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China

China, home to 360 million smokers, hosted the Summer Olympics in 2008, and it prohibited smoking in government offices, schools, museums, hospitals, and Olympic venues for the duration of the games. Health advocates in China hope the temporary smokefree policies will lead to an increased demand for permanent local smokefree policies. In May 2009, the Health Ministry announced that all hospitals and medical facilities will become smokefree in 2011. At present, 100% smokefree environments remain a rarity in China.

On the local level, Shanghai, China's largest city with over 20 million people, enacted a 100% smokefree workplaces law in February 2009. Unfortunately, the law does not go into effect until 2011. In May 2009, Shanghai's Hongqiao Airport became 100% smokefree.

Smokefree & Related News

Beijing mulls banning tobacco purchases with public funds
WantChinaTimes April 12, 2014

It also bans vending machines from selling tobacco. Smoking promotions or advertising are also prohibited, according to the draft regulation, which is soliciting ...

Beijing seeks to ban purchase of cigarettes with public funds
Reuters - April 11, 2014

The Beijing government rules, currently in the proposal stage, would ban cigarettes being provided or given at any official event, the official Xinhua news agency reported. The rules also seek a ban on promotional sales activities or advertising for

China Smokers Face Tougher Regulations
Chinatopix - April 9, 2014

The World Health Organization (WHO) reports that despite warnings on one's health printed on cigarette packs in China, the warning has failed to elevate awareness across the country on the risks of smoking.

30 fined for breaking ban on smoking during festival
China Post - April 7, 2014

TAIPEI -- Thirty people were fined during the April 3-6 Kenting Music Festival for violating a new outdoor smoking ban, Pingtung County's Public Health Bureau ...

Taoyuan's non-smoking park policy sparks anger
Taipei Times - March 25, 2014

Smokers and non-smokers alike have complaints about Taoyuan County's non-smoking parks plan, which aims to increase their number to 376 by next month.

China's Proposed Smoking Restriction Will Be a Problem for These Companies
Motley Fool - March 24, 2014

China's health commission is drafting a proposed national ban on smoking in public locations for all, including senior officials. While the ban has been under ...

China calls for tobacco control legislation
People's Daily Online - March 12, 2014

Chinese lawmakers called for speeding up legislation to ban smoking in public places at the ongoing annual session of the National People's Congress (NPC), which will conclude on Thursday.

37 smokers fined after Shenzhen crackdown
ecns - March 10, 2014

A police crackdown on smoking in public places in Shenzhen of south China's Guangdong Province resulted in 37 people being fined on Saturday.

China May Ban Smoking in Public Places
Bloomberg - March 10, 2014

March 10 (Bloomberg) - Bloomberg's Stephen Engle reports on China possibly creating and drafting a law that would ban smoking in public places. He speaks ...

Shanghai eyes total smoking ban in public places
ecns - March 4, 2014

The Shanghai government is planning to introduce a total ban on smoking in all public ... The existing law bans smoking in most public places but there are ...

Smoking ban fines tallied
ecns - March 4, 2014

The city's health authority fined 107 individuals and 252 venues for violating the local smoking ban in 2013, authorities said in a white book Monday.

The tobacco industry: Government cougherrs
The Economist - February 28, 2014

Smoking is on course to kill 100m Chinese people this century. Will the latest anti-smoking policies curb it?...

Smokers who ignore ban had worst year yet
South China Morning Post - February 24, 2014

More than 8,500 people were prosecuted last year for puffing away indoors - the most since a smoking ban took effect seven years ago. The figure is ...

Smoking banned in Taiyuan taxis
ecns - February 14, 2014

A ban on smoking in taxis took effect in Taiyuan, Shanxi province, ... The smoking ban is a move to enhance the quality of Taiyuan taxi service and raise ...

Chinese Health Agency Pledges Smoking Ban among Workers
Women of China - February 8, 2014

The commission's new regulations ban smoking in all its indoor work areas. ... Although a government regulation issued in 2011 bans smoking in enclosed ...

Just saying no
Global Times - February 6, 2014

Wang Qian loves dining out but hates secondhand smoke. ... Some restaurant owners also fear that enforcing a total ban on smoking will drive customers away.

Liu, R.; Jiang, Y.; Li, Q.; Hammond, S.K., "An assessment of health risks and mortality from exposure to secondhand smoke in Chinese restaurants and bars," PLoS One 9(1): e84811, 2014.

Government realizes that smoking in schools may not be great idea
Shanghaiist (blog) - January 30, 2014

If nothing else, this new law has reveals the astonishing omnipresence of tobacco products, advertising, and sales in public schools. ... "schools can no longer seek sponsorship from cigarette brands or post tobacco advertisements on campus." Wow. Furth

China bans smoking in school
Death and Taxes - January 30, 2014

China did pass a ban on smoking in hospitals in 2010 and announced earlier this month that it intends to ban smoking in all public places by the end of the year.

Smoking banned in all primary, middle schools in China
ecns - January 28, 2014

(ECNS)-- In an effort to build a tobacco-free environment for students, the Ministry of Heath has banned smoking at all primary and middle schools in China, the ...

Cig ban may expand
Global Times - January 21, 2014

Beijing's top legislative body may expand the scope of no-smoking areas in the ... 90 percent of people surveyed approved of the expanded smoking ban.

Non-smokers Heave Sigh of Relief over Ban
Xinhua Newswire - January 19, 2014

Non-smokers at the current provincial "two sessions" will not be bothered by cigarette smoke, following a national ban on officials smoking in public. [Baidu] Non-smokers at the current provincial "two sessions" will not be bothered by cigarette smoke, f

Can China really stop 350 million people from smoking?
NBC News - January 19, 2014

The government declined to provide NBC News with any additional details about the plan, and anti-smoking advocates had no answers about enforcement either. Previous attempts at citywide smoking bans in public spaces in China don't provide much hope that

Smoking officials out
ecns - January 13, 2014

...But given the abject failure of previous smoking bans - it's not uncommon to see patrons ... The ban not only aims to curb smoking among government officials, it is also ... and no national law is yet in place banning smoking in indoor public places. ... the local government in Lanzhou, Gansu province, has banned smoking in ...

[n.a.], "Public smoking regulation in China: no more hot air," Lancet 383(9912): 100, January 11, 2014.

Beijing's public smoking ban may face hurdles
WantChinaTimes - January 3, 2014

Beijing recently issued a notice to ban officials from smoking in public, while requesting party and government agencies at all levels to become non-smoking ...

EDITORIAL: China must do more to discourage its people from smoking
South China Morning Post - January 3, 2014

After Xi Jinping's crackdown on official extravagance, many mainland officials must have felt that smoking remained one of their few pleasures. It is also a habit shared by more than 300 million compatriots. This helps support more than 20 million growers on the land, 500,000 employed in factories and 10 million involved in retailing, but it also kills an estimated 1.2 million a year through related causes. The Communist Party's Central Committee and State Council are therefore to be commended for asking officials to "take the lead" in toeing the line on a smoking ban in public places. Flouting of the ban by officials has made a mockery of China's ratification in 2005 of the WHO framework convention on tobacco control, which includes a ban on smoking in indoor workplaces and public areas. How can smokers be expected to take it seriously?

Smoking ban in China's public places not enforced
Xinhua Newswire - January 3, 2014

Officials are not allowed to smoke in public areas, according to a circular from the Communist Party of China (CPC) Central Committee and the State Council.

Public smoking ban for officials faces hurdles
People's Daily Online - January 2, 2014

BEIJING, Jan. 2 -- A ban on Party and government officials smoking in public places or during official activities may face huge challenges in implementation, government officials and experts said.

Lanzhou bans smoking in public
WantChinaTimes - January 2, 2014

Lanzhou's smoking ban is the toughest among related rules and regulations in ... public transport vehicles, or any other venues where smoking is banned, the ...

Health organ to build tobacco-free environment
ecns - January 2, 2014

China's health and family planning organ will follow the recent smoking ban from the central authorities and build a non-smoking environment in all government-affiliated institutions, its spokesman said Wednesday.

Anti-smoking blitz nails 29 hospitals
Shanghai Daily - December 31, 2013

Twenty-nine local hospitals were blacklisted for failing to control smoking on the premises after undercover checks by authorities on some 400 medical facilities. But the hospitals said without any legal protection they cant stop people from smoking.

Beijing bars its bureaucrats from smoking
MarketWatch - December 30, 2013

China hopes to put a stop to a bureaucratic tradition: smoking. China's State Council, the country's cabinet, issued rules banning government officials from smoking in government buildings, schools, hospitals, sporting venues or while on public transportation, China's Central Television said in a national broadcast on Sunday. The rules bar officials from smoking or offering cigarettes to others when performing official duties, a report from China's official Xinhua news agency said.

Amid China's Bad Air, a Reminder That Smoking Still Kills
New York Times (blog) - December 17, 2013

As the recognition of the danger of outdoor air pollution in China grows, health authorities are trying to use that knowledge to raise awareness of an even deadlier health threat: smoking. China has about 350 million smokers, and despite efforts to reduce consumption, tobacco is still widely consumed, and about half of adult males are regular smokers, according to surveys. Two years ago Chinas health ministry introduced a ban on smoking in restaurants and other public places, but the measure included no penalties and is widely ignored.

China Considers Public Smoking Ban
NACS Online - December 17, 2013

BEIJING Within the next year, lawmakers are expected to enact a national ban on smoking in public places in China, said Yang Jie, deputy director of Tobacco Control Office for the Chinese Center for Disease Control and Prevention.

Hu, T.W.; Lee, A.H.; Mao, Z., "WHO Framework Convention on Tobacco Control in China: barriers, challenges and recommendations," Global Health Promotion [Epub ahead of print], December 2, 2013.

Xiao, D.; Wang, C.; Chen, H.; Hajek, P., "Making hospitals in China smoke-free: a prospective study of implementing the new standard," Nicotine and Tobacco Research 15(12): 2076-2080, December 2013.

Conclusions: The smoke-free standard is feasible even in a country with a widespread acceptance of smoking inside health facilities. Several challenges need to be addressed when the new standard is disseminated across China.

Stillman, F.A.; Kaufman, M.R.; Zhen, A.; Yang, J.; Wang, J.; Zhao, N., "Smoke-free or not: a pilot evaluation in selected Beijing hospitals," BMC Public Health 13(1): 964, October 17, 2013.

As implementation strategies for smoke-free environments are improved and more resources are focused on hospitals, China is making progress toward achieving smoke-free hospitals. Using a model program could increase the prevalence of SHS policies across China. However, relying only on survey data may not provide an accurate assessment of this progress, and more extensive evaluation efforts are useful to understand how change can and does occur. ...

Wei, X.; Zhang, Z.; Song, X.; Xu, Y.; Wu, W.; Loa, X.; Ma, W., "Household smoking restrictions related to secondHand smoke exposure in Guangdong, China: a population representative survey," Nicotine and Tobacco Research [Epub ahead of print], October 15, 2013.

Introduction: China has a higher household secondhand smoke exposure rate than other countries. This study aims to estimate the prevalence rate of households implementing smoking bans in Guangdong and to identify factors correlated with household smoking bans. ... Conclusions: Household smoking bans were not sufficiently established in Guangdong, China. Intensified efforts were called to promote home smoking bans, especially for those of lower education level, with lower income, and living in rural areas.

Non-smoking Chinese women at risk through second-hand smoke
Telemanagement - October 12, 2013

(TeleManagement) Men in China risk their wives' health through exposing them to environmental tobacco smoke. Second-hand smoke exposure, also known as ...

Zhang, Q.; Li, L.; Smithm M.; Guo, Y.; Whitlock, G.; Bian, Z.; Kurmi, O.; Collins, R.; Chen, J.; Lv, S.; Pang, Z.; Chen, C.; Chen, N.; Xiong, Y.; Peto, R.; Chen, Z, "Exhaled carbon monoxide and its associations with smoking, indoor household air pollution and chronic respiratory diseases among 512 000 Chinese adults," International Journal of Epidemiology, [Epub ahead of print], September, 20, 2013.

Exhaled carbon monoxide (COex) level is positively associated with tobacco smoking and exposure to smoke from biomass/coal burning. Relatively little is known about its determinants in China despite the population having a high prevalence of smoking and use of biomass/coal. ... In adult Chinese, COex can be used as a biomarker for assessing current smoking and overall exposure to indoor household air pollution in combination with questionnaires.

Uni smoking thrives
ecns - September 18, 2013

Undercover interviews revealed that the heaviest smoking was concentrated in the ... Over a million people in China die of smoking-related illnesses every year.

Xiao, D.; Wang, C.; Chen, H.; Hajek, P., "Making hospitals in China smoke-free: a prospective study of implementing the new standard," Nicotine and Tobacco Research [Epub ahead of print], September 6, 2013.

17 Chinese Cities Join Smoke-Free Program
Asian Scientist Magazine - September 2, 2013

17 Chinese cities have benefited from a program launched by the Emory Global Health Institute China Tobacco Control Partnership to curb tobacco use.

Non-smoking Chinese women at risk through second-hand smoke
Telemanagement - August 31, 2013

Second-hand smoke exposure, also known as passive smoking, is a known health hazard, leading to an increased risk of coronary heart disease and lung ...

Wan, X.; Stillman, F.; Liu, H.; Spires, M.; Dai, Z.; Tamplin, S.; Hu, D.; Samet, J.M.; Yang, G., "Development of policy performance indicators to assess the implementation of protection from exposure to secondhand smoke in China," Tobacco Control 22(Suppl. 2): ii9-ii15, September 2013.

Conclusions The PPI is useful for evaluating implementation of smoke-free policies. As tobacco control programmes are implemented, the PPI offers an indicator to track success and change strategies, without collecting data for a full SOTC index.

Chen, R.; Hu, Z.; Orton, S.; Chen, R.L.; Wei L., "Association of passive smoking with cognitive impairment in nonsmoking older adults: a systematic literature review and a new study of Chinese cohort," Journal of Geriatric Psychiatry and Neurology [Epub ahead of print], July 22, 2013.

This study concluded that, "Passive smoking could be considered an important risk factor for cognitive impairment in older adults. Avoiding exposure to passive smoking would help to preserve cognitive decline in later life."

Non-smoking Chinese women at risk through second-hand smoke
The Almagest - July 7, 2013

Second-hand smoke exposure, also known as passive smoking, is a known health hazard, leading to an increased risk of coronary heart disease and lung ...

New Poll Up: We Need More
CityWeekend (cn) - July 5, 2013

we asked you whether you thought GZ's incredibly loosely enforced public smoking ban should cover pubs and clubs. The results are now in and it seems that CW GZ readers overwhelmingly want a smoke free environment when they go out for a drink. ...

740 million second-hand smokers in China
ecns - July 2, 2013

About 740 million Chinese are exposed to second-hand smoke, Beijing Morning Post reported Tuesday. The number of smokers in China has reached 300 million, and about 1.2 million people die due to smoking-related diseases each year, said Huang Jiefu, chairman of the Chinese Association on Tobacco Control, during a high-level forum on China tobacco control and healthful sustainable development in Beijing on Sunday.

