Sfe The Singaporean Experience


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  • Run through strategies & objectives: To reduce smoking prevalence rates by: Preventing smoking initiation among youth Promoting smoking initiation among smokers Protecting non smokers by eliminating exposure to second hand smoke
  • Sfe The Singaporean Experience

    1. 1. SMOKE-FREE ENVIRONMENT: THE SINGAPORE EXPERIENCE Expanding Smoke Free Environments KL 8-9 August 2009 Joanne Chandler Adult Health Division, Health Promotion Board Chian Jian Wei Policy Department, National Environment Agency
    2. 2. PRESENTATION OUTLINE <ul><li>Introduction: Jo Chandler </li></ul><ul><li>Smoking situation in Singapore </li></ul><ul><li>National Smoking Control Programme </li></ul><ul><li>Smoke-free legislation in Singapore: Chian Jian Wei </li></ul><ul><li>Milestones: smoke-free legislation </li></ul><ul><li>Implementing smoke-free legislation </li></ul><ul><li>Next steps & challenges ahead </li></ul>
    4. 4. SMOKING SITUATION IN S’PORE Smoking Prevalence of Singapore Residents (18-69 years) Source: Ministry of Health Singapore
    5. 5. SMOKING SITUATION IN S’PORE Percentage Breakdown of Singapore Residents by Ethnicity, 2008. Source: Monthly digest of Statistics-April 2009, Singapore Department of Statistics, http://www.singstat.gov.sg/pubn/reference/mdsapr09.pdf 74.7 13.6 8.7 2.8 Chinese Malay Indian Others Total: 3.64 mil
    6. 6. SMOKING SITUATION IN S’PORE Smoking Prevalence (%) By Gender & Ethnic Group 2007 13.6 3.7 23.7 Total 11.4 1.5 20.6 Indian 23.2 5.5 41.3 Malay 12.3 3.6 21.2 Chinese Total Females Males Ethnic Group
    7. 7. NATIONAL SMOKING CONTROL PROGRAMME National strategies: MULTI- PRONGED Public Education Partnerships Legislation Taxation Smoking Cessation Services REDUCE SUPPLY REDUCE DEMAND
    8. 8. NATIONAL SMOKING CONTROL PROGRAMME Global Agreements: <ul><li>Singapore ratified the FCTC in 2004 </li></ul><ul><li>Sets protocols & guidelines to help focus national strategies </li></ul><ul><li>Article workgroups for shared learning </li></ul>
    9. 9. NATIONAL SMOKING CONTROL PROGRAMME <ul><li>Health Promotion Board – lead agency for overall tobacco control </li></ul><ul><li>Health Science Authority – tobacco regulation and enforcement </li></ul><ul><li>Ministry of Health – lead government body for HPB/HSA </li></ul><ul><li>National Environment Agency – lead agency on smoking bans & enforcement </li></ul><ul><li>Singapore Customs – illicit trade & import/export control </li></ul>Co-ordination mechanisms, strategy & planning:
    11. 11. MILESTONES:SMOKE-FREE LEGIS’N <ul><li>First enacted in October 1970 </li></ul><ul><li>Administered by National Environment Agency under Smoking (Prohibition in Certain Places) Act </li></ul><ul><li>Now, 37 categories of public places & 5 categories of public transport </li></ul><ul><li>Fully implemented FCTC Article 8 </li></ul>
    12. 12. Smoke-Free Places (70s and 80s) Effective Date Places where Smoking is Prohibited Oct 1970 <ul><li>Omnibus </li></ul><ul><li>Cinemas </li></ul><ul><li>Theatres </li></ul>Mar 1973 <ul><li>Lifts </li></ul>Oct 1982 <ul><li>Amusement Centres </li></ul>July 1988 <ul><li>Hospitals, Maternity Homes, Medical Clinics and Nursing Homes </li></ul><ul><li>Indoor areas of fast food outlets </li></ul><ul><li>Indoor ice-skating rinks, roller skating rinks and roller discotheques </li></ul>Sep 1989 <ul><li>Selected air-con departmental stores </li></ul><ul><li>Mini-supermarkets, supermarkets </li></ul><ul><li>Air-con restaurants </li></ul><ul><li>Public libraries, museums and art galleries </li></ul><ul><li>Convention halls, Ballrooms, Function Rooms </li></ul><ul><li>Indoor sports arena including bowling alleys, billiard saloons, gymnasiums and fitness centres </li></ul>
