“Smoke-free Family” Campaign mobilises families to establish smoke-free homes & living environment on a community platform Lisa Man-man LAU, MH, JP Chairman Hong Kong Council on Smoking and Health Hong Kong SAR, China 12 April 2011 1
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“S
mo
ke-f
ree F
am
ily” C
am
paig
n
mo
bilis
es f
am
ilie
s t
o e
sta
blish
sm
oke-f
ree h
om
es &
liv
ing
en
vir
on
men
t
on
a c
om
mu
nit
y p
latf
orm
Lis
a M
an
-ma
n L
AU
, M
H,
JP
Ch
air
ma
n
Ho
ng
Ko
ng
Co
un
cil
on
Sm
okin
g a
nd
He
alth
Ho
ng
Ko
ng
SA
R,
Ch
ina
12
Ap
ril 2
011
1
© 2
01
1 H
on
g K
on
g C
ou
nci
l o
n S
mo
kin
g a
nd
He
alt
h
Ho
ng
Ko
ng
Co
un
cil o
n S
mo
kin
g a
nd
Healt
h
(CO
SH
)
Asta
tuto
ryb
od
ye
sta
blish
ed
in1
98
7u
nd
er
the
govern
ment
subvention
has
the
key
mis
sio
ns
to:-
Info
rm&
educate
the
pub
lico
nth
eharm
sof
sm
okin
g&
its
advers
eeffects
on
health;
Co
nd
uct
&coord
inate
researc
hin
toth
ecause,
pre
vention
&cure
ofto
bacco
dependence;
Advis
eth
eG
overn
ment,
com
munity
hea
lth
org
an
izatio
ns
or
any
public
body
on
matt
ers
rela
ting
tosm
okin
gand
health.
2
Sm
okin
g (
Pu
blic H
ealt
h)
Ord
inan
ce
© 2
01
1 H
on
g K
on
g C
ou
nci
l o
n S
mo
kin
g a
nd
He
alt
h
3
This
Ord
inance is e
nacte
d in H
ong K
ong in 1
982
whic
h c
ontr
ols
and m
onitors
tobacco u
se t
hro
ugh:
i.P
rohib
itio
n o
f S
mokin
g in P
ublic
Pla
ces
ii.R
estr
iction o
n S
ale
s o
f Tobacco P
roducts
iii.
Restr
iction o
n T
obacco P
rom
otion &
Advert
isin
g
Am
endm
ent
exerc
ises w
ere
taken in 7
tim
es
The late
st am
endm
ent
was p
assed b
y t
he
Legis
lative C
ouncil
on 1
9 O
ct 2006
Sm
okin
g (
Pu
blic H
ealt
h)
Ord
inan
ce
Exte
nsio
n o
f S
tatu
tory
No S
mokin
g A
reas
in 2
007
Indoor
Work
pla
ces
Indoor
are
a o
f R
esta
ura
nts
Indoor
Kara
oke P
rem
ises
Indoor
are
as o
f shops
Indoor
are
as o
f eld
erly h
om
es a
nd
rehabili
tation c
entr
e for
substa
nce a
busers
Indoor
Mark
ets
Hospitals
, S
chools
, S
tadiu
ms,
Park
s,
Beaches,
Escala
tors
, etc
© 2
01
1 H
on
g K
on
g C
ou
nci
l o
n S
mo
kin
g a
nd
He
alt
h
4
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Tre
nd
of
Sm
okin
g P
rop
ort
ion
in
Ho
ng
Ko
ng
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Tre
nd
of
Sm
okin
g P
rop
ort
ion
in
Ho
ng
Ko
ng
Sourc
eC
ensus a
nd S
tatistics D
epart
ment
HK
SA
R. T
hem
atic H
ousehold
Surv
ey
2007/0
8 R
eport
No.3
6
Year
1993
1996
1998
2000
2003
2005
20
08
Male
623,8
00
660,3
00
726,3
00
589,9
00
710,5
00
678,9
00
57
1,0
00
Fem
ale
63,2
00
80,1
00
78,8
00
102,6
00
107,8
00
114,3
00
10
5,9
00
Tota
l687,0
00
740,4
00
805,1
00
692,5
00
818,2
00
793,2
00
67
6,9
00
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Sourc
eC
ensus a
nd S
tatistics D
epart
ment
HK
SA
R. T
hem
atic H
ousehold
Surv
ey
2007/0
8 R
eport
No.3
6
Declin
eof
daily
sm
okin
gpre
vale
nce
inH
ong
Kong
alo
ng
recentyears
;
Lack
of
info
rmation
on
Seco
ndh
an
dS
moke
exposure
aft
er
legis
lation.
