Programme NTCP One Day Awareness Programe Among College Students Govt Naveen College Gurur On 1 October 2019 District Balod Tobacco kills Source WHO Global status report on noncommunicable diseases 2010 ID: 929104
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Slide1
National Tobacco Control Programme(NTCP)One Day Awareness Programe Among College Students Govt Naveen College Gurur On 1 October 2019
District – Balod
Slide2Tobacco kills ...
Source: WHO Global status report on noncommunicable diseases, 2010,
http://www.who.int/nmh/publications/ncd_report2010/en/
Slide3The only legal consumer product that kills half of its users when used as directed by the manufacturer.
Slide4More 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.
Slide5
Slide6Major 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
Smoking Related Diseases
Slide7Smoking 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
Slide8Most Recent Scientific Evidence: Active Smoking
Slide9Harmful 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If withdrawn, it gives strong withdrawal effects and cravings for nicotine, making the quitting process much more challenging.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.
Slide10Chewing 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
Harmful Effects of Chewing Tobacco
Slide11Increased 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.
Harmful Effects of Chewing Tobacco
Slide12Slide13Tobacco Kills
Slide14Normal versus smokers lung
Slide15The Power Of Addiction
Slide16Nicotine is Addictive
The Nicotine Molecule
Slide17Nicotine 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.
Slide18Stimulates release of two chemicalsNicotine reaches brain
Dopamine ‘Good’ feeling
The vicious cycle of smoking
A smoker smokes
a cigarette
10 sec
Noradrenaline
Alertness & energy
Slide19Dopamine,NA
Withdrawal symptoms
Lack of pleasure
When one stops
smoking
Lights another Cigarette
Relief from
Withdrawal symptoms
Feels the pleasure again
The vicious cycle of smoking
ACT HERE
CREATE SMOKE FREE ENVIRONMENT
Slide20Nicotine saturation is shown in BLUE
Slide21Second-Hand Smoke
Slide22Secondhand Smoke
Also known as:
Environmental Tobacco Smoke (ETS)
Indirect smoke
Involuntary smoking
Passive smoking
Slide23Secondhand 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.
Slide24Third Hand smoking
Slide25Every 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
Slide26Sudden 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 the
airways and respiratory infection
Exposure to nicotine may alter an
infant’s response to hypoxia
Health Effects of Secondhand
Smoke in Children
Slide27Smoking and Second-Hand Smoke Damage Virtually Every Part of the Body
Smoking
Second-Hand Smoke
Slide28The Global Tobacco Health Burden70% of tobacco deaths in the 2020s will be in developing countries (DC)
Slide29Cigarettes
The Tobacco Epidemic is About to Get Much
Worse
……
Slide30The Tobacco Epidemic - Today
Source: WHO 2008
Slide31TOBACCO 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
.
Type
Males
Females
Tobacco users
47.9
20.3
Smokers
24.3
2.9
Smokeless
32.9
18.4
Slide32India 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)
Slide33Nearly 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
Slide34In 2007 alone, this little cigarette claimed
57,00,000
1
lives
1:
WHO report on the global tobacco epidemic, 2008
Slide35Chronic
respiratory
diseases
Cardiovascular
disease
Diabetes
Cancer
Unhealthy
diets
Tobacco
Harmful use of alcohol
Physical inactivity
Mental disorders
Injuries
Tobacco and the NCD action plan:
4 risk factors, 4 noncommunicable diseases, 2 conditions
Risk
factors
Noncommunicable Diseases and Conditions
Slide36Tobacco use in all forms in india(Statewise)
Slide37Percentage of tobacco users by State / UT
Slide38Tobacco users in India (%)
Slide39Tobacco smoking in india (Statewise)
Slide40Percentage of current smokers age 15 and above, according to States/UTs, GATS India, 2009-10
Slide41Percentage of current smokers in India and its states/UTs, GATS India, 2009-2010
Slide42Smokeless tobacco use in all forms in India (Statewise)
Slide43Percentage of current users of smokeless tobacco, according to States/UTs, GATS India, 2009-10
Slide44Percentage of current users of smokeless tobacco in India and its states/UTs, GATS India, 2009-2010
Slide45Prevalance of Tobacco Use in Chattisgarh and India Source: GATS survey Indicator Chhattisgarh %
National Average %Current Tobacco user53
35 (Chattisgarh has 7th
highest in the country)Current smokers
13
14 (10
states in India has lower prevalance than CG
)
Current users of smokeless tobacco 4726 (CG has
3rd highest in the country)Exposure to second hand smoke at workplace
2130 (6 states in India has lower prevalance
)Exposure to SHS at home6752 (CG has
12
th
highest
in the country)
Exposure to any public place
22
29 (
5
states in India has lower prevalance
)
Slide4630 minutes by now
240 deaths!!
