{"id":297588,"date":"2024-05-31T19:00:04","date_gmt":"2024-05-31T13:30:04","guid":{"rendered":"https:\/\/forumias.com\/blog\/?p=297588"},"modified":"2024-06-01T11:16:19","modified_gmt":"2024-06-01T05:46:19","slug":"the-tobacco-epidemic-in-india-explained-pointwise","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/the-tobacco-epidemic-in-india-explained-pointwise\/","title":{"rendered":"The Tobacco Epidemic in India- Explained Pointwise"},"content":{"rendered":"<p>On the Occasion of <span style=\"color: #ff0000;\">World No Tobacco Day<\/span>, it is pertinent for us to delve deeper into the case of Tobacco Epidemic in India. Through the World No Tobacco Day, <span style=\"color: #ff0000;\">WHO aims to raise awareness about the health risks<\/span> of tobacco use. It also advocates for stringent measures to protect public health, especially among youth.<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"width: 100%;\"><strong>To Read All Other 7 PM Articles<\/strong> &#8211; <a href=\"https:\/\/forumias.com\/blog\/7-pm-editorials\/\" target=\"_blank\" rel=\"noopener\">Click Here<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<figure id=\"attachment_297632\" aria-describedby=\"caption-attachment-297632\" style=\"width: 750px\" class=\"wp-caption alignnone\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-297632\" src=\"https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2024\/05\/Capture-4.png?resize=750%2C622&#038;ssl=1\" alt=\"Tobacco epidemic in India\" width=\"750\" height=\"622\" srcset=\"https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2024\/05\/Capture-4.png?w=750&amp;ssl=1 750w, https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2024\/05\/Capture-4.png?resize=300%2C249&amp;ssl=1 300w\" sizes=\"auto, (max-width: 750px) 100vw, 750px\" \/><figcaption id=\"caption-attachment-297632\" class=\"wp-caption-text\">Source- The Hindu<\/figcaption><\/figure>\n<table style=\"width: 100%; border-collapse: collapse; border-style: solid;\">\n<tbody>\n<tr>\n<td style=\"width: 100%; text-align: center;\"><strong>Table of Contents<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 100%;\"><a href=\"#toc1\">What is the status of Tobacco epidemic in India?\u00a0<\/a><br \/>\n<a href=\"#toc2\">What are the negative impacts of tobacco epidemic in India?<\/a><br \/>\n<a href=\"#toc3\">What are the Govt Schemes and initiatives for Tobacco Control in India?<\/a><br \/>\n<a href=\"#toc4\">What are the Challenges with Tobacco Control Programmes in India?<\/a><br \/>\n<a href=\"#toc5\">What Should be the Way Forward?<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"color: #000000;\"><strong><a id=\"toc1\"><\/a>What is the status of Tobacco epidemic in India?\u00a0<\/strong><\/span><\/h2>\n<p><strong>1. <\/strong>\u00a0<span style=\"color: #ff0000;\">After China<\/span>, <span style=\"color: #ff0000;\">India has the world\u2019s highest number of tobacco consumers<\/span>. There are nearly <span style=\"color: #ff0000;\">26 crore tobacco users in India<\/span> according to an estimate in 2016-17.<\/p>\n<p><strong>2.<\/strong> The Global Adult Tobacco Survey and India\u2019s National Family Health Survey capture the status of tobacco usage in people above 15 years of age. The Global Youth Tobacco Survey (GYTS) assesses tobacco use in students between the ages of 13 and 15 years of age. According to all these surveys, the usage of tobacco is increasing in India.<\/p>\n<p><strong>3.<\/strong> India has the largest number of Smokeless Tobacco users in the world. India accounts for 66% of world\u2019s smokeless tobacco users.<\/p>\n<h2><span style=\"color: #000000;\"><strong><a id=\"toc2\"><\/a>What are the negative impacts of tobacco epidemic in India?<\/strong><\/span><\/h2>\n<p><strong>1. Deleterious Impact on Human Health-<\/strong> Tobacco usage causes a wide range of <span style=\"color: #ff0000;\">life threatening diseases<\/span> like <span style=\"color: #ff0000;\">cancer<\/span>. As per WHO, tobacco use is a major cause of death and disease in India. It is responsible for an estimated <span style=\"color: #ff0000;\">1.35 million deaths annually<\/span>.