Support Proposal Number Proposal Do not Support Reasons Please √ 1 Ban smoking in all outdoor dining areas. √ Currently outdoor dining areas are dominated by smokers, who as a result of their habit obtain preferential dining positions in the summer months. Non smokers are unable to enjoy alfresco dining unless they are prepared to submit themselves and family members to second hand smoke (SHS). As smoke does not remain confined in a smoking section, segregation is not an effective control mechanism against drifting smoke. Research by Stanford University provides evidence of the levels of ETS in outdoor areas. This research found that particles levels near active sources over the course of 1 or more cigarettes was comparable to indoor SHS particle levels observed in living rooms or bedrooms during active smoking. Klepeis, Ott & Switzer, (2007) J Air & Waste Management Association 57:522-534. 2 Remove the 3 metres exemption permitting patrons to smoke at tables within 3 metres of an entrance/exit to an eating establishment. √ Whilst the current legislation which requires smokers to go outside is commendable, their congregation at entrances poses a SHS hazard for nonsmokers, children, infants and ex-smokers. The cumulative effects of multiple people smoking outside entrances of venues makes entry or exit impossible without inhalation of ETS which is often present in high levels. Implementation of extended smoke-free perimeters should not only apply to eating venues, but to a range of public buildings including casinos, pubs, restaurants, banks and hospitals. “Studies in Australia and overseas have shown that exposure to environmental tobacco smoke (ETS) increases the risk of lung cancer and heart disease, as well sore throats, nasal symptoms, asthma, chest infections and eye irritation. In children, it increases the risk of middle ear infections, croup, bronchitis and asthma.” Evidence from the Stanford study found that exposure decreased significantly with distance from the source. www.cancercouncil.com.au/editorial.asp?pageid=2248 3 Ban smoking in all pedestrian Pedestrian malls and bus shelters are areas of high pedestrian use, Support Proposal Number Proposal Do not Support Reasons Please √ malls, bus malls and covered bus shelters. √ frequented by the general public, including children and infants. Around Tasmania, malls are situated in all city centres and are therefore areas of importance for shoppers, workers and tourists alike. High levels of smoking in malls detract from their appeal to the non-smoking public, and are contrary to the clean green image we attempt to portray in Tasmania. According to the research of Klepeis et al, “it was found that a person sitting or standing next to a smoker in an outdoor setting can inhale smoke that is many times more concentrated than background air pollution level... that these levels could reach the equivalent of those inside a tavern where smokers are present. Electronic monitors were used to measure airborne particles emitted from cigarettes at a number of settings including open-air cafes, outdoor pubs and footpaths”. www.cancercouncil.com.au/editorial.asp?pageid=374 Klepeis, Ott & Switzer, (2007) J Air & Waste Management Association 57:522-534. 4 Ban smoking within enclosed children’s playgrounds or within 10 metres of any children’s playground equipment in unenclosed areas. √ Due to the inherent health risks from SHS exposure, particularly to children, smoking within their vicinity should be prohibited. In addition, modelling of healthy adult behaviour which reinforces a non-smoking norm should be encouraged. For children who are subjected to indoor smoking parents, an opportunity to play in a smoke free environment is essential. Precedents for this move already exist with legislation to this effect in place in Qld, WA and several local councils including Launceston, Monash & Mosman. http://www.tobaccoinaustralia.org.au/chapter-15-smokefree-environment/15-5outdoor-areas 5 5.1 Ban smoking in all outdoor It should become the norm that smoking is unacceptable in sporting, cultural and public events, with the expectation that smokers either abstain for the Support Proposal Number Proposal Do not Support Reasons Please √ sporting stadia and cultural venues, OR √ 5.2 Further restrict smoking in all outdoor sporting stadia and cultural venues by: duration of the event, or exit the premises for the purposes of smoking. The rationale for this is the same as at other venues, ie second hand smoke is harmful and is retained to significant levels in some outdoor areas such as stadiums. Whilst one smoker may not produce high levels of ETS, smokers often gather together and the cumulative effect from groups of smokers produce significant levels of ETS. According to the US Surgeon General (2006), “exposure of adults to SHS has immediate adverse effects on the cardiovascular system and causes coronary heart disease and lung cancer. There is evidence that there is no risk-free level of exposure to second hand smoke”. 5.2.1 Prohibiting smoking within 10 metres of any seating area in the stadium or cultural venue, OR These bans will protect the rights of non-smokers including children and exsmokers enabling them to avoid SHS. Allocation of smoking areas cannot guarantee that smoke is confined to smokers unless enclosed ‘smoking rooms’ are provided. 5.2.2 Prohibiting smoking in all seating areas of the stadium or cultural venue, OR 5.2.3 Prohibiting smoking in all areas of the stadium or cultural venue except for designated smoking areas An exemplar of these bans is the Melbourne Cricket Ground whose rules state: “Smoking is not permitted within the MCG or within the designated smoke-free areas outside the stadium. http://surgeongeneral.gov.library/secondhandsmoke/report/executive summary.pdf 6 Ban smoking within 20 metres of the competition area at all sporting events where children are participating. . 