2024年3月6日，新加坡衛生部高級議會秘書拉哈尤·瑪贊女士在國會上關於禁菸世代法案的發言。
以下內容為新加坡眼根據國會英文資料翻譯整理：
我現在談談我們支持新加坡人為實現更健康生活方式所做的努力。
多年來，我們通過各種舉措配合新加坡人採用更健康的飲食和積極的生活方式。例如，我們的符號和標籤區分健康等級，幫助新加坡人識別更健康的產品，並通過「較健康食材開發計劃」確保他們獲得更健康和價格合理的食材。此外，全島也大量地舉辦體育活動。
我們開始看到這些努力帶來的積極結果。2022年的全國營養調查顯示，平均每日糖攝入量已經減少，更多新加坡人達到了推薦的糖攝入限制。運動項目的參與率也有所增加。
儘管如此，我們必須對其他健康趨勢保持警惕。
根據全國營養調查，新加坡人的食量增加，有90%的人超過了每日推薦的兩克鈉的限制。調查還顯示，肥胖的患病率持續增加，從2013年的8.6%上升到2020年的10.5%，再到2022年的11.6%。
我們可以將更健康的習慣融入我們的生活中，做出一些小的改變。繼續使用健康等級標籤來選購更健康的食品。使用Healthy 365應用程式中的餐食記錄工具來計劃、監控和控制卡路里攝入量。外出用餐時，要求減少肉汁和醬料，並避免喝完所有湯類菜肴中的湯。在Healthy 365應用程式中獲取各種各樣的體育活動，並參加你喜歡的活動。
另一個健康風險是吸菸。嚴燕松先生詢問了無煙世代條款的問題。過去幾位議員也曾提出過這個想法。我們的重點是保護人民的健康，我們不排除任何能有效幫助我們實現這一目標的措施。正如嚴先生指出的，紐西蘭曾經改變了他們最初實施禁菸世代法案的計劃。這裡需要注意的一個重要點是，紐西蘭允許使用電子菸，並讓人們從吸菸轉向使用電子菸。同樣，馬來西亞最近也改變了他們的決定。
那麼就只剩下英國了，我們將密切關注他們如何實施這項禁令。要使菸草禁令生效，我們需要考慮各種實施問題。例如，年長者是否可以為受禁令影響的年輕人購買香菸？如果不行，我們應該如何進行執行？禁令是否適用於遊客？
嚴先生提到現有措施的效果微乎其微。事實並非如此。我們在減少新加坡吸菸率方面取得了良好進展。我們最近的努力包括標準化包裝措施，將吸菸的最低法定年齡提高到21歲，並在去年將菸草稅提高了15%，通過健康SG計劃支持戒菸的措施也得到了加強。這些措施繼續控制吸菸率，我們在2022年實現了歷史最低水平的9.2%。而且仍在下降。
因此，即使我們研究禁菸世代法案的可行性，我們也將繼續努力降低吸菸率。
以下是英文質詢內容：
I will now talk about our efforts to support Singaporeans to achieve healthier lifestyles.
We have supported Singaporeans in adopting healthier diets and an active lifestyle through various initiatives over the years. For example, we have introduced easy-to-use symbols and labels to help Singaporeans identify healthier products, and ensured access to healthier and affordable ingredients through the Healthier Ingredient Development Scheme. A wide range of physical activities have also been provided island-wide.
We are starting to see positive results from these efforts. The National Nutrition Survey 2022 revealed that average daily sugar intake has decreased and more Singaporeans were meeting the recommended sugar limit. Participation rates in exercise programmes have also increased.
Despite these, we must remain vigilant about other health trends.
Based on the National Nutrition Survey, Singaporeans are eating more and 90% have exceeded the recommended daily limit of two grams of sodium. The National Population Health Survey 2022 also showed that the prevalence of obesity has continued to increase, from 8.6% in 2013, to 10.5% in 2020, and 11.6% in 2022.
We can make small shifts to incorporate healthier habits in our lives. Continue to use the suite of user-friendly symbols and labels to make healthier purchases. Plan, monitor and moderate calorie intake using the Meal Log tool on the Healthy 365 app. When dining out, ask for less gravy and sauces and avoid drinking all the soup in soup-based dishes. Access a myriad of physical activities on the Healthy 365 app and participate in those of your liking.
Another health risk is smoking. Mr Gerald Giam asked about a Tobacco Cohort Ban. The idea has been raised by several Members in the past. Our focus is on protecting public health and we do not rule out any measure that would help us achieve that effectively. As Mr Giam pointed out, New Zealand had reversed their initial plans to implement a Tobacco Cohort Ban. A salient point to note here is that New Zealand allows vaping and was prepared for people to switch from smoking to vaping. Similarly, Malaysia recently reversed their decision.
That leaves the UK, and we will monitor closely how they intend to implement the ban. For a Tobacco Cohort Ban to be effective, we need to consider various implementation issues. For example, can someone older buy cigarettes for someone younger who is affected by the ban? If not, how should we go about enforcing? Does the ban apply to tourists?
Mr Giam mentioned that gains from existing measures have diminutive impact. That is not the case. We have made good progress in reducing smoking prevalence in Singapore. Our recent efforts include the Standardised Packaging measures, raising the Minimum Legal Age of smoking to 21 years old and raising tobacco taxes by 15% last year. Cessation support is also strengthened through Healthier SG. These efforts have continued to suppress smoking prevalence and we have achieved an all-time low of 9.2% in 2022. And it is still declining.
Hence, even as we study the feasibility of a Tobacco Cohort Ban, we will continue efforts to reduce smoking prevalence.
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