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The indiantobaccocontrolact a-publichealthimperative

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  • 1. CIGARETTE SMOKE CONTAINS 4000 POISONS
  • 2. WHAT IS AT STAKE?1 tobacco related death every 6 seconds = 10 million annual deaths by 20301 Billion deaths in 21st Century
  • 3. Global Tobacco Toll Tobacco toll rising globally: 5 million in 2002 to 10 million in 2030- WHO Developing Countries increasingly vulnerable: 7 million deaths in 2030- WHO 700 million children worldwide are forced to passively breathe tobacco smoke 1.69 million due to cardiovascular diseases 1.47 million due to all tobacco related (0.83 million due to lung cancer) 1 million due to chronic obstructive pulmonary disease.
  • 4. TOBACCO AND CANCERS  Lung  Mouth (oral)  Throat (Pharynx & Larynx)  Food Pipe (Oesophagus)  Urinary Bladder  Other Sites
  • 5. CARDIOVASCULAR RISKS OF SMOKING 100% Increase in Risk Stroke; CHD; Impotence 300% Increase in Risk Death from undiagnosed CHD > 300 % Increase in Risk Peripheral Arterial Disease 400 % Increase in Risk Aortic Aneurysm
  • 6. OTHER DISEASES Chronic Bronchitis Emphysema Asthma Cataract Tuberculosis Diabetes Still Birth and Low Birth Weight > 25 Diseases
  • 7. PASSIVE SMOKING (ETS) Second Hand Smoke increase risk of – Cancer by 30% – Heart attack by 25% in spouse of the smoker Increased risk of asthma and lung disease in children
  • 8. Cost of Tobacco related Cancer
  • 9. ECONOMIC COSTS OF TOBACCO Health Care: Just for 3 diseases(Coronary Heart Disease; Cancer; Chronic Lung Disease)Health Care cost in 2002 – 2003 was Rs. 308.33 Billion (USD 7.2 Billion)Tobacco also has: Environmental costs & Social costs
  • 10. Prevalence Of Tobacco Use Among The Youth - INDIA Global Youth Tobacco Survey (GYTS) conducted among school going youth (aged 13-15) during 2000-2004 in India:  Ever tobacco use : 25.1%  Current tobacco use: 17.5%  Current smokeless: 14.6%  Current smoking: 8.3%  Current cigarette smoking: 4.2%Results support the need to prevent youth from initiating tobacco habit and provide the evidence base for the provisions of Indian Tobacco Control Act, 2003
  • 11. PRICE INCREASE OF 10% IMPACT ON SMOKERS ALIVE IN 1995 Change in Change inGrouping number of smokers number of deaths (millions) (millions)Low/middle -36 -9IncomeHigh Income -4 -1World -40 -10 Source: World Bank Report, 1999
  • 12. TOBACCO CONTROL POLICIES WORK Ban on smoking in bars: 80% reduction in salivary cotinine levels of bar staff (BMJ 2005; 331:1117-22) Graphic warning labels have impact on smoking cessation (Tobacco Control 2003; 12:391-95) Reduced incidence of admissions for myocardial infarction after public smoking ban (BMJ 2004; 328:977-80)