Zhang, D.M.; Hu, Z.; Orton, S.; Wang, J.J.; Zheng, J.Z.; Qin, X.; Chen, R.L., "Socio-economic and psychosocial determinants of smoking and passive smoking in older adults," Biomed Environ Sci. (6): 453-467, June 27, 2013.

"Assessing the impact of the national smoking ban in indoor public places in China: evidence from quit smoking related online searches,"
Public Library of Science (PLoS) - June 14, 2013

Despite the tremendous economic and health costs imposed on China by tobacco use, China lacks a proactive and systematic tobacco control surveillance and evaluation system, hampering research progress on tobacco-focused surveillance and evaluation studies.

Yang, T.; Abdullah, A.S.; Li, L.; Rockett, I.R.; Lin, Y.; Ying, J.; Guo, W.; Wu, D.; Li, M., "Public place smoke-free regulations, secondhand smoke exposure and related beliefs, awareness, attitudes, and practices among Chinese urban residents," International Journal of Environmental Research and Public Health 10(6): 2370-2383, June 13, 2013.

Conclusions: There was a statistically significant association between implementation of smoke-free regulations in a city and inhibition of secondhand tobacco smoking exposure in public places. However, any such impact was limited. Effective tobacco control in China will require a combination of strong public health education and enforcement of regulations.

Wan, X.; Stillman, F.; Liu, H.; Spires, M.; Dai, Z.; Tamplin, S.; Hu, D.; Samet, J.M.; Yang, G., "Development of policy performance indicators to assess the implementation of protection from exposure to secondhand smoke in China," Tobacco Control [Epub ahead of print], June 11, 2013.

Li, C.Y.; Cui, X.B.; Rao, Y.S., "Analysis on the rate of passive smoking in Beijing residents from 2001-2008," Zhonghua Liu Xing Bing Xue Za Zhi 34(6): 658-659, June 2013.

Experts pushing for smoking ban on public venues
People's Daily Online - May 30, 2013

Health experts are pushing for an amendment to the city's first anti-smoking law - that was enacted in 2010 - to be passed that will ban smoking in public venues. Ahead of the World No Tobacco Day tomorrow, legislators, who are studying the amendment, said the new regulation should clearly define smoking and non-smoking areas, simplify the process of imposing punishment on violators and promote non-smoking venues.

Government offices eliminate smoking
China Daily (cn) - May 30, 2013

Nearly 200 government departments, government-affiliated institutions and State-owned companies in Beijing have started a campaign to eliminate smoking in their buildings. ...

Cai, L.; Wu, X.; Goyal, A.; Han, Y.; Cui, W.; He, J.; Xiao, X.; Zhao, K.; Jiao, F.; Song, Y., "Multilevel analysis of the determinants of smoking and second-hand smoke exposure in a tobacco-cultivating rural area of Southwest China," Tobacco Control [Epub ahead of print], May 25, 2013.

CONCLUSIONS: Future interventions to reduce smoking and exposure to SHS in China should focus more on tobacco farmers, less-educated individuals and on poor rural communities.

Forbidden city to go smoke-free
Ecns.cn - May 18, 2013

Beijing's Palace Museum, also known as the Forbidden City, announced on Saturday that the museum will go smoke-free. The museum announced its new ...

Shenzhen imposes 500-yuan fine in anti-smoking law
Global Times (cn) - May 14, 2013

Residents who smoke in non-smoking public places in Shenzhen, Guangdong Province, will face a fine of 500 yuan ($81), according to the revised draft of the city's tobacco-control regulation undergoing a public hearing on Tuesday. The draft, which lifts

KRASNOPOLSKY: Smokers ignorant, but not evil
Global Times (cn) - May 14, 2013

...the first time I asked somebody not to smoke around my kids, and my requests have never been ignored. I, myself, always walk away from a crowd of non-smokers whenever I ...

Chen, Z.; Shao, J.; Gao, X.; Li, X., "Effect of passive smoking on female breast cancer in China: a meta-analysis," Asia-Pacific Journal of Public Health [Epub ahead of print], April 9, 2013.

This meta-analysis of existing studies into the effect of secondhand smoke exposure on breast cancer in China concluded that, "Results suggest a possible association between passive tobacco smoke and female breast cancer in China."

Palace Museum boosts protection
Global Times - April 18, 2013

The Palace Museum has unveiled plans to better preserve Beijing's top tourist attraction by introducing nightly armed police patrols and strictly enforcing a complex-wide smoking ban.

Experts Urge China to Ban Smoking in Schools
All-China Women's Federation (cn) - April 17, 2013

As an increasing number of Chinese teenagers have taken up smoking in the past few years and the age at which they try their first cigarette has become younger and younger, experts from the Chinese Association on Tobacco Control (CATC) have said that ...

Violators of smoke-free zones could face fines
China Daily - April 9, 2013

People who light up in smoke-free zones in Shenzhen could face up to 500 yuan ($81) in fines, according to the draft of a newly revised regulation on the city's ...

Anti-smoking advocate urges a ban in the city
People's Daily Online - March 22, 2013

A leading figure in Shanghai's fight against smoking has insisted that a total ban will make a difference in people's health - despite research finding the problem has worsened in areas where restrictions are already in effect. The city introduced a partial ban on March 1, 2010, and listed 16 types of public places that were required to implement smoking areas, mainly entertainment venues. It also states schools and maternity and children's hospitals must be smoke-free zones. …

Liu, R.; Jiang, Y.; Travers, M.J.; Li, Q.; Hammond, S.K., "Evaluating the efficacy of different smoking policies in restaurants and bars in Beijing, China: a four-year follow-up study," International Journal of Hygiene and Environmental Health [Epub ahead of print], March 14, 2013.

This air quality study concluded that, "Voluntary smoking policy is rarely adopted and cannot protect people from SHS exposure in restaurants and bars. The 2008 Beijing governmental smoking regulation failed to significantly reduce SHS exposure shortly or two years after its implementation. Restricting smoking to designated sections cannot eliminate SHS exposure."

Voice on smoking ban
Global Times - March 5, 2013

"When I took our director team to Zhuhai, a security guard told us smoking was not allowed. Everyone said 'OK, OK,' but nobody stopped. When we got off the flight in Singapore, none of them smoked. 'Don't you smoke?' I asked. 'No, no, the rules are strict here!'" -- Jackie Chan, movie star and member of the 12th CPPCC National Committee,
said during a CPPCC committee group discussion to illustrate that China lacks enforcement of legislation. …

JUAN: Smoking issue wafts at Great Hall of People
China Daily (cn) - March 5, 2013

To smoke or not to smoke? That remains a question at the annual sessions of the National People's Congress and the Chinese People's Political Consultative Conference, a forum of China's elites. …

Smoking on increase in Shanghai's 'disaster zones'
South China Morning Post - March 4, 2013

Shanghai saw smoking rates rise in internet bars, entertainment venues and ... one of the first mainland cities to attempt to restrict the habit in public places. ... for implementing the restrictions - imposed three years ago - was "not optimistic". …

Newsflash: Shanghaiers smoke in internet cafes, KTV parlors ...
Shanghaiist - March 3, 2013

Since 2010, smoking has been banned in 16 types of public places, including hospitals, schools, and restaurants. Those found violating the ban are first given a ...

Shanghai to step up anti-smoking campaign
China Daily - March 1, 2013

Shanghai's anti-smoking law took effect on March 1, 2010, under which 16 public ... supervisors will first warn people who ignore smoking bans, and those who don't ... "So far, parks fall outside the scope of the smoking ban for public venues.

Smoking up at some venues despite law
Shanghai Daily - March 1, 2013

LOCAL government fined 192 public venues and 101 smokers about 348,000 yuan (US$55,238) last year for violating the city's public smoking control law, said officials from the Shanghai Health Promotion Association yesterday, the law's three-year anniversary. Internet cafes, entertainment venues and restaurants are still the three places with the most serious problems, and each saw an increase of 0.3 to 0.4 percentage points in smoking last year compared with 2011. …

Smoking ban violations rise in 2012
Global Times - February 28, 2013

The local government banned smoking three years ago in certain indoor ... the owner of an Internet bar in Pudong New Area, said the smoking ban has cost him ...

Indoor smoking worst pollution
Shanghai Daily (cn) - Feb 27, 2013

SMOKING dramatically raises PM2.5 pollutants indoors, an experiment conducted by the office of the Shanghai Health Promotion Commission showed yesterday. PM2.5 is a measure of small particulate matter of 2.5 microns or less in diameter. One cigarette ...

Chinese scientists find smoking-dementia link
Xinhua Newswire - February 21, 2013

A research team led by Chinese scientists has linked smoking to higher risks of dementia, Health News, a national health-centric newspaper, reported on Thursday. The research results, published in the British Occupational and Environmental Medicine jour ...

Beijing Air Akin to Living in Smoking Lounge: Chart of the Day
Business Week/Bloomberg - January 30, 2013

The CHART OF THE DAY shows Beijing’s daily peak and average concentrations of PM2.5, the airborne particulate matter that raises risks for lung and heart diseases, as measured by the U.S. Embassy. The 2013 daily average was 194 micrograms per cubic meter …

Indoor Air Pollution Puts Chinese Women Nonsmokers at Increased ...
Newswise (press release) - January 29, 2013

BUFFALO, N.Y. – The hazards of breathing outdoor air in some Chinese cities have been well-documented. Now a University at Buffalo study confirms that breathing indoor air also carries significant cancer risks, especially for Chinese women. The UB study (http://1.usa.gov/Wda5ca), published online this month, in the journal Cancer Causes & Control, found that indoor air pollution that generates fine particulate matter is a key contributor to the high rates of lung cancer among Chinese women, despite the fact that few of them smoke. …

Xu, Y.; Wu, Q.; Xu, S.; Xu, J.; Wan, X.; Guo, Y., "Environmental secondhand smoke exposure and policy assessment at five venues in Zhejiang Province, China," Asia-Pacific Journal of Clinical Nutrition [Epub ahead of print], January 25, 2013.

The objective of this study was to assess environmental secondhand smoke exposure and tobacco control policy at 5 venues. A cross-sectional study was conducted involving 134 settings and 2727 adults in Zhejiang, China. The results show that the proportions of venues that had complete smoking ban were as follows: health administrative organizations (71.9%), hospitals (70.0%), schools (66.7%), public transportation vehicles (24.0%), and government agencies (11.8%). The proportions of venues where smoking was noticed were as follows: public transportation vehicles (88.0%), government agencies (47.1%), hospitals (46.7%), health administrative organizations (40.6%), and schools (30.0%). Venues with completely indoor smoking ban were 5 times more likely to be smoke-free at the time of survey than other venues without smoking ban (odds ratio = 5.39, 95% confidence interval = 1.92-15.14). It indicated that implementation of indoor smoking ban can reduce indoor secondhand smoke exposure.

EDITORIAL: Tougher law needed to ban smoking at public places
China Daily (cn) - December 28, 2012

Tobacco and smoking control needs not only better rules and regulations, but stricter enforcement as well. However, lax enforcement is a major problem many cities in China have faced in recent years, says an editorial in the Beijing Times. Excerpts: ...

Smoking to be banned in China's public spaces by 2015
Want China Times (tw) - December 26, 2012

China plans to enact a smoking ban in all public spaces, decrease the area of its tobacco farms as well as enlarge the warning signs on the packaging of tobacco products by 2015...

Tobacco control plan criticized as 'weak'
China Daily (cn) - December 26, 2012

Anti-tobacco campaigners have criticized the government's 2012-15 tobacco control plan as a "weak and futile" attempt to curb the habit. The plan was jointly issued on Friday by eight government agencies, one of which was the State Tobacco Monopoly …

Bullet train smokers risk detention
Shanghai Daily (cn) - December 25, 2012

SMOKERS on high-speed rail lines may be detained as Shanghai railway operators strengthen the crackdown on smoking onboard. The detention can range from five days to 10 days, said the Shanghai Railway Bureau. The change is effective immediately. ...

Family deny Nobel laureate to star in cigarette advertisement
Xinhua Newswire - December 20, 2012

Family members of Mo Yan on Wednesday denied the Nobel Prize winner is to star in a cigarette advertisement. …

"Challenges remain for smoking ban"
CRIENGLISH.com - December 5, 2012

Efforts to implement a smoke-free environment in Chinese universities and colleges are improving, but according to an investigation by the Chinese Association ...

Polls Apart
Global Times - December 5, 2012

What do you think about the smoking ban that may affect all indoor public spaces ... Local authorities plan to expand the smoking ban to all indoor public spaces, ...

Smokers slow high-speed trains in NE China
China Daily (cn) - Dec 4, 2012

SHENYANG - Bullet trains on a high-speed railway line in Northeast China have been forced to slow down seven times over the last three days because of smoking passengers, railway police said Tuesday. …

Rising cancer rate leads to calls for smoking controls
China Daily (cn) - Nov 27, 2012

The incident rate of the disease in 2010 was 56 percent higher than it was in 2001, with an average annual growth rate of 2.4 percent, according to the Beijing Health Bureau. Lung cancer also accounted for a large proportion of malignant tumors ...

Smoking ban may reach all public buildings
Shanghai Daily (cn) - November 22, 2012

SHANGHAI plans to expand its smoking ban to all indoor public spaces, including office buildings, with tougher standards for violations, to improve compliance with the city smoke-control law put into effect in 2009, officials said yesterday. ...

City to enforce total smoking ban in public places
Shanghai Daily (China) - November 21, 2012

Shanghai plans to expand its smoking ban to cover all indoor public venues and office buildings and raise fines for violators of the city's smoke-control law that went into effect in 2009, officials said today.

Smoking bans in place on 65 local college campuses
The China Post (tw) - November 21, 2012

Sixty-five tertiary schools in Taiwan have banned smoking on their campuses as part of an effort to make colleges smoke-free, a Ministry of Education (MOE) official said yesterday.

Most Women Exposed To Secondhand Smoke In China, Which May Raise Pregnancy Complication Risk
Huffington Post - November 6, 2012

Nearly two-thirds of women of reproductive age in China are exposed to second-hand tobacco smoke at home and over half are exposed in the workplace, which raises the risk of complications in pregnancy, including stillbirths and infant death. … Around 100,000 people die from exposure to second-hand smoke in China ... more than 3 million Chinese would die of smoking-related illnesses annually by ...

China Leader's Job at Odds With Tobacco Ties, Brookings Says
Businessweek (blog) - October 26, 2012

The industry, which makes 2.3 trillion cigarettes a year, consistently ... aims to ban cigarette advertising, promotions and sponsorship and raise tobacco product ...

The Political Mapping of China's Tobacco Industry and Anti-Smoking Campaign
The Brookings Institution - October 25, 2012

The anti-smoking campaign in China, despite daunting challenges and deep-rooted institutional barriers, has the potential--and the unprecedented opportunity--to change the course of the tobacco epidemic within China and in the world. …

Smoking still a problem in taxis
Shanghai Daily (cn) - October 24, 2012

SMOKING remains a problem in Shanghai taxis as only half of local cabs are totally smoke-free, with both drivers and passengers laying off the cigarette. ...

China's latest smoking ban has little effect, critics say
Asian Correspondent - October 17, 2012

The law banning smoking in public places in Guangzhou came into effect on Sept ... were dispatched to patrol areas designated as smoke-free by the new ban, ...

