This document summarizes the history of tobacco control legislation in India. It discusses the key acts and amendments made from 1975 onwards to increasingly regulate tobacco advertising and use. The 1975 Cigarettes Act was the first law and required health warnings on packages but did not cover all tobacco products. Subsequent laws and amendments expanded coverage, increased penalties, banned smoking in public places, and prohibited tobacco depictions in films. However, full implementation of laws remains a challenge due to opposition from the tobacco industry and conflicting court rulings. The document argues for stronger and more uniform tobacco control across India to reduce tobacco-related disease burden and costs.
This study aimed to determine the prevalence of oral soft tissue lesions in patients in Vidisha, Central India. The researchers screened 3030 subjects and found that 8.4% had oral lesions, many associated with tobacco use, trauma, or prosthetic devices. 256 patients were found to have significant mucosal lesions, of which 216 agreed to scalpel biopsies. The most common lesions were leukoplakia (88 cases), oral submucous fibrosis (21 cases), and smoker's melanosis (9 cases). The high prevalence of oral lesions and rampant tobacco use indicate a need for greater community education and prevention programs.
This document summarizes a research article that discusses genetic polymorphisms of matrix metalloproteinases (MMPs) and their inhibitors, tissue inhibitors of metalloproteinases (TIMPs), in potentially malignant and malignant head and neck lesions. It describes how MMPs degrade the extracellular matrix, a key event in tumor progression and metastasis. It reviews the classification of MMPs and their substrates. It also discusses how MMPs and TIMPs are regulated and expresses polymorphisms that may be associated with cancer susceptibility and prognosis.
This study investigated the association between the MMP-3 promoter polymorphism (-1171 5A->6A) and risk of oral submucous fibrosis (OSMF) and head and neck squamous cell carcinoma (HNSCC) in an Indian population. The authors genotyped 362 subjects, including 101 OSMF cases, 135 HNSCC cases, and 126 healthy controls. They found the 5A allele frequency was higher in OSMF (0.15) and HNSCC (0.13) compared to controls (0.07). Statistical analysis revealed a significant difference in 5A genotype frequency between OSMF and controls (p=0.01, OR=2.26) and between HNSCC
This study surveyed 560 Indian medical students over 5 years to assess tobacco use and attitudes. The study found that 33% of students used tobacco, with 45.4% chewing tobacco, 32.2% smoking cigarettes, and 22.4% doing both. Most students felt tobacco should be restricted and doctors should advise quitting, but specific training was still needed to develop cessation skills. The high tobacco use rates among future doctors underscores the need for comprehensive intervention strategies in medical curricula to address this issue.
Godfrey Phillips India launched a new non-filter cigarette called Tipper Gold Tipped in select markets in India in 2002 under guidance from Mr. Anoop Rohiri. Market research found dissatisfaction with current brands, so Tipper was designed to provide benefits like a compact tip and clean smoke. GPIL used in-shop promotions, distribution strategies, and promotional schemes to launch Tipper, but faced competition from ITC who increased displays in response. Initial sales analysis found Tipper catching up to competitors within two months, with highest brand switching from ITC's Capstan filter cigarette. Factors important for new FMCG launches include product quality/price, distribution, brand awareness and availability.
Launching A Cigarette Under A Banned Promotional EnvironmentRicha Dhall
This document discusses the cigarette industry in India. It provides information on major cigarette companies in India, types of cigarettes, and the ban on smoking in public places. It also discusses Godfrey Phillip India Pvt. Ltd (GPIL), one of the major players, including its current market share, revenue, exports, and diversification into other business segments. Some questions are also presented on assessing the potential of a new cigarette brand launched by GPIL and factors to consider when launching fast-moving consumer goods.
The document discusses a social awareness campaign in India to reduce smoking. It provides background on the large number of tobacco users in India and health consequences of smoking. The campaign aims to target current and occasional smokers aged 15-40 through public messages highlighting health risks and helping smokers quit. Strategies include public service announcements, workshops, a helpline, and community initiatives. The campaign hopes to target women smokers and reduce smoking in public places to protect non-smokers. It provides a multi-phase rollout plan and estimated annual budget of 16 million rupees focused initially in Maharashtra.
This document summarizes Maine's history of tobacco policy initiatives and laws from 1897 to 2011. It discusses the progression of laws that have been passed to reduce exposure to secondhand smoke, restrict youth access to tobacco, increase tobacco taxes, and establish tobacco prevention programs. Key milestones include the first workplace smoking ban in 1985, comprehensive smoke-free laws in the 1990s and 2000s, increased tobacco taxes in 1997 dedicated to prevention programs, and the 1998 tobacco Master Settlement Agreement. The document provides a high-level overview of Maine's extensive efforts to enact tobacco control policies and initiatives over the past century.
This study aimed to determine the prevalence of oral soft tissue lesions in patients in Vidisha, Central India. The researchers screened 3030 subjects and found that 8.4% had oral lesions, many associated with tobacco use, trauma, or prosthetic devices. 256 patients were found to have significant mucosal lesions, of which 216 agreed to scalpel biopsies. The most common lesions were leukoplakia (88 cases), oral submucous fibrosis (21 cases), and smoker's melanosis (9 cases). The high prevalence of oral lesions and rampant tobacco use indicate a need for greater community education and prevention programs.
This document summarizes a research article that discusses genetic polymorphisms of matrix metalloproteinases (MMPs) and their inhibitors, tissue inhibitors of metalloproteinases (TIMPs), in potentially malignant and malignant head and neck lesions. It describes how MMPs degrade the extracellular matrix, a key event in tumor progression and metastasis. It reviews the classification of MMPs and their substrates. It also discusses how MMPs and TIMPs are regulated and expresses polymorphisms that may be associated with cancer susceptibility and prognosis.
This study investigated the association between the MMP-3 promoter polymorphism (-1171 5A->6A) and risk of oral submucous fibrosis (OSMF) and head and neck squamous cell carcinoma (HNSCC) in an Indian population. The authors genotyped 362 subjects, including 101 OSMF cases, 135 HNSCC cases, and 126 healthy controls. They found the 5A allele frequency was higher in OSMF (0.15) and HNSCC (0.13) compared to controls (0.07). Statistical analysis revealed a significant difference in 5A genotype frequency between OSMF and controls (p=0.01, OR=2.26) and between HNSCC
This study surveyed 560 Indian medical students over 5 years to assess tobacco use and attitudes. The study found that 33% of students used tobacco, with 45.4% chewing tobacco, 32.2% smoking cigarettes, and 22.4% doing both. Most students felt tobacco should be restricted and doctors should advise quitting, but specific training was still needed to develop cessation skills. The high tobacco use rates among future doctors underscores the need for comprehensive intervention strategies in medical curricula to address this issue.
