D-Sector for Development Community

   Wednesday, November 21, 2018
Agriculture - Duties and Rights - Education - Environment - Food - Global - Governance - Health - Indian Economy - Indian Society - Physical Development - Social Welfare - Water and Sanitation
Print | Back
Smoke or chew, tobacco will kill!
By Ashok B Sharma



The GATS-India report is a wakeup call to the policymakers and the government that its anti-tobacco measures are not enough to contain the menace.

edf40wrjww2articles:details


GATS-India survey says 35% adults in India use tobacco in some or other form

Notwithstanding several anti-tobacco measures of the government, about one million persons die due to tobacco-related diseases every year, and this reflects a higher mortality than the combined deaths resulting from other major diseases such as tuberculosis, HIV AIDS and malaria in India.

The recently released first Global Adult Tobacco Survey (GATS) – India 2010 has revealed that Tobacco is the single most common preventable cause of death in the world after road accidents causing nearly five million deaths annually across the globe. More than 80% of these deaths occur in the developing countries. Majority of cancers, cardiovascular and lung diseases resulting from tobacco use also reflect a very high health cost burden.

As a result of stringent tobacco control initiatives by the developed countries, the tobacco industry has shifted its focus to the developing countries. Countries like India are being targeted as potential markets by the global tobacco industry. According to a projection by 2030, seven of every 10 tobacco-attributable deaths are expected to be in the developing countries.

The GATS-India report is a wakeup call to the policymakers and the government that its anti-tobacco measures are not enough to contain the menace. The central government says that the implementation of The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution Act 2003 – COTPA – is the responsibility of the state governments. The law provides for banning smoking in public places, ban on all forms of direct and indirect advertisements, ban on sale of tobacco products to minors and within 100 yards of educational institutions.

As a result of stringent tobacco control initiatives by the developed countries, the tobacco industry has shifted its focus to the developing countries. Countries like India are being targeted as potential markets by the global tobacco industry.

The central government had launched the National Tobacco Control Programme (NTCP) in 2007-08 in 21 states and 42 districts to field test tobacco control strategies, but the progress of this project is tardy.

India, which has ratified the Framework Convention of Tobacco Control (FCTC) in 2004, has a responsibility to contain the tobacco menace.

The central government is planning to persuade farmers to shift to alternative crops. The Union Minister of Health and Family Welfare, Ghulam Nabi Azad has said that while livelihood of tobacco growing farmers cannot be endangered, we must work towards moving farmers and farm workers out of the tobacco farming. Alternative employment should also be provided to the workers in the tobacco industry, he said.

Emphasizing the need for inter-sectoral coordination for comprehensive tobacco control strategies, the minister informed about collaboration with agriculture ministry for a project on alternative crops to tobacco and coordination with other stakeholders ministries like human resource development, information and broadcasting, rural development and labour.

GATS-India survey was conducted under the stewardship of the Union Ministry of Health and Family Welfare along with the International Institute for Population Sciences, Mumbai. Technical assistance was provided by Centres for Disease Control and Prevention (CDC), World Health Organization (WHO), Johns Hopkins Bloomberg School of Public Health, and RTI International.

GATS-India provides information on both, tobacco smoking and use of smokeless tobacco along with varied dimensions of tobacco use including use of different tobacco products, frequency of use, age at the time of initiation and the like. Additionally the report throws light on the other aspects of tobacco use like, exposure to second-hand smoke; cessation; the economies of tobacco; exposure to media messages on tobacco use; and knowledge of health impact of tobacco use.

The high prevalence of tobacco use makes India the second largest consumer in the world. India is among the few countries in the world where tobacco is consumed in oral form. GATS-India revealed that more than one-third (35%) of adults in India use tobacco in some form or the other. Among them 21% adults use only smokeless tobacco, 9% only smoke and 5% smoke as well as use smokeless tobacco. Based on these, the estimated number of tobacco users in India is 274.9 million, with 163.7 million users of only smokeless tobacco, 68.9 million only smokers and 42.3 millions users of both smoking and smokeless tobacco.

The prevalence of overall tobacco use among males is 48% and that among females is 20%. Nearly two in five (38%) adults in rural areas and one in four (25%) adults in urban areas use tobacco in some form. Prevalence of smoking among males is 24% whereas the prevalence among females is 3%. The extent of use of smokeless tobacco products among males (33%) is higher than among females (18%).

The prevalence of tobacco use among all the states and Union Territories ranges from the highest of 67% in Mizoram to the lowest of 9% in Goa. Prevalence of tobacco use in Arunachal Pradesh, Bihar, Chhattisgarh, Jharkhand, Madya Pradesh, Manipur, Meghalaya, Mizoram, Nagaland, Odisha, Sikkim, Tripura, Assam and West Bengal is higher than the national average. In most of the states and Union Territories the prevalence of both smoking and smokeless tobacco use among males is higher than among females with exceptions in Puducherry, Tamil Nadu, Meghalaya, Tripura and Mizoram, where prevalence of smokeless tobacco is higher among females than males.