One CVD Death in China Every 10 Seconds
Science Daily (press release) - October 11, 2012

Urgent actions including smoking bans in public places, salt restrictions and improved blood pressure control are needed to fight rising cardiovascular disease in China. Half of male physicians in China smoke and they can lead the way to healthy lifestyles by kicking the habit. …

Cai, L.; Wu, X.; Goyal, A.; Han, Y.; Cui, W.; Xiao, X.; He, J.; Zhao, K.; Song, Y.; Jiao, F., "Patterns and socioeconomic influences of tobacco exposure in tobacco cultivating rural areas of Yunnan Province, China," BMC Public Health [Epub ahead of print], October 4, 2012.

The prevalence rates of tobacco use were much higher in men compared with women (current smoking 68.5% vs. 1.3%; and nicotine dependence 85.2% vs. 72.7%). However, the rate of SHS exposure was higher in women compared with men (76.6% vs. 70.5%). Tobacco farmers had higher prevalence rates of current smoking, nicotine dependence, and SHS exposure compared with participants not engaged in tobacco farming (P<0.01). Most tobacco users (84.5%) reported initiating smoking during adolescence. A total of 81.1% of smokers smoked in public places, and 77.6% smoked in workplaces. Individuals belonging to an ethnic minority had a lower probability of SHS exposure and nicotine dependence. Individual educational level was found to be inversely associated with the prevalence of current smoking, exposure to SHS, and nicotine dependence. Higher annual household income was associated with a greater risk of nicotine dependence.

Anti-smoking activists in row over China Tobacco Museum in Shanghai ($$)
South China Morning Post - September 27, 2012

Shanghai gallery visited by children was named as centre for 'patriotic education', but anti-smoking lobby says it fails to highlight health risks …

Second-hand smoke greatest source of indoor pollution in Beijing: study
Xinhua Newswire - September 21, 2012

A study conducted by an environmental group found that second-hand smoke is the single greatest source of indoor air pollution in Beijing. …

Restaurants fail passive smoke test
Global Times (cn) - September 21, 2012

An environmental protection NGO issued a report Thursday highlighting the continuing problem of secondhand smoke in indoor public areas. …

Alarm over air quality in bars and restaurants
Shanghai Daily (cn) - September 21, 2012

LEVELS of fine pollutants in the air in restaurants, Internet cafes and bars in China's capital are alarmingly high, mainly due to smoking, according to a Beijing-based NGO. ...

Smoking rule has little effect
China Daily (cn) - Sep 18, 2012

A new regulation that allows law enforcement personnel to fine people smoking in public places without first warning them appears to have had limited effect in its first few weeks. ...

Courage to push for smoke-free China should come from top
Global Times - September 16, 2012

China can achieve a great deal when it focuses, as mega-events in the last few years have shown. Nevertheless, tobacco epidemics, an obvious and serious ...

Long way to go before China becomes smoke-free
Channel News Asia - September 14, 2012

BEIJING: At over two trillion cigarettes a year, China is the world's biggest tobacco producer. It is also the world's leader in cigarette consumption, with over 300 ...

Lobby wants tobacco out of quake relief
Global Times (cn) - September 14, 2012

Anti-tobacco campaigners have yet to receive a reply to a letter to central authorities demanding they reject an application from Yunnan officials to increase tobacco production quota that they promised to use to help victims of a recent earthquake in the ...

The CEO Roundtable on Cancer Joins Bilateral Effort to Promote ...
MarketWatch (press release) - September 11, 2012

... effort to reduce the negative health impacts of tobacco and secondhand smoke. ... Ministry of Health's recent "China Report on the Health Hazards of Smoking" ...

China, US launch smoke-free workplace campaign
China.org.cn - September 7, 2012

Smoking in workplaces is a serious health problem in China, as over 63 percent of employees are exposed to secondhand smoke in workplaces, said Huang ...

Sino-US partnership works toward smoke-free workplaces
China Daily - September 7, 2012

The China-US Partnership on Smoke-free Workplaces (CUSW), was launched Friday in Beijing. The public-private partnership aims to better involve enterprises in smoking control efforts. Some 59 enterprises, both Chinese and foreign-owned but based in China, have joined the campaign, initiated by the US Department of Health and Human Services and the Chinese Ministry of Health. …

China gets tough with public smoking ban
Asian Correspondent - September 2, 2012

The city's smoking ban extends not only to large common areas such as shopping centers and public transportation, but also entertainment venues including ...

Shanghai votes to ban smoking indoors
Independent Online - June 1, 2012

More than 80 percent of Shanghai residents want smoking banned in restaurants ... showed that a majority of respondents favoured a total ban in restaurants, ...

China's Health Ministry Launches Official Report On Dangers Of Smoking
Bernama - May 31, 2012

"More than half of males aged 15 and above, smoke. As many as 740 million Chinese people are exposed to passive smoking. People are underestimating the ...

Gates spearheads anti-smoking push
China Daily - May 31, 2012

... in China to raise public awareness, particularly of secondhand smoking. ... nearly 740 million people suffer from secondhand smoke on the Chinese mainland. …

Smoking raises indoor PM2.5 GD
News Guandong (China) - May 24, 2012

Indoor smoking in Shenzhen leads to significant increases in PM2.5 readings in offices, homes and restaurants, creating poor air quality that can be much worse for health than outdoor air pollution.

He, Y.; Jiang, B.; Li, L.S.; Ko, L.; Wu, L.; Sun, D.L.; He, S.F.; Liang, B.Q.; Hu, F.B.; Lam, T.H., "Secondhand smoke exposure predicted chronic obstructive pulmonary disease and other tobacco related mortality in a 17-years cohort study in China," Chest [Epub ahead of print], May 24, 2012.

This secondhand smoke exposure study included 910 men and women in Xian, China. Forty four percent of the subjects were exposed to secondhand smoke at home, 52.9 percent at work, and 67.1 percent at home or work. Between March 1, 1994 and July 1, 2011, 249 subjects (150 men and 99 women) died. Subjects exposed to secondhand smoke increased their risk of death from coronary heart disease (CHD) (adjusted relative risk, RR=2.15, 95% confidence intervals, CI=1.00-7.66), ischemic stroke (2.88, 1.10-7.55), lung cancer (2.00, 0.62-6.40), and COPD (2.30, 1.06-5.00) and all-causes (1.72, 1.29-2.20), with significant dose-response relationships between cumulative secondhand smoke exposure at home and work and the increased risk of cause-specific and total mortality.

China Puts out 3-year Plan to Control Rising Chronic Diseases ...
CRIENGLISH.com - May 23, 2012

Doctor Susan Henderson a the technical adviser for the Tobacco Free Initiative with the World Health Organization. "I think there are three main reasons that are ...

City poised to ban all public indoor smoking
EastDay.com - May 11, 2012

SMOKING may be banned completely inside all public venues in Shanghai starting ... But the major thrust will be to simply ban smoking in all indoor public ...

China's smoking ban reaches universities
UPI.com - May 6, 2012

Non-smoking is a fashionable and healthy lifestyle, Yu said. “Non-smokers are more elegant, confident and independent,” he said. …

Shanghai's smoking ban may be expanded
EastDay.com - May 1, 2012

SHANGHAI'S smoking ban may be expanded to cover all indoor venues later this year after city legislators review the smoke-control law which came into effect ...

Taichung schools consider non-smoking entrances
China Post - April 27, 2012

The China Post news staff-- The Taichung City Government is considering establishing official non-smoking areas around the entrances of senior high schools ...

Smoking in Administrative Area to be fined from April
Shenzhen Post - March 30, 2012

As one of the seven pilot cities for Smoke-free Environment Promotion Project in China, Shenzhen will start its work of establishing “smoke-free organs” in ...

Beijing lawmakers to tighten anti-smoking regulations
People's Daily Online - March 27, 2012

BEIJING, March 27 (Xinhua) -- Smokers who violate a smoking ban in Beijing will have to ... museums and hospitals, where smoking has been banned since 2008.

New Rules on Smoking in the Capital
CRIENGLISH.com - March 27, 2012

China has a long way to go until smoking can be effectively controlled nationwide. [Photo: Imagine China] An experts' draft ordinance related to controls on ...

One-day smoking ban proposed in China
Dalje.com - March 27, 2012

In addition to the ban, which has been called a symbolic measure, officials are ... The draft also bans smoking in the outdoor areas of hospitals and ...

Shanghai seeking effective ways to prevent smoking
Parda Phash - March 6, 2012

People ignoring smoking bans are first warned by supervisors, ... a week-long supervision initiative on compliance with the smoking ban in public places. …

Smoker's Contrition in Beijing
Economic Observer - March 6, 2012

An old man enjoying his traditonal-style tobacco smoke at a restaurant in ... The policy, which was implemented the following month, prohibits smoking in at ...

City looking to technology to catch smokers
EastDay.com - March 2, 2012

SPECIAL cigarette smoke detectors and PM2.5 indoor monitoring devices are ... restaurants are only half of those which don't ban smoking," Tang said.

Program to champion rights of nonsmokers
China Daily, February 23, 2012

BEIJING - The Red Cross Society of China launched a three-year Create a Smoke-Free Environment Program on Wednesday. ... seed-funded with $9 million from the Bill and Melinda Gates Foundation, ... and change smokers' habits by educating nonsmokers on their health rights. …

Smoking ban expected by Beijing
China Daily - February 16, 2012

By Cao Yin and Zheng Xin (China Daily) BEIJING - A ban on smoking will be written into ... Measures banning smoking are on the legislative agenda and the ...

Coming slowly to 300 million Chinese puffers: smoke-free zones
Christian Science Monitor - December 15, 2011

They will soon offer something even rarer in China, if the university authorities get their way: a smoke-free zone. The university this week banned smoking ...

Chinese fume over honour to tobacco academic
AsiaOne - December 15, 2011

China has more than 300 million smokers and has banned smoking at all indoor public venues from May this year, though such rules are regularly flouted. ...

Peking University launches new smoking ban
People's Daily Online - December 15, 2011

The school plans to post smoking ban signs in public areas throughout the campus, and all teachers now have the right to dissuade others from smoking. ...

Enforce ban on smoking
China Daily - December 9, 2011

China banned smoking in public places from Jan 9, as part of its commitments ... The government should also do more to enforce the ban on smoking in public ...

Survey finds half of Beijing's restaurants ignore smoking ban
Xinhua Newswire, 2011-11-06

A survey conducted by an environmental group finds that a government ban on smoking in indoor public venues has been completely ignored by half of Beijing's restaurants, a finding that underscores the challenges of controlling tobacco in a country with 300 million smokers. ...

Clearing the air an arduous task
China Daily (cn), 2011-11-07
Zheng Xin (China Daily

Many restaurants are seriously polluted by tobacco smoke despite a national smoking ban, according to the results of an investigation by a Beijing-based non-governmental organization (NGO) released on Sunday. ...

MOE 'suggests' principals be non-smokers
China Post - November 7, 2011

Education Minister yesterday denied that the ministry is barring smokers from serving as school principals ...

Corrupt tobacco chief expelled from ruling party
People's Daily (cn), 2011-10-18

A local government tobacco chief has been removed from his post and expelled from the ruling party over rampant corruption charges in a case that has also exposed China's tobacco monopoly's huge profits, officials said Tuesday. ...

China's cigarette monopoly hinders antismoking
San Francisco Chronicle - September 23, 2011

Antitobacco groups say efforts to reduce sales in the world's largest cigarette consumer, such as a ban on smoking in public places introduced in May, ...

China's unhealthy habits drive chronic diseases up
CBS MoneyWatch.com - Fu Ting - September 15, 2011

In May, China tried to ban smoking in indoor public places. But in a country where half of all male doctors smoke and cigarettes are commonly presented as ...

Chinese Colleges, Universities Fail in Tobacco Control
CRIENGLISH.com - September 15, 2011

Institutions of higher education have a long way to go to make their campuses smoke-free, as the latest report shows 98 percent of them have failed in ...

Shanghai sets to control public smoking at year end
China Daily - July 22, 2011

Nearly 1.2 million of them die from smoking-related diseases every year, meaning that one out of every five people in the world who die from such causes is Chinese. As for Shanghai's smoking ban, the places most lax in obeying it were karaoke bars, ...

Great wall of loopholes keeps China's last gasp at bay
Sydney Morning Herald - William Wan - June 29, 2011

Photo: Reuters Anti-smoking activists run up against powerful interests. WHEN China issued its first national ban on public smoking last month, health advocates cheered but did not hold their breath. Like many anti-smoking regulations in China, ...

China's anti-smoking activists try a new argument: that it's bad for the economy
Washington Post - William Wan - June 26, 2011

YUXI, China ­ When China issued its first national ban on public smoking last month, health advocates cheered but didn't hold their breath. Like many anti-smoking regulations in China, this one seemed hollow, and for good reason. ...

Bill Gates in China push against secondhand smoke
Bismarck Tribune, June 11, 2011

ARTICLE: Microsoft founder and philanthropist Bill Gates was in China on Saturday to raise awareness of the dangers of secondhand smoke in the country with the world's largest smoking population. …

New regulations ban smoking in the workplace
International Law Office - June 1, 2011

According to the regulations, smoking is banned in all indoor public places such as stores, hotels, restaurants, hospitals, cinemas and other indoor …

'This is China' no excuse for defying smoking ban
Global Times - Mike Bastin - May 17, 2011

On May 1, China became the latest country to join the club of nations with a total ban on public smoking. Great news, or is it? ...

Defiant smokers blow off new national smoking ban
Shanghai Daily (subscription) - Zhou Tao - May 8, 2011

This blatant violation of a new national smoking ban demonstrates the huge challenge Chinese health authorities face in enforcing the ban in all enclosed public venues in a country with the world's largest number of smokers - 350 million - and a deeply ...

New public smoking ban need more specified regulations
Xinhua Newswire, 2011-05-03

…new national smoking ban has gone into effect, which extends to all enclosed public areas. Our reporter Zhang Ni finds out how the new rules are working in the capital. ...

China to Prohibit Smoking at Enclosed Public Spaces
TopNews Arab Emirates - Latika Sharma - April 29, 2011

A latest regulation has been issued by the Ministry of Health, which states that smoking will be banned at all enclosed public locations including hotels, restaurants, theaters and waiting rooms at railway stations and airports from May 1. ...

Wuhan to fully implement smoking ban at indoor public places
People's Daily Online - Zhang Hongyu - April 7, 2011

Wuhan will fully implement the smoking ban at indoor public places starting on May 1, 2011. Those who violate the ban will be fined 500 yuan to 30000 yuan. Officials from the Wuhan Center for Disease Control said the city implemented the smoking ban in ...

China Issues New Nationwide Restrictions on Smoking
New York Times, 2011-03-25
ANDREW JACOBS

China, the world's largest tobacco producer and home to a third of all smokers, has issued a national ban on lighting up in hotels, restaurants and other indoor public spaces, the Health Ministry said on Thursday. ...

A Review of Smoke-free Health Care in Mainland China.
Lin, Y.; Fraser, T.
International Journal of Tuberculosis and Lung Disease. 10.5588/ijtld.10.0049 [doi]. April 2011, 15(4): 453-45

National tobacco control legislation needed: Chinese political advisor
Xinhua - Wang Guanqun - March 10, 2011

BEIJING, March 10 (Xinhua) -- A Chinese political advisor has called for a national tobacco control law that bans smoking in all public places across the country. Only 45.7 percent of Chinese cities have introduced local bans on smoking, and many bans ...

