Tobacco Control Awareness Program for College Students in Balod District

1. National Tobacco Control Programme(NTCP)One Day Awareness Programe Among College Students GovtNaveen College GururOn 1 October 2019 District – Balod

2. Tobacco kills ... Source: WHO Global status report on noncommunicable diseases, 2010, http://www.who.int/nmh/publications/ncd_report2010/en/

3. The only legal consumer product that kills half of its users when used as directed by the manufacturer.

4. More than 7000 chemicals have been identified in cigarette smoke – some of them are shown) Carbon monoxide binds to haemoglobin in red blood cells, preventing affected cells from carrying a full load of oxygen. Carcinogens in tobacco smoke damage important genes that control the growth of cells, causing them to grow abnormally or to reproduce too rapidly. Smoking affects the working of the immune system and may increase the risk for respiratory and other infections.

6. Smoking Related Diseases Major Killers: -Coronary Artery Disease(IHD or Heart Attacks -COPD : Chronic Bronchitis & Emphysema -Lung Cancer -Other Cancers: Mouth , throat , bladder , Esophagus ,stomach , liver , leukemia's etc Diseases of Blood Vessels: -Stroke -Peripheral Vascular Disease( Legs) -Aortic Aneurysm

7. Smoking Related Diseases ( Contd..) • Pneumonia and other lung infections • Reproduction and Fertility: -Infertility in Women -Menstrual disorders : Pain , Amenorrhoea -Early Menopause -Underweight babies -Impotence -Oligospermia( Less sperms) • Other health Effects: Osteoporosis , hip fracture , Cataract , damage to “seeing cells” in retina

8. Most Recent Scientific Evidence: Active Smoking

9. Harmful Effects of Chewing Tobacco Many people believe, wrongly, that chewing tobacco is a safe alternative to smoking. But it is not so. Like cigarettes, smokeless tobacco contains nicotine, which is an addictive chemical. If withdrawn, it gives strong withdrawal effects and cravings for nicotine, making the quitting process much more challenging. Like smoking, there are numerous detrimental health effects related to chewing tobacco.

10. Harmful Effects of Chewing Tobacco Chewing tobacco is highly addictive. In half an hour chew of tobacco , tobacco user ingests an amount of nicotine which is equivalent to the amount in 4 cigarettes Many users have to chew while sleep because of strong addiction Chewing tobacco contains over 25 carcinogens or cancer causing agents

11. Harmful Effects of Chewing Tobacco • Increased risk of oral cancers, throat and pharynx cancers. Oral cancers include those of the lips, mouth, gums, cheeks and tongue • 90% of all oral cancers are caused by tobacco chewing • Users of chewing tobacco are at an increased risk of cardiovascular. Nicotine constricts blood vessels, increases blood pressure, increases heart rate and reduces the amount of oxygen in the blood.

13. Tobacco Kills

14. Normal versus smokers lung

15. The Power Of Addiction

16. Nicotine is Addictive The Nicotine Molecule

17. Nicotine addiction • A psychoactive drug affecting mood and performance • Nicotine is:- • - 1000 times more potent than alcohol • - 10 – 100 times more potent than barbiturates • - 5 – 10 times more potent than cocaine or morphine • Nicotine is a legalized drug more addictive than marijuana, cocaine, heroin, morphine and bhang • Within 10 seconds reaches brain.

18. The vicious cycle of smoking Nicotine reaches brain 10 sec Stimulates release of two chemicals A smoker smokes a cigarette Dopamine ‘Good’ feeling Noradrenaline Alertness & energy

19. The vicious cycle of smoking When one stops smoking • Lights another Cigarette • Relief from • Withdrawal symptoms • Feels the pleasure again Dopamine,NA • Withdrawal symptoms • Lack of pleasure ACT HERE CREATE SMOKE FREE ENVIRONMENT

20. Nicotine saturation is shown in BLUE

21. Second-Hand Smoke

22. Secondhand Smoke Also known as: • Environmental Tobacco Smoke (ETS) • Indirect smoke • Involuntary smoking • Passive smoking

23. Secondhand Smoke To non-smokers , it is always unpleasant • It smells • It chokes • It irritates nose and eyes • Now proven that breathing others smoke can • also be highly dangerous.