Godfrey Phillips India launched a new non-filter cigarette called Tipper Gold Tipped in select markets in India in 2002 under guidance from Mr. Anoop Rohiri. Market research found dissatisfaction with current brands, so Tipper was designed to provide benefits like a compact tip and clean smoke. GPIL used in-shop promotions, distribution strategies, and promotional schemes to launch Tipper, but faced competition from ITC who increased displays in response. Initial sales analysis found Tipper catching up to competitors within two months, with highest brand switching from ITC's Capstan filter cigarette. Factors important for new FMCG launches include product quality/price, distribution, brand awareness and availability.
Launching A Cigarette Under A Banned Promotional EnvironmentRicha Dhall
This document discusses the cigarette industry in India. It provides information on major cigarette companies in India, types of cigarettes, and the ban on smoking in public places. It also discusses Godfrey Phillip India Pvt. Ltd (GPIL), one of the major players, including its current market share, revenue, exports, and diversification into other business segments. Some questions are also presented on assessing the potential of a new cigarette brand launched by GPIL and factors to consider when launching fast-moving consumer goods.
The document discusses a social awareness campaign in India to reduce smoking. It provides background on the large number of tobacco users in India and health consequences of smoking. The campaign aims to target current and occasional smokers aged 15-40 through public messages highlighting health risks and helping smokers quit. Strategies include public service announcements, workshops, a helpline, and community initiatives. The campaign hopes to target women smokers and reduce smoking in public places to protect non-smokers. It provides a multi-phase rollout plan and estimated annual budget of 16 million rupees focused initially in Maharashtra.
This document summarizes Maine's history of tobacco policy initiatives and laws from 1897 to 2011. It discusses the progression of laws that have been passed to reduce exposure to secondhand smoke, restrict youth access to tobacco, increase tobacco taxes, and establish tobacco prevention programs. Key milestones include the first workplace smoking ban in 1985, comprehensive smoke-free laws in the 1990s and 2000s, increased tobacco taxes in 1997 dedicated to prevention programs, and the 1998 tobacco Master Settlement Agreement. The document provides a high-level overview of Maine's extensive efforts to enact tobacco control policies and initiatives over the past century.
This document provides information on tobacco legislation and control laws in India, specifically the Cigarettes and Other Tobacco Products (Prohibition of Advertisements and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003 (COTPA). It defines key terms related to tobacco, discusses the WHO tobacco free initiative and provisions of the Framework Convention on Tobacco Control. It then outlines the main provisions of COTPA, including prohibitions on smoking in public places, tobacco advertising and promotions, sales to minors, and sales near schools. It also requires pictorial health warnings on tobacco products and regulates tar and nicotine contents.
Tobacco is a plant grown for its leaves, which contain the addictive drug nicotine. Nicotine causes the release of endorphins that make people feel good in the short term but is highly addictive. Tobacco use leads to serious health issues like cancer, heart disease, and death. The WHO Framework Convention on Tobacco Control aims to address the global tobacco epidemic. In India, the National Tobacco Control Programme was launched in 2007 to increase awareness, reduce tobacco use and production, and enforce tobacco control laws. It operates at national, state, and district levels to implement strategies like public education campaigns, enforcement of advertising bans, and increasing access to cessation resources.
Tobacco use is the world's single greatest preventable cause of death according to the WHO. Nearly 267 million adults in India, approximately 29% of all adults, use tobacco according to a 2016-17 survey. Tobacco can be consumed in various forms like cigarettes and smokeless forms. The Cigarettes and Other Tobacco Products Act of 2003 was enacted in India to discourage tobacco consumption and the National Tobacco Control Programme was launched in 2007 with the aims of creating awareness of tobacco's harms and reducing tobacco production and supply.
This document provides a historical overview of tobacco in India. It details how tobacco was introduced to India by Portuguese traders in the 1600s and gradually became used in multiple forms like paan chewing and hookah smoking. In the pre-independence period, the British government promoted tobacco cultivation by establishing botanical gardens, importing seeds, and encouraging farmers. After independence, tobacco production continued to increase, especially in Andhra Pradesh and Karnataka, driven by companies like ITC. By the late 1930s, India was one of the top tobacco producing countries in the world.
World No Tobacco Day is observed annually on May 31st to raise awareness about the harmful effects of tobacco. The World Health Organization promotes this day to encourage tobacco users to refrain from its use for 24 hours and to reduce tobacco consumption overall. Tobacco kills over 800,000 people in India each year and leads to diseases like cancer. India has a high rate of tobacco consumption, especially smokeless tobacco, and tobacco use imposes large economic costs on the country in terms of health spending and lost productivity. Higher taxes on tobacco are recommended to reduce its use and generate government revenues.
This document summarizes the history of tobacco use and its health effects, particularly for women. It notes that tobacco was introduced to India in the 1600s and became widely used. Nicotine in tobacco reaches the brain quickly and is highly addictive. Tobacco smoke contains over 4000 chemicals, many of which cause cancer. Women are increasingly targeted by tobacco companies and may find it harder to quit due to social and biological factors. Tobacco use is a major public health problem in India, responsible for hundreds of thousands of deaths annually. The government has enacted tobacco control laws, but faces challenges in fully implementing the WHO Framework Convention on Tobacco Control.
India has a significant tobacco problem, with 16% of smokers globally living in India. Tobacco use causes over 2,500 deaths per day in India. Several laws and policies have been implemented to reduce tobacco use. The Cigarettes and Other Tobacco Products Act of 2003 expanded regulations to include all tobacco products and required larger health warnings. Executive orders have also targeted tobacco, such as banning scenes depicting tobacco use in films. Other measures include prohibiting indoor smoking in public places and imposing taxes on tobacco. However, myths still exist around the economic and health impacts of tobacco that require addressing to curb its widespread use in India.
India has a significant tobacco problem, with 16% of smokers globally living in India. Tobacco use causes over 2,500 deaths per day in India. Several laws and policies have been implemented to reduce tobacco use. The Cigarettes and Other Tobacco Products Act of 2003 expanded regulations to include all tobacco products and required larger health warnings. Executive orders have also targeted tobacco, such as banning scenes depicting tobacco use in films. Other measures include prohibiting indoor smoking in public places and imposing taxes on tobacco. However, myths still exist around the economic and health impacts of tobacco that require addressing to curb its widespread use in India.
The Indian government announced in February 2001 that it would table a bill banning tobacco companies from advertising their products and sponsoring sports and cultural events, with the aim of discouraging tobacco consumption among adolescents and empowering the government's anti-tobacco program. This move faced some criticism from those who believed it infringed on personal liberties and commercial interests. However, others saw it as an important public health measure based on evidence that tobacco advertising encourages youth smoking, and that banning ads had reduced smoking rates in other countries. The bill's passage would create ethical dilemmas for the government in balancing health and economic concerns.
World No Tobacco Day is observed annually on May 31 to raise awareness about the harmful and deadly effects of tobacco use. The World Health Organization promotes this day to encourage tobacco users to refrain from using tobacco and its products for at least 24 hours. India has one of the largest tobacco user populations, with over 200 million tobacco consumers who face serious health risks like cancer, heart disease, and stroke from tobacco consumption. The government is working to increase taxes on tobacco and implement other policies to reduce tobacco use and its health and economic impacts.