Applause, worry over China's new anti-smoking plan
People's Daily (cn), 2011-03-06

In its 12th Five-Year Plan, China has promised to ban smoking in public places "in an all-around manner". ...

City to be smoke-free...in 50 years
EastDay.com - March 1, 2011

EVEN though fewer people are smoking in public places since a ban was introduced a year ago, it could take 50 years to make Shanghai smoke-free, a lawmaker admitted yesterday.

According to the first annual report on the city's anti-smoking campaign, people were found smoking in 16.8 percent of non-smoking areas, a huge drop from 37.5 percent before the ban.

And smokers were persuaded to stub out in just over half of the city's non-smoking areas, compared with just under 19 percent before.

But Sun Shiyun, a local lawmaker, said the campaign had not achieved the reductions hoped for. "It's a difficult task to suddenly change people's habits."

"It will take a long time, maybe 50 years, to realize our original goal of smoke-free public venues," claimed Sun ...

Strict ban badly needed in China to cut smoking, experts say
Xinhua Newswire, 2011-02-25

Comprehensive tobacco control laws that include a complete ban on smoking in enclosed public places are badly needed in China where tobacco use and second-hand smoke kill roughly 1.2 million people a year, a group of health and legal experts said Friday. ...

City hopes to get tough on smoking
Shanghai Daily (cn), 2011-02-24

RENOWNED health and legal experts from Shanghai and Beijing have been invited to attend a legislation seminar tomorrow to lobby for the passage of a smoking ban in Nanchang City, Jiangxi Province, that has been touted as the toughest in the country. ...

Workplace smoking policies and their association with male employees'
smoking behaviours: a cross-sectional survey in one company in China

JiaNing Gao, PinPin Zheng, JunLing Gao, Simon Chapman, Hua Fu
Tobacco Control 2011;20 131-136 Open Access

CHINA: Deaths Rise With Smoke
Smoking is becoming a serious killer in China
Inter Press Service (IPS), 2011-02-16
Mitch Moxley

BEIJING, Feb 16, 2011 (IPS) - Five years ago China pledged to ban smoking in all indoor public places by January of this year. That promise remains unfulfilled and is today symbolic of the lack of progress made in the fight against tobacco use in China, where up to a million people die of smoking-related complications each year.

More than half of Chinese men smoke, and a total of 301 million adults currently use tobacco, according to a study by China’s Centre for Disease Control (CDC), released last August. The study found that 70 percent of adults are exposed to secondhand smoke in a given week.

Although the figure dropped from the previous estimate of 350 million smokers, the study, which included interviews with more than 13,000 people conducted over several months, revealed that up to one million people in the country die every year from lung cancer and cardiovascular disease directly related to smoking. ...

Beijing still reluctant to legislate on smoking
Global Times - Huang Shaojie - January 21, 2011

Beijing will "strengthen advertising on the dangers of smoking" as the main tobacco control tactic for this year, said city legislator Mao Yu on Wednesday, when asked what stopped China from delivering on its pledge to ban indoor smoking.

Speaking on China's poor performance in tobacco control, Mao, also deputy chief of the Beijing Municipal Bureau of Health, admitted that weak enforcement is one reason why there has not been a general smoking ban. "Some [regulations] have been merely a gesture, with little effect," Mao told the Beijing Youth Daily ...

More Chinese Cities Committed to Anti-Smoking Campaign
China Radio International (CRI) (cn), 2011-01-13

Ten more Chinese cities have agreed to implement smoking bans in line with World Health Organization recommendations days after health experts lamented the country's set-backs in tobacco control due to interference from the tobacco industry.

This brings the number of Chinese cities participating in the Tobacco Free Cities project, sponsored by the Bill and Melinda Gates Foundation, to 17, project officials said Thursday.

China has the world's largest number of smokers and the culture of smoking is especially prevalent in small cities, towns and rural areas. ...

EDITORIAL: No easy exit from China's tobacco culture
Global Times (cn), 2011-01-10
People's Daily

"Nothing can be easier than quitting smoking, you know, I've quit over a thousand times," said Mark Twain.

This black humor applies unfortunately well to China's situation.

It has been five years since China joined the Framework Convention on Tobacco Control, but not only have smoking rights not dropped, the victims of second-hand smoke have increased by 200 million in the last three years.

Quitting smoking is difficult because of its addictive qualities. It's especially difficult for long-term smokers, but what about a society that is addicted to smoking? ...

YANG: Tobacco control necessary
China Daily (cn), 2011-01-10
Li Yang (China Daily

More must be done to meet the obligations of the WHO Framework Convention and reduce secondhand smoking

Sunday marked the fifth anniversary of China's ratification of the WHO Framework Convention on Tobacco Control. The treaty requires a comprehensive ban on tobacco advertising, promotion and sponsorship, and prohibits smoking in the workplace and public places. But China has failed to meet the goals it agreed to. China is the world's largest producer and consumer of tobacco. It is estimated that approximately one in every three cigarettes smoked globally is made and consumed in China.

Rule of law sets the binding framework for all campaigns to curb tobacco consumption in China. It is the government's obligation to provide public services to prevent tobacco hazards, said Ma Huaide, vice-president of China University of Political Science and Law. ...

EDITORIAL: Smoking ban
China Daily (cn), 2011-01-10

To the disappointment of many, the government kept quiet on Sunday when it was supposed to execute a ban on smoking in all indoor public places in China.

The silence shows either indecisiveness on the part of the government or its unwillingness to cut down on its addiction to its revenue from tobacco.

Stopping people from smoking is difficult, some people point to how addictive cigarettes are; others say that they smoke because of the pressure of the smoking culture in the country - a saying goes that men who don't smoke work in vain to reach the top of the world - still others lay the blame on the legislators who have failed to legalize the ban on smoking.

All these fail to reach the heart of the matter. ...

China Misses Deadline for Total Indoor Smoking Ban
CRIENGLISH.com - Jan 8, 2011

A lack of state-level legislation, ineffective administration, low-priced cigarettes and deep-rooted tobacco culture have prevented China from meeting its deadline today for a total nationwide smoking ban in all public places, Xinhua New Agency reports.

As a signatory of the Word Trade Organization Framework Convention on Tobacco Control (FCTC), China promised to enact a total ban on smoking in all enclosed public places and workplaces nationwide by January 9, 2011. ...

China tobacco profits undermine anti-smoking push
Lexington Herald-Leader, January 6, 2011

BEIJING — China's addiction to huge revenues from its state-owned tobacco monopoly is hindering anti-smoking measures, potentially costing millions of lives in the country with the world's largest number of smokers, experts warned Thursday.

The health and other costs of smoking already exceed the tobacco industry's economic contributions by at least $9 billion, said a report prepared by a group of prominent Chinese public health experts and economists.

If trends continue, by 2030 an estimated 3.5 million Chinese will die from smoking each year - three times the current level, it said, citing China's failure to take basic measures such as passing a national law to ban smoking in indoor public places and raising the price of cigarettes. ...

China warned of surge in deaths from smoking
Shanghai Daily (subscription) - January 6, 2011

CHINA'S tobacco industry is foiling efforts to control smoking and state leaders must give stronger support to measures to control tobacco use, an international panel of experts said in a report yesterday.

It is estimated that about 3.5 million Chinese will die each year from tobacco-related illnesses by 2030, three times the current level, according to the report.

The health consequences of the tobacco epidemic are serious in China and smoking has become the top killer of the Chinese population, said the report, a joint assessment by a group of Chinese and foreign health experts and economists.

The report said an absence of government responsibility is the fundamental reason for the inadequate effectiveness of tobacco control in China.

The tobacco industry has resisted raising cigarette prices and using pictorial health warnings and had even infiltrated bodies set up to control smoking, reducing their effectiveness, the report said ...

Xiamen launches overall smoking ban in public places
What's on Xiamen - January 4, 2011

According to the Framework Convention on Tobacco Control (FCTC) of WHO, which was signed in 2003, all indoor public places in mainland China have to enforce a smoking ban from Jan 1st, 2011.

In response to the call, the Xiamen government has launched an overall smoking ban in public places, such as restaurants, Internet cafes, hospitals and public transport vehicles.

Ashtrays in restaurants have been put away and no-smoking signs were put in public places.

“It won't be easy to ban smoking in restaurants. We have put all the ashtrays away; however, if customers insist, we have no choice but to offer ashtrays for them.” said a servant working in a restaurant in Xiamen. ...

Nanchang’s Smoking Ban Stubbed Out
Wall Street Journal Blogs, 2010-12-28
–Shirley Wang and Laurie Burkitt - China Real Time Report – WSJ

One Chinese city’s bold attempt to ban indoor smoking seems to have gone up in smoke.

Nanchang, a city about 800 kilometers southwest of Shanghai, was scheduled to vote this past Friday that would have banned indoor smoking in all public places as well as restaurants, bars and offices. As China Real Time reported last week, the law would have been the toughest of its kind, resulting in fines of 50 yuan, or $7.55, for individual violators and up to 5,000 yuan for company owners failing to enforce the law. ...

Year-end smoking ban unlikely
Global Times (cn), 2010-12-27
Yan Shuang * Source: Global Times

Smoking will be banned in all public places within the next five years, although regulation specifics may not be worked out anytime soon, according to the city's health authorities.

The municipal health bureau announced Friday that all indoor public places in the city are expected to be smoke-free by 2015. …

Workplace exposure to secondhand smoke and its association with respiratory symptoms--a cross-sectional study among workers in Shanghai
Pinpin Zheng, Weixia Li, Simon Chapman, Zhixing Zhang, Junling Gao, Hua Fu
Tob Control 2011;20 58-63

China plans health reforms to change smoking culture
Investor's Business Daily, 2010-11-18

Like Chongzhen, modern China is also at war, but this time the enemy is tobacco and it is estimated to kill a million Chinese each year, says Yang Gonghuan, deputy head of China's National Tobacco Control Office.

And, like the old emperor, the government today must weigh up conflicting interests: as it extends healthcare insurance across the population, at what point do the economic and medical costs of smoking-related illnesses outweigh the financial benefits of the tobacco industry? . . .

However, the ministry that sells tobacco also oversees the implementation of the anti-tobacco treaty, she says.

"It's like a bunch of foxes in the chicken coop discussing how to protect the chickens." ...

Call for smoke-free China
Straits Times - November 2, 2010

EXPERTS said China should boost tobacco-control efforts so it can fulfill its pledge to the World Health Organisation to ban smoking in indoor public places by January.

'There's a lot to be done to live up to our promise to the World Health Organisation. Most fundamentally, we need a detailed national tobacco-control plan for governments at all levels across the country to act on,' Huang Jinrong, associate researcher of the Institute of Law of the Chinese Academy of Social Sciences, told Xinhua Sunday. ..

Workplace Exposure to Secondhand Smoke and Its Association With Respiratory Symptoms--A Cross-sectional Study Among Workers in Shanghai.
Zheng, P.; Li, W.; Chapman, S.; Zhang, Z.; Gao, J.; Fu, H.
Tobacco Control. 10.1136/tc.2010.036921 [doi]. October 21, 2010, [Epub ahead of print].

Shanghai Expo's "smoke-free" goal accomplished: WHO
Xinhua - October 29, 2010

BEIJING, Oct. 29 (Xinhua) -- The goal of a smoke-free Shanghai World Expo has been achieved, the World Health Organization (WHO) and China's Ministry of Health said Friday.

China fulfilled its tobacco-control promise at the six-month Shanghai Expo, the two organizations said after a joint inspection of the Expo site on Oct. 20 and 21 ...

Smokers ignore no-smoking law in Guangzhou
China.org.cn - Xu Lin - October 29, 2010

"Give me an ash tray," Mr. Wu said to a waiter in a restaurant in the south China city of Guangzhou. As he surveyed the menu, he routinely lit up a cigarette, but this time a waiter quickly intervened, "Sorry, sir, no smoking here."

Since a local smoking-control law came into effect on September 1 in Guangzhou, the capital city of Guangdong Province, smoking has been prohibited in public places such as parks, amusement parks, Internet bars, cafes, airports, railway stations, stadiums and offices. In other words, local smokers can only smoke in the streets, their homes and limited public areas.

Lawmakers implanted the ban to have a smoke-free Asian Games, and also to move toward the Framework Convention on Tobacco Control, the first global treaty on cigarette control in the world. China signed the treaty in 2003, and promised that from January 2011, smoking would be strictly prohibited in all indoor public and working places, public vehicles and some outdoor public areas ...

A smoke-free success
Shanghai Daily (cn), 2010-10-26

The 2010 Shanghai World Expo is the first of its kind to implement a series of measures to create a smoke-free environment.

These include prohibiting lighters and matches at the Expo park, prohibiting staff from smoking indoors, sending volunteers into the park to discourage visitors and staff from smoking, introducing a no-smoking policy in the pavilions and barring souvenir shops from selling tobacco products.

The organizers of the Expo even declined a 200-million-yuan (US$30 million) sponsorship deal from a tobacco company last July.

Sarah England, who oversees the Tobacco Free Initiative at the World Health Organization in China, said last Thursday at a seminar reviewing tobacco control efforts at the Expo that Shanghai has done a good job in holding a "Smoke-free Expo." . . .

Sarah England said the smoke-free Expo set a good example and proved that a smoke-free environment could be achieved in China. ...

Shanghai takes Expo as an opportunity to enhance tobacco control work
Xinhua - Zhang Xiang - October 22, 2010

SHANGHAI, Oct. 22 (Xinhua) -- Zhou Di, a waitress at a restaurant in the World Exposition park, has mixed feelings about her past six months.

As a heavy smoker, at first Zhou found it very difficult to work at the park since strict anti-smoking measures had been enforced.

"I can only smoke in one of the designated areas one hundred meters away, but since I was pretty busy at work, I was forced to smoke less," she said.

However, as time passed, she gradually became accustomed to it.

"I used to smoke every day, but now I have one cigarette about every three to five days," said the 22-year-old.

The 2010 Shanghai World Expo is the first of its kind to pursue a "Smoke-free Expo", by implementing a series of measures to create a smoke-free environment. These include prohibiting lighters and matches at the Expo park, prohibiting staff from smoking indoors, sending volunteers into the park to discourage visitors and staff from smoking, introducing a no-smoking policy in the pavilions and barring souvenir shops from selling tobacco products.

In fact, the organizers of the Expo declined a 200-million-yuan (about 30 million U.S. dollars) sponsorship deal from a tobacco company in July 2009 ...

Second-hand Smoke Targeted in Tough Draft Law in NE China
CRIENGLISH.com - Zhang Jin - October 18, 2010

Smoking will be banned in all indoor public places in the northeast China city of Harbin under proposals for China's first local law to target "second-hand smoke."

The draft law outlines penalties for smokers who light up in public or work places and affect others with their smoke, said a spokesperson for the municipal government of Harbin, capital of Heilongjiang Province.

The highest fine would be 2,000 yuan (about 300 U.S. dollars), making it the harshest fine for a smoking offense in China, a smoking control seminar heard Monday when the draft law was announced.

