It has an estimated 350 million smokers — that's 1 in 3 of the world's smokers. [7] Under the conditions of the FCTC, China is required to completely ban "promotion and sponsorship on radio, television, print media and the Internet within five years," [8] as well as to prohibit tobacco companies from sponsoring international events or activities. [27] Yang Tingzhong from Zhejiang University undertook campaigns and project sponsored by Bloomberg Global Initiative to ban smoking in university campuses at a nationwide scale. The study warns that if current smoking rates in China prevail, two million … Because tobacco remains a significant source of both health risks and revenue for municipal and national governing entities,[6] specific Chinese tobacco control policies in different contexts may betray an overall position of ambivalence or inconsistency. Methods A nationally representative survey of smoking … In 2010, smoking caused nearly 1 million (840 000 male, 130 000 female) deaths in China. Smoking rates of China, Japan, United States and Russia in 2010. [4] Nearly 60% of male Chinese doctors are smokers, which is the highest proportion in the world. Some opponents to the smoking ban hold that smoking as a personal choice has nothing to do with public health. Smoking deaths in China are set to triple to 3 million a year by 2050, according to a new study that examines the devastating toll of rising smoking rates on the country’s male population. Some bars, karaoke parlors, saunas and nightclubs were exempt until 1 July 2009. Cigarettes are an increasingly gendered health risk in China, according to a new study that reports 68% of Chinese men smoke, compared to just 3.2% of women. Please update this article to reflect recent events or newly available information. Also, the most concrete measure that has been taken is that Expo organizers refused a 200 million yuan ($29.3 million) donation from the Shanghai Tobacco Company last year to maintain their "healthy Expo" stance. The practice is controversial because some believe that medical professionals should serve as role models of healthy behavior to their patients, while others believe that doctors should have the right to smoke because it is a personal matter. For instance, local exemptions to public indoor smoking bans are often made for small businesses, particularly in the restaurant and entertainment industries. We should do the same, at least during the Expo, since it is a cosmopolitan event. Nearly all Chinese physicians (95%) believed that active smoking causes lung cancer and most believed that passive smoking causes lung cancer (89%), but current smokers were less likely to hold these health beliefs than nonsmokers were. [4] The Ministry said that as a "mid-term goal, all health administrations and half of the country's healthcare facilities should be smoke-free by the end of 2010". 3. [30], As of 2014, two thirds of Chinese men smoked. [22] One most basic concern Shanghai residents have regarding the ban is the lack of clarity regarding who will do the fining and who will report the offenses. These taglines are targeted towards bringing attention to the harmful chemicals and long term effects of smoking … In addition to passing the smoking ban, Shanghai legislators have designed a website "Smoke Free Shanghai" [23] to raise anti-smoking awareness. … Furthermore, outside the largest cities in China, smoking is considered socially acceptable anywhere at any time, even if it is technically illegal. The director of our hospital smokes. [11] With an explicitly stated objective of "building smoke-free environments for the sake of enjoying healthy life",[12] the report has received strong support and praise from the Campaign for Tobacco-Free Kids, a U.S. health advocacy group based in Washington, D.C.[11]. Kohrman, Matthew. The Beijing Municipal Government has recently vowed anti-smoking laws to ban smoking in all indoor public venues, workplace, and public transport vehicles in a new anti-smoking … In practice, it is often the case that only some government offices, schools, museums, some hospitals, and sports venues effectively function as smoke-free areas. More than 16 million Americans are living with a disease caused by smoking. We assess sex-specific prevalence and changing patterns of smoking in Chinese adults in the current decade. According to one citizen that the public health experts from Fudan interviewed, "Smoking has been banned in public places in several countries. This decision was reversed after public outcry and coverage by international press. In 2007, Guangzhou and Jiangmen became Guangdong's first two cities for experimental enforcement of total smoking ban at some public places. [30], The smoking rates from these independent studies are lower than those reported by China's state-run newspaper. However, given the decreasing smoking rate in recent years mainly due to increasing tobacco tax, the government currently has no further plans to control sales of tobacco other than by adjusting taxation. [8] In light of the FCTC, concerns about international image, and strong support from both citizens and domestic health authorities, the Chinese government has become increasingly involved in tobacco prevention and tobacco-related health promotion programs. In light of the passage of national tobacco