Transcript Tobacco Control In Taiwan

Tobacco Control
In Taiwan
Kun-Yu Chao, MD, MS
Deputy Director-General
Bureau of Health Promotion , DOH
Adult Smoking Rate 2006
%80
70
67 64.9
Reference：”The Tobacco Atlas” WHO, 2006.
60
50
39.51
48.546.9
40.5
37.3
40
24.2 22 21.8 22 24.125.7
30
20
10
14.5
4.12 1.9 4.4 2.9
14
7.6
30
21.2
19.3
19.2
17
Male
Female
28 282627.2 27
24.8 25
23.7
18.6 22.2
16.3
3.5 3.5
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2
Adult Smoking Rate in Taiwan
％ 70
58.76
59.75
60
60.95
62.55
60.35
60.89
61.02
54.68
Male
50
59.41
54.81
1987 Import cigarettes
40
30
Female
20
10
4.59
4.11
4.04
4.13
3.43
4.22
3.29
2.32
2.86
3.82
1973
1974
1976
1978
1980
1982
1984
1986
1988
1990
0
3
Adult Smoking Rate in Taiwan (cont.)
％ 70
62.55
60.95
58.76 59.75
60.35 60.89 61.02
60
54.68 54.81
Male
50
59.41
57.68
54.75 55.11
47.29
1987 Import cigarettes
40
1997 Tobacco Hazards Prevention Act
30
20
10
Female
4.59
4.11
4.04
4.13
3.43
4.22
3.29
2.32
2.86
3.82
3.4
3.27
3.28
1973
1974
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
5.23
0
1999
4
Adult Smoking Rate in Taiwan (cont.)
％ 70
60.95
58.76 59.75
62.55
60.35 60.89 61.02
60
59.41
54.68 54.81
57.68
54.75 55.11
Male
47.29 48.2
50
1987 Import cigarettes
1997 Tobacco Hazards Prevention Act
40
2002 Health and Welfare Surcharge
30
20
10
42.78
Female
4.59
4.11
4.04
4.13
3.43
4.22
3.29
2.32
2.86
3.82
3.4
3.27
3.28
5.23
5.3
4.54
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
60.95
58.76 59.75
62.55
60.35 60.89 61.02
60
54.68 54.81
Male
50
54.75 55.11
47.29 48.2
39.51
42.78
39.88
1997 Tobacco Hazards Prevention Act
2002 Health and Welfare Surcharge
30
10
57.68
1987 Import cigarettes
40
20
59.41
2006 Surcharge Doubled
Female
4.59 4.11
4.04
4.13
3.43 4.22
3.29 2.32 2.86
3.82
3.4
3.27 3.28
5.23
5.3
4.12
4.54 4.76
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
15
9.64
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
Price
Tax
9.37
Tax as a proportion of cigarette price
78.0%
9.00
76.3%
8.00
61.1%
7.00
67.9%
7.26
6.00
80.0%
70.0%
6.68
60.6%
90.0%
60.0%
50.0%
5.00
39.6%
4.41
38.0%
40.0%
4.00
2.87
3.00
2.00
1.69
1.67
30.0%
27.0%
20.0%
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
revenues
NT$10 billion
($300 million)
1.National Health
Insurance
(70%)
2.Tobacco control (10%)
3.Public health
(10%)
4.Social welfare
(10%)
NT$20 billion
($600 million)
1.National Health Insurance (89%)
2.Tobacco control
(3%)
3.Public health
(3%)
4.Social welfare
(3%)
5.Taxation / smuggling
(1%)
6.Alternation crops and related
Allocation
(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
Smoke-free
workplaces
Smoke-free
armed forces
Smoke-free
campuses
Smoke-free
restaurants
• Local projects
Smoke-free
historic spot
Smoke-free
tribes
Smoke-free
parks
Smoke-free
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
convenient stores
90%
80%
70%
60%
67.70%
70%
70%
C
D
90%
60%
50%
40%
30%
20%
10%
0%
A
B
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