Page 6 - Taiwan Tobacco Control Annual Report 2015 台灣菸害防制年報(英文版)
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                Taiwan's outstanding performance in global
                efforts in tobacco control

                Excellent results in tobacco control by attaining the 3rd place when
                compared to European countries

                     Tobacco-related causes death at least 20,000 people every year in Taiwan, wreaking havoc to
                individual, families, and the public. Taiwan’s smoking population decreased by 890,000 individuals
                since the new provisions of the Tobacco Hazards Prevention Act came into force in 2009. Adult
                smoking rate dropped from 21.9% in 2008 to 16.4% in 2014. Youth smoking rate reversed its trends
                and started decreasing as well. As smoking rates of junior high school students was 7.8% before the
                new provisions came into force but managed to decrease to 5.0% in 2014. Smoking rates of senior
                high and vocational school students also dropped from 14.8% to 11.5% in 2014.
                     Tobacco control in Taiwan implemented MPOWER measures recommended by WHO. Taiwan
                attained the highest scores for a total of 4 items, namely: Monitoring tobacco hazards, Protecting a
                smoke-free environment, Offering cessation help, and Enforcing bans on advertisements for tobacco
                products. This performance demonstrated the government’s efforts in various tobacco control strategies
                that include establishing monitoring measures and policies for tobacco hazards, enforcing smoke-
                free public areas, second generation smoking cessation services, prohibition of advertisements, sales
   006          promotion, and sponsorships for tobacco products have reached the highest levels of performance
                stipulated by the WHO.

                     Mr. Luk Joossens, a leading European expert on tobacco control evaluation, also used the EU
                score card to evaluate the Taiwan’s performance and current status of tobacco control efforts. Taiwan
                was given a score of 69 points out of 100, giving us the 3rd place amongst the 34 European countries
                after the UK and Ireland. Nevertheless, there were still room for improvement in Taiwan such as the
                size of pictorial warning on tobacco product containers and raising taxes of tobacco.

                Multi-pronged approach in minimizing health disparity for tobacco
        AN T
                control strategies
                     The multi-pronged approach for tobacco control was effective. The levying of tobacco
                surcharges and provision of free smoking cessation services, and achieved better performance when
                protecting and benefiting the underprivileged. On next stage, we will conduct activities including
                integrated health education for quitting betel quid and smoking, creating smoke-free environments,
                legislative reforms to increase tobacco surcharges, increasing the size of warning labels, and
                encouraging the public to use the second generation smoking cessation services as well as the 0800-
                636363 free smoking cessation helpline to minimize health disparity of smoking hazards.
                     To improve the accessibility of smoking cessation services, the Health Promotion Administration
                (HPA) released the ”second generation smoking cessation service payment scheme” in March
                1, 2012. Smoking cessation services would be provided by outpatient, inpatient, emergency, and
                pharmaceutical sectors of the healthcare provider. Each prescription of smoking cessation medication
                was subsidized by health insurance fees for a maximum out-of-pocket payment of NT$ 200, greatly
                reducing the economic barrier for people trying to quit smoking and making it easier for them to
                succeed. Since its implementation, the second generation smoking cessation services provided
                assistance to 242,107 individuals. Smoking-cessation rate within 6 months was nearly 30%, and
                over 67,000 individuals managed to successfully quit smoking. In 2014, professional supported was
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