TOBACCO CONTROL LAWS AND OTT PLATFORM.pptx DR SAKSHI & DR NIDAmehra0408
This document discusses laws regulating tobacco in India and how over-the-top (OTT) platforms are violating these regulations by showing tobacco use and branding in their streaming content. It outlines key tobacco control laws in India like COTPA 2003 and studies that found widespread depiction of tobacco on platforms like Netflix and Amazon Prime, even in youth-rated shows. The document calls for enforcing tobacco-free media rules on all OTT platforms to protect public health as evidence suggests exposure to on-screen tobacco increases smoking initiation among youth.
This document discusses methods of tobacco cessation. It begins with an introduction to tobacco use as the leading preventable cause of death globally. It then covers the history of tobacco, forms of tobacco used in India, and the health effects of tobacco use. Barriers to cessation like nicotine addiction and lack of support are examined. The document outlines goals of cessation programs like long term abstinence. It discusses behavioral management, pharmacotherapies, and counseling approaches. India's tobacco control laws aiming to restrict advertising and smoking in public are also summarized.
cancer in india, cancer trends, trends in cancer in india, economics of tobacco, tobacco economics in india, cancer demographics, cancer demographics in india, tobacco consumption in india, tobacco related cancer deaths, tobacco related cancers, population based cancer registry statistics, comparison of cancer trends in india 1994 vs 2004 vs 2011,
The document discusses World No Tobacco Day, which is observed annually on May 31st to discourage tobacco use and its health hazards. It aims to help users refrain from tobacco for 24 hours. The summary highlights the negative health impacts of tobacco, including that it kills over 800,000 people yearly in India from diseases like cancer. It also notes that tobacco consumption disproportionately affects the poor and that increased taxes could generate billions for public health programs while reducing use.
The document summarizes tobacco cessation legislation in India. It provides background on the history of tobacco use in India, current prevalence rates, and health impacts of tobacco. It then outlines key events in India's tobacco control efforts, including various acts passed between 1975-2003 to regulate tobacco advertising, sales, and use. The summary highlights challenges in implementing these laws and the need for continued education strategies to curb tobacco consumption.
1. Tobacco use causes over 10 million deaths annually worldwide and is projected to cause over 10 million deaths by 2030 according to WHO estimates. Tobacco use is responsible for various cancers as well as cardiovascular and respiratory diseases.
2. The Cigarettes and Other Tobacco Products Act of 2003 in India includes provisions that ban smoking in public places, prohibit tobacco advertisements and sale to minors, and mandate health warnings on tobacco packaging. These types of tobacco control policies have been shown to effectively reduce tobacco consumption and smoking rates.
3. Increasing taxes and prices on tobacco products is an important demand-reduction strategy as it can lead to over a 40 million reduction in smokers and over 10 million fewer tobacco-related deaths globally according to
According to a Lancet study (2012), in India, tobacco-related cancers represented 42·0% of male and 18·3% of female cancer deaths
India also has one of the highest rates of oral cancer in the world as the consequence of high prevalence of smokeless tobacco use
1. The document discusses smoking habits in India, including the types of tobacco smoked as well as health risks. It provides statistics on smoking prevalence and related deaths in India.
2. Smoking is responsible for several diseases and premature death in India, killing over 900,000 people per year according to one study. Certain forms of smoking like bidis are associated with greater health risks than others.
3. The study found high smoking rates among Indian men, with over 60% of male smokers expected to die between ages 30-69, compared to 41% of non-smoking men. Female smoking rates were also linked to over 60% mortality for smokers versus 38% for non-smokers between ages 30-
This document provides a summary of the Tobacco Control Policy Evaluation (TCP) Project report findings from the first wave of surveys conducted in India between 2010-2011. The report evaluates the impact of tobacco control policies outlined in the WHO Framework Convention on Tobacco Control, to which India is a signatory. It finds that while around 35% of Indians use tobacco, compliance and awareness of smoke-free laws remains low. The health warnings on tobacco products have had some impact on increasing awareness but have not significantly influenced quitting behavior. The report provides data and evidence on the current situation of tobacco control policy implementation in India and makes suggestions for more effective implementation and compliance with international obligations.
This document provides an overview of smoking in India and strategies to combat it. Some key points:
- Smoking kills over 1 million Indians annually and rates are increasing. It causes many diseases and premature death.
- Peer pressure, desire to fit in, and stress/mental health issues drive youth smoking despite health education.
- Objectives include reducing youth smoking initiation and exposure, empowering communities, and promoting partnerships between NGOs and government.
- Proposed strategies involve preventing smoking through education, helping current smokers quit by increasing barriers and support, with a focus on youth, females, and high-risk groups. Budgets, media allocation, and segmentation of audiences are also discussed.
This document provides information on tobacco legislation and control laws in India, specifically the Cigarettes and Other Tobacco Products (Prohibition of Advertisements and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003 (COTPA). It defines key terms related to tobacco, discusses the WHO tobacco free initiative and provisions of the Framework Convention on Tobacco Control. It then outlines the main provisions of COTPA, including prohibitions on smoking in public places, tobacco advertising and promotions, sales to minors, and sales near schools. It also requires pictorial health warnings on tobacco products and regulates tar and nicotine contents.
Tobacco is a plant grown for its leaves, which contain the addictive drug nicotine. Nicotine causes the release of endorphins that make people feel good in the short term but is highly addictive. Tobacco use leads to serious health issues like cancer, heart disease, and death. The WHO Framework Convention on Tobacco Control aims to address the global tobacco epidemic. In India, the National Tobacco Control Programme was launched in 2007 to increase awareness, reduce tobacco use and production, and enforce tobacco control laws. It operates at national, state, and district levels to implement strategies like public education campaigns, enforcement of advertising bans, and increasing access to cessation resources.
Tobacco use is the world's single greatest preventable cause of death according to the WHO. Nearly 267 million adults in India, approximately 29% of all adults, use tobacco according to a 2016-17 survey. Tobacco can be consumed in various forms like cigarettes and smokeless forms. The Cigarettes and Other Tobacco Products Act of 2003 was enacted in India to discourage tobacco consumption and the National Tobacco Control Programme was launched in 2007 with the aims of creating awareness of tobacco's harms and reducing tobacco production and supply.
This document provides a historical overview of tobacco in India. It details how tobacco was introduced to India by Portuguese traders in the 1600s and gradually became used in multiple forms like paan chewing and hookah smoking. In the pre-independence period, the British government promoted tobacco cultivation by establishing botanical gardens, importing seeds, and encouraging farmers. After independence, tobacco production continued to increase, especially in Andhra Pradesh and Karnataka, driven by companies like ITC. By the late 1930s, India was one of the top tobacco producing countries in the world.
