Source of Tax Law in Philippines by jun20069

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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
                            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
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
 The Supply of Tobacco
                                Tobacco is
           Tobacco             sold by single
           industry is          sticks on the
          formidable          streets by child
                                  vendors


       Tobacco
     tycoons are              Tobacco
   politically well-       production and
connected to members      sale is a source of
 of the legislative and     income for poor
 executive branches             families
     of government
The Demand for Tobacco
    Tobacco               Entertainment
 advertising is a            industry
 major source of          “glamorizes”
 income for the             tobacco
 broadcast and
   print media

                                 Culture of
                              accommodation
               Many        inhibits non-smokers
              political      from demanding a
            leaders are         smoke-free
              smokers           environment
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

   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
The Shift in Strategy


     HEALTH            HEALTH
   PROMOTION         PROTECTION


Public Empowerment For Policy Change
The Old Strategy
- Focus on educational
 programs for children
 in schools

- Promote healthy lifestyle
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
      EXTRA CHALLENGE




FROM SCHIZOPHRENIA TO
     WHOLENESS
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

-   There is no such thing as industry vv
    health “balance”

-   Blacklist agencies, organizations,
    companies, individuals associated
    with tobacco industry
Media, Advocacy &
Promotion
     - Case find patients cum
      victims of exposure to
      tobacco for litigation
          Smoking Cessation
          Program
- Set up smoking cessation clinics in all
  government retained hospitals & major
  medical centers
           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
                   Education
                   Program
- Integrate TC in medical/allied health
professionals’ curricula
        Economic Alternative
        Program
- Abolish the National Tobacco Authority
   Legislation
   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.
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

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
Legislation / Public Policy
Development
A.   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
Development
A.    National
       Push for an issuance to declare:
     - Tobacco as a hazardous substance
     - Nicotine-containing products as
       prescription drugs
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
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

Thank
 You !

								
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