DR. BHUBANESWAR BOROOAH CANCER INSTITUTE
GOPINATH NAGAR, GUWAHATI – 781016
ASSAM, INDIA
PROJECT BRIEF
WHO PROJECT NO: SE/04/407621
TITLE OF THE PROJECT: TO ESTABLISH THE TOBACCO CESSATION CLINIC IN
DR. BHUBANESWAR BOROOAH CANCER INSTITUTE IN ASSAM
PROJECT AMOUNT: Rs. 2,15,000 (Rupees Two Lakhs Fifteen Thousand only)
START DATE: 01.01.2005. (01.10.2004.)
END DATE: 30.04.2006.
OBJECTIVES:
THE AIMS AND OBJECTIVES OF TOBACCO CESSATION CLINIC IS TO
i.
HELP PEOPLE TO QUIT TOBACCO
ii.
FORMING ANTI TOBACCO NETWORK
iii.
AWARENESS IN RURAL AND URBAN AREAS
iv.
SETTING UP SATELLITE CLINIC
EQUIPMENT SUPPLED:
CARBON-MONOXIDE MONITORING MACHINE
HP DESKTOP COMPUTER
HP DESKJET PRINTER
UPS
SONY COLOUR TV 21”
SONY DVD PLAYER
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STAFF OF TCC
PRINCIPAL INVESTIGATOR
Dr. Amal Chandra Kataki, MD
Director,
Dr. B. Borooah Cancer Institute,
Gopinath Nagar, Guwahati
Tel No. 91-361-2472364(O)
Fax No. 91-361-2472636
CO-INVESTIGATOR
Dr. Joydeep Das, MD
Jr. Consultant & I/C
Dept. of Preventive Oncology
Dr. B. Borooah Cancer Institute,
Gopinath Nagar, Guwahati
Tel No. Tel No. 91-361-2472366 Ext 242 (O)
Fax No. 91-361-2472636
CLINICAL PSYCHOLOGIST
Ms. Madhuri R. Kujur, MA
MEDICAL-SOCIAL WORKER
Mr. Diganta Sarmah, M.Sc.
CONTACT DETAILS
Tobacco Cessation Clinic,
New OPD Building,
Room No. 3
Dr. B. Borooah Cancer Institute,
Goipnath Nagar, Guwahati – 16
Tel No. Tel No. 91-361-2472366 Ext 242 (O)
E mail : tccguwahati@rediffmail.com
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SUMMARY OF TCC, GUWAHATI
FROM 1st JANUARY 2005 TO 30TH APRIL’2006
1.
New Patients
222
2.
Review Patients
207
3.
Satellite Clinics
04
4.
No. of Training Programme
04 ( 45 volunteers trained)
5.
Awareness programme in Schools /
Colleges / Institutes
6.
7.
Awareness programme in
Communities
Awareness programme in Offices
8.
Street Play
9.
Exhibition
10.
Pamplets and handbills
26 Schools, Colleges & Offices,
80 teachers and over 2200 students
being made aware
21 places, over 1600 people being
made aware
04, over 230 people being made
aware
05, over 500 people being made
aware
02, over 450 people viewed the
exhibition
06
11.
TV and radio spots
07
12.
Display material
30
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DR. B. BOROOAH CANCER INSTITUTE
Dr. Bhubaneswar Borooah Cancer Institute, the only comprehensive cancer hospital in
the entire North Eastern region was set up by a voluntary organization called “Dr.
Bhubaneswar Borooah Cancer Society Trust”. Dr. Bhubneswar Borooah was a great
physician and freedom fighter. In order to keep the memory of Dr. Borooah , it was
decided to set up a cancer hospital at Guwahati in the year 1958. Thus on 18th of
November in the year 1973 the Institute was finally inaugurated and named as
“Dr. Bhubaneswar Borooah Cancer Institute”. In the year 1980 the Institute was
recognized as Regional Cancer Centre by the Ministry of Health and Family Welfare,
Govt. Of India. The hospital is being funded by Department of Atomic Energy, Govt. of
India, North Eastern Council, Govt. of India and Govt. of Assam.
At present it is a 120 bedded hospital including the facilities of A/C cabins, non A/C
cabins, semi paying cabins and general wards. The construction to increase the member
up to 250 bed has already been completed. Investigation and treatment cost in the
Institute are offered at a moderate rate and there are provisions for free treatment for the
extremely poor patients under a scheme known as “Mukhyomantrir Jibon Jyoti Bima
Achoni” which is financed by Govt. of Assam and distributed by ICICI Lombard GIC
Ltd.
The Institute, in addition to patient treatment, lays emphasis on Prevention and Early
detection of cancer through public awareness. A department of Preventive Oncology and
Pain and Palliative Care Services were opened up along with a Speech Therapy Clinic.
