1. SAY GOOD BY TOSAY GOOD BY TO
TOBACCOTOBACCO
Sreeraj.V.TSreeraj.V.T
Jr.Health InspectorJr.Health Inspector
2. What is Tobacco?What is Tobacco?
Tobacco is a plant that has been known toTobacco is a plant that has been known to
release dangerous chemicals when burnt.release dangerous chemicals when burnt.
Tobacco comes in various methods such as:Tobacco comes in various methods such as:
– Chewing TobaccoChewing Tobacco
– Smoking (cigarettes)Smoking (cigarettes)
– PipesPipes
– CigarsCigars
ALL OF THESE METHODS ARE DEADLY!!!!ALL OF THESE METHODS ARE DEADLY!!!!
If you smoke cigarettes, you are not onlyIf you smoke cigarettes, you are not only
effecting yourself, but people around you aseffecting yourself, but people around you as
well, by second-hand smoke.well, by second-hand smoke.
3. The MethodsThe Methods
Cigarette
Cigarette is made from dried
up tobacco chopped up and
rolled in a piece of paper.
When Cigarette is burnt, it
releases dangerous
chemical gases such as
carbon monoxide, and
hydrogen cyanide.
Cigars
A dried up roll
of tobacco that
is much more
dangerous than
a Cigarette. A
cigar has no
filter like a
cigarette, so
the poisonous
gases does for
damage to your
lungs, etc.
Chewing Tobacco
Chewing Tobacco is also
made from chopped up
tobacco. It is placed
between the gum and
teeth. The tobacco is
crushed by the teeth to
release the nicotine.
Pipe
Pipe is a tool for smoking. Tobacco is
placed in the chamber and burnt. The
smoke then gets inhaled into the lung
through the stem and mouthpiece.
4. Cigarette Smoking is theCigarette Smoking is the
principle cause ofprinciple cause of
Premature DeathPremature Death
5.
6.
7. 1 tobacco related death1 tobacco related death
every 6 secondsevery 6 seconds
WHAT IS AT STAKE?
= 10 million annual= 10 million annual
deaths by 2030deaths by 2030
1 Billion deaths in 21st
Century
8.
9. 5.4
4.0
2.1 1.9
1.6
1.2
0.9
0.6
0
1
2
3
4
5
6
Tobacco Lower
Resp
Infect
AIDS Diarrheal
Disease
TB Traffic
Injuries
Malaria Measles
GlobalDeathsperYear
(millions)
Unless urgent action is taken, tobacco will kill 1 billion people this
century
World Health Organization
Tobacco Is Now the World’s LeadingTobacco Is Now the World’s Leading
Single Agent of DeathSingle Agent of Death
10. Prevalence of Tobacco use inPrevalence of Tobacco use in
IndiaIndia
Below 35% : 2 states
Punjab and Goa
Between 35 - 50% : 8 states
Andhra Pradesh, Tamilnadu,
Karnataka, Kerala, Maharashtra,
Haryana, Himachal Pradesh and
Delhi
Between 50 – 65% : 8 states
Gujarat, Rajasthan,
Jammu&Kashmir, Uttarakhand,
Uttar Pradesh, Jarkhand,
Sikkim, Arunachal Pradesh
Above 65% : 11states
Madhya Pradesh, Bihar,
Chattisgarh, Orissa, West
Bengal, Assam, Meghalaya,
Manipur, Tripura, Mizoram,
Nagaland
11. 7
50
13
61
11
57
Urban Rural Total
Women Men
• Any Tobacco Use – Prevelance: 57%
• Currently smoke Cigarette or Bidi: 32.7%
• Currently chews pan masala, ghutkas or other tobacco:
36.5%
• About 7% of male aged 13-15 yrs smoke cigarettes in
India
• Any Tobacco Use – Prevelance: 57%
• Currently smoke Cigarette or Bidi: 32.7%
• Currently chews pan masala, ghutkas or other tobacco:
36.5%
• About 7% of male aged 13-15 yrs smoke cigarettes in
India
TOBACCO & MEN
20. OTHER DISEASESOTHER DISEASES
Chronic BronchitisChronic Bronchitis
EmphysemaEmphysema
AsthmaAsthma
CataractCataract
TuberculosisTuberculosis
DiabetesDiabetes
Still Birth and Low Birth WeightStill Birth and Low Birth Weight
> 25 Diseases> 25 Diseases
21. CARDIOVASCULAR RISKS OF SMOKINGCARDIOVASCULAR RISKS OF SMOKING
100% Increase in Risk
300% Increase in Risk
Stroke; CHD; Impotence
Death from undiagnosed CHD
> 300 % Increase in Risk
Peripheral Arterial Disease
400 % Increase in Risk
Aortic Aneurysm
29. What is Second HandWhat is Second Hand
SmokeSmoke
Second-hand smoke: that isSecond-hand smoke: that is
inhaled involuntarily orinhaled involuntarily or
passively by someone whopassively by someone who
is not smoking.is not smoking.
