P
rotect people from
tobacco smoke
• All people have a right
to breathe
clean air
OVERVIEW
KEY P PRINCIPLES
SMOKEFREE POLICIES IN THE PHILIPPINES
RECOMMENDATIONS
OBJECTIVES
FOR THE PARTICIPANTS TO:
Know key facts and principles about
SMOKEFREE environments
Be familiar with existing smoke free policies in
the Philippines
Adopt recommended measures to protect
people from tobacco smoke
“Scientific evidence has
unequivocally established that
WHY? exposure to tobacco smoke
causes death, disease and
disability.”
COMPLETELY SMOKE FREE ENVIRONMENTS
HOW?
SECONDHAND SMOKE is the smoke emitted from the
burning end of a cigarette (side-stream smoke) or from
other tobacco products, usually in combination with the
mainstream smoke exhaled by the smoker, and has
similar components to inhaled smoke or mainstream
smoke.
However, it is 3 to 4 times MORE TOXIC per gram of
particulate matter than mainstream tobacco smoke.
SMOKE FREE AIR - air that is 100% free
of tobacco smoke (SHS)
This definition includes, but is not limited to,
air in which tobacco smoke
cannot be seen, smelled, sensed or measured.
P PRINCIPLES
Protection from SHS is grounded in
fundamental human rights and freedoms:
RIGHT TO LIFE
RIGHT TO THE HIGHEST ATTAINABLE
STANDARD OF HEALTH
RIGHT TO A HEALTHY
ENVIRONMENT
– International statutes that support these
rights:
• Universal Declaration on Human Rights
• Constitution of the WHO
• Convention on the Rights of the Child
• Convention on the Elimination of all forms of
Discrimination Against Women
• Covenant on Economic, Social and Cultural
Rights
P PRINCIPLES
Effective measures to provide protection from
exposure to tobacco smoke require the TOTAL
elimination of smoking and tobacco smoke in
(indoor or enclosed) spaces.
There is NO safe level of exposure to tobacco
smoke.
Approaches other than 100% smoke free
environments, including ventilation, air filtration
and the use of designated smoking areas have
repeatedly been shown to be INEFFECTIVE.
Engineering approaches do NOT protect against
exposure to tobacco smoke.
Expert findings on protection from SHS
“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.”
WHO, 2007
Expert findings on protection from SHS
“The scientific evidence indicates that
there is no risk-free level of exposure to
SHS. Eliminating smoking in indoor
spaces fully protects nonsmokers from
exposure to SHS. Separating smokers
from nonsmokers, cleaning the air, and
ventilating buildings cannot eliminate
exposures of nonsmokers to SHS.”
US Surgeon General, 2006
Expert findings on protection from SHS
“The only means of effectively
eliminating health risk associated
with indoor exposure is to ban
smoking activity.”
American Society of Heating, Refrigeration,
and Air Conditioning Engineers (ASHRAE),
2005
P PRINCIPLES
LEGISLATION is necessary to protect people
from exposure to tobacco smoke.
Voluntary smoke free policies have repeatedly
been shown to be INEFFECTIVE.
CIVIL SOCIETY has a central role in building
support for and ensuring compliance with smoke
free measures, and should be included as an
active partner in the process of developing,
implementing and enforcing legislation.
P PRINCIPLES
The implementation of smoke free legislation, its
enforcement and its impact should all be
monitored and evaluated.
The protection of people from exposure to
tobacco smoke should be strengthened and
expanded, if necessary; such action may include
new or amended legislation, improved
enforcement and other measures to reflect new
scientific evidence and case-study experiences.
