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. A list of 101 catchy no smoking slogans for fighting the cause of smoking. In light of its preparations to host the 2010 World Expo, the city of Shanghai had recently heightened its anti-smoking legislation. For every person who dies because of smoking, at least 30 people live with a serious smoking-related illness. [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]. The facts about smoking in China are scary and getting scarier by the minute: It produces more tobacco than any other country. So don't be scandalized if you see kids around the age of 15 smoking. However, this opinion runs against the facts. [31], Smoking rates among Chinese male physicians are comparable to the country's general population, although overall physician rates are lower. [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. This decision was reversed after public outcry and coverage by international press. 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. ", This page was last edited on 3 December 2020, at 17:22. 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. [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]. 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. The tobacco industry spends billions of dollars each year on marketing cigarettes. It has an estimated 350 million smokers — that's 1 in 3 of the world's smokers. China loves to smoke, as these sobering statistics show. Please update this article to reflect recent events or newly available information. 'I am delighted by such encouraging support from the public, it will help to promote legislation to control tobacco use,' [said] Jiang Yuan, vice-head of the tobacco control office under the Chinese Center for Disease Control and Prevention. Anyone caught smoking would first be given a warning and then face a fine of 50 to 200 yuan if they resist. And of course, for the sake of the public who would be visiting." [2] Within the Chinese guanxi system, tobacco is still a ubiquitous gift acceptable on any occasion, particularly outside urban areas. [29], High tobacco use among physicians may be attributed to several factors. Cigarette smoking among physicians, dentists, and nurses. Smoking among Doctors: Governmentality, Embodiment, and the Diversion of Blame in Contemporary China. 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]. [32], Others may argue that since physicians influence the well-being of the general population, their high smoking rates serve as an unhealthy role model to Chinese citizens. In China’s ancient history, tobacco was heralded by military generals to have morale boosting powers and was crucial to the military. The most important one is lung cancer, which was newly diagnosed in nearly 800,000 patients in China in 2018. 1. A direct positive public health impact of the Beijing smoking ban has manifested in the arena of fire prevention. [30], The smoking rates from these independent studies are lower than those reported by China's state-run newspaper. The industry supports around 20 million jobs, nearly 500,000 of which … Tobacco kills more than 8 million people each year, translating to one smoking-related death every … 1-5 Smoking Facts 1. We assess sex-specific prevalence and changing patterns of smoking in Chinese adults in the current decade. Smoking is prohibited on all Chinese High-speed trains (G, D, C types train) now. According to one citizen that the public health experts from Fudan interviewed, "Smoking has been banned in public places in several countries. [17] In addition, the cultural basis of smoking in China presents a significant barrier to de facto acceptance and integration of smoking control policies. Most of them have no knowledge of the facts about smoking … 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. In fact, men are particularly at risk because cigarette use is highly gendered in … 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.". Chinese physicians have a substantially higher smoking prevalence than doctors in the United States (3.3%) or United Kingdom (6.8%). Some opponents to the smoking ban hold that smoking as a personal choice has nothing to do with public health. 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. [29] Fewer smokers also believed that physicians should serve as role models for their patients and that indoor smoking in hospitals should be prohibited. Tobacco control legislation does exist, but public enforcement is rare to non-existent outside the most highly internationalized cities, such as Shanghai and Beijing. 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. Serving cigarettes … Here are 44 interesting Smoking facts. You are … Smoking Is Strictly Prohibited on High-Speed Trains. China is the world's largest cigarette producer. [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 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. China’s smoking population is in for a rude awakening in light of a new study from The Lancet medical journal. Jiang Y, Ong M K, Tong E K, et al. 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. Back to the Smoking Facts… 6. [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. [SUPChina, “China’s Cigarette Smoking Epidemic” September 5, 2019] More than 300 million Chinese adults smoke—among them more than half of all Chi… However, there is a lack of national legislation to ban smoking in workplaces. [10], Furthermore, the International Tobacco Control Policy Evaluation Project brings up the following persistent smoking issues in its 2009 report focused on China:[15]. 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. It has an estimated 350 million smokers — that's 1 in 3 of the world's smokers. 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. 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. Women smoked much less. 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. 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. (There … The director of our hospital smokes. [34], China remains one of the three leading countries (along with India and Indonesia) in total number of male smokers, accounted for 51.4% of the world's male smokers in 2015. As a way to amend this problem, the British began exporting large … The resources that are spent on medical school and hospital training might not be realized fully if physicians die prematurely from higher smoking rates. "[15], Given the complex and multifaceted nature of political agendas in China, governmental public-health related interests often clash with economic interests. China has its own unique cigarette culture. 