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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 .

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slide1

The Schizophrenic State of Tobacco Control in the Philippines

Republic of the Philippines

DEPARTMENT OF HEALTH

slide3

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
  • 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)

Source: Malaria Control Program, 2000

slide4

The Situation

High mortality and morbidity

rates from tobacco-related disease

  • Increasing prevalence for tobacco
  • use among children and women

- Limited government resources for

tobacco-related diseases

slide5

Tobacco is

sold by single

sticks on the

streets by child

vendors

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

industry is

formidable

The Supply of Tobacco

slide6

Tobacco

advertising is a

major source of

income for the

broadcast and

print media

Entertainment industry “glamorizes” tobacco

Culture of

accommodation

inhibits non-smokers

from demanding a

smoke-free

environment

Many

political leaders are smokers

The Demand for Tobacco

slide7

The Schizophrenic State

  • Voted for the ratification of the FCTC
  • Enacted Tobacco Regulation Act of 2003
  • & Excise Tax Law of 2005
  • Updated local ordinances against
  • smoking – Makati, Davao,
  • Mandaluyong, etc.
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
slide9

The Shift in Strategy

HEALTH

PROTECTION

HEALTH

PROMOTION

Public Empowerment For Policy Change

slide10

The Old Strategy

- Focus on educational

programs for children

in schools

- Promote healthy lifestyle

slide11

The New Strategy

  • Aggressively mobilize a constituency to support the Tobacco Regulation Act of 2003, the Excise Tax Law of 2005 and local tobacco control legislation

- Use the FCTC to buttress national tobacco control policies

the six components of the ntcp
The Six Components of the NTCP

- Media, Advocacy & Promotion

- Smoking Cessation Program

- Epidemiologic Surveillance & Research

- Education Program

- Economic Alternative Program for Tobacco Farmers

- Legislation/ Public Policy Development

media advocacy promotion
Media, Advocacy & Promotion
  • There is no such thing as industry vv health “balance”
  • Blacklist agencies, organizations, companies, individuals associated with tobacco industry
media advocacy promotion15
Media, Advocacy & Promotion

- Case find patients cum victims of exposure to tobacco for litigation

smoking cessation program
Smoking Cessation Program

- Set up smoking cessation clinics in all government retained hospitals & major medical centers

surveillance research
Surveillance & Research

Global Youth Tobacco Survey

Health Professionals’ Tobacco Survey

Burden of Illness Studies

Packaging & Labelling

Tobacco Industry Activities

Monitoring of Implementation of Tobacco Regulation Act, Excise Tax Law, FCTC, Ordinances

slide18

Education Program

- Integrate TC in medical/allied health professionals’ curricula

slide19

Economic Alternative Program

- Abolish the National Tobacco Authority

legislation
Legislation

TheTobacco 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.

legislation21
Legislation

- 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

legislation public policy development
Legislation / Public Policy Development
  • 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
legislation public policy development23
Legislation / Public Policy Development
  • 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
legislation public policy development24
Legislation / Public Policy Development
  • National

Push for an issuance to declare:

- Tobacco as a hazardous substance

- Nicotine-containing products as

prescription drugs

legislation25
Legislation

B. International Treaty

- Invoke the Framework Convention on Tobacco Control (FCTC)

- a WHO initiative and international legal

instrument which will circumscribe

global tobacco consumption

slide26

In Summary

  • Tobacco control is in a state of ambuguity & schizophrenia
  • It is incumbent upon health professionals to bring the true picture clearly into focus