SF POLICIES
Framework Convention on Tobacco Control, Article 8
Guidelines for Implementation of Article 8
Tobacco Regulation Act of 2003 (RA 9211)
Implementing Rules and Regulations of RA 9211
Philippine Clean Air Act of 1999 (RA 8749)
Executive issuances
DOH Administrative Order 2009-0010
CSC Memorandum Circular No. 17, s. 2009
LTFRB Memorandum Circular No. 2009-036
CHED Memorandum Order No. 63, s. 2007
DepED Order No. 73, s. 2010
SC MC No 01-2008A
Republic Act No. 8749
PHILIPPINE CLEAN AIR ACT OF 1999
declares the right of
every citizen to breathe
clean air (Section 4)
WHO FCTC
Article 4
Guiding Principles
1. Every person should be informed of the health
consequences, addictive nature and mortal threat
posed by tobacco consumption and exposure to
tobacco smoke and effective legislative,
executive, administrative or other measures
should be contemplated at the appropriate
governmental level to protect ALL persons from
exposure to tobacco smoke.
WHO FCTC
Article 8 (obligation)
Protection from exposure to tobacco smoke
1. Parties recognize that scientific evidence has
unequivocally established that exposure to tobacco
smoke causes death, disease and disability.
2. Each party shall adopt and implement effective
measures providing for protection from exposure to
tobacco smoke in indoor workplaces, public transport,
indoor public places and, as appropriate, other public
places.
Republic Act No. 9211
Policy
to protect the populace from hazardous
products and promote the right to health and
instill health consciousness among them
Purpose
1. Promote a healthful environment
DOH Administrative Order
No. 2009-0010, s. 2009
Rules and Regulations
Promoting a 100% Smoke Free
Environment
May 2009
CSC Memorandum Circular
No. 17, s. 2009
Smoking Prohibition
Based on 100% Smoke-Free
Environment Policy
June 2009
GUIDELINES
• ABSOLUTE prohibition of smoking in premises,
buildings, and grounds of government agencies
providing health, education/or social welfare and
development services such as hospitals, health
centers, schools and universities and colleges
– No smoking area can be designated here.
CSC MC-17
• Smoking prohibition in areas
anywhere in or on the
government premises, buildings
and grounds, except for open
spaces designated as
“SMOKING AREAS”
STRICTLY NO SMOKING
as per Memorandum Circular No. 17,
series of 2009
Violation of this Circular is a
ground for disciplinary action
Report violations to <list of names of
responsible persons and telephone
numbers>”
• Removal of ashtrays
All ashtrays or any receptacles made for
dispensing cigarette refuse shall be
removed except in designated smoking
areas
• Smoking prohibition in government
vehicles
• Duty of Building Administrator – Ensure strict
compliance with requirements of the smoking area
• Duties of Head of Agency
• Ensure that all employees and their transacting public are
MADE AWARE of this MC
• Assign persons to:
(1) ensure implementation and compliance with this
policy,
(2) establish procedures for reporting and dealing with
violations,
(3) monitor and report rates of compliance and
effectiveness of the policy
Sanctions
Any violation of this Memorandum
Circular shall be considered a
ground for disciplinary action
pursuant to Rule XIV of the
Omnibus Rules Implementing
Book V of EO 292
LTFRB Memorandum Circular
2009-036
100% Smoke Free Public Utility
Vehicles (PUVs) and Public Land
Transportation Terminals
January 2010
Smoking Prohibition
• Smoking (carrying a lighted cigarette or other tobacco product) is
prohibited in all PUVs and public land transportation terminals.
• Smoking areas shall NOT be designated in indoor areas or in any indoor or
outdoor area that is near the entrance or exits or near places where people
congregate.