Second-hand smoke is alsoSecond-hand smoke is also
called involuntary smokingcalled involuntary smoking
or passive smokingor passive smoking
30. Second hand smoke causesSecond hand smoke causes
serious Health Hazardsserious Health Hazards
– Lung cancer -risk up 24%Lung cancer -risk up 24%
– Heart diseases -risk up 25%Heart diseases -risk up 25%
– Asthma attacksAsthma attacks
– Sudden Infant Death Syndrome (cotSudden Infant Death Syndrome (cot
death)death)
– Childhood respiratory diseasesChildhood respiratory diseases
– Chronic cough, phlegm, andChronic cough, phlegm, and
wheezingwheezing
31. PASSIVE SMOKING (ETS)PASSIVE SMOKING (ETS)
Second Hand Smoke increase risk ofSecond Hand Smoke increase risk of
– Cancer by 30%Cancer by 30%
– Heart attack by 25%Heart attack by 25%
in spouse of the smokerin spouse of the smoker
Increased risk of asthma and lungIncreased risk of asthma and lung
disease in childrendisease in children
33. Main cause of oralMain cause of oral
cancer is chewingcancer is chewing
of Tobaccoof Tobacco
34.
35.
36. ECONOMIC COSTS OF TOBACCOECONOMIC COSTS OF TOBACCO
Health Care: Just for 3 diseasesHealth Care: Just for 3 diseases
(Coronary Heart Disease; Cancer;(Coronary Heart Disease; Cancer;
Chronic Lung Disease)Chronic Lung Disease)
Health Care cost in 2002 – 2003 wasHealth Care cost in 2002 – 2003 was
Rs. 308.33 Billion (USD 7.2 Billion)Rs. 308.33 Billion (USD 7.2 Billion)
Tobacco also has: Environmental costsTobacco also has: Environmental costs
& Social costs& Social costs
41. Cigarettes and Other TobaccoCigarettes and Other Tobacco
ProductsProducts
(Prohibition of Advertisement(Prohibition of Advertisement
and Regulationand Regulation
of Trade and Commerce,of Trade and Commerce,
Production,Production,
Supply and Distribution) Act,Supply and Distribution) Act,
2003 (COTPA)2003 (COTPA)
42. Section 4: Ban on Smoking in Public Places
Secondhand smoke (passive smoking) of smoke causes
many diseases like lung cancer, respiratory diseases, heart
disease, breast cancer, asthma, bronchitis. In some cases,
it can trigger severe, even life-threatening reactions in
individuals.
Children are the worst affected. It causes sudden infant
death syndrome.
People working, especially in the food service industry are
affected.
Ban on smoking in public places would prevent damage to
the health of non smokers and smokers
43. Section 5: Ban on Advertisements of
Tobacco Products
In India children and the youth have been greatly influenced by
tobacco advertisements, especially those for cigarettes and gutka which
definitely harms their health.
Advertisements and placing of the product at a low height and next to
candies at points of sale is a strategy they use to give undesirable
exposure and access to children.
A study found that children who had seen sports events being
sponsored by a tobacco company were more likely to start smoking.
This was during the period when a cigarette company sponsored cricket
matches.
Many tobacco industries are promoting tobacco products to target
women.
This provision would prevent women and children from being
influenced by glamorized advertisements of tobacco products.
46. Section 7: Specified Health Warning Labels
on all Tobacco Products
Images help smokers visualize the nature of tobacco-related diseases
and convey health messages in a clearer way.
Pictorial health warnings are intended to serve as visual cues to
prompt smokers to take action to quit. They are designed to shock
people into realizing that smoking kills and causes serious illness.
Pictorial warnings also make the health warnings accessible to those
who are illiterate.
They are effective tool in conveying health risks to the tobacco users.
It also has an impact on intention and ability to quit.
In countries like Brazil, Canada and Thailand many pictorial warnings
have helped in decreasing consumption of tobacco products
47. Section 7(5): Every tobacco package to have
nicotine and tar contents along with the
maximum permissible limits
Nicotine and tar are carcinogens
Nicotine and tar contents along with permissible limits
should mentioned on the packages
Having them on the package would help people making an
informed choice
48. Increasing Tax and Price of Tobacco
Products
Price and tax measures are an effective and important means of
reducing tobacco consumption by various segments of the
population, in particular young persons.
Implementing tax policies and price policies, on tobacco
products would contribute to the health objectives aimed at
reducing tobacco consumption.
This measure acts as a demand reduction measure for tobacco
products.