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. [16] Such indeterminate enforcements of supposedly well-defined public health regulations in practice may limit the impact of de jure national smoking bans. For instance, local exemptions to public indoor smoking bans are often made for small businesses, particularly in the restaurant and entertainment industries. … CA Cancer J Clin. 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). China’s smoking habits are ingrained in the population. [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. [4] Nearly 60% of male Chinese doctors are smokers, which is the highest proportion in the world. [30] In addition to passing the smoking ban, Shanghai legislators have designed a website "Smoke Free Shanghai" [23] to raise anti-smoking awareness. 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. As of 2018, a high percentage of the world population was covered by … 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. 4. 1986, WHO Framework Convention on Tobacco Control, International Tobacco Control Policy Evaluation Project, State Administration of Radio, Film and Television, "The Political Mapping of China's Tobacco Industry and Anti-Smoking Campaign", "Smoke-free list extends to healthcare facilities", From 2011, Smoking Will Be Banned Completely in the Medical and Healthcare System, China To Ban Smoking In 7 Cities: Pilot Project, China Ratifies International Tobacco Treaty, Ahead of World Expo, China acts to promote smoking controls, Chinese Health Ministry Releases Landmark Anti-Smoking Report, "Special communication: China's first historic efforts to develop a tobacco control advocacy workforce via schools of public health", China relaxes smoking ban in Beijing restaurants, China moves to reduce smoking scenes on TV, Shanghai scrambles to implement ban on smoking in indoor public places ahead of World Expo, Smoking ban helps reduce fires in Beijing, Guangdong to launch stricter smoking ban at public places, http://www.chinadaily.com.cn/life/2009-12/11/content_9161633.htm, "Contrasting male and female trends in tobacco-attributed mortality in China: evidence from successive nationwide prospective cohort studies", "Smoking causes 10% of deaths worldwide; even more in China", "The Chinese Government Is Getting Rich Selling Cigarettes", Cigarette Retail Trade in China Undergoes Drastic Changes, The most effective Alternative To Smoking, China Today: Health and Medicine Information, Chinese Center for Disease Control and Prevention, National Administration of Traditional Chinese Medicine, National Healthcare Security Administration, China Health and Retirement Longitudinal Study, Protocol to Eliminate Illicit Trade in Tobacco Products, https://en.wikipedia.org/w/index.php?title=Smoking_in_China&oldid=992128515, Wikipedia articles in need of updating from December 2015, All Wikipedia articles in need of updating, Articles with unsourced statements from March 2010, Articles with unsourced statements from February 2010, Creative Commons Attribution-ShareAlike License, In addition to "strong social pressure placed upon Chinese men to smoke", it is also expected that female smoking will become "more socially acceptable as the tobacco industry increasingly targets female smokers. [24] The ban had a generally strong impact, with poll results suggesting that a majority of Chinese residents (69% out of over 10000 respondents) are "not only aware of a smoking ban in Beijing, but [95% of respondents] also hope that the authorities promote the move nationwide. "[5], The "Decision" also encourages health administration offices to utilize mass media resources and draw upon large-scale publicity campaigns such as World No Tobacco Day in order to "actively promote the importance of implementing a total smoking ban in military and civil health administration offices and medical and health institutions. ", Despite the popular support for the Shanghai smoking ban, many also feel skeptical about the actual implementation of the law. Awareness of the dangers of smoking, costs, and targeted policies and campaigns have all contributed to this decrease. [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. 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 … Some bars, karaoke parlors, saunas and nightclubs were exempt until 1 July 2009. 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." 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. This dossier presents a range of statistics and facts about smoking in Italy. 2. Exposure to secondhand smoke causes nearly 41,000 deaths … China Daily. [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. The study warns that if current smoking rates in China prevail, two million … [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. [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. 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. [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. Smoking bans in lifts, public transport, cinemas, concert halls, airport terminal and escalators had been phased in between 1982 and 1997. 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. Smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis. Background China consumes about 40% of the world's cigarettes, predominantly by men, following a large increase in recent decades. 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. More than 16 million Americans are living with a disease caused by smoking. "[5], As polls from the 2007 Ministry of Health report showed, there is widespread public approval of smoking bans among residents of urban areas. 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. The data for the United States is from the domestic Ministry of Health. [28]. 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. [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. [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. [32], Smoking is such a big part of being a doctor here. Doctors who smoked were less likely to believe that smoking has a harmful effect on health compared to nonsmokers. ", 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]. 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. 