World No Tobacco Day is observed annually on May 31st to raise awareness about the harmful effects of tobacco. The World Health Organization promotes this day to encourage tobacco users to refrain from its use for 24 hours and to reduce tobacco consumption overall. Tobacco kills over 800,000 people in India each year and leads to diseases like cancer. India has a high rate of tobacco consumption, especially smokeless tobacco, and tobacco use imposes large economic costs on the country in terms of health spending and lost productivity. Higher taxes on tobacco are recommended to reduce its use and generate government revenues.
This document summarizes the history of tobacco use and its health effects, particularly for women. It notes that tobacco was introduced to India in the 1600s and became widely used. Nicotine in tobacco reaches the brain quickly and is highly addictive. Tobacco smoke contains over 4000 chemicals, many of which cause cancer. Women are increasingly targeted by tobacco companies and may find it harder to quit due to social and biological factors. Tobacco use is a major public health problem in India, responsible for hundreds of thousands of deaths annually. The government has enacted tobacco control laws, but faces challenges in fully implementing the WHO Framework Convention on Tobacco Control.
India has a significant tobacco problem, with 16% of smokers globally living in India. Tobacco use causes over 2,500 deaths per day in India. Several laws and policies have been implemented to reduce tobacco use. The Cigarettes and Other Tobacco Products Act of 2003 expanded regulations to include all tobacco products and required larger health warnings. Executive orders have also targeted tobacco, such as banning scenes depicting tobacco use in films. Other measures include prohibiting indoor smoking in public places and imposing taxes on tobacco. However, myths still exist around the economic and health impacts of tobacco that require addressing to curb its widespread use in India.
India has a significant tobacco problem, with 16% of smokers globally living in India. Tobacco use causes over 2,500 deaths per day in India. Several laws and policies have been implemented to reduce tobacco use. The Cigarettes and Other Tobacco Products Act of 2003 expanded regulations to include all tobacco products and required larger health warnings. Executive orders have also targeted tobacco, such as banning scenes depicting tobacco use in films. Other measures include prohibiting indoor smoking in public places and imposing taxes on tobacco. However, myths still exist around the economic and health impacts of tobacco that require addressing to curb its widespread use in India.
The Indian government announced in February 2001 that it would table a bill banning tobacco companies from advertising their products and sponsoring sports and cultural events, with the aim of discouraging tobacco consumption among adolescents and empowering the government's anti-tobacco program. This move faced some criticism from those who believed it infringed on personal liberties and commercial interests. However, others saw it as an important public health measure based on evidence that tobacco advertising encourages youth smoking, and that banning ads had reduced smoking rates in other countries. The bill's passage would create ethical dilemmas for the government in balancing health and economic concerns.
World No Tobacco Day is observed annually on May 31 to raise awareness about the harmful and deadly effects of tobacco use. The World Health Organization promotes this day to encourage tobacco users to refrain from using tobacco and its products for at least 24 hours. India has one of the largest tobacco user populations, with over 200 million tobacco consumers who face serious health risks like cancer, heart disease, and stroke from tobacco consumption. The government is working to increase taxes on tobacco and implement other policies to reduce tobacco use and its health and economic impacts.
TOBACCO CONTROL LAWS AND OTT PLATFORM.pptx DR SAKSHI & DR NIDAmehra0408
This document discusses laws regulating tobacco in India and how over-the-top (OTT) platforms are violating these regulations by showing tobacco use and branding in their streaming content. It outlines key tobacco control laws in India like COTPA 2003 and studies that found widespread depiction of tobacco on platforms like Netflix and Amazon Prime, even in youth-rated shows. The document calls for enforcing tobacco-free media rules on all OTT platforms to protect public health as evidence suggests exposure to on-screen tobacco increases smoking initiation among youth.
This document discusses methods of tobacco cessation. It begins with an introduction to tobacco use as the leading preventable cause of death globally. It then covers the history of tobacco, forms of tobacco used in India, and the health effects of tobacco use. Barriers to cessation like nicotine addiction and lack of support are examined. The document outlines goals of cessation programs like long term abstinence. It discusses behavioral management, pharmacotherapies, and counseling approaches. India's tobacco control laws aiming to restrict advertising and smoking in public are also summarized.
cancer in india, cancer trends, trends in cancer in india, economics of tobacco, tobacco economics in india, cancer demographics, cancer demographics in india, tobacco consumption in india, tobacco related cancer deaths, tobacco related cancers, population based cancer registry statistics, comparison of cancer trends in india 1994 vs 2004 vs 2011,
The document discusses World No Tobacco Day, which is observed annually on May 31st to discourage tobacco use and its health hazards. It aims to help users refrain from tobacco for 24 hours. The summary highlights the negative health impacts of tobacco, including that it kills over 800,000 people yearly in India from diseases like cancer. It also notes that tobacco consumption disproportionately affects the poor and that increased taxes could generate billions for public health programs while reducing use.
The document summarizes tobacco cessation legislation in India. It provides background on the history of tobacco use in India, current prevalence rates, and health impacts of tobacco. It then outlines key events in India's tobacco control efforts, including various acts passed between 1975-2003 to regulate tobacco advertising, sales, and use. The summary highlights challenges in implementing these laws and the need for continued education strategies to curb tobacco consumption.
1. Tobacco use causes over 10 million deaths annually worldwide and is projected to cause over 10 million deaths by 2030 according to WHO estimates. Tobacco use is responsible for various cancers as well as cardiovascular and respiratory diseases.
2. The Cigarettes and Other Tobacco Products Act of 2003 in India includes provisions that ban smoking in public places, prohibit tobacco advertisements and sale to minors, and mandate health warnings on tobacco packaging. These types of tobacco control policies have been shown to effectively reduce tobacco consumption and smoking rates.
3. Increasing taxes and prices on tobacco products is an important demand-reduction strategy as it can lead to over a 40 million reduction in smokers and over 10 million fewer tobacco-related deaths globally according to
According to a Lancet study (2012), in India, tobacco-related cancers represented 42·0% of male and 18·3% of female cancer deaths
India also has one of the highest rates of oral cancer in the world as the consequence of high prevalence of smokeless tobacco use
1. The document discusses smoking habits in India, including the types of tobacco smoked as well as health risks. It provides statistics on smoking prevalence and related deaths in India.
2. Smoking is responsible for several diseases and premature death in India, killing over 900,000 people per year according to one study. Certain forms of smoking like bidis are associated with greater health risks than others.
3. The study found high smoking rates among Indian men, with over 60% of male smokers expected to die between ages 30-69, compared to 41% of non-smoking men. Female smoking rates were also linked to over 60% mortality for smokers versus 38% for non-smokers between ages 30-
This document provides a summary of the Tobacco Control Policy Evaluation (TCP) Project report findings from the first wave of surveys conducted in India between 2010-2011. The report evaluates the impact of tobacco control policies outlined in the WHO Framework Convention on Tobacco Control, to which India is a signatory. It finds that while around 35% of Indians use tobacco, compliance and awareness of smoke-free laws remains low. The health warnings on tobacco products have had some impact on increasing awareness but have not significantly influenced quitting behavior. The report provides data and evidence on the current situation of tobacco control policy implementation in India and makes suggestions for more effective implementation and compliance with international obligations.
