A coalition of 25 grassroots organizations has called on Manila Mayor Isko Moreno to implement a total ban on indoor designated smoking and vaping areas (DSVAs) across the capital city.
The appeal was made during a public forum organized by Social Watch Philippines (SWP), where health advocates and community leaders pressed for more stringent smoke-free and vape-free local ordinances.
A Critical Loophole in Public Health
Under current national legislation, establishments are permitted to designate one indoor or outdoor smoking or vaping area. However, advocates argue that this allowance poses severe health risks.
“According to the World Health Organization, no ventilation system can fully eliminate exposure to second-hand smoke in enclosed spaces,” explained SWP National Mobilization Officer Sara Salvador. Noting recent calls from Department of Health (DOH) Secretary Ted Herbosa for local government units to tighten enforcement, Salvador added, “We hope Mayor Isko will seize this opportunity to protect Manileños.”
The economic and physical toll on the city is substantial. According to Manila Health Department data, tobacco-related illnesses caused approximately 44,000 hospitalizations in Manila between 2020 and 2025.
Advocates emphasize that the true burden is likely higher, as low-income residents frequently delay medical treatment due to financial constraints.
The R.E.L.A.T.E. Framework
To address these gaps, the coalition is urging the city to adopt policies aligned with House Bill 9603 (the Smoke-Free and Vape-Free Environment Bill) and its R.E.L.A.T.E. framework:
- Removal of indoor designated smoking and vaping areas.
- Expansion of smoke-free environments, particularly near schools.
- Local funding dedicated to prevention and cessation programs.
- Awards for local government units with effective enforcement.
- Task forces established permanently for local enforcement.
- Enhanced penalties for violators.
The petition—signed by a diverse group of 25 community organizations, including the Pagkakaisa ng mga Sari-Sari Store sa Kamaynilaan, local youth associations, transport groups, and Barangay Health Workers—also demands a ban on single-stick cigarette sales and tighter restrictions on tobacco advertising.