The department of Preventive Oncology in the Institute started a “Health Education
Programme on Cancer and Tobacco” since 2003 in various Schools, Colleges and
Institutes of Guwahati where harmful effects of tobacco are discussed. Also with the
supports from W.H.O. (World Health Organization) and G.O.I. (Government of India), a
“Tobacco Cessation Clinic” has been started in order to counsel and motivate the tobacco
consumers who wants to quit the habit of tobacco consumption.
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TOBACCO PROBLEMS IN THE NORTH EAST:
A MAJOR CHALLENGE
Set on the misty hills North East creates the right for adventure of learning, for quiet
relaxation and creative self discovery. Yet, it is unfortunate to know that the world of
tobacco has marched on leaving the youngsters, especially of the North East hopelessly
behind. This is because of deep seated frustration and resentment. Experience in the
North East has shown that this segment of youth is the most vulnerable and they have
become soft targets for taking up tobacco addiction.
As we all know that tobacco is the most addictive substance and yet the use of pan
masala, gutkha, betel nut quid, cigarette, bidi is so rampant in our society that it is
considered part of a normal lifestyle. The tobacco epidemic is moving towards the poorer
and the least educated section of the society. As a result the tobacco industry is targeting
to introduce their products and have an enormous potential new market because of the
flexibility in these places. Again this means that people in these areas who have little
resources for health and who suffer from the burden of many communicable diseases are
also suffering from tobacco consumption. As a result, tobacco in the North East has a
negative impact on diverse areas of health and poverty.
With regard to addiction, it has been estimated that an average of 14 minutes of life is
lost for each cigarette smoked. This means that tobacco users lose an average of 20-25
years of life expectancy than a non-smoker.
Tobacco related cancer alone accounts for over 40% of the cancer and as much as 3550% are due to foods and the contaminating materials in the food. Tobacco related
cancers account for half of all the cancers in males and 1/4th of all cancers in females.
b. Tobacco kills between 8 – 9 lakhs people each year in India i.e. 2220 deaths a day
and 1 death every 40 seconds. There are 184 million tobacco consumers in India
of which 20% smoke cigarettes, 40% smoke bidis and 40% chew tobacco in
various forms.
c. 55,000 children in India take up this habit annually.
d. Indians smoke 90 billion cigarettes annually which cost about Rs. 180 billion
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Tobacco problem in the North-East is more complex than probably that any other state in
India, with a large burden of tobacco related diseases and death. In the North Eastern
states tobacco is smoked – in cigarettes, bidis and pipes. Tobacco is also chewed in the
form of paans or betel nut with tobacco and slaked lime. In Assam, a fermented form of
areca nut known as tamol or bura tamol is chewed extensively. Bura tamol is often
infected with fungus. Tobacco water (known as tuibur in Mizoram and hidakphu in
Manipur) is also used by passing tobacco smoke through water. A very common feature
in the North East is the use of gutkhas and pan masalas.
Tobacco use causes serious diseases because in addition to Nicotine, tobacco contains
several toxic and carcinogenic chemicals. The quantity of tar is very high in Bidi (4550mg) while cigarette contains (18-28mg) of tar. This is to say that bidi is more harmful
than cigarette. In addition, smokers ingest a highly toxic gas called carbon monoxide.
This gas combines with haemoglobin in the blood and reduces its oxygen carrying
capacity.
The National Family Health Survey (NFHS-2) survey conducted in 1998-99 among the
individuals gender wise aged above 15 years and found that the consumption of tobacco
use in Mizoram is very high compared with other states of the North East. According to
the reports available it was seen that the prevalence of tobacco use among the male
population was very high than female population. However it was found that about
67.1% of them were smokers and 60.3% chewed tobacco. Next to Mizoram, the state of
Nagaland and Meghalaya also showed high rate of tobacco consumption. Here also we
can see a vast difference in the use of tobacco between the male and female group. The
male users rates are very high than the female users in Meghalaya. Almost 57.6% of the
cases in Meghalaya are male smokers while 16.7% chew tobacco.
However, in comparison to Mizoram and Meghalaya, the state of Assam shows less use
of tobacco. According to the data available it was found that about 34.9% of the male
population smoke tobacco while a high rate of 48.2% chew tobacco. But still, the figures
are very high compared to the national figures.
Survey on female population showed that there is less use of tobacco consumption
among women than men. It is also observed that even the female group in Mizoram
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ranks high than other states of the country. About 22.1% of the female smoke tobacco
and an equal rate to male population i.e. 60.7% chew tobacco. In Meghalaya the
prevalence of women smokers was 6.8% and a high rate of 27.6% chewed tobacco.
Nagaland also showed high percentage of tobacco consumption in both male and female
group- smokers (49.5-2.5)% and chewers(45.3-16.5)%.
In summary, it was found that there is heavy use of tobacco in the North Eastern states.
