailing gender norms for men and women greatly influence reasons to take up or quit smoking. Gender stereotypes

are fully exploited by tobacco industry marketing campaigns. For men, tobacco consumption is associated with

Initiative Highlights

53


virility, manhood, and adventure, values acclaimed

as typically masculine. Conversely, advertisements

targeting women associate tobacco with “seductive

but false images of vitality, slimness, emancipation,

sophistication, and sexual allure” (WHO 2003). In

addition, many tobacco brands design so-called

“light” or “slender” cigarettes, marketed as less

harmful and aimed to attract non-smoking women

and girls. The Tobacco Atlas points out that these

marketing campaigns are especially harmful to gender

equality. The website states, “[t]o appeal to

more customers, the tobacco industry markets its

products aggressively to women and children”.

At the global level, statistical data show a clear

prevalence of male smokers. According to the Tobacco

World Atlas “[g]lobally, 942 million men and

175 million women ages 15 or older are current

smokers.” Charts presenting data for each country

systematically indicate a higher number of male

smokers, with some dramatic gender gaps in China,

for instance, which has 236 million male smokers

and 14 million women smokers.

Do these discrepancies mean that women are less

in danger of dying from tobacco consumption? No,

in fact, it’s quite the opposite. The high exposure

to Environmental Tobacco Smoke (ETS) makes female

non-smokers particularly vulnerable to the

side effects of tobacco consumption. For instance,

the WHO fact sheet remarks that “lung cancer death

rates in the European Union are nearly three times

higher for female compared to male non-smokers,

which researchers attribute to exposure from spousal

smoking.”

The Bosnian and Herzegovinian context reflects

overall global trends between male and female

smokers. The Tobacco Atlas for BiH shows that, despite

the recent progress made in tobacco regulation

policies, Bosnian men smoke 48% more than in

other countries with a High Development Indicator

(HDI), while 30% of Bosnian women smoke more.

This gender gap in smoking habits is a clear indicator

of the gender economic gap in BiH. As highlighted

in a Gender Analysis Report published by Measure

BiH, gender inequality in employment is high in

both of BiH’s entities. One oft-cited statistic is that

two-thirds of the unemployed population in BiH are

women. As a consequence, in most Bosnian traditional

households and in rural areas, women tend

to have lower—if any—incomes than their husbands

and cannot afford to buy tobacco.

54

Klima Bez Dima


”[…] female smokers risk increased cardiovascular disease, in

particular while using oral contraceptives, and higher rates

of infertility, premature labor, low birth weight in infants,

cervical cancer, early menopause, and bone fractures.

A closer look at the World Bank report on The Tobacco

Tax Increases and Household Welfare in BiH published

last February reveals other interesting facts

about tobacco consumption and gender inequality

in the country. On the one hand, men and women

suffer equal mortality rates from tobacco-related illnesses.

In 2015, out of the total of 20,267 recorded

victims of direct tobacco consumption, 10,300 were

men and 9,927 were women. On the other hand,

charts showing the medical costs of treatment for

tobacco-related diseases surprisingly indicate significant

gender gaps. Overall, women spend much

less money on medical expenses to cure their tobacco-related

diseases (see Table 6, page 23), with

around 68 million BAM spent on men and 24 million

BAM for women.

and addiction issues are too often stigmatized and

many women worldwide lack access to free and

quality mental health services. So, what solutions

are available? The first priority seeks to assure that

non-smokers are protected from the harmful effects

of tobacco smoke. In BiH, the World Bank has recently

launched the “Klima Bez Dima” initiative to

ban smoking in public spaces across the country. In

addition, more services like those of Asocijacija XY,

who provides local youth with psychological support

and reproductive health counseling, should be made

more broadly available to women and girls in BiH.

These various facts and figures indicate that tobacco-consumption,

as well as second-hand smoking,

is not only a gender-related issue in BiH but worldwide.

Access to healthy living environments is a basic

human right, however, a great majority of women

must suffer the side-effects of smoking, especially

in poorer countries where there is still a lack of tobacco

regulation.

One should also bear in mind that smoking is connected

to mental health issues, which are still prevalent

in post-conflict societies like BiH. In addition,

depression and other mental health issues are important

factors for taking up smoking for both sexes

in poorer countries. Unfortunately, mental disorders

Photos: Amila Žunić Initiative Highlights 55


THE

WOMEN

INFLUENCERS

OF KLIMA BEZ

DIMA

Each year, the 8th of March presents a special opportunity

to celebrate women across the globe who

play central roles in our lives as leaders, peacebuilders,

mothers, changemakers, daughters, educators,

health care providers, role models, and much more.

That is why Klima Bez Dima used the month of March

2019 to highlight important messages from brave

and inspirational BiH women who are dedicated

to protecting, improving, and empowering the lives

of those around them – women who advocate that

breathing clean air is the right of all citizens.

56

Klima Bez Dima


“You can live life with clear

lungs only when you give

yourself the same amount

of attention as you give others.”

SANDA MEŠINOVIĆ, fitness trainer

and Kundalini yoga teacher

“Smoking is ‘démodé’. I don’t

want my free time to be dictated

by smoke. I want to

breathe freely.”

MAJA SALKIĆ, actress from the

Sarajevo War Theater

“I’m proud to use my voice

to support a healthy, smokefree

environment.”

MAJA MANOJLOVIĆ, artist and

teacher at the Mama Vox vocal

studio

Initiative Highlights

57


Every fall provides a

new opportunity and

motivation to stand

up, go further, and try

harder.

RAZIJA MUJANOVIĆ, celebrated Bosnian

basketball player and humanitarian whose

work is featured in the International Basketball

Federation Hall of Fame in Geneva.

Razija

58

Klima Bez Dima


Mujanović

Initiative Highlights

59


“Women in BiH are both

ladies and champions. If

you give them enough

support and let them

spread their wings,

they can reach divine

heights.”

“Emotional intelligence

is of the utmost importance

for a women in

a world that is going

through an extensive

digital transformation.”

LARISA HALILOVIĆ, educational

expert and executive

director of the British Council

of Bosnia and Herzegovina

60 Klima Bez Dima

NUDŽEJMA SOFTIĆ, lector at

Al Jazeera Balkans, president

of “Trčanje i to” association,

and marathon runner


“I want my right to clean

air!”

HATIDŽA NUHIĆ, costume designer

and TV author

“A real Bosnian woman

does not accept unhealthy

compromises.”

SAMIRA NUHANOVIĆ, founder

of KOOPERATIVA

Initiative Highlights

61


Klima Bez Dima

Klima Bez Dima is part of the “Reducing Health Risk Factors in BiH” project supported

by the Government of Switzerland and implemented by the World Bank in

BiH in partnership with entity Ministries of Health, entity Public Health Institutes,

and other local stakeholders.

www.bit.ly/klimabezdima

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