3080 Global Tobacco Control and Child Survival / PAS Topic Symposium / Monday, 5/2/2011Colorado Convention Center, Room Korbel 4C

Activities in Japan: The Joint Committee To Protect Children from Tobacco Hazards

Shohei Harada, M.D., Ph.DChief, Division of Clinical Practice Policy, Department of Health Policy,

National Center for Child Health and Development, Tokyo, JapanJoint Committee to Protect Children from Tobacco Hazards in Collaboration with Japan Pediatric Society, The Japanese Society of Child Health and Japan Pediatric Association

DISCLOSURE STATEMENT Speaker: Shohei Harada

Affiliation / Financial Interest Organization

None None

Dr. Shohei Harada has disclosed the following financial relationships. Any real or apparent conflicts of interest related to the content of this presentation have been resolved.

Shohei HaradaHas documented that he has no financial relationships to disclose or Conflicts of Interest (COIs) to resolve.

Unapproved or Off Label Disclosures for Shohei Harada

Presenter: Shohei Harada has documented that his presentation will not involve discussion of unapproved or off-label, experimental or investigational use.

National Center for Child Health and Development, Tokyo, Japan

Background

Adult Smoking Prevalence Parents Smoking Prevalence Adolescent Smoking Prevalence Health Professionals Smoking Prevalence

ABC of smoking cessation: The problem of tobacco smokingBMJ. 2004 January 24; 328(7433): 217–219.

Smoking PrevalenceUnder 19 y/o・ Father 　 83.8 ％・ Mother 44.3 ％

Between 20 to 24 y/o・ Father 　 83.4 ％・ Mother 34.7 ％

厚生労働省、 21 世紀出生児縦断調査（第１回） 2001 年８月１日、 2002 年２月１日 http://www.mhlw.go.jp/toukei/saikin/hw/syusseiji/01/kekka7.html

Parents Smoking Prevalence in Japan

Total

M

F

Non-Smoker

Smokerinside outside

Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th

Adolescent Smoking Prevalence (Boys) in Japan from 1996 to 2008

Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th

Adolescent Smoking Prevalence (Girls) in Japan from 1996 to 2008

内科

外科

精神科

耳鼻咽喉科

ニュージーランド 2008年

2004年

2000年

0510152025303540

2008年 2004年 2000年

ItaliaFrance

New ZealandAustraliaFinland

Pediatrician OB/GY

Male Doctors Smoking Prevalence Survey by JMA

20002004

2008

内科

外科

精神科

耳鼻咽喉科

ニュージーランド 2008年

2004年

2000年

0

5

10

15

20

25

30

35

2008年 2004年 2000年

ItaliaFrance

New ZealandAustraliaFinland

Pediatrician OB/GY

20002004

2008

Female Doctors Smoking Prevalence Survey by JMA

0% 20% 40% 60% 80% 100%６０代男性

５０代男性

４０代男性

３０代男性

２０代男性

５０代女性

４０代女性

３０代女性

２０代女性

大学病院小児科医喫煙状態

Smoker Ex-smoker Non-smoker No answer

In Some Country Smoking Prevalence of Pediatricians in University Hospitals

Female

Doctors

Male D

octors

Introduction As advocates of child protectors form environmental

hazards, pediatricians, child healthcare providers, and child health researchers has been studying and advocating the importance of minimizing tobacco hazards from children in our society. Three associations decided to make a joint committee to protect children from tobacco hazards in 2005, because it would be powerful and effective to act against policymakers or corporations.

Joint Committee to Protect Children from Tobacco Hazards

Japan Pediatric Society Japan Pediatric Association

The Japanese Society of Child Health

Joint Committee to Protect Children from Tobacco Hazards

(19,136 members) (6,319 members)

(4,962 members)

3 committee members

3 committee members 3 committee members(9 committee members + observers)

Aim of the Joint Committee

To protect children from tobacco hazards in our society as pediatric or child healthcare specialists.

Declaration of Promotion of Smoke-Free Society for Children, December 6, 2005

This declaration includes: Our responsibility for protecting children from

tobacco hazards, supporting activities to prevent children from passive smoking, and establishing outpatient clinic for child smokers in hospitals.

Contents of Declaration of Promotion of Smoke-Free Society for Children 2005 (1/5) 1. Pediatricians and healthcare and welfare

specialists involved in the wellbeing of children will remain/become nonsmokers ourselves and support those who try to stop smoking. 

We shall advocate smoking cessation to the future healthcare and welfare specialists, such as medical and nursing students, to nurture future leaders in the society who would proactively carry out the Declaration.

Contents of Declaration of Promotion of Smoke-Free Society for Children 2005 (5/5)

We shall proactively make joint efforts to urge the government and relevant parties to develop measures to promote and implement the said activities and specific policies, such as tobacco tax increase, for early realization of a smoke-free society.

December 6, 2005Japan Pediatric SocietyJapan Pediatric AssociationJapanese Society of Child

Health

Symbol Marks Expressing Non-Smoking in Front of Children

The 2nd version to protect children from second-hand smoke.The message is “Non-Smoking around Children!.”

