republic of the philippines department of health
DESCRIPTION
The Schizophrenic State of Tobacco Control in the Philippines. Republic of the Philippines DEPARTMENT OF HEALTH. GEOGRAPHICAL DISTRIBUTION OF MALARIA PHILIPPINES (Based on 10-year Ave, 1991 – 2000). Category A Provinces 25 Provinces more than 1000 cases/year or situation worsened. - PowerPoint PPT PresentationTRANSCRIPT
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Republic of the PhilippinesDEPARTMENT OF HEALTH
The Schizophrenic
State of Tobacco Control
in the Philippines
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Category A Provinces• 25 Provinces• more than 1000 cases/year• or situation worsened
Category B Provinces• 22 Provinces• 100 to 1000 cases/year
Category C Provinces• 18 Provinces• less than 100 cases/year
Category D Provinces• Provinces that are already malaria-free (no more indigenous cases for at least 3 years)
GEOGRAPHICAL DISTRIBUTION OF MALARIA PHILIPPINES (Based on 10-year Ave, 1991 – 2000)
Source: Malaria Control Program, 2000
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The SituationThe Situation
- - Limited government resources for tobacco-related diseases
- Increasing prevalence for tobacco use among children and women
HHigh mortality and morbidity rates from tobacco-related disease
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The Supply of Tobacco
Tobacco production and sale is a source of income for poor families
Tobacco tycoons are politically well- connected to members of the legislative and executive branches of government
Tobacco is sold by single sticks on the streets by child vendors
Tobacco industry is formidable
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The Demand for The Demand for TobaccoTobacco
Entertainment industry
“glamorizes” tobacco
Culture of accommodation inhibits non-smokers from demanding a smoke-free environment
Many political
leaders are smokers
Tobacco advertising is a major source of income for the broadcast and print media
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The Schizophrenic State The Schizophrenic State
- Voted for the ratification of the FCTC Voted for the ratification of the FCTC
- Enacted Tobacco Regulation Act of 2003 & Excise Tax Law of 2005
- UpdatedUpdated local ordinances against smoking – Makati, Davao, Mandaluyong, etc.
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The Schizophrenic State The Schizophrenic State
Health professionals smoke in front of their patients – 1 out of 3 MDs
National Tobacco Authority looking for alternative uses of tobacco
Department of Trade & Industry chairing the IAC for Tobacco Control
Department of Education accepts money for schools & lauds Phillip Morris for Youth Smoking Prevention Program
OP inaugurates a Phillip Morris plant
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The Shift in StrategyThe Shift in Strategy
HEALTHHEALTH PROMOTIONPROMOTION
HEALTHHEALTH PROMOTIONPROMOTION
HEALTHHEALTH PROTECTIONPROTECTION
HEALTHHEALTH PROTECTIONPROTECTION
Public Empowerment For Policy ChangePublic Empowerment For Policy Change
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The Old StrategyThe Old Strategy
- - Focus on educational Focus on educational programs for children programs for children in schoolsin schools
- Promote healthy - Promote healthy lifestylelifestyle
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The New StrategyThe New Strategy
-Aggressively mobilize a constituency Aggressively mobilize a constituency to support the Tobacco Regulation Act to support the Tobacco Regulation Act of 2003, the Excise Tax Law of 2005 and of 2003, the Excise Tax Law of 2005 and local tobacco control legislation local tobacco control legislation
- - Use the FCTC to buttress national Use the FCTC to buttress national tobacco control policies tobacco control policies
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FROM SCHIZOPHRENIA TO FROM SCHIZOPHRENIA TO WHOLENESS WHOLENESS
EXTRA CHALLENGE
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The Six Components of The Six Components of the NTCPthe NTCP
- Media, Advocacy & Promotion- Smoking Cessation Program- Epidemiologic Surveillance &
Research- Education Program- Economic Alternative Program for
Tobacco Farmers- Legislation/ Public Policy
Development
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Media, Advocacy Media, Advocacy & Promotion& Promotion
- There is no such thing as industry vv health “balance”
- Blacklist agencies, organizations, companies, individuals associated with tobacco industry
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Media, Advocacy & Media, Advocacy & PromotionPromotion
- Case find patients cum victims of exposure to tobacco for litigation
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Smoking Smoking Cessation Cessation ProgramProgram
- Set up smoking cessation clinics in all government retained hospitals & major medical centers
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Surveillance & Surveillance & Research Research
Global Youth Tobacco SurveyHealth Professionals’ Tobacco
SurveyBurden of Illness StudiesPackaging & LabellingTobacco Industry ActivitiesMonitoring of Implementation of
Tobacco Regulation Act, Excise Tax Law, FCTC, Ordinances
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Education Program
- Integrate TC in medical/allied health professionals’ curricula
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Economic Alternative Program
- Abolish the National Tobacco Authority
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LegislatiLegislationon
The Tobacco Regulation Act provides for:
- prohibiting sale of cigarettes to minors
- banning smoking in public places such as schools, health facilities, public conveyances, food preparation areas, etc.
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LegislationLegislation- banning of tobacco ads, sponsorships taxation ban ads on TV & radio – 1 jan 2007 ban ads on cinema & outdoor ads
– 1 july 2007 ban ads on mass media advs – 1 july 2008 - warning labels - economic alternative for tobacco
farmers
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Legislation / Public Legislation / Public Policy DevelopmentPolicy Development
A. National Step up implementation of the
Tobacco Regulation Act by the IAC, chaired by the DTI and vice-chaired by the DOH
- Provide incentives to local governments & groups deputized to catch offenders & collect fines
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Legislation / Public Legislation / Public Policy DevelopmentPolicy DevelopmentA. National - Push for implementation of
the Excise Tax Law; plan to wisely spend monies earmarked for “disease prevention”
- Increase levies to provide disincentives to ”sensitive”, perilous companies
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Legislation / Public Legislation / Public Policy DevelopmentPolicy DevelopmentA. National
Push for an issuance to declare:
- Tobacco as a hazardous substance
- Nicotine-containing products as
prescription drugs
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LegislationLegislationB. International Treaty
- Invoke the Framework Convention on Tobacco Control (FCTC)
- a WHO initiative and international legal
instrument which will circumscribe
global tobacco consumption
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In SummaryIn Summary
-Tobacco control is in a state of Tobacco control is in a state of ambuguity & schizophreniaambuguity & schizophrenia
-It is incumbent upon health It is incumbent upon health professionals to bring the true professionals to bring the true picture clearly into focuspicture clearly into focus
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Thank Thank You You !!