initiatives and international publicity for the 2008 Summer Olympics, the Beijing city government extended a public smoking ban on May 1, 2008 to include sports venues and all indoor areas of government offices, transport stations, schools and hospitals. An article published in 2009 interviewed a source who claimed that 60% of Chinese male doctors were smokers, a percentage higher than any other country's doctors in the world. [1] The China National Tobacco Corporation (中国烟草总公司 Zhōngguó Yāncǎo Zǒnggōngsī) is by sales the largest single manufacturer of tobacco products in the world and boasts a monopoly in Mainland China generating between 7 and 10% of government revenue. Awareness of the dangers of smoking, costs, and targeted policies and campaigns have all contributed to this decrease. The announcement said smoking scenes are out of line with the country's stance on tobacco control, and are misleading to the public, especially minors. Thus it is prohibiting scenes of cigarette brands, people smoking at smoke-free places, minors buying and smoking cigarettes, and other smoking scenes associated with minors. However, this opinion runs against the facts. However, due to the Chinese government's complex relationship with tobacco policy (for instance, many localities rely upon tobacco tax revenue as a substantial source of income),[6] there have been many concerns about the practicality of the national policy's enforcement. [File photo: easttobacco.com] Negative Health Effects of Smoking In China, smoking is strictly prohibited on high … The data for China, Russia and Japan is from separate reports submitted to the WTO's Framework Convention on Tobacco Control. Public health experts agree that it will be difficult to enforce a strict ban with the large number of smokers present in Shanghai.[20]. [5] With an ever-increasing Chinese smoking population of over 350 million, the enactment of the May 20 initiative represents an important landmark in China's commitment to tobacco control. Serving cigarettes … ", The Beijing government has also adopted a policy of persuasion, combined with a fine of up to 5,000 yuan ($730) for violating the ban, in an attempt to further encourage citizens to curtail public smoking.[24]. Among smokers, the polls found that 93.5% support a total ban on smoking in all schools, 75.5% support a total ban in hospitals, and 94.3% support a total ban in all public transport. In China’s ancient history, tobacco was heralded by military generals to have morale boosting powers and was crucial to the military. Hangzhou's people's congress had approved to ban smoking in public and working places in the beginning of 2010; smoking may be prohibited in some places and violators may be fined up to 3000 yuan. Smoking Is Strictly Prohibited on High-Speed Trains. As a response to FCTC recommendations for reduction of access and supply-side tobacco regulation, the Ministry of Health is now targeting farmers to give up tobacco plantation and trying to “convince them that the tobacco industry can be replaced by other industries that are more healthy, sustainable and profitable.”[17], Another potential obstacle is the Chinese tobacco industry's lack of complete compliance with nationally defined policies regarding the correct presentation of warning labels on cigarette packages, which must be readily visible and cover at least 30% of the visible area of the packaging. Furthermore, smoking can be considered a personal matter that should not be relevant to the workplace. In Chinese culture, smoking is connected to masculine identity as a social activity that is practiced among men to promote feelings of acceptance and brotherhood, which explains why more Chinese male doctors smoke than females. A list of 101 catchy no smoking slogans for fighting the cause of smoking. Exposure to secondhand smoke causes nearly 41,000 deaths … Alternatively, smoking cessation advice offered by a doctor who smokes may seem hypocritical to the patient trying to quit. Smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis. China has its own unique cigarette culture. And to tell you the truth, with such a pressure-filled job, smoking is extremely helpful, at times soothing, at times energizing, at times helping me focus my attention when preparing for a complex surgery or facing a stack of paperwork 10:30 at night.[32]. Medical Anthropology 2008, Garfinkel L, Stellman SD. China has a relatively low social disapproval rate of smoking—according to the International Tobacco Control Policy Evaluation Project (ITC), "only 59% of smokers think that Chinese society disapproves of smoking, the fourth lowest rate of 14 ITC countries surveyed. Doctors who smoked were less likely to believe that smoking has a harmful effect on health compared to nonsmokers. The resources that are spent on medical school and hospital training might not be realized fully if physicians die prematurely from higher smoking rates. And whenever I walk into the duty office, most of my colleagues are smoking. They have a slightly higher rate than Japanese physicians (20.2%) and Japanese physicians have a smaller gender discrepancy with 27% male and 7% of female doctors smoking. Mortality rates for lung cancer are disproportionately high in China, and over 75 percent of lung cancer deaths in Chinese men are attributable to