By Deepak K Mishra Executive Director Socio Economic and Educational Development Society (SEEDS) Need of Tobacco Control

In 2001, the worst terror attacks claimed 3,000 lives

In 2004, a huge Tsunami claimed 2,25,000 lives

In 2007 the deadly HIV virus claimed 20,00,000 lives 2. 1: UNAIDS Report on the global AIDS epidemic, 2008

In 2007 alone, this little cigarette claimed 57,00,000 1 lives 1: WHO report on the global tobacco epidemic, 2008

Comparing TOBACCO with HIV/AIDS and TB Despite being the biggest cause of loss of life, Tobacco control is given least attention

 Tobacco prevalence in Bihar is 53.5% v/s 34.6% for India  Male Users: 66.2 %, Female Users; 40.1 %  Bihar stands 6 th from top among current tobacco user state  SMOKELESS form of Tobacco (Khaini, Pan Masala, Zarda, Flavored Tobacco, Gutkha etc %  Use of KHAINI is highest in Bihar  Smoking form of Tobacco - 5 %

 New cancer patient (yearly) In India - 12 Lakh (Approx) In Bihar thousand  Death due to cancer (per year) In India - 5 Lakh (Approx) In Bihar thousand  As per estimate by 2020 burden of cancer patient in India would be 11,48,757 per year Source: Mahavir Cancer Sansthan, Patna

Prevalence of Tobacco use in Bihar (Contd.) (in absolute terms [in million] and National rank of state) Total UsersTotal smokers Exposed to second- hand smoke at any public place Total dual users Total smokeless Users 3,08,50,882 (2) 27,10,264 (11) 5,76,65,200 (3) 54,78,194 (2) 2,26,62,423 (2) just less than that of population of Assam Population Kanpur (12 th biggest city of India) Population just less than Gujarat In effect one smoker exposes 21.2 people in Bihar. About the population of Bangalore More than Chhattisgarh !

Among years school students 14.6% use tobacco 4.4% smoke 21.9% live in the homes where others smoke in their presence More than 5500 children / Adolescents start tobacco consumption daily The average age at initiation of tobacco use was 17.8 years 25.8% of females starting tobacco use before the age of 15

Tobacco Kills

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

3 Aspects in Tobacco control Solution Root-causeGravity 3D3P 3S

Death I2 Lakh Disease 9 Crore Distress Victim’s Family 3D

Why Tobacco still with us? 3P P rofit P olitics P overty

How can we win this war ? 3S Strategic Sustainable Suitable

Tobacco Users Policy Makers Law Enforcers Media Civil Society Groups / NGOs Major Stake Holders in Tobacco control..… Tobacco Industries

Strategy for tobacco control Demand Reduction – Awareness Generation (NGOs and Media) – Raising real prices by increasing Tax (Policy Makers) Supply Reduction – Enforcement of law COTPA – 2003 (Law Enforcers) – Alternative cropping (Policy Makers) 21

COTPA, 2003 Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003

Main provisions….COTPA 2003 Ban on Smoking at public places (Sec 4) Ban on Sale of Tobacco to the minors (Sec 6 A ) Ban on Sale of Tobacco by the minors (Sec 6 A ) Ban on Sale of Tobacco product with in 100 yards of Educational Institutions (Sec 6 B ) Ban on Direct / indirect advertisement of Tobacco product (Sec 5) Ban on sale of Tobacco product without pack warnings (Sec 7)

Motor vehicle act

Kriya and Karma At the end of the day…. Save the lives…..!!! Instead of benefiting just ourselvesLets work to benefit the society