protecting people from tobacco smoke

FCTC Art. 8: protect people from tobacco smoke

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FCTC Article 8: Protect people from tobacco smoke

RAYMOND JAY L. MAZONurse IV and National Focalpoint on Smoking Cessation

Lifestyle Relayed Diseases DivisionDisease Prevention and Control Bureau

Department of Health - Philippines


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WHO FCTC CONTENTS

• Core demand reduction provisions: – Price and tax measures to reduce the demand for tobacco (Art. 6); – Non-price measures to reduce the demand for tobacco, namely:

• Protection from exposure to tobacco smoke (Art. 8);• Regulation of the contents of tobacco products (Art. 9);• Regulation of tobacco product disclosures (Art. 10);• Packaging and labelling of tobacco products (Art. 11);• Education, communication, training and public awareness (Art. 12);• Tobacco advertising, promotion and sponsorship (Art.13); • Demand reduction measures concerning tobacco dependence and

cessation (Art.14).

04/27/2023 FCTC Art. 8: protect people from tobacco smoke

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PHILIPPINE SETTING:Top Ten Causes of Mortality

Cause Total Rate1. Diseases of the heart 102,936 109.52. Diseases of the vascular system 68,553 72.9

3. Malignant neoplasms 49,817 53.04. Pneumonia 45,591 48.55. Accidents 36,329 38.66. Tuberculosis, all forms 24,714 26.37. Chronic lower respiratory diseases 22,877 24.38. Diabetes mellitus 21,512 22.9

9. Nephritis, nephrotic syndrome and nephrosis

14,048 14.9

10. Certain conditions originating from the perinatal period

12,086 12.9

Philippine Health Statistics, 2010

04/27/2023 FCTC Art. 8: protect people from tobacco smoke

4Source: PHS, 2010


51998 2003 2008 2013

60

50

40

30

20

10

0

32.734.8

31.0

25.4

15.4

Prevalence (%)

Current Smokers

12.810.2

14.7

Former Smokers

59.154.5 55.0 54.3

Never Smokers

Prevalence of Never, Current and Former Smokers. Philippines, NNHeS 1998-2013


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I (Iloco

s)

II (Cag

ayan)

III (Centra

l Luzo

n)

IVA (CALA

BARZON)

IVB (MIM

AROPA)

V (Bico

l)

VI (Weste

rn Visa

yas)

VII (Cen

tral V

isayas)

VIII (Ea

stern Visa

yas)

IX (Zamboan

ga)

X (North

ern M

indanao)

XI (Dava

o)

XII (SOCCKSKARGEN)

NCRCAR

ARMM

CARAGA0.05.0

10.015.020.025.030.035.040.045.050.0

39.0 39.8

35.732.0

39.7

26.9

40.2

32.935.7

42.7

32.2

45.4

34.6

29.231.9

41.6

36.7

26.5 25.1

31.1

25.5 25.5 25.9 26.3

19.522.9

31.3

23.5 23.2

28.2

23.3

19.0

28.0 28.4

2003 2013

Prevalence (%)

Prevalence of Current Smokers by Region. Philippines, NNHeS 2003-2013


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ARTICLE 8: Protection from exposure to tobacco smoke

• Exposure to tobacco smoke causes death, disease and disability.

• 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.


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Definition of Terms

• TOBACCO PRODUCTS - products entirely or partly made of the leaf tobacco as raw material which are manufactured to be used for smoking, sucking, chewing or snuffing

• ENCLOSED/INDOOR - any space covered by a roof or enclosed by one or more walls or sides, regardless of the type of material used and regardless of whether the structure is permanent or temporary


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Definition of Terms

• PUBLIC PLACE - any place accessible to the general public and any place for collective use, regardless of ownership or right to access

• WORKPLACE - any place used by people during their paid or unpaid employment or work, including all associated or attached areas commonly used in or incidental to the course of work, as well as work vehicles


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Definition of Terms

• PUBLIC TRANSPORT - all vehicles used for carriage of members of the public, usually for reward or commercial gain

• SMOKING - being in possession or control of a lit tobacco product


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GUIDELINES OF THE CONFERENCE OF THE PARTIES (COP) FOR THE IMPLEMENTATION

OF ART. 8PRINCIPLES:

1. Total ban to smoke in enclosed areas.2. All workplaces and all public places3. By law. Voluntary agreement does not work.4. Plans and resource allocation for the

implementation 5. Important role of Civil Society to help

implementation and enforcement6. Enforcement control7. Strengthen or update legislation according to new

evidence. Source: http://www.who.int/fctc/guidelines/en/


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Clean Indoor Air Laws, Consumption & Public Health

Scientific Rationale

• Definitive reports by the International Agency for Research on Cancer, the U.K. Scientific Committee on Tobacco and Health, and the U.S. Environmental Protection Agency, among others, have concluded that tobacco smoke is a human carcinogen.

