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18/10/2024

5th Istanbul Initiative Summit Brought Together Leading Names on Addiction and Public Health

Istanbul Initiative is a global network of NGOs dedicated to advocating for prevention and recovery efforts. Launched with its first summit in 2019, the initiative focuses on preventing addictions and developing sustainable public health policies. The 5th Istanbul Initiative Summit was held on October 8-9, 2024, ahead of World Mental Health Day. This two-day hybrid event was held at the headquarters of the Turkish Green Crescent Society, with more than 50 participants from over 30 countries. During the 5th Istanbul Initiative Meeting, Country Green Crescents also participated and shared their knowledge and experiences in the field of addiction from Jordan, Albania, Somalia, and Ethiopia, South Africa, and Nigeria. Representatives from various countries delivered impactful presentations on addiction prevention strategies and successful practices. The event concluded with closing speeches from Türkiye's Minister of Family and Social Services, Ms. Mahinur Özdemir Göktaş, and the Deputy President of the Turkish Green Crescent Society, Ms. Sümeyye Ceylan. With its commitment to collaboration and innovative approaches, the Istanbul Initiative remains a key platform for advancing efforts in addiction prevention and public health worldwide.

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PUBLIC HEALTH

Addictions represent a major public health concern, being among the primary causes of preventable diseases and associated fatalities. As such, public health initiatives worldwide are conducted in the interest of the community and are consequently funded by governmental bodies. The International Federation of Green Crescent (IGCF), in collaboration with Country Green Crescents, actively engages in preventive measures regarding addiction as a public health issue and spearheads awareness campaigns in partnership with organizations dedicated to public health efforts.

In the realm of public health, it's vital to subject the emergence and spread of issues, as well as methods to prevent them, to rigorous scientific researches. This involves analyzing scientific data and sharing it with the public and authorities. National and international scientific conferences play a crucial role in exploring approaches to preventing addiction and assessing implementation opportunities within the context of public health.

Ensuring the health and well-being of individuals without any disease or disability, maintaining their health and improving it as well as enhancing their quality of life are fundamental responsibilities within the field of Public Health. While other medical specialties prioritize treating diseases, Public Health places health above all else. In Public Health, healthcare must be provided to the entire community, regardless of whether there's a demand for services, as being healthy is not just a prerequisite for individual happiness but also a human right that extends beyond personal welfare to societal well-being.

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In Public Health services, a variety of initiatives aim to preserve and enhance public health. These include immunization against infectious diseases, nutritional education to promote balanced diets, measures to combat air and water pollution, preventive actions against harmful substance use like alcohol and addiction and raising awareness to encourage healthy lifestyles. Since ordinary individuals typically don't seek out such services on their own, ensuring their participation in these initiatives requires specialized expertise and presents a challenging task.

3 Elements of Public Health (3P)

(P)revention  

(P)romotion 

(P)rotection  

Why Public Health Matters?

  • It supports the early detection of health issues and the implementation of suitable treatment methods.

  • With its interdisciplinary approach, it also delves into the socio-economic factors underlying disease causes, offering vital insights for effective solutions.

  • Public health caters to the entire population, ensuring no individual is left in disadvantaged circumstances.

  • It ensures the community is well-informed about health threats.

  • Through preventive measures, it presents a cost-effective alternative compared to the funds allocated for treatment.

Public Health from a Sustainable Development Perspective

Public health, a cornerstone of sustainable development, intersects with various issues and sectors, spanning from economics to social engagement, climate change to security. Therefore, collaboration, a prerequisite for global development, is an integral aspect of public health endeavors.

While the Millennium Development Goals set specific targets for certain diseases between 2000 and 2015, the Sustainable Development Goals established in 2015 articulate a broader objective in health. Aligned with the aim of "Ensuring healthy lives and promoting well-being for all at all ages," the UN has issued a global call to action. As the International Federation of Green Crescent, we continue our efforts to localize this objective and foster collaboration among diverse stakeholders.

Development and Public Health

Countries with the most successful public health initiatives are typically those classified as developed nations. Recognizing that a nation's most valuable asset is its healthy human capital, these countries prioritize preventive and promotive activities to safeguard and enhance public health, rather than solely focusing on hospital-based medical treatments. Consequently, in countries that prioritize public health, where individuals rarely seek healthcare facilities with requests such as "prolong my life" or "protect my children from infectious diseases and harmful substance habits," the average life expectancy at birth is significantly longer, infant and child mortality rates are much lower, and overall health indicators are notably superior compared to other nations.

Globally, one of the major challenges in addiction treatment lies in the disparities in accessing appropriate treatment and support services. Especially in low-income countries, there may be insufficient resources and expertise available for addiction treatment. This situation exacerbates global inequality in addressing addiction-related issues.

In order to address this issue, IFGC collaborates with Country Green Crescents globally to prevent addiction and raise awareness about public health aspects of addiction.