smoking. This measure was intended to bring much-needed revenue to local enterprise; quotas were issued by county authorities to offices under its jurisdiction, which in turn were fined if they failed to consume the demanded quota of cigarettes, or if they were found purchasing other brands of tobacco products. However, by March 2010, the Guangzhou Municipal People's Congress prepared to lift the smoking ban in work places, including offices, conference rooms and auditoriums. You are … Most Chinese normal-speed trains (Z, T, or K types train) offer smoking area in the spaces between carriages still. We barely see people serving cigarettes to each other in European countries or the US. Cigarette smoking among physicians, dentists, and nurses. About one-fourth of those smokers live in China and they are the fastest rising market … In 2009, the authorities of Gongan County attempted to increase consumption of locally produced cigarettes, by demanding that local officials smoke up to 23,000 packs of Hubei-branded cigarettes per year. Women smoked much less. Chinese physicians have a substantially higher smoking prevalence than doctors in the United States (3.3%) or United Kingdom (6.8%). Smoke-free list extends to healthcare facilities. On October 11, 2005, China became the 78th country in the world to ratify the WHO Framework Convention on Tobacco Control (FCTC), an international treaty intended to reduce tobacco-related disease and death. Prior to enacting the nationwide smoking ban, the Ministry of Health had already maintained active involvement in decrying the negative effects of smoking and striving toward decreased prevalence of tobacco use. "[10] Notable support also exists within the sphere of representative politics; allegedly, political advisors of the CPPCC have even gone so far as to call for smoke-free legislative sessions. Some 70.6% of non-smokers support some type of smoking ban in bars and restaurants.[11]. Smoking bans in lifts, public transport, cinemas, concert halls, airport terminal and escalators had been phased in between 1982 and 1997. As of 2018, a high percentage of the world population was covered by … Most of them have no knowledge of the facts about smoking … However, very few smokers (5%) in the ITC China Survey reported thinking about price as a reason to quit smoking—a sign that prices are too low. World J Surg 2009. Tobacco control legislation does exist, but public enforcement is rare to non-existent outside the most highly internationalized cities, such as Shanghai and Beijing. "[15], Given the complex and multifaceted nature of political agendas in China, governmental public-health related interests often clash with economic interests. A physician's personal smoking habits have been shown to influence his or her attitudes toward the dangers of tobacco. (There … [11] Notably, the report agreed with international scientific consensus about secondhand smoke, citing numerous findings from public health authorities in other countries[12] to assert the conclusion that "there is no safe level of exposure to second-hand smoke",[11] that ventilation equipment is ineffective in reducing the harm from exposure to second-hand smoke, and that the most effective protective public health measure against smoking is a legislative ban of smoking in public places. Tobacco kills more than 8 million people each year, translating to one smoking-related death every … An economic motivation against physician smoking may be the societal loss that is caused by tobacco use. [32], Smoking is such a big part of being a doctor here. According to Dr. Shigeru Omi, the WHO Regional Director for the Western Pacific region, "implementing the Convention will not be easy, as smoking is an ingrained habit in China ... but the Government has made clear its commitment to take action." [13] From 2009, Projects sponsored by Bloomberg Initiative and directed by Yang Tingzhong were designed as the first program to prohibit all forms of smoking in University campuses in China. [12] Wu Yiqun, vice executive director with the Beijing-based Thinktank Research Center for Health Development, criticized China's tobacco industry supervisory administration for "[failing] to oversee Chinese tobacco producers" in this aspect. [WHO; Wikipedia “Smoking in the People’s Republic of China”] One of every three cigarettes consumed around the world is smoked in China. The Chinese Association on Tobacco Control (中国控制吸烟协会 Zhōngguó kòngzhì xīyān xiéhuì) is engaged in tobacco control by members of the voluntary sector, including academic, social and mass organizations,[3] as strong enforcement of existing tobacco control laws is not supported by the Chinese Government. [10], Furthermore, the International Tobacco Control Policy Evaluation Project brings up the following persistent smoking issues in its 2009 report focused on China:[15]. Every day, more than 3,200 children and teens under 18 years old smoke their first cigarette. [16] Such indeterminate enforcements of supposedly well-defined public health regulations in practice may limit the impact of de jure national smoking bans. [SUPChina, “China’s Cigarette Smoking Epidemic” September 5, 2019] More than 300 million Chinese adults smoke—among them more than half of all Chi… [31], Smoking rates among Chinese male physicians are comparable to the