SAY GOOD BY TO
TOBACCO
Sreeraj.V.T
Jr.Health Inspector
PHC Udayagiri
What is Tobacco?


Tobacco is a plant that has been known to
release dangerous chemicals when burnt.
Tobacco comes in various methods such as:
–
–
–
–


Chewing Tobacco
Smoking (cigarettes)
Pipes
Cigars
ALL OF THESE METHODS ARE DEADLY!!!!
If you smoke cigarettes, you are not only
effecting yourself, but people around you as
well, by second-hand smoke.
The Methods
Cigarette
Cigarette is made from dried
up tobacco chopped up and
rolled in a piece of paper.
When Cigarette is burnt, it
releases dangerous
chemical gases such as
carbon monoxide, and
hydrogen cyanide.
Chewing Tobacco
Cigars
A dried up roll
of tobacco that
is much more
dangerous than
a Cigarette. A
cigar has no
filter like a
cigarette, so
the poisonous
gases does for
damage to your
lungs, etc.
Chewing Tobacco is also
made from chopped up
tobacco. It is placed
between the gum and
Pipe
teeth. The tobacco is
crushed by the teeth to Pipe is a tool for smoking. Tobacco is
placed in the chamber and burnt. The
release the nicotine.
smoke then gets inhaled into the lung
through the stem and mouthpiece.
Cigarette Smoking is the
principle cause of
Premature Death
WHAT IS AT STAKE?
1 tobacco related death
every 6 seconds
= 10 million annual
deaths by 2030
1 Billion deaths in 21st Century
Tobacco Is Now the World’s Leading
Single Agent of Death
Global Deaths per Year
(millions)
6
5.4
5
4.0
4
3
2.1
2
1.9
1.6
1.2
1
0.9
0.6
0
Tobacco
Lower
Resp
Infect
AIDS
Diarrheal
Disease
TB
Traffic
Injuries
Malaria
Measles
Unless urgent action is taken, tobacco will kill 1 billion people this
century
World Health Organization
Prevalence of Tobacco use in
India
Below 35% : 2 states
Punjab and Goa
Between 35 - 50% : 8 states
Andhra Pradesh, Tamilnadu,
Karnataka, Kerala,
Maharashtra, Haryana,
Himachal Pradesh and Delhi
Between 50 – 65% : 8 states
Gujarat, Rajasthan,
Jammu&Kashmir, Uttarakhand,
Uttar Pradesh, Jarkhand,
Sikkim, Arunachal Pradesh
Above 65% : 11states
Madhya Pradesh, Bihar,
Chattisgarh, Orissa, West
Bengal, Assam, Meghalaya,
Manipur, Tripura, Mizoram,
Nagaland
TOBACCO & MEN
61
57
50
13
11
7
Urban
Rural
Women
Total
Men
• Any Tobacco Use – Prevelance: 57%
• Currently smoke Cigarette or Bidi: 32.7%
• Currently chews pan masala, ghutkas or other tobacco:
36.5%
• About 7% of male aged 13-15 yrs smoke cigarettes in
India
CIGARETTE SMOKE CONTAINS
4000 POISONS
More than 4,000 substances
have been identified in
cigarette smoke
Nicotine increases
systolic and diastolic
blood pressure
Cigarette smoking
antigenic, cytotoxic,
mutagenic, carcinogenic
Normal lung and Smokers
lung
Cardiovascular
Diseases
 Cancer
 Respiratory
Diseases
 Pregnancy related
complications
 Gastrointestinal
disorders
 Depression

CLINICAL
AFFECTS
TOBACCO AND CANCERS
 Lung
 Mouth
(oral)
 Throat (Pharynx &
Larynx)
 Food Pipe (Oesophagus)
 Urinary Bladder
 Other Sites
OTHER DISEASES
 Chronic
Bronchitis
 Emphysema
 Asthma
 Cataract
 Tuberculosis
 Diabetes
 Still Birth and Low Birth Weight
> 25 Diseases
CARDIOVASCULAR RISKS OF SMOKING
100% Increase in Risk
Stroke; CHD; Impotence
300% Increase in Risk
Death from undiagnosed CHD
> 300 % Increase in Risk
Peripheral Arterial Disease
400 % Increase in Risk
Aortic Aneurysm
CLOGGING OF
CORONARY
ARTERIES
Emphysema Lung
ACTIVE
SMOKING
PASSIVE
SMOKING
What is Second Hand
Smoke
 Second-hand
smoke: that is
inhaled
involuntarily
or
passively by someone who
is not smoking.
 Second-hand
smoke is also
called involuntary smoking
or passive smoking
Second hand smoke causes
serious Health Hazards
– Lung cancer -risk up 24%
– Heart diseases -risk up 25%
– Asthma attacks
– Sudden Infant Death Syndrome (cot death)
– Childhood respiratory diseases
– Chronic cough, phlegm, and wheezing
– Chest discomfort
– Lowered lung function
PASSIVE SMOKING (ETS)


