Regression of smoking bans: The case of the netherlands

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Lies van Gennip
director STIVORO
Dutch Expert Centre on Tobacco Control
ICO-WHO Symposium 2012

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Regression of smoking bans: The case of the netherlands

  1. 1. Regression of smoking bansThe case of the Netherlands Dr. Lies van Gennip, director STIVORO, Dutch Expert Centre on Tobacco Control
  2. 2. Tobacco act 1990- Public places and government buildings: smoking ban- Private sector: self-regulation“Employees have the principal right to work in a 100%smoke-free environment. No safe threshold. A smokingban (granting separately ventilated smoking rooms) isrequired.” Court decision (Breda, 25 April 2000)
  3. 3. Amendment to Tobacco Act 2002“Employers are required to take measures to ensure thatemployees can do their work without being exposed totobacco smoke” Tobacco Act 2002, Article 11aAll workplaces smoke-free from 1/1/2004, hospitalitysector exempted.
  4. 4. GideonNov 2004:BAT, Imperial Tobacco, Japan Tobacco International andGallaher started ‘Gideon’ to challenge smoke-freeGideon (Hebrew:) means"Destroyer," "Mighty warrior,“or "Feller of trees“
  5. 5. GideonGideon used the ‘Tobacco Industry Playbook’- Ventilation- Lobby for exemptions- Postpone ban, self-regulation- Economic loss argument- Legal challenges- Litigation- Internet campaigns- Moral arguments (freedom, nanny-state)Gonzalez & Glantz. Failure of policy regarding smoke-free bars in the Netherlands. Eur J Public Health, 2011, Dec5 [Epub ahead of print]
  6. 6. Hospitality industry self-regulationPolicy Hospitality Venue 2005 target 2005 results (%) (%)Notice at front 50 28Smoke-free area Bars 25 11 Restaurants 25 20 Disco’s 25 9 Hotels smoke-free rooms 40 84 Hotels Smoke-free breakfast 20 78 Fast-food 25 21Smoke-free Fast-food 20 5 Ice-cream parlors 40 33
  7. 7. Hospitality industry self-regulationPolicy Hospitality Venue 2006 target 2006 results (%) (%)Notice at front 85 59Smoke-free area Bars 40 47 Restaurants 50 58 Disco’s 40 21 Hotels smoke-free rooms 75 97 Hotels Smoke-free breakfast 40 87 Fast-food 50 67Smoke-free Fast-food 30 14 Ice-cream parlors 70 55
  8. 8. Tobacco control lobby2006-2010: “National Tobacco Control Program ”:Coalition of Ministry of Health, Heart Foundation, CancerSociety and Astma Foundation. Argued against economic loss argument and tried toend self-regulation period.Clean Air Netherlands (CAN): 65,000 signatures toParlement to request smoke-free hospitality sector (May2006).
  9. 9. New government 2007Minister of Health (Ab Klink): “Hospitality sector must be100% smoke-free a.s.a.p.”
  10. 10. Partial smoke-free legislationJuly 2008. Smoke-free legislation extended to all barsand restaurants, but smoking rooms allowed.However:ban in small venues not supported by most politicalparties and challenged by politicians and hospitalitysector.
  11. 11. Implementation campaign
  12. 12. Foundation ‘Save the Small Bars’
  13. 13. Demonstrations small bar owners
  14. 14. Newspaper coverage smoke-free80%70%60%50%40%30%20%10%0% Nov Jun Jan Jul Mar Apr Sep Apr Mar Aug Feb May Oct Dec 2008 2009 Economy Resistance Health Nagelhout, G. E., Van den Putte, B., De Vries, H., & Willemsen, M. C. (2011). Krantenberichtgeving over het rookverbod in de horeca: Een inhoudsanalyse [Newspaper coverage about the smoking ban in the hospitality industry: A content analysis]. Tijdschrift voor Communicatiewetenschap, 39, 4-16.
  15. 15. Court cases of revolting bars
  16. 16. New government 2010The first deed of Edith Schippers as Minister of Health isthe reversal of smoke-free legislation for small barswithout employeesDutch television documentaryrevealed contacts betweenMinister of Health and tobaccoindustry
  17. 17. ITC data smoke-free bars
  18. 18. ITC data smoke-free restaurants
  19. 19. 0 10 20 30 40 50 6020 08 /2 00 9 20 09 -1 20 09 -2 20 09 -320 09 -2 01 0 20 10 -1 20 10 -2 20 10 -320 10 /2 01 1 20 11 -1 20 11 -2 20 11 -3 20 11 -4 20 12 -1 Violations of smoke-free bars and nightclubs
  20. 20. Conclusions- Self-regulation not effective- Partial bans recipe for disaster- Smoke-free must be well implemented and strictlyenforced (from the start)- Education about harm from tobacco smoke is crucial- Prepare for the full Tobacco Industry ‘playbook’
  21. 21. Invitation: International SymposiumSmoke-free legislation: international researchfindings and lessons for the NetherlandsMaastricht, the Netherlands, October 10th 2012Speakers: Esteve Fernández (Spain), Ute Mons(Germany), and Geoffrey Fong (Canada)The symposium is organised in conjuction with thepublic PhD defence of Gera Nagelhout about theimpact of smoke-free legislation on smoking.More information gnagelhout@stivoro.nl

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