Abstract

The mayor of Sao Paulo, Paulo Maluf, has a bullish approach to arguing and is not renowned for his subtlety. Despite this he has been a key campaigner and instigator of various public health policies that form part of an international “healthy city” initiative. The most successful of these has been the introduction of a law making the use of car seat belts compulsory, which has led to a massive reduction in the number of fatal road traffic accidents. An attempt to prohibit cigarette smoking in restaurants has been less successful owing to a number of legal challenges that have left the legislation in a consitutional and legal limbo – but the fight goes on.

Highlights

  • An attempt to prohibit cigarette smoking in restaurants has been less successful owing to a number of legal challenges that have left the legislation in a consitutional and legal limbo - but the fight goes on

  • Faction took a public health stance and were quick to point to the literature on passive smoking and its adverse effects on health

  • For reasons that had more to do with party politics than public health, the State legislature passed, with unseemly haste, a law that in effect reiterated the pre-existing municipal law allowing restaurants with more than 100m2 to reserve half their floor space for non-smokers

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Summary

Introduction

Prior to Malufs anti-smoking decree, the previous municipal administration passed a law in 1990 stating that restaurants with more than 100m2 of floor space had to reserve 50% of the area for non-smokers. As is usual in such arguments the rights of non-smokers not to have to suffer the effects of passive smoking were ignored. Fig. L Paulo Maluf-Sao Paulo's anti-smoking mayor.

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