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FCTC Article 8: Protect people

from tobacco smoke


RAYMOND JAY L. MAZO
Nurse IV and National Focalpoint on Smoking Cessation
Lifestyle Relayed Diseases Division
Disease Prevention and Control Bureau
Department of Health - Philippines
FCTC Art. 8: protect people from
tobacco smoke

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);
FCTC Art. 8: protect people from
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Packaging and labelling
tobacco smoke of tobacco products (Art.

PHILIPPINE SETTING:
Top Ten Causes of Mortality
Cause

Total

Rate

102,936

109.5

2. Diseases of the vascular


system

68,553

72.9

3. Malignant neoplasms

49,817

53.0

4. Pneumonia

45,591

48.5

5. Accidents

36,329

38.6

6. Tuberculosis, all forms

24,714

26.3

7. Chronic lower respiratory


diseases

22,877

24.3

8. Diabetes mellitus

21,512

22.9

9. Nephritis, nephrotic
syndrome and nephrosis

14,048

14.9

1. Diseases of the heart

10. Certain conditions


12,086
12.9
FCTC Art. 8: protect people
from
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tobacco smoke Philippine Health Statistics, 2010
originating from the

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tobacco smoke

Source: PHS, 2010


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Prevalence of Never, Current and


Former Smokers. Philippines, NNHeS
1998-2013

Prevalence (%)
60
50

Never Smokers
54.5

40
32.7
30
20
10

55.0

34.8

59.1
54.3

31.0

Current Smokers
12.8

25.4
14.7

15.4

2008

2013

10.2

Former Smokers

0
1998

2003

FCTC Art. 8: protect people from


tobacco smoke

Prevalence of Current Smokers by


Region. Philippines, NNHeS 2003-2013

50.0
45.0
40.0
35.0
30.0
25.0
20.0
15.0
10.0
5.0
0.0

Prevalence
(%)
39.0

39.8

40.2

39.7
35.7

32.9

31.1 32.0
26.5

25.1

25.5

25.9
25.5 26.9

45.4

42.7

41.6

35.7
31.3 32.2

26.3
22.9

23.5

19.5

2003

36.7

34.6
28.2 29.2
23.2

31.9
28.4

28.0

23.3
19.0

2013

FCTC Art. 8: protect people from


tobacco smoke

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
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tobacco
smoke
from exposure to tobacco smoke in

Definition of Terms

ENCLOSED/INDO
OR - any space
TOBACCO
covered by a roof
PRODUCTS or enclosed by one
products entirely or
or more walls or
partly made of the
sides, regardless of
leaf tobacco as raw
the type of
material which are
material used and
manufactured to
regardless of
be used for
whether the
smoking, sucking,
structure is
chewing or snuffing
permanent or
FCTC Art. 8: protect people
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temporary
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tobacco smoke

Definition of Terms

WORKPLACE any place used by


PUBLIC PLACE people during their
any place
paid or unpaid
accessible to the
employment or
general public and
work, including all
any place for
associated or
collective use,
attached areas
regardless of
commonly used in
ownership or right
or incidental to the
to access
course of work, as
well as work
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vehicles
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tobacco smoke

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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tobacco smoke

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GUIDELINES OF THE
CONFERENCE OF THE PARTIES
(COP) FOR THE
IMPLEMENTATION OF ART. 8
PRINCIPLES:

Total ban to smoke in enclosed areas.


All workplaces and all public places
By law. Voluntary agreement does not work.
Plans and resource allocation for the
implementation
5. Important role of Civil Society to help
implementation and enforcement
6. Enforcement control
7. Strengthen or update legislation according to
new evidence.
1.
2.
3.
4.

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.
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Prohibiting Smoking in Public


Places
Policy Rationales:
Protecting NonSmokers
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 nonurinating 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
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tobacco smoke
smoking indoors.

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 smokefree 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
FCTC Art. 8: protect people from
actual sales data.
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tobacco smoke

Government doesnt 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
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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.
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Advocate for Smoke-free


Homes

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FCTC Art. 8: protect


people from tobacco
smoke

Opportunities for advocacy lie


at every level of action
Country
Community
Household

Events

City

Individual

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Others are also advocating.!!!

Maneuv Exagge Manipu Fabrica Discred Intimid


ering to rating
lating
ting
iting
ating
hijack
the
public suppor proven govern
the
econo opinion
t
science ments
politica
mic
to gain throug
with
l and
import
the
h front
litigati
legislat ance of appear groups
on or
ive
the
ance of
the
proces industr respect
threat
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s FCTC Art. 8:yprotect people
ability
from tobacco smoke
of
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litigati
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Leadership is key

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No smoker should ever


walk

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Its not only about cigarettes


theres more

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For Smokers

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For Smokers

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For Non-smokers

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Public health is saving


lives
Focus on smokers
cessation
Protect the non
smokers from
second hand smoke
Prevent children
from smoking
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Thank you for your kind attention!


More information and inquiries
please contact the national focal point for smoking
cessation
mazo.mond@gmail.com / mazo_rj@yahoo.com
Twitter: @jaymazo
Facebook: Raymond Jay L. Mazo

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