country's general population, although overall physician rates are lower. [2], Yang Gonghuan, deputy director of the National Center of Disease Control of China, said that progress on tobacco control is not moving quickly because the government derives large tax revenues from tobacco sales, and the industry employs a large workforce. Cultural norms from China persist in the city because many Chinese residents are foreign-born, she said: “Sixty percent of men there smoke, while there is a stigma to women smoking.” ", This page was last edited on 3 December 2020, at 17:22. Contact, China has the largest number of obese children in the world, study says, For China’s Growing Middle Class, Expanding Waistlines Pose Problem, China Not Doing Enough to Stub out Smoking, Chinese Manufacturing | Fascinating Facts & Figures, Facts about China: CRIME, HUMAN RIGHTS & SUICIDE, Total population: 76.4 years (#51 world ranking). ", "Taxation is a very effective method of reducing tobacco use. [4] China does not have laws to punish health care facilities, medical workers and health officials who violate smoking bans, and is instead relying on the Chinese media to act as a watchdog. [citation needed], Impact of the WHO Framework Convention on Tobacco Control, Arguments in favor of physicians' choice to smoke, Arguments against physicians' choice to smoke. Among non-smokers, 95.1% support a total ban in all schools, 78.1% support a total ban in hospitals and over 93.8% support a ban in public transport. In order to maintain a robust, sustainable effort in tobacco control, China will particularly need to focus upon the role of public health education in smoking prevention and health promotion. The tobacco industry spends billions of dollars each year on marketing cigarettes. 4. Current tobacco control legislation in China does not explicitly address gendered or social bases for smoking. The new ban will be run as a pilot project under the joint auspices of the Chinese Center for Disease Control and Prevention (CDC) and the International Union against Tuberculosis and Lung Disease(UNION). Anyone caught smoking would first be given a warning and then face a fine of 50 to 200 yuan if they resist. There was a significant gender difference, with 41% of male physicians reporting to be smokers but only 1% of female physicians. The industry supports around 20 million jobs, nearly 500,000 of which … It has been a major health problem for many decades. [29] A study conducted among 800 Chinese male surgeons in 2004 found that 45.2% were smokers and 42.5% had smoked in front of their patients. Furthermore, physicians in particular may resort to tobacco as a coping mechanism to deal with the day-to-day stress that is associated with long work hours and difficult patient interactions. Some of them even smoke boldly in hospitals or schools.”[17] This is problematic because, regardless of whether these professionals continue to smoke out of habit, social custom, or "apparent disregard" for evidence of smoking risk, they are still expected to "behave themselves and set a good example for others in tobacco control," Li says. Smoking in China is prevalent, as the People's Republic of China is the world's largest consumer and producer of tobacco:[1] there are 350 million Chinese smokers,[1] and China produces 42% of the world's cigarettes. Smoking among Doctors: Governmentality, Embodiment, and the Diversion of Blame in Contemporary China. [21] While many interviewers found second-hand smoke itself toxic and damaging to citizen's health, a main reason behind popular support for the smoking ban relates to the citizen's concern for Shanghai's image. A direct positive public health impact of the Beijing smoking ban has manifested in the arena of fire prevention. The ban in shopping centres, department stores, supermarkets, banks and game arcades has been in place since July 1998. [29] Fewer smokers also believed that physicians should serve as role models for their patients and that indoor smoking in hospitals should be prohibited. On May 29, 2007, the Ministry released a report (2007 年中国控制吸烟报告—The 2007 China Smoking Control Report) detailing alarming levels of secondhand smoke exposure (affecting over 540 million Chinese citizens), recommendations for legislation to reduce harm from secondhand smoke, and the feasibility of implementing public smoking bans based upon polling data. The new daily average [after the extended smoking ban] was less than half of what was reported in the first four months of this year, when the city's firefighters had to put out 325 fires caused by cigarette butts, or 2.7 per day.". Smoking causes 1 in 5 deaths in the US annually. ", Despite the popular support for the Shanghai smoking ban, many also feel skeptical about the actual implementation of the law. CA Cancer J Clin. There are no smoke-free areas … However, there is a lack of national legislation to ban smoking in workplaces. [4], Smoking is a social custom in the PRC,[1] and giving cigarettes at any social interaction is a sign of respect and friendliness.