Also the rate of tobacco chewers in Assam is more than smokers showing greater risk for
developing oesophagal cancer.
The NFHS 2 (1998-99), revealed that the percentage of tobacco consumption was higher
in case of illiterates than educated individuals. Similarly, the percentage of tobacco users
was twice as high in case of individuals whose standard of living was low than whose
standard of living was high.
A survey done between 2000-2004 (Global Youth Tobacco Survey) supported by WHO
in 26 major states of the country reveled that in NE states tobacco users who first used
tobacco before the age of 10 years were more than 65% except in Mizoram where it was
24%. The study also revealed that those states having higher levels of curricular teaching
have a low prevalence of tobacco use by students. A recent study in the children in the
age group of 11-13 years have shown that exposure to tobacco is as high as 60% in the
state of Nagaland.
Preventive Oncology department in Dr. B. Borooah Cancer Institute to mitigate this
tobacco related problems started a ‘Health education Programme on Cancer and
Tobacco’ since 2003 where the students of schools and colleges of Guwahati are being
educated and made aware of harmful effects of tobacco on health as a whole. Similar
activities have been conducted in the state of Meghalaya, Nagaland and Arunachal
Pradesh.
In addition cancer screening camps and public awareness on tobacco related cancer for
community are being organized from time to time. Regular awareness for female
population on common cancer of females are being conducted in rural and urban areas.
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a ‘Tobacco Cessation Clinic’ has been started with support from World Health
Organization and Government of India where the people who want to quit tobacco are
counseled and motivated. The Clinic has been set up under Department of Preventive
Oncology.
The aims and objectives of tobacco cessation clinic is to
i.
Help people to quit tobacco
ii.
Forming anti tobacco network
iii.
Awareness in rural and urban areas
iv.
Setting up satellite clinic
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TOBACCO CESSATION CLINIC, GUWAHATIAN OVERVIEW REPORT
TCC GUWAHATI- INAUGURATION - APRIL 20TH , 2005
The Tobacco Cessation Clinic at Dr. B. Borooah Cancer Institute, Guwahati was
formally inaugurated by the Chief Secretary to the Govt. of Assam, Sri S. Kabilan on
20th April ,2005.In delivering his speech, he expressed his concern over the high rate of
tobacco consumption in the region and he also thanked Dr. B. Borooah Cancer Institute
for taking the initiative to address this issue. On this occasion Sri. B. Dutta,
Commissioner, Health & Family Welfare, Govt. of Assam focused on the huge impact of
financial burden that is involved in the treatment of cancer patients especially for the
common man which is very expensive. The Director of the Institute, Dr. A. C. Kataki
dwelt on the measures taken by the Institute to curb the tobacco problems. He also stated
that since 2003 the Institute has started a Health Education Programme on Cancer with
special emphasis on the harmful effects of tobacco for School & College students in the
NE states.
TCC – TRAINING PROGRAMME - MARCH 15TH -18TH,2005
Everyone knows the harmful effects of tobacco,
Yet it is difficult to give up…….
But experience has shown that there are many effective ways & measures for tobacco
control and that it can be used in different settings. It can have a significant impact on
tobacco consumption. In order to have a wide impact on tobacco control , it is needed to
study the psycho-social factors of tobacco use.
Over the past two years there has been a positive response from the 12 TCCs and having
shown remarkable services, the Govt. of India with support from WHO in the year 2004
took the initiative of setting up of 5 more new centres at Guwahati, Mizoram,
Hyderabad, Kolkata & Trivandrum. A 4-day training programme was arranged for this at
NIMHANS, Bangalore from March 15-18, 2005. The training programme was formally
inaugurated by the Director Vice-Chancellor of NIMHANS, Bangalore, Dr. D. Nagaraja
in the presence of the Officials of WHO and the Professors of the Dept. of Psychiatry,
NIMHANS. The training began with the introduction & overview of the running of TCC
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.The training focused on various cancer related topics such as Epidemiology of tobacco
use, Legal Aspects of Tobacco Control in India, Promotion of Anti-tobacco Messages &
Campaigns, Physical Effects of Tobacco Use, Pharmacotherapy, Counselling for the
patient, use of TCC software and more… A field visit was also
arranged for the
participants. Experiences were shared by some of the experts from other TCCs and
NGOs.
