Tobacco Control In Taiwan Kun-Yu Chao, MD, MS Deputy Director-General Bureau of Health Promotion, DOH

2 Adult Smoking Rate 2006 Reference ： ”The Tobacco Atlas” WHO, 2006.

3 Adult Smoking Rate in Taiwan Male Female 1987 Import cigarettes

4 Adult Smoking Rate in Taiwan (cont.) Male Female 1987 Import cigarettes 1997 Tobacco Hazards Prevention Act

5 Adult Smoking Rate in Taiwan (cont.) Male Female 1987 Import cigarettes 1997 Tobacco Hazards Prevention Act 2002 Health and Welfare Surcharge

6 Adult Smoking Rate in Taiwan (cont.) Male Female 1987 Import cigarettes 1997 Tobacco Hazards Prevention Act 2002 Health and Welfare Surcharge 2006 Surcharge Doubled

7 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%

8 Smoking Rates of Men by Age %

9 President of Taiwan Signed FCTC Instrument of Accession March 30, Taiwan

10 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

11 Cigarette Price & Tax Reference ：.”The Tobacco Atlas” WHO, USD

12 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

13 Before amendmentAfter amendment 2006,2007 Tobacco tax NT$5 ($0.15) / packNT$10 ($0.3) / pack Annual revenues NT$10 billion ($300 million) NT$20 billion ($600 million) Allocation 1.National Health Insurance (70%) 2.Tobacco control (10%) 3.Public health (10%) 4.Social welfare (10%) 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 (1%) Health and Welfare Surcharge Price and Tax Measures (Ar.6)

14 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)

15

17 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

18 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 , 1,306 programs for 21,372 cases

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

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

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

22 Avoidance of Second-hand Smoking (Ar. 8) Smoke-free armed forces Smoke-free campuses Smoke-free restaurants Smoke-free workplaces Smoke-free historic spot Smoke-free parks Smoke-free tribes National programsLocal projects Smoke-free streets

23 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)

24 Violating Rate for ＜ 18 Sale Ban

25 “No-smoking Paradise” A Tobacco Control Exhibition for aged 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 !

26 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

27 Global thinking, Local action Taiwan has participated global tobacco control movement Still, we need your supports !

Thanks for your attention