I move: "That the Bill be now read a Second Time."
The battle against tobacco is one of the most important public health challenges facing us in the new millennium. I have made this area one of my main priorities as Minister for Health and Children.
The adverse impact of tobacco consumption on human health globally and locally is well documented. Tobacco smoke is the leading preventable cause of death and disability in Ireland. Medical evidence has repeatedly confirmed tobacco as a cause of cardiovascular disease, including heart attack and stroke, common cancers, chronic obstructive pulmonary disease, asthmatic attacks, low birth weight babies and sudden infant death syndrome. About 7,000 deaths in Ireland each year are attributable to tobacco related illness. Smoking tobacco products is one of the unhealthiest things a human being can do.
Life expectancy is lower in Ireland than the EU average and the diseases which contribute primarily to this are heart disease and cancer. Tobacco use is the leading preventable cause of these diseases. Smoking is a major causative factor in about 90% of the 2000 deaths from lung cancer each year and increases the risk of other cancers such as the mouth and throat. Smoking is also a primary cause of cardiovascular disease, the greatest single cause of mortality in Ireland. Tobacco is a significant burden to individuals, families and society through death, illness and medical costs. Reduction in tobacco use will increase life expectancy in Ireland and result in happier, healthier and better quality lives for many Irish people.
Evidence has accumulated year on year of the enormous worldwide threat to human health from consumption of tobacco products. Studies carried out internationally in recent years have also confirmed that there is a significant risk to the health of the non-smoker from inhaling environmental tobacco smoke referred to as passive smoking.
The Public Health Tobacco Act 2002 was enacted in March 2002. The Act is the most comprehensive anti-tobacco legislation ever in this country and confirmed the commitment of the Government and the Oireachtas to the battle against the tobacco epidemic.
The Act brought together a number of legal instruments and replaced two existing Acts, the Tobacco Products (Control of Advertising, Sponsorship and Sales Promotion) Act 1978 and the Tobacco (Health Promotion and Protection) Act 1988 and incorporated certain provisions of the Government's policy, Towards a Tobacco Free Society. Strong legislative measures are an important public health instrument in countering the tobacco threat.
The main provisions contained in the Act are as follows: a comprehensive ban on tobacco advertising, including in-store advertising and displays, and on all forms of sponsorship by the tobacco industry; registration of tobacco retailers and tougher penalties for those convicted of under age sales; a ban on retail sales of packs of cigarettes of less than 20; tighter controls on sale of tobacco products from vending machines; a ban on the sale of confectioneries, normally intended for children, which resemble a tobacco product; public disclosure of all aspects of tobacco including toxicity and addiction; and improved protection for people against passive smoking.
The tobacco industry and other related trades commenced legal challenges to the Public Health (Tobacco) Act in June 2002. During the judicial hearings, which involved three sets of proceedings, the court was advised by the State of a problem in regard to a requirement to notify to the EU Commission at Bill stage some of the measures enacted to comply with two EU Directives, 98/34/EC and 98/48/EC. These directives, known as the transparency-technical standards directives, require draft technical regulations to be notified to the EU Commission and to other member states in advance of their adoption.
The procedure is intended to provide transparency and control with regard to technical regulations which impose binding legal rules regulating the characteristics required of a product such as levels of quality, performance, safety or dimensions, including the requirements applicable to the product as regards the name under which the product is sold, terminology, symbols, testing and test methods, packaging, marking or labelling and conformity assessment procedures. National measures of this nature could create unjustified barriers to trade between member states. Their notification in draft form and the subsequent evaluation of their content in the course of the procedure help to diminish this risk.
The procedure was not followed at Bill Stage with the 2002 Act and, as a result, 14 of the 53 sections of the Act are affected. These sections relate mainly to the sale and marketing of tobacco products. However, other important aspects of the Act such as the establishment of the Office of Tobacco Control and the power to regulate smoking in the workplace remain in place.
As the Act is a public health measure, it was considered originally that it was not notifiable to the Commission as a technical regulation. It was also considered that the requirement to introduce commencement orders in the case of the Act would allow for notification of the commencement order in draft form, thereby meeting the requirements of the transparency directives.
Following correspondence and discussions with EU Commission officials on this matter and having obtained legal advice from the Office of the Attorney General, it became clear that any attempt to commence the affected sections would result in considerable uncertainty as to the enforceability of the sections in question. The court was advised of the attempts made through the Commission to resolve the issue and each set of proceedings was discontinued.
Accordingly, I decided that the quickest and most appropriate way of resolving the issue was to repeal the affected sections and to reintroduce them by way of a new Bill which would then be notified under the transparency procedure and, on completion of this procedure, would be re-enacted.