31st May, 2005- WORLD NO TOBACCO DAY
On the occasion of “World No Tobacco Day”, a day long programme was organized
under the aegis of Dr. B. Borooah Cancer Institute. The day long programme started with
an Awareness Programme for the destitute children of Snehalaya run by Don Bosco
Trust followed by a street play at the Institute which was directed by Prof. Sitanath
Lahkar of Cotton College, Guwahati. The second phase of the programme was held at
Pandu College. Chief Guest Padmashree Hem Bharali & other distinguished guests were
present on this occasion. A general meeting was organized for the staff and the students
of Pandu College, Guwahati. On this occasion the Chief Dignitaries & other guests spoke
on the harmful effects of tobacco. The programme at Pandu College, Guwahati was a
significant one because on this day the Students and the Professors of the College took
an oath declaring their college to be a “Tobacco- Free Zone.” T
The third part of the day long programme was held at the Governor’s House. We had
earlier organized an essay & poster competition for the students on the theme “Tobacco
& Health”. On this day the awardees were given cash prizes & certificates by the
Governor of Assam Lt. Gen. (Retd) Ajai Singh at Raj Bhawan.
Another programme on tobacco awareness was held for the officials of Assam Police.
An audio-video presentation on the harmful effects of tobacco was shown to them. The
day-long programme came to an end with a street play and a video presentation on the ill
effects of tobacco at Hub Shopping Mall, Guwahati.
7TH NOVEMBER- NATIONAL CANCER AWARENESS DAY
On the occasion of National Cancer Awareness Day, TCC Guwahati, took the lead role
to celebrate the day with the support from various organizations. A Mock Demonstration
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and a Street Play was organized with the help of NGO’s in the Institute. The same
programme was also conducted at Arya Vidyapith College and Pandu College,
Guwahati. A general meeting was organized in the Institute. Prof. Sampat Kumar, Secy.
General, International Society for Human Values, Switzerland was also present on this
occasion. Earlier we had organized an Essay & Slogan Writing competition for the
students of Guwahati on the topic “Tobacco & Youth” and “Smoking to Death”. An
open meeting was also held at Pandu College on the problems of tobacco related Cancer
in India. Another programme was also organized by the Lions Club of Guwahati. On
14th November 2005 , in connection with the National Cancer Awareness Day , the
Students were awarded Cash prizes & Certificates by the Guest of Honour Dr.
Bhumidhar Barman, Health Minister, Govt. of Assam .
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HOW WE DEAL WITH THE SUBJECTS COME TO THE CLINIC
The TCC Guwahati was set up in the year 2004-05 with support from World Health
Organization &Government of India. The basic aim of the clinic is to form an antitobacco network and help those tobacco consumers who are in need.
At the very onset we would like to congratulate those subjects who visited with an honest
motive to overcome their tobacco habits. The first step they have taken on the way to
quit tobacco is sincerely admired by the TCC, Guwahati. Since its inception we have
noticed that subjects from the entire North Eastern region come to the clinic with great
enthusiasm. They show their humble respect and strongest belief to the clinic. The
subjects who come to the clinic with their tobacco problems without getting a reliable
solution are treated with a very strong positive response. Their problems are thoroughly
discussed with them and the utmost care is taken to help them to quit the habit of tobacco
consumption.
We make them feel comfortable with us with an easy and relaxed manner. They are
treated in such a homely fashion that they can express their problems, their inner feelings
with a very frank and clear voice. We let them have a feeling that confidentiality would
be maintained on the problems they are going to share with us. We let them speak under
what circumstances they have come to the clinic. The circumstances vary with different
subjects. Some of them say that, they learn about the clinic from some reliable sources
like paper advertisements and express their eagerness to know the suggestions on the
way to get rid of the habit of tobacco consumption. They also believe that their economic
status and familial bond to be one of the factors which led them to us. Their habit of
tobacco consumption has created lots of disturbances in their economic life and
hampered their family life for which they are neglected in their family. They express
their grief that in spite of knowing these negative effects, they are still continuing with
the deadly habit. Some of them express their great concern on the health related issues
which are due to tobacco consumption. The preventive measures of those diseases which
are due to consumption of tobacco are also thoroughly discussed to make them
understand and aware of the harmful effects of tobacco. The colored and designed
pamphlets with the cursed pictures of oral cancer of those patients which are due to
tobacco consumption are distributed among the subjects coming to the clinic. Also the
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handbills containing the warning signals of the diseases and the address of the clinic are
distributed among the subjects.
Respecting to their problems they have discussed with us is very strongly taken care of.
We try to give them necessary solution to the problems they are facing. We keep their
record in detail including the address and the phone numbers of the subjects. We suggest
them to maintain a regular diary in which their details of tobacco consumption should be
mentioned. They are also suggested to fix a quit date in the diary and to decrease the rate
of tobacco consumption to reach the quit date. It is also suggested that if the quit date is a
very special one like the subjects birth date or on some other occasions would be much
more helpful on the way to get rid of the problem. The subjects are followed up in detail
either by their presence in the clinic or through phone calls. Sometimes it is also
observed that, if incase the subject is not able to come for a follow -up their relatives
come to the clinic with the progress report or the difficulties faced by the subject on the
way to quit tobacco. Despite our regular effort to stay in touch with the subjects by
phone calls, some subjects never turn back for a second visit. These subjects are
considered to be lost to follow- up.
