Академический Документы
Профессиональный Документы
Культура Документы
DRAFT ONLY
Methodology
Lecture/ Presentations
Workshop (Action planning)
DRAFT ONLY
In tobacco control, the health issue is addressed not only through health
service delivery programs such as smoking cessation or health promotion
activities aimed at reducing the incidence and prevalence of non-
communicable diseases; but equally, if not more importantly, through the
regulation of the tobacco product, including its marketing, promotion,
price, distribution, trade, and usage in a manner that exposes non-smokers
to second hand smoke.
Economic Impact
A Metro Manila survey revealed that one in five cases of heart attacks can
be attributed to exposure to tobacco smoke.i Long standing studies have
established that exposure to secondhand smoke for more than 21 hours per
week can increase one’s risk of a heart attack by as much as 62 percent.
Cost-effectiveness
Like all tobacco control initiatives, the policymakers of NYC have also
expended resources to fight the various common challenges that tobacco
industry posed including legal challenges. And yet, NYC finds that the
savings from preventing tobacco-related deaths far outweigh the expenses
of developing and enforcing policies on tobacco control.
Source: Powerpoint presentation of Dr. Thomas Frieden, New York City (currently head
of CDC), presented at Johns Hopkins University, Bloomberg School of Public Health,
August 2008.
The NYC experience points out that increasing tobacco taxes proved to be
the single most effective and cost-effective measure in reducing smoking
prevalence in the city. In 2008, an increase of 1.25 USD of excise tax per
pack of cigarettes led to a decline in total sales of 15.2%, and generated
DRAFT ONLY
Popularity
Not only has tobacco control proven to be cost-effective, it has also proven
to be very popular among the constituency where it has been enforced as
well as elsewhere in the country and in the world. Post-intervention
surveys done after strong smoke-free campaigns in various parts of the
world show that the population is generally happy with a smoke-free
policy and a strong implementation of such a policy.
In the Philippines, a Metro Manila survey in 2009 showed that over 90%
of Metro Manilans believe that there should be no smoking in public
places and that children should not be exposed to second hand smoke.viiIn
another survey done in Metro Manila sponsored by the World Lung
Foundation and the DOH, a reported 52% Metro Manilans were exposed
to secondhand smoke every day in workplaces, restaurants and other
public places.The study further revealed that while most nonsmokers
reported that they get upset when they are exposed to secondhand smoke,
only 8% actually complained. viii The statistics reflect the non-
confrontational nature of Filipinos, a circumstance which makes strong
government enforcement of smoke-free policies necessary to promote the
comfort and convenience of the constituents. To illustrate, when the legal
requirement for a commercial establishment to put up a no smoking sign is
well-enforced, a patron would be less likely to light up a cigarette and a
waiter or a non-smoking patron will find it easier to point to the no
smoking sign instead of arguing with the patron.
Leaders of smoke free cities are often lauded by the public health
community for their immense leadership. In light of the persistence of the
tobacco industry in promoting their interests, the ability to resist tobacco
DRAFT ONLY
Internal documents of the tobacco industry that were released in the late
90s following a settlement of tobacco litigation in Minnesota revealed how
tobacco transnationals have deliberately manipulated policy processes
both in the national and international level to undermine tobacco control
measures. Consequently, the WHO FCTC obliged governments to protect
public health policies from commercial and vested interests of the tobacco
industry. Governments are expected to comply with the FCTC provisions
through both national and subnational (local) measures.
The JMC recognizes that the tobacco industry is the single biggest obstacle
to the effective implementation of public health measures. The industry
sells a product that kills half of its consumers, and uses its power to
promote its interests, at the expense of public health. It aims to protect the
government employees and the public from the strategies of the tobacco
industry. Tobacco industry interference refers to a broad array of tactics
and strategies used by the tobacco industry to interfere with the setting and
implementing of tobacco control measures.
DRAFT ONLY
The JMC issuance is a milestone for the Philippines which had been
tagged by a scholar as “one of the slowest countries to take tobacco
control seriously,”x in view of the weaknesses of the Tobacco Regulation
Act including the presence of the tobacco industry in the IACT. The JMC
sets the stage for exposing the tobacco companies for what they are in
spite of their extensive CSR and PR work. It lays down an obvious fact
ignored by many government beneficiaries of tobacco CSR that the
tobacco companies’ primary interest is to profit from selling uniquely
lethal products, and this creates an innate conflict of interest between their
interest and any public health or welfare policies promoted by the
government.
