Best Practices And Challenges On Smoke Free Environments In Asean Countries
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Best Practices And Challenges On Smoke Free Environments In Asean Countries

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    Best Practices And Challenges On Smoke Free Environments In Asean Countries Best Practices And Challenges On Smoke Free Environments In Asean Countries Presentation Transcript

    • Bungon Ritthiphakdee
    • 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 Hospitals
      • Smokefree Ministries
      • 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
        • Restaurants (indoor)
        • Night market
    • Thailand: Stepwise approach but fast
        • Public transport
        • Health Facilities
        • Education facilities
        • Religious places
        • Government buildings
        • Private office buildings
        • Air conditioned restaurants
        • Hotel lobby
        • Internet shop
        • Public park
        • 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
      • Enact legislation
      • 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
        • Restaurants
        • Entertainment facilities
      • Miss outdoor public places
        • Market
        • Beach
        • Bus stop
    • 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
        • Smokers
        • 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,
      • laws:
        • are binding;
        • 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 .
      • Enforceable
        • Who is responsible, what is the system of fines
        • Imposing heavy penalities (for both public and trade offenders)
      • Comprehensive
        • Protection FOR ALL
        • Avoid exempting certain classes of premises
    • Anticipate opposition
      • 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
    • 3. Enforcement
      • 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
      • Key messages
        • 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
      • Implementation plan
        • Involves stakeholders
        • Information packages for business
      • Enforcement plan
        • Communicate that enforcement will be fair and that policy-makers are serious about it
        • Groups of Inspectors
        • Reasonable “grace period”
        • Monitor implementation
      • 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)