Now coming to the clinical aspects of the tobacco related problem, two types of therapies
are administered with the subjects. One is Behavioral therapy (BT) and the other one is
Behavioral therapy with the Nicotine Replacement therapy (BT+ NRT). At the very first
approach the behavioral therapy is preferred with lots of tips and suggestions. The tips
are discussed thoroughly with the subjects. Under some of the really working tips, we
suggest them to count from 100 backwards slowly. By the time they reach to 1, the urge
might have gone down. We also tell them to light incense sticks or perfumed candles.
They are also suggested to do some work in their kitchen garden to avoid the urge. If
someone is interested in music, they are suggested to play on some of their favorite
instruments. If their urge is becoming more and more, they are advised to call a friend
who has already quitted or trying to quit. They can also have a round with a non- smoker
friend. They are also suggested to hide their ashtray or throw out their match box and
lighters. We try to give them the feeling that these tips are really working. In this way the
will power of the subjects can be judged by themselves or by us. In the long run of the
TCC, it is observed that a number of subjects prefer BT and the success rate is almost
50% of the total success rate. On the other hand, if the NRT is administered the
technique to chew the gum is discussed in detail. We make the subjects understand about
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both the therapies and it is their decision to choose the right therapy they need. We
discuss in detail about the therapies but never force them to choose. They are free to pick
up the right therapy they need.
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TOBACCO CESSATION CLINIC - OUR EXPERIENCE
Tobacco consumption in the entire North East Region including the state of Assam is the
major problem which really need a solution with a effective and sincere thought. People
of almost all age group are continuing with this deadly habit for decades. It is observed
that the teenagers especially the school and college going students are influenced with
the habit of tobacco consumption.
We, from TCC (Guwahati) have been conducting series of awareness programmes at
different colleges and schools within and outside the city of Guwahati. Even though our
target group is the school and college going students but at the same time we also catch
hold of different individuals from different offices and organizations basically which
include the Bank sector and NGO’s. From such awareness camps we came to know the
different smoking and smokeless habits of the target group. In schools and colleges not
only the males but also the females are fond of chewing tobacco like Gutkha.
It is also observed in a very common way that the management of few schools and
institute are not taking any step for the prohibition of tobacco consumption in their own
premises which really influence the students to take up the habit of tobacco consumption.
It is also worth mentioning that the TCC (Guwahati) succeeded in setting up a tobacco
free college in the city area which is declared ‘No Tobacco Zone’ where consumption of
tobacco in any from is prohibited.
Here are a few factors which lead all the way a student to the habit of tobacco
consumption. The common questions that comes up after awareness programme on
tobacco….
1. There is no such Government actions to impose ban on different tobacco
companies. As it is easily available in the market they fail to realize the
harmful effects of tobacco consumption.
2. There should be some sort of law and order situation which prohibits
smoking in public places.
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3. The students also enquire about the harmful effects of alcohol consumption
because they feel that a smoker is influenced to smoke because of the habit
of alcohol consumption.
4. They also feel that by consuming tobacco in any form keeps them away
from any kind of mental anxiety, stress etc.
5. They also think that along with such type awareness camp, it is the duty of
different students organizations to burn out all the tobacco products sold in
pan-shops.
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COMMUNITY ACTIVITY
1. Conducted tobacco awareness campaign amongst general people of Beltola,
Guwahati on January, 2005 being organized by SBI Lady’s Club
2. Conducted tobacco awareness campaign amongst school students of Maria’s
Public School, Betkuchi, Guwahati
3. Conducted tobacco awareness campaign amongst general people of Nazria,
Sibsagar district of Assam.
4. Helped an NGO with IEC materials to conduct tobacco awareness campaign in
Tinsukia district of Assam.
5. Helped an NGO with IEC materials to conduct tobacco awareness campaign in
Kohima, Nagaland.
6. Approached other school and colleges for conducting tobacco awareness
campaign
7. The Clinic activity of TCC also started
8. The indoor patients were taken Sankardev Kalashetra by the staff of TCC on the
occasion of World health day – 7th April, 05.
9. A tobacco awareness campaign was done amongst the senior students of Happy
Child School, Guwahati on 12.04.2005.
10. Regular TV shows showing awareness programme on tobacco are shown to the
patients and their attendants visiting the OPD clinic.
11. The TCC was formally inaugurated by the Chief Secretary of Govt. of Assam Sri
S. Kabilan, IAS on 20.04.2005. at 11.00 AM. Also present was the Commissioner
& Secretary, Health & Family Welfare, Govt. of Assam, Sri Biren Dutta, IAS.
During the inaugural function people from other streams were also present. The
inaugural function was covered by Guwahati Doordarsan, Local Cable channels –
NE TV and Prag TV. There was extensive coverage in English national and local
daily and in Assamese local daily.