Corruption
Association with the tobacco industry has also been linked with
corruption. In a research paper based on tobacco industry’s internal
documents, Philip Morris memos were used to conclude that it had taken
advantage of corruption in the Philippines and considers the Philippines as
having an unrestricted operating environment for tobacco companies, ripe
for corruption and exploitation. In other studies, the level of tobacco
smuggling in the country has been linked with the level of corruption and
a direct correlation had been observed. Scholars have also documented the
complicity of the tobacco industry in major smuggling operations. In
Europe, Philip Morris has agreed to pay 1.25 billion dollars as settlement
to a legal court case accusing Philip Morris of encouraging and profiting
from smuggling operations within the European Union.
DRAFT ONLY
Legal Challenge
As with the many cities that have enforced strong tobacco control
measures, including those in the Philippines, the tobacco industry have
consistently raised legal challenges to discourage these efforts. Some issues
and measures are more contentious than others. More often than not, the
same arguments are recycled in different jurisdictions even though the
tobacco control measure and its legal basis has already been successfully
upheld in another jurisdiction.
In most cases, the tobacco industry does not challenge local government
issuances in court. In fact, the court cases that the tobacco industry has
filed so far had involved the national government, particularly the DOH,
not in an adversarial proceeding, but in a proceeding to seek interpretation
from the courts.
Policy Development
DRAFT ONLY
Policy Implementation
This is not to say that these tobacco control efforts have succeeded
without interference from the tobacco industry. In most cases, the
tobacco industry did not miss the opportunity to submit their position
paper, or otherwise send their messages through various messengers
including prominent legislators from Congress.
Part 2:
DRAFT ONLY
Each LGU has the duty to promote general welfare by exercising a broad
scope of powers, not only those expressly granted but also those implied,
necessary, appropriate, or incidental for its efficient and effective governance.xii
The scope of the general welfare to be promoted is equally broad and includes, as
particularly relevant for tobacco control, among other things, the promotion of
health and safety, improving public morals, and preserving the comfort and
convenience of their inhabitants.xiii
The power of the LGU to issue ordinances and other rules to promote public
health in relation to tobacco control cannot be underestimated. Consistent with
the principle of devolution, such provision of power is to be liberally construed in
favor of the LGU. The existence of such powers, including implied or necessary
powers, shall be interpreted in favor of the LGU concerned in case of doubt.xiv
Particularly, the “general welfare provisions in this Code shall be liberally
interpreted to give more powers to local government units in accelerating economic
development and upgrading the quality of life for the people in the community.”xv
In order to enforce national laws and local ordinances, the mayor shall
develop and implement all approved policies, programs, projects, services
and activities of the LGU and:
(i) Ensure that the acts of the city's component barangays and of its
officials and employees are within the scope of their prescribed powers,
duties and functions;
(iii) Issue such executive orders for the faithful and appropriate
enforcement and execution of laws and ordinances;…..
5) Exercise such other powers and perform such other duties and
functions as may be prescribed by law or ordinance.( emphasis
supplied)
3.1. The removal of the non-compliant outdoor advertisement shall be done only
after due notice by the concerned city or municipal building official to the owner or
administrator of the building, other structure or land where said outdoor
advertisement is located.
3.2. The owner or administrator of the building, other structure or land where the non-
compliant outdoor advertisement is located shall be responsible for the removal or to
cause the removal of said non-compliant outdoor advertising within three (3) days
from receipt of notice from the concerned city or municipal building official. The
final disposition of the outdoor advertising so removed shall be subject to the terms
and conditions stipulated in the lease contract for the advertising space between the
owner or administrator of the advertising space and the advertiser or the advertising
agency, as the case may be.
DRAFT ONLY
In no other part of RA 9211 did the law prescribe a more specific duty. As
far as all the other provisions of RA9211 are concerned (Smoke Ban, Ad
Ban, Health Warnings, Programs), the role of the local official is to take
necessary steps to ensure compliance with the law. It is for this reasons that
in some cases, LGUs have decided to form task forces to undertake
enforcement of RA9211 with some level of specificity as to tasks such as
inspection, issuance of warning letters, etc.
