Tobacco Control In Taiwan by 4pHbs4

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									Tobacco Control
   In Taiwan

Kun-Yu Chao, MD, MS
Deputy Director-General
Bureau of Health Promotion , DOH
                Adult Smoking Rate 2006
%80
                           Reference:”The Tobacco Atlas” WHO, 2006.
 70
         67 64.9

 60
                 48.546.9                                                            Male
 50                                                                                  Female
      39.51              40.5
 40
                                                                      37.3
                                                                 30      28 28 27.2 27
 30                               24.2 22 21.8 22 24.125.7                   26 24.8 25   23.7
                                                     17 19.2 19.3 21.2                18.6 22.2
 20                      14.5                                                             16.3
                                                14
                                7.6
 10   4.12 1.9 4.4 2.9                3.5 3.5
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                                                                                                 2
                           Adult Smoking Rate in Taiwan
% 70
                                62.55
               59.75    60.95           60.35   60.89   61.02
       58.76                                                                    59.41
  60                                                            54.68   54.81
                       Male

  50
                       1987 Import cigarettes

  40


  30


  20                   Female


  10   4.59    4.11             4.13            4.22
                        4.04            3.43            3.29            2.86    3.82
                                                                2.32

   0
       1973    1974     1976    1978    1980    1982    1984    1986    1988    1990

                                                                                        3
       Adult Smoking Rate in Taiwan (cont.)
% 70
                              62.55
                   60.95              60.35 60.89 61.02
       58.76 59.75                                                       59.41
                                                                                 57.68
  60                                                       54.68 54.81                   54.75 55.11
                     Male
                                                                                                       47.29
  50
                      1987 Import cigarettes

  40
                              1997 Tobacco Hazards Prevention Act

  30


  20            Female


  10   4.59   4.11             4.13          4.22                                                      5.23
                       4.04           3.43          3.29          2.86   3.82     3.4    3.27   3.28
                                                           2.32

   0
       1973   1974     1976    1978   1980   1982   1984   1986   1988   1990    1992    1994   1996   1999

                                                                                                               4
       Adult Smoking Rate in Taiwan (cont.)
% 70
                            62.55
                   60.95            60.35 60.89 61.02
       58.76 59.75                                                     59.41
                                                                               57.68
  60                                                     54.68 54.81                   54.75 55.11
                Male
                                                                                                     47.29 48.2
  50
                     1987 Import cigarettes                                                                      42.78

  40                        1997 Tobacco Hazards Prevention Act

                                                  2002 Health and Welfare Surcharge
  30


  20           Female


  10   4.59   4.11          4.13           4.22                                                      5.23   5.3   4.54
                     4.04           3.43          3.29          2.86   3.82     3.4    3.27   3.28
                                                         2.32

   0
       1973 1974 1976       1978 1980 1982        1984 1986 1988 1990          1992 1994 1996        1999 2002 2004

                                                                                                                          5
       Adult Smoking Rate in Taiwan (cont.)
% 70
                           62.55
                   60.95           60.35 60.89 61.02
       58.76 59.75                                                   59.41
                                                                             57.68
  60                                                   54.68 54.81                   54.75 55.11
              Male
                                                                                                   47.29 48.2
  50                 1987 Import cigarettes
                                                                                                                42.78       39.51
                                                                                                                        39.88
  40                         1997 Tobacco Hazards Prevention Act

                                                2002 Health and Welfare Surcharge
  30

                                                                                      2006 Surcharge Doubled
  20         Female


  10                                                                                                      5.3
                                                                                                                                4.12
       4.59 4.11           4.13                                                                    5.23         4.54 4.76
                   4.04            3.43 4.22   3.29 2.32 2.86        3.82     3.4    3.27 3.28

   0
       1973 1974 1976 1978 1980 1982 1984 1986 1988 1990 1992 1994 1996 1999 2002 2004 2005 2006

                                                                                                                                 6
   Global Youth Tobacco Survey
   ( GYTS ) in Taiwan
• Ages 13-15, in 2004 → 2006
  – Total : 6.5% → 7.5% (↑14.9%)
  – Male :   8.5% → 9.6% (↑14.1%)
  – Female : 4.2% → 4.7% (↑11.7%)
• Ages 16-18, in 2005
  – Total : 14.0%
  – Male : 20.7%
  – Female : 7.8%


                                    7
         Smoking Rates of Men by Age
                                        39.51
    40
%
    35
    30
                            20.73
    25
    20
                 9.64
    15
    10
    5
    0
           age 13-15    age 16-18   age >18