This document provides an overview of smoking in India and strategies to combat it. Some key points:
- Smoking kills over 1 million Indians annually and rates are increasing. It causes many diseases and premature death.
- Peer pressure, desire to fit in, and stress/mental health issues drive youth smoking despite health education.
- Objectives include reducing youth smoking initiation and exposure, empowering communities, and promoting partnerships between NGOs and government.
- Proposed strategies involve preventing smoking through education, helping current smokers quit by increasing barriers and support, with a focus on youth, females, and high-risk groups. Budgets, media allocation, and segmentation of audiences are also discussed.
1. ISSN OO19-509X
Indian
Journal
Indian Journal of Cancer • Volume 47 • Issue 2 • April-June 2010 • Pages 93-236
of
CANCER Volume 47 Supplement 1 2010
Special issue on tobacco is a gift to the world from India
Tobacco control research in India
Tobacco and health in India
Lifestyle riskfactors of noncommunicable diseases: Awareness
among school children
Study on tobacco use and awareness among marginalized children
Smokeless tobacco consumption among school children
Official Publication of
The Indian Cancer Society,
The Indian Society of Oncology and
Published by Medknow Publications
Indian Co-operative Oncology Network
2. Community Tobacco control legislation in India: Past and
Research
present
Mehrotra R, Mehrotra V2, Jandoo T1
Departments of Pathology and Pharmacology, 1Moti Lal Nehru Medical College, Allahabad;
2
National University of Juridical Sciences, Kolkata, India
Correspondence to: Dr. Ravi Mehrotra, E-mail: rm8509@rediffmail.com
Abstract
Beginning with the Cigarettes Act, 1975, a number of legislative strategies and programs to curb tobacco use have been
implemented in India, with limited success. Currently, the Cigarettes and Other Tobacco Products Act, 2003, is designed
to curb the use of tobacco in order to protect and promote public health. This review presents a critical appraisal of the
current situation in its historical context.
Key words: Government, legislation, program, tobacco control
DOI: 10.4103/0019-509X.63870 PMID: ****
Introduction Government to intervene in marketing, monitoring, and
development of the tobacco industry. However, the Act
Of the 1.1 billion people who smoke worldwide, 182 supported and favored tobacco production and trade
million (16.6%) live in India. In 2004, in an estimated because tobacco was considered a major source of public
population of 1065 million, 800,000–900,000 Indians revenue.
die annually from diseases associated with tobacco
use—some 2500 a day.[1] By 2020, it is predicted that The Act had provisions to contain the liberal use of
tobacco will account for 13% of all deaths in India.[2] tobacco. The Act made mandatory the registration of
growers of Virginia tobacco.
These numbers will be dwarfed if present trends in
tobacco use continue. India needs to adopt a more The Cigarettes and Other Tobacco Products (prohibition
holistic and coercive approach to fight the problems of of advertisement and regulation of trade and commerce,
tobacco. production, supply, and distribution) Bill, 2003, was
a more comprehensive description for the control of
Tobacco control legislation in India dates back to 1975, tobacco as stated: “A bill to prohibit the advertisement
when the Cigarettes (Regulation of Production, Supply, of, and to provide for the regulation of trade and
and Distribution) Act, 1975[3] required the display of commerce in, and production, supply and distribution
statutory health warnings on advertisements, cartons, of, cigarettes and other tobacco products and for
and cigarette packages. The Act also contained specific matters connected therewith or incidental thereto.” This
restrictions for trading and commercialization practices new legislation was explicitly intended to reduce tobacco
regarding the production, supply, and distribution of consumption, in contrast to the Tobacco Board Act,
tobacco. The Act set penalties, including the confiscation which had favored tobacco production.
of tobacco in the event of its provisions being breached.
However, the Act had major limitations as it did not Pressure for stronger action and comprehensive
include noncigarette tobacco products, such as beedis, legislation
gutka, cigars, and cheroots. The language, style, and
type of lettering, and the manner of presentation of India is the world’s third largest producer of tobacco.
the warning were meticulously described. Legislated In India, tobacco is believed to provide livelihood to
by the Government of India, under the aegis of the over 6 million farmers and 20 million industry workers
Ministry of Commerce, the Act empowered the Central and contributes over 70 billion rupees (£1bn; $1.5bn)
Indian Journal of Cancer | 2010 | Volume 47 | Suppl 1 S75
3. Mehrotra, et al.: Tobacco legislation in India
to government earnings. The Indian Council of Medical A parliamentary committee was set up to examine the
Research (ICMR) argued, however, that the health provisions of the Cigarettes Act, 1975. As a result, in
care costs of tobacco use to India far outweighed December 1995, the 22nd Report of the Parliamentary
the economic benefits. In the year 2000, the Council Committee on Subordinate Legislation of the 10 th
estimated that the annual cost of diseases associated Lok Sabha presented a series of recommendations
with the use of tobacco was 270 billion rupees. This for achieving better tobacco control. The Committee
clearly states that the income is only 25.9% of the proposed that the statutory health warnings on cigarette
expenditure on health care due to tobacco use. The packages should use strongly worded language and be
council further predicts that the health costs of tobacco made more effective by the use of pictorial images.
to India will increase unless any further rise in tobacco The warnings were to be extended to include beedis,
consumption is stopped. cigars, gutka, snuff, or any other products of tobacco,
whether produced in India or imported. In addition,
The ICMR conducted a study, choosing samples from the warnings were to be displayed at outlets selling
2 Indian locations—195 patients in Delhi and 500 tobacco in any form. The Committee recommended a
patients in Chandigarh, which provided a conservative total ban on any form of advertisements, sponsorships,
estimate of the cost of treatment of 3 major tobacco- smoking in public places and transport systems, and sale
related diseases (cancer, heart disease, and chronic of tobacco to individuals younger than 18 years. The
obstructive pulmonary disease).[4] Data were collected government was called on to implement strict penalties
on treatment expenditures (medical and nonmedical), for contravening the regulations. Due emphasis was
institutional expenditures, and loss of wages during given to the requirement for research into developing
treatment for 1990–1992, or until death or recovery. alternative crops and to allocating resources for the
Using consumer price Index, the Council estimated retraining of workers engaged in tobacco industry for
that in 1999 alone, the total annual direct and indirect employment in other sectors, by opening avenues for
cost of cancers, heart disease, and chronic obstructive alternative employment.[8]
lung disease associated with the use of tobacco would
In 1995, the Central Government formed a
be 277.6 billion rupees (US$6.0bn). During the same
Coordination Committee with representatives from
year, the nationwide sales revenue from all tobacco
the Central Ministries of Commerce, Agriculture,
products would amount to 44 billion rupees. The gap
Labor, Information and Broadcasting, the Indian
between revenue from sales and expenditure for treating
Council of Medical Research, and the National
tobacco-related diseases was particularly high because
Council of Educational Research and Training. All the
only a small fraction of earnings from the net sales was
representatives, with the exception of the Ministry of
going to the government. The results strongly supported
Labor, supported the proposition that the economic
the argument that tobacco was of no real economic
consequences of exercising tobacco control could be
benefit to the nation, while being a major health
effectively managed.
