Malaysian Policy On Sfe


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Malaysian Policy On Sfe

  1. 1. 3 rd Conference of the Malaysian Council for Tobacco Control (MCTC) HUKM, 8 – 9 August 2009 Dr. Zarihah Zain Unit for Tobacco Control & FCTC Ministry of Health Malaysia Email: Malaysia’s Initiatives on Smoke Free Environment: Malaysian Policy on SFE
  2. 2. <ul><li>An integral part of tobacco control strategy in Malaysia </li></ul><ul><li>Rule on banning smoking in cinemas (1973) </li></ul><ul><li>Administrative ban on smoking in hospitals and clinics (1975) </li></ul><ul><li>Administrative prohibition of smoking in Government offices (1982) </li></ul>
  3. 3. <ul><li>Control of Tobacco Product Regulations (Under Food Act 1983) </li></ul><ul><li>1993 </li></ul><ul><li>2004 (Amendments) </li></ul><ul><li>2008 (Amendments) </li></ul>
  4. 4. <ul><li>Prohibition of smoking: </li></ul><ul><ul><li>Theaters & entertainment centres </li></ul></ul><ul><ul><li>Hospital & clinics </li></ul></ul><ul><ul><li>Public lifts </li></ul></ul><ul><ul><li>Air-conditioned eating places </li></ul></ul><ul><ul><li>Public transportation </li></ul></ul><ul><ul><li>Designated locations in Regulation 12 </li></ul></ul>
  5. 5. <ul><li>CTPR 1993: Regulation 11 </li></ul><ul><ul><li>Designate smoking area – not> ½ of floor size </li></ul></ul>
  6. 6. <ul><ul><li>Public toilets </li></ul></ul><ul><ul><li>Public transport terminal </li></ul></ul><ul><ul><li>Airports </li></ul></ul><ul><ul><li>Govt. premises </li></ul></ul><ul><ul><li>Public gathering in a building </li></ul></ul><ul><ul><li>Institution of higher learning </li></ul></ul><ul><ul><li>Kindergarten </li></ul></ul><ul><li>Schools & school buses </li></ul><ul><li>Counter service area </li></ul><ul><li>Shopping complexes </li></ul><ul><li>Petrol kiosk </li></ul><ul><li>Sports complex & gymnasium </li></ul><ul><li>Library </li></ul><ul><li>Internet café </li></ul><ul><li>Dsignated areas under Regulation 22 </li></ul>Additional areas:
  7. 7. <ul><li>2 more designated smokefree areas: </li></ul><ul><ul><li>National Service Training Centre (PLKN) </li></ul></ul><ul><ul><li>Five-foot ways in shopping complexes </li></ul></ul><ul><li>Now there are over 20 places listed as SFA in the CTPR </li></ul>
  8. 8. <ul><li>Plan for further expansion of SFA to include: </li></ul><ul><ul><li>Hotel lobbies </li></ul></ul><ul><ul><li>Indoor work places </li></ul></ul><ul><ul><li>All restaurants and eating places </li></ul></ul><ul><li>Public consultation held in MOH on 20/7/09 </li></ul>
  9. 9. <ul><li>Display no-smoking specified signs adequately in conspicuous locations </li></ul><ul><li>Ensure no body smoke in the premise/ vehicle </li></ul>
  10. 10. <ul><li>Display no-smoking specified signs adequately in conspicuous locations </li></ul><ul><li>Ensure no body smoke in the premise/ vehicle </li></ul>
  11. 11. <ul><li>Smoking in SFA </li></ul><ul><ul><li>Fine < RM 10,000 </li></ul></ul><ul><ul><li>Imprisonment < 2 years </li></ul></ul><ul><li>Premise owners (failure to display signage) </li></ul><ul><ul><li>Fine < RM 3,000 </li></ul></ul><ul><ul><li>Imprisonment < 6 month </li></ul></ul><ul><li>Premise owners (failure to ensure SFA) </li></ul><ul><ul><li>Fine < RM 5,000 </li></ul></ul><ul><ul><li>Imprisonment < 1 years </li></ul></ul>
  12. 12. <ul><li>Power of the Minister to approve smoking area </li></ul><ul><ul><li>Completely separate from SFA </li></ul></ul><ul><ul><li>Must meet a set of criteria </li></ul></ul><ul><ul><li>Clearly demarcated </li></ul></ul><ul><ul><li>Mechanical systems to ensure sufficient negative pressure in smoking area </li></ul></ul><ul><ul><ul><li>Ventilation </li></ul></ul></ul><ul><ul><ul><li>Extraction fan </li></ul></ul></ul><ul><li>Written approval following detail review of application & inspection of site </li></ul>
  13. 13. <ul><li>In draft : scheduled for presentation at top MOH official level before ultimately tabled in Parliament (target - within this year of early next year) </li></ul><ul><li>Consistent with provisions in WHO FCTC </li></ul><ul><li>Plans for widening of SFA to cover indoor and outdoor public places, work places </li></ul><ul><li>Perhaps a different way to crafting the text </li></ul>
  14. 14.