Several LCEs have issued Executive Orders in order to facilitate the
mobilization of the task force. The City of Davao and Legazpi, for
instance, have utilized the EO and task force formula to jumpstart their
tobacco control drive.
Some cities have managed to utilize existing orders, resources and task
forces to implement existing RA9211 and ordinances on tobacco control.
To illustrate, in Pasig City which has a very strong environmental unit, it is
the city’s environmental department which lead a strong smoke free
campaign requiring all establishments and buildings to post smoke free
signages and reminding all businesses to comply with RA9211 through the
business permit and licensing unit.
A few cities have started monitoring compliance in commercial
establishments with specific provisions such as selling within the 100-meter
perimeter of the schools through inspections conducted by city officials or
deputized civilian police.
Under the Local Government Code, the LGU may impose reasonable
charges or fees for services rendered. xxii This can be helpful for the
implementation of provisions requiring monitoring of establishments such
as smoke ban provisions and advertising bans. In Makati, an establishment
wishing to put up a smoking area needs to submit an application for a
permit with the city and pay a fee depending on the size of the smoking
area. In order to sustain Makati enforcement unit’s efforts in monitoring
compliance with the requirements of the permit, the fee is renewed
annually.
The barangay has a specific power under the LGC to levy fees and charges
relating to the billboards, signboards and other outdoor advertisements.xxiii
Most LGUs in the Metro Manila charge a fee for any signage and billboard
depending on the size and the length of time it will be installed.
Part 3
The WHO FCTC obligates Parties to, among others, take effective steps in
providing protection from exposure to tobacco smoke, comprehensively
ban all forms of advertising and to protect the public health policies from
the commercial and vested interests of the tobacco industry.
Yes. An LGU may enact an ordinance compliant with the FCTC – but
provides greater restrictions than RA 9211 - in the exercise of its power
under the general welfare clause. In such capacity, an LGU may enact
legislation that is more responsive to the LGU’s and its constituencies’
needs. Municipal corporations are created based on “the idea that the needs
of the localities for which they are organized, 'by reason of the density of population,
or other circumstances, are more extensive and urgent than those of the general
public in the same particular”xxv
DRAFT ONLY
It bears stressing that the Clean Air Act cannot be declared as having been
impliedly repealed by the RA 9211, a latter law, pursuant to the well-
entrenched rule in statutory construction that implied repeals are frowned
upon, and are allowed only in extreme instances where the repugnance
and irreconcilable inconsistency between the 2 provisions in question are
convincingly and unambiguously demonstrated.xxvi Absent such showing,
the said provision of the Clean Air Act continues to be in full force and
effect, and serve as basis for local smoke-free legislations by LGUs.
Other Commonly Used Legal Arguments by the Tobacco Industryxxvii
DRAFT ONLY
On the contrary, an
exemption which do not
relate to the legitimate
objective of protecting
public health and serves
only to weaken the
issuance may, in fact, be
struck down on the basis
of equal protection.203
DRAFT ONLY
Part 5
Workplan Discussion
The participants can be divided into small groups of around 4-7 people for a
discussion on how they can agree to work towards tobacco control policy
development and implementation. Reminding them of best practices discussed
above can help stimulate discussions. Facilitators must be mindful that there may
be many possibilities but the participants should be able to think about strategic
measures that can deliver results at the soonest possible time, applying the low-
hanging fruit principle.
More importantly, the participants should be able to work as a team to achieve the
targets/ focus area.
DRAFT ONLY
DRAFT ONLY
xxv
In this regard, the Supreme Court, in US v. Joson stated:
Municipal corporations 'are bodies politic and corporate, vested with political and legislative powers for the local civil
government and police regulations for the inhabitants of the particular districts included in the boundaries of the
corporations'… They are founded, in part, upon the idea that the needs of the localities for which they are organized,
'by reason of the density of population, or other circumstances, are more extensive and urgent than those of the general
public in the same particulars.
xxvi
Ty v. Trampe , G.R. No. 117577, December 5, 1995
xxvii
See generally, D. Sy& I. Luna, Southeast Asia Tobacco Control Alliance, Tobacco Control
Lawyers’ Manual (2011).
DRAFT ONLY