CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2012; 33(03): 139-145
DOI: 10.4103/0971-5851.103139
REVIEW ARTICLE

An overview of the tobacco problem in India

Gauravi A Mishra
Department of Preventive Oncology, Tata Memorial Hospital, E. Borges Marg, Parel, Mumbai, India
,
Sharmila A Pimple
Department of Preventive Oncology, Tata Memorial Hospital, E. Borges Marg, Parel, Mumbai, India
,
Surendra S Shastri
Department of Preventive Oncology, Tata Memorial Hospital, E. Borges Marg, Parel, Mumbai, India
› Author Affiliations

Abstract

This is a review paper comprehensively encompassing the different aspects of tobacco control with particular reference to the Indian scenario. The information on prevalent tobacco habits in India, health hazards and environmental hazards due to tobacco use, passive smoking and its impact, economics of tobacco, legislation to control tobacco in India, the tobacco cessation services and the way ahead for effective tobacco control are discussed. Tobacco is a leading preventable cause of death, killing nearly six million people worldwide each year. Reversing this entirely preventable manmade epidemic should be our top priority. This global tobacco epidemic kills more people than tuberculosis, HIV/AIDS and malaria combined. This epidemic can be resolved by becoming aware of the devastating effects of tobacco, learning about the proven effective tobacco control measures, national programmes and legislation prevailing in the home country and then engaging completely to halt the epidemic to move toward a tobacco-free world. India is the second largest consumer of tobacco globally, and accounts for approximately one-sixth of the world′s tobacco-related deaths. The tobacco problem in India is peculiar, with consumption of variety of smokeless and smoking forms. Understanding the tobacco problem in India, focusing more efforts on what works and investigating the impact of sociocultural diversity and cost-effectiveness of various modalities of tobacco control should be our priority.