In recent years Gutkha consumption has increased manifold

More than 75% of tobacco users, both smokers as well as users of smokeless tobacco are daily users of tobacco. In India, khaini or tobacco-lime mixture (12%) is the most commonly used smokeless tobacco product, followed by gutkha, a mixture of tobacco, lime and areca nut (8%), betel quid with tobacco (6%) and applying tobacco as dentifrice (5%). The prevalence of each of the smokeless tobacco products, except dentifrice, is higher among males than females. Among smoking tobacco products, bidi, leaf-wrapped tobacco sticks (9%) is used most commonly followed by cigarette (6%) and hookah (1%).

Among both males and females, the prevalence of cigarette smoking is higher in urban areas but the prevalence of all other smoking products is higher in rural areas. The prevalence of each of the smokeless tobacco product is higher in rural than in urban areas, however, gutkha is almost equally prevalent in both urban and rural areas.

The high prevalence of tobacco use makes India the second largest consumer in the world. India is among the few countries in the world where tobacco is consumed in oral form.

On an average a daily cigarette smoker in India smokes 6.2 cigarette sticks per day and a daily bidi smoker smokes 11.6 bidi sticks per day. One-fourth of daily cigarette smokers smoke more than 10 cigarettes per day and more than half of the daily bidi smokers smoke more than 10 bidis per day.

The GATS-India shows that 52 % of adults were exposed to second-hand smoke (SHS) at home. In rural areas 58% and in urban areas 39% were exposed to SHS at home. The SHS exposure at home ranged from the highest of 97% in Mizoram to the lowest of 10% in Tamil Nadu. Exposure to SHS in indoor workplaces who usually work indoors or both indoors and outdoors was 30%. The exposure to SHS at workplace was highest (68%) in Jammu and Kashmir and lowest in Chandigarh (15%).

Exposure to SHS at any public places ranged from the highest of 54% in Meghalaya to lowest of 11% in Chandigarh

India has enacted anti-tobacco laws and the state governments are the implementing agencies for most of these laws, however the success of the anti-tobacco drive depends much upon generation of awareness and effective implementation of anti-tobacco measures by both the central and the state governments.

Ashok B Sharma  |  ashokbsharma@gmail.com

Ashok B Sharma is a commentator on agriculture and trade policy related issues.

Write to the Author  |  Write to d-sector  |  Editor's Note
 


 
 Other Articles in Human Development
 
 
Corruption Watch

The bad news is that corruption has not only sustained but has grown in size and stature in the country. With scams being a regular feature, seventy per cent respondents in a survey have rightfully opined that corruption has continued to increase in India. One in every two interviewed admit having paid a bribe for availing public services during last one year. Transparency International's latest survey reveals that the political parties top the chart for the most corrupt public institutions, followed by police force and legislatures. No wonder, India continues to make new records on the global corruption arena!

The shocking revelation is that the health and education sectors haven't remained untouched by this phenomenon. With 5th and 6th positions respectively for these sectors on the public perception chart on corruption, corruption has crept insidiously into these sectors of hope for the masses. With bureaucracy being fourth in the list of corrupt institutions in the country, corruption seems to have been non-formally institutionalized with little hope if public services would ever be effective in the country. With economic growth having literally institutionalized corruption, are we now expecting corrupt to be socially responsible - a different CSR.

Poor. Who?

Not giving 'aid' to India is one thing but calling it 'rich' is quite another. If one in three of the world's malnourished children live in India, what does average daily income of $3 indicate? It perhaps means that there is a relative decline in poverty - people are 'less poor' than what they used to be in the past. But having crossed the World Bank arbitrary threshold of $2 a day does not absolve the 'developed' countries of their obligation to part with 0.7 per cent of their Gross National Income in development aid. Should this three-decade old figure not be revised?  

An interesting debate in UK's House of Commons delved on future of development assistance by the British Government. While prioritizing limited resources has been a concern, there has been no denying the fact that development aid must be guided towards tangible gains over a short period of time to start with. There are difficult choices for elected governments to make - should they invest in long-term primary education or in short-term university scholarships? Which of these will bring gains and trigger long-term transformation in the society. As politicians continue to be divided on the matter, poverty persists!!   

Lead View
People, Partition and the Pain
By Rina Mukherji
15 Aug 2013

Dr Jayanti Basu's book analyzes the complex feelings of hatred and longing for the homeland that have contributed to shaping the personalities of a generation of people who were forced to ..
Book Shelf

Yamuna Manifesto

A Journey in the Future of Water

Spoiling Tibet

On Western Terrorism
Commentators
Devinder Sharma
Carmen Miranda
Pandurang Hegde
Sudhirendar Sharma
Member Login
- New Member
- Forgot Password

WoW Gold,Buy WoW Gold,Website Design,Web Design,Health Tips,Health Guides,NFL News,NFL Jerseys,Fashion Design,Home Design,Replica Handbags,Replica Bags,Jewelry Stores,Wedding Jewelry,WOW Gold,Cheap WoW Gold,Wedding Dresses,Evening Dresses,MMORPG Guides,MMORPG Tips,Fashion Jewelry,Fashion Crystal,Sexy Lingerie,Best Sexy Lingerie,Fashion Clothing,Fashion Shoes,Travel News,Travel Guides,Education News,Education Tips