SCAL­ING UP TO­BACCO ces­sa­tion us­ing mo­bile tech­nol­ogy

The Min­istry of Health & fam­ily wel­fare has set up a global knowl­edge hub on smoke­less to­bacco at na­tional in­sti­tute of can­cer pre­ven­tion and re­search

Airports India - - CONTENTS -

To­bacco use is a ma­jor pub­lic health prob­lem world­wide as it has now emerged as a man­made epi­demic killing more than 7 mil­lion peo­ple a year glob­ally all of which can be avoided by stop­ping to­bacco use.

It’s note­wor­thy that more than 6 mil­lion of th­ese deaths are the re­sult of di­rect to­bacco use while around 9,00,000 deaths are among non-smok­ers be­ing ex­posed to sec­ond-hand smoke.

In some coun­tries, chil­dren from poor fam­i­lies are em­ployed in to­bacco farm­ing to sup­port fam­ily in­come. Th­ese chil­dren may suf­fer from “green to­bacco sick­ness” due to the han­dling of wet to­bacco leaves.

To­bacco use is a lead­ing com­mon risk fac­tor for non-com­mu­ni­ca­ble dis­eases (NCDS) such as can­cer, car­dio­vas­cu­lar dis­eases, chronic lung dis­eases and stroke. In ad­di­tion to the dis­eases caused by to­bacco con­sump­tion and those caused by ex­po­sure to sec­ond-hand to­bacco smoke, to­bacco de­pen­dence it­self is a dis­ease.

In­dia is the sec­ond largest con­sumer of to­bacco glob­ally with ap­prox­i­mately one­sixth of the world’s to­bacco-re­lated deaths. The to­bacco prob­lem in In­dia is pe­cu­liar

Sec­ond-hand smoke is the smoke that fills restau­rants, of­fices or other en­closed spa­ces when peo­ple burn to­bacco prod­ucts such as cig­a­rettes, bidis and wa­ter-pipes.

due to con­sump­tion of va­ri­ety of smoke­less and smok­ing forms of to­bacco along with wide so­cio-cul­tural di­ver­sity.

No­tably, Khaini is the most com­monly used to­bacco prod­uct fol­lowed by bidi.

In In­dia, ac­cord­ing to Global Adult To­bacco Sur­vey-2 (GATS 2016-17), 29 per cent of the adults in the age group of 15 years and above which amounts to 26.7 crore con­sume to­bacco in some form or the other. The preva­lence of to­bacco use has re­duced by six per­cent­age points from GATS-1 (2009-10) to GATS -2.

The gov­ern­ment of In­dia has taken var­i­ous ini­tia­tives for to­bacco con­trol in the coun­try. In 2003, In­dia en­acted the Cig­a­rettes and Other To­bacco Prod­ucts (Pro­hi­bi­tion of Ad­ver­tise­ment and Reg­u­la­tion of Trade and Com­merce, Pro­duc­tion, Sup­ply and Dis­tri­bu­tion) Act (COTPA 2003) for pro­tect­ing the health of the masses.

In­dia was among the first few coun­tries to rat­ify the World Health Or­ga­ni­za­tion Frame­work Convention on To­bacco Con­trol (WHO FCTC) in 2004. The WHO FCTC was de­vel­oped in re­sponse to the globalisation of the to­bacco epi­demic in 2003. The convention rep­re­sents a mile­stone for the pro­mo­tion of pub­lic health and pro­vides new le­gal di­men­sions

for in­ter­na­tional health cooperation.

For ef­fec­tive im­ple­men­ta­tion of the to­bacco con­trol laws and to pro­mote aware­ness about harm­ful ef­fects of to­bacco, Min­istry of Health and Fam­ily Wel­fare (MOHFW), GOI had launched ‘Na­tional To­bacco Con­trol Pro­gramme’ (NTCP) in 2007-08. The Sev­enth Ses­sion of Con­fer­ence of Par­ties (COP7) held in the coun­try in 2016 shows a strong com­mit­ment of gov­ern­ment to­wards in­ter­na­tional co-op­er­a­tion and aware­ness of the WHO FCTC glob­ally and es­pe­cially in the WHO South-east Asia Re­gion.

As per the de­ci­sions that were taken dur­ing the Sixth Ses­sion of Con­fer­ence of Par­ties (COP6), GOI has set up a global knowl­edge hub on smoke­less to­bacco at the Na­tional In­sti­tute of Can­cer Pre­ven­tion and Re­search (NICPR). This hub serves as a repos­i­tory of knowl­edge re­lated to smoke­less to­bacco.

