Measures Against Second-Hand Smoke Handbook for Facility Managers - Health Promotion Act and Tokyo Metropolitan Ordinance to Prevent Exposure to Second-Hand Smoke - (Third Edition)

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1)Purposeof2)Revisedsecond-handsmeasuresmokeagainstawandmetropolitanordnanceli1 The Health Promotion Act (hereinafter, the “Act”) was revised and was fully implemented in 2020 to prohibit the users of facilities, etc. used by two or more people, depending on the type of the facilities, etc., from smoking outside of designated areas and to provide for the steps, etc. to be taken by the management authorities of such facilities, etc. as well.Tokyo Metropolitan Ordinance to Prevent Exposure to Second-Hand Smoke (hereinafter, the “Tokyo Metropolitan Ordinance,”), which fully implemented in 2020, stipulates the TMG’s own rules from the viewpoint of protecting from second-hand smoke especially persons under the age of 20 who are susceptible to health effects and employees who are in a position where it may be difficult to avoid second-hand smoke.This handbook explains the matters that facilities located in the Tokyo metropolitan area should address, based on the Act and the Tokyo Metropolitan Ordinance.In Japan, it is said that about 15,000 people are estimated to die every year from second-hand smoke, and it has been found that second-hand smoke is associated with various diseases such as lung cancer and ischemic heart disease.*For the purpose of preventing the adverse health effects of second-hand smoke by establishing an environment where second-hand smoke can be avoided at the intention of the individual, the State and the Tokyo Metropolitan Government are carrying out measures by establishing laws and ordinances to address this issue.*Ministry of Health, Labour and Welfare "Smoking and Health: Report of the Study Group on the Health Effects of Smoking" (2016)Cancers that people around smokers are more likely to develop(Level 1 and Level 2)*Level 1 The scientific evidence is sufficient to estimate causalityLevel 2 The scientific evidence suggests a causal relationship, but it is not sufficientSource: National Cancer Center, Center for Cancer Control and Information ServicesHomepage "Cancer Information Service"Health Promotion Act and the Tokyo Metropolitan Ordinance to Prevent Exposure to Second-Hand SmokeRegarding the Health Promotion ActRegarding Tokyo Metropolitan Ordinance to Prevent Exposure to Second-Hand SmokePurpose of Measures Against Second-Hand Smoke