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Tobacco and Public Health - TCSC Indonesia

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Although tobacco control legislation in India is not very advanced at this time, there<br />

has recently been a considerable use of litigation <strong>and</strong> of existing laws towards advancing<br />

tobacco control.<br />

Summary <strong>and</strong> conclusions<br />

With an initial introduction into Indian royal courts by the Portuguese, tobacco use<br />

spread quickly throughout society, taking on many indigenously developed forms to<br />

suit local tastes. The British colonisers promoted tobacco as a cash crop <strong>and</strong> as an<br />

industry. The independent Indian Government continued to support tobacco as a<br />

revenue earner <strong>and</strong> employment generator. Among the middle classes, socially, smoking<br />

is not well accepted especially by women <strong>and</strong> adolescents. The poor <strong>and</strong> uneducated<br />

have little awareness of health effects of tobacco, especially smokeless tobacco. <strong>Tobacco</strong><br />

use, especially smoking is more prevalent among men than women, except in some small<br />

regions. The youth have shown eagerness to experiment with new tobacco products like<br />

mawa <strong>and</strong> gutkha alongside more traditional products. Young children are prone to take<br />

up tobacco use, especially in rural areas <strong>and</strong> among the urban poor. Intervention studies<br />

have demonstrated that it was possible to reduce tobacco use through education.<br />

National legislative action to combat tobacco menace has remained weak so far,<br />

although in recent years several states <strong>and</strong> judiciary seem to have taken a lead.<br />

References<br />

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Anantha, N., N<strong>and</strong>akumar, A., Vishwanath, N., Venkatesh, T., Pallad, Y. G., Manjunath, P., et al. (1995).<br />

Efficacy of an anti-tobacco community education program in India. Cancer Causes <strong>and</strong> Control,<br />

6, 119–29.<br />

Bhattacharjee, J., Sharma, R. S., <strong>and</strong> Verghese, T. (1994). <strong>Tobacco</strong> smoking in a defined community of<br />

Delhi. Indian Journal of <strong>Public</strong> <strong>Health</strong>, 38, 22–6.<br />

Bhonsle, R. B., Murti, P. R., <strong>and</strong> Gupta, P. C. (1992). <strong>Tobacco</strong> habits in India. In: Control of tobaccorelated<br />

cancers <strong>and</strong> other diseases, International Symposium, 1990 (ed. P. C. Gupta, J. E. Hamner III,<br />

<strong>and</strong> P. R. Murti), pp. 25–46. Oxford University Press, Bombay.<br />

Chari, M. S. <strong>and</strong> Rao, B. V. K. (1992). Role of <strong>Tobacco</strong> in the national economy: past <strong>and</strong> present.<br />

In: Control of tobacco-related cancers <strong>and</strong> other diseases, International Symposium, 1990 (ed.<br />

P. C. Gupta, J. E. Hamner III, <strong>and</strong> P. R. Murti), pp. 57–76. Oxford University Press, Bombay.<br />

Chauhan, Y. (2001). History <strong>and</strong> struggles of Beedi workers in India. All India Trade Union Congress,<br />

New Delhi.<br />

Gajalakshmi, V. <strong>and</strong> Peto, R. (2002). Smoking <strong>and</strong> TB mortality in the Chennai retrospective ‘casecontrol’<br />

study. In: Proceedings of the International Scientific Expert Meeting on the Possible<br />

Causality between Smoking <strong>and</strong> Tuberculosis, November 17–18, 2000, Thiruvananthapuram, Kerala,<br />

India (I. Dhillon, P. C. Gupta, <strong>and</strong> S. Asma).<br />

Gode, P. K. (1961). Studies in Indian Cultural History. Indological Series 9, Institute <strong>Public</strong>ation,<br />

No. 189.Hoshiarpur: Vishveshvaran<strong>and</strong> Vedic Research Institute. Vol. I, pp. 111–90.<br />

Gupta, P. C. (1989). An assessment of excess mortality caused by tobacco usage in India. In: <strong>Tobacco</strong><br />

<strong>and</strong> health: The Indian scene, Proceedings of the UICC workshop, ‘<strong>Tobacco</strong> or <strong>Health</strong>’, April 15–16,<br />

1987 (ed. L. D. Sanghvi <strong>and</strong> P. P. Notani), pp. 57–62. Tata Memorial Centre, Bombay.

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