Publication History

Article published online:
02 August 2021

© 2012. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 WHO Report on The Global Tobacco Epidemic, 2011. The MPOWER packge, warning about the dangers of tobacco. Geneva: WHO; 2011.
  • 2 Jha P, Jacob B, Gajalakshmi V, Gupta PC, Dhingra N, Kumar R, et al. A nationally representative case-control study of smoking and death in India. N Engl J Med 2008;358:1137-47.
  • 3 Gupta PC, Pednekar MS, Parkin DM, Sankaranarayanan R. Tobacco associated mortality in Mumbai (Bombay) India. Results of the Bombay Cohort Study. Int J Epidemiol 2005;34;1395-402.
  • 4 Ramadas K, Sauvaget C, Thomas G, Fayette JM, Thara S, Sankaranarayanan R. Effect of tobacco chewing, tobacco smoking and alcohol on all-cause and cancer mortality: A cohort study from Trivandrum, India. Cancer Epidemiol 2010;34,4:405-12.
  • 5 International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06: India: Volume I. Mumbai: IIPS. Morbidity and Health Care; 2007. p. 426-8.
  • 6 Global Adult Tobacco Survey (GATS) India: 2009-2010 available from: http://www.searo.who.int/LinkFiles/Regional_Tobacco_Surveillance_System_GATS_India.pdf published by IIPS, Mumbai and funded by the Ministry of Health and Family Welfare, GOI 2010. [Last accessed on 2011 Jun 17].
  • 7 Gajalakshmi V, Kanimozhi CV. A Survey of 24,000 Students Aged 13-15 Years in India: Global Youth Tobacco Survey 2006 and 2009. Tobacco Use Insights 2010:3:23-3.
  • 8 Report on Tobacco Control in India (New Delhi, India), In: Reddy KS, Gupta PC, Editors, New Delhi, India: Ministry of Health and Family Welfare; 2004.
  • 9 A global epidemic of addiction and disease. Tobacco: deadly in any form or disguise. World Health Organization. WHO Tobacco Free Initiative. ISBN 92 4 156322 2 (NLM classification: QV 137) ISBN 978 92 4 156322 World No Tobacco Day 2006. Available from: http://www.who.int/tobacco/communications/events/wntd/2006/Report_ v8_4May06.pdf [Last accessed on 2011 Jun 17].
  • 10 Tobacco Smoke and Involuntary Smoking. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. IARC; 2002. p. 83.
  • 11 A WHO / The Union monograph on TB and tobacco control: Joining efforts to control two related global epidemics. 2007 p. 8-10.
  • 12 Pednekar MS, Gupta PC. Prospective study of smoking and tuberculosis in India. Prev Med 2007;44:496-8.
  • 13 Pednekar MS, Gupta PC, Yeole BB, Hébert JR. Association of tobacco habits, including bidi smoking, with overall and site-specific cancer incidence: Results from the Mumbai cohort study. Cancer Causes Control 2011;22:859-68.
  • 14 Goud ML, Mohapatra SC, Mohapatra P, Gaur SD, Pant GC, Knanna MN. Epidemiological Correlates between Consumption of Indian Chewing Tobacco and Oral Cancer. Eur J Epidemiol 1990;6,2:219-22.
  • 15 Boffetta P, Hecht S, Gray N, Gupta P, Straif K. Smokeless tobacco and cancer. Lancet Oncol 2008;9:667-75.
  • 16 Smokeless Tobacco. IARC Monograph. monographs.iarc.fr/ENG/Monographs/vol89/mono89-6.pdf
  • 17 WHO Report on The Global Tobacco Epidemic, 2009. Implementing smoke-free environments. fresh and alive mpower, WHO 2009.
  • 18 WHO Framework Convention on Tobacco Control. World Health Organization. 2003 (updated reprint 2005) ISBN 978 9241591010.
  • 19 Ministry of health and Family Welfare, Government of India. Available from: http://www.mohfw.nic.in/National%20Programme%20for%20Tobacco%20Control.htm [Last accessed on 2010 Nov 06].
  • 20 Available from: http://www.healis.org/ [Last accessed on 2011 Nov 17]
  • 21 Available from: http://www.phfi.org/ [Last accessed on 2011 Nov 17].
  • 22 Available from: http://www.tobaccofreeunion.org/content/en/393/ [Last accessed on 2011 Nov 19].
  • 23 Available from: http://whoindia.org/en/section20/section25_925.htm [Last accessed on 2011 Nov 19].
  • 24 Manual for Tobacco Cessation. National Cancer Control Programme. Directorate General of Health Services. Government of India: Ministry of Health and Family Welfare; 2005.
  • 25 Mishra GA, Majmudar PV, Gupta SD, Rane PS, Hardikar NM, Shastri SS. Call Centre Employees and Tobacco Dependence - Making a Difference. Indian J Cancer 2010;47,5:43-52.
  • 26 Mishra GA, Majmudar PV, Gupta SD, Rane PS, Uplap PA, Shastri SS. Workplace tobacco cessation program in India: A success story. Indian J Occup Environ Med 2009;13:146-53.
  • 27 Murthy P, Saddichha S. Tobacco cessation services in India: Recent developments and the need for expansion. Indian J Cancer 2010;47:69-74.
  • 28 Ross H, Chaloupka FJ. Economic policies for tobacco control in developing countries; salud pública de méxico 2006;48:113-20.
  • 29 Food and agriculture organization of the United Nations. FAO available from: http://faostat.fao.org/site/339/default.aspx [Last accessed on 2011 Nov 19].
  • 30 Development in Practice. Curbing the Epidemic. Government and the Economics of Tobacco Control. Washington, DC: A World Bank Publication; 1999.
  • 31 Tobacco in India. FAO Corporate Document Repository ISSN 1810-0783. Produced by Economic and Social development department. Issues in the Global tobacco Economy. United Nations Rome, 2003 available from: http://www.fao.org/docrep/006/y4997e/y4997e0h.htm#TopOfPage [Last cited on 2011 Jun 17].
  • 32 Shimkhada R, Peabody JW. Tobacco control in India. Bull World Health Organ 2003;81:48-52.
  • 33 Rao V, Chaturvedi P. Tobacco and health in India. Indian Journal of Cancer 2010;47,5:3-8.
  • 34 Rath GK, Chaudhry K. Estimation of cost of management of tobacco related cancers Report of an ICMR Task Force Study (1990-1996).New Delhi, India: Institute of Rotary Cancer Hospital, All India Institute of Medical Sciences; 1999.
  • 35 John RM, Sung HY, Max W. Economic cost of tobacco use in India, 2004. Tob Control 2009;18:138-43.
  • 36 Ranson MK, Jha P, Chaloupka FJ, Nguyen SN. Global and regional estimates of the effectiveness and cost-effectiveness of price increases and other tobacco control policies. Nicotine Tob Res 2002;4:311-9.
  • 37 Chaloupka FJ, Warner KE. The economics of smoking. In: Newhouse JP, Cuyler AJ, editors. The handbook of health economics. New York: North-Holland; 2000.
  • 38 Jha P, Chaloupka FJ, Chaloupka FJ, Hu TW, Warner KE, Jacobs R, et al. The taxation of tobacco products. In: Jha P, Chaloupka FJ eds. Tobacco control in developing countries. Oxford: Oxford University Press; 2000. p. 237-72.
  • 39 Hu TW, Mao Z. Effects of cigarette tax on cigarette consumption and the Chinese economy. Tob control 2002;11:105-8.
  • 40 John RM, Rao RK, Rao MG, Moore J, Deshpande RS, Sengupta J, et al. The Economics of Tobacco and Tobacco Taxation in India. Paris: International Union Against Tuberculosis and Lung Disease; 2010.
  • 41 Laxminarayan R, Deolalikar A. Tobacco initiation, cessation and change: Evidence from Vietnam. Health Econ 2004;13:1191-201.
  • 42 Ross H, Chaloupka FJ. Economics of tobacco control. International; tobacco evidence network. 2002. Available from: http://www.tobaccoevidence.net/pdf/WEurope_activites/CanaryIsland_HanaandFrank.pdf [Last accessed on 2011 Jun 02].
  • 43 Chaloupka, FJ, Hu T, Warner LE, Jacobs R, Yurekli A. The taxation of tobacco products. In: Jha P, Chaloupka FJ, Editors, 2000: Ch 10.
  • 44 Sunley EM, Yurekli A, Chaloupka FJ. The design, administration and potential revenue of tobacco excises. In: Jha P, Chaloupka FJ, editors. Tobacco Control in developing countries. Oxford: Oxford University Press; 2000. p. 409-26.
  • 45 Corrao MA, Guindon GE, Sharma N, Shokoohi DF. Editors. Tobacco Control Country Profiles. Atlanta, GA: American Cancer Society; 2000.
  • 46 Chaloupka F, Jha P, Corrao M, Costa e Silva VL, Ross H, Czart C, et al. Smoking-Related Mortality. WHO Commission on Macroeconomics and Health Working Paper Series, June 25 2001.
  • 47 International Tobacco Control Policy Evaluation Project. Available forom: http://www.itcproject.org/ [Last accessed on 2011 Nov 17].