I rise to welcome the Bill on behalf of the Labour Party. I congratulate the Minister on introducing it because it follows in the tradition of the thrust of previous Ministers for Health in recognising the serious problem of smoking and the threat that it poses to the health of the people of this country and proposes in a very positive and concrete way to address that problem.
However, this very positive act has to be put in the context of the times we live in and I find that I must make reference to the axing of the Health Education Bureau who have done so much in the campaign to educate people to the dangers of smoking. It is a cause of deep regret that that campaign must be adversely affected by the axing of the bureau who have piloted so many imaginative and successful campaigns to highlight the dangers of smoking in very many clever ways and to alert particularly the young before they caught the smoking bug.
The Minister referred to the clear and indisputable evidence that now exists that cigarette smoking causes a tremendous amount of disease in this country and indeed is the single greatest cause of premature death particularly in the area of heart and lung illnesses. It is incumbent on us legislatures to lead in this regard and not wait for public clamour. We in this House have often been accused of responding to the public rather than leading the public. The body of evidence in relation to smoking is now so overwhelming that I believe we would be criminally negligent if we did not act in the way proposed in this legislation. One of the Minister's predecessors, my colleague, Deputy Barry Desmond, had a very courageous line in relation to the tobacco industry and his initiatives caused the banning of the advertising of cigarettes around every corner store and shop in our country. These advertisements obviously make a very homely and folksy impact on people who were shopping for groceries, sweets, milk, bread or whatever they were looking for. They were attacked by the notion that smoking is a positive thing, that it is an acceptable occupation and that it should be encouraged. The Minister's predecessor outlawed that particular activity.
The next step is to take the measures that are included in this legislation. Many of those hoardings and advertisements, some of which still exist in magazines, convey an image of smoking as an outdoor, rugged activity, and somehow almost a healthy activity itself. One sees the outdoor type on horseback smoking. It is very important for us to recognise the irony that in fact so many people have been deprived of the enjoyment of the great outdoors by destroying their lungs through smoking.
The Minister said this was enabling legislation. Section 2 lists all the possible prohibitions and restrictions with regard to the consumption of tobacco that will be available to him by statutory order following the passing of this legislation. The list is quite comprehensive. I hope the Minister, in replying to this debate, will outline and signal to us clearly what his intentions are in this regard and where specifically he intends to make restrictions and to what extent because obviously we are all subject to the clamour of the convinced smoker who will want some space. Our process of eliminating smoking must be a gradual one and must not cause undue fear among smokers that their liberties will be immediately trampled upon.
The Minister referred to the practices in other countries and the sort of restrictions that exist. I would certainly welcome the Minister's thinking in this regard as to where he wishes to impose restrictions. We have reached the stage now where people are entitled to go to a public place, to a cinema or elsewhere or to enjoy a meal in a restaurant and not face the hazard of smoking. If people make for themselves the choice that they will not smoke, that they will protect their own wellbeing by not smoking, they should not be assaulted in a public place by smoke. Before this legislation is enacted it is important that the Minister's intentions in this regard are known.
Some of the sections in a Bill published last year in my own name, the Children (Care and Protection) Bill, and which were reflected in the earlier Tobacco (Health Protection) Bill, 1986 — published in the Seanad in the names of Senators Dooge and Ferris — are reechoed in the legislation before the House tonight.
This is very important legislation. In accordance with all current medical opinion I believe that this legislation will enjoy not only very broad support in this House but, more importantly, very broad support throughout the country. You can pass any legislation you wish, particularly in an area such as this, but if you do not have the enthusiasm of the people this type of legislation becomes inoperable. In tandem with the legislative framework we must have support and that can only happen if we re-enforce, through whatever channels are open to us, the damage that smoking causes to people. It is a cause of regret that the Health Education Bureau is no longer available to do that and that another organisation — which is less effective — within the Department of Health will be charged with that task.
The concept of passive smoking whereby during the past 20 or 30 years people who did not smoke were subject to the assault of smoking is no longer acceptable. People who tolerated that activity in the past are no longer content to accept a situation where they must, in a public place, in a restaurant or on public transport, endure smoke which they know and are convinced is damaging themselves. That is no longer acceptable to the vast majority of non-smokers and that is recognised in the legislation.
I welcome in particular the measures to protect children from the effects of smoking. I mentioned previously the Children (Care and Protection) Bill, published by the Labour Party last year in my name. I welcome sections 3 and 4 of the current Bill that reflect the same thoughts as were reflected in the previous legislation.
In relation to vending machines it is important that they be supervised. In many places a machine is put on the wall and no regard is had to the fact that cigarettes are available to anybody who can put in the correct coins; the machine simply doles out the cigarettes to them. It is important that a responsibility is placed on owners to be mindful of the dangers that those machines can place in the way of children.
Section 4 is designed to restrict access to cigarettes so far as children are concerned and that is welcome. The notion that you can sell individual cigarettes to children is something I have always rejected. Unfortunately, it is a practice that has gone on in many corner shops in the vicinity of schools, where children, at break time, are able to run across the road and buy a cigarette for whatever number of pence was charged, so children were introduced at a very early and sensitive age to smoking. One measure, one step, in eliminating that practice is in requiring that at a minimum only packets of ten could be sold over the counter. Having read this section I am inclined to share the fears expressed by the Fine Gael spokesperson that the words are allembracing, that a person who sells, offers to sell or makes available cigarettes to a person, otherwise than in packets of ten, is liable to a penalty. Other people would be fearful that simply offering a cigarette — as is common practice, perhaps it is something we should outlaw — would not be an offence. Perhaps we could tighten up that section with a clearer form of words.
