2.3.2 Second-hand tobacco smoke

Policies and actions

1.

Guidance:

Comprehensively implement the WHO Framework Convention on Tobacco Control (WHO FCTC) (68).

Sector principally involved in planning/ implementation:

Health, industry

Level of implementation:

National

Instruments:

Regulation

ICHI code:

VAB.WJ.ZZ

Policy change concerning tobacco use behaviours

2.

Guidance:

Ban smoking in all public indoor areas, including public transport, workplaces, health institutions, educational and government facilities, universities, retail shops and shopping malls, hospitality and catering facilities, such as restaurants, pubs, bars, hotels, community and sports centres, manufacturing and processing plants, and all public areas in multiple-unit dwellings, including lobbies, elevators and stairwells (67, 69-71).

Sector principally involved in planning/ implementation:

Health, industry, transport, education

Level of implementation:

National

Instruments:

Regulation

ICHI code:

VAB.WF.ZZ

Restrictions or requirements concerning the consumption or use of tobacco products, not elsewhere classified

3.

Guidance:

Refrain from approaches other than 100% smoke-free indoor environments, including ventilation, air filtration, and the use of designated smoking areas, as ineffective (67).

Sector principally involved in planning/ implementation:

Health, building, industry, transport, education

Level of implementation:

National

Instruments:

Regulation

ICHI code:

VAB.WF.ZZ&UBL

Restrictions or requirements concerning the consumption or use of tobacco products, not elsewhere classified

Indoor air quality

4.

Guidance:

Consider making outdoor or quasioutdoor areas and public places smoke-free, for example playgrounds, parks, beaches, outdoor stadiums, patios (63). This will also reduce tobacco product waste from smoked cigarettes that contains over 7000 toxic chemicals, including known human carcinogens, which leach into and accumulate in the environment (65).

Sector principally involved in planning/ implementation:

Health, industry, transport, education

Level of implementation:

National

Instruments:

Regulation

ICHI code:

VAB.WF.ZZ&UED

Restrictions on consumption or use of tobacco products, not elsewhere classified

Open space planning services, systems and policies

5.

Guidance:

Monitor compliance and impose legal responsibilities both on business establishments and individual smokers, specifying fines and/or administrative sanctions for violation (67).

Sector principally involved in planning/ implementation:

Health, industry, transport, education

Level of implementation:

National

Instruments:

Assessment and surveillance; regulation

ICHI code:

VAB.WF.ZZ

Restrictions on consumption or use of tobacco products, not elsewhere classified

6.

Guidance:

Require managers/owners of public establishments to implement the smoking ban (67, 72). Key actions might include:

· posting clear signs at entrances that smoking is not permitted;

· removing ashtrays from premises;

· supervising observance of the rules;

· discouraging individuals from smoking by asking them not to smoke.

In case of non-compliance:

· discontinuing service;

· asking the person to leave the premises;

· contacting a law enforcement agency.

Sector principally involved in planning/ implementation:

Health, industry, transport, education

Level of implementation:

National

Instruments:

Regulation; other management and control; assessment and surveillance

ICHI code:

VAB.WF.QD

Restrictions through enactment of laws or standards on the consumption or use of tobacco products

7.

Guidance:

Implement inspections of compliance to non-smoking policies in all business premises and workplaces (72).

Sector principally involved in planning/ implementation:

Health, industry, transport, education

Level of implementation:

National

Instruments:

Assessment and surveillance

ICHI code:

VAB.WF.QE

Enforcement of restrictions on consumption or use of tobacco products

8.

Guidance:

Raise awareness about the risks of second-hand tobacco smoke exposure and the environmental implications of the tobacco farming and manufacturing process and tobacco waste through information campaigns (including during mass events) and community engagement sessions (65, 67, 73, 74).

Sector principally involved in planning/ implementation:

Health; environment

Level of implementation:

National; community

Universal health coverage

Instruments:

Information, education and communication

ICHI code:

VAB.VB.ZZ

Awareness raising to influence tobacco use behaviours

9.

Guidance:

Inform, consult and involve the public by clearly explaining the purpose of any smoking ban legislation to ensure support and smooth implementation (67).

Sector principally involved in planning/ implementation:

Health

Level of implementation:

National; community

Universal health coverage

Instruments:

Information, education and communication

ICHI code:

VAB.PN.ZZ&XBO8.6

Advising about tobacco use behaviours

Community

10.

Guidance:

Implement educational strategies to reduce second-hand smoke exposure in homes (75).

Sector principally involved in planning/ implementation:

Health, education

Level of implementation:

National; community

Universal health coverage

Instruments:

Information, education and communication

ICHI code:

VAB.PM.ZZ&XBO8.2

Education to influence tobacco use behaviours Family

11.

Guidance:

Engage the community in monitoring compliance and reporting violations, for example by establishing a toll-free telephone complaint hotline or similar system (67).

Sector principally involved in planning/ implementation:

Health

Level of implementation:

National; community

Instruments:

Assessment and surveillance; information, education and communication

ICHI code:

VAB.WC.QE&XBO8.6

Restrictions through enforcement of laws or standards on the sale or distribution of tobacco product

Community