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National Tobacco Control Programme  (N T C P)

Background

The tobacco epidemic one of the biggest public health threats the world has ever faced, killing more than 8 million people a year around the world. More than 7 million of those deaths are the result of non-smokers being exposed to second-hand smoke. Around 80% of the 1.1 billion smokers worldwide live in low- and middle-income countries, where the burden of tobacco-related illness and death is heaviest. Tobacco use contributes to poverty by diverting household spending from basic needs such as food and shelter to tobacco.

The Government of India launched the National Tobacco Control Program (NTCP) during the 11th Five Year Plan in 2007-08. World Adult Tobacco Survey (GATS) 2009 10 indicates tobacco use rates. The 12th Five Year Plan was aimed at reducing tobacco use by 5% by the end of the 12th Five Year Plan. According to the GATS 2nd Survey, the number of tobacco users decreased by about 81 lakh [8.1 million]. NTCP has been implemented in all 30 districts of Karnataka. Implementation of the National Tobacco Control Program in Chikkamagaluru District for the year 2015-16.

Objectives

  •  To build capacity of the State /Districts to effectively implement the tobacco control     initiatives
  • To train the health and social workers;
  • To undertake appropriate IEC activities and mass awareness campaigns, including at schools, workplaces, Public place etc.;
  • To set up a regulatory mechanism to monitor/implement the Tobacco Control Laws;
  • To establish a system of tobacco product regulation.
  • Provide facilities for treatment of tobacco dependence.
  • To conduct Adult Tobacco Survey/Youth Survey for surveillance, etc.
  • Integration with other programs under NHM: manpower, IEC, funding, strategies
  • Augmenting Tobacco Cessation: NPCDCS, NOHP, Tb-Tobacco collaboration
  • Action Plan to meet the 2030 target of 30% reduction in tobacco cultivation
  • Coalition with all stakeholders, academic institutions and professional bodies.

Tobacco Burden

Tobacco burden in India:

Tobacco is one of the greatest threats to the health and wellbeing of all citizens in India. It is a common risk factor for the development of most of non-communicable diseases including cardiovascular diseases, respiratory disorders and cancer.

The GATS-II conducted in 2016-17 showed that in India, 10.7% of all adults smoke while 21.4% of all adults use smokeless tobacco. Tobacco not only has adverse effects on the individual who is using it but also affects the people around through second hand smoke.

Health Burden of Tobacco:

  • Cancer of oral cavity, tongue, larynx and pharynx, esophagus, stomach, gall bladder, urinary bladder, uterine cervix and lungs.
  • Cardio-vascular Diseases and chronic Obstructive Pulmonary Diseases [COPDs] linked with the Tuberculosis.
  • 40% of TB and other related diseases are attributed to tobacco consumption
  • Oral diseases
  • Low-birth weight babies
  • Reduced fertility and sexual impotence among men
  • Early ageing and wrinkling of skin
  • Pre-mature deaths,
  • Cancer : 50% of cancers in males and 20% cancers in females are attributed to tobacco use.
  • Majority of cardio-vascular and lung disorder

Tobacco Products

SMOKING FORMS:

  • Bidis
  • Cigarettes and Cigars
  • Hookah
  • Cheroots
  • Chuttas
  • Dhumti
  • Pipe
  • Hooklis
  • Chillum

SMOKELESS FORMS:

  • Paan with tobacco
  • Paan masala with tobacco./Guthka
  • Tobacco, areca nut and slaked lime preparation: Mawa
  • Tobacco and slaked lime (khaini)
  • Snuff
  • Khaini

IEC and School Program

lnformation, Education and Communication (lEC) in health program aims to increase awareness, change attitudes and bring about a change in specific behaviors. lt is used for generating awareness, aims at establishing process of working with individuals,communities & societies to develop communication strategies to promote positivebehavior.

School Program

District Tobacco control cell shall do mapping of schools and colleges in the district. Accordingly DTCC team can plan comprehensive action plan (may be quarterly) for School Program by taking formal approval from DDPI and DDPU</p align=”justify”>

Pre university colleges (1st year and Second year) to be involved in Schoo1 campaign activity’ Abrief presentation followed by discussion to be done with students. Students to be involved inpainting competition/drawing competition/Essay competition/Debates/fancy dress/skits.

Target: – 100 educational institutions (Schools & Colleges) covered in 2021-22

FY to be declared Tobacco Free School /College by end of FY 2021-22.

Campaign

Rose Campaign

Students visiting tobacco shops in area  who are selling Tobacco products within 100 yards oftheir educational institution through Jatha. They will hand over a Red Rose (symbol of love and respect)along with a handout which explains objectives of campaign, sensitizing tobacco seller on ill effects oftobacco consumption and requesting them to not sale tobacco products.

Yellow Line Campaign

Its main purpose the public with the slogan “Tobacco Free School” with an open environment of  No tobacco use.

Display of “Tobacco free School” or “Tobacco-free Institution” board at a prominent place on the boundary wall outside the main entrance.

No sale of tobacco products inside the premises and within the radius of 100 yards from school / educational institutions.

No smoking or chewing of tobacco inside the premises of institution by students/ teachers/ other staff members / visitors.

Focus Group Discussion (F.G.D.)

Focus Group Discussion (FGD) is a tool to understand the common issues of selected group ofpeople, (who have similar habits/behavior patterns) to address the issues. In the context ofNational Tobacco Control Program, FGD can be conducted with identified tobacco users in avillage, taluk and district level and motivating them to quit tobacco consumption. It can be done,with Self Help Group Meeting, Colleges, Youth Clubs, Parents Meeting at School and College, Health Camps, Rotary club/Lions club etc. Those who quit tobacco completely can share his/herexperience to motivate others.

Sing Campaign 

The Objective of this Campaign is to create awareness about the need to join hands to build a tobacco free society.

World No Tobacco Day(WNTD)

World No Tobacco Day is celebrated every year on May 31st. Its Main Purpose is to educate the Public, Mainly Young people of today’s Mental and Physical health Consequences of Tobacco and tobacco Products.

Tobacco Cessation Centre- TCC

The Tobacco Addiction Free Centre (TCC) is another part of the Tobacco Control Cell, Chikmagaluru. The district hospital, Room No. 105, District Mental Health Centre District Hospital has established a Tobacco Addiction Free Centre for Counselling and treatment and so far 805 addicts have been provided with personal consultation.

Raid

As the progress of the Chikkamagaluru District Tobacco Control Cell Program is spreading awareness in collaboration with various departments of the District and Taluk Enforcement Department. The public has been requested to stop using tobacco products such as pan masala, jarda, khani, etc. in public places with a view to health. However violations of the COTPA -2003 Act are being made. A total of 130 Enforcement Drive were conducted under the COTPA -2003 Act in the physical year 2018-19, 2019 -20, 2020-21 and 2021-22 a total of 2751 cases were registered under section 4, with a total penalty of Rs. 330070/- under Section 6 (a), a total of 669 cases have been filed and the penalty amount is Rs. 70915/- under Section 6 (b), a total of 174 cases have been registered and the penalty amount is Rs. 17035/- Total 3594 cases registered and amount 418020/- they are stored in fines.

ನವೀಕರಿಸಿದ ದಿನಾಂಕ: 25/10/2021
Page Information Given By: District Tobacco Control Cell
District Surveillance Unit
District Health and family welfare Department
Chikkamagaluru-577101.
ಇಮೇಲ್ ಐಡಿ: ntcpchikmagalur[at}gmail[dot]com

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