To help people stay healthy, the HPA supports smoke-free environments in parks, communities, restaurants, schools, workplaces, and the military. It also promotes tobacco control through multimedia education and events.
(1) Drawing on community resources to promote tobacco-free
In 2020, the HPA updated its “Tobacco-Free Home 3D Gamebook” and produced a
supplementary teaching video for distribution to over 6,000 kindergartens and local government health bureaus with the intent of promoting tobacco-free family and protecting children from tobacco hazards. In 2021, tobacco-free family teaching materials and coloring cards were made available for download by kindergartens. By incorporating child-friendly language and audio-video experiences, tobacco hazards prevention has been integrated with early childhood educational resources. Teachers are encouraged to use these resources to promote tobacco hazards prevention from an early age. In June 2022, an e-cigarette prevention teaching package for junior high school students was published. It was followed in September 2023 by the publication of a tobacco hazards prevention teaching package meant for senior elementary school students. These materials are available on the HPA’s Health 99+ Education Resource website and have been provided to the Ministry of Education and local government health bureaus for use on school campuses and in communities.
(2) Promoting collaboration to achieve smoking-free schools
In collaboration with local health departments, private organizations, and community volunteers, we monitor and prohibit vendors around school campuses from selling tobacco products to adolescents. In addition to increasing the legal smoking age from 18 to 20, HPA efforts toward amending the Tobacco Hazards Prevention Act have also led to expanding smoke-free areas to include universities, kindergartens, childcare centers, and home-based childcare service locations. The newly amended act also prohibits the manufacture, import, sale, supply, display, advertisement, or use of flavored tobacco products and e-cigarettes. This statutory tightening aims to help reduce tobacco use among adolescents.
The HPA, in collaboration with the Ministry of Education, has made tobacco and e-cigarette prevention a mandatory component of the health-promoting school program. The revised Campus Tobacco Hazards Prevention Implementation Plan implemented on August 31, 2021 includes e-cigarettes and heated tobacco products, and prohibits their possession and use by school staff, teachers, and students on school campuses. Furthermore, to improve tobacco hazards prevention efforts, prevention literacy related to tobacco and e-cigarettes has been integrated into school curricula, efforts made to enhance teachers’ professional knowledge, and relevant counseling and referrals provided. In cooperation with the K-12 Education Administration, Ministry of Education, the HPA commissioned a project in 2021 to collect and catalog effective domestic and international programs, initiatives, and promotional materials focused on e-cigarette prevention among junior high school students. These resources were integrated into a competency-driven model, and educational materials specifically addressing e-cigarettes were created for junior high school students. In 2022, the HPA launched another project to develop teaching materials on tobacco prevention (including e-cigarettes) for elementary school students. This initiative aims to enhance health literacy in tobacco prevention among elementary school students and provide teaching resources for elementary school teachers.
In addition, we had conducted a commissioned project, undertaken from May 2021 to May 2022, designed to collect notably effective tobacco hazards prevention programs and plans adopted by domestic and overseas institutions of higher learning. Further, the HPA referred to the newly amended Tobacco Hazards Prevention Act for the development of eight models for tobacco hazards prevention on campus. Nine universities were selected as subsidy recipients, and each university was granted NT$350,000 to implement a pilot scheme based on one of the eight models. This project is intended to facilitate the ultimate introduction of a comprehensive campus smoking ban and provide a reference to the MOE when expanding this initiative to more universities.
(3) Bolstering tobacco hazards prevention in the military to ensure a smoking-free army
Over the years, the HPA has worked with the Medical Affairs Bureau, Ministry of National Defense to promote tobacco hazards prevention in the armed forces by subsidizing the National Army Integrated Program for Tobacco and Betel nut health hazard Prevention. In 2023, the smoking rate among volunteer officers and soldiers was 15.35%, down from 16.15% in 2022.
d. Promoting a smoking-free environment to protect the public’s recreational health
In accordance with Article 19, Paragraph 1 of the Tobacco Hazards Prevention Act, except in designated smoking areas, smoking is completely prohibited in various places.
(4) Establishing tobacco-free environments in public premises and workplaces
The HPA continues to work with local governments in promoting educational initiatives to create tobacco-free campuses. According to Article 18, Paragraph 1, Subparagraph 13 of the Tobacco Hazards Prevention Act, local governments are required to designate certain areas around elementary and junior/senior high schools (including school entrances, parent pick-up areas, and sidewalks) as tobacco-free zones and clearly mark their perimeters. In addition, we continue to promote the establishment of more tobacco-free environments at various premises (such as convenience stores, coffee shop arcades, sidewalks around schools, school entrances, and bus stops).
(5)Tobacco-free Hospitals and joining the Global Network for Tobacco-free Healthcare Services
Hospitals joined Global Network for Tobacco-free Healthcare Services and transferred online certification standards into indicators and key evaluation standards for tobacco-free hospitals.
(6) Advocacy education on tobacco hazards prevention through various channels
Media advocacy was centered around the health hazards of second-and third-hand smoke, the smoking cessation services and the risk of e-cigarettes and tobacco products.
In response to adolescents’ use of the internet and social media, the HPA continues to operate the “Breathe Clean Air: Avoid E-Cigarettes and Heated Tobacco” platform on Yahoo Taiwan. One-page infographics and promotional videos serve as tools for increasing message exposure. Making use of all possible media channels —radio, television, newspapers, magazines, the internet, and social media platforms, the campaign aims to help the public dispel tobacco-related myths and gain accurate knowledge about the hazards of tobacco, e-cigarettes, and heated tobacco products.