Nienke Boderie

Chapter 7 244 In the Netherlands, extending smoke-free environments to new locations is under discussion. For example, the parliamentary letter ‘Towards the SmokeFree Generation’ advocates additional smoke-free measures in locations where children regularly visit.7 The government wants to make playgrounds and sports parks smoke-free by 2025 through national legislation. Internationally, smoke-free cars are also in the spotlight because of the high concentrations of toxic substances inhaled by children in the closed cabin of cars and the high prevalence of exposure to tobacco smoke in cars8.9. For this reason, several countries around us have introduced legislation banning smoking in cars in the presence of children.10 In the Netherlands, too, children are regularly exposed to tobacco smoke in cars. In 2016, 15% of Amersfoort teenagers reported being in a car where people smoke on a weekly basis.9 Despite this, smoke-free car legislation is currently not on the political agenda in the Netherlands.7 The introduction of measures aimed at smoke-free (children’s) environments requires considerable lobbying, in which arguments and perspectives from outside the health domain are also important with a view to implementation. In recent years, we have gathered knowledge on smoke-free (children’s) environments in a multidisciplinary project. Cooperation took place between health professionals from Erasmus MC Rotterdam, health lawyers from University of Groningen and the Centre for Media and Health from Gouda. This article presents the findings regarding renewed smoke-free policies for cars and playgrounds. We describe an inventory of the implementation of these smoke-free policies in other countries and the legal frameworks that made implementation possible, the health impact and degree of public support for these innovative smoke-free measures, and the experiences of key people involved in the implementation process of smoke-free cars in England and smoke-free playgrounds in France. This broad in- ventilation aims to stimulate the development and implementation of future new smoke-free measures. Methods The study consists of four parts: 1. Desktop survey of smoke-free policies in other countries, 2. Systematic literature review on health effects, 3. Evaluation of the level of public support for innovative smoke-free policies through a second systematic literature review and Dutch public opinion surveys,

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