Tre
nd
of
Sm
okin
g P
rop
ort
ion
in
Ho
ng
Ko
ng
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Wh
y d
o w
e n
eed
to
red
uce
Se
co
nd
han
d S
mo
ke E
xp
osu
re?
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Hazard
s o
f S
eco
nd
han
d S
mo
ke
Seco
nd
ha
nd
sm
oke
(SH
S)
isone
of
the
most
import
ant
and
most
wid
espre
ad
exp
osure
inth
e
indoor
environm
ent;
SH
Sis
acla
ss
on
ehum
an
carc
inog
en
whic
h
causes
se
rious
and
fata
ldis
eases,
inclu
din
g
heart
dis
ease,
lung
cancer
and
asth
ma;
Seco
nd
ha
nd
sm
oke
exp
osure
isre
sponsib
lefo
r
about
600,0
00
death
sglo
bally
per
year.
Sourc
e :
World H
ealth O
rganiz
ation
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Hazard
s o
f S
eco
nd
han
d S
mo
ke
Sin
ce
there
isno
safe
exp
osure
leve
lto
SH
S,
WH
Ohas
urg
ed
go
vern
ments
tosm
oke-f
ree
legis
latio
nth
rough
and
exp
an
dth
escope
of
sm
oke-f
ree
are
as
topro
tect
the
pub
licfr
om
the
harm
fuleffects
ofsecondhand
sm
oke.
On
avera
ge,
SH
Skill
s1,3
24
no
nsm
okers
in
Ho
ng
Ko
ng
every
year
from
heart
,vascula
ran
d
lung
dis
ea
ses,
as
well
as
cance
rs(D
epart
ment
ofC
om
munity
Medic
ine,
HK
U)
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Imp
acts
of
Sm
oke
-fre
e L
eg
isla
tio
n
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Sourc
es :
(1)
Akhta
r P, C
urr
ie,
DB
, C
urr
ie C
E,
et
al (2
007)
BM
J-T
C, 2007,
335 :
545-9
(2)
Fong,
Hyla
nd,
Boarland,
etc
al, (
2006)
BM
J-T
C, 2006,
15 :
51-5
8.
(3)
Hyla
nd,
Hig
bee,
et
al (2
007)
BM
J-T
C,
2007,
18 :
63-5
Imp
act
of
Sm
oke
-fre
e L
eg
isla
tio
n
in o
vers
eas c
ou
ntr
ies
Countr
yIm
pacts
Scotland
Child
ren’s
SH
S e
xposure
decre
ased
by 3
9%
(1).
Irela
nd
46%
of
sm
okers
pla
nn
ed
toquit
sm
okin
gdue
tole
gis
lation
(2).
22%
of
Iris
hre
duce
dsm
okin
gat
hom
e(3
).
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Sourc
es :
(4)
Elli
s,
Gw
ynn,
Garg
, et
al (2
009)
Nic
otine T
ob R
esearc
h,
2009,
11 :
362-9
City
Impacts
New
York
Low
est
sm
okin
gpro
port
ion
inU
S.
Hig
hest
SH
Se
xp
osure
am
on
gnon-
sm
okers
inU
S(4
).
Imp
act
of
Sm
oke
-fre
e L
eg
isla
tio
n
in o
vers
eas c
ou
ntr
ies
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Imp
acts
of
Sm
oke
-fre
e L
eg
isla
tio
n
Pro
sC
ons
Restr
iction o
f sm
okin
g in
public
pla
ces;
Dis
pla
cem
ent
of sm
okin
g
from
sta
tuto
ry n
o s
mokin
g
public
are
as t
o p
rivate
pla
ces (
such a
s h
om
es,
private
vehic
les)
or
str
eets
.
Reduction o
f E
xposure
to
Secondhand S
moke in
public
are
as;
Declin
e in t
obacco
consum
ption;
Encoura
ge S
mokin
g
Cessation.