24. Third Hand smoking

25. Every year, exposure to secondhand smoke causes over 600,000 premature deaths worldwide. Oberg M, et al. Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. Lancet 2010; Published online November 26, 2010 DOI:10.1016/S0140-6736(10)61922-8

26. Health Effects of Secondhand Smoke in Children Sudden infant death syndrome (SIDS) • Risk factors for SIDS include the following: • Active maternal smoking: risk increases with increased maternal smoking during pregnancy • Prematurity and low birth weight: both associated with maternal smoking • SHS promotes direct irritation of theairways and respiratory infection • Exposure to nicotine may alter aninfant’s response to hypoxia

27. Smoking and Second-Hand Smoke Damage Virtually Every Part of the Body Smoking Second-Hand Smoke

28. The Global Tobacco Health Burden 70% of tobacco deaths in the 2020s will be in developing countries (DC)

29. The Tobacco Epidemic is About to Get MuchWorse…… Cigarettes

30. The Tobacco Epidemic -Today Source: WHO 2008

31. TOBACCO USE IN INDIA Prevalence of tobacco use (%) (GATS 2010) • 274.9 million use tobacco in some form or other • 163.7 million use smokeless forms of tobacco. • 68.9 million smoke tobacco.

32. India is 2nd largest consumer & producer of tobacco. • India accounts for 10% of the world tobacco area and 9% of the production. • Approx 1.2-1.3 crore people are engaged in tobacco sector. • Approx 55 Lakh bidi workers engaged in bidi rolling. • The bidi industry directly supports nearly 22 lakh tribal people who are engaged in plucking and sale of tendu leaves (Chhattisgarh is one of them)

33. Nearly 8 -9 lakh person die in India due to tobacco use every year. 30% of cancer deaths, majority of cardio-vascular and lung disorders; 40% of TB and other related diseases are attributed to tobacco consumption. Over 80% of oral cancers are caused due to tobacco use. Total economic cost of the 3 major diseases (Cancer/COPD/Lung disorder) due to tobacco use in India was Rs. 30,833 crores in 2002-03. As per the WHO Global Report on “Tobacco Attributable Mortality” 2012, 7% of all deaths (for ages 30 and over) in India are attributable to tobacco. Within non-communicable diseases group, 9% of deaths are attributable to tobacco, with 58% of deaths due to trachea, bronchus, lung cancers caused due to tobacco use. In addition, 25% of deaths caused by respiratory diseases and 28% of deaths caused by Chronic Obstructive Pulmonary Disease (COPD) are attributable to tobacco. BURDEN OF TOBACCO USE ( INDIA) National Tobacco Control Programme, MoHFW

34. In 2007 alone, this little cigarette claimed 57,00,0001 lives 1: WHO report on the global tobacco epidemic, 2008

35. Tobacco and the NCD action plan:4 risk factors, 4 noncommunicable diseases, 2 conditions Cancer Chronic respiratory diseases Diabetes Mental disorders Cardiovascular disease Noncommunicable Diseases and Conditions Injuries Physical inactivity Riskfactors Harmful use of alcohol Unhealthy diets Tobacco

36. Tobacco use in all forms in india (Statewise)

37. Percentage of tobacco users by State / UT

38. Tobacco users in India (%)

39. Tobacco smoking in india (Statewise)

40. Percentage of current smokers age 15 and above, according to States/UTs, GATS India, 2009-10

41. Percentage of current smokers in India and its states/UTs, GATS India, 2009-2010

42. Smokeless tobacco use in all forms in India (Statewise)

43. Percentage of current users of smokeless tobacco, according to States/UTs, GATS India, 2009-10

44. Percentage of current users of smokeless tobacco in India and its states/UTs, GATS India, 2009-2010

45. Prevalance of Tobacco Use in Chattisgarh and India Source: GATS survey

46. 30 minutes by now 240 deaths!! National Tobacco Control Programme, MoHFW

47. Cigarettes and Other Tobacco Products(Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution)Act, 2003 and its notifications State Tobacco Control CellDirectorate of Health Services Government of ChhattisgarhDepartment of Health and Family Welfare

48. COTPA 2003 Scope • The Act is applicable to all products containing tobacco in any form. • The Act extends to whole of India. Main Provisions • Section 4: Prohibition of smoking in public places. • Section 5: Prohibition of advertisement, sponsorship and promotion of tobacco products. • Section 6: Prohibition of sale of tobacco products to minors and near educational institution. • Section 7, 8, 9: Restriction of Trade & commerce and production, supply and distribution of tobacco products without including pictorial depiction of Health Warning.

49. Section 4: Prohibition of Smoking in Public Places • Smoking in all “public places” is prohibited • liability on every owner, proprietor, manager, supervisor or in charge of the affairs of a public place to ensure: • Display of the the “No Smoking”signage • No smoking aids like ashtrays, matchboxes are provided • Notify and display the name of the person at prominent place to whom a complaint may be made • No person smokes in his jurisdiction

50. Section 4: Rules ….No smoking Signage No smoking signage must be of 60X30 cm. No smoking signage must printed/ displayed (together / separately) with the details of the person to whom a complaint may be made.