2. TOBACCO: Introduction
Addiction
Prevalence of consumption
Harmful effects
PREVENTION AND CONTROL OF TOBACCO
CONSUMPTION
History of tobacco control in India
Tobacco control legislation
NATIONAL TOBACCO CONTROL PROGRAMME
Education approach strategy
3. It is leaves of the plant
“Nicotiana tabacum” ;
There are more than 70
species of tobacco;
Leaves dried, ground up and
used in different ways.
4. SMOKING FORMS
Beady ,Cigarettes, Cigars,
Cheroot, Dhumpti,Pipe ,
Hooklis ,Chillum ,Hookah
NON-SMOKING FORMS
Paan, paan masala;
Khaini,gutkha,snus,chewin
g tobacco;
Nicotine chewing gum
6. Nicotine is the factor of addiction;
Quick absorption in to bloodstream;
Stimulation of brain;
Release of adrenaline;
Creation of buzz of pleasure and
energy;
Buzz fades away quickly;
Feeling of tiredness and wanting buzz
again;
This feeling makes to light up next
cigarette.
7. GLOBAL SCENARIO
According to global health
observatory(GHO) ,in year 2015 , more
than 1.2 billion people smoked
tobacco;
Far more males than females;
5.8 trillion cigarettes smoked;
China is now leading in tobacco
consumption;
8. INDIAN SCENARIO IN 2015
108 million Indian men smoked equally cigarettes
and bidi’s;
11 million women smoked between age15-69 yrs;
Illiterate smoking prevalence rose but fell modestly
among men with grade 10 education or more;
This represents average 1.7 million increase in
male smokers every year;
From 1998 to 2015, prevalence of smoking
decreased in age group 15-69 years where it has
rose in age group 15-29yrs;
Uttar Pradesh is the state with highest smoking
prevalence of 18%.
10. The cigarettes and other tobacco products(prohibition
of advertise and regulation of trade and commerce,
production, supply and distribution)
Passed by the parliament in April, 2003 and notified in
GAZZETE OF INDIA on 25th Feb,2014
Prohibition of smoking in public places came in to force
from 2nd oct, 2008.
Labelling and packaging rules came in to act from 31st
May,2009.
11. Important provisions of the Act are:
Prohibition of smoking in public places;
Prohibition of direct and indirect advertisements of
tobacco products;
Prohibition of sale of cigarette and other tobacco
products to a person below the age of 18 years;
Prohibition of sale of tobacco products near
educational institutes;
Mandatory depiction of statutory
warnings(including pictorial warnings) on tobacco
packs; and
Mandatory depiction of tar and nicotine contents
along with maximum permissible limits on tobacco
packs.
13. Provisions of COPTA amendment Bill 2015
Ban on site advertising tobacco products and
displaying brand names;
Penalty increased from 200 to 1000 rupees;
Imprisonment for 2 years and up to 50000 rupees
fine for illegal production;
Selling products without warning will incur a fine
of10000 rupees and up to 1 yr imprisonment;
Approved products after packaging sold to only to
those above 21 yrs of age;
Ban on spitting;
Extend ban on sale of tobacco products from 100
yards of an educational institution to 100 meters.
14. Setting up tobacco cessation clinics;
5 clinics in Regional Cancer Centers ;
Designated as Tobacco Cessation Centers(TCC)
which includes training on cessation and creating
awareness;
Resource Centers for Tobacco Control(RCTC)
developed in 2009 helped in capacity building of
other institutes to develop tobacco cessation
facilities;
National guidelines for treatment of tobacco
dependence in 2011.
15. Govt. of India launched National Tobacco Control
Programme in the 11th Five Year plan;
Pilot phase was launched in 16 districts covering 9
states in 2007-08;
It now covers 21 states in country.
Main Objective of the programme was;
“To facilitate the implementation of the Tobacco
Control Laws, to bring out greater awareness about
harmful effects of tobacco products, and to fulfill
the obligations under the WHO-framework
convention on tobacco control”
16. At National Level:
Public awareness;
Tobacco testing
laboratories;
Mainstreaming
components under NRHM;
Monitoring and evaluation
including surveillance.
17. At State Level:
Tobacco control cells
At District Level:
Training of health and social
workers, NGOs and school
teachers etc;
Local IEC activities;
Provision for tobacco cessation
facilities;
School programme;
Monitoring tobacco control laws.