Seanad debates

Thursday, 19 December 2013

Protection of Children's Health from Tobacco Smoke Bill 2012: Committee Stage

 

12:25 pm

Photo of Jillian van TurnhoutJillian van Turnhout (Independent) | Oireachtas source

On going through my notes, I came across mention of Fionn O’Callaghan from County Wexford, whom the Minister will remember. He was seven when we started this process and he is now nine, and I hope he will not be an adult when we bring this in. He took it on himself to write to the Taoiseach, asking him to use his good offices to introduce legislation to enforce a smoking ban where children are present in a car. His belief in us, as legislators, is something we have to live up to.

The Minister challenged us to raise public awareness. I have done considerable media work in the past 19 months on this issue, particularly with local media, and I have been asked how many cases we are talking about. Since we started this process, this has got me looking at cars and, increasingly, I see people smoking in cars with children. Today in the Dáil and tomorrow in the Seanad, we are going to, appropriately, rush through legislation, the Adoption (Amendment) Bill. Just 23 families are affected by that legislation, yet we will rush it through in two days. Therefore, even if we are only talking about a handful in the case of smoking in cars, it is enough. We are talking about public education. What has been shown by this process is that where there is a will, there is a way for us to do this. However, to have taken 19 months is not acceptable.

The Bill is not unprecedented. Cyprus, for example, has banned smoking in cars with children present, various jurisdictions across North America have done so and many more jurisdictions are in the process of doing so. Several Canadian provinces, a number of Australian states and other individual jurisdictions have come down on the side of introducing legislation. This is not a civil liberties or a left versus right issue, rather it is a public health issue that garners public favour.

Children face particular additional risks associated with passive smoking as they breathe more rapidly than adults and, therefore, take more breaths per minute. As a result, they have a greater level of internal exposure to any environmental toxin in the air they breathe. Furthermore, owing to their small size and the efficiency with which gas exchange occurs in their lungs, they have a higher level of tissue exposure per molecule of poisonous chemical in the atmosphere than adults. It is beyond doubt that children who are exposed to second-hand smoke run additional risks, especially in the areas of infection, bronchitis, asthma and, very worryingly, meningitis, which is often a sequel of other respiratory infections. Sadly, there is conclusive evidence that sudden infant death syndrome is more common in infants who are exposed to second-hand smoke.

The national longitudinal study of children noted in 2009 that approximately 60% of nine year olds in Ireland travel to school by car, with an average journey time of ten minutes each way. One can imagine the damage done to those children if an adult is smoking. In addition, the British Medical Association has stated its belief, following an analysis of the data, that the incidence of childhood cancers, by which I mean not only respiratory cancers but those cancers which, sadly, occur in children, including brain tumours and lymphoma, are more common in children who are exposed environmentally to second-hand smoke. There are also some data to show that children who have early childhood exposure may have a higher risk of developing lung cancer in later life.

Within one minute of a cigarette being lit in an enclosed car, the occupational concentration of dangerous particulates in smoke is, as Senator Crown said, 30 times higher than the level at which the Environmental Protection Agency in the United States advocates that people flee the streets and close the windows in their homes to escape environmental smoke. The exposure after one hour in a car with smokers is the same as that which a firefighter experiences in four to eight hours of fighting a brush fire. Tellingly, the emissions are five times higher from a cigarette smoked in the car than from the tail pipe of the car during the period in which the driving is taking place. One hour spent in a smoky car produces the same occupational exposure as eight hours in a smoky pub.

No one has a right to expose a child to cigarette smoke. Senator Colm Burke raised the question of a complete ban on smoking in cars, but I believe we may fall foul of constitutional provisions in regard to property rights. To be fair, we did look at that but we want to stay within the remit of the Constitution.

To deal directly with the Bill, we believe it is a minor amendment but it will extend the list of specified places in the Public Health (Tobacco) Act 2002 to include “a mechanically propelled vehicle in which a person under the age of 18 is present”. The Bill also deals with the question of locations to ensure any person who smokes in prescribed places is breaking the law. As Senator Crown said, we want this as a public education measure. It is not about acting zealously. It is not a road safety issue but, rather, a public health issue.

The figures are staggering. As I said, the Adoption (Amendment) Bill is going through the Dáil in 90 minutes or less today and through the Seanad in 90 minutes or less tomorrow. In that case, 23 families are praying and waiting, yet in this case, while nobody knows the figure, I can guarantee parents are smoking in more than 23 cars in Ireland. On that point, parents come to me in support of this because their children get lifts to school from other parents and, while they feel very comfortable saying to other parents, "Have a seat belt on my child", they do not feel as comfortable, as Senator Moloney noted, about saying it about smoking. While we might say parents should have the courage to speak out, we all like to keep others happy and conform. By putting this into law, we will empower parents and children to say: "Do not smoke in this car. My health is at risk."

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