Say no to Tobacco
(31st May is Anti Tobacco Day)
Nearly six million people across the world
die because of direct or indirect use of tobacco every year and the figure
could go up to eight million by 2030 unless urgent action is taken says
WHO. In India one out of 10 Indian adults dies of tobacco
related diseases and Tobacco is cause for 1.5lakh cancers, 4.2 million heart
diseases, and 3.7 million lung diseases every year. Our country has one of the
highest rates of oral cancer.
According to Tobacco Intervention
Initiative statistics, 4300 lakh tobacco is consumed in the form bidis,
chewing tobacco, gutka and snuff and smoking cigarettes. Fourteen
crore men and 4 crore women are addicted to tobacco in India according to
official figures. Over half of the male population around 57 per
cent in the age group 15-49 years uses tobacco in some form and over one tenth
of women in this age group also use tobacco. More than 5,000 youth in our
country take to tobacco use every day.
The health ministry estimates that by
2020, tobacco will be responsible for 13% of all deaths in India and says that
without any intervention, more than 38.4 million bidi smokers and
13.2 million cigarette smokers are likely to die prematurely. Second-hand smoke
also remains a big problem. The misconception about certain tobacco products
being safe also encourages many to consume tobacco in one or another form.
India launched the National Tobacco
Control Programme in the 11th five year plan. It has ratified the WHO
convention on tobacco control which recommends several strategies to reduce the
demand and supply of tobacco. India was among the first few counties
to set up a chain of tobacco cessation clinics at the district level. Several
legislations are also in place for reducing tobacco usage and manufacture.
These include Regulations of the Food Safety and Standards (Prohibition and
Restrictions on Sales) Regulations of 2011, made under the Food Safety and
Standards Act and Cigarette and other Tobacco Products (Packaging and Labelling)
Amendment Rules, 2012.
As per the
Regulations of the Food Safety and Standards (Prohibition and Restrictions on
Sales) Regulations of 2011, made under the Food Safety and Standards Act,gutka, zarda,
pan masala, gul, bajjar and such other toxic and addictive
forms of chewing tobacco are mandated to be banned by various states.
Although 24 states and five union
territories have so far banned gutka and paanmasala containing
tobacco, there is a question mark over the implementation of the ban. Whether
it is the capital Delhi or other town where the ban is in
place, gutka is being either sold openly or clandestinely in
different names and pouches which is the people addicted to are even willing to
pay a higher price.
The
Supreme Court had last month sought compliance reports from all state
governments that have banned the sale and manufacture of gutka and paan masala containing
tobacco.
According to the new Cigarette and
other Tobacco Products (Packaging and Labelling) Amendment Rules, 2012,
notified on September 27, 2012, all tobacco product packs in the country are to
carry new pictorial warnings which focussed in detail the portion of the human
body affected by tobacco use.
The health ministry had also for the first
time inserted the word 'Warning' in the new pictorial warnings and mandated
that this word be printed in 'red' colour along with the messages - 'Smoking
kills' and 'Tobacco kills'.
The new notification makes it mandatory
for all tobacco makers both smoking forms and smokeless to maintain pictorial
warnings in the states format and also to place the health warning in at least
40 per cent of the principal display area of the tobacco package.
At recent consultations several government
and non-governmental organisations called for a complete ban on advertising,
promotion and sponsorship of tobacco products in the country. The consultation
was by HRIDAY (Health Related Information Dissemination Amongst Youth) and
Voluntary Health Association of India (VHAI) in collaboration with the Health
and Family Welfare ministry and the WHO Country Office for India. It was felt
that despite the regulations, tobacco advertising, promotion and sponsorship is
very rampant and youth-centric. The urgent need to strengthen the existing
provisions of COTPA and a multi-sect oral and inter-governmental synergy was
stressed to effectively implement a complete ban.
Advertising of tobacco products is
restricted under the Cigarettes and Other Tobacco Products (Prohibition of
Advertisement and Regulation of Trade and Commerce, Production, Supply and
Distribution) Act, 2003, (COTPA).
It is also established that a majority of
smokers as many as 70 per cent desire to quit, but only 30 per cent
of them actually try each year, and only 3 to 5 percent actually succeed in
quitting, states WHO.
The theme of this year World No Tobacco
Day is: Ban tobacco advertising, promotion and sponsorship.
A comprehensive ban of all tobacco
advertising, promotion and sponsorship is required under the WHO Framework
Convention for Tobacco Control (WHO FCTC) for all Parties to this treaty within
five years of the entry into force of the Convention. Evidence shows that
comprehensive advertising bans lead to reductions in the numbers of people
starting and continuing smoking. Statistics show that banning tobacco
advertising and sponsorship is one of the most cost-effective ways to reduce
tobacco demand and thus control its usage.
The objective of 2013 campaign is also
drive local, national and international efforts to counteract tobacco industry
efforts to undermine tobacco control, specifically industry efforts to stall or
stop comprehensive bans on tobacco advertising, promotion and sponsorship.
Of the six million people who die of
tobacco related diseases every year globally more than 600 000 are non-smokers
dying from breathing second-hand smoke.
The ultimate goal is to contribute to
protect present and future generations not only from these devastating health
consequences, but also against the social, environmental and economic
consequences of tobacco use and exposure to tobacco smoke.
So until all forms of consumption of
tobacco cease through regulations and laws the goal of tobacco free India
cannot be fulfilled. There is therefore a need for all stake holders in public
health to coordinate their effort for everyone to emphatically say No To Tobacco.
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