12. The staff of TCC took the indoor patients to Neheru park on 25.04.2005.
13. A lecture on anti-tobacco was delivered by TCC staff in an awareness camp in
Tetelia, Sonapur (60 kms from Guwahati) on 30.04.2005.
14. A lecture on anti-tobacco was delivered by TCC staff in an awareness camp in
Maloibari, Sonapur (60 kms from Guwahati) on 30.04.2005.
15. A programme on the activities of TCC, Guwahati was shown in Rashtriya Sahara
news channel on 05.5.2005.
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16. The indoor patients were taken Sankardev Kalashetra by the staff of TCC on
07.05.2005. accompanied by the Director of the Institute.
17. Dr. R.J.Das took part in ‘Hello Kalyani’ programme on ill effects of tobacco
telecasted live by Guwahati Doordarshan
18. Dr. Joydeep Das, delivered a talk on tobacco and its harmful effects amongst the
students and staff of Handique College on 11.5.2005.
19. Dr. Joydeep Das participated in Live phone in programme on tobacco and
activities of TCC on 15.05.2005. aired by Prasar Bharati (All India Radio).
20. Dr. B. K. Das delivered a talk on tobacco and its harmful effects amongst the
students and staff of TC School on 21.05.2005.
21. The staff of TCC took the indoor patients to Guwahati Planetarium on
21.05.2005.
22. Mr. Arup Jyoti Kalita participated in a 2 day workshop conducted by Assam
Science Society and Kasturba Gandhi Memorial Trust and delivered a talk on
tobacco problems and activities of TCC on 24.05.2005.
23. Tobacco and cancer awareness programme conducted in Tawang, Nygmadoung
and Dirang in Arunachal Pradesh (500 Kms from Guwahati) from 05.06.2005. to
08.06.2005. by Dr. J. Das.
24. The staff of TCC took the indoor patients to Guwahati Science Museum on
11.06.2005.
25. Dr. J. Das delivered a lecture on harmful effects of tobacco on 25.06.2005. at
HDFC Bank, Guwahati.
26. The indoor patients were taken Sankardev Kalashetra by the staff of TCC on
25.06.2005.
27. The staff of TCC took part in a cancer awareness and detection clinic at
Amranga, Mirza, (60 kms from Guwahati) on 02.07.2005. They counseled the
patients on anti tobacco measures.
28. Tobacco awareness programme at SOS Children Village, Borjhar, on 13.07.2005.
29. Tobacco awareness programme at SOS Children Village, Borjhar, on 20.07.2005.
30. Tobacco awareness programme at Snehalaya, Dhirenpara on 21.07.2005.
31. Tobacco awareness programme at SBI Zonal Head Office, Guwahati on
23.07.2005.
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32. The NSS volunteers of Pandu College were trained on 05.08.05. for setting up a
Tobacco Cessation Clinic in their campus. The Clinic in the college will function
twice a week.
33. Tobacco awareness programme at Kamrup Academy, Guwahati Club on
10.08.2005.
34. Tobacco and Cancer awareness programme at Step by Step School, Hengrabari
on 17.08.2005.
35. Tobacco and Cancer awareness programme at Kaliram Baruah School,
Bharalamukh on 18.08.2005.
36.
Tobacco and Cancer awareness programme at Swadeshi Academy on 29.08.2005.
37.
Tobacco and Cancer awareness programme at Aryabhatta College on
07.09.05./13.09.05./14.09.05. Awareness prog. at DC’s Court on 18.10.05. Dispur
Law College on 19.10.05
38.
Awareness programme at Faculty School on 29.10.05.
39.
Visit To Pandu College (Satellite Clinic) to review and to arrange TCC prog.
40.
Awareness programme on Tobacco and cancer on 05.11.05.arranged with help of
NGO Pubali Sangha
41.
Radio talk by Dr. A. C. Kataki aired on 05.11.05.
42.
Radio talk by Dr. Joydeep Das aired on 05.11.05.
43.
Street play and Mock demonstration on harmful effects of tobacco on 07.11.05. at
Dr. B. B. Cancer Hospital.
44.
Street play on harmful effects of tobacco on 07.11.05. at Pandu College, Guwahati
45.
Street play on harmful effects of tobacco on 07.11.05. at Pandu College, Guwahati
46.
Talk on cancer awareness on 07.11.05. at Lions Club by Dr. J. Das
47.
Awareness programme at Faculty School on 10.11.2005. & 11.11.05.
48.
Mock demonstration on harmful effects of tobacco on 12.11.05. from Beltola area
to Dispur.
49.
Training of NGO for opening of Satellite Clinic at Nalbari from 15.11.05. to
17.11.05.
50.
Mock demonstration on harmful effects of tobacco on 21.11.05. from Maligaon
area to Adabari bus terminus
- 20 -
51.