Considering the reality of tobacco controls in China, the draft "Harbin Second-hand Smoking Control Law" would be practical to implement, said Yang Gonghuan, director of the National Tobacco Control Office under the Chinese Center for Diseases Control and Prevention (China CDC). ...

Trends in Smoking and Quitting in China From 1993 to 2003: National Health Service Survey Data.
Qian, J.; Cai, M.; Gao, J.; Tang, S.; Xu, L.; Critchley, J.A.
Bulletin of the World Health Organization. 10.2471/BLT.09.064709 [doi]. October 1, 2010, 88(10): 769-776.

China Struggles to Curtail Public Smoking
DigitalJournal.com - Kim I. Hartman - Oct 13, 2010

Beijing authorities have announced tougher bans on smoking at schools and prohibited tobacco advertising and have instructed teachers to not smoke in front of students. The ban is a part of national anti-smoking measures taking effect.

There are 301 million adult smokers in China, overwhelmingly men, and their habit affects the health of another 540 million people passively exposed to cigarette smoke.

The World Health Organization has estimated that a third of the world's cigarettes are smoked in China. A study released this month by the International Tobacco Control Policy Evaluation Project found that 1.1 million Chinese die annually from tobacco-related illnesses, a toll that is expected to rise to 2 million by 2020.

The International Tobacco Control study also found that Chinese cigarettes contain three times the levels of lead, cadmium and arsenic as cigarettes in Canada. Despite government efforts, less the 70% of smokers recognize a link to lung cancer, and just 36 percent know that it contributes to coronary heart disease. ...

Methods of the International Tobacco Control (ITC) China Survey
Changbao Wu, Mary E Thompson, Geoffrey T Fong, Qiang Li, Yuan Jiang, Yan Yang, Guoze Feng
Tob Control 2010;19 i1-i5 Open Access

Individual-level factors associated with intentions to quit smoking among
adult smokers in six cities of China: findings from the ITC China Survey

Guoze Feng, Yuan Jiang, Qiang Li, Hua-Hie Yong, Tara Elton-Marshall, Jilan Yang, Lin Li, Natalie Sansone, Geoffrey T Fong
Tob Control 2010;19 i6-i11 Open Access

Quitting smoking in China: findings from the ITC China Survey
Yuan Jiang, Tara Elton-Marshall, Geoffrey T Fong, Qiang Li
Tob Control 2010;19 i12-i17 Open Access

Health knowledge and perception of risks among Chinese smokers and
non-smokers: findings from the Wave 1 ITC China Survey

Jilan Yang, David Hammond, Pete Driezen, Geoffrey T Fong, Yuan Jiang
Tob Control2010;19 i18-i23 Open Access

A cross-sectional study on levels of second-hand smoke in restaurants and bars in five cities in China
R L Liu, Y Yang, M J Travers, G T Fong, R J O'Connor, A Hyland, L Li, Y Nan, G Z Feng, Q Li, Y Jiang
Tob Control 2010;19 i24-i29 Open Access

Risk factors associated with smoking behaviour in recreational venues:
findings from the International Tobacco Control (ITC) China Survey

X Li, Q Li, L Dong, B Sun, J Chen, Y Jiang, Y Yang, B Zhou, G T Fong
Tob Control 2010;19 i30-i39 Open Access

Support for smoke-free policies among smokers and non-smokers in six cities in China: ITC China Survey
Q Li, A Hyland, R O'Connor, G Zhao, L Du, X Li, G T Fong
Tob Control 2010;19 i40-i46 Open Access

Cigarettes sold in China: design, emissions and metals
Richard J O'Connor, Qiang Li, W Edryd Stephens, David Hammond, Tara Elton-Marshall, K Michael Cummings, Gary A Giovino, Geoffrey T Fong
Tob Control 2010;19 i47-i53 Open Access

Beliefs about the relative harm of "light" and "low tar" cigarettes:
findings from the International Tobacco Control (ITC) China Survey

T Elton-Marshall, G T Fong, M P Zanna, Y Jiang, D Hammond, R J O'Connor, H-H Yong, L Li, B King, Q Li, R Borland, K M Cummings, P Driezen
Tob Control 2010;19 i54-i62 Open Access

Use of less expensive cigarettes in six cities in China: findings from the
International Tobacco Control (ITC) China Survey

Qiang Li, Andrew Hyland, Geoffrey T Fong, Yuan Jiang, Tara Elton-Marshall
Tob Control 2010;19 i63-i68 Open Access

Perceptions of tobacco health warnings in China compared with picture and text-only health warnings from other countries: an experimental study
Geoffrey T Fong, David Hammond, Yuan Jiang, Qiang Li, Anne C K Quah, Pete Driezen, Mi Yan, for the ITC China Project Team
Tob Control 2010;19 i69-i77 Open Access

Assessment of Tobacco Control Advocacy Behavioural Capacity Among Students at Schools of Public Health in China
Yang, T.; Abdullah, A.S.; Rockett, I.R.; Li, M.; Zhou, Y.; Ma, J.; Ji, H.; Zheng, J.; Zhang, Y.; Wang, L.
Tobacco Control [Epub ahead of print], September 21, 2010.

Non-smoking spouse would help Asian women live longer: study
AFP - Karin Zeitvogel - September 15, 2010

WASHINGTON — A study believed to be the first to examine the multiplier effect of good habits on mortality in Asian women has found that husbands who smoke at home are shortening their wives' lives.

The study also found that Chinese women with lots of healthy habits tend to live longer than their compatriot peers with less healthy lifestyles.

Researchers led by Sarah Nechuta of Vanderbilt University in the United States used data from the Shanghai Women's Health Study, which gathered information on more than 71,000 non-smoking, non-drinking Chinese women aged 40-70 years between 1996 and 2000, and created a healthy lifestyle score.

The score was based on five factors known to be associated with mortality -- weight, waist-to-hip ratio, whether the woman exercised regularly, exposure to second-hand smoke, and fruit and vegetable intake.

The more healthy habits a woman had, the higher her score, while having no or few healthy habits gave her a low score.

The women in the study were followed up for around nine years, during which 2,860 of them died, 1,351 of cancer and 775 of cardiovascular disease ...

China introduces 'tough' $7 anti-smoking fines
Toronto Sun - September 8, 2010

BEIJING - China’s “toughest” ever smoking ban which aims to stop people lighting up during November’s Asian Games will carry fines of $7, state media said on Wednesday, a limited deterrent to smokers in one of China’s richest cities.

People found smoking in offices, conference halls, elevators and certain other public spaces will be fined 50 yuan ($7.36), though “businesses not meeting their obligations” will be fined up to 30,000 yuan, the official Xinhua news agency said, calling it “the nation’s toughest smoking ban.”

Guangzhou is one of China’s wealthiest cities, with a per capita GDP of more than $10,000, so individual 50 yuan fines are unlikely to have much impact on most residents unless there are armies of enforcers combing the city.

The fines may be raised in the future though, Xinhua added. ...

Workplace Smoking Restrictions in China: Results From a Six County Survey.
Ma, J.; Apelberg, B.J.; Avila-Tang, E.; Yang, G.; Ma, S.; Samet, J.M.; Stillman, F.A.
Tobacco Control. 10.1136/tc.2009.034207 [doi]. August 25, 2010, [Epub ahead of print].

"No smoking" Law Comes into Effect in Guangzhou
CRIENGLISH.com - September 1, 2010

A local smoking-control law came into effect Wednesday in Guangzhou, the capital of south China's Guangdong Province.

The law covers all of Guangzhou City. There, smoking in most public places, like offices, conference rooms, halls and elevators, is strictly prohibited.

Places of business larger than 150 square meters or having more than 75 seats may designate an area for smokers.

Those who break the law will be fined 50 yuan (about 7.35 U.S. dollars) and businesses not meeting their obligations will be fined up to 30,000 yuan.

However, some doubt the law is enforceable.

"Who is the enforcement agency and how do they collect evidence of smoking?" said a pedestrian on a street.

"A quick smoke can take less than one minute. How can an enforcement agency come in such little time?" a different pedestrian asked a Xinhua reporter. ...

Shanghai tobacco ban catches fire
People's Daily Online - September 1, 2010

Less than 2 percent of public venues inspected by local health authorities have had problems implementing the citywide smoking ban that took effect on March 1.

That is a sign the law has seen initial success, health authorities said on Tuesday.

Shanghai's health authorities inspected more than 73,000 public venues in the first four months of the ban, and 1,345 places had various problems and were ordered to make changes.

Meanwhile, 66 venues have either been warned or fined for their failure to comply with changes, health authorities said. ...

China anti-tobacco efforts failing, officials say
Lexington Herald-Leader, Wednesday Aug 18, 2010

BEIJING -- Efforts to curb tobacco use in the world's most populous nation have had no real impact and 301 million Chinese are still smoking, China's Center for Disease Control said in a report.

A survey of more than 13,000 people earlier this year found no significant improvement in the country's smoking rate since 2002, China's CDC said in a joint statement released Tuesday with the World Health Organization and the United States CDC.

The survey also found that 72.4 percent of nonsmokers reported being exposed to secondhand smoke. Though China has pledged to make indoor public places, workplaces and public transport smoke-free by early next year, 63 percent of those surveyed said they had seen people smoking in public places or at work in the 30 days before they were interviewed.

"There has been no substantive improvement in the smoking rate or exposure to secondhand smoke," Yang Gonghuan, deputy director of China's CDC, was quoted as saying. ...

Secondhand smoke levels up
China Daily (cn), 2010-08-18
Yang Wanli (China Daily

A tobacco usage survey of Chinese people released on Tuesday shows a big increase in the rate of exposure to secondhand smoke among Chinese people. The rate jumped from 53 percent in 2002 to about 73 percent in 2010.

A boy lights a cigarette for his father on May 26 in Shaoyang, Hunan province. [China Daily]

The survey in China done by Chinese Center for Disease Control and Prevention (CDC) was conducted from December last year through March, covering more than 13,000 people over the age of 15.

Nearly 770 million non-smokers are exposed to secondhand smoke, the survey said.

"It seems that little improvement was made in the exposure to secondhand smoke," said Yang Gonghuan, director of the tobacco control office of the CDC.

According to the survey, more than 58 percent of non-smokers noticed smoking in government buildings, which ranked second in the type of buildings that had public smoking. Restaurants were in first place.

"The exposure rate in China is increasing sharply and the number is amazing," said Douglas Bettcher, director of the WHO Tobacco Free Initiative. ...

Most Chinese Don't Know Smoking Causes Lung Cancer, Survey Finds
FairWarning (blog) - Lea Yu - August 18, 2010

A new survey reveals the immense challenge facing China as it tries to reduce smoking in the world’s most tobacco-addicted country.

Less than a quarter of the Chinese population believes smoking causes disease like lung cancer, and fewer than one-sixth of the country’s 301 million smokers plan to kick the habit, according to a survey conducted this year by the Chinese government and the World Health Organization, The Wall Street Journal reports.

Thirty-eight percent of respondents said they have seen others smoking in health-care centers, despite a ban on lighting up, while seven of 10 non-smokers said they have been exposed to second-hand smoke in a typical week, AFP reports. ...

China's Smoking Habit: Inhaling the Numbers
Wall Street Journal (blog) - August 17, 2010

A key to battling any addiction, as they say, is to admit the problem.

Beijing has now taken its most critical look yet at its national smoking habit, with the help of the World Health Organization.

Its findings are gagging.

Over half of China’s men smoke (about 2.4% of women do); China’s 301 million adult smokers usually started before age 20; machinists and farmers are about twice as likely to smoke as teachers; less than a quarter – smoker or not – think smoking causes diseases like lung cancer; 50% pay less than 75 cents a pack; warning labels usually didn’t trigger thoughts of quitting; fewer than one-sixth plan to kick the habit; a third who tried to quit failed; over two-thirds say smoking is permitted in their home; second-hand smoke affects 70% of nonsmokers. ...

Chinese grassroots battle for smoking-control
Xinhua Newswire, 2010-08-15

Wu Yiqun, 64, deputy director of Thinktank, a Beijing-based NGO mainly dealing with public health issues in China, was requesting that two sturdy men show their reporter IDs at Thursday's seminar. . . .

Wu is a former deputy director of the Center for Disease Control (CDC) in China. After her retirement from CDC, she has devoted herself to smoking-control for almost ten years. Smart as a Shanghainee, Wu shows it in her work.

"I spotted them once they came into the hall. You can see from their face and their unprofessional behaviour. I cannot say they are sent by tobacco industries, but we have been harassed by unidentified men several times," said Wu.

Thursday, the organization held a seminar to plan their opposition to tobacco- sponsored advertisements, which is spreading in China. . . .

Under the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC), which China ratified in 2005, the country will ban all types of tobacco advertising and promotion by 2011. ...

Expo volunteers enforce smoke-free zones
Shanghai Daily - Cai Wenjun - July 21, 2010

... In addition to enhancing health care and disease control inside the Expo zone, Shanghai health authorities will introduce some 300 volunteers to guide visitors to smoke only in designated places.

So far the authorities have renovated the 28 designated smoking spots, adding shelter and benches. Public no-smoking education and staff training will be strengthened to honor the promise of a smoke-free Expo, officials said. ...

Smoke-free? Not exactly
EastDay.com - June 14, 2010

It's supposed to be a smoke-free Expo.

The World Expo guide states that lighters and matches are forbidden from the site. It also says smokers shall smoke in designated areas.

But the designated areas are difficult to find. They're neither on a map nor known to many volunteers or staff.

In the confusion, many people smoke around the trash cans, which have caught on fire.

Italian visitor Antonio Ricci, a student and chain smoker, is one among the puzzled.

"I know that lighters are forbidden, so I didn't bring any with me," Ricci told Shanghai Daily. "Then I get into the park just to find people smoking all over the place, yet I have heard from some of friends that the entire Expo is supposed to be smoke free.

"I'm so confused. I haven't seen any smoking areas on the map and I've found nothing on my way walking from Zone C to Zone A. So can I smoke or not? Where and how on the earth??" ...

Health official clarifies smoking ban report
Longevitys - May 24, 2010

The public smoking ban will not be fully implemented by next year as the media reported previously,said Li Xinhua,chief of the Ministry of Health, ...

GONG: Levy huge fines on smokers and eateries
Shanghai Daily (cn), 2010-05-19
John Gong

AS part of the obligations under the WHO Framework Convention on Tobacco Control (FCTC), the Ministry of Health issued a press release recently, announcing that starting from 2011, smoking in all public places will be banned.

While I hail the Ministry's courage and determination to take on the tobacco industry, the thought of Don Quixote taking on the windmill can't help crossing my mind. . . .

How the tobacco industry shrugs off the Ministry of Health's new anti-smoking initiative can be found in a statement, at a recent Chinese Peoples' Political Consultative Conference meeting, by Mr Zhang Zhengbao, the deputy bureau chief of China's Tobacco Bureau, the industry's highest regulatory body.

When responding to the anti-smoking issue, he bluntly said that too much effort on banning smoking is likely to have an adverse impact on social stability.