7 Ban smoking at all public swimming pool complexes. √ √ Smoking behaviour should be denormalised by its prohibition at public events, especially those which are child focussed such as Little Athletics. Whilst sporting events have traditionally been the domain of the Tobacco Industry for advertising, making such events ‘smoke free’, would enable children and adults to break the association between sporting activity and smoking. Smoking within all areas frequented by families with children should be smoke free to prevent exposure to ETS. Banning smoking in these areas will provide child and family friendly activities which promote a healthy lifestyle whilst Support Proposal Number Proposal Do not Support Reasons Please √ assisting in the denormalisation of tobacco use. 8 Ban cigarette vending machines. Vending machines make cigarettes accessible to people, without security measures such as ID checks. It therefore allows children easier access to purchase cigarettes. Reducing access to cigarettes may assist current smokers to reduce their smoking habit and may eventually result in quitting attempts. √ “Ready access to cigarettes is a predictor of uptake of smoking. Surveys confirm that children obtain their cigarettes from retail outlets, vending machines, friends, siblings and parents. The most recent survey on schoolchildren’s smoking rates shows that around a quarter of Australian schoolchildren smoke. The decision to take up smoking is generally made between the ages 12 and 16, with smoking prevalence among seniors mirroring that of smoking rates among adults. Seventy thousand children commence smoking each year.” http://www.ashaust.org.au/pdfs/fact07.pdf 9 9.1 Ban specialist tobacconists’ displays: √ 9.2 Cap the number of specialist tobacconist to remain at the existing level: 9.3 Phase out specialist tobacconists: √ √ Whilst all other stores are expected to cover their cigarette display, tobacconists have an exemption to this requirement, allowing the continued advertising of their product. With the introduction of plain packaging, the benefits of display will be diminished. However, allowing the display of cigarettes packages with/without plain packaging advertises their presence and acts as a prompt for smokers and non-smokers alike. The aim of this legislation should be to discourage young people from commencing the habit hence; any move which removes this temptation should be implemented. Recent research has found “A study of smoking behaviour over time in over 1600 children aged 11-14 shows exposure to retail tobacco displays is a risk factor for smoking initiation raising the risk by around 60%.” Support Proposal Number Proposal Do not Support Reasons Please √ Henriksen,Schleicher, Feighery, Fortmann (2010) A Longitudinal Study of Exposure to Retail Cigarette Advertising and Smoking Initiation, PEDIATRICS July http://www.ashaust.org.au/lv3/action_POS.htm#RESEARCH EVIDENCE Specialist tobacconist stores should be phased out by non-renewal of licences. The demand for cigarettes will decrease as the number of smokers decreases, and therefore specialised cigarette vendors will become redundant. 9.4 Introduce a new category of specialist tobacco licensing. 10 Remove tobacco and tobacco products from reward schemes. 11 Ban tobacco sales at all temporary events such as music, sport or art festivals or where the majority of patrons are likely to be under 18. √ √ √ Tobacco should no longer be considered as a prize or reward because of the well known health risks. Provision of tobacco products could make organisations vulnerable to litigation in the future. Stealth marketing by tobacco companies has become the latest tool of the industry to overcome strong tobacco regulation. Banning sales at these targeted events prevents the marketing activities which go along with their provision which are specifically aimed at capturing the youth market. Ideally, these public events should become ‘smoke free’ events. Whilst initial opposition to these proposals may be strong, community acceptance and adherence will grow as it has over the previous decades to new smoking restrictions. http://www.cancercouncil.com.au/editorial.asp?pageid=731 12 Enable confiscation of tobacco and tobacco products in the possession of a child. √ If under-aged children are caught smoking in public, police should have the power to confiscate the product as their possession of these products is illegal. Stricter, enforceable penalties should be considered for adults who provide tobacco products to children, thereby discouraging this source of supply. Support Proposal Number Proposal Do not Support Reasons Please √ Research amongst children has shown that family, friends and peer group are their main source of tobacco products. The result of this supply is that children become addicted when they are too young to make an informed decision about the consequences of smoking. Ethically, as children are deemed incompetent to make an informed decision, laws which prevent their possession and use are justified. As a State we need to halt the smoking habits of young Tasmanians who will go on to develop long term smoking addiction and subsequent chronic disease by implementing a range of stricter public health measures as necessary. Fox, B.J. (2005) Framing tobacco control efforts within an ethical context, Tobacco Control, 14 Supp 2. http://www.tobaccoinaustralia.org.au/chapter-5-uptake/5-11-accessibility-oftobacco-products-to-young-sm