National Tobacco Control Programme

 

Tobacco has been identified as the foremost cause of death and disease that is entirely preventable. Globally tobacco use is responsible for deaths of nearly 6 million people. As per WHO, if current trends continue, by 2030 tobacco use will kill more than 8 million people worldwide each year. It is estimated that 80 % of these premature deaths will occur among people living in low - and middle - income countries. Over the course of the 21st century, tobacco use could kill a billion people or more unless urgent action is taken.

 

Nearly 8 - 9 Lakhs people die every year in India due to diseases related to tobacco use and as per the report of Indian Council of Medical Research (ICMR), nearly 50% of cancers in males and 25% cancers in females in India are directly attributed to tobacco use. Global Adult Tobacco Survey (GATS) 2009 - 10, conducted in the age group of 15 years and above 47.8% men and 20.3% women consume tobacco in some form or other.

 

In order to protect the youth and masses from the adverse effects of tobacco usage, second hand smoke (SHS) and to discourage the consumption of tobacco. The Govt. Of India enacted and comprehensive tobacco control law namely “Cigarettes and other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003. The National Tobacco Program was launched in 2007 - 08 under 11th Five Year Plan. India is party to the WHO Framework Convention on Tobacco Control (FCTC) and is committed to implementing all provisions of this international treaty.

 

Program objectives are following:

 

  • Public awareness/ mass media campaigns for awareness building and behavior change.
  • Establishment of tobacco product testing laboratories, to build regulatory capacity, as required under COPTA, 2003.
  • Mainstreaming the program component as a part of the health delivery mechanism under the National Rural Health Mission framework.
  • Mainstreaming Research & training on alternate crops and livelihood in collaboration with other nodal Ministries.
  • Monitoring and Evaluation including surveillance e.g. Global Adult Tobacco Survey (GATS) India.

 

 

The function of the division:

 

 

The National Tobacco Control Cell (NTCC) is responsible for overall policy formulation, planning, monitoring and evaluation of the different activities envisaged under the programme. The National Cell functions under the direct guidance and supervision of the programme in - charge from Ministry of Health & Family Welfare i.e. Joint Secretary/Director and the technical assistance is provided by the identified officers from the Directorate General of Health Services i.e. Deputy Director General (DDG) / Chief Medical Officer (CMO). The NTCC is supported by Consultants in specific areas of tobacco control like Policy, Legal, National Coordination and IEC & Advocacy.

 

 

 

The Schemes/Programme being implemented:

 

 

NTCP was launched in 42 districts of the country during the XI Five year plan. During the five year plan, it is envisaged to cover most of the districts in the country. Although COTPA 2003 is valid all over the country, implementation of the same would be better. During the plan period, Tobacco Cessation Centers [TCCs] would also be established to help people who wish to quit tobacco consumption in any form.

 

Global Adult Tobacco Survey India 2009 - 10 was carried out in all 29 states of the country and 2 union Territories of Chandigarh and Pondicherry, covering about 99.9 % of the total population of India.

 

Global Youth Tobacco Survey India 2009 was carried out in grades 8,9 and 10 covering age groups 13 - 15 years.

 

National Level Public Awareness campaigns - A two month pan India outdoor media activity was launched during the year using a wide variety of media for creating awareness about harmful effects of Tobacco use.

 

National Consultation on Economics of Tobacco was organized in collaboration with WHO - India on 20 - 21 December, 2012 in New Delhi.

 

 

Achievement of the Division/Section:

 

  • Operational Guidelines for implementation of National Tobacco Programme developed and disseminated to all the states and Districts.
  • Guidelines for Implementation of pictorial health warnings and sale to minors and around educational institutions developed and disseminated to states.
  • Implementation of the Food Safety and Standards Authority of India Regulation in the Sates.
  • Communication to Director Generals of Police (DGP) in states to strengthen and institutionalize enforcement of COPTA.
  • Communication to Transport Secretaries in the States to make e compliance to COPTA
  • Communication to Principal Secretaries (Health) in the States to make compliance to COPTA.
  • The National Tobacco Control Cell (NTCC) coordinated with all 15 state consultants for collection of data related to price of key brand of tobacco products.
  • The NTCC organized a one day national level multi - stakeholder consultation on „Closing the Gaps in TAPS‟ in collaboration with HRIDAY and WHO India Office.
  • The NTCC assisted in soliciting proposals from the district administration of Anand and Kheda in the state of Gujarat on a systemic, time bound plan to reduce tobacco cultivation areas in these two districts.
  • The NTCC furnished inputs on the concerned issues of the draft agenda of the 13th Session of the „Organization for Economic Co - operation and Development (OECD).
  • The NTCC furnished India’s stand on the draft resolution on a „United Nations Interagency Task Force‟ on the prevention and control of non - communicable diseases.
  • The NTCC got the approval of the 1st National Level Mass media campaign for the year 2013 - 14.
  • The NTCC participated and facilitated in the Technical Advisory Committee for the National Family Health Survey - 4 (NFSS).
  • The “Guidelines for Law Enforcers, 2013” for effective implementation of tobacco control was developed and released by Secretary Health and Acting WR.

 

 

COTPA, 2003 (At a glance):

 

  • Ban on smoking in public places- Section 4
  • Ban on advertisements of tobacco products - Section 5
  • Prohibition of sale of tobacco products to and by minors- Section 6 (a)
  • Prohibition on sale of tobacco products within the radius of 100 yards of any educational institutions - Section 6 (b)
  • Specified health warning labels on all tobacco products -Section 7
  • Power of entry and search -Section 12
  • Power to Seize -Section 13
  • IMMUNITY to the Authorized Officers - Section 29

 

 

MAIN PROVISIONS OF THE ACT:

 

  • Sec-4: Prohibition of smoking in public places
  • Sec-5 : Prohibition of advertisement of Cigarettes and other tobacco products
  • Sec-6(a): Prohibition of sale of tobacco products to and by minors
  • Sec-6(b): Prohibition of sale of tobacco products within 100 yards radius of any educational institutions
  • Sec-7: Specified pictorial health warning labels on all tobacco products packs

 

 

Prohibition of Smoking in Public Place – Sec. 4 of COTPA, 2003:

 

  • No person shall smoke in any public place
  • PENALTY: - Sec. 21

 

 

Whoever contravenes Sec.4 shall be punishable with fine which may extend to Rs 200:

 

“Public place” –Section 3(l) of COTPA, 2003, Rule 2(c) & Rule 2(d) of the Prohibition of Smoking in Public Places Rules, 2008

 

  • Hospitals
  • Educational Institutions: Schools, Colleges etc
  • Public Offices, Court Buildings
  • Work Places
  • Shopping Malls
  • Cinema Halls
  • Open Auditorium, Stadium, Amusement centers
  • Libraries
  • Bus stops/stand, Railway stations, Airport
  • Hotels
  • Restaurants
  • Public Conveyances and the like