And the Tobacco Bureau is indeed thinking big. Within days of the Ministry of Health's press release, the Bureau issued its own press release about a blueprint of the industry's growth in the next five years. In it, it says that China needs to establish 12 leading cigarette brands with a combined revenue exceeding 700 billion yuan. . . .

China insists will make good on smoking ban pledge
AFP - May 11, 2010

BEIJING — China, the world's biggest consumer of tobacco, has insisted it will honour a pledge to ban smoking in public places by 2011 in accordance with an international treaty, state media said Tuesday.

The health ministry said it intended to implement a plan to prohibit smoking from next year in all indoor public places and offices, as well as on trains and buses, the Global Times reported.

Senior ministry official Yang Qing said the goal had been set in accordance with the World Health Organization's Framework Convention on Tobacco Control, which came into force in early 2005. China ratified it that same year.

The treaty calls for signatory nations to put in place "effective legislation" and other measures which provide for "protection from exposure to tobacco smoke" in indoor public places.

But one activist and an official at a government agency raised doubts that the rules could be implemented in a country where more than a quarter of the population smokes.

"Law enforcement is not in place, so regulations exist in name only," the Global Times quoted Yang Gonghuan, deputy director of the China Centre for Disease Control and Prevention, as saying.

Wu Yiqun, deputy director of the anti-smoking advocacy group Thinktank, said she believed the chances of a nationwide ban working were slim, the China Daily reported ...

Health ministry bans smoking in its building
China Daily (cn), 2010-05-11
Shan Juan (China)

Smoking will no longer be allowed inside the building of the Ministry of Health from May 31, making it the country's first central government department to ban smoking indoors.

A working group led by Health Minister Chen Zhu has been formed to strictly implement the ban inside the 19-story building, Yang Qing, a division director of the ministry, told a regular news briefing on Monday.

"The latest initiative is actually part of the goal announced previously to ban smoking indoors at health institutions and administrations nationwide by the end of 2011," Yang said. ...

China to ban smoking in indoor public places in 2011
Global Times - May 10, 2010

China is set to implement a ban on smoking in all indoor public places including workplaces and public transport vehicles from January 2011.

Yang Qing, Director General of the Department of Maternal and Child Health and Community Health at China's Ministry of Health (MOH) says that the ban is being carried out according to the Framework Convention on Tobacco Control ...

China bans smoking in hospitals
Telegraph.co.uk - Yu Le, Lucy Hornby - May 10, 2010

China's Ministry of Health today banned smoking in hospitals but health advocates and anti-smoking activists say a promised national ban on smoking in public places has yet to take shape. ...

Guangzhou bans smoking in public places
Global Times - April 29, 2010

The Standing Committee of Guangzhou People's Congress passed a draft regulation on Wednesday where smoking in workplaces and other public places is expected to be banned under the tobacco-control regulation in Guangzhou, capital of Guangdong Province. ...

Smoking indoors banned at World Expo site
CCTV - April 19, 2010

SHANGHAI, April 19 (Xinhua) -- Smoking indoors will be banned with smoking outside restricted at the World Expo site in Shanghai.

Smoking would be banned inside pavilions, but there would be designated outdoor smoking areas, said Huang Jianzhi, deputy director of Shanghai World Expo Coordination Bureau.

And since lighters were not allowed to be taken into the Expo site, they would be provided at the designated areas, Huang said.

"Many people had called for a smoking-free Expo, but after considering international conventions and China's legislature, we believe that we should take some anti-smoking measures but not make a total ban," said Huang. ...

Yang, L.; Tong, E.K.; Mao, Z.; Hu, T.W., "Exposure to secondhand smoke and associated factors among non-smoking pregnant women with smoking husbands in Sichuan Province, China," Acta Obstetricia et Gynecologica Scandinavica 89(4): 549-557, April 2010.

Half of kids swimming in 2nd-hand smoke
China Daily (cn), 2010-04-02
Wang Hongyi (China Daily)

Health experts in Shanghai are calling for more protection for young children as the latest research shows about half of the youngsters are suffering from secondhand smoke.

About 45 percent of children suffer passive smoking in families, 50 percent in public places, and almost 6 percent on public transportation, shows a research released by the Shanghai Children's Medical Center on Tuesday.

"Not only adults but also children and newborn babies are at risk for the adverse effects of passive smoking," said Tang Jingyan, a doctor at the Shanghai Children's Medical Center. . . .

"Though doctors have stressed the harm of passive smoking over and over, it is still hard to reach a totally 'smoke free' home," said a pediatrician named Zhang Yiwen, noting that parents are often tempted to smoke even though they have learned the harmful effects of secondhand smoke. . . .

Other research by the Shanghai Children's Medical Center has found that more than 80 percent of child patients in the center live in a smoke-filled household, where one or both parents smoke. ...

Hong Kong: a model of successful tobacco control in China
The Lancet, 2010-03-26
Jeffrey P Koplan a, Wang Ke An b, Ronald MK Lam c / The Lancet, Early Online Publication, 26 March 2010

China was a signatory to the Framework Convention on Tobacco Control and is committed to its enforcement. Nevertheless, the country faces an immense public health challenge and is at an early stage of effectively addressing the tobacco threat.

A bright spot for tobacco control can be found in Hong Kong, a Special Administrative Region of China. For more than 20 years, Hong Kong has sought to diminish the health burden of tobacco use, and has been remarkably successful.3 The strategies and approaches used, although typical of effective tobacco-control programmes worldwide, might serve as a useful best-practice example for programmes underway or being considered in other cities and regions throughout China. Beginning with a health ordinance focusing on tobacco in 1982, Hong Kong started a step-by-step approach to tobacco control involving multipronged strategies aimed at reduction of supply and demand for tobacco use. Approaches have included legislative amendments, increased tobacco taxation, publicity and education, support for cessation, and gearing up of anti-tobacco leadership by the medical community.4 . . .

Could Hong Kong teach China to quit smoking?
AP, 2010-03-26
MARGIE MASON

Nearly one in three smokers worldwide lights up in China, where cigarettes - commonly given as gifts - are so tightly woven into the culture, some believe it's an impossible habit to kick. But a new report suggests the keys to quitting lie in the country's own backyard.

Hong Kong has successfully fought tobacco for two decades and seen its smoking rate drop from 23 percent in 1982 when the campaign began to 12 percent in 2008 - the lowest in the world. The former British colony, now under Chinese rule, hit cigarettes hard with taxes up to 300 percent, banned indoor smoking and promoted education through schools and public service announcements - proving that smoking and Chinese culture aren't necessarily married for life.

"We all learn from shared experiences. The U.S. tobacco program has learned from Australia, Canada and others," said Jeffrey Koplan, from Emory Global Health Institute in Atlanta, who wrote a commentary published online Friday in The Lancet medical journal. "Hong Kong is very relevant to Chinese conditions, and the big lesson for all of us to learn is that effective health promotion programs are multidimensional." ...

Smoking ban to be implemented in Xiamen hospitals
What's on Xiamen - March 23, 2010

A smoking ban will take effect in 27 major hospitals in Xiamen at the beginning of next year, according to the Xiamen Health Bureau. Since January 1, 2011, ...

Guangzhou lifts smoking ban in offices
Global Times - March 17, 2010

The Guangzhou Municipal People's Congress is about to lift the smoking ban in work places, including offices, conference rooms and auditoriums.
The Standing Committee of the municipal people's congress said Tuesday smoking is only banned in public places, and since work places are not considered public, smoking is allowed in these areas in Guangzhou, the capital of Guangdong Province.

The draft also relaxes the ban in restaurants, where smoking was previously completely prohibited. Now Guangzhou smokers can enjoy a puff in restaurants smaller than 150 square meters or has a seating capacity of less than 75 seats.

"Smoking should be banned in workplaces like offices and conference rooms. I don't want my fellow workers to become second-hand ...

13 China colleges to offer anti-smoking courses
China Daily - March 16, 2010

HANGZHOU - Thirteen Chinese medical colleges will introduce smoking control courses into their curriculum amid efforts to help raise public awareness about the dangers of smoking.

It will be the first time that Chinese universities have offered such courses, Shen Huahao, vice dean of the School of Medicine, Zhejiang University, said Tuesday.

The school is among the 13 medical colleges, including Peking Union Medical College and medical schools at Peking University and Fudan University. ...

Political Advisor Calls for Smoke-free Two Sessions
CRIENGLISH.com - March 9, 2010

A member of the National Committee of the Chinese People's Political Consultative Conference (CPPCC) has called for a smoking ban at the annual "two sessions", namely the CPPCC and the National People's Congress, to better promote tobacco control nationwide.

Jin Dapeng, the former chief of Beijing's Health Bureau and the current head of the Beijing Medical Association, raised the proposal during a panel discussion, the "Shenzhen Special Zone Daily" reports.

China is the world's largest tobacco producing and consuming nation. It is also one of the worst-damaged countries influenced by the tobacco industry. In China, about one million people die of smoking-related diseases each year. Smoking not only damages the health of smokers themselves, but also the people around them. To make matters worse, smokers place heavier burdens on the country's healthcare system, Jin said. ...

Shanghai smoking ban starts... today!
Shanghaiist - March 1, 2010

The city's first smoking ban, which we followed from the time it was a wee bit of an idea to when it began being enforced against certain (underage) people, has officially taken effect for everyone today. The new law gives those who smoke in public places fines from 50RMB to 200RMB.

Much like the smoking clampdown Beijing experienced just before the Olympics, this Shanghai ban extends to 12 types of public venues, including schools, hospitals, supermarkets and elevators. It also requires karaoke bars, dance halls and restaurants to set up designated smoking and non-smoking areas.

Even though the ban IS now in place though, the chances of you actually being hit with that 50RMB to 200RMB fine are apparently pretty low. ...

City gears up to police strong smoking bans
Zhejiang Online (Zhejiang Province), 2010-02-09

Smoking will be banned in certain public areas in Hangzhou, such as hospitals, supermarkets, bars and on buses, from March 1. People will be entitled to stop others smoking or lighting cigarettes in public places and offenders will be liable to a fine of 50 yuan (US$7.32).

The ban will operate as a result of the recently approved "The Bylaw on Smoking Control in Public Areas of Hangzhou" passed by the Standing Committee of Hangzhou Municipal People's Congress and Standing Committee of Zhejiang Provincial People's Congress.

The bylaw forbids not only smoking but also holding a burning cigarette, cigar or pipe. ...

Smoke danger highest in Internet cafes
Shanghai Daily - Liang Yiwen - February 4, 2010

SECOND-HAND smoke in Shanghai Internet cafes is seven times more dangerous than in outdoor public spaces, putting users at risk of pneumonia and asthma, Fudan University researchers said today.

And restaurant workers were 7.5 times more likely to develop respiratory diseases than kindergarten staff, according to their research from the School of Public Health.

They measured tiny particulate matter, smaller than 2.5 micrometers, in Internet cafes and found the air seven times denser than that in the outdoors.

Researchers studied 3,500 people from seven industries in a Smoke-Free Shanghai Campaign before smoking bans come into force on March 1. ...

Majority hopes for "healthy Expo"
Xinhua - January 21, 2010

BEIJING, Jan. 22 -- More than 90 percent of residents interviewed for a poll are hoping for the first- ever smoke-free World Expo in the history of the 159-year-old mega event, which kicks off in Shanghai on May 1. ...

Hospitals to receive smoking checkups
China Daily - Shan Juan - January 20, 2010

Experts say public compliance more important than punishment

An independent special taskforce will be established to conduct surprise checks at medical institutions, including hospitals and health administrations, across China this year to enforce the ban on smoking, the Ministry of Health (MOH) announced on Monday.

The latest initiative came amid the country's ongoing battle against the use of tobacco, which claims 1 million Chinese lives every year.

The MOH aims to turn "at least half of the medical institutions nationwide" smoke-free before the end of the year, and include all of them by 2011. ...

Chinese cities set to order ban on smoking
Xinhua Newswire, 2010-01-18

To protect people from exposure to secondhand smoke, seven cities in China will take the first steps in creating legislation on stopping smoking at public venues and workplaces.

Under the project, jointly held by the Chinese Center for Disease Control and Prevention (CDC) and the International Union against Tuberculosis and Lung Disease(UNION), the cities - Tianjin, Chongqing, Shenyang, Harbin, Nanchang, Lanzhou and Shenzhen will implement a smoking ban in public and in workplaces. ...

Environmental Tobacco Use and Indicators of Metabolic Syndrome in Chinese Adults
Xie, B.; Palmer, P.H.; Pang, Z.; Sun, P.; Duan, H.; Johnson, C.A.
Nicotine and Tobacco Research. 10.1093/ntr/ntp194 [doi]. January 7, 2010, [Epub ahead of print].

Smoke-filled rooms cost millions of lives
Global Times - David Yang - January 7, 2010

It's hard for me to eat outside in China. Even during a holiday season, at a family get-together in a restaurant, part of me wants to stay at home.
It's not because of the food, which is great. It's the second-hand smoke that kills me.

The problem of second-hand smoke is a daily toil for non-smokers, as Chinese restaurants are common meeting places with friends, colleagues ...

A Cross Sectional Study on Levels of Secondhand Smoke in Restaurants and Bars in Five Cities in China.
Liu, R.; Yang, Y.; Travers, M.J.; Nan, Y.; Liu, X.; Chang, A.; Gong, J.; Liu, T.; Zhao, B.; Feng, Z.; Hyland, A.; Li, Q.; Jiang, Y.
Tobacco Control. 10.1136/tc.2009.029959 [doi]. December 11, 2009, [Epub ahead of print].

OBJECTIVES: To assess indoor secondhand smoke (SHS) exposure in restaurants and bars via PM2.5 level measurements in five cities in China. METHODS: The study was conducted from July to September in 2007 in Beijing, Xi fan, Wuhan, Kunming, and Guiyang. TSI SIDEPAK AM510 Personal Aerosol Monitors were used to measure PM2.5 concentrations in 404 restaurants and bars. The occupant density and the active smoker density were calculated for each venue sampled. RESULTS: Among the 404 surveyed venues, 23 had complete smoking bans, 9 had partial smoking bans, and 313 (77.5%) had smoking observed during sampling. The geometric mean of indoor PM2.5 levels in venues with smoking observed was 208microg/m3, and 99microg/m3 in venues without observed smoking. When outdoor PM2.5 levels were adjusted, indoor PM2.5 levels in venues with smoking observed were consistently significantly higher than in venues without smoking observed (F=80.49, p < 0.001). Indoor PM2.5 levels were positively correlated with outdoor PM2.5 levels (partial rho=0.37 p <0.001) and active smoker density (partial rho=0.34, p <0.001). CONCLUSIONS: Consistent with findings in other countries, PM2.5 levels in smoking places are significantly higher than those in smoke-free places and are strongly related to the number and density of active smokers. These findings document the high levels of SHS in hospitality venues in China and point to the urgent need for comprehensive smoke-free laws in China to protect the public from SHS hazards, as called for in Article 8 of the Framework Convention on Tobacco Control, which was ratified by China in 2005.

Passive Smoking and Aortic Arch Calcification in Older Chinese Never Smokers: The Guangzhou Biobank Cohort Study.
Xu, L.; Jiang, C.Q.; Lam, T.H.; Thomas, G.N.; Zhang, W.S.; Cheng, K.K.
International Journal of Cardiology. 10.1016/j.ijcard.2009.11.001 [doi]. November 26, 2009, [Epub ahead of print].