  15. 15. <ul><li>An international legal tool </li></ul><ul><ul><li>The World’s 1 st Public Health Treaty </li></ul></ul><ul><li>Developed in response to globalisation of the tobacco epidemic </li></ul><ul><li>Ultimate goal is to improve global public health </li></ul><ul><li>The only platform available for binding global standards on tobacco control </li></ul>
  16. 16. <ul><li>Incorporate mechanisms to monitor conduct of nations and hold them accountable </li></ul><ul><li>Provisions to strengthen capacity of countries to implement tobacco control </li></ul><ul><li>Provide a level playing field for all Parties </li></ul><ul><li>By far the quickest & most widely embraced international treaty (165 on 17/7) </li></ul><ul><li>FCTC serves as the floor NOT the ceiling </li></ul>
  17. 17. <ul><li>WHA 1996: Initiation </li></ul><ul><li>WHA 1999: Political process established </li></ul><ul><li>2 pre-negotiations working groups: 1999 & 2000 </li></ul><ul><li>6 Intergovernmental Negotiating Body: 2000-2003 </li></ul><ul><li>WHA 2003: Unanimous adoption </li></ul><ul><li>27 February 2005: Entry into force </li></ul><ul><li>2 Intergovernmental Working Groups: 2004 & 2005 </li></ul><ul><li>1 st Conference of Parties: February 2006 </li></ul><ul><li>2 nd Conference of Parties: Mid 2007 </li></ul><ul><li>3 rd Conference of Parties: End 2008 </li></ul><ul><li>INB process INB a protocol for illicit trade on tobacco </li></ul><ul><li>Guidelines development & adoption </li></ul>
  18. 18. <ul><li>Involved since 2000 at 2 nd pre-negotiation working group </li></ul><ul><li>Participated in all WHO FCTC process meetings from then </li></ul><ul><li>23 Sept 2003: became a signatory </li></ul><ul><li>16 September 2005: ratified </li></ul><ul><li>15 December 2005: became a party </li></ul><ul><li>Participated in all IGWG </li></ul><ul><li>Participated in COP1, COP2 & COP3 </li></ul><ul><li>Participated in INB1, INB2 & INB3 for protocol on illicit trade in tobacco </li></ul><ul><li>WG partner on development of guidelines for Articles 5.3, 11, 12, 13, 14 </li></ul>
  19. 19. <ul><li>Total of 38 Articles in the WHO FCTC </li></ul><ul><ul><li>Preamble </li></ul></ul><ul><ul><li>Introduction (Articles 1 – 2) </li></ul></ul><ul><ul><li>Objective, guiding principles & general obligations (Articles 3 – 5) </li></ul></ul><ul><ul><li>Measures relating to reduction of demand for tobacco (Articles 6–14) </li></ul></ul><ul><ul><li>Measures relating to reduction of supply of tobacco (Articles 15 – 17) </li></ul></ul><ul><ul><li>Protection of the environment (Article 18) </li></ul></ul><ul><ul><li>Questions related to liability (Article 19) </li></ul></ul><ul><ul><li>Scientific and technical cooperation and communication of information (Articles 20 – 22) </li></ul></ul><ul><ul><li>Institutional arrangements and financial resources (Articles 23–26) </li></ul></ul><ul><ul><li>Settlement of disputes (Article 27) </li></ul></ul><ul><ul><li>Development of the convention (Articles 28 – 29) </li></ul></ul><ul><ul><li>Final Provisions (Articles 30 – 38) </li></ul></ul>
  20. 20. <ul><li>Core demand reduction provisions: Articles 6 – 14 </li></ul><ul><ul><li>Price & tax measures to reduce the demand for tobacco </li></ul></ul><ul><ul><li>Non-price measures to reduce the demand for tobacco: i.e. </li></ul></ul><ul><ul><ul><li>Protection from exposure to tobacco smoke (Article 8) ; </li></ul></ul></ul><ul><ul><ul><li>Regulation of the contents of tobacco products (Article 9); </li></ul></ul></ul><ul><ul><ul><li>Regulation of tobacco product disclosures (Article 10); </li></ul></ul></ul><ul><ul><ul><li>Packaging and labeling of tobacco products (Article 11); </li></ul></ul></ul><ul><ul><ul><li>Education, communication, training & public awareness (Article 12); </li></ul></ul></ul><ul><ul><ul><li>Tobacco advertising, promotion and sponsorship (Article 13); </li></ul></ul></ul><ul><ul><ul><li>Demand reduction measures concerning tobacco dependence and cessation (Article 14) </li></ul></ul></ul>
  21. 21. <ul><li>Core supply reduction provisions: Articles 15–17 </li></ul><ul><ul><li>Illicit trade in tobacco products; </li></ul></ul><ul><ul><li>Sales to and by minors; and </li></ul></ul><ul><ul><li>Provision of support for economically viable alternative activities </li></ul></ul><ul><li>Mechanisms for scientific and technical cooperation and exchange of information: Articles 20 - 22 </li></ul>
  22. 22. <ul><li>1. Parties recognize that scientific evidence has unequivocally established that exposure to tobacco smoke causes death, disease and disability . </li></ul><ul><li>2. Each Party shall adopt and implement in areas of existing national jurisdiction as determined by national law and actively promote at other jurisdictional levels the adoption and implementation of effective legislative , executive, administrative and/ or other measures , providing for protection from exposure to tobacco smoke in indoor workplaces, public transport, indoor public places and, as appropriate, other public places. </li></ul>
  23. 23. To be implemented within 5 years of ratification
  24. 24.