Tobacco awareness programme with Assam Institute of Management in Faculty
School, Guwahati on 29.11.05.
52.
Anti-tobacco campaign within the hospital campus
53.
3 days - Tobacco awareness programme and exhibition in K.C.Das Commerce
College from 17.12.05. – 19.11.05.
54.
Tobacco awareness programme at India Club of Guwahati on 15.12.05.
55.
Tobacco awareness programme at Rotary Club of Guwahati on 17.12.05.
56.
Tobacco awareness programme in Maharshi Vidya Mandir School on 24.12.05
57.
Tobacco awareness programme at Sawalkuchi on 24.12.05.
58.
Tobacco awareness programme at KC Das Commerce College on 18.01.2006.
59.
Tobacco awareness programme at Bonda on 24.01.2006.
60.
Cancers awareness and screening camp at Damunichaki, on 28.01.06
61.
Cancer Awareness Day and Cancer Survivors Day, 04.02.06.
62.
An exhibition was organized at the Institute on the occasion of Cancer Awareness
Day and Cancer Survivors Day, 04.02.06. The exhibition was viewed by many
guest and attendants of the patients.
63.
Visit to Don Bosco Institute on 02.02.06. and 07.02.06 –for discussion and
awareness programme. Trained the few volunteers of Institute.
64.
Cancers awareness and screening camp at Hajo on 11.02.06.
65.
Visit to SBOA Public School, DPS, MVM, Gurukul, Betkuchi for Tobacco
Awareness Programme on 20.02.2006.
66.
Tobacco awareness programme at Maharshi Vidya Mandir, Lokhra, 27.02.2006.
67.
Tobacco awareness programme at Azara on 28.03.06.
68.
Tobacco awareness programme at Don Bosco Institute, Kharguli on 11.04.06. and
12.04.06.
69.
Tobacco awareness programme at Kendriya Vidyalaya, Narengi on 17.04.06. and
18.04.06.
70.
Tobacco awareness programme at Kendriya Vidyalaya, Maligaon on 24.04.06. and
25.04.06.
- 21 -
WORLD NO TOBACCO DAY - 31ST MAY 2005
PROGRAMME
1. Essay competition for school students of Std. VIII to Std. X on theme ‘Tobacco
and Health’, handwritten within 1000 words in A4 paper countersigned by
Principal of the school. Last date of submission – 25.05.2005.
2. Poster / Painting competition for school students of Std. VIII to Std. X on theme
‘Tobacco and Health’, in plain paper countersigned by Principal of the school.
Last date of submission – 25.05.2005.
31.05.2005.
3. 9.00 AM – Awareness programme amongst destitute children of Snehalaya –
street play at BBCI directed by Prof. Sitanath Lahkar, Cotton College, Guwahati
4. 11.00 AM – General meeting at Pandu College
Speech by – Dr. A. C. Kataki, Director, BBCI
Talk on Tobacco Problem – Dr. Joydeep Das, I/C, Dept. of Prev. Onco., BBCI
Speech by Chief Guest – Padmashree Smt. Hem Bharali,
Speech by Distinguished Guest – Smt. Damyanti Devi, Katurba Gandhi Trust
Speech by Distinguished Guest – Mr. Monoram Gogoi, Noted Journalist
Declaration of ‘Tobacco Free area’ by Chief Guest and general oath taking by
Staff and students of the college,
Vote of thanks by Principal Pandu College,
Street play and light refreshment
5. 12.30 PM – All the awardees of essay and poster competition was awarded prize
and certificates by Hon’ble Governor of Assam at Raj Bhavan in presence of
Director, BBCI
6. 3.00 PM – Tobacco awareness programme amongst Police officials of Assam
Police at Police Reserve, AT Road, Guwahati.
7. 5.00 PM - Tobacco Awareness programme and street play in HUB – commercial
complex
8. 6.00 PM – Awareness meeting at Maligaon attended by Director, BBCI

Distribution of tobacco awareness leaflets in Residential flats.