The Proposal for the Removal of Automatic Tobacco Vending Machines in Community

The Proposal for the Removal of Automatic Tobacco-Vending Machines in Community

We have requested for removal of tobacco-vending machines from school zones and other locations easily accessible to children to prevent minors from buying tobacco from vending machines to the government ministries sucnh as Cabinet Office, Ministry of Finance, Ministry of Public Management, Home Affairs, Ministry of Health, Labour and Welfare, Ministry of Education, Culture, Sports, Science and Technology and The Ministry of Agriculture, Forestry and Fisheries

The Proposal for the Removal of Automatic Tobacco-Vending Machines in Community

Numbers of Tobacco Vending MachinesMax. 620,000 →taspo → 367,000 (2010)

“Protecting Our Children from Second-Hand Smoke” by International Union Against Cancer (UICC)

We translated the document, “Protecting our children from second-hand smoke” by International Union Against Cancer (UICC) from English to Japanese, which would be a good educational material to explain people about passive smoking and health.

1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47

2005年

2009年

01020

30

40

50

60

70

80

90

100

2005年 2009年Smoke-Free Public Schools in Japan

Survey 2005 by the Ministry of Education, Culture, Sports, Science and Technology

1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47

2009年

2005年

010203040

50

60

70

80

90

100

2009年 2005年Smoke-Free Public Schools in Japan

Survey 2009 by the Joint Committee to Protect Children from Tobacco Hazards

Non-smoking DeclarationJoint Committee to Protect Children from Tobacco Hazards

Principle 1: Promote smoking cessation among the board and members of the Society/Association

The smoking rate among members of the Society/Association will be constantly monitored and published.

The smoking rate among members will be reduced by half in the next five years.

All board members of the Society/Association will become non-smokers.

Basic Principles and Specific Goals

Non-smoking DeclarationJoint Committee to Protect Children from Tobacco Hazards

Principle 2: Promote smoking cessation in places under the management/operation of the Society/Association or relevant organizations

Smoking will be totally banned in the venues of annual and sectional meetings of the Society/Association, including informal post-meeting get-togethers.

Smoking will be banned at the organizations (research and educational organizations, hospitals, clinics) with which members of the Society/Association are affiliated.

Promotional/educational materials will be provided by members of the Society/Association and relevant organizations to prevent passive smoking in public facilities (thereby promoting the creation of a smoke-free environment).

Non-smoking DeclarationJoint Committee to Protect Children from Tobacco Hazards

Principle 3: Presentations of research on the association between smoking and pediatric diseases will be promoted and encouraged

Symposia, educational lectures and/or open lectures on smoking-related topics will be held at annual meetings of the Society/Association.

Studies on smoking, anti-smoking education, smoking cessation support and passive smoking prevention in specialized fields and presentations of study results at annual meetings of the Society/Association will be encouraged.

Non-smoking DeclarationJoint Committee to Protect Children from Tobacco Hazards

Principle 4: Promote anti-smoking education at relevant organizations

All healthcare professionals including physicians and nurses at members’ affiliated organizations (research and educational institutions, hospitals, clinics) will quit smoking.

Promote anti-smoking education of medical students, nursing students and nursery nursing students at members’ affiliated universities and other educational institutions.

Include a systematic program on tobacco harms in the educational curricula at the members’ affiliated universities.

Non-smoking DeclarationJoint Committee to Protect Children from Tobacco Hazards

Principle 5: Promote passive smoking prevention at all stages of life, including prenatally

Member pediatricians, obstetricians and gynecologists of the Society/Association will actively promote prevention of passive smoke exposure in children and fetuses.

Members of the Society/Association will improve the environment to protect children from passive smoking in public places.

Members of the Society/Association will actively encourage national and local governments to eliminate any environments where minors can easily purchase tobacco from vending machines or convenience stores.

Aftermath of the Earthquake and Tsunami in Japan

Ken Noguchi is a Japanese alpinist and environmental activist. In 1999, at the age of 25, he became the youngest person (at that time) to scale the Seven Summits, the highest mountains on each of the seven continents.

The alpinist Noguchi Ken has donated hundreds of sleeping bagsand tobaccos to people in the affected areas.

Please do not expose children to tobacco smoke.

The animation director Miyazaki Hayao donated tobaccos to fishermen in the affected areas.

0

500

1000

1500

2000

2500

3000

3500

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

J T importTotal tobacco consumption in Japan

0

500

1000

1500

2000

2500

3000

3500

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

J T import

In the future, there is no tobacco consumption!

20182028

In some day 20 years later ・・・

Acknowledgement This presentation is fully supported by Joint Committee

to Protect Children from Tobacco Hazards in Collaboration with Japan Pediatric Society, The Japanese Society of Child Health and Japan Pediatric Association. The names of current and past members are as follows: Fumio Bessho, MD, PhD, Takashi Eto, MD, PhD, Yoshio Hanawa, MD, Shohei Harada, MD, PhD, Masayuki Kaji, MD, PhD, Akira Kamikawa, MD, Toshio Morikawa, MD, Eiji Ogawa. MD, Reiko Saito, MD, PhD, Shigetaka Sugihara, MD, PhD, Keiichi Takemoto, MD, Takamitsu Matsudaira, MD, Yoshito Fujiwara, MD, PhD, Toshihiro Ino, MD, PhD

100% Smoke-Free Environments

Thank you for your attention !