  25. 25. <ul><li>1 st FCTC Guideline </li></ul><ul><li>Unanimously adopted by COP2 in July 2007 </li></ul><ul><li>Represent the best practices in Smokefree Air Policies, as determined by leading experts </li></ul><ul><li>Give policy makers a road map to effective protection from tobacco smoke </li></ul><ul><li>In order to come in compliance with the FCTC, governments must enact comprehensive smokefree air laws </li></ul>
  26. 26. <ul><li>This Guidelines leave no doubt that partial protection, or protection of only certain types of persons, will not be considered effective </li></ul><ul><li>“ the elimination of smoking from indoor environments is the only science-based measure that adequately protects a population’s health from the dangerous effects of SHS… Neither ventilation nor filtration, alone or in combination, can reduce exposure levels of tobacco smoke from indoor spaces to levels that are considered acceptable, even in terms of odour, much less health effects.” World Health Organisation, 2007 </li></ul>
  27. 27. <ul><li>Key recommendations: </li></ul><ul><ul><li>Legal, not voluntary measures </li></ul></ul><ul><ul><li>Universal protection for all people </li></ul></ul><ul><ul><li>Completely smokefree environments in all public places and work places i.e. 100% Smokefree Environment NOT Ventilation </li></ul></ul>
  28. 28. <ul><li>Key recommendations: </li></ul><ul><ul><li>Public education on the requirements of the law and on the dangers of SHS </li></ul></ul><ul><ul><li>Effective enforcement, which includes assigning authority to the most appropriate agencies and requiring significant penalties for non-compliance </li></ul></ul><ul><ul><li>Flexibility for future strengthening of the law </li></ul></ul>
  29. 29. Smokefree workplace creates environment that is conducive An important factor to promote individuals to become productive It’s always worth to invest in employee’s health Because paying compensations only depletes employer’s wealth Superior is the standard of Malaysian hospitality Customer’s satisfaction and wellbeing, central responsibility No one would ever be served with secondhand food Surprisingly though, serving secondhand smoke is not considered rude
  30. 30.
  31. 31. <ul><li>Denial : Tobacco industry scientists found that secondhand smoke was dangerous in the 1970s, but they suppressed this research and publicly denied that SHS is a health risk </li></ul><ul><li>Deceit : TI have paid scientific consultants to cast doubt on independent research showing that SHS harms health. In 1990s, TI consultants covertly infiltrated the WHO International Agency for Research on Cancer (IARC) to influence its findings on SHS & health </li></ul><ul><li>Distraction : TI promotes ineffective alternatives such as voluntary regulation, ventilation systems and non-smoking areas to distract attention from smokefree laws </li></ul>
  32. 32. <ul><li>Dire predictions : Whenever & wherever smokefree laws are proposed, the TI & its allies predict terrible impacts for everyone from children to businesses and workers to politicians. These predictions are not supported by objective evidence </li></ul><ul><li>Decoys : TI often use apparently independent groups and individuals to fight their battles for them. TI funding is often hidden </li></ul><ul><li>Delay : Delay is a powerful weapon of the TI that will try to halt smokefree laws through legal challenges and delayed implementation dates </li></ul><ul><li>Derail : TI through their devious strategies had successfully caused the failure of past attempts to enact & implement effective SFA laws </li></ul>