2013 APACT Declaration on Tobacco Control in Indonesia
APACT 2013 adopts this Declaration on Tobacco Control in Indonesia.
We, 785 delegates from 42 countries assembled at the 2013 Asia Pacific Association for theControl of Tobacco (APACT) Conference from 18-21 August 2013 in Chiba, Japan to address theprevention and control of tobacco use worldwide, with a special focus on the Asia Pacific region:- recognize that Indonesia is the world’s fifth largest tobacco market, attractive to both local
and transnational tobacco companies;- express serious concern that World Tobacco Asia 2012 held in Jakarta from 19-21 September
2012 highlighted on its website that Indonesia is “a tobacco-friendly market with no smokingbans or other restrictions and regulations in contrast to neighboring ASEAN countries” andoffered “the international tobacco industry a forum to build relationships and demonstrate
their products and services to the Indonesian, Asia Pacific, and Australian tobaccocommunities.”- Express deep concern that the smoking prevalence and tobacco mortality in Indonesia is stillrising. Two-thirds (67.4%) of Indonesian men, 4.5% of women, and 36.1% of all Indonesianadults (61.4 million) currently use tobacco. Among youths aged 13-15 years, 20% smoke
cigarettes (boys 41%, girls 3.5%). Smoking kills 235,000 Indonesians annually;- Note with grave concern that tobacco use leads to increased healthcare costs attributed totobacco-related illnesses in Indonesia, which amounts to IDR 11 trillion (USD 1.2 billion)
each year. Indonesia’s poor households with smokers spent 11.5% of their household income
on tobacco products and only about 4% for education and far less for health of their family.
- Recognize that tobacco advertising, promotion, and sponsorship aimed at youths are rampant
in Indonesia and contributed to an unacceptable 400% increment of smoking prevalence
among children between 5 to 9 years old and a 40% increment among those between 10 to 14years old. Nearly 80% of smokers start before age 19 years.
- Note with deep concern that smoking is largely unrestricted in Indonesia. More than 97
million Indonesian non-smokers are regularly exposed to secondhand smoke (SHS). Some
70% of all Indonesian children less than 15 years old are regularly exposed to SHS. SHS kills
more than 25,000 Indonesians every year.
- Recognize that Indonesia is lagging far behind many other Asian countries, which are Parties
to the World Health Organization Framework Convention on Tobacco Control (WHO FCTC)
and enacting evidence-based tobacco control measures. Unfortunately, Indonesia is also
being used as a platform to undermines tobacco control efforts in other countries.
We therefore:
1. Strongly declare and recommend that the Indonesian government should accede to theWHO FCTC immediately, recognizing that substantially reducing tobacco consumption
is an important contribution to reducing non-communicable diseases (NCDs) and canhave significantly large health benefits for individuals and countries;

12. Strongly recommend that the Indonesian government enact a strong tobacco control
legislation thata. bans indoor smoking in all public places, workplaces, and public transport
b. bans all types of tobacco advertising, tobacco, and sponsorshipc. provides for larger (more than 50%) pictorial health warnings on all cigarette packs
d. raises price and tax (at least 70% of retail price) on tobacco products asrecommended by the World Bank and the World Health Organization
3. strongly recommend that the Indonesian Government ban World Tobacco Asia 2014,
which will be organized in Bali, Indonesia
Signed:President, APACT 2013

TCSC-IPHA Director2