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into force on 1st December, 2011 which is now presumed as specifying the date of manufacture of the tobacco product. The implementation of even these diluted warnings with delays have been feasible because of the PILs filed by civil society organizations and consequent court judgements in their favour. 22 Steps Needed for Advancing Tobacco Control A uniform shortcoming is an inadequate dissemination of the law and its provisions to the general public and specifically to those responsible for enforcement and implementation. For example, all workplaces and their managers need to be informed that smoking is not allowed. Educational institutions need to be empowered to enforce that no tobacco is sold within 100 yards. Within the near future, it is important that loopholes in the law be closed and certain provisions added. The two most important loopholes to remove are perhaps withdrawal of 1) the provision of smoking room in restaurants, hotel and airports; and, 2) the exemption of the point of sale from the ban on advertisements. In terms of upgrading the law, Australia has already shown the way and plain packaging of all tobacco products should be made mandatory. Also a display of tobacco products at the point of sale and at any other place need to be deemed as advertisements and banned under Section 5. The laws that promote the tobacco industry need to be amended. Specifically the Tobacco Board Act 1975 should be amended to make the Tobacco Board of India responsible for replacing tobacco For the Millions n 6 cultivation with alternate crops, rather than promoting tobacco. A regulatory mechanism at the national level with representation from the legal, medical and scientific communities has already been envisioned and that could help a great deal in the implementation and strengthening of tobacco control in India. 23 References 1. WHO Report on the Global Tobacco Epidemic, 2011: Warning about the 2. Dangers of Tobacco. Geneva: World Health Organization; 2011 [cited 2012 Feb 22]. Available from: http://whqlibdoc.who.int/ publications/2011/9789240687813_eng.pdf Jha P, Jacob B, Gajalakshmi V, Gupta PC, Dhingra N, Kumar R, et al. A Nationally Representative Case–Control Study of Smoking and Death in India. N Engl J Med 2008 [cited 2012 Feb 22];358:1137-47. Available from: http://www .nejm.org/ doi/pdf/10 .1056/NEJM sa0707719 3. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global Cancer Statistics. CA Cancer J Clin. 2011 Mar-Apr [cited 2012 Feb 22];61(2):69-90. Available from: http://onlinelibrary.wiley.com/doi/10.3322/ caac.20107/pdf 4. Ezzati M, Henley SJ, Thun MJ, Lopez AD. Role of Smoking in Global and Regional Cardiovascular Mortality. Circulation. 5. 2005 [cited 2012 Feb 22]; 112: 489-497. Available from: http://circ.ahajournals.org/ content/112/4/489.full International Agency for Research on Cancer (IARC). Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Humans, Vol. 83. Tobacco Smoke and involuntary Smoking. Lyon: IARC; 2004. 6. Control of Oral Cancer in Developing 7. Countries. A WHO meeting. Bull World Health Organ. 1984;62(6):817-30. International Agency for Research on Cancer. Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Humans, Vol. 89. Smokeless Tobacco and Some Tobaccospecific N-Nitrosamines. Lyon: IARC; 2007. 8. England LJ, Kim SY, Tomar SL, Ray CS, Gupta
PC, Eissenberg T, et al. Non-Cigarette Tobacco use Among Women and Adverse Pregnancy Outcomes. Acta Obstetricia et Gynecologica. 2010 [cited 2012 Feb 6]; 89: 454–464. Available from: 9. http://onlinelibrary.wiley.com/ doi/10.3109/00016341003605719/pdf 10. Kashiwabara M, Arul R, Goswami H, Narain JP, Armada F. Local Governments and Civil society Lead Breakthrough for Tobacco Control: Lessons from Chandigarh and Chennai. Indian J Public Health. 2011 Jul-Sep [cited 2012 Feb 6];55(3):234-9. Available from: http://www .ijph.in/a rticle.asp ?issn=0019 -557X;year =2011;volu me=55;issu e=3;spage= 234;epage= 239;aulast =Kashiwaba ra 11. Bureau. 96%of restaurants now demonstrate their awareness of tobacco control measures. 2010 Sep 13. www.aggregator.in. Available from: http://www.aftcindia.org/press_ releases/Sep_13_www.aggregator.in.pdf 12. Lal PG, Wilson NC, Singh RJ. Compliance Surveys: an Effective Tool to Validate Smokefree Public Places in Four Jurisdictions in India. Int J Tuberc Lung Dis. 2011 Apr;15(4):565-6. [cited 2012 Feb 6] Available from: http:// www.ingentaconnect.com/content/iuatld/ ijtld/2011/00000015/00000004/art00027 13. Gupta PC, Ray CS. Tobacco and Youth in the South East Asian Region. Indian J Cancer. 2002 Mar;39(1):1-33. 14. Kaur S and Singh S. Cause for Concern in Punjab Villages. High Levels of Gutkha Intake Among Students. Lifeline 2002; 7(January):3-4. 15. Sushma C, Sharang C. Pan Masala Advertisements are Surrogate for Tobacco Products. Indian J Cancer [serial online]. 2005 [cited 2012 Feb 6];42:94-8. Available from: http://www.indianjcancer.com/text. asp?2005/42/2/94/16699 16. Tandon A. Tobacco-free Pan Masalas Found High in Nicotine. The Tribune. 