Smokeless tobacco control in India: policy review and lessons for high-burden countries
We examined the magnitude of smokeless tobacco (SLT) use in India and identified policy gaps to ascertain the priorities for SLT control in India and other high SLT burden countries in the Southeast Asia region. We reviewed and analysed the legal and policy framework to identify policy gaps, options...
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2020-07-01
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doaj-ebd957eda90246f9a449f4606bc26b212021-03-30T13:00:15ZengBMJ Publishing GroupBMJ Global Health2059-79082020-07-015710.1136/bmjgh-2020-002367Smokeless tobacco control in India: policy review and lessons for high-burden countriesPrashant Kumar Singh0Ravi Mehrotra1Prakash C Gupta2Shalini Singh3Suneela Garg4Nisha Yadav5Ravi Kaushik6Kumar Chandan7Anshika Chandra8Dhirendra N Sinha9Division of Preventive Oncology, ICMR-National Institute of Cancer Prevention and Research, Noida, Uttar Pradesh, IndiaIndia Cancer Research Consortium, New Delhi, Delhi, India3 Healis Sekhsaria Institute for Public Health, Mumbai, Maharashtra, India ICMR-National Institute of Cancer Prevention and Research, Noida, Uttar Pradesh, IndiaDepartment of Community Medicine, Maulana Azad Medical College, New Delhi, Delhi, IndiaHarlal School of Law, Greater Noida, Uttar Pradesh, IndiaMaulana Azad Medical College and Associated Hospitals, New Delhi, Delhi, IndiaWHO FCTC Knowledge Hub on Smokeless Tobacco, ICMR-National Institute of Cancer Prevention and Research, Noida, Uttar Pradesh, IndiaWHO FCTC Knowledge Hub on Smokeless Tobacco, ICMR-National Institute of Cancer Prevention and Research, Noida, Uttar Pradesh, IndiaSchool of Preventive Oncology, New Delhi, Delhi, IndiaWe examined the magnitude of smokeless tobacco (SLT) use in India and identified policy gaps to ascertain the priorities for SLT control in India and other high SLT burden countries in the Southeast Asia region. We reviewed and analysed the legal and policy framework to identify policy gaps, options and priority areas to address the SLT burden in India and lessons thereof. In India, 21.4% adults, including 29.6% of men, 12.8% of women, use SLT while more than 0.35 million Indians die every year due to SLT use. SLT use remains a huge public health concern for other countries in the region as well. Priority areas for SLT control should include: constant monitoring, increasing taxes and price of SLT products, strengthening and strict enforcement of existing laws, integration of SLT cessation with all health and development programmes, banning of advertisement and promotion of SLT, increasing age of access to tobacco up to 21 years, introducing licensing for the sale of SLT, standardising of SLT packaging and preventing SLT industry interference in the implementation of SLT control policies besides a committed multistakeholder approach for effective policy formulation and enforcement. SLT control in India and the other high SLT burden countries, especially in the Southeast Asia region, should focus on strengthening and implementing the above policy priorities.https://gh.bmj.com/content/5/7/e002367.full |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Prashant Kumar Singh Ravi Mehrotra Prakash C Gupta Shalini Singh Suneela Garg Nisha Yadav Ravi Kaushik Kumar Chandan Anshika Chandra Dhirendra N Sinha |
spellingShingle |
Prashant Kumar Singh Ravi Mehrotra Prakash C Gupta Shalini Singh Suneela Garg Nisha Yadav Ravi Kaushik Kumar Chandan Anshika Chandra Dhirendra N Sinha Smokeless tobacco control in India: policy review and lessons for high-burden countries BMJ Global Health |
author_facet |
Prashant Kumar Singh Ravi Mehrotra Prakash C Gupta Shalini Singh Suneela Garg Nisha Yadav Ravi Kaushik Kumar Chandan Anshika Chandra Dhirendra N Sinha |
author_sort |
Prashant Kumar Singh |
title |
Smokeless tobacco control in India: policy review and lessons for high-burden countries |
title_short |
Smokeless tobacco control in India: policy review and lessons for high-burden countries |
title_full |
Smokeless tobacco control in India: policy review and lessons for high-burden countries |
title_fullStr |
Smokeless tobacco control in India: policy review and lessons for high-burden countries |
title_full_unstemmed |
Smokeless tobacco control in India: policy review and lessons for high-burden countries |
title_sort |
smokeless tobacco control in india: policy review and lessons for high-burden countries |
publisher |
BMJ Publishing Group |
series |
BMJ Global Health |
issn |
2059-7908 |
publishDate |
2020-07-01 |
description |
We examined the magnitude of smokeless tobacco (SLT) use in India and identified policy gaps to ascertain the priorities for SLT control in India and other high SLT burden countries in the Southeast Asia region. We reviewed and analysed the legal and policy framework to identify policy gaps, options and priority areas to address the SLT burden in India and lessons thereof. In India, 21.4% adults, including 29.6% of men, 12.8% of women, use SLT while more than 0.35 million Indians die every year due to SLT use. SLT use remains a huge public health concern for other countries in the region as well. Priority areas for SLT control should include: constant monitoring, increasing taxes and price of SLT products, strengthening and strict enforcement of existing laws, integration of SLT cessation with all health and development programmes, banning of advertisement and promotion of SLT, increasing age of access to tobacco up to 21 years, introducing licensing for the sale of SLT, standardising of SLT packaging and preventing SLT industry interference in the implementation of SLT control policies besides a committed multistakeholder approach for effective policy formulation and enforcement. SLT control in India and the other high SLT burden countries, especially in the Southeast Asia region, should focus on strengthening and implementing the above policy priorities. |
url |
https://gh.bmj.com/content/5/7/e002367.full |
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