    13. 13. Smoke-Free Places (90s) Effective Date Places where Smoking is Prohibited Apr 1992 <ul><li>Private buses, school buses and taxi </li></ul><ul><li>Air-con hair-dressing saloons and barber shops </li></ul><ul><li>Banking halls </li></ul>Dec 1992 The Supreme Court, Subordinate Courts and Small Claims Tribunals Sep 1994 Air-con offices, factory floors, enclosed or air-con common areas of private residential premises Mar 1995 Changi Airport terminal building (air-con area) Dec 1995 <ul><li>Air-con shopping centres </li></ul><ul><li>Underground pedestrian walkways </li></ul><ul><li>Queues in public places </li></ul>Aug 1997 <ul><li>Selected air-con areas/ facilities in private clubs </li></ul><ul><li>Schools, polytechnics, junior colleges and ITEs </li></ul><ul><li>Enclosed/ air-con areas in universities </li></ul><ul><li>Air-con shops </li></ul>
    14. 14. Smoke-Free Places (2000-2010) Effective Date Places where Smoking is Prohibited Oct 2005 <ul><li>Public toilets </li></ul><ul><li>Bus interchanges/ shelters </li></ul><ul><li>Swimming pools </li></ul><ul><li>Community centres/clubs </li></ul><ul><li>Stadiums </li></ul>Jul 2006 <ul><li>Coffeeshops and non air-conditioned foodshops </li></ul><ul><li>Hawker centres </li></ul>Jul 2007 <ul><li>Entertainment outlets </li></ul>Jan 2009 <ul><li>Non air-con shops, shopping centres, offices, factories </li></ul><ul><li>Markets </li></ul><ul><li>Underground and multi-storey car parks </li></ul><ul><li>Ferry terminals </li></ul><ul><li>Lift lobbies </li></ul><ul><li>Hotel lobbies </li></ul><ul><li>Playgrounds and exercise areas </li></ul><ul><li>Entrances </li></ul>
    15. 15. IMPLEMENTING SMOKE-FREE LEGISLATION <ul><li>Planning </li></ul><ul><li>International benchmarking & meeting FCTC obligations under Article 8 </li></ul><ul><li>Reviewing & agreeing national strategies </li></ul><ul><li>Identifying & gathering support from National partners </li></ul><ul><li>Assessing level of support from public & trade </li></ul><ul><li>Drafting legislation </li></ul>
    16. 16. IMPLEMENTING SMOKE-FREE LEGISLATION <ul><li>2. Implementing </li></ul><ul><li>Enacting the law </li></ul><ul><li>Public education campaign </li></ul><ul><li>Enforcement planning & training </li></ul><ul><li>Publicising penalties & offences </li></ul><ul><li>Monitoring & reviewing </li></ul>
    17. 17. IMPLEMENTING SMOKE-FREE LEGISLATION <ul><li>Enforcement infrastructure & strategies: </li></ul><ul><li>NEA </li></ul><ul><li>- Monitor public compliance </li></ul><ul><li>- Work with managers of premises to ensure ban is observed </li></ul><ul><li>- Conduct enforcement blitzes at problematic places </li></ul><ul><li>Manager of Premises </li></ul><ul><li>- Obliged under law to enforce ban </li></ul><ul><li>- Empowered to ask smokers to stop smoking or leave the premises </li></ul>