[1]. China’s smoking population is in for a rude awakening in light of a new study from The Lancet medical journal. [14] The Ministry's "Decision" formally requests local governmental units to "set up multi-agency FCTC Implementation Leading Small Groups"[5] to assist with regional strategies of enforcement, with the explicit goal that: "by the year 2010, all health administration offices, both military and non-military, and at least 50% of all medical and health institutions should become smoke-free units, so that the goal of a total smoking ban in all health administration offices and medical and health institutions can be fulfilled by 2011. The latest amendment enlarges the smoking ban to include indoor workplaces, most public places including restaurants, Internet cafés, public lavatories, beaches and most public parks. Tobacco use has been identified as an increasingly popular phenomenon in China, and Chinese physicians have been found to exhibit high smoking rates as well. [citation needed], The government mentioned, upon the release of the budget in 2009, that a full ban of tobacco import and smoking is technically possible. China Daily. The Shanghai People's Congress issued the city's first smoking control law in March 2010. So don't be scandalized if you see kids around the age of 15 smoking. [29], High tobacco use among physicians may be attributed to several factors. China’s smoking habits are ingrained in the population. [9] China has also resolved to ban all tobacco vending machines,[9] as well as smoking in indoor work places, public areas, and public transportation vehicles.[10]. [12] Various health experts, activists, and public advocacy groups regard the Chinese government's escalating efforts toward tobacco policy as "surely good news for the country's smoking control progress. Am Journal Prev Med 2007, Yao T, Ong M, Lee A, Jiang Y, Mao Z: Smoking knowledge, attitudes, behavior, and associated factors among Chinese male surgeons. After the announcement was done, the ban was effective immediately.[19]. In fact, men are particularly at risk because cigarette use is highly gendered in … According to Li Zhongyang, the deputy head of the Shanghai Health Promotion Committee, the smoking ban was enacted to protect citizens' health and also promote Shanghai's image as a cosmopolitan city. - Source 2. The facts about smoking in China are scary and getting scarier by the minute: It produces more tobacco than any other country. Back to the Smoking Facts… 6. Despite China's own widespread and complex smoking issue, the ratification of the FCTC in China represents a significant commitment to tobacco control in international public health policy. Some have suggested that so long as a cigarette does not interfere with a physician's ability to diagnose and treat patients, smoking should be permitted among health care practitioners. [35] China also remains one of the three leading countries (along with India and the United States) in total number of female smokers, although these three countries accounted for only 27.3% of the world's female smokers, indicating that the tobacco epidemic is less geographically concentrated for women than for men.[35]. [17], Also, enforcement of national tobacco-control policies is still largely sparse in rural areas, where the state-owned China National Tobacco Corporation exerts much of its influence in tobacco production and marketing. The facts about smoking in China are scary and getting scarier by the minute: It produces more tobacco than any other country. [26] The public places for smoking ban included restaurants, entertainment outlets, schools, supermarkets, and governmental offices. Jiang Y, Ong M K, Tong E K, et al. 1 The health burden of smoking … smoking prevalence in women aged 14–24 years.13 In 1988, 34% of male and 4% of female junior high school students in China reported smoking at least occasion-ally.4 Vocational/technical high schools had a higher smoking prevalence than other types of schools.12,13 A higher smoking … A 2004 study conducted among 3,500 Chinese physicians found that 23% were regular smokers. Smoking in certain public places in the Hong Kong Special Administrative Region has been banned from 1 January 2007 under the government's revised Smoking (Public Health) Ordinance (Cap. Although China still lags behind many countries in implementing tobacco control policy, the Ministry of Health's May 20 initiative helped to establish more unified smoking controls and codify public health authority at broad administrative levels. China Anti-Smoking Laws Smoking Ban in the Chinese Capital to Move Forward. [28]. They only share a cigarette when they want to ease the nerves on a battlefield and bond as the brothers. The overall daily smoking rate in Hong Kong is 11.8% (HK Department of Census and Statistics Household Thematic Survey 36) with 25% of males smoking whereas in China 63% of males smoke. In addition to the May 20 measure, numerous provincial and city-level administrations in China have also enacted policies to control the prevalence and health impacts of smoking within the last decade. Although there are already some smoking bans in places in these cities, government officials have realized that compliance rate is low and plans to issue a strict ban. China loves to smoke, as these sobering statistics show. The number of worldwide smokers hovers around 1.2 billion marks. … Back to the patient trying to quit is still a ubiquitous gift acceptable any..., including 70 % of male Chinese doctors are smokers, more than third. 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