“NO SMOKING” signs
• In VEHICLES – inside the authorized units
Jeepneys – back of windshield (at least 3.5 sq in), back of front row
seats (at least 10 sq in)
Taxis, FX, similar vehicles - glove compartment, windshield, back
of driver’s seat
Buses – back of windshield, back of driver’s seat or similar
prominent area of the bus
Other types of vehicles – back of windshield, prominent location
facing the passengers
. In Terminals – at the entrance & other areas
Duties and Responsibilities
a. Operator and driver of the PUV – posting the “NO
SMOKING” signs
b. Driver of the PUV – warning passengers and co-workers
who fail to comply with the smoking prohibition; asking
them to leave the vehicle in such cases
c. Operator, administrator, manager, owner, possesor of the
terminal – posting the “NO SMOKING” signs; issuing and
implementing rules & procedure to ensure that people
staying in the terminal comply with the smoking
prohibition
Penalties
1st offense: P500/mo for failure to post the NO
SMOKING signs in the proper
locations and P500 fine for other
violations
2nd offense: P5,000 fine and suspension of the
CPC where applicable
3rd offense: P10,000 fine and cancellation of
the CPC
CHED Memorandum Order No. 63, s. 2007
December 2007
• Requires the proper implementation and
enforcement of the smoking ban (among others)
in all higher education institutions in accordance
with RA 9211
• Mandates higher education institutions to submit
semi-annual reports to the CHED Regional
Offices on actions undertaken in implementing RA
9211
DepED Order No. 73, s. 2010
May 2010
• Smoking Ban in Public Schools, including
open and covered spaces around school
buildings
• Requires putting up of “NO SMOKING” and
“YOU ARE ENTERING A NO SMOKING AREA”
signs
• Regional and Division officials are instructed to
oversee the implementation of the order
FATWA (Islamic Ruling)
on Smoking Cigarette
April 2010
Assess the “SMOKEFREE status/situation” in your
locality
Do you have baseline data on mortality and
morbidity due to tobacco-related diseases?
Do you have data on smoking prevalence in
your locality?
Do you have data on knowledge, attitude and
practices (KAP) on smoking in the community
Are there SF policies in your locality?
Enact SMOKEFREE legislation in your locality
Pass or lobby for an ordinance or executive
issuance banning smoking in enclosed or
partially enclosed public places,
workplaces, public conveyances, and other
public places
Review existing SMOKEFREE policies for
conformity to evidence-based principles and
best practices (FCTC Article 8, MPOWER),
and evaluate their implementation, if such
has been done.
Implement and enforce sound SMOKE
FREE policies
Prepare an implementation and
enforcement plan with an infrastructure
for enforcement
Monitor implementation and compliance in
order to measure the impact of SMOKE
FREE policies/environments. Document
experiences and make results available to
other jurisdictions.
Anticipate and properly respond to tobacco
industry interference in your SMOKE FREE
initiatives.
Record or document any and all attempts of
the tobacco industry to be involved in
enacting or implementing local SMOKE
FREE legislation or policies.
Be guided by CSC-DOH Joint
Memorandum Circular No. 2010-01
[Protection of the Bureaucracy Against
Tobacco Industry Interference]
Conduct a SMOKEFREE awareness and
education campaign
KEY MESSAGES
1. Harms caused by SHS exposure
2. That elimination of indoor smoke is the only science-based solution
to ensure complete protection from exposure
3. The right of all workers to be equally protected by law
4. That SF environments do not adversely affect economic interests,
particularly those of the hospitality industry; rather the evidence
indicates economic benefits for all sectors in addition to any health
benefits achieved
P = 100%SFE
WHY GO SMOKE FREE?
• Because:
• 1. Second-hand tobacco smoke
(SHS) kills & causes serious
illnesses.
• 2. 100% smoke-free environments
(SFEs) fully protect workers & the
public from the serious harmful
effects of tobacco smoke.
WHY GO SMOKE FREE?
> Because:
• 3. Everyone has the right to breathe
clean air, free from tobacco smoke.
• 4. Most people in the world are non-
smokers & have a right not to be
exposed to other people’s smoke.
WHY GO SMOKE FREE?
Because:
5. Smoking bans are widely supported
by both smokers & non-smokers.
6. 100%Fes help prevent people –
especially the young – from starting to
smoke.
WHY GO SMOKE FREE?
Because:
7. 100% SFEs provide the many
smokers who want to quit with a strong
incentive to cut down or stop smoking
altogether.
8. 100% SFEs are good for businesses
, as families with children, most non-
smokers & even smokers often prefer
to go to smoke-free places..
WHY GO SMOKE FREE?
> Because:
• 100% Smoke-Free Environments
cost little and it works!
“The world is a dangerous
place, not because of those
who do evil, but because of
those who look on and do
nothing…”
Albert Einstein
End
Thank you.