<\/p>\n<p><strong>2. Health risk to employees engaged in Tobacco Industry-<\/strong> The <span style=\"color: #ff0000;\">health of more than 60 lakh people employed in the tobacco industry<\/span> is placed at risk because of the absorption of tobacco through the skin. This causes various diseases.<\/p>\n<p><strong>3. Economic Loss-\u00a0<\/strong>India incurred a <span style=\"color: #ff0000;\">loss exceeding \u20b91.7 lakh crore<\/span> as a result of tobacco\u2019s effects on the health of its consumers in the fiscal year 2017-2018, due to a 2021 study. This <span style=\"color: #ff0000;\">loss is ~3 times<\/span> as <span style=\"color: #ff0000;\">compared to Union health budget<\/span> of ~Rs. 48,000 crore.<\/p>\n<p><strong>4. Deterioration of Soil Quality-<\/strong> Tobacco crop is a <span style=\"color: #ff0000;\">highly erosive crop<\/span> that rapidly depletes soil nutrients. The cultivation of tobacco crop <span style=\"color: #ff0000;\">requires more fertilizer usage<\/span> which further worsens soil quality.<\/p>\n<p><strong>5. Deforestation-<\/strong> The tobacco plant is a major contributor to deforestation in India. <strong>For ex-<\/strong> <span style=\"color: #ff0000;\">~ 5.4 kg of wood<\/span> is required to process <span style=\"color: #ff0000;\">1 kg of tobacco<\/span>.<\/p>\n<p><strong>6. Waste Generation-<\/strong> The production and consumption of tobacco generates <span style=\"color: #ff0000;\">~1.7 lakh tonnes of waste every year<\/span> in India. Cleaning up tobacco waste has been estimated to <span style=\"color: #ff0000;\">cost ~ \u20b96,367 crore a year<\/span>.<\/p>\n<p><strong>7. Social Impact- <\/strong>Tobacco smoking <span style=\"color: #ff0000;\">violates non-smokers right to clean air<\/span> and <span style=\"color: #ff0000;\">undermines health of non-smokers<\/span>. It also <span style=\"color: #ff0000;\">affects household welfare<\/span> as the <span style=\"color: #ff0000;\">expenses incurred in tobacco use substitute the basic needs of food and education<\/span> among disadvantaged population.<\/p>\n<h2><span style=\"color: #000000;\"><strong><a id=\"toc3\"><\/a>What are the Govt Schemes and initiatives for Tobacco Control in India?<\/strong><\/span><\/h2>\n<p><strong>1. Cigarettes Act 1975-<\/strong> The Act is largely limited to statutory warnings like \u2018<span style=\"color: #ff0000;\">Cigarette Smoking is Injurious to Health<\/span>\u2019 to be displayed on cigarette packs and advertisements. However, it did not include non-cigarettes.<\/p>\n<p><strong>2. The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act (COTPA) 2003- <\/strong>The act contains 33 sections governing the <span style=\"color: #ff0000;\">production<\/span>, <span style=\"color: #ff0000;\">advertisement<\/span>, <span style=\"color: #ff0000;\">distribution<\/span>, and <span style=\"color: #ff0000;\">consumption of tobacco<\/span> in India.<\/p>\n<p><strong>3. WHO&#8217;s framework convention on Tobacco Control-<\/strong> India is <span style=\"color: #ff0000;\">one of the 168 signatories of the WHO\u2019s Framework Convention on Tobacco Control<\/span> (<span style=\"color: #ff0000;\">FCTC<\/span>). It was launched in 2005. It aims to reduce tobacco usage worldwide by helping countries develop demand and supply reduction strategies.<\/p>\n<p><strong>4. Food Safety and Standards Act 2006-<\/strong> Government of India has issued <span style=\"color: #ff0000;\">regulations under the Food Safety and Standards Act 2006<\/span> which lay down that tobacco or nicotine cannot be used as ingredients in food products.<\/p>\n<p><strong>5. Cable Television Networks Amendment Act of 2000-<\/strong> It prohibited the <span style=\"color: #ff0000;\">transmission of advertisements<\/span> on tobacco and liquor in India.<\/p>\n<p><strong>6. Prevention and Control of Pollution Act of 1981-<\/strong> The Act recognized <span style=\"color: #ff0000;\">smoking as an air pollutant<\/span>.<\/p>\n<p><strong>7. The Motor Vehicles Act 1988-<\/strong> It made <span style=\"color: #ff0000;\">smoking illegal in public vehicle<\/span>.