hazard.[5-7] Similarly, another estimate of costs for 2002–
2003 for the 3 major tobacco-related diseases amounts Following this, later in 1995, the Central Ministry of
to 308.33 billion rupees (US$ 6.6bn.).[1] Health appointed an Expert Committee to study the
Economics of Tobacco Use. The Committee investigated
In 2003, the central and state governments acted the economic status and the consequences of tobacco
on a number of areas of concern to strengthen the use and trade. In February 2002, it presented its
legislative provisions for tobacco control. This included findings, which concluded that the use of tobacco had
better quantification of health risks posed by tobacco, many short- and long-term consequences and that the
increasing knowledge of diseases linked to tobacco use, economic burden of diseases associated with tobacco
increased global awareness regarding the harmful effects use clearly outweighed the indirect macroeconomic
of tobacco, and increased scientific evidence of tobacco benefits of tobacco use and trade. It identified tobacco
as a cause of mortality. as a demerit commodity.[9] The losses were enormous
when factors, such as the use of expensive tertiary-level
Background to the Indian tobacco control medical facilities involving even imported equipment
legislation of 2003 for the treatment of tobacco-related diseases, losses due
to fire hazards, ecological damage due to deforestation,
In 1993, the Central Cabinet expressed plans to and disposal of tobacco-related waste are compared
introduce a comprehensive legislation that would cover against factors, such as tax revenue, foreign exchange,
all regulations for tobacco products and the activities employment, and consumer expenditure due to use of
related to their utilization and trade. tobacco.
S76 Indian Journal of Cancer | 2010 | Volume 47 | Suppl 1
4. Mehrotra, et al.: Tobacco legislation in India
Meanwhile, accepting the suggestions of the 1995 of information, education and communication. It
Parliamentary Committee on Subordinate Legislation, called upon the medical, scientific and legal sectors to
the Ministry of Health and Family Welfare introduced collaboratively form a national level nodal agency for
the Tobacco Control Bill in the Rajya Sabha in 2001 the comprehensive control of tobacco.[13] There have
(Bill No. XXIX-F of 2001).[10] been several instances of the tobacco industry opposing
basic consumer rights—the right to information, the
“A Bill to prohibit the advertisement of, and to provide right to safe products, and the right to compensation
for the regulation of trade and commerce in, and and redressal for losses from the use of its products.
production, supply and distribution of, cigarettes and
other tobacco products and for matters connected The industry has been focusing attention on loss of
therewith or incidental thereto.” personal freedom, excessive governmental power, use of
social coercion, or the rights of smokers. This has led to
The Bill declared that the tobacco industry be controlled resistance to tobacco limitation efforts and has confused
by the Center stating, tobacco control supporters.[14] In addition, the industry
has tried to project the efforts of tobacco control being
“It is hereby declared that it is expedient in the public made by the government as a threat to its marketing
interest that the Union should take under its control the freedom. [15] The industry has utilized the process of
tobacco industry.” liberalization in removing government restrictions on
cross border commerce through trade agreements. This
The Committee declared that the Parliament could has supported the growth of the industry. It is thus
legislate on tobacco products other than cigarettes and good to have increased national level activity to control
that the Bill should apply to the whole of India. It tobacco use, rather than actively encouraging restrictions
made pictorial depictions of health warnings mandatory on trade. [16] The tobacco industry has expanded its
and required nicotine and tar contents and their efforts to oppose tobacco control media campaigns
maximum permissible limits to be printed on cartons through litigation strategies. Although litigation is a
and packages of all tobacco products. Sale of tobacco part of tobacco industry business, it imposes a financial
products must be banned within 500 yards (457.2 burden and is an impediment to media campaigns’
m) of educational institutions. The Committee also productivity. Tobacco control professionals need to
recommended that special smoking areas be provided anticipate these challenges and be prepared to defend
in hotels, restaurants and airports and that penalties for against them.[17]
noncompliant producers, dealers, and sellers of tobacco
products be standardized across the country[11,12] The In November 2001, the Supreme Court of India
Central Cabinet further proposed a ban on tobacco delivered a judgment that prohibited smoking in public
products within 100 yards (not 500 yards) (91.44 places throughout the country, thereby protecting
m) of educational institutions. It was proposed that the rights and health of those exposed to the risk of
the bill may be supported to evolve into an Act as becoming passive smokers.[18]
follows:—“This Act may be called the Cigarettes and
Other Tobacco Products (Prohibition of Advertisement Regulatory actions of the Indian government
and Regulation of Trade and Commerce, Production,
Supply and Distribution) Act, 2003.” The Central Government amended existing legislation
to enforce stronger controls on the use of tobacco.
The proposed Bill eventually became an Act of For example, the Prevention of Food Adulteration
Parliament on May 18, 2003. Act, 1955, treated chewable forms of tobacco, such as
zarda as a food item. [19] The act states that “tobacco
The National Human Rights Commission of India whether an article of food—in order to be ‘food’ for
(NHRC) in collaboration with the Government of the purpose of the Act, an article need not be fit for
India and the WHO had in the meantime convened human consumption since tobacco is used for human
a South-East Asia Regional Consultation on “Public consumption, it will be food keeping this test in view.”
Health and Human Rights” at New Delhi in 2001. In
addition to the right to health and the right to clean Changes were implemented to ensure that a mandatory
air, it recognized the rights of citizens to programs/ health warning was given with these products. The act
facilities to encourage tobacco control. The Commission clearly stated that
recommended that the right of the people to access
accurate information about the effects of tobacco “Every package of chewing tobacco shall bear the
consumption must be promoted through programs following label, namely,
Indian Journal of Cancer | 2010 | Volume 47 | Suppl 1 S77
5. Mehrotra, et al.: Tobacco legislation in India
‘Chewing of tobacco is injurious to health.’” “For the first few days, smokers caught flouting the ban
will be given a warning; thereafter they will be fined
In 1990, the Central Government issued an Executive 200 rupees (approximately US$4.5), more than the
Order prohibiting smoking in select enclosed public average person’s daily wage.”
places where large numbers of people could be expected
to be present over long periods of time. These places This law needs quick and strict implementation.[25-28] It
included educational institutions, conference halls, should be strictly implemented with due care that it is not
planes, trains, and buses, and each location was required flouted and every citizen should be motivated to participate
to display bill boards indicating that smoking was and help others participate in the implementation. Such
strictly prohibited. No ashtrays were allowed in these practices have been adopted in Chandigarh, which was
places and the sale of cigarettes was banned here.[20] declared the first city to be smoke free in 2007.