Beijing to ban smoking in public places
Global Times - December 16, 2009

Beijing will implement a new law to ban smoking in public places in 2010, which means there will be no more smoking zones and non-smoking areas in restaurants and other public places.

According to Cui Xiaobo, deputy secretary-general of the Beijing Association on Tobacco Control,one of the people who drafted the New Law of Beijing Smoke Control, said on December 15, if everything goes well, the rules on banning smoking in public places in the capital will be passed by the Standing Committee of Beijing Municipal People’s Congress. The new law will end the use of smoking zones in hotels, restaurants, and buildings, and indicate that people should not smoke in public indoor locations, except in one’s home. ...

Smoke-free list extends to healthcare facilities
People's Daily (cn), 2009-12-11
Source: China Daily

The Ministry of Health will make public a list of "smoke-free" healthcare facilities by the middle of next year to encourage public supervision, an official said yesterday.

All the listed facilities and health administrations will be subject to public and media supervision, Li Xinhua, an official of the ministry in charge of smoking bans, told China Daily.

The measure is expected to facilitate tobacco control in China, where about 1 million people have reportedly died of smoking-related diseases. . . .

Yang Gonghuan, deputy director of the National Center of Disease Control of China, said at the third Nicotine Dependence Conference in Beijing last week that the tobacco industry generates a lot of tax and employs a large number of people, which is why progress in tobacco control is painfully slow.

Last year, the Ministry of Health decided to clean up its own offices before spreading the anti-smoking message to the rest of the nation. It announced a plan to ban smoking in all healthcare facilities and government-run health departments.

"It's the doctors who should take the lead in kicking the habit," an expert had said.

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", the ministry said. ...

Smokers warned: Time nigh to butt out
Shanghai Daily (cn), 2009-12-11
Shanghai Daily

MIDDLE school properties are included in areas of total smoking bans in Shanghai's first public tobacco control law that was passed by city lawmakers yesterday.

The law takes effect on March 1, 2010, before the start of the Shanghai World Expo next May and offenders face fines.

"We hope to improve the city's smoke control gradually after a long period of efforts," said Ding Wei, deputy director of the Commission of Legislative Affairs of the Shanghai People's Congress.

The inclusion of middle schools aims to protect more minors from being endangered by passive smoking. ...

Smoking ban in public places in Shanghai to be enforced
China Daily (cn), 2009-12-11
Wang Hongyi (China Daily)

The city's ban on smoking in public areas will be enforced beginning March 1, a draft amendment to the anti-smoking law approved by the city's top legislature showed on Thursday.

Following months of debate and repeated revisions by the Shanghai People's Congress, the Shanghai Public Places Smoking Control Law now clarifies and expands its scope. The new law also imposes fines on establishments that fail to obey the restrictions. . . .

Smoking will be prohibited at places including kindergartens, schools, hospitals, stadiums, public service places, shopping malls, libraries, theaters and museums.

Entertainment venues, public areas of hotels, airports and train/port stations should ban smoking indoors and provide a separate smoking area. The law stipulates that all separate smoking areas or rooms should be ventilated. ...

Chinese Smoking Deaths Seen Doubling in 10 Years
ABC News - December 4, 2009

Seven Chinese cities -- Hangzhou, Shenyang, Tianjin, Nanchang, Shenzhen, Lanzhou and Chongqing -- will enact smoke-free laws starting in 2010 to ban smoking ...

Health experts urge law to ban indoor smoking in the city
Shanghai Daily - Cai Wenjun - November 12, 2009

OFFICIALS from World Health Organization's China representative office and the state health authorities are urging Shanghai to issue a strict law banning indoor smoking throughout the city and to launch a tobacco-free Expo.

Shanghai, which is currently drafting anti-smoking legislation, should turn the 2010 World Expo into a model for tobacco-free big events, experts told the Shanghai International Seminar in Tobacco Control yesterday. ...

Hospitals in Sichuan to go smoke-free
Danwei - Joel Martinsen - October 30, 2009

Come 2012, medical facilities in Sichuan will require you to step outside for your smoke break.

Today's Chengdu Evening News announced the start of an anti-smoking campaign intended to bring the province in line with the WHO's Framework Convention on Tobacco Control. Twenty percent of the province's hospitals should go smoke-free by the end of this year, 50% by the end of 2010, and the rest by the end of 2011.

Conspicuous "no smoking" signs will go up, ash trays will be removed from conference rooms, and cigarette ads will be barred from hospital shops. Additionally, smoking will be incorporated into performance reviews for medical staff and their employers. ...

Shanghai smoking ban moves step closer
Law expected to be in place by end of year
South China Morning Post, 2009-10-23
Will Clem in Shanghai

Authorities in Shanghai have taken a further step towards implementing strict smoking restrictions in the city by the end of the year, local media reported yesterday.

The proposed legislation, the first of its kind in Shanghai, is being rushed through to ensure implementation ahead of the World Expo due to start in just over six months. Draft regulations published through state-sponsored media outlets yesterday flesh out proposals floated at a consultation forum last month. . . .

Internet cafes and large restaurants now face a total ban, in addition to places such as cinemas, museums, banks and airports. ...

Smoke ban puts focus on children
Shanghai Daily (cn), 2009-10-22

CITY lawmakers are expanding the scope of total bans on smoking in the latest draft of Shanghai's first public tobacco control law.
Increased emphasis has been placed on minors endangered by passive smoking.

The law, with fines for offenders, is expected to be enacted before the end of this year, well ahead of the start of the Shanghai World Expo next May.

The latest version of the draft released to the media yesterday has incorporated suggestions from a public hearing held last month.
Many at that hearing called for clarification of the law's enforcement mechanism.

Lawmakers have now decided to make the Health Promotion Commission the chief overseer.

The commission will coordinate and supervise government departments to ensure the law is enforced.

Guangzhou To Ban Tobacco Sales To Vulnerable Groups
ChinaCSR.com - October 15, 2009

Guangzhou has prepared a tobacco control regulation which is pending approval by the city's National People's Congress standing committee.

The new regulation lists ten areas including hospitals, kindergartens, schools, and buses as tobacco-free areas and states that people smoking in these areas will be fined CNY50 and those who sell tobacco products to vulnerable groups such as teenagers and pregnant women will be fined CNY1,000.

The regulation states that operators of tobacco-free areas shall set up a sign in a prominent position showing that tobacco is prohibited in the area and those who place tobacco related products in tobacco-free areas will be ordered to desist or be fined from CNY3,000 to CNY5,000. ...

Yao joins China anti-smoking drive
Aljazeera.net - October 13, 2009

China's biggest sports star Yao Ming has joined a high profile anti-tobacco campaign aimed at persuading around 350 million Chinese smokers to kick the habit.

Named as an ambassador to the Chinese Association on Tobacco Control (CATC), the Houston Rockets' centre is expected to appear in new TV and poster adverts pushing the anti-smoking message, state media said. ...

Majority Of Beijing Restauranteurs Support Smoking Ban
ChinaRetailNews.com - September 29, 2009

Liu Zejun, the director of the Beijing Aiguo Weisheng Commission, has disclosed to the media that Beijing will work out measures on the revision of the No Smoking Rule in 2010, after an evaluation is made before the end of 2009 on the results of the current smoking ban in the city.

Polls show that 84.37% of people in Beijing have shown support for the smoking ban in offices and public places.

In addition, the latest data shows that 73.15% of restaurant managers and staff have expressed their willingness to support a smoking-free food industry. Experts say this means that it's time for the city to draft laws on banning tobacco in public places and work places. ...

Call for complete smoking ban in karaoke bars
Shanghai Daily, September 21, 2009

SHANGHAI legislators should completely ban smoking inside karaoke bars, restaurants, pubs and other entertainment venues, suggests the head of the city's cultural industry watchdog.

There should be no smoking rooms allowed inside these venues because a partial ban would make it difficult to enforce properly, said Lan Yiming, vice director of Shanghai Culture Market Administrative Law Enforcement Team, today. ...

Smoking ban likely for pubs, karaoke bars
Shanghai Daily - Chen Qian - September 11, 2009

SMOKING may be banned in pubs, Internet cafes and karaoke bars from January next year, according to a new draft law to control smoking in public areas.

Shanghai's first law controlling smoking was designed to protect the health of women and children, Oriental Morning Post reported today.

The draft law also bans smoking in schools and kindergartens, hospitals, and most government departments. It suggests a smoking ban in restaurants but won't ban the practice, the report said. ...

Support for Smoke Free Policies Among Smokers and Non-smokers in Six Cities in China
Li, Q.; Hyland, A.; O'Connor, R.J.; Zhao, G.; Du, L.; Li, X.; Fong, G.T.
Tobacco Control August 13, 2009, [Epub ahead of print].

Shanghai to ban lighting up in public
China Daily (cn), 2009-08-18
Cao Li

A new draft law, the first of its kind in the city, bans smoking in most public places and imposes fines on establishments that fail to obey the restrictions.

Under the proposal, smoking will be strictly banned in schools, hospitals, stadiums, libraries, theaters and museums.

Airports and train stations must set up ventilated smoking rooms.

Hotels and entertainment centers must ban smoking indoors or provide a separate smoking area. Government offices and State-owned enterprises must also set up non-smoking areas.

And while restaurants are encouraged to ban smoking or set up smoking areas, they are not required to do so. . . .

But legislator Zhang Aimin said the law fails to meet the goal set up by the Framework Pact of Tobacco Control, which China signed in 2003. According to the pact, all indoor public spaces in China will ban smoking by 2011.

"Higher penalties should be imposed on places that fail to apply the ban," he said. ...

Smokefree Worksite Initiative - Signatory Companies

Shanghai may become China's first city to ban smoking in public places
People's Daily (cn), 2009-08-11

Shanghai may become one of the first Chinese cities to ban smoking in public places. A smoking ban is supposed to be implemented in the city by the end of the year. How strict it will be, depends on city lawmakers who are set to discuss a draft that outlines several options which could be adopted.

The draft includes four types of smoking bans: The most strict bans smoking both indoors and outdoors in kindergartens, schools and hospitals and public transportation waiting areas. Venues such as restaurants, gyms, and work places would be required to set up designated smoking areas. While owners of other public venues would be required to adopt their own smoking bans.

Officials say more discussions are needed on how to divide space in restaurants and hotels. ...

Beijing Planning in 2018 before a total ban on smoking in public places
SourceJuice (cn), 2009-08-06

Before 2018, smoking in all public places throughout the city can no longer freely puff of. "Healthy Beijing - National Health Action Plan of the Decade" officially launched yesterday, with the exception of the city's total ban on smoking in public places . . .

Action in tobacco control, the city will improve tobacco control laws and regulations and related policies, increased tobacco control efforts in striving to achieve in 2018 the city's total ban on smoking in public places. ...

China's First Historic Efforts to Develop a Tobacco Control Advocacy Workforce Via Schools of Public Health
Yang, T.; Yang, X.; Lv, Q.; Zhao, Q.; Ke, X., Tobacco Control
July 20, 2009, [Epub ahead of print]

This paper provides an overview of a recent 18 month project which set out for the first time to introduce training on tobacco control into the curricula of public health courses in Chinese universities. The aim was to produce graduates with appropriate knowledge and skills to be effective in advocating for policies that could lead to the reduction of tobacco use. Results from this initial project involving seven universities have been encouraging and the new curriculum is to be implemented, with some changes, on a wider scale throughout China. Each of the universities also successfully introduced a smoke-free campus policy and the aim is to extend this policy. ...

Doctors to drive anti-smoking initiative
China Daily - July 29, 2009

Chinese doctors will join the country's anti-smoking campaign and become role models for the country's 350 million smokers under a recent initiative launched in Beijing by the Ministry of Health, China Medical Board (CMB) and the Bill & Melinda Gates Foundation.

The five-year-long China Medical Tobacco Initiative, designed exclusively for Chinese medical professionals, is aimed at building smoke-free campuses and smoke-free hospitals, promoting tobacco control in medical education and improving hospital services for those wanting to quit. ...

Potential Unintended Consequences of Smoke-free Policies in Public Places on Pregnant Women in China.
Yao, T.; Lee, A.H.; Mao, Z.
American Journal of Preventive Medicine. August 2009, 37(Suppl 2): S159-S164.

BACKGROUND: Smoke-free policies in public places have become more common in China. Little is known, however, about the potential unintended consequences of such policies on pregnant women. METHODS: The study was conducted in 2006 in Chengdu, China. Nonsmoking pregnant women (N=55) whose husband were smokers participated in a study of their knowledge about secondhand smoke and smoke-free policies, their exposure to secondhand smoke, and their husbands' smoking status at home. This study presents descriptive statistics, analyses based on family income and pregnant women's education level, and the findings of focus group discussions that examined the potential unintended consequences of the smoke-free policies on pregnant women. RESULTS: Exposure to secondhand smoke at home was reported by 69.1% of the pregnant women. Both family income and the education level of the pregnant women had a significant (p<0.05) association with exposure to secondhand smoke. The four main potential unintended consequences of the smoke-free policies were: (1) increased exposure of pregnant women to secondhand smoke at home; (2) reduced work efficiency; (3) adverse effect on family harmony; and (4) poor air quality at home. CONCLUSIONS: Education is needed to increase knowledge of secondhand smoke among smokers and nonsmokers alike. When the smoking location is shifted from public places and workplaces to home, women, and in particular pregnant women, become the victims. Policymakers should recognize such potential unintended consequences and take necessary measures to increase awareness about the harms of secondhand smoke.

Ji, M.; Ding, D.; Hovell, M.F.; Xia, X.; Zheng, P.; Fu, H. , "Home smoking bans in an urbanizing community in China," American Journal of Preventive Medicine [Epub ahead of print], June 11, 2009.

7 cities join in to kick killer butt
China.org.cn - June 23, 2009

After several bans on smoking in public places in most Chinese cities went up in smoke, Shanghai and Luoyang have expressed a desire to educate parents of the dangers of puffing away in front of their kids.

Shanghai and Luoyang are among six cities, including Wuxi (Jiangsu), Changsha (Hubei), Ningbo (Zhejiang) and Tangshan (Hebei), which joined Qingdao in a campaign called "Tobacco Free Cities" launched in the coastal capital of Shandong province yesterday.

The five-year program, funded by the Bill and Melinda Gates Foundation, will provide the cities with funds to implement anti-smoking policies. Most of the seven cities that have joined the campaign already have smoking bans in place, but "hope to tighten controls and raise awareness" about the harmful effects of smoking.

Li Aihong, an official with the Luoyang disease prevention and control center, said her research found that 80 percent of people in her city are "forced to inhale second-hand smoke in their own homes". ...

Macao to ban indoor smoking in public places
Xinhua Newswire, 2009-05-31

Macao Special Administrative Region (SAR) will amend its smoking-control law, banning indoor smoking in all public places, said Lei Chin Ion, director of the SAR's Health Bureau, on Sunday.

Aside from the banning of indoor smoking, new measures such as fixed penalty and image of warning posted on cigarette package will be adopted in the new law, said Lei, on the sideline of local "World No Tobacco Day" campaign. ...