Public Health in Addiction

On a global scale, tobacco use remains one of the greatest threats to public health, causing over 8 million deaths annually and tobacco control continues to be a global health priority. According to the World Health Statistics 2023 report, there have been significant reductions in per capita alcohol consumption in Europe (17% decrease) and Africa (18% decrease) between 2000 and 2019, while the Americas region has experienced stagnation, and significant increases in per capita consumption have been observed in the Southeast Asia (112% increase) and Western Pacific (40% increase) regions.

Additionally, a study published in Tension Trusted Source has found that even small amounts of alcohol consumption can raise blood pressure.

Current research on gambling shows that approximately 40% of adolescents engage in simulated gambling games. However, it is noted that even these games, which do not involve financial risk, can still increase individuals' interest in gambling. The shift of adults who grew up with video games and online gambling to sports betting is the newest area of interest for researchers trying to understand the effects on both people with gambling addiction and those exposed to gambling early.

In June 2023, the United Nations Office on Drugs and Crime (UNODC) published the "World Drug Report." According to the report, one out of every 17 individuals aged 15-64 has used at least one illicit drug within the past year. The estimated number of drug users increased from 250 million in 2011 to 296 million in 2021. Additionally, according to the European Drug Report, cannabis continues to be the most widely consumed illicit drug in Europe.

Efforts in public health require a special worldview, a different philosophy, and are an open field for collaboration not only for physicians but also for many professions related to health or social sciences.

Since public health efforts are directed towards society without individual demands and results take a long time to emerge, successful outcomes may not be immediately visible. Therefore, the primary source of satisfaction in preventing addiction is the improvement in the health status and quality of life of the communities in which individuals live. In this regard, the voluntary-based struggle of Country Green Crescents in the field of public health is a critical dynamic that nourishes global well-being and public health.

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On August 21, 2024, the 5th Youth Advocacy Forum was held, bringing together young participants aged 18-30 from various countries. The forum, which focused on the theme of "Electronic Cigarettes and Electronic Products" was also graced by the presence of representatives from different Green Crescent organizations. Among them, Muhammad Galaev, Head of the Youth Information Block at Dagestan Green Crescent, delivered a remarkable and insightful speech, drawing attention to his personal experiences. In his address, Mr. Galaev reflected on his participation in the 67th Session of the United Nations Commission on Narcotic Drugs (CND), which was organized by the United Nations Office on Drugs and Crime (UNODC). He shared key moments from a particularly meaningful side event he attended, titled “The Role of Sports and Mental Health in Preventing Addiction.” His reflections underscored the importance of promoting mental well-being and encouraging active lifestyles as effective strategies in protecting individuals from substance abuse. Moreover, Mr. Galaev took the opportunity to express his heartfelt appreciation for the unwavering support provided by the International Federation of Green Crescent Societies during the CND. He emphasized how the Federation’s presence and contributions at such global platforms enhance the visibility of civil society’s role in advocating for healthier, addiction-free communities. The forum proved to be a significant platform for young advocates, allowing them to exchange experiences, raise awareness on pressing issues like electronic nicotine delivery systems, and discuss collaborative solutions aimed at preventing addiction in future generations.

