Dr Gopal Chauhan State Program Officer Tobacco Control

Tobacco plant

Tobacco products

> 40% mortality in TB patients >50% NCDs are due to tobacco >90% oral cancers are due to tobacco

Tobacco is now the world’s leading single cause of death 5 million deaths/yr, will increase to >8 million/yr by 2030 1 billion people deaths during the 21st Century (Report on World Health Statistics, 2008)

The world of tobacco

Biggest Public Health Achievements in 21st century 1. Vaccination 2. Recognition of Tobacco Use as a Health Hazard 3.Motor vehicle safety 9. Control of Infectious Diseases 10 Family Planning Public health professionals include, but are not limited to the following: u     Administrators u     Biostatisticians u     Dieticians u     Environmental health specialists u     Epidemiologists u     Health care providers u     Health communication specialists u     Health educators u     Health law experts u     Labratorians u     Occupational health specialists u     Public health nurses u     Researchers u     Sanitarians u     Social scientists u     Toxicologists u     Others https://www.mylifestages.org/blog/everything-health/top-10-greatest-public-health-achievements-of-this-century

Proportional Mortality, by cause, India NCDs are the number one killers in the world today. They cause 36 million deaths each year globally, which represents 63% of all deaths. Source: WHO Global Status Report on Noncommunicable Diseases 2014

NCDs Risk factors & mortality per year Tobacco-6.3 million deaths= 63 Lac Alcohol-4.9 million deaths=49 Lac Unhealthy diet-4.9 million deaths=49 Lac Physical inactivity-3.2 million deaths=32 Lac (lancet 2012)

Tobacco control policies WHO-FCTC MPOWER NTCP COTPA FSSAI Drug & Cosmetic act

Main provisions..COTPA (restrictions) On smoking in public places(4) On sale to the minors(6) On sale by the minors(6) On sale with in 100 yards of Edu. Institutions(6) On direct/indirect advt.(5) On sale without pack warnings(7) (Protection of the Law enforcers )

Boards / Signage is to be displayed at a prominent place out side the Campus of Educational Institutions Sale of Tobacco Products with in the radius of 100 yards from the EDUCATIONAL INSTITUTIONS is an OFFENCE.

Boards / Signage is to be displayed at Tobacco selling shops

Tobacco control in HP Making Shimla smoke-free Tribune News Service Shimla, May 5 The state government will soon authorise the police and staff from other departments to compound tobacco-related offences in their endeavour to make Shimla ‘Smoke-free’ and eradicate the problem of tobacco. This was stated by Chief Secretary Asha Swaroop while presiding over the state-level workshop on Effective Implementation of ‘Control of Tobacco Products Act (COTPA), 2003 and ‘Smoke free-Shimla’ organised by the Himachal Pradesh Voluntary Health Association (HPVHA) here today. “Seeing the alarming number of tobacco-related deaths the need of the hour is to create awareness and sensitise major stakeholders right from the police, bureaucracy and policy makers and people at large for the effective implementation of the anti-Tobacco Act. Smt Asha Swaroop Chief Secretary HP on 5.5.09 in HP Sett.

WNTD 31st May 2009

Declaration of Smoke free Shimla as a Smoke Free City

31st May 2010 World No Tobacco Day Shimla

15th August State level function Hamirpur (HP)

WHO –SEARO award 2012

First Tobacco Free Village P- Himachal Goes smoke Free First Tobacco Free Village

Jul 24,2016 : The Himachal Pradesh government will soon impose a ban on sale of loose cigarettes and also enhance value-added tax (VAT) on tobacco products. The tribune

Achievements so far Smoke free Shimla -2010 Smoke Free Himachal -2013 Smokeless tobacco ban-2012 New legislation for banning sale of loose tobacco and licensing tobacco vendors -2018 24% reduction I tobacco use as per GATS -2

Plan for 2019-20 Prepare for World No Tobacco day celebration on 31.5.19 Theme – Tobacco and Lung Health Hold Distt . level coordination committee meeting with DC Follow the work plan & expedite expenditure Display No smoking signages in all public places Ensure display 100 yards board in schools & other Edu Institutes Tobacco free workplaces

Thanks