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Both
Hong
Kong
and
New
York
City
are
hig
hly
pop
ula
ted,
itis
difficult
toelim
inate
seco
ndh
an
d
sm
oke
outs
ide
the
sta
tuto
ryN
oS
mokin
gA
reas.
Dis
pla
cem
ent
of
Sm
okin
gfr
om
public
pla
ces
to
hom
em
ay
be
more
like
lyto
occur
inpla
ces
with
hig
hpopula
tion
density.
Imp
act
of
Sm
oke
-fre
e L
eg
isla
tio
n i
n H
on
g K
on
g
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Th
ere
fore
, C
OS
H c
on
du
cte
d a
stu
dy t
o
investi
gate
im
pacts
of
Sm
oke-f
ree L
eg
isla
tio
n…
..
Re
fere
nce
:
Ho,
SY.,
Wang,
MP.,
Mak,
KK
.,Lai,
HK
.,T
hom
as,
GN
.&
Lam
,
TH
.(2
010).
Com
pre
hensiv
esm
oke-f
ree
legis
lation
and
dis
pla
cem
ent
of
sm
okin
gin
toth
ehom
es
of
young
child
ren
inH
ong
Kong. T
ob
Contr
ol2010(1
9)
:129-1
33.
Levera
gin
gon
the
ann
ua
lre
vie
wof
educatio
n
theatr
epro
gra
mm
es,
CO
SH
con
ducte
da
stu
dy
on
secon
d-h
and
sm
oke
exposure
am
ong
prim
ary
schoo
lstu
dents
(Prim
ary
2-
4)
inH
on
gK
ong
befo
rean
dafter
Sm
oke-F
ree
Le
gis
lation
in2006
and
20
08
inco
llab
ora
tion
with
Scho
ol
of
Pub
lic
Health,T
he
Univ
ers
ity
ofH
ong
Kong.
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Re
searc
h S
tud
y o
n E
xp
osu
re t
o S
HS
aft
er
sm
oke-f
ree leg
isla
tio
n
Researc
hM
eth
od
Prim
ary
stu
de
nts
com
ple
ted
aself-a
dm
inis
tere
d
and
an
onym
ous
question
na
ires
on
socio
-
dem
ogra
ph
icchara
cte
ristics,
respirato
rysym
pto
ms
and
SH
Sexposure
etc
.
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Re
searc
h S
tud
y o
n E
xp
osu
re t
o S
HS
aft
er
sm
oke-f
ree leg
isla
tio
n
Obje
ctive
To
com
pare
the
chan
ge
of
prim
ary
schoo
lstu
dents
’
exposure
toS
HS
at
hom
ean
do
uts
ide
hom
ebefo
re
and
aft
er
the
expa
nsio
nof
sta
tuto
ryno
sm
okin
g
are
as
by
assessin
gth
eexcess
risk
of
respirato
ry
sym
pto
ms.
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Re
searc
h S
tud
y o
n E
xp
osu
re t
o S
HS
aft
er
sm
oke-f
ree leg
isla
tio
n
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Exce
ss r
isks o
f re
sp
ira
tory
sym
pto
ms –
ba
se
d o
n s
elf-r
ep
ort
ed
fre
qu
en
t co
ug
h o
r p
hle
gm
Re
searc
h S
tud
y o
n E
xp
osu
re t
o S
HS
aft
er
sm
oke-f
ree leg
isla
tio
n
Lo
ca
tio
nA
t H
om
eO
uts
ide
Ho
me
Exce
ss R
isks o
f
Re
sp
irato
ry S
ym
pto
ms
Incre
ase
fro
m
0%
to
7%
De
cre
ase
fro
m
35
% to
20
%
So
urc
es o
f S
HS
in
20
06
an
d 2
00
8
Sm
okin
g
Pa
ren
ts
20
06
–R
esta
ura
nts
20
08
–S
tre
ets
Co
nce
ntr
ation
of S
HS
Exp
ose
dH
igh
er
Lo
we
r
Su
mm
ary
of
Fin
din
gs
Results –
At H
om
e
Sta
ble
pare
nta
lsm
okin
gpre
vale
nce;
Dis
pla
cem
ent
of
sm
okin
gfr
om
outs
ide
ho
me
to
hom
esett
ing
was
rep
ort
ed
follo
win
gth
esm
okin
g
bans
inm
any
public
pla
ces
aft
er
2007.
