1. Tobacco Control Legislation in South Africa Ms Vimla Moodley Director: Health Promotion National Department of Health Commemoration of World Environmental Health Day – 27 Sept 2016

2. Background South Africa is a signatory to WHO Framework Convention on Tobacco Control (WHO FCTC) [16 June 2003 /April 2005] 2

3. South Africa and WHOFCTC South Africa : actively involved in all Conference of the Party (COP) sessions, since COP was established. hosted and chaired the Third Session of the Conference of the Parties (COP3) in Durban, South Africa, in November 2008. served on various Work Groups (Article 11; 14, 6; 17 and 18) involved in all the Inter-governmental Negotiating Body (INB 1,2,3,4 and 5) sessions for the development and finalisation of the Protocol on the Illicit trade of tobacco products. 3

4. Protocol to eliminate illicit trade in tobacco product South Africa signed the Protocol to Eliminate Illicit Trade in Tobacco Product in Geneva in January 2013. The ratification process by Parliament is underway. 4

5. South Africa: Smoking prevalence: 1993-2012 Source: AMPS 1993-2008; SANHANES 2013. 5

6. Mortality in South Africa  There are about 44,400 deaths a year (8 – 9 per centage of all deaths are related to use of tobacco).  three times more male deaths, due to smoking  Main causes of death o Cardio Vascular Disease, o Chronic Obstructive Pulmonary Disease, o Lung cancer, o TB (Bradshaw et al. BOD, Research Unit, MRC, 2010) 6

7. Examples of Tobacco Products 7

8. Tobacco Products Control Act (TPCA) in South Africa The TPCA no. 83 of 1993 was amended in 1999, 2007 and 2008 to:  ensure that young people do not start smoking;  protect people from harm caused by tobacco smoke pollution;  help smokers to quit and reduce the risks for those who continue to smoke. 8

9. Proposed Amendments to the Tobacco Act Enclosed public places to become 100% smoke free/ removal of vending machines; Electronic Nicotine and Non Nicotine Delivery Systems (e-cigarettes/ ENNDS) to be included in the Act; Ban advertising at Point of Sale; and Introduce Graphic Health Warnings and Pictorials, including standardised (plain packaging) of tobacco products. 9

10. Enclosed public places Current legislation Regulations: smoking /tobacco use  25 % of floor space;  Ventilation;  Enclosed area  Outlets, etc  Placement of vending machines 10

11. ELECTRONIC DELIVERY SYS: ENDS / ENNDS 11

12. ENDS/ ENNDS Current legislation ENDS / ENNDS not included Not defined as a tobacco product Nicotine use is scheduled by the MCC Testing of solutions used Marketing Efficacy 12

13. Hookah / Waterpipes 13

14. Health Effects of waterpipes Contains Toxicants Effects respiratory & cardio- vascular sys, oral cavity, teeth, COPD Second hand smoke Addiction Bridge to cigarette smoking Need for control measures to stop the practice 14

15. STANDARDIZED ( PLAIN) Packaging- Improve efficacy 15

16. Standardised (plain) packaging 16

17. Display at Point of Sale Tobacco industry marketing opportunity Change slips Electronic displays Advertising Display of products / change mats Ban of display with regulations for pricing and price list only 17

18. Amendment Process Draft Bill / SEIA report State Law Advisors Technical experts NHI Technical / NHI committees Social Cluster Parliamentary procedures Public comment and review for finalisation 18

19. Conclusion Tobacco control is a cost-effective and feasible intervention to address the NCD epidemic. We must prioritise tobacco control and implementation of the WHO Framework Convention on Tobacco Control (FCTC) to reduce tobacco use and the global burden of NCDs to save lives and benefit our economies. 19

20. Thank you 20