The tobacco industry is a very important lobby. My colleague, Deputy Desmond, experienced something of the strength of the tobacco industry in recent years. We must acknowledge the role of the tobacco industry in seeking to diversify away from the manufacture and distribution of cigarettes into other areas of activity. It is important that we recognise the very significant employment that is given in the tobacco industry. Obviously, we must put the health of the people of this country in a paramount position. Nobody in this House would dispute that. In our efforts to arrive at a situation where we have no smoking we must assist the tobacco industry in diversification and in finding alternative forms of livelihood for the many people who are engaged in the manufacture and sale of tobacco products and to allow them to ease themselves into other less socially destructive forms of activity. That has not been addressed.
I hope that the Minister in his response will indicate the approach he intends to adopt because if we are to solve the problem of cigarette addiction, and the damage caused by cigarette smoking, it can only be done in tandem with the tobacco industry and not by setting the Department of Health, or this House, or the health caring agencies on an adversarial course with the tobacco industry or those who work for any of the manufacturers of cigarettes in Ireland.
On another section which I propose to address, representations have been received by many of us in relation to section 6 of the Bill. Section 6 is a comprehensive section which I assume addresses in the main the problem of Skoal Bandits. Deputy Desmond, as Minister for Health, attempted to use the Health Act, 1947, to outlaw Skoal Bandits and subsequently that was found by the High Court to be ultra vires. The damage caused by this product — Skoal Bandits — is something that must be put on the record of the House. The welcome from the medical profession not only in this country, but abroad as well, to that attempt should be noted. I know that in the British Dental Journal issue of 7 June 1986 they applauded the efforts of the Irish Government and I quote:
Happily, the Irish Government has adopted a more enlightened attitude: in December 1985, it banned the Skoal Bandit from sale or distribution. Said the Health Minister: `It is a particular habit that we are determined should not take on in Irish society.'
Later in the same leader article it is stated:
Thus a high health-education profile, as well as constant pressure on opinion makers and parliamentarians, must be maintained by each one of us until the Irish lead is followed and a total `Bandit' ban achieved.
This was the exhortation to British parliamentarians to follow the example of the then Minister for Health, Deputy Desmond, in seeking to outlaw the Skoal Bandits from sale in this country.
In an article in The Sunday World of 12 January 1986, Professor Risteard Mulcahy, who was in charge of the coronary unit in St. Vincent's Hospital, attacked the measure as not going far enough. He said:
While I approve of what Mr. Desmond is doing, I am surprised he is not going the whole hog and banning all cigarette advertising and sponsorship.
He went on to outline the damage that cigarette smoking and surrogate use of alternatives to cigarette smoking do to the health and well-being of our people. All that is accepted and I can quote from various medical journals on the damage to health. For instance, the Lancet outlines in great detail the damage done by oral snuff which they describe as a preventable carcinogenic hazard and all the damage done by the growing number of tobacco substitutes which are coming on sale here. For that reason, I welcome section 6 but, at the same time, I ask the Minister to alleviate the fears of some who engage in a rare enough habit, that of tobacco chewing. It is not a very prevelent habit and is engaged in, for the most part, by senior members of society. It would be difficult for us to convince these at this stage that the activity which they have carried on all their adult lives should suddenly be banned. I hope the Minister will allay their fears. I understand that most of the tobacco chewed is not actually chewing tobacco but rather pipe tobacco which would not be affected by this section.
I want to refer also to the role of education, which is extremely important in this whole issue. If we are going to prevent damage being done by cigarette smoking, the most important way is to educate people on the dangers. This is particularly true about educating the young. We must inform and condition them because there is so much money spent on conditioning them to smoke. With young people image is so important. Smoking has been linked in films, advertisements and magazine articles with adulthood. To smoke is to be mature, to be an adult. We have a very sophisticated young people now. The need for an education campaign is there, but it must be a clever and imaginative one and well funded. These measures are very welcome but in tandem with them must be a clever, well thought out, well funded educational programme that will reach young people, not patronise them but advise them in a very clear and cogent way of the dangers to their health. Young people now have the image of the outdoors, of activities and a very effective campaign could be devised if sufficient resources were made available. This would be a very cost efficient method.
The Minister indicated to the House the damage done, not only healthwise which obviously is the most important, but the economic damage done to our country by cigarette smoking. It is a horrific fact that there are 16,000 deaths each year from smoking-related illnesses in this country and that 5,000 of these deaths, according to the Minister, are directly related to smoking. From an economic perspective, it would be very interesting to do an exact analysis of the cost of cigarette smoking. It would be a difficult figure to arrive at, but a very interesting and, I suspect, very alarming one. The Minister indicates that the hospital costs alone due to cigarette smoking exceed £50 million a year. If one adds the cost of the GMS, of disability benefits and, more particularly — a very difficult concept to define — the man hours lost to industry through cigarette smoking a very significant figure would result. That would underline very clearly that any education programme that costs money would be money well spent.
The Labour Party unreservedly welcome this measure. I hope the specific points I raised in relation to ambiguities in the Bill will be clarified. The Minister will have enthusiastic support from the Labour Party in putting into place this legislation which will have a significant impact on improving the quality of life of our people.