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NATIONAL
TOBACCO
CONTROL
PROGRAMME
BY:
RAKESH V A
13M1782
 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
 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.
 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
CONSTITUENTS ADVERSE EFFECTS
NICOTINE POTENTIAL CARCINOGENIC AGENT
PHENOL GANGLIONIC STIMULATION AND
DEPRESSION;
TUMOR PROMOTION
BENZOPYRENE TUMOR PROMOTION ;
IRRITATION
CARBON MONOXIDE IMPAIRED OXYGEN TRANSPORT
AND REPAIR
NITROSAMINE POTENTIAL CARCINOGENIC AGENT
 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.
 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;
 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%.
 4.9 million deaths globally attributed to
tobacco;
 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.
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.
Proposed Indian Health
Warning on Cigarette
Pack
Proposed Indian Health
Warning on Gutkha Pack
 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.
 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.
 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”
 At National Level:
 Public awareness;
 Tobacco testing
laboratories;
 Mainstreaming
components under NRHM;
 Monitoring and evaluation
including surveillance.
 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.
 www.betobaccofree.gov
 www.who.int
 www.tobaccoatlas.org

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National tobbacco control programme

  • 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
  • 5. CONSTITUENTS ADVERSE EFFECTS NICOTINE POTENTIAL CARCINOGENIC AGENT PHENOL GANGLIONIC STIMULATION AND DEPRESSION; TUMOR PROMOTION BENZOPYRENE TUMOR PROMOTION ; IRRITATION CARBON MONOXIDE IMPAIRED OXYGEN TRANSPORT AND REPAIR NITROSAMINE POTENTIAL CARCINOGENIC AGENT
  • 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%.
  • 9.  4.9 million deaths globally attributed to tobacco;
  • 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.
  • 12. Proposed Indian Health Warning on Cigarette Pack Proposed Indian Health Warning on Gutkha Pack
  • 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.