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. According to Medical News Today, seven provincial capitals in China are taking steps to ban smoking in workplaces and public places. Methods A nationally representative survey of smoking … Kohrman, Matthew. In 2010, smoking caused nearly 1 million (840 000 male, 130 000 female) deaths in China. Alternatively, smoking cessation advice offered by a doctor who smokes may seem hypocritical to the patient trying to quit. [10], However, widespread apathy and tacit acceptance toward smoking policy are likely to predominate within large portions of the Chinese population. On May 20, 2009, the Ministry of Health of China issued a formal decision to completely ban smoking in all health administration offices and medical facilities by the year 2011. In China, smoking is strictly prohibited on high … There are no smoke-free areas … 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. Many believe that doctors should serve as exemplars, as sources of information about quitting, and as providers of support and encouragement for those who are trying to live healthier lives by giving up cigarettes.[33]. An economic motivation against physician smoking may be the societal loss that is caused by tobacco use. 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. Medical Anthropology 2008, Garfinkel L, Stellman SD. [20] Another survey done by public health experts from Fudan University which involved 800 hotel guests and around 4,000 patrons and employees of restaurants, shops and entertainment venues in Shanghai found that about 73 percent of the hotel guests said Shanghai should adopt a smoking ban in public areas, 84 percent of restaurant guests reported exposure to second-hand smoke, and 74 percent of them were annoyed by the fumes and support smoking controls. More than one third of current smokers had smoked in front of their patients and nearly all had smoked during their work shift. China Anti-Smoking Laws Smoking Ban in the Chinese Capital to Move Forward. Some 70.6% of non-smokers support some type of smoking ban in bars and restaurants.[11]. Smoking causes 1 in 5 deaths in the US annually. Shanghai residents point out that despite the fact many shopping malls and all subways and subway stations actually already banned smoking prior to this law, there is low compliance and people often smoke directly in front of NO SMOKING signs. 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. - Source 2. Smoke-free list extends to healthcare facilities. As a matter of fact, in Italy it is only forbidden to smoke inside public spaces: cinemas, restaurants, clubs. [18], On February 12, 2011, State Administration of Radio, Film and Television, announced that it will ban inappropriate smoking scenes in movies and TV shows. 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. 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. [30], As of 2014, two thirds of Chinese men smoked. [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 seven cities are Tianjin, Chongqing, Shenyang, Harbin, Nanchang, Lanzhou and Shenzhen. The party-secretary smokes. [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. The China Tobacco Corporation produces 205 trillion cigarettes on an annual basis. [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]. The chair of my department smokes. The study of male and … [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. The Shanghai People's Congress issued the city's first smoking control law in March 2010. [WHO; Wikipedia “Smoking in the People’s Republic of China”] One of every three cigarettes consumed around the world is smoked in China. Every day, more than 3,200 children and teens under 18 years old smoke their first cigarette. A 2004 study conducted among 3,500 Chinese physicians found that 23% were regular smokers. [File photo: easttobacco.com] Negative Health Effects of Smoking A physician's personal smoking habits have been shown to influence his or her attitudes toward the dangers of tobacco. The economic burden of smoking estimated in terms of GDP reveals that smoking accounts for approximately 0.7% of China's GDP and approximately 1% of US GDP. [26] The public places for smoking ban included restaurants, entertainment outlets, schools, supermarkets, and governmental offices. [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". 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. 371), first enacted in 1982 with several amendments subsequently. 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. 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. These taglines are targeted towards bringing attention to the harmful chemicals and long term effects of smoking … They only share a cigarette when they want to ease the nerves on a battlefield and bond as the brothers. Responding to criticism about the current legislation not being well enforced, Wang Yu, director of the China CDC explained that "This project would create strict legislation to guarantee 100-percent smoke-free public venues and workplaces and figure out a feasible and forceful working mechanism to enforce the smoking ban." For the entire 20th century it is estimated that around 100 million people died prematurely because of smoking, most of them in rich countries. Current tobacco control legislation in China does not explicitly address gendered or social bases for smoking. Public health experts agree that it will be difficult to enforce a strict ban with the large number of smokers present in Shanghai.[20]. 36% of the population smoke, including 70% of all Chinese men. [29], Male surgeons were found to smoke more than any other specialty. [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. World J Surg 2009. [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. 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. And whenever I walk into the duty office, most of my colleagues are smoking. Dingding, Xin. 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. The number of worldwide smokers hovers around 1.2 billion marks. "[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. 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. The ban in shopping centres, department stores, supermarkets, banks and game arcades has been in place since July 1998. 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. It may be argued that as responsible and informed adults, Chinese physicians should be given the choice of whether or not to smoke. The data for China, smoking can be considered a personal matter should... 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