Awareness programme on local TV channels, Doordarshan, Rashtriya Sahara,
ETV and Channel-7
Articles in print media

- 22 -
PERFORMANCE OF TCC
AGE GROUP OF SUBJECTS
AGE GROUP
NUMBER
< 20
21-30
31-40
41-50
51-60
>60
15
69
65
52
13
8
NO. OF SUBJECTS
NUMBER OF SUBJECTS BY AGE GROUP
80
70
60
50
40
30
20
10
0
69
65
52
15
< 20
13
21-30
31-40
41-50
51-60
8
>60
AGE GROUP
COMMENTS: Maximum subjects were in the age group of 21 – 30, 31 – 40
and 41 – 50 years of age group
- 23 -
EDUCATIONAL STATUS
EDUCATION
MUMBER
PRIMARY
5
MIDDLE
23
SR. SECONDARY
48
GRADUATE
122
POST GRADUATE
24
EDUCATIONAL STATUS OF SUBJECTS
NO. OF SUBJECTS
140
122
120
100
80
48
60
40
24
23
20
5
A
A
PO
ST
G
G
RA
RA
D
D
U
U
D
N
SR
.S
EC
O
TE
TE
RY
A
LE
D
ID
M
PR
IM
A
RY
0
EDUCATION STATUS
COMMENTS: Majority of the subjects reporting to TCC were graduate
- 24 -
EMPLOYMENT STATUS
PROFESSIONAL AND SEMI
PROFESSIONAL
SKILLED, SEMI-SKILLED, UNSKILLED
RETIRED
STUDENTS
OTHERS
151
40
10
17
4
EMPLOYMENT STATUS OF SUBJECTS
151
140
120
100
80
60
40
17
4
OTHERS
RETIRED
0
10
1
SKILLED, SEMISKILLED,
UNSKILLED
20
STUDENTS
40
PROFESSIONAL
AND SEMI
PROFESSIONAL
NO. OF SUBJECTS
160
EMPLOYEMENT
COMMENTS: Majority of the subjects reporting to TCC were professional
and semi-professionals
- 25 -
EXPENSES ON TOBACCO PER
MONTH
RUPEES
NOS.
< 200
201-400
401-600
601-800
801-1000
>1000
85
50
37
15
18
17
EXPENSES ON TOBACCO
90
85
NO. OF SUBJECTS
80
70
60
50
50
37
40
30
15
20
18
17
801-1000
>1000
10
0
< 200
201-400
401-600
601-800
EXPENSES IN Rs.
COMMENTS: Maximum of the subjects reporting to TCC spent less than
Rs.200 pm on tobacco and 17 subjects spent more than Rs.1000 pm on
tobacco.
- 26 -
TOBACCO USE
SMOKING
SMOKELESS
BOTH
90
53
79
TOBACCO USE
36%
40%
24%
SMOKING
SMOKELESS
BOTH
COMMENTS: Out of 222 subjects who reported to TCC, 40% were
smokers, 24% used smokeless tobacco and 36% used both.
- 27 -
TYPE OF SMOKING
CIGARETTE
BIDI
138
31
TYPE OF SMOKING
18%
82%
CIGARETTE
BIDI
COMMENTS: Out of 169 subjects who were smoking, majority were
cigarette smokers.
- 28 -
MODE OF INTERVENTION
BT
BT + NRT
91
131
MODE OF INTERVENTION
41%
59%
BT
BT + NRT
COMMENTS: Out of 222 subjects seen in TCC, 59% received both
behavioral therapy and Nicotine replacement therapy in the form of gums
and only 41% received behavioral therapy.
- 29 -
OUTCOME OF INTERVENTION
NO CHANGE
47
SUSTAINED TOTAL ABSTINENCE
33
PARTIAL ABSTINENCE
112
RESUMED
15
LOST TO FOLLOW UP
15
OUTCOME OF INTERVENTION
7%
7%
21%
15%
50%
NO CHANGE
SUSTAINED TOTAL ABSTINENCE
PARTIAL ABSTINENCE
RESUMED
LOST TO FOLLOW UP
COMMENTS: Out of 222 subjects seen in TCC, in 50% subjects the
outcome was partial abstinence. No change was seen in 21% subjects and
7% subjects were lost to follow up.
- 30 -
OUTCOME OF INTERVENTION WITH BT
NO CHANGE
24
SUSTAINED TOTAL ABSTINENCE
20
PARTIAL ABSTINENCE
38
RESUMED
6
LOST TO FOLLOW UP
3
OUTCOME OF INTERVENTION WITH BT
7%
3%
26%
42%
22%
NO CHANGE
SUSTAINED TOTAL ABSTINENCE
PARTIAL ABSTINENCE
RESUMED
LOST TO FOLLOW UP
COMMENTS: Out of 91 subjects who were given only behavioral therapy,
in 42% there was partial abstinence, in 26% there was no change and in
22% there was sustained total abstinence.
- 31 -
OUTCOME OF INTERVENTION WITH BT + NRT
NO CHANGE
23
SUSTAINED TOTAL ABSTINENCE
13
PARTIAL ABSTINENCE
74
RESUMED
9
LOST TO FOLLOW UP
12
OUTCOME OF INTERVENTION WITH BT +
NRT
7% 9%
18%
10%
56%
NO CHANGE
SUSTAINED TOTAL ABSTINENCE
PARTIAL ABSTINENCE
RESUMED
LOST TO FOLLOW UP
COMMENTS: Out of 131 subjects who were administered behavioral
therapy with Nicotine Replacement therapy, it was observed that in majority
of cases there was partial abstinence. Sustained total abstinence was seen on
only 10% subjects.
- 32 -