                                                8
President of Taiwan Signed FCTC
             + Taiwan   Instrument of Accession




                           March 30, 2005



                                            9
       Core Provisions of the FCTC
 to Reduce the Demand for Tobacco
• Price and tax measures
• Non-price measures
   • Protection from exposure to tobacco smoke
   • Regulation of the contents, disclosures ,
     packaging/ labeling of tobacco products
   • Education, communication, training and public
     awareness
   • Advertising, promotion and sponsorship
   • Demand reduction measures concerning
     tobacco dependence and cessation
                                                 10
                                  Cigarette Price & Tax
 USD
                          Reference:.”The Tobacco Atlas” WHO, 2006.
10.00                                                                                                     90.0%
                        Price      Tax     Tax as a proportion of cigarette price                9.37
 9.00                                                                                             78.0%   80.0%
                                                              76.3%
 8.00                                                                                67.9%                70.0%
                                                       7.26
                                            61.1%
 7.00
                                                                                6.68                      60.0%
                                  60.6%
 6.00
                                                                                                          50.0%
 5.00    39.6%                                                        4.41
                        38.0%                                                                             40.0%
 4.00

                                           2.87                                                           30.0%
 3.00                                                                        27.0%

        1.69     1.67                                                                                     20.0%
 2.00
                                1.43
 1.00                                                                                                     10.0%


 0.00                                                                                                     0.0%
        Taiwan    China         Thailand    Japan       Canada         U.S.A.        Australia    U.K.
                                                                                                                  11
 Price and Tax Measures (Ar.6)
Legislation
• 1997 : Tobacco Hazards Prevention Act
• 2000 : Tobacco and Alcohol Tax Law
• 2006 : Surcharge doubled
• 2007 : Amendment of Tobacco Hazards
        Prevention Act (effective 2009)


                                      Advocacy in
                                      congress




                                              12
    Price and Tax Measures (Ar.6)
 • Health and Welfare Surcharge

              Before amendment           After amendment 2006,2007
Tobacco tax   NT$5 ($0.15) / pack        NT$10 ($0.3) / pack
Annual        NT$10 billion              NT$20 billion
revenues      ($300 million)             ($600 million)
              1.National Health          1.National Health Insurance (89%)
               Insurance         (70%)   2.Tobacco control           (3%)
              2.Tobacco control (10%)    3.Public health              (3%)
Allocation    3.Public health   (10%)    4.Social welfare             (3%)
              4.Social welfare  (10%)    5.Taxation / smuggling      (1%)
                                         6.Alternation crops and related
                                                                     (1%)




                                                                      13
  Packaging and Labeling (Ar.11 )
• Health warnings with pictures covering at least
  35% of the package surface (effective in 2009)
• Any false, misleading brand names to create an
  erroneous impression banned (effective in 2009)




                                                    14
15
Ad., Promotion and Sponsorship (Ar.13)
 • Current : allow limited advertising In magazines
 • Amendment (effective 2009) :
   – Totally prohibition of advertising, promotion
     and sponsorship of tobacco products
   – More penalty for violations




                                                      17
 Reduce Tobacco Dependence
           (Ar.14)
• Smoking Cessation Clinics
  – Began in 2002 (247,731 people serviced)
  – 2294 cessation clinics (age >18)
  – 19.7% point abstinence rate at 6 months
• Smokers’ Helpline
  – Began in 2003 (152,450 people serviced)
  – 6 days a week, 12 hours each day
  – 22.1% point abstinence rate at 6 months
• Community Smoking-cessation Programs
   2003-2006, 1,306 programs for 21,372 cases
                                                18
Education, Communication, Training &
      Public Awareness (Ar.12)




                                   19
Education, Communication, Training &
      Public Awareness (Ar.12)




                                   20
Education, Communication, Training &
      Public Awareness (Ar.12)




                                   21
     Avoidance of Second-hand
          Smoking (Ar. 8)
• National programs             • Local projects




Smoke-free   Smoke-free       Smoke-free      Smoke-free
workplaces   armed forces     historic spot   parks




Smoke-free   Smoke-free     Smoke-free        Smoke-free
campuses     restaurants    tribes            streets 22
     Sales to and by Minors (Ar.16)
   Ban to sell tobacco products to minors
    under 18
(Coordinate major convenience chain-stores not
 to sell tobacco products to minor under 18)

   Ban the sale of cigarette individually or in
    small packets
• More penalties ( effective in 2009)

                                                   23
Violating Rate for <18 Sale Ban
100%         violating rate of    90%
90%          convenient stores
80%
             67.70%   70%   70%
70%
       60%
60%
50%
40%
30%
20%
10%
 0%
       A      B       C     D     E
                                        24
      “No-smoking Paradise”
• A Tobacco Control Exhibition for aged 10-18
• Fantastic exhibition to strengthen adolescents’
  awareness of tobacco hazards, and skills for
  refusing smoking
• More than 250,000 visitors within one year
• Please visit the show room and enjoy it !




                                                25
               Challenge
Taiwan has tried her best, but
• Adult's male smoking rate is still high
• Smoking rate of adolescent is
  increasing
• No marked change of consumption
  of tobacco products


                                            26
  Global thinking, Local action


   Taiwan has participated
      global tobacco control
           movement
Still, we need your supports !

                                  27
Thanks for your attention

								
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