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Re
searc
h S
tud
y o
n E
xp
osu
re t
o S
HS
aft
er
sm
oke-f
ree leg
isla
tio
n
Results
–O
uts
ide
Hom
e
Indoor
sm
okin
gba
ns
(inclu
din
gw
ork
pla
ces
and
resta
ura
nts
)m
ight
have
resulted
more
peop
le
sm
okin
goutd
oors
,str
eets
,park
sand
bus
sto
ps.
In2006,
the
majo
rsourc
eof
SH
Souts
ide
hom
e
was
inre
sta
ura
nts
where
as
sh
ort
er
dura
tion
of
SH
Sexposure
instr
eets
was
report
ed
in2008.
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Re
searc
h S
tud
y o
n E
xp
osu
re t
o S
HS
aft
er
sm
oke-f
ree leg
isla
tio
n
Str
ength
en
public
education
toth
egenera
l
public
on
the
hazard
sofS
HS
on
child
ren
Imple
menta
tion
of
larg
e-s
ca
lesm
okin
gcessatio
n
pro
gra
mm
es
and
pro
vis
ion
of
afford
able
an
d
conve
nie
nt
sm
okin
gcessatio
nserv
ices
tohelp
sm
okers
quit;
Furt
her
exp
ansio
nof
sta
tuto
ryno
sm
okin
g
pla
ces,
especia
llyto
restr
ict
sm
okin
gat
pub
lic
pla
ces
wh
en
ch
ildre
nis
ne
ar,
such
as
sm
oke-
free
vehic
les.
Reco
mm
en
dati
on
s
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
SH
Se
xp
osure
was
ba
sed
on
two
sim
ple
qu
estions
abo
ut
the
num
ber
of
days
inw
hic
hth
estu
de
nts
were
exp
osed
inth
epast
7days.
Young
child
ren
may
not
be
able
topro
vid
em
ore
deta
iled
info
rmatio
non
the
dura
tion
and
inte
nsity
of
exposure
relia
bly
.
Nic
otin
ein
ha
irw
as
not
possib
lefo
rall
part
icip
ants
due
tolim
ited
resourc
es
and
can
not
dis
tin
guis
hth
e
pla
ce
ofS
HS
.
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Lim
itati
on
of
this
Researc
h S
tud
y
“S
mo
ke
-fre
e F
am
ily” C
am
paig
n
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Invie
wof
the
dis
pla
cem
ent
of
sm
okin
gfr
om
public
pla
ces
tohom
e,
CO
SH
launch
ed
ate
rritory
-wid
e
pub
licity
pro
gra
mm
es
in20
08
topro
mote
sm
oke-f
ree
fam
ilies.
Obje
ctives
1.
To
rais
eth
epub
lica
ware
ness
on
the
hazard
sof
sm
okin
gand
SH
Son
health;
2.
To
urg
efo
ra
sm
oke-f
ree
hom
es
and
livin
g
environm
ent
so
as
topro
tect
child
ren
an
dfa
mily
mem
bers
from
secondhand
sm
oke;
3.
To
encoura
ge
sm
okin
gcessation.
“S
mo
ke
-fre
e F
am
ily” C
am
paig
n
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Ara
dio
gam
eseg
ment
was
desig
ne
dto
hig
hlig
ht
the
ben
efits
of
sm
oke-f
ree
hom
ean
d
genera
tepublic
aw
are
ness
and
support
;
Win
ners
of
the
gam
ew
ere
invite
dto
share
the
joy
with
the
irfa
mily
mem
bers
at
the
fina
le
event
and
prize
pre
se
nta
tion
cere
mony
he
ldat
Ocean
Park
.
Part
1 -
“My S
moke-f
ree F
am
ily”
Radio
Gam
e
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
“S
mo
ke
-fre
e F
am
ily” C
am
paig
n
Part
2 :
3-S
tep
Acti
on
“123
Go
Sm
oke F
ree”
“S
mo
ke-f
ree F
am
ily” C
om
peti
tio
n
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Targ
et G
roups
Prim
ary
School
Stu
dents
;
Junio
r S
econdary
School S
tudents
Action
1
Post th
e “
Sm
oke-f
ree F
am
ily”
logo a
t hom
e.
