Best Practices And Challenges On Smoke Free Environments In Asean CountriesPresentation Transcript
SFE as WORLD NO TOBACCO DAY ’s theme
1991 Public places and transport : Better be tobacco free.
1992 Tobacco free work places : Safer and healthier.
2001 Second-Hand Smoke : Let’s Clear the Air.
2002 Tobacco Free Sports – Play it clean.
2007 Smoke Free Environment
Smoke-free Policy in ASEAN
Milestones of the Smoking Ban in Singapore 1970 Public buses, cinemas, theatres, 1973 Lifts 1982 Amusement Centres 1988 Hospitals, medical clinics, maternity and nursing homes, indoor areas of fast food restaurants & indoor ice skating rinks 1989 Air-conditioned restaurants, departmental stores, supermarkets, convention halls, indoor sports arena, public libraries & museums 1992 Private buses, taxis, air-conditioned hair dressing salons, banks, Supreme Court, Subordinate Courts & Small Claims Tribunals 1994 ALL air-conditioned workplaces 1995 ALL air-conditioned shopping centres, public queues, underground walkways 1997 ALL schools, air-conditioned shops, enclosed areas in universities and private clubs 2005 ALL public toilets, bus shelters and interchanges, community clubs, swimming pools and open air stadia 2006 ALL hawker centres, coffeeshops and similar al-fresco eating establishments 2007 ALL entertainment outlets such as pubs, bars, discos & lounges
Brunei: comprehensive in 2007
Hospitals, medical clinics & nursing homes
Any area in an educational institution or higher educational institution
Entertainment centre includes amusement centre, cinema & theatre (NB. Pubs & discos non-existence)
Eating place (both A/C & non-A/C)
Indoor sports area or sports stadium, bowling alley, billiard saloon, gymnasium & aerobic & fitness centre
Shop, Shopping complex, Lobby of a hotel, Internet cafe
Building or public place used for religious purposes
Any motor omnibus, any private bus, any private hire bus, any school bus, any taxicab, Public transport terminal
Government premises, includes a building, tent or other structure, whether permanent or otherwise
Queue of 2 or more person in a public place
Cambodia: religious settings
Smoke Free Temples
Nine Ministries declare smoke free
Indonesia and Philippines: best practices in cities
National law/regulation allow designated Smoking areas
Lao PDR: Small but beautiful
Smokefree World Heritage city
Smokefree Women Union
Smokefree SEA Games
Laung Prabang: Smoke Free Heritage city
Smoking not allowed in
World Heritage buildings
Government and private offices
Schools, hospitals and temples
Hotels and guesthouses
Thailand: Stepwise approach but fast
Private office buildings
Air conditioned restaurants
Indoor sport arena
Night club and bar
Non air con restaurants
public places e.g. market
Vietnam: Strengthening legislative measures
National policy , 2000: provide guideline for smoking ban including encouraging people not to smoke at social festivals, weddings, funerals
Directive of MOH , 2001, “health facilities”
Directive of Ministry of Transportation 2005, public transportations, waiting areas and other crowded places.
Prime Minister Directive , 2007
a) Total ban smoking at indoor work places , hospital , schools , kindergarten , places with high risks of firing and on public transport.
b) Places with smoking areas: indoor public places ( libraries, cinemas, stadiums, exhibition centers and waiting rooms of train stations, bus stops, airports ), indoor entertainment areas, restaurants, bars, karaokes, hotels and discos, separate areas need to be arranged for smokers;
100% smoke-free environments!
Implement 100% smoke-free environments for all indoor workplaces and public places
Implement and enforce the law
Implement educational strategies to reduce SHS exposure in the home
1. Not Comprehensive
Allow designated smoking areas indoor
Not cover all indoor workplaces
Miss outdoor public places
Can exposures be reduced through ventilation and “air cleaning”? Aim: Reduce exposures to level of 1 death per 100000 workers per 40 year working lifetime Current standard: 2.8 air changes per hour Required ventilation: 8400 air changes per hour
Why designated smoking area should not be allowed?
It fails to protect people’s health
Others employees esp. cleaners
Ventilation doesn’t work
Economic burden to owners of the place
Risk of fire
Complicated to enforced
There is no safe level of exposure to second hand smoke
Implementation of 100% smoke-free environments is the only strategy proven to provide an acceptable level of protection from the dangers of SHS exposure .
2. Need Legislation with penalties
Legislation is far more effective than other document,
establish enforcement mechanisms;
impose penalties for infringements; and
level the playing field for business.
Where we are? Brunei Comprehensive law and policy Cambodia Tobacco Control law drafted Lao PDR Tobacco Control law drafted Indonesia MOH directives/law drafted Malaysia (nearly) Comprehensive law Philippines (nearly) comprehensive law Singapore Comprehensive Law and policy Thailand Comprehensive Law and policy Vietnam Directives/ law drafted
Simple, clear, enforceable, comprehensive
Simple & clear
Avoid complicated tests to determine when or where smoke-free settings are required (e.g. time of day or surface of the premise or designated smoking rooms),
Instead, require all indoor workplaces, public places and public transportation to be 100% smoke-free, all of the time .
Who is responsible, what is the system of fines
Imposing heavy penalities (for both public and trade offenders)
Protection FOR ALL
Avoid exempting certain classes of premises
claim that smoke-free laws
are not necessary
are not feasible
will have a negative impact on business
Say ventilation solves the problem
The tobacco industry use a third party, e.g. hotel/restaurant association or gambling, to promote its positions
Impact of Smoke-free Workplaces According to Philip Morris
Total prohibition of smoking in workplaces strongly affects industry volume
Smokers facing these restrictions consume 11–15% less on average and quit at a rate that is 84% higher than average
Milder workplace restrictions, such as smoking only in designated areas, have much less impact on quitting rates and very little effect on consumption
Philip Morris Inter-Office Correspondence. Philip Morris, USA, 1992
How can we have effective implementation and enforcement with limited resources?
How to gather support to ensure legislation can be implemented successfully?
Engaging key stakeholders e.g. restaurants association, and workplaces in promoting smoke free areas
Active consultation with the public on implementation
On-going education on the harmful effects of ETS to create a conducive environment of support for the ban
Important role of media
Educate and consult
Raise awareness among the public and opinion leaders
Harm caused by SHS exposure
Elimination of smoke indoors is the only science-based solution
Right of all workers to be equally protected by law
No trade-off between health and economics
Develop implementation plan and ensure infrastructure
Information packages for business
Communicate that enforcement will be fair and that policy-makers are serious about it
Groups of Inspectors
Reasonable “grace period”
Infrastructure for enforcement
Funding, signage, toll-free hotline
Involve civil society
Civil society involvement is critical to creating a supportive political climate
Civil society has access to networks to which governments may not and may have greater freedom of communication
Governments should support and facilitate civil society’s participation in developing and implementing smoke-free laws.
Smoke free home
Do parents smoke while being with kids?
64.3% Smoking when going out with kids
46.5% Smoking at home
37% Smoking in car while with kids
25% Smoking while watching TV with kids
Kids suffer from parental smoking (Source: ABAC Survey on parents smoking, November 2003)