National Tobacco Control Programme, MoHFW
Slide47Cigarettes 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 Cell
Directorate of Health Services
Government of Chhattisgarh
Department of Health and Family Welfare
Slide48COTPA 2003ScopeThe 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.
Slide49Section 4: Prohibition of Smoking in Public PlacesSmoking in all “public places” is prohibitedliability on every owner, proprietor, manager, supervisor or in charge of the affairs of a public place to ensure:
Display of the the “No Smoking” signageNo smoking aids like ashtrays, matchboxes are providedNotify and display the name of the person at prominent place to whom a complaint may be made
No person smokes in his jurisdiction
Slide50Section 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.
Slide51Only at Hotels with 30 or more rooms; Restaurants with seating capacity of 30 or more
AirportsOnly If
It is made as per the specifications
Section 4: Rules
….
Designated
Smoking Area
Slide52Compoundable offencePenalties Individual offenderliable to pay a fine of up to Rs. 200 The manager, owner or in-charge of a public place fails to comply and /or act on report of violation:
liable to pay a fine equivalent to the number of individual offences. Enforcement officers
21 category of persons authorized to take action
(List Annexed in the folder provided)
Section
4:
Enforcement Rules …
Note: Mention in the Gazette of Govt. of India.
Slide53Section 5 : Prohibition of advertisement, promotion and sponsorship of all tobacco products
No
person engaged in the production, supply or distribution of tobacco products shall advertise
No person
having control over a medium shall cause to be
advertised through that medium
No
person shall take part in any advertisement which directly or indirectly suggests or promotes to use or consumption of tobacco products
No
trade mark or brand name of cigarettes or any tobacco product to be promoted in exchange for sponsorship, gift, prize or scholarship
No person, under contract or otherwise, promote or agree to promote any tobacco product or its
usage
Slide54Amended Rules for Section 5G.S.R. No. 345 (E) vide 31st May, 2005Restrictions on the content and size of Point of Sale (PoS) advertisements
Maximum size : 60 cms x 45cms.
Prominent health warning on the top edge of
PoS
boards [size 20cmsX15cms] in black color with a white background
(
i
) Tobacco causes cancer
(ii) Tobacco kills
No brand pack shot, brand name of tobacco product or other promotional messages shall be displayed.
The display board shall not be backlit or illuminated.
Slide55Amended Rules for Section 5G.S.R. No. 345 (E) vide 31st May, 2005 cont..To prevent surrogate advertising of tobacco products; ‘indirect advertising’ has been defined as:
Use of a name or brand of tobacco products for marketing, promoting or advertising other goods, services and events;Use of particular colors and layout and/or presentation those associated with particular tobacco products; and
Use of tobacco products and smoking situations when advertising other goods and services
Slide56Restriction on tobacco usage in Films & Television Programmes RulesA strong editorial justification explaining the necessity of such displayA 'U/A' Certification
Anti-Tobacco Health Messages or Spots of
30 seconds duration (beginning and middle)A disclaimer by the concerned actor of minimum twenty seconds duration (beginning and middle)
Anti-Tobacco
Health Warning
as static message during
period of such display
Prohibition
on display of tobacco product placement , tobacco products or their use in the promos and poster of films and television
programmesProhibition on display of brand names and logos of tobacco products in print and electronic media.