13FCTC Art. 8: protect people from tobacco smoke

Prohibiting Smoking in Public Places

Policy Rationales:

• Protecting Non-Smokers• Influencing Smoking

Consumption• Changing Social Norms


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Imposing Legal Duties of Compliance

• post “no smoking” signs in accordance with requirements specified in regulations (as to content, size, placement, etc.);

• remove ashtrays from all indoor areas and from any outdoor areas where smoking is prohibited;

• supervise observance of legal requirements; and • take reasonable steps to discourage and stop smoking

where it is prohibited, including: asking any person who is smoking to stop; discontinuing service and asking the person to leave if s/he refuses; and, if necessary, contacting law enforcement authorities for assistance.


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Common Arguments Against Clean Indoor Air Laws & Useful Responses


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“There is no proven link between secondhand smoke and disease”

Every credible medical and scientific organization in the world – including the World Health Organization, the US Surgeon General, the International Agency for Research on Cancer – agree that secondhand smoke exposure causes serious illness and death in nonsmokers.


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“Shared smoking and nonsmoking areas will solve the problem”

This is like having a urinating and non-urinating section in a swimming pool. Would you jump in? If the air is shared, the smoke pollution is shared. Smoke in the smoking section causes disease in the nonsmoking section.


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“Secondhand smoke is just an issue of poor ventilation”

Better ventilation may reduce the odour of smoke, but it does not eliminate the harmful chemicals. To eliminate these chemicals in an average smoking office, so many air exchanges would be required that there would be a small typhoon.

Why force businesses to invest in expensive ventilation equipment when they can just eliminate the source of the pollution? The cheapest, most effective, and only sensible solution is to eliminate smoking indoors.


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“Smoke-free environments will harm businesses, especially bars, restaurants, and tourist industries”

• Workplaces that are smoke-free lower their maintenance and insurance costs, and their workers are more productive. Smokers and nonsmokers exposed to smoke get sick more often, and smoke-free workplaces help smokers to quit smoking.

• The effect of banning smoking in bars and restaurants has been studied in hundreds of communities. Sales receipts show that sales increase or remain the same in smoke-free bars and restaurants in comparison to those in jurisdictions that still allow smoking. Studies that show otherwise are always funded by the tobacco industry allies, and usually look at owner predictions rather than actual sales data.


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“Government doesn’t have the right to tell my business what to do”

Businesses do not have the right to endanger the health and lives of their employees and customers. Government is obligated to protect public health and safety, as it does when it regulates drinking and driving, implements seatbelt laws, or sets environmental pollution standards.


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“Smoking restrictions infringe on smokers’ rights”

As the saying goes, “my right to swing my arm stops where your nose begins.” Smokers do not have the right to harm others with their smoke. Smoke-free environments do not violate the “right” to smoke, they protect the right of nonsmokers’ to breathe clean air.

04/27/2023 03:31 AM FCTC Art. 8: protect people from tobacco smoke

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Advocate for Smoke-free Homes

04/27/2023 03:31 AM 23FCTC Art. 8: protect people from tobacco smoke

Opportunities for advocacy lie at every level of action

Country

City

Community

Household

Individual

Even

ts

Maneuvering to hijack

the political

and legislative

process

Exaggerating the

economic importanc

e of the industry

Manipulating

public opinion to gain

the appearan

ce of respectab

ility

Fabricating support through

front groups

Discrediting proven

science

Intimidating

governments with litigation

or the threat of litigation


Others are also advocating….!!!


Leadership is key


No smoker should ever walk…


Its not only about cigarettes… there’s more


For Smokers


For Non-smokers

Focus on smokers – cessation

Protect the non smokers from second hand smoke

Prevent children from smoking

Public health is saving lives


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More information and inquiries please contact the national focal point for smoking cessation

[email protected] / [email protected]: @jaymazo

Facebook: Raymond Jay L. Mazo


Thank you for your kind attention!

protecting people from tobacco smoke

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