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This article discusses the alarming consequences of tobacco use, such as high mortality in TB patients and oral cancers, and highlights the significance of tobacco control in public health. It explores the major achievements in public health in the 21st century and provides information on tobacco control policies and efforts in India, particularly in Himachal Pradesh. The article emphasizes the importance of creating awareness and effective implementation of tobacco control measures to save lives and prevent disease.
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> 40% mortality in TB patients >50% NCDs are due to tobacco >90% oral cancers are due to tobacco
Tobacco is now the world’s leading single cause of death • 5 million deaths/yr, will increase to >8 million/yr by 2030 • 1 billion people deaths during the 21st Century • (Report on World Health Statistics, 2008)
Biggest Public Health Achievements in 21st century • 1. Vaccination • 2. Recognition of Tobacco Use as a Health Hazard • 3.Motor vehicle safety • 9. Control of Infectious Diseases • 10 Family Planning https://www.mylifestages.org/blog/everything-health/top-10-greatest-public-health-achievements-of-this-century
Proportional Mortality, by cause, India Source: WHO Global Status Report on Noncommunicable Diseases 2014
NCDs Risk factors & mortality per year Tobacco-6.3 million deaths= 63 Lac Alcohol-4.9 million deaths=49 Lac Unhealthy diet-4.9 million deaths=49 Lac Physical inactivity-3.2 million deaths=32 Lac (lancet 2012)
Tobacco control policies WHO-FCTC MPOWER NTCP COTPA FSSAI Drug & Cosmetic act
Main provisions..COTPA (restrictions) On smoking in public places(4) On sale to the minors(6) On sale by the minors(6) On sale with in 100 yards of Edu. Institutions(6) On direct/indirect advt.(5) On sale without pack warnings(7) (Protection of the Law enforcers )
Boards / Signage is to be displayed at a prominent place out side the Campus of Educational Institutions Sale of Tobacco Products with in the radius of 100 yards from the EDUCATIONAL INSTITUTIONS is an OFFENCE.
Boards / Signage is to be displayed at Tobacco selling shops
Tobacco control in HP Making Shimla smoke-freeTribune News Service Shimla, May 5The state government will soon authorise the police and staff from other departments to compound tobacco-related offences in their endeavour to make Shimla ‘Smoke-free’ and eradicate the problem of tobacco. This was stated by Chief Secretary Asha Swaroop while presiding over the state-level workshop on Effective Implementation of ‘Control of Tobacco Products Act (COTPA), 2003 and ‘Smoke free-Shimla’ organised by the Himachal Pradesh Voluntary Health Association (HPVHA) here today. “Seeing the alarming number of tobacco-related deaths the need of the hour is to create awareness and sensitise major stakeholders right from the police, bureaucracy and policy makers and people at large for the effective implementation of the anti-Tobacco Act. Smt Asha Swaroop Chief Secretary HP on 5.5.09 in HP Sett.
P- Himachal Goes smoke Free First Tobacco Free Village
Jul 24,2016 : The Himachal Pradesh government will soon impose a ban on sale of loose cigarettes and also enhance value-added tax (VAT) on tobacco products. The tribune
Achievements so far Smoke free Shimla -2010 Smoke Free Himachal -2013 Smokeless tobacco ban-2012 New legislation for banning sale of loose tobacco and licensing tobacco vendors -2018 24% reduction I tobacco use as per GATS -2
Plan for 2019-20 Prepare for World No Tobacco day celebration on 31.5.19 Theme – Tobacco and Lung Health Hold Distt . level coordination committee meeting with DC Follow the work plan & expedite expenditure Display No smoking signages in all public places Ensure display 100 yards board in schools & other Edu Institutes Tobacco free workplaces