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Model Legislation for Tobacco Control: A policy development

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INTRODUCTION TO THE MANUAL<br />

On the other hand, constitutional guarantees of free speech in Canada<br />

and the United States have been interpreted by their courts as elevating<br />

corporate interests over human rights, limiting how far the government can<br />

go with regulation of tobacco advertising. 4,5 This is not the case in the rest<br />

of the world. In most countries that have banned tobacco advertising,<br />

there have been no constitutional problems. Regardless, the tobacco industry<br />

has raised and can be expected to continue to raise the threat of legal<br />

challenges based upon supposed free commercial speech rights.<br />

Finally, where legislative provisions <strong>for</strong> tobacco control already exist<br />

in the country, these should be evaluated to determine how well they have<br />

been working. If weaknesses are found, amendments will need to be made.<br />

It may be easier to repeal and replace existing legislation that will need to<br />

be strengthened substantially than to make extensive amendments.<br />

The Importance of Other Programming Components<br />

to Complement <strong>Tobacco</strong> <strong>Control</strong> Policy and Regulation<br />

■ While comprehensive regulation, including en<strong>for</strong>cement of legal<br />

provisions, is central to tobacco control, it needs to be accompanied by<br />

complementary programs and activities. Ongoing surveillance is necessary<br />

to understand the extent of tobacco use and exposure, as well as the resulting<br />

morbidity and mortality and their costs. These data allow tobacco control<br />

professionals to make the case <strong>for</strong> necessary interventions and to tailor<br />

programs to populations’ needs. Surveillance data also can provide measures<br />

by which tobacco control programs can be evaluated, among other things.<br />

Surveillance data can and should be used to examine the effectiveness<br />

of regulatory measures, including whether any disparities in the level<br />

of protection af<strong>for</strong>ded by programs and regulatory interventions exist<br />

among population groups. For example, in the absence of a complete ban<br />

on smoking in all public places, including workplaces, if any particular<br />

population groups (e.g., those of low socio-economic status) are found<br />

to be more exposed to tobacco smoke than others, as might be expected<br />

to be the case (See Part 6: Protection from <strong>Tobacco</strong> Smoke), it will be<br />

important to enact remedial measures.<br />

Public awareness and education programs, and other communications<br />

activities, can be effective in reducing tobacco consumption and garnering<br />

support <strong>for</strong> tobacco control measures. 6 As regulatory interventions<br />

encourage tobacco users to try to quit, tobacco use cessation programs<br />

become especially important. Public awareness, education, and cessation<br />

programs can be implemented in the absence of a legislative directive;<br />

however, a legislative mandate <strong>for</strong> these “can provide a powerful<br />

expression of governmental <strong>policy</strong>, assurance that implementation will<br />

occur with some consistency, and of course, financial resources needed<br />

to support these ef<strong>for</strong>ts.” 7 For these reasons, provisions <strong>for</strong> public<br />

awareness and education and cessation programs, and their funding,<br />

are included in the Manual.<br />

12 MODEL TOBACCO CONTROL LEGISLATION: A POLICY DEVELOPMENT AND LEGISLATIVE DRAFTING MANUAL

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