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BURDEN OF TOBACCO AND GLOBAL TOBACCO CONTROL

BURDEN OF TOBACCO AND GLOBAL TOBACCO CONTROL. Mini-Lecture 1 Module: Tobacco and Community Medicine and Public Health. Objectives of the Mini Lecture. GOAL OF MINI LECTURE: Provide students with an understanding of the epidemiology of tobacco use and tobacco control laws and policy.

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BURDEN OF TOBACCO AND GLOBAL TOBACCO CONTROL

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  1. BURDEN OF TOBACCO AND GLOBAL TOBACCO CONTROL Mini-Lecture 1 Module: Tobacco and Community Medicine and Public Health

  2. Objectives of the Mini Lecture • GOAL OF MINI LECTURE: Provide students with an understanding of the epidemiology of tobacco use and tobacco control laws and policy. • LEARNING OBJECTIVES • To discuss the epidemiology of tobacco use from global, Indian, and Kerala perspectives. • To gain an overview of tobacco control laws and policies both globally and in India. • To understand the smoking epidemic and India’s current status with respect to the smoking epidemic.

  3. Contents Core Slides Optional Slides COTPA: Penalties Tobacco Industry in India Tobacco Use among Women Tobacco Use among Men • Burden: Global • Tobacco Burden: India • Tobacco Burden: Kerala • Global Tobacco Control • COTPA 2003 • Smoking Epidemic: 4 Stages

  4. CORE SLIDES Burden of Tobacco and Global Tobacco Control Mini-Lecture 1 Module: Tobacco and Community Medicine and Public Health

  5. 10 countries account for 2/3rd of World Smokers2 Burden: Global • 6% of all deaths and 3% of total disease1 • 5.4 million deaths in 20082 • Developing countries: 75% of tobacco users1 & 80% of all tobacco-related deaths2 1. Report of the Surgeon General 2004; 2. World Health Organization 2008

  6. 2 India Tobacco Burden: India1 Age: 15-24 yrs: • Men: 19.5% smoke and 30% chew • Women: 0.2% smoke and 0.3% chew Age: 25-49 yrs: • Men: 40.5% smoke and 40.2% chew • Women: 2.3% smoke and 11.3% chew 1. Parasuraman et al. 2009

  7. India Tobacco Burden: Kerala • Kerala: Age 15–49 yrs1: • Men: smoke—35.8%, any tobacco use—43.5% • Women: smoke—0.1%, any tobacco use—1.8% • Kerala: Male medical establishment:2 • Medical students: 14% • Medical teachers: 15% • Government health service doctors: 13% 1. NFHS 3, 2005–06; 2. Mohan et al.2006

  8. Global Tobacco Control • World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC)1 • WHO Code of Practice on Tobacco Control2 • Taxation: single most effective measure3 1. World Health Organization, http://www.who.int/fctc/signatories_parties/en/index.html ; 2. World Health Organization, http://www.who.int/tobacco/communications/events/codeofpractice/en/; 3. van Walbeek 2000

  9. India COTPA 20031 • Cigarettes and Other Tobacco Products Act (COTPA) 2003: • Extends to whole of India and applicable to all products containing tobacco in any forms. • Section.4—Prohibition of smoking in public places. • Section.5—Prohibition of advertisement of cigarettes and other tobacco products. • Section.6—Prohibition of sale of cigarettes or other tobacco products to a person below 18 years. • Section.7,8,9 &10—Specified Health Warning labels on all tobacco products including pictorial warnings. 1. Government of India 2003

  10. Smoking Epidemic: Four Stages1 1. Esson and Leeder 2004

  11. OPTIONAL SLIDES Burden of Tobacco and Global Tobacco Control Mini-Lecture 1 Module: Tobacco and Community Medicine and Public Health

  12. India COTPA: Penalties1 1. Government of India: The Cigarettes and Other Tobacco Products Act, 2003.

  13. Tobacco Industry in India India 1. Food and Agriculture Organization 2003; 2. Gupta and Shankar 2003; 3. World Health Organization 2004 • Second largest in terms of area devoted to growing tobacco, after China.1 • About 6 million Indian farmers are engaged in growing tobacco.2 • Another 20 million people work on tobacco farms and a large percentage of the population is involved in retail trade.2 • Approximately 10% of all female and 5% of all male beedie workers are under 14 years of age.3 • Revenue generated through tobacco industry: ~ 5% of budget revenue.2

  14. India Tobacco Use among Women TOBACCO USE AMONG WOMEN,15–49 YRS (%) IN SELECTED STATES1 1. National Family Health Survey (NFHS) 2005–06

  15. India Tobacco Use among Men TOBACCO USE AMONG MEN,15–49 YRS (%) IN SELECTED STATES1 1. National Family Health Survey (NFHS) 2005-06

  16. The most important health message a doctor can give to patients is to quit smoking.

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