Lok Sabha Question No. 1278 (UNSTARRED), answered on 2017-12-22
Subject: Treatment of Tobacco related Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HARIOM SINGH RATHORE, TATHAGATA SATPATHY, RAMDAS CHANDRABHANJI TADAS, V. SATHYABAMA, P. KARUNAKARAN, CHANDRAKANT RAGHUNATH PATIL, OM PRAKASH YADAV, M. B. RAJESH

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 1278 TO BE ANSWERED ON 2 2 ND DECEMBER, 2017

## TREATMENT OF TOBACCO RELATED DISEASES

## 1278. SHRI HARIOM SINGH RATHORE:

SHRI TATHAGATA SATPATHY:

SHRI RAMDAS C. TADAS:

SHRIMATI V. SATHYA BAMA:

SHRI P. KARUNAKARAN:

SHRI C.R. PATIL:

SHRI OM PRAKASH YADAV:

SHRI M.B. RAJESH:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government is committed to discouraging use of tobacco products, if so, the details of schemes/ programmes launched in this regard along with the targets achieved and the Government spending on control and treatment of tobacco related diseases;
- (b) the number of deaths reported due to diseases attributed to tobacco consumption/use in the country, State/UTwise;
- (c) the details of steps being taken to prohibi  sale and manufacturing of all forms of Smokeless Tobacco products(SLT)/ Chewing tobacco and act ion taken against the erring stakeholders;
- (d) the necessary steps taken to create awareness against use of tobacco products and electronic cigarettes; and
- (e) whether the compliance report has been ubmitted to Supreme Court in the light of judgment banning Smokeless Tobacco products (SLT)/Chewing tobacco, if so, the details thereof and if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a) : The  Government  is  committed  to discouraging  use  of  tobacco  products  and  as  such Ministry of Health & Family Welfare enacted a comprehensive legislation, namely the Cigare and  Other  Tobacco  Products  (Prohibition  of  Advertisement  and  Regulation  of  Trade  a Commerce, Production, Suppl y and Distribution) Act, 2003 (COTPA 2003) to discourage the consumption  of  tobacco  products  in  order  to  protect  the  masses  from  the  health  haz attributable to tobacco use.

Further,  the  National  Tobacco  Control  Programme  (NTCP)  was  launched  by  this M inistry in 2007 -8  with the aim to (i) create awareness about the harmful effects of to consumption, (ii) reduce the production and supply of tobacco products, (iii) ensure e implementation of the provisions under COTPA, 2003 (iv) help the p eople quit tobacco