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Breaking New Grounds in Tobacco Control - Voluntary Health ...

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<strong>in</strong>to force on 1st December, 2011 which<br />

is now presumed as specify<strong>in</strong>g the date<br />

of manufacture of the tobacco product.<br />

The implementation of even these diluted<br />

warn<strong>in</strong>gs with delays have been feasible<br />

because of the PILs filed by civil society<br />

organizations and consequent court<br />

judgements <strong>in</strong> their favour. 22<br />

Steps Needed for Advanc<strong>in</strong>g<br />

<strong>Tobacco</strong> <strong>Control</strong><br />

A uniform shortcom<strong>in</strong>g is an <strong>in</strong>adequate<br />

dissem<strong>in</strong>ation of the law and its provisions<br />

to the general public and specifically<br />

to those responsible for enforcement<br />

and implementation. For example, all<br />

workplaces and their managers need to<br />

be <strong>in</strong>formed that smok<strong>in</strong>g is not allowed.<br />

Educational <strong>in</strong>stitutions need to be<br />

empowered to enforce that no tobacco is<br />

sold with<strong>in</strong> 100 yards.<br />

With<strong>in</strong> the near future, it is important<br />

that loopholes <strong>in</strong> the law be closed and<br />

certa<strong>in</strong> provisions added. The two most<br />

important loopholes to remove are perhaps<br />

withdrawal of 1) the provision of smok<strong>in</strong>g<br />

room <strong>in</strong> restaurants, hotel and airports;<br />

and, 2) the exemption of the po<strong>in</strong>t of<br />

sale from the ban on advertisements.<br />

In terms of upgrad<strong>in</strong>g the law, Australia<br />

has already shown the way and pla<strong>in</strong><br />

packag<strong>in</strong>g of all tobacco products should<br />

be made mandatory. Also a display of<br />

tobacco products at the po<strong>in</strong>t of sale and<br />

at any other place need to be deemed<br />

as advertisements and banned under<br />

Section 5.<br />

The laws that promote the tobacco<br />

<strong>in</strong>dustry need to be amended. Specifically<br />

the <strong>Tobacco</strong> Board Act 1975 should be<br />

amended to make the <strong>Tobacco</strong> Board of<br />

India responsible for replac<strong>in</strong>g tobacco<br />

For the Millions<br />

n 6<br />

cultivation with alternate crops, rather<br />

than promot<strong>in</strong>g tobacco.<br />

A regulatory mechanism at the national<br />

level with representation from the legal,<br />

medical and scientific communities has<br />

already been envisioned and that could<br />

help a great deal <strong>in</strong> the implementation<br />

and strengthen<strong>in</strong>g of tobacco control <strong>in</strong><br />

India. 23<br />

References<br />

1. WHO Report on the Global <strong>Tobacco</strong><br />

Epidemic, 2011: Warn<strong>in</strong>g about the<br />

2.<br />

Dangers of <strong>Tobacco</strong>. Geneva: World <strong>Health</strong><br />

Organization; 2011 [cited 2012 Feb 22].<br />

Available from: http://whqlibdoc.who.<strong>in</strong>t/<br />

publications/2011/9789240687813_eng.pdf<br />

Jha P, Jacob B, Gajalakshmi V, Gupta PC,<br />

Dh<strong>in</strong>gra N, Kumar R, et al. A Nationally<br />

Representative Case–<strong>Control</strong> Study of Smok<strong>in</strong>g<br />

and Death <strong>in</strong> India. N Engl J Med 2008 [cited<br />

2012 Feb 22];358:1137-47. Available from:<br />

http://www .nejm.org/ doi/pdf/10 .1056/NEJM<br />

sa0707719<br />

3. Jemal A, Bray F, Center MM, Ferlay J,<br />

Ward E, Forman D. Global Cancer Statistics.<br />

CA Cancer J Cl<strong>in</strong>. 2011 Mar-Apr [cited<br />

2012 Feb 22];61(2):69-90. Available from:<br />

http://onl<strong>in</strong>elibrary.wiley.com/doi/10.3322/<br />

caac.20107/pdf<br />

4. Ezzati M, Henley SJ, Thun MJ, Lopez AD.<br />

Role of Smok<strong>in</strong>g <strong>in</strong> Global and Regional<br />

Cardiovascular Mortality. Circulation.<br />

5.<br />

2005 [cited 2012 Feb 22]; 112: 489-497.<br />

Available from: http://circ.ahajournals.org/<br />

content/112/4/489.full<br />

International Agency for Research on Cancer<br />

(IARC). Monographs on the Evaluation of the<br />

Carc<strong>in</strong>ogenic Risk of Chemicals to Humans, Vol.<br />

83. <strong>Tobacco</strong> Smoke and <strong>in</strong>voluntary Smok<strong>in</strong>g.<br />

Lyon: IARC; 2004.<br />

6. <strong>Control</strong> of Oral Cancer <strong>in</strong> Develop<strong>in</strong>g<br />

7.<br />

Countries. A WHO meet<strong>in</strong>g. Bull World <strong>Health</strong><br />

Organ. 1984;62(6):817-30.<br />

International Agency for Research on Cancer.<br />

Monographs on the Evaluation of the<br />

Carc<strong>in</strong>ogenic Risk of Chemicals to Humans,<br />

Vol. 89. Smokeless <strong>Tobacco</strong> and Some <strong>Tobacco</strong>specific<br />

N-Nitrosam<strong>in</strong>es. Lyon: IARC; 2007.<br />

8. England LJ, Kim SY, Tomar SL, Ray CS, Gupta

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