Result
Over
600,0
00
pri
ma
ryand
secon
dary
stu
dents
had
bee
n
invited
topost
the
sm
oke-f
ree
logo
at
ho
me
toshow
their
dete
rmin
ation.
“S
mo
ke-f
ree F
am
ily” C
om
peti
tio
n
“H
an
d i
n H
an
d t
o
esta
bli
sh
a S
mo
ke-F
ree
Fam
ily”
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Action 2 Sig
nand
com
mit
aple
dge
toesta
blis
ha
sm
oke-f
ree
fam
ilyw
ith
fam
ilym
em
bers
Cre
ate
an
art
pie
ce
inw
ritings,
pic
ture
sor
any
form
toshow
their
dete
rmin
ation.
Result
CO
SH
receiv
ed o
ver
20,0
00 s
ubm
issio
ns.
“S
mo
ke-f
ree F
am
ily” C
om
peti
tio
n
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Action 2
-W
inners
“S
mo
ke-f
ree F
am
ily” C
om
peti
tio
n
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Action
3
To
desig
na
tailo
r-m
ade
pra
ctica
l
cessatio
npla
nfo
rsm
okin
gfa
mily
mem
ber,
rela
tive
or
frie
nd.
Results
5,0
00
child
ren
had
subm
itte
d
pro
posa
lsfo
rth
eir
targ
et
sm
okers
and
succe
ssfu
llyp
ers
uad
ed
the
m
toquit.
“S
mo
ke-f
ree F
am
ily” C
om
peti
tio
n
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
“S
mo
ke
-fre
e F
am
ily” C
am
paig
n
–P
rog
ram
me E
valu
ati
on
Conducte
d b
y :
School of P
ublic
Health,
The U
niv
ers
ity o
f H
ong K
ong
Meth
ods :
Questionnaire
Inte
rvie
ws
Results
Sm
oke-f
ree
Fam
ilyis
an
effective
pla
tform
to
pro
mote
sm
okin
gcessation
More
than
90%
of
the
sm
okers
inth
e
inte
rventio
ngro
up
found
the
quit
pla
ns
“usefu
l”
or
“very
usefu
l”in
help
ing
them
quit
sm
okin
g
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
“S
mo
ke
-fre
e F
am
ily” C
am
paig
n
–P
rog
ram
me E
valu
ati
on
Post-
Cam
paig
n3
and
6m
onth
sF
ollo
wU
p
Effective
inre
ducin
gsecondha
nd
exposu
reat
hom
e
The
3-m
onth
quit
pla
nhelp
ed
sm
okin
gfa
mily
mem
bers
tore
duce
tobacco
consum
ption
or
qu
it
sm
okin
g
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
“S
mo
ke
-fre
e F
am
ily” C
am
paig
n
–P
rog
ram
me E
valu
ati
on
Conclu
sio
n
The
pro
gra
mm
ein
dic
ate
dth
at
stu
dents
an
d
their
fam
ilym
em
bers
wante
dto
have
sm
oke
-
free
fam
ilie
s,
asm
oke-f
ree
livin
genvir
on
ment
and
asm
oke-f
ree
Hong
Kong;
This
Cam
pa
ign
made
use
of
rad
iochan
ne
ls
and
scho
olnetw
ork
sto
spre
ad
the
message
sof
sm
oke-f
ree
hom
es
and
cessation.
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
“S
mo
ke
-fre
e F
am
ily” C
am
paig
n
–P
rog
ram
me E
valu
ati
on
Invitation
for
support
and
encoura
gem
ent
from
their
be
loved
no
n-s
mokin
gfa
mily
mem
bers
is
an
effective
appro
ach
inpro
moting
sm
okin
g
cessation;
Furt
her
public
ed
ucatio
nsha
llb
epro
vid
ed
to
rais
epu
blic
aw
are
ness
on
hazard
sof
secon
dh
an
dsm
oke
and
third-h
an
dsm
oke
(harm
fulre
sid
ua
lsubsta
nces
from
sm
okin
g)
to
fam
ilym
em
bers
,especia
llychild
ren's
he
alth
and
develo
pm
ent
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
Fu
ture
Dir
ecti
on
s
htt
p:/
/ww
w.s
mo
kefr
ee.h
k
Th
an
k y
ou
!
38
© 2
011 H
on
g K
on
g C
ou
nc
il o
n S
mo
kin
g a
nd
He
alt
h
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