    18. 18. IMPLEMENTING SMOKE-FREE LEGISLATION <ul><li>Mobilising the community: </li></ul><ul><li>Public consultation </li></ul><ul><li>- Online consultation </li></ul><ul><li>- Focus group discussion </li></ul><ul><li>- Dialogue sessions </li></ul><ul><li>Ground Work with Operators </li></ul><ul><li>- Briefing </li></ul><ul><li>- Site visit </li></ul><ul><li>- Providing collaterals </li></ul>
    19. 19. IMPLEMENTING SMOKE-FREE LEGISLATION <ul><li>Mobilising the community: </li></ul><ul><li>Publicity </li></ul><ul><li>- Posters </li></ul><ul><li>- TV commercials </li></ul><ul><li>- Publicity by trade </li></ul><ul><li>- Press coverage </li></ul>
    20. 20. IMPLEMENTING LEGISLATION Public education: e.g’s of posters
    21. 21. IMPLEMENTING LEGISLATION Public Education: Print advertisements (2007)
    22. 22. IMPLEMENTING LEGISLATION Working with trade: Issuing Guidelines
    23. 23. IMPLEMENTING LEGISLATION Working with trade: publicity by partners (2007)
    24. 24. IMPLEMENTING LEGISLATION Press coverage (2007)
    25. 25. IMPLEMENTING SMOKE-FREE LEGISLATION Publicising Penalties: Nature of Offence Composition of Offence* If Convicted in Court Smokers smoking in prohibited places [Section 3(2)] $200 [1 st and subsequent offences] 1 st and subsequent conviction: Fine not exceeding $1,000 Manager failing to display notice [Section 5(3)] 1 st offence: $200   2 nd and subsequent offence: $500 1 st and subsequent conviction: Fine not exceeding $1,000 Manager failing to take action against offender [Section 6(4)] 1 st conviction: Fine not exceeding $1,000 2 nd and subsequent conviction: Fine not exceeding $2,000
    26. 26. IMPLEMENTING SMOKE-FREE LEGISLATION <ul><li>Summary of effective policies: </li></ul><ul><li>Advocacy </li></ul><ul><li>- Whole-of-government approach </li></ul><ul><li>- Active consultation with public, key opinion leaders & industry </li></ul><ul><li>- Education on harmful effects of second-hand smoke </li></ul><ul><li>- Mobilising the community </li></ul><ul><li>- Important role of media </li></ul>
    27. 27. IMPLEMENTING SMOKE-FREE LEGISLATION <ul><li>Summary of effective policies: </li></ul><ul><li>Clear legislation </li></ul><ul><li>- Roles of manager of premises </li></ul><ul><li>- Infrastructure for enforcement </li></ul><ul><li>- Heavy penalties for violation </li></ul><ul><li>Regular review </li></ul><ul><li>- Evaluate effectiveness of legislation </li></ul><ul><li>- Revise legislation to close loopholes </li></ul>
    28. 28. NEXT STEPS & CHALLENGES AHEAD <ul><li>Strengthen current strategies: </li></ul><ul><ul><li>Visible enforcement & penalties </li></ul></ul><ul><ul><li>Maintaining public support </li></ul></ul><ul><ul><li>Review current list & move away from partial bans, separate smoking areas etc </li></ul></ul><ul><li>Explore new strategies: </li></ul><ul><ul><li>Public education through research on harmful effects of second-hand smoke to reach areas that are not part of current legislation e.g. vehicles, homes, protecting children </li></ul></ul><ul><ul><li>Explore extending bans </li></ul></ul>
    29. 29. NEXT STEPS & CHALLENGES AHEAD <ul><li>Whole-of-government approach: </li></ul><ul><ul><li>Alignment with national smoking control programme </li></ul></ul><ul><ul><li>NEA to continue collaborations with Health Promotion Board, Health Science Authority, Ministry of Health, Ministry of Manpower </li></ul></ul><ul><ul><li>Singapore as a Centre for Excellence on a global platform </li></ul></ul><ul><ul><li>WCTOH 2012 in Singapore </li></ul></ul>
    30. 30. Thank You