WHO Library Cataloguing-in-Publication Data Joint national capacity assessment on the implementation of effective tobacco control policies in the Philippines. 1.Smoking - prevention and control. 2.Smoking - epidemiology. 3.Health policy. 4.Health promotion. 5.Tobacco - legislation. 6.Tobacco industry - legislation. 7.Philippines. I.World Health Organization ISBN 978 92 4 150277 1 (NLM classification: WM 290) © World Health Organization 2011 All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press through the WHO web site (http://www.who.int/about/licensing/copyright_form/en/index.html). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. Design and layout by Bernard Sauser-Hall Printed by the WHO Document Production Services, Geneva, Switzerland Joint national capacity assessment on the implementation of effective tobacco control policies in the Philippines Table of contents Abbreviations................................................................................................................................................. 4 Executive summary ...................................................................................................................................... 5 1. Introduction................................................................................................................................................ 9 2. Coordination and implementation of tobacco control interventions.................................................. 12 2.1 Policy status and development ............................................................................................................ 12 2.2 Key findings ........................................................................................................................................... 17 2.3 Key recommendations.......................................................................................................................... 19 3. Monitoring and evaluation ....................................................................................................................... 22 3.1 Policy status and development ............................................................................................................ 22 3.2 Key findings ........................................................................................................................................... 23 3.3 Key recommendations.......................................................................................................................... 24 4. Smoke-free environments....................................................................................................................... 26 4.1 Policy status and development ............................................................................................................ 26 4.2 Key findings ........................................................................................................................................... 28 4.3 Key recommendations.......................................................................................................................... 29 5. Offer help to quit tobacco use.................................................................................................................. 32 5.1 Policy status and development ............................................................................................................ 32 5.2 Key findings ........................................................................................................................................... 33 5.3 Key recommendations.......................................................................................................................... 35 6. Warn people about the dangers of tobacco ........................................................................................... 40 6.1 Packaging and labelling....................................................................................................................... 40 6.1.1 Policy status and development...................................................................................................... 40 6.1.2 Key findings..................................................................................................................................... 41 6.1.3 Key recommendations ................................................................................................................... 42 6.2 Public awareness and mass-media campaigns ................................................................................ 43 6.2.1 Policy status and development...................................................................................................... 43 6.2.2 Key findings..................................................................................................................................... 43 6.2.3 Key recommendations ................................................................................................................... 44 7. Enforce bans on advertising, promotion, and sponsorship ................................................................. 46 7.1 Policy status and development ............................................................................................................ 46 7.2 Key findings ........................................................................................................................................... 47 7.3 Key recommendations.......................................................................................................................... 50 8. Raise tobacco taxes and prices................................................................................................................ 53 8.1 Policy status and development ............................................................................................................ 53 8.2 Key findings ........................................................................................................................................... 54 8.3 Key recommendations.......................................................................................................................... 56 Annex 1. List of institutions and key-informants.........................................................................................59 Annex 2. Chart status of cases filed by the tobacco industry assailing DOH a.o. 2010-0013 .................. 64 Annex 3. List of assessment team members.............................................................................................. 65 Annex 2. List of all recommendations, chapter by chapter........................................................................ 66 Ackowledgements......................................................................................................................................... 68 Joint national capacity assessment on the implementation of effective tobacco control policies in the Philippines 3 Abbreviations BLES Bureau of Labour & Employment Statistics BTIS brief tobacco cessation intervention skills BWC Bureau of Working Conditions COPD Chronic Obstructive Pulmonary Disease CPGs Clinical Practice Guidelines CSC Civil Service Commission DOH The Department of Health IACT Interagency Tobacco Control Committee IEC information – education – communication DOLE Department of Labour and Employment DND Department of National Defence FDA Food and Drug Administration FHIS Field Health Information System LGUs Local Government Units MC Memorandum Circular MDGs The Millennium Development Goals FNRI Food and Nutrition Research Institute NEC National Epidemiology Centre NCDs noncommunicable diseases NTCCO National Tobacco Control Coordination Office NGOs nongovernmental organizations OSHC Occupational Safety and Health Centre POS Point-of-sale PNP Philippine National Police PAPA Philippine Ambulatory Paediatrics Association SDA Seventh Day Adventists SHS Second-Hand Smoke SWAT Sector-Wide Anti Tobacco Committee