The HEALTH : February 2019 | Page 14

14 14 The Health | february, 2019 issue: smoking Breathing space for all Malaysian smokers burned through 11.6 billion sticks of cigarettes, which means a total of RM9.9 billion may have gone up in smoke in 2017 T he Penang Consumers Association (CAP) revealed that Malaysian smokers burned through 11,588.7 million sticks of cigarettes, which means a total of RM9.9 billion may have gone up in smoke in 2017. Now with the smoking ban imple- mented, it is understandable that there will be many more hurdles to go to ensure a successful smoke-free nation. The last big anti-smoking campaign the govern- ment ran was in 2010. Tak Nak Merokok was launched in 2004 with posters, billboards, in print, radio and television air time. However it fizzled out after results proved that the advertising strategy was ineffective. The Health speaks to Dr. Murallitharan Munisamy, the Medical Director of The National Cancer Society Malaysia (NCSM) to understand the efforts being placed to make it a possibility. Dr Murallitharan explains that people actually have easy access to quit smoking clinics across Malaysia. SMOKING PROHIBITED: With all forms of eateries becoming no smoking zones, it is hoped to pave the way for more smokers to quit. According to the smoking ban, the first six months serves as a grace point to educate the smokers. What do you think can be done in this period to educate the public? “The government and the NGOs are already doing their part for this in terms of on-going awareness cam- paigns. Furthermore, the educational enforcement are launching their own initiative where they go to public areas to address smokers and personally warn them if they do not heed the smoking ban.” “Meanwhile for the public, they can support the ban by frequenting and sharing information about restau- rants that are smoke free i.e. have no ashtrays, have large no smoking signs displayed and no smokers.” “We are currently running an NCSM and govern- ment linked competition called Restoran Bebas Asap Rokok dan Tembakau (#RestartNOW). How it works is the person enters a smoke-free restaurant, they can take pictures of the restaurant and post in on their social media while tagging the hashtag #RestartNOW. There’s also an incentive of RM100 for winners which we announce weekly. We will be running this competi- tion for a year so do take part!” Restaurant owners have claimed that the smoking ban has affected their revenue. What is your take on this? “Across many different countries, there has been a lot of evidence which clearly points out how revenues have been unaffected by the smoking ban in restaurants.” “Two very clear examples is Australia and in the UK. Smoking was banned in all restaurants includ- ing pubs and bars in both countries. Contrary to all belief and the outcry from the tobacco industry as well as restaurant/pub/bars, revenues increased. Quite a lot in fact. So it disproves clearly in the long run that smoking ban has affected revenue. For sure, there will be a short term slowdown while readjustment is going ahead.” Actually, every government clinic has an MQuit service — which is the official smoking cessation service and is available all across Malaysia. It is being advertised and NCSM has its own MQuit clinic as well.” Not many Malaysians are aware of smoking clinics. Is NCSM aware of this and if so, what steps are being taken to create an awareness that help is out there? “Actually, every government clinic has an MQuit service – which is the official smoking cessation service and is available all across Malaysia. It is being advertised and NCSM has its own MQuit clinic as well.” “All you need to do is to walk in to any govern- ment clinic all across Malaysia. We are running more awareness campaigns on this as well.” 10% of primary school children have already taken onto smoking. What is NCSM doing to combat this statistics? “Children are picking up smoking from their par- ents and peers. Easy access to cigarettes does not help the numbers either since you can purchase ‘rokok batang’ at any small convenience stores.” “NCSM has the biggest school-cessation programme for secondary school children which gets them to quit smoking; this programme which runs for 6 months. This is our 4th year into the programme and we cover a few thousands students via the programme. However we are limited by our resources. At the moment, we are planning to run the programme in primary schools as well with aid from our partners.” What is the step by step program for smokers at the smoking clinic? Here are the few steps that you will undergo: • Be assessed on your smoking level • Given Counselling and depending on your smok- ing level; access to certain medications to help you quit • Frequent visits to review your status and your condition with upgrading or downgrading of medications. — The Health