<\/p>\n<p><strong>8. National Tobacco Control Programme (NTCP), 2008-<\/strong> The objective of the programme was to control <span style=\"color: #ff0000;\">tobacco consumption<\/span> and <span style=\"color: #ff0000;\">minimize tobacco consumption<\/span> related deaths. The activities include- training and capacity building, information, education, and communication (IEC) activities; reporting survey and surveillance and tobacco cessation.<\/p>\n<p><strong>9. Tobacco Cessation-<\/strong> The program <span style=\"color: #ff0000;\">provides targeted support<\/span> to help people overcome the <span style=\"color: #ff0000;\">personal challenge of maintaining efforts<\/span> to quit tobacco use. <span style=\"color: #ff0000;\">Tobacco cessation clinics<\/span> have been set up across the country as part of the program.<\/p>\n<p><strong>10. Tobacco Taxation-<\/strong> According to <span style=\"color: #ff0000;\">WHO Report on the Global Tobacco Epidemic 2017<\/span>, cigarette taxes in India are amongst the highest in the world. Cigarettes are subjected to high and discriminatory rates of taxation, as compared to other tobacco products. <span style=\"color: #ff0000;\">As of 2014-15 Government collected 87% of its total tobacco revenue<\/span> from legal cigarettes<\/p>\n<h2><span style=\"color: #000000;\"><strong><a id=\"toc4\"><\/a>What are the Challenges with Tobacco Control Programmes in India?<\/strong><\/span><\/h2>\n<p><strong>1. Ineffective Regulatory coverage-<\/strong> <span style=\"color: #ff0000;\">Smokeless tobacco products<\/span> (<span style=\"color: #ff0000;\">SLTs<\/span>) have predominantly been <span style=\"color: #ff0000;\">non-compliant with COTPA packaging guidelines<\/span>. Smuggled tobacco products- in both smoked and smokeless forms- have been badly regulated in India.<\/p>\n<p><strong>2. Outdated provisions in the COPTA-<\/strong> The fines for violation of COTPA regulations have not been updated since 2003. <strong>For ex-<\/strong> <span style=\"color: #ff0000;\">First time violation fine of \u20b95,000<\/span> for violation of packaging restrictions.<\/p>\n<p><span style=\"color: #333333;\"><strong>3. Unclear Guidelines on surrogate and indirect advertisements-\u00a0<\/strong>These<\/span> have been used to <span style=\"color: #ff0000;\">sell proxy products like Elaichi<\/span>. This has to indirect promotion of the sale of tobacco manufactured by the same brand. <strong>For ex-<\/strong> The <span style=\"color: #ff0000;\">ICC Men\u2019s Cricket World Cup 2023<\/span> displayed <span style=\"color: #ff0000;\">surrogate advertisements<\/span> for <span style=\"color: #ff0000;\">at least two tobacco brands<\/span> which indirectly promoted tobacco use.<\/p>\n<p><strong>4. Ineffective implementation of NTCP-<\/strong> A 2018 study there has been <span style=\"color: #ff0000;\">no significant difference in the reduction of bidi or cigarette<\/span> consumption between <span style=\"color: #ff0000;\">NTCP and non-NTCP districts<\/span>. National Tobacco Control Programme (NTCP) suffers from <span style=\"color: #ff0000;\">insufficient staffing<\/span>, <span style=\"color: #ff0000;\">insufficient resource allocation and utilization<\/span>, and <span style=\"color: #ff0000;\">lack of effective monitoring mechanisms<\/span>.<\/p>\n<p><strong>5. Tax evasion- <\/strong>Indian government\u2019s efforts to levy excise duty on tobacco have been marred by tax evasion practices, such as by <span style=\"color: #ff0000;\">purchasing tobacco products in lower tax jurisdictions<\/span>, and illegal methods such as <span style=\"color: #ff0000;\">smuggling<\/span>, <span style=\"color: #ff0000;\">illicit manufacturing<\/span>, and <span style=\"color: #ff0000;\">counterfeiting<\/span>.<\/p>\n<p><strong>6. Increasing affordability of tobacco products-<\/strong> Low tobacco taxes in India, have not matched the rise in people\u2019s income, and have kept tobacco affordable over the years. <strong>For ex-<\/strong> A 2021 study in BMJ Tobacco Control reported that <span style=\"color: #ff0000;\">cigarettes, bidis, and SLTs have become more affordable in the preceding 10 years<\/span>. The transitioning to the Goods and Services Tax regime has rendered cigarettes and SLTs more affordable.