Tobacco is the foremost preventable cause of death and disease in the world today. Globally approximately 5.4 million people die each year as a result of diseases resulting from tobacco consumption. More than 80% of these deaths occur in the developing countries. Tobacco is a risk factor for 6 of the 8 leading causes of death. Nearly 8-9 lakh people die every years in India due to diseases related to tobacco use. Nearly 30% of cancers in India are related to tobacco use. In the North East region 50% of cancers among men and 24% among women are related to tobacco use. The majority of the cardio vascular diseases and lung disorders are directly attributable to tobacco stroke, cataract, peripheral vascular diseases etc. As per available evidence, incidence of impotence is 85% higher among smokers. Tobacco use by pregnant women leads to low birth weight babies, still births and birth defects.
In order to reduce consumption of tobacco products in society, to protect the youth and children from tobacco use and to protect the health of non smokers from the harmful effects of second hand smoke etc. the Parliament enacted “Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, (COTPA) in 2003. To facilitate the effect implementation of the Tobacco Control Laws and bring about greater awareness about the harmful effects of tobacco and to fulfil the obligation(s) under the WHO-FCTC, the Ministry of Health and Family Welfare has launched this new National Tobacco Control Programme (NTC)P) in the XI Five Year Plan.
The main objective of the NTCP is to build the capacity of the States/Districts to facilitate effective implementation of the Tobacco Control Laws and to bring about greater awareness about the harmful effects of tobacco. The main components of the NTCP are:
(i) Public awareness/media campaigns for awareness building and for behavioural change.
(ii) Establishment of tobacco product testing laboratories, to build regulatory capacity, as required under COTPA,2003.
(iii) Mainstreaming the programme components as a part of the health delivery mechanism under the NRHM framework.
(iv) Mainstreaming Research & training – on alternate crops and livelihoods with other nodal Ministries.
(v) Monitoring and Evaluation including surveillance e.g. Adult Tobacco Survey (ATS).
(i) Dedicated tobacco control cells for effective implementation and monitoring of Anti Tobacco Initiatives.
(i) Monitoring of Tobacco Control Laws and Reporting.
(ii) Training of health and social workers, NGOs, school teachers etc.
(iii) Local IEC activities.
(iv) Provision of tobacco cessation facilities.
(v) School Programme.
Tobacco control programme is being implemented as pilot project in 2 districts Dehradun and Tehri Garhwal of Uttarakhand