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Green Crescent provides scholarship support to master's, doctoral and medical residency students conducting thesis research on tobacco-cigarettes, alcohol, drugs, technology, gambling and other addiction forms at universities, institutes and research centers outside of Türkiye and the Turkish Republic of Northern Cyprus (TRNC). The aim is to contribute to Green Crescent's areas of addiction research.Green Crescent aims to be a source for national and international efforts against addiction, fostering scientific research to contribute to addiction literature, aid in the development of policies and action plans, and support the growth of young researchers. To achieve this goal, Green Crescent has launched the International Graduate Thesis Research Scholarship Support Program, starting in 2024, to provide support for qualitative and quantitative research in many fields from health sciences to social sciences. The scholarship program offers a total of USD 3600 for master's students and USD 7200 for doctoral and medical residency students. The application deadline for the program is June 30, 2024.Green Crescent’s International Graduate Thesis Research Scholarship Support Program will consider thesis research in the following areas: Tobacco Use and Addiction Drug Use and Addiction Alcohol Use and Addiction Technology Use and Addiction Gambling and other forms of behavioral addiction In the 2024/U1 Period International Graduate Thesis Research Scholarship Support Program, Green Crescent will provide scholarship support in line with its strategic plan and goals for research in the specified following areas:Alcohol Addiction Evaluations of the effectiveness of alcohol consumption prevention efforts among young people National and international legal regulations on alcohol consumption and implementation results The effect of family values on alcohol consumption The effect of alcohol industry activities on alcohol addiction The effect of alcohol on public health in the context of violence and traffic accidents The effects of alcohol use in OECD countries in the context of developed and developing countries Problems caused by alcohol use in traffic The activities of the alcohol industry on social media platforms The effect of the pandemic period on alcohol addiction Tobacco Addiction Studies on the frequency of use of electronic cigarettes/heated tobacco products Etiological studies on electronic cigarettes/heated tobacco products Assessments of knowledge, attitude and behavior on the use of electronic cigarettes/heated tobacco products The effects of electronic cigarettes/heated tobacco products on human health Assessments of knowledge, attitudes and behaviors related to hookah use Evaluations of the effectiveness of tobacco use prevention efforts Studies on the effects of flat packaging Evaluations of the effectiveness of smoking cessation services on a national and international basis. National and international legal regulations on the consumption of tobacco products and implementation results Regional activities of the tobacco industry and their impact on consumption behavior Comparative studies examining the transposition of the Framework Convention on Tobacco Control into domestic legal systems Studies examining the opinions of smokers and health sector workers on the inclusion of electronic cigarettes in smoking cessation practices Studies on passive smoking Studies on tobacco control policy instruments in Türkiye and the world (e.g. price and taxation, sales procedures, age restrictions, etc.) The effect of the pandemic period on tobacco addiction Studies examining the relationship between infectious diseases and tobacco products Ethical problems that will arise from the tobacco industry's positioning in the health sector (with new statuses such as pharmaceutical companies) Current status, setbacks and needs in smokefree airspace implementations Research examining the reasons for the recent increase in the prevalence of tobacco use among women in all age groups Studies investigating compliance with smoke-free airspaces Drug Addiction Investigating factors influencing the use of different drugs Etiological studies on the causes of drug addiction Studies on the frequency of cannabis use among university youth/ Studies on the frequency of drug use among university youth Evaluations of the effectiveness of activities to prevent drug use among youth The effects of drug use/multiple drug use on public health (e.g. unemployment, discord in family life, dropping out of education, etc.) Studies to develop reintegration models that would enable individuals with a history of drug abuse/addiction to take part in business life Examination of trends in the misuse and abuse of prescribed medicines Studies for the development of analytical methods for the detection of new psychoactive/drug substances Studies that examine regional trends in the legalization of drugs Studies comparing the  drug policies of Türkiye with those of regional and global organizations Studies examining the role of civil society organizations in the fight against drug addiction in the context of international examples Problems caused by drug use in traffic Studies investigating the abuse of addictive drugs and active substances in the health sector The effects of the pandemic on drug addiction Prodrug use and preventive studies Drug use in women/pregnant women and its effect on infants/neonatal mortality Investigating the effects of parental drug use on children and the family structure Investigating the frequency and reasons for drug use among children/youth raised without parents Drug use among disadvantaged individuals and examples of preventive good practices Behavioral Addictions (Studies on digital gaming, gambling, excessive use of social media, excessive use of smartphones and online pornography) Etiological studies on the causes of behavioral addictions (Example: Genetic factors, psychopathology, environmental factors, peer relationships, mental resilience, etc.). Studies on the prevalence of behavioral addictions on a large scale National/international policies and legal regulations on behavioral addictions DSM-5 or ICD-11 based scale development studies on behavioral addictions Studies on the treatment of behavioral addictions (psychotherapy and medical/pharmacological treatment) Studies examining the relationship between digital game addiction and gambling addiction The effects of the pandemic on behavioral addictions Studies supporting the conscious use of technology in school-age children General Studies that examine the effectiveness of psychotherapeutical approaches in addiction treatment practices Studies that examine the moral and philosophical dimensions of addictions Studies that examine the relationship between family relationships and addiction processes (e.g. domestic violence, etc.) Spirituality-based approaches in prevention and treatment practices related to addictions Social work activities related to addictions Comparisons of the social policies among countries on addiction Substance abuse and addictions in the workplace (alcohol, illicit substances, digital gaming and gambling addiction) Examining the effectiveness of prevention activities related to addiction Studies that examine the level of knowledge and attitudes of healthcare professionals regarding addictions Possible effects of energy drinks on young people Studies examining the relationship between addiction and criminal behavior Relationship between consumption and addiction Relationship between addiction and venues Social and economic impacts of practices and policies related to addictions Examination of the changes in the social and emotional behavior of individuals (adolescents, young people) under treatment and intervention: Longitudinal study For detailed information on the 2024/U1 Period International Graduate Thesis Research Scholarship Support Program, you can refer to the application guide provided below. The scholarship results are expected to be announced within a minimum of 3 months from the application deadline.For further inquiries, you can contact scholarship@yesilay.org.tr for detailed information.International Scholarship Application Guide:https://www.yesilay.org.tr/assets/uploads/pdf/international-scholarship-application-guide-v2.pdf International Graduate Thesis Research Scholarship Support Program Application Form:https://www.yesilay.org.tr/assets/uploads/pdf/international-graduate-thesis-research-scholarship-support-program-application-form.docx 

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