<\/p>\n<p><strong>7. Govt interference in tobacco Industry-<\/strong> India\u2019s score on the tobacco interference index- <span style=\"color: #ff0000;\">which calculates the degree of interference by the tobacco industry in governance<\/span>&#8211; has also worsened since 2021.<strong> For ex-<\/strong> Government officials, both in-service and retired, engage with the tobacco industry. A retired <span style=\"color: #ff0000;\">Indian Administrative Services<\/span> officer joined the board of <span style=\"color: #ff0000;\">Godfrey Phillips as an independent director in 2022<\/span>. Moreover, the <span style=\"color: #ff0000;\">Central government holds a 7.8% stake in ITC Ltd<\/span>., India\u2019s largest tobacco company.<\/p>\n<h2><span style=\"color: #000000;\"><strong><a id=\"toc5\"><\/a>What Should be the Way Forward?<\/strong><\/span><\/h2>\n<p><strong>1. Effective regulations on surrogate advertisements- <\/strong>The COPTA must be updated to <span style=\"color: #ff0000;\">include regulations on surrogate advertisements<\/span>, <span style=\"color: #ff0000;\">inclusion of films and video games in the definition of<\/span> \u2018<span style=\"color: #ff0000;\">advertisement<\/span>\u2019 and <span style=\"color: #ff0000;\">increasing the fines for violation of advertisement norms by a factor of 10<\/span>.<\/p>\n<p><strong>2. Increasing tax on tobacco products in line with FCTC recommendation-<\/strong> Tax burden which is 51% for cigarettes, 22% for bidis, and 64% for SLTs. They must be <span style=\"color: #ff0000;\">increased to FCTC&#8217;s recommendation of 75% tax<span style=\"color: #333333;\">.<\/span><\/span><span style=\"color: #333333;\">\u00a0<\/span><\/p>\n<p><strong>3. Effective implementation of Prohibition of Electronic Cigarette Act (PECA), 2019-<\/strong> The PECA must be strictly implemented. We must continue to strive to strengthen the governance framework, reduce the corruption levels and increasing the effectiveness of customs and tax adminstration.<\/p>\n<p><strong>4. Helping tobacco farmers switch to farming alternate crops-<\/strong> According to study conducted by the <span style=\"color: #ff0000;\">Central Tobacco Research Institute<\/span>, helping tobacco farmers switch to alternate crops will help in avoiding loss of livelihood. <span style=\"color: #ff0000;\">For Large-scale tobacco farmers, the net return per rupee of investment in jowar cultivation<\/span> (<span style=\"color: #ff0000;\">1.84<\/span>) is higher than<span style=\"color: #ff0000;\"> tobacco<\/span> (<span style=\"color: #ff0000;\">1.48<\/span>).<\/p>\n<table style=\"width: 100%; border-collapse: collapse; border-style: solid;\">\n<tbody>\n<tr>\n<td style=\"width: 100%;\">Read More- <a href=\"https:\/\/epaper.thehindu.com\/ccidist-ws\/th\/th_delhi\/issues\/84921\/OPS\/G2BCS5M32.1+GN7CS7PDR.1.html\" target=\"_blank\" rel=\"noopener\">The Hindu<\/a><br \/>\nUPSC Syllabus- GS 2 Govt intervention for various sectors<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>On the Occasion of World No Tobacco Day, it is pertinent for us to delve deeper into the case of Tobacco Epidemic in India. Through the World No Tobacco Day, WHO aims to raise awareness about the health risks of tobacco use. It also advocates for stringent measures to protect public health, especially among youth.&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/the-tobacco-epidemic-in-india-explained-pointwise\/\">Continue reading <span class=\"screen-reader-text\">The Tobacco Epidemic in India- Explained Pointwise<\/span><\/a><\/p>\n","protected":false},"author":10357,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[130,1],"tags":[],"class_list":["post-297588","post","type-post","status-publish","format-standard","hentry","category-7-pm","category-uncategorized","entry"],"jetpack_featured_media_url":"","views":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/297588","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/10357"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=297588"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/297588\/revisions"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=297588"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=297588"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=297588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}