2011 Feb 22 [cited 2012 Feb 10]. http://www.tribuneindia. com/2011/20110222/main7.htm 17. Verma S. Smoking Scenes: Information and Broadcasting Ministry Blows Away Health Ministry Notice. India Today. 2011 Dec 9 [cited 2012 Feb 20]. Available from: http:// indiatoday.intoday.in/story/i-and-b-ministrybacks-smoking-scenes-in-movies/1/163504. html 18. Sinha DN, Gupta PC, Reddy KS, Prasad VM, Rahman K, Warren CW, Jones NR, Asma S. Linking Global Youth Tobacco Survey 2003 and 2006 Data to Tobacco Control Policy in India. J Sch Health. 2008 Jul;78(7):368- 73. 19. Gangan S. Mumbai: Tobacco Shops Near Schools on Hit List. DNA. 2011 Nov 10 [cited 2012 Feb 10]. Available from: http://www.dnaindia. com/mumbai/report_mumbai-tobacco-shopsnear-schools-on-hit-list_1610225 20. Maharashtra Gets Over Rs. Lakh in Fine from Anti-tobacco Drive. DNA. 2012 Jan 19 [cited 2012 Feb 10]. Available from: http://www.dnaindia.com/mumbai/report_ maharashtra-gets-over-rs13-lakh-in-fine-fromanti-tobacco-drive_1496641 21. Sinha K. Survey Finds Tobacco Sold with 100m of Schools in 5 States. TNN. 2011 Nov 15 [cited 2012 Feb 10]. Available from: http://articles.timesofindia.indiatimes. com/2011-11-15/india/30400918_1_tobaccovendors-tobacco-products-advertisementand-regulation 22. Tobacco Ban Leaves Schools, Colleges Bemused. Times News Network. 2011 Feb 15 [cited 2012 Feb 9]. Available from: http:// articles.timesofindia.indiatimes.com/2011- 02-15/bangalore/28541973_1_tobacco-bancigarettes-and-other-tobacco-tobacco-vendors 23. Arora M, Yadav A. Pictorial Health Warnings on Tobacco Products in India: Sociopolitical and Legal Development. National Medical Journal of India. 2010 [cited 2012 Feb 13];23(6): 357-359. Available from: http://www.nmji. in/archives/Volume-23/Issue-6/Medicine-and- Societies-II.pdf 24. Reddy KS and Gupta PC, editors. Report on Tobacco Control in India. New Delhi: Ministry of Health and Family Welfare, Government of India; 2004 [cited 2012 Feb 6]. pp 153- 167. Available from: http://mohfw.nic.in/ WriteReadData/l892s/911379183Tobaccocontr oinIndia_10Dec04.pdf About the Author Dr. Prakash C. Gupta is Director, Healis Sekhsaria Institute for Public Health Cecily S. Ray is Sr. Scientific Officer and Arpita Singh is Legal Officer at Healis Sekhsaria Institute of Public Health n 7 January - March & April - June 2012
Page 1 and 2: Jan.-Mar. & Apr.-June 2012, Vol. 38
Page 3 and 4: Editorial Tobacco use has emerged a
Page 5 and 6: Addressing Gaps in Legal Provisions
Page 7: can be given for promoting tobacco
Page 11 and 12: Sl. No. Name of the State/UT Name o
Page 13 and 14: 18 languages for the national campa
Page 15 and 16: spent nearly Rs.112 crore over a pe
Page 17 and 18: • • • issues concerning their
Page 19 and 20: Background Tax Advocacy in Tobacco
Page 21 and 22: Most smoked tobacco products in Ind
Page 23 and 24: A Glimpse of the Tax Increase in 11
Page 25 and 26: Introduction Enforcing Smoke Free R
Page 27 and 28: advocacy efforts have been initiate
Page 29 and 30: compound the office under section 4
Page 31 and 32: Role of Compliance Studies and Opin
Page 33 and 34: public attitude can be gauged by op
Page 35 and 36: implementing smoke-free public plac
Page 37 and 38: well as background images such as b
Page 39 and 40: • New films and television progra
Page 41 and 42: Starting with humble, though commit
Page 43 and 44: of time.. They need to be provided
Page 45 and 46: Alternative Livelihoods for Bidi Wo
Page 47 and 48: they applied for bank gradation and
Page 49 and 50: the group will not only be able to
Page 51 and 52: and children suffer much more for a
Page 53 and 54: • • • • media coverage nati
Page 55 and 56: counselor and client, the more succ
Page 57 and 58: At the first follow-up meeting, aft
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Research News Feature: Summary of R
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• • • • The complex tax str
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553 billion bidis were consumed in
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• • Quartiles of exposure to to
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National News Smokeless tobacco cla
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of ban on tobacco chewing and smoki
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in Shahjahanpur, Jhunjhunu and Gola
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“The adverse health effects of to
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entertainment (28 per cent), follow
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Orientation to Vietnam Parliamentar
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Cancer Caused by Tobacco and Non-to
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Standards (Prohibition and Restrict
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Advocacy Package on Tobacco Control
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