Second Hand Smoke increase risk of
– Cancer by 30%
– Heart attack by 25%
in spouse of the smoker
Increased risk of asthma and lung
disease in children
TOBACCO &
WOMEN
Main cause of oral
cancer is chewing
of Tobacco
ECONOMIC COSTS OF TOBACCO
Health Care: Just for 3 diseases
(Coronary Heart Disease; Cancer;
Chronic Lung Disease)
Health Care cost in 2002 – 2003 was
Rs. 308.33 Billion (USD 7.2 Billion)
Tobacco also has: Environmental costs
& Social costs
Pictorial Health Warnings
(Globally)
More Pictorial Health Warnings from
Thailand
Pictorial Health Warnings from
Brazil
Cigarettes and Other Tobacco
Products
(Prohibition of Advertisement
and Regulation
of Trade and Commerce,
Production,
Supply and Distribution) Act,
2003 (COTPA)
Section 4: Ban on Smoking in Public Places
 Secondhand smoke (passive smoking) of smoke causes
many diseases like lung cancer, respiratory diseases, heart
disease, breast cancer, asthma, bronchitis. In some cases, it
can trigger severe, even life-threatening reactions in
individuals.
 Children are the worst affected. It causes sudden infant
death syndrome.
 People working, especially in the food service industry are
affected.
 Ban on smoking in public places would prevent damage to
the health of non smokers and smokers
Section 5: Ban on Advertisements of
Tobacco Products
 In India children and the youth have been greatly influenced by tobacco
advertisements, especially those for cigarettes and gutka which
definitely harms their health.
 Advertisements and placing of the product at a low height and next to
candies at points of sale is a strategy they use to give undesirable
exposure and access to children.
 A study found that children who had seen sports events being sponsored
by a tobacco company were more likely to start smoking. This was during
the period when a cigarette company sponsored cricket matches.
 Many tobacco industries are promoting tobacco products to target
women.
 This provision would prevent women and children from being
influenced by glamorized advertisements of tobacco products.
Section 6: Prohibition of Sale of Tobacco
Products to and by Minors
.
18 വയസ്സില്‍ താഴെ
പ്രായമുള്ളവര്‍ക്ക്
രുകയില ഉല്‍പന്നങ്ങള്‍
വില്‍കുന്നത്
ശിക്ഷാര്‍ക്ഹമാണ്.
വിദ്യാലയങ്ങളുഴെ 400
മീറ്റര്‍ക് ദ്ൂര രരിധിയില്‍
രുകയില ഉത്രന്നങ്ങള്‍
വില്‍കുവാന്‍ രാെിലല.
Section 7: Specified Health Warning Labels
on all Tobacco Products
 Images help smokers visualize the nature of tobacco-related diseases




and convey health messages in a clearer way.
Pictorial health warnings are intended to serve as visual cues to prompt
smokers to take action to quit. They are designed to shock people into
realizing that smoking kills and causes serious illness.
Pictorial warnings also make the health warnings accessible to those
who are illiterate.
They are effective tool in conveying health risks to the tobacco users. It
also has an impact on intention and ability to quit.
In countries like Brazil, Canada and Thailand many pictorial warnings
have helped in decreasing consumption of tobacco products
Section 7(5): Every tobacco package to have
nicotine and tar contents along with the
maximum permissible limits
 Nicotine and tar are carcinogens
 Nicotine and tar contents along with permissible limits
should mentioned on the packages
 Having them on the package would help people making an
informed choice
Increasing Tax and Price of Tobacco
Products
 Price and tax measures are an effective and important means of
reducing tobacco consumption by various segments of the
population, in particular young persons.
 Implementing tax policies and price policies, on tobacco
products would contribute to the health objectives aimed at
reducing tobacco consumption.
 This measure acts as a demand reduction measure for tobacco
products.
Tobacco thrills , but
it kills.