Slide57Pan Masala as a Proxy product for Gutkha Advertisements
Pic: Pachpadi Naka, Raipur
Slide58Indirect /surrogate Advertisements in name of Pan masala or other products mirror images of tobacco productSold in the same shopSame product formatSame brand nameSimilar packagingSimilar pricing
Similar displayAdvertisements at Point of SaleAdvertisements in print, outdoor and electronic media (incl. TV and Films)Sponsorships in public events
Most common violations under Section 5
Slide59Bailable & non-compoundable offence In case of 1st conviction, with imprisonment for a term which may extend to
2 years or with fine which may extend to Rs.1000 or with both.
In case of 2nd or subsequent conviction
, with imprisonment for a term which may extend to 5 years and with fine which may extend to
Rs.5000
.
Cr.PC 1973 are applicable for search & seizure
Penalty for violation of Section-05
Slide60Section 6: Prohibition of sale of tobacco products to minorsWarn tobacco sellers, vendors and industry that sale to and by minors is prohibited (Section 6 a)Warn about harms of tobacco to youth, at point of sale and in educational institutions (Section 6 b)
No tobacco products are displayed in a manner that enables its easy access to minors.
The seller of tobacco product shall confirm that the buyer of tobacco product is not a minor. In case of doubt the seller may request the buyer to provide appropriate age proof/identity proof.
Note- Cigarette and other tobacco products Amendment Rules, 2011
Slide61Signage under section 6 (a) OR
Board Size : 60cm x30cm
Pictorial image : 50% of the boardLanguage : English or Locally prevailed Indian language
No tobacco product is
handled or sold
by minors.
No tobacco product is sold
through a vending machine
.
Slide62Violations under Section 6 (a)Sell of tobacco products to a minorAllows handling , sale or distribution of tobacco products by a minorNo display of warning board as specified
Allows display of tobacco products that enables easy access of tobacco products to a minor.Sell of tobacco products through a vending machine
Slide63Section 6 (b): ProvisionsAll educational institutions should have a board on their boundary wall and at the entrance
stating the mandatory message. Measurement of the distance of 100 yards
for the location of a tobacco vendor or point of saleRadially from
the outer limit of boundary wall or as the case may be of the educational institution
Slide64Authorized OfficersS.No Persons authorized to take action1Vice chancellor or Director or proctor or principal or Headmaster or in charge of an Education Institute
2Assistant labor commissioner from the Department of labour
3
All officers of rank of sub-inspector in state food and drug administration from the department of food and drug
4
All officers of the rank of inspector from the department of Education
5
All police officers of the
rank of sub inspector of police and the above
6
Municipal health officers 7
Representative of
Panchayati
raj institute ( chairperson or
sarpanch
of secretary)
8
District
programme
manger or Finance Manger- district Health society ( National Health Mission)
9
Civil surgeon or Chief medical officer at district hospital or medical officer at primary health center (PHC)
10
Block Development Officer , Block Extension Educator (BEE)
11
Director or joint director department of Health , and department of education in the state government
12
Nodal officer of State and district Tobacco Control Cell under National tobacco control
programme
.
Slide65Present Pictorial warningsFor smoking forms of tobacco packs
For chewing or smokeless forms of tobacco packages
New pictorial warnings (effective from 1
st
April 2015
Slide66No display of specified pack warningsSize of warnings not as per the rulesIncorrect placement of warningsIncorrect use of language/sMisleading descriptors/Promotional messages on the pack
Violations under Section 7, 8 & 9
Slide67Penalty Offence is bail able & non compoundableCr. PC 1973 are applicable for search & seizure
Slide68Thank you