The Na­tional Health Pol­icy 2017 has set a tar­get of a rel­a­tive re­duc­tion in cur­rent to­bacco use by 15 per cent by 2020; a tar­get which has now been ex­ceeded. The next tar­get is a 30 per cent re­duc­tion by 2025.

Fur­ther to in­crease the pen­e­tra­tion of to­bacco ces­sa­tion sup­port, the GOI to­gether with the WHO and ITU (In­ter­na­tional Telecom­mu­ni­ca­tion Union) has ini­ti­ated the use of mo­bile phones un­der mces­sa­tion Pro­gramme. The im­pact of this ini­tia­tive is very en­cour­ag­ing. In­dia’s ex­pe­ri­ences are also be­ing shared with other coun­tries in de­vel­op­ing mto­bacco ces­sa­tion ser­vices, in­clud­ing Tu­nisia and the Philip­pines.

Users of the In­dia mto­bacco ces­sa­tion pro­gramme self-en­roll through a missed call (011-22901701) or web regis­tra­tion ser­vice, and then re­ceive tailored ad­vice and sup­port via daily and weekly SMS mes­sages sent to their mo­biles. The pro­gramme pro­vides tar­geted intervention sup­port to help peo­ple over­come the per­sonal chal­lenge of main­tain­ing ef­forts to quit to­bacco use.

It also gen­er­ates real-time data on peo­ple who join the ini­tia­tive; how they are us­ing it and if they are quit­ting or not. This is an im­por­tant step for­ward for to­bacco con­trol.

Re­cently MOHFW has no­ti­fied new sets of spec­i­fied health warn­ings for all to­bacco prod­uct packs by mak­ing an amend­ment in the Cig­a­rettes and Other To­bacco Prod­ucts (Pack­ag­ing and La­belling) Rules, 2008 that will be ap­pli­ca­ble from Septem­ber 1, 2018.

The im­por­tant fea­ture of new sets of spec­i­fied health warn­ings is an in­clu­sion of tele­phone Quit-line num­ber 1800-112356 to pro­vide coun­selling ser­vices to af­fect be­hav­iour change and strate­gies for quit­ting to­bacco use.

Union Min­is­ter of Health and Fam­ily Wel­fare JP Nadda was con­ferred the WHO Di­rec­tor-gen­eral’s Spe­cial Recog­ni­tion Award for global to­bacco con­trol in 2017 at the ‘Na­tional Con­sul­ta­tion on Ac­cel­er­at­ing Im­ple­men­ta­tion of WHO FCTC’ for the en­er­getic ef­forts to­wards to­bacco con­trol ini­tia­tives.

In com­pli­ance with the MPOWER mea­sures sug­gested by WHO for ef­fec­tive in­ter­ven­tions to re­duce the de­mand for to­bacco, In­dia has come a long way in con­trol­ling the use of to­bacco.

The suc­cess­ful im­ple­men­ta­tion of var­i­ous con­trol mea­sures like dis­play­ing pic­to­rial health warn­ings in 85 per cent of the dis­play area of the to­bacco packs on both the sides, con­duc­tion of sec­ond round of GATS, strength­en­ing the ces­sa­tion fa­cil­i­ties with the launch of toll-free na­tional to­bacco Quit-line and mces­sa­tion ser­vices and sub­stan­tial in­vest­ment made un­der 12th five-year plan for ex­pan­sion of na­tional to­bacco con­trol pro­gramme, ban on smoke­less to­bacco prod­ucts and im­ple­men­ta­tion of the to­bacco free film and tele­vi­sion pol­icy will ul­ti­mately play a key role in pro­mot­ing the health, so­cial and eco­nomic devel­op­ment of the coun­try.

To­bacco is a prime driver of poverty and it af­fects the fam­ily as a whole, com­mu­nity and the coun­try and re­quires a mul­ti­sec­toral ap­proach to con­trol it. JP Nadda Union Min­is­ter of Health and Fam­ily Wel­fare

The Union Min­is­ter for Health & Fam­ily Wel­fare JP Nadda dur­ing the Sev­enth Ses­sion of the WHO Frame­work Convention on To­bacco Con­trol Con­fer­ence of the Par­ties (COP7) held in In­dia in Novem­ber 2016.

Union Health Min­is­ter JP Nadda wel­comes Sri Lankan Pres­i­dent Maithri­pala Sirisena.

Newspapers in English

Newspapers from India

© PressReader. All rights reserved.