In December 1991, the Central Government amended Legislative and regulatory actions of the states
the Cinematograph Act, 1952, to ban scenes that
endorse or promote the consumption of tobacco in any Any legislative steps taken to intervene in practices of
form.[21] tobacco use are bound to trigger protests. A recent
example is the ruling of Delhi High Court (January
In 1992, the Central Government amended the Drugs 23, 2009) quashing the government’s notification to
and Cosmetics Act, 1940, and thereby banned the ban smoking in films on grounds that it violates the
manufacture and use of toothpastes and toothpowders fundamental rights of freedom of speech and expression
containing tobacco.[22] of filmmakers. This was a reaction to the ban imposed
by the Union Ministry of Health and Family welfare
In September 2000, amendments to the Cable in May 2005, which was subsequently challenged
Television Networks (Regulation) Act, 1994, banned by the film industry in September 2005. The High
any direct or indirect advertisements related to the use Court order has since been challenged in the Supreme
or trade of tobacco on cable television, and introduced Court in April 2009. Forming and reforming of
penalties of imprisonment or fines for offenders.[23] legislative judgments should be always focused on a
common goal.
On World No Tobacco Day 2005, the Ministry of
Health announced that the depiction of any form In India, health legislation has been historically and
of tobacco use in films and television serials would practically enacted at the state level. National legislation
be banned. The notification also stated that Indian has been reserved for major issues requiring country-
films made before that date, along with foreign films wide uniformity.[29] Tobacco control is a comprehensive
exhibited in India, would have to incorporate scrolled program relying on the collaborative efforts of both the
health warnings in scenes where tobacco use was Central Government and the states. The implementation
shown. The ban was due to be brought into effect of the National Tobacco Control Law, 2003, at state
from August 1, 2005; however, opposition from the level is the responsibility of the State Governments.
media and film industries led to consultation with the Some states have formulated independent legislations to
Ministry of Information and Broadcasting and delayed address specific components of tobacco control strategy,
implementation until October 2, 2005.[24] as outlined below.
In addition, any advertisements related to tobacco The Delhi government was the first to impose a ban
were prohibited on national television and on All India on smoking in public places, with the Delhi Prohibition
Radio. Also, the sale of tobacco was banned around of Smoking and Nonsmokers Health Protection Act,
educational institutions. 1996.[30] In addition to prohibiting the sale of cigarettes
to minors and prohibiting sale 100 m from a school
On October 2, 2008, to commemorate Mahatma building, this law allowed for enforcement in public
Gandhi’s birthday, the government imposed a ban on places and public transport by police and medical
smoking in public places, offices, restaurants, bars, and professionals. A first time offender is fined 100 rupees
open streets. This was a gesture to protect the rights (US$2.40) on the spot and briefed by the police or
of the nonsmokers and safeguard them from passive medical officer about the law and the negative health
smoking. A fine of 200 rupees (US$4.50) was imposed consequences of tobacco use. As expected, it has been
for contravening this regulation. difficult to enforce this ambitious program, and it has
probably had little real impact—the key problem being
This was clearly stated as follows: lack of manpower to enforce the law.[31,32]
S78 Indian Journal of Cancer | 2010 | Volume 47 | Suppl 1
6. Mehrotra, et al.: Tobacco legislation in India
Other states have enacted bans on public smoking. For The Act has been described as “A bill to provide for
example, in 1999 the Kerala High Court’s judgment, prohibiting smoking and spitting in places of public
The Kerala Prohibition of Smoking and Protection of work or use and in public service vehicles in the
NonSmokers Health Bill, 2002, prohibited smoking in State of Goa and to make provision for other matters
public places, including parks and highways.[33,34] connected therewith.”
The states of Tamil Nadu, Andhra Pradesh, Maharashtra, The bill clearly prohibits smoking and spitting in places
Goa, and Bihar have banned the use of smokeless forms of public work or use as stated:
of tobacco, such as gutka and pan masala. “No person shall smoke or spit in any place of public
work or use.”
The state of Tamil Nadu has undertaken notable anti-
tobacco activities. In 2001, even before the Cigarettes The Goan Act also bans tobacco advertising in the form
and Other Tobacco Products Act was passed, it banned of writing instruments, stickers, symbols, colors, logos,
the sale of all forms of chewable tobacco. Following trademarks, and prohibits display on T-shirts, shoes,
this, the Tamil Nadu Prohibition of Smoking and sportswear, caps, carry bags, and telephone booths.[36]
Spitting Act, 2003, was introduced. [35] The Act has
provisions for display of warnings as stated: A ruling of the Delhi High Court in January 2009
lifted the ban on smoking scenes in movies on
“Every person in charge of a place of Public work or the grounds that such a ban contravened rights of
use shall display and exhibit a board at a conspicuous expression. This move sends a loud and clear message
place in or outside the place prominently stating that that a blanket ban does not remove tobacco from
the place is a ‘No Smoking and No Spitting place’ and people’s awareness.
that ‘Smoking or Spitting is an Offence’ which shall be
both in Tamil and English and the version in English Legislative reforms at state level refine the methodology
shall be in the second place below the Tamil Version.” for addressing the problem of tobacco use.[36]
Further, the Act has provisions for inspections and Legislation forms the core of any tobacco control
subsequent actions as stated below: activity. It helps integrate the disparate actions taken
“Any authorized officer may enter and inspect at any for tobacco control and subjugate any the challenges
time if he has reason to believe that any person is in faced for the same. Legislation serves specific social
possession of Cigarettes, Beedis, Cigars, Supari with objectives. It helps to raise, recognize, reinforce, reassess,
tobacco, Zarda, Snuff or any other smoking or chewing reach, and reconcile the solemn societal values. Secondly,
substance or substances for sale or distribution in any the enactment and implementation practices help raise
premises, which is within an area of 100m around any public awareness by serving as a presage of the hazards
College, School or any other educational institutions associated with tobacco.
and may search and seize the articles or other substances
under a seizure list as specified in Form A.” Two and a half thousand Indians die every day from
smoking-related diseases—one every 40 s. Each cigarette
The state has shown great concern for the welfare and is said to decrease the life span of the average smoker
well-being of such workers by making provisions for the by 5.5 min. This highlights the need for prompt and
social security, health insurance, and other schemes. The dynamic interventional strategies. As the only country
same has been supported by the Central Government where single cigarettes can be bought, India needs to
through the Ministry of Labour and Employment in adopt a more holistic and coercive approach to fight
the “The Beedi Workers Welfare Fund Act (1976).” The the problems of tobacco. Not only the government, but
Government has also introduced a number of housing all responsible citizens will need to support the fight
schemes for beedi workers. against this global epidemic.