I am advised by the Attorney General's office that with a view to assisting in the defence of any challenge brought to the re-enacted legislation the amending Bill should be used as an opportunity to strengthen the Act in a number of areas. This is being done by, among other things, changing the Long Title of the Act to indicate that the Act is designed to give effect to as many of the EU and international measures as have been adopted at that date. The re-enacted legislation will include those EC measures relating to tobacco products to be transposed into national law.
Since the enactment of the Bill there have been many positive developments at European level and globally. These measures to date are, first, Directive No. 2001/37/EC of the European Parliament and Council on the approximation of the laws, regulations and administrative provisions of the member states concerning the manufacture, presentation and sale of tobacco products. This directive, among other things, requires much larger, more visible and effective health warnings on cigarette packs and provides for member states to make use of graphic warnings. Second is Directive No. 2003/33/EC of the European Parliament and Council on the approximation of the laws, regulations and administrative provisions of the member states relating to the advertising and sponsorship of tobacco products prohibiting tobacco advertising and related sponsorship. This directive will deny the tobacco industry direct access, particularly to young persons, through the print and other media. In Ireland we have implemented a ban on tobacco advertising and sponsorship since July 2000 but we have always supported the need for strong measures at EU level in the area of advertising of tobacco products and sponsorship by tobacco companies.
Third is the Council Recommendation of 2 December 2002 on the prevention of smoking and on initiatives to improve tobacco control. The recommendation from the Council of the European Union is against a background of 500,000 smoking deaths annually in the European Community and concern over the numbers of adolescents and children who take up smoking. Smoking remains the biggest form of preventable death in the European Union. The Council recommends that member states adopt appropriate legislative and other measures to reduce morbidity and mortality from tobacco and report to them on measures taken.
The World Health Organisation Framework Convention on Tobacco Control was adopted at Geneva on 21 May 2003. This historic ground-breaking international treaty sets the scene to afford protection to many millions of people around the world from the devastating impact of tobacco consumption and exposure to tobacco smoke. The treaty addresses all aspects of tobacco control, including the traditional health interventions such as advertising and sponsorship bans, passive smoking and retail licensing. It also addresses economic and trade issues, including taxation policy, international trade and smuggling. Other areas include product specification and issues of compensation and liability. We have always advocated strong international measures on tobacco control. Many countries have already signed the treaty and in September this year I signed it on behalf of Ireland. The treaty will make a significant contribution to protecting future generations from the predatory practices of the global tobacco industry.
In addition, the section dealing with indirect advertising is being removed as the EU directive on the advertising and sponsorship of tobacco products does not cover indirect advertising, often referred to as brand stretching. This will strengthen the Act against further legal challenges. The section on prohibition of smoking of tobacco products in specified places is being amended to include the principles and policies which should inform the making of regulations under this section. This amendment does not affect regulations already made under the section.
Ireland will assume the Presidency of the European Union in January next and plans are under way to hold a major conference in the mid-west region on tobacco control during our Presidency. We have always supported the need for a strong unified approach from the European Union on tobacco control and health. Many countries in the developing world look to the European Union to initiate strong measures in this vital area of public health. The Irish Presidency will be an opportunity to further that aim.
The tobacco industry and its allies seem determined to try to undermine public health policy in the area of tobacco control. Perhaps we should regard this as testimony to how effective the measures contained in the Bill will be when enacted and commenced. We must not lose sight of the predatory nature of the tobacco industry. It is a global industry which has long-regarded the World Health Organisation as its greatest enemy in preventing the spread of the global tobacco epidemic.
Much has been achieved in reducing the incidence of smoking in our population. By a combination of measures including legislation, regulation, health promotion and education we were able to achieve a level of 27% for 2002 as shown in the SLAN survey published earlier this year. More recent surveys conducted by the Office of Tobacco Control indicate smoking levels dropping to 25%. This is welcome news and the reduction achieved will have many benefits, particularly for future generations who will come to accept non-smoking as the social norm.
Our success in improving the health status of the nation is linked to further reducing the level of tobacco usage and in particular preventing young persons from starting to smoke. If the incidence of tobacco use can be reduced further we can make considerable progress towards a tobacco-free and a healthier society in the years to come. I am not suggesting that legislation alone, no matter how comprehensive, can create and sustain the environment necessary to prevent people from starting to smoke and to assist those who have already started to quit. Our anti-tobacco strategy will be multifaceted, containing as it will strong legislative controls and effective enforcement powers. However, the strategy will also have a fiscal element and the supports required by smokers to quit.
The implementation of this comprehensive strategy will, in time, effect the necessary attitudinal changes in society to tobacco consumption followed by the necessary behavioural changes. We owe it to ourselves, to the younger generation, and, indeed, to future generations to ensure that the war against tobacco is won. We must ensure that the children and young people of today do not become future victims of the tobacco industry, whether through being induced to smoke tobacco products or through exposure to and inhalation of environmental tobacco smoke.
I hereby commend the Public Health (Tobacco) (Amendment) Bill 2003 to the House.