Chinese hospitals ordered to kick the habit
Oddly Enough, Reuters, 2009-05-22

China will ban smoking in all hospitals and medical facilities from 2011, the Health Ministry said on Friday, as the world's most populous nation struggles to get its people to kick one of their favourite habits. . . .

"Every department in every part of the nation must establish leading work groups to put into effect a smoking control framework," the ministry said in a statement on its website (www.moh.gov.cn ). ...

Beijing to raise maximum fine for smoking in public places to 200 yuan
CCTV - May 20, 2009

The reporter learned on May 17 during a simulated court activity hosted by Beijing Smoking & Health Association that the city is expected to amend its provisions banning smoking in public places, and will appropriately raise the maximum fine for individuals caught smoking illegally in public places. Drafters of the proposed regulation amendment intend to raise the upper limit of fines from the current amount of 10 yuan to somewhere between 50 and 200 yuan. ...

Cigarette smoke won't fly at airport restaurants
Shanghai Daily - May 13, 2009

NERVOUS fliers now have a tougher time getting in that last nicotine fix before taking off from Shanghai's Hongqiao Airport, and non-smokers are breathing a little easier.

A new anti-smoking campaign bans tobacco use in all restaurants, toilets, offices and other public spaces inside the terminals. Businesses that violate the ban will be fined up to 1,000 yuan (US$147) every time the smell of tobacco smoke or other evidence such as a cigarette butt is discovered on their property.

Bigger, more prominent no-smoking signs began going up last week inside both terminal buildings, airport management said yesterday. ...

EDITORIAL: Smoking ban important
China Daily (cn), 2009-03-14

Tobacco control is still a hard nut to crack in China. That's why dozens of deputies to the National People's Congress (NPC) and members of the National Committee of the Chinese People's Political Consultative Conference (CPPCC) tabled motions on it at the current plenary sessions.

Of them all, one was particularly noteworthy. A deputy proposed a complete ban on public money being spent on tobacco.

The CPPCC member was also the first to suggest that smoking should be banned in all government offices and other venues.

She said that all government or Party departments should be prohibited from spending public money on tobacco and any such expenditure should be considered as an act of embezzling public fund.

Cigarettes should never be provided at any activity organized by the government or Party departments, the CPPCC member said. Of course, accepting cigarettes as gifts by government employees must be incriminated as an act of accepting a bribe. . .

China ratified the WHO Framework Convention on Tobacco Control in 2005 and was awarded the infamous Dirty Ashtray Award last year. The convention will take effect in two years in the country.

It is high time that we did something substantial. Let's start with government and Party organizations and their employees.

Chinese lawmakers press for smoking control
Xinhua Newswire, 2009-03-10

Lawmakers are pressing for tighter tobacco control to reduce smoking prevalence in China, where a quarter of the population is smokers.
The country should initiate a tobacco control program as soon as possible to cut down tobacco supplies and demands, and protect people's health, Ma Li, a deputy to the National People's Congress (NPC), said on the sidelines of the top legislature's annual meeting. . . .
"Should the current smoking prevalence continue, two million Chinese would die from, and six to eight million would suffer, tobacco-related diseases by 2030," Ma said.

China joined the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) in 2005, but has not yet had a national program for tobacco control so far, Ma noted.

"Tobacco control in China is of great importance to the endeavor in the whole world," Ma said. "The country should initiate a national control program to fulfill its commitment to the FCTC and to safeguard the health of the Chinese people."

Beijing Hospitals Begin To Control Smoking
ChinaCSR.com (hk), 2009-03-06

From now until the end of January 2010, 2,800 clinicians from seven hospitals in Beijing will work on controlling their cigarette smoking.
The seven hospitals are reported to be Beijing Friendship Hospital, Beijing Xuanwu Hospital, Beijing Tiantan Hospital, Peking Union Medical College Hospital, Tongren Hospital, Fuxing Hospital, and Jishuitan Hospital. Each of the hospitals will select 400 clinicians from such key departments as the respiratory medicine department and the cardiovascular and cerebrovascular department.

To realize a 100% smoking-free environment, the seven hospitals will put signs and bulletin boards at prominent areas . . .

In addition, each hospital will set up a smoking control technology and mental support team. . . .

By 2008, 217 hospitals in Beijing had joined the smoke-free campaign.

Shanghai banning smoking from all indoor areas by 2011
Shanghaiist, China - February 11, 2009

Sorry, Shanghai smokers! The ban on smoking in public venues has now been extended to all indoor workplaces in an attempt to clear the city's air of cigarette smoke by 2011. By indoor workplaces, they mean "all places with ceilings and at least three walls." So basically... everywhere.

Those hoping that all this means is a small partition between smoking and non-smoking zones are out of luck. The municipal health bureau specified that all areas will be completely and totally smoke-free in order to minimize second-hand smoke.

The Prevalence of Household Secondhand Smoking Exposure and Its Correlated Factors in 6 Counties of China
Chun-Ping, W.; Shao-Jun, M.; Xue-Fang, X.; Jun-Fang, W.; Cui-Zhu, M.; Gong-Huan, Y.
Tobacco Control. January 8, 2009, [Epub ahead of print]

OBJECTIVE: To study the prevalence of and discuss the factors contributing to household secondhand smoke exposure in 6 counties of China, providing scientific support for the need to establish tobacco control measures in these areas. DESIGN: Cross-sectional survey: Investigators conducted face-to-face interviews using a standardized questionnaire to collect information on demographics, passive smoking behaviors and knowledge, and attitudes towards tobacco control. SETTING: 6 counties from the 3 provinces. SUBJECTS: A total of 8,142 non-smokers (aged 18-69) in 2004 were included in the data analysis. Measure of household secondhand smoke exposure - Household secondhand smoke exposure rate as defined by the proportion of household passive smokers in a non-smokers population. RESULTS: The analysis on 8142 nonsmokers revealed that the household secondhand smoke exposure rate was 48.3%. 84.4% of 6972 respondents supported all the three tobacco control policies. In 3165 families with smokers, 87.2% of respondents reported that smokers would smoke in front of them. In 2124 families with both smokers and children, 76.5% of respondents reported that smokers would smoke in front of children. As many as 42.1% of non-smokers would offer cigarettes to their guests. Multivariate logistic regression analysis revealed high secondhand smoke exposure in the following demographic groups: Jiangxi Province inhabitants, females, low education level people, farmers, and married respondents. CONCLUSION: Household secondhand smoke exposure rates in the selected counties were high. A high percentage of respondents reported that smokers would smoke in front of them and children. The pressure from nonsmokers against smoking was relatively low, although offering cigarette was prevalent. Households that were completely smoking-free were rare, Further studies on these correlated factors could help us establish effective measures to reduce household secondhand smoke exposure.

Mortality Attributable to Smoking in China
Volume 360:150-159 January 8, 2009 Number 2
New England Journal of Medicine, 2009-01-08

Results
There was a significant, dose–response association between pack-years smoked and death from any cause in both men and women after adjustment for multiple risk factors (P<0.001 for trend). We estimated that in 2005, a total of 673,000 deaths (95% confidence interval [CI], 564,700 to 781,400) were attributable to smoking in China: 538,200 (95% CI, 455,800 to 620,600) among men and 134,800 (95% CI, 108,900 to 160,800) among women. The leading causes of smoking-related deaths were as follows: cancer, 268,200 (95% CI, 214,500 to 321,900); cardiovascular disease, 146,200 (95% CI, 79,200 to 213,100); and respiratory disease, 66,800 (95% CI, 20,300 to 113,300). . . .

Because many low- and middle-income countries are still in early stages of the tobacco epidemic, the number of smoking-related deaths in these nations will probably increase during the next decades.3,4,5

Leading tobacco company accused of undermining China's anti-smoking efforts
Xinhua Newswire, 2009-01-02

A group of anti-smoking researchers found in formerly secret corporate documents that a leading tobacco company had attempted to divert public attention from the dangers of secondhand smoke, hoping to re-focus China's health policy.

Monique Muggli, a researcher at the Mayo Clinic in Minnesota in the United States, and her colleagues published a research article based on her finding on documents from British American Tobacco (BAT). . . .
The Ministry of Health estimated in 2007 that 540 million Chinese were exposed to secondhand smoke, resulting in over 100,000 deaths annually.

"As highly regulated markets continue to result in decreasing profits for transnational tobacco companies, they will look to less regulated markets in low to middle income countries," Dr. Kelley Lee at the London-based Center on Global Change and Health, co-author of the thesis, told Xinhua Friday via an email.

Beijing's Olympic smoking ban stubbed out amid backlash
Tehran Times, Iran - April 16, 2008

The China Daily had reported two weeks ago that the Chinese capital on May 1 would ban smoking in all restaurants, offices and schools, and require bar ...

Passive smoking affects about 540 mln Chinese
www.chinaview.cn 2008-04-15

BEIJING, April 15 (Xinhua) -- Chinese health experts estimated that passive smoking has affected about 540 million people out of the country's 1.3 billion population.

Passive smoking, especially in public place, has been a serious health problem in China, said Li Hengyuan, deputy secretary-general of the All-China Environment Federation (ACEF), a leading environmental non-governmental organization, here Tuesday.

Passive smoking, meaning involuntary inhalation of smoke from tobacco products, could increase the incidence of cardiovascular and respiratory diseases and even lead to lung cancer.

"The only way to protect the public from passive smoking is to completely ban smoking in public and working places," Li said.

Beijing Bars Exempted From Pre - Olympics Smoking Ban
Reuters, 2008-04-13

Restaurants, bars and Internet cafes in Beijing have been exempted from a proposed public smoking ban in response to concerns expressed by business owners, state media said on Monday.

The venues will only be asked to separate smoking and non-smoking areas from May 1 as part of the new regulations, the China Daily said.

"Owners of Chinese restaurants -- both big and small -- worried the plan would hurt their business," the newspaper said, quoting a Beijing official.

From May, no lighting up at most public places in capital
China Daily (cn), 2008-03-31
Cui Xiaohuo (China Daily)

Beijing will ban smoking in most public places starting from May 1 - a big step toward tobacco control in a nation of 350 million smokers.

The move will also meet China's pledge of a smoke-free Olympics.

More than 150 Chinese cities already have limited restrictions in place, but the capital will be the first to ban smoking in all restaurants, offices and schools.

Effects of environmental tobacco smoke on respiratory health of boys and girls from kindergarten: results from 15 districts of northern China
Indoor Air 17(6): 475-483, December 2007

We conclude that ETS exposure increases the occurrence of respiratory symptoms and diseases during childhood. Boys may be more susceptible to ETS than girls. Practical Implications Environmental tobacco smoke (ETS) is a highly prevalent respiratory irritant. In agreement with previous cross-sectional studies, our study indicates that exposure to ETS may increase the occurrence of respiratory symptoms and diseases in children, and the association of ETS exposure and respiratory health of children increased in strength with number of cigarettes smoked inside the house per day during workday and day-off. Boys may be more susceptible to ETS than girls. These findings support the view that measures should be taken to reduce ETS exposure for children.

Disease burden of adult lung cancer and ischaemic heart disease from
passive tobacco smoking in China
Tobacco Control 16(6): 417-422, December 1, 2007

Conclusion: Even without considering the passive smoking risks for other diseases and among children that have been documented in other countries, passive smoking poses serious health hazards for non-smokers, especially for adult female non-smokers in China, adding more urgency to the need for measures to be taken immediately to protect the health of non-smokers and curb the nation’s tobacco epidemic.

Huangshan To Ban Smoking In Public Areas
China CSR, November 8, 2007

Huangshan Municipal Government has recently issued a provisional measure on banning smoking from the public areas in Huangshan City and the new measure has already been put into force.

As the first of its kind in Anhui Province, the new measure says that smoking should be banned from such public places as museums, archive halls, cinemas, theaters, gymnasiums, shopping malls, clinics, classrooms, kindergartens and public transportation areas like buses and taxis. It says that smokers shall be punished for smoking in these areas.

Beijing to ban smoking in cabs
China Daily (cn), 2007-09-20

Beijing will enforce a smoking ban in cabs from October 1 in a move to help create a "non-smoking" Olympic Games in 2008.

Passengers and drivers both face fines if they are caught smoking in taxis, but the penalty amount is yet to be announced by municipal transportation and traffic administrations.

Local authorities, including the Health Bureau, Transportation Administration Bureau, and Transportation Law Enforcement General Team, would jointly launch the public promotion of smoke-free cabs on Sunday, said Zhang Junru, of the Beijing Center for Disease Control and Prevention.

Passive Smoking Exposure and Risk of COPD Among Adults in China: The Guangzhou Biobank Cohort Study
Yin, P.; Jiang, C.Q.; Cheng, K.K.; Lam, T.H.; Lam, K.H.; Miller, M.R.; Zhang, W.S.; Thomas, G.N.; Adab, P.
Lancet. September 1, 2007, 370(9589): 751-757.

Passive Smoking Could Cause 1.9 Million Excess Deaths From COPD In China
ScienceDaily Magazine, 2007-09-02

Exposure to passive smoking is linked to increased prevalence of chronic obstructive pulmonary disease (COPD). This association could cause 1.9 million excess deaths* among never smokers in China. These are the conclusions of authors of an Article in this week's edition of The Lancet.

Dr Peymané Adab and Professor K K Cheng, University of Birmingham, UK and colleagues from the Hong Kong School of Public Health and Guangzhou 12th Hospital used data from the Guangzhou Biobank Cohort Study to do their research. They studied 20,430 men and women over age 50 years recruited between 2003-06. A total of 15379 never smokers were included in this analysis.

They found that people exposed to high levels of passive smoking (equivalent to 40 hours a week for more than five years) were on average 48% more likely to develop COPD.

Smoking in China: No Smoke-Free Zones
CBS News, January 16, 2007

This Letter from Asia comes from Beijing. Here's a fact of dubious distinction about China: One in three cigarettes smoked in the world is smoked here. This is not a country of smoke-free zones, or in most cases, of even smoke-free parts of restaurants.

Second-hand tobacco smoke in public places in urban and rural China
Frances Stillman, Ana Navas-Acien, Jiemin Ma, Shaojun Ma, Erika Avila-Tang, Patrick Breysse, Gonghuan Yang, and Jonathan Samet
Tob Control 2007;16 229-234

Secondhand Smoke Affects 600 Million in China
March 6, 2006

A Chinese lawmaker estimates that 600 million of his countrymen are exposed to secondhand smoke, Xinhua reported March 3.

Chen Guiyen, a deputy of the 10th National People's Congress, is calling for a nationwide ban on smoking in indoor public spaces. "According to my estimation based on a survey, nearly 600 million Chinese suffer from passive smoking, which occurs in 71 percent of Chinese households, 32.5 percent of public places, and 25 percent of working places," Chen said. "It is imperative to create a no-smoking social environment and enhance the self-protection awareness of nonsmokers."

One of every three smokers in the world lives in China. The biggest victims of secondhand smoke are women and children; Chen said that up to 70 percent of professional women ages 20-49 in China are exposed to secondhand smoke, for instance.

Chinese airlines have banned smoking, but it remains prevalent in most restaurants, movie theaters, offices, and in railway stations, despite posted "no smoking" signs.