The Goa Prohibition of Smoking and Spitting Bill Act, In the future it is imperative to impose a ban on oral
1997, is one of its kind in the country. The Act bans tobacco products, strengthen enforcement of existing
smoking or chewing tobacco, and also bans public regulations, establish coordinating mechanisms at
spitting, which means “voluntary ejection of saliva the levels of center and state and mobilize people to
from the mouth after chewing or without chewing and combat the problem. Taxes on tobacco products should
ejection of mucus from the nose after inhaling snuff or be raised and the generated revenue could be spent
without inhaling.” for the strengthening of the tobacco control program.
Indian Journal of Cancer | 2010 | Volume 47 | Suppl 1 S79
7. Mehrotra, et al.: Tobacco legislation in India
Multipronged approaches should be undertaken for the 21. Government of India. Cinematograph Act, 1952. See also Reddy
KS, Arora M. Ban on tobacco use in films and television represents
cessation of use of tobacco.
sound public health policy. Natl Med J India 2005;18:115-8.
22. Government of India. Drugs and Cosmetics Act, 1940, and rules
References framed there under.
23. Government of India. Cable Television Networks (Regulation) Act,
1995, and rules framed there under.
1. Reddy KS, Gupta PC. Report on tobacco control in India. New Delhi:
24. Reddy KS, Arora M. Ban on tobacco use in films and television
Ministry of Health and Family Welfare, Government of India; 2004.
represents sound public health policy. Natl Med J India
2. Kumar S. India steps up anti-tobacco measures. Lancet
2005;18:115-8.
2000;356:1089.
25. Sharma DC. India pushes ban on smoking in public places. Lancet
3. Government of India. The Cigarettes (Regulation of Production,
Oncol 2008;10:922.
Supply and Distribution) Act, 1975, and rules framed there under.
26. WHO Report on the Global Tobacco Epidemic, 2008: The MPOWER
4. Rath GK, Chaudhry K. Estimation of cost of management of tobacco-
package. Geneva: World Health Organization, 2008. Available
related cancers. See also Report of an ICMR Task Force Study
from: http://www.who.int/tobacco/mpower/mpower_report_
(1990-1996). New Delhi, India: Institute of Rotary Cancer Hospital,
full_2008.pdf. [Last accessed on 2009 Feb 19].
All India Institute of Medical Sciences:1999.
27. Pandey G. Indian ban on smoking in public. BBC News, October
5. Shimkhada R, Peabody JW. Tobacco control in India. Bull World
2, 2008. Available from: http://news.bbc.co.uk/2/hi/south_
Health Organ 2003;81:48-51.
asia/7645868.stm. [Last accessed on 2009 Feb 19].
6. Pai SA. India’s new smoking laws--progress or politics? Lancet
28. Resource Center for Tobacco-Free India. Smoking banned in
Oncol 2001;2:123.
public place[s]. October 2, 2008. Available from: http://rctfi.org/
7. Gupta PC. Mouth cancer in India: A new epidemic? J Indian Med
smokingban_delhi.htm. [Last accessed on 2009 Feb 19].
Assoc 1999;97:370-3.
29. Roemer R. Tobacco policy: The power of law In: Gupta PC, Hamner
8. Parliament of India. Twenty-second report of the Committee on
JE, Murti PR, editors. Control of Tobacco-Related Cancers and Other
Subordinate Legislation 1995.
Diseases. Proceedings of an International Symposium; 1990 Jan 15-
9. Government of India. Report of the Expert Committee on the
19; TIFR, Bombay, India. Oxford University Press 1992. p. 329-39.
Economics of Tobacco Use 2001.
30. The Delhi Prohibition of Smoking and Nonsmokers Health
10. The Cigarettes and Other Tobacco Products (Prohibition of
Protection Act, 1996. Vakil No.1. Available from: http://
advertisement and regulation of trade and commerce, production,
www.vakilno1.com/bareacts/delhiprohibitionofsmokingact/
supply and distribution) Bill, 2003 (as passed by the Houses of
delhiprohibitionandsmokingact.htm [Last accessed on 2009
Parliament), Bill No. XXIX-F of 2001 (G:WIN1BILL2000LS793LS).
Feb 21].
11. Government of India. The Cigarettes and Other Tobacco Products:
31. Tobacco news. The Times of India. Available from: http://www.
Prohibition of Advertisement and Regulation of Trade and
healthlibrary.com/news/4_10_march/9smoking.htm. [cited on
Commerce, Production, Supply and Distribution) Bill 2001 (as
2001 March 9]. [Last accessed on 2009 Mar 02].
introduced in the Rajya Sabha).
32. Lethal light–up. The Hindu. Available from: http://www.
12. Parliament of India. Report of the Department-related Parliamentary
healthlibrary.com/news/4_10_march/9smoking.htm. [cited on
Standing Committee on Human Resource Development on Tobacco
1999 Sep 19]. [Last accessed on 2009 Mar 02].
Control Bill 2001.
33. Lethal light–up. The Hindu. Available from: http://www.
13. National Human Rights Commission of India’s report on Regional
healthlibrary.com/news/4_10_march/9smoking.htm. [cited on
Consultation on ‘Public Health and Human Rights’, New Delhi 2001.
1999 Sep 19]. [Last accessed on 2009 Mar 02].
14. Katz JE. Individual rights advocacy in tobacco control policies: An
34. Smoking ban takes its toll on Kerala beedi industry. Press Trust of
assessment and recommendation. Tob Control 2005;14:31-7.
India. 23 August 1999.
15. Assunta M, Chapman S. A mire of highly subjective and ineffective
35. A v a i l a b l e f r o m : h t t p : / / w w w. t n . g o v . i n / g o r d e r s / h f w /
voluntary guidelines: Tobacco industry efforts to thwart tobacco
hfw-e-93-2003.htm. [Last cited on 2010 Jan 08].
control in Malaysia. Tob Control 2004;13:43-50.
36. Can’t ban smoking in films, that’s censorship: Delhi High Court.
16. Shaffer ER, Brenner JE, Houston TP. Shaffer International trade
Available from: http://www.indianexpress.com/news/cant-ban-
agreements: A threat to tobacco control policy. Tob Control
smoking-in-films-thats-censorship-delhi-high. [Last accessed on
2005;14:19-25.
2009 Feb 21].
17. Ibrahim JK, Glantz SA. Tobacco industry litigation strategies
to oppose tobacco control media campaigns. Tob Control
2006;15:50-8.
Publication of the supplement was supported by the funds from the 14th World
18. Supreme Court of India order dated 2 November, 2001 in Writ
Conference on Tobacco or Health, March 8-12, 2009, Mumbai. The Guest Editors,
Petition (Civil) No. 316 of 1999.
Editors, Authors and others involved with the journal did not get any financial or
19. Government of India. Prevention of Food Adulteration Act, 1954,
non-financial benefit from the sponsors.
and rules framed there under.
20. Government of India. Cabinet Secretariat O.M 27/1/3/90-Cab
dated 7 May, 1990, regarding prohibition of tobacco smoking in Source of Support: Nil, Conflict of Interest: None declared.
public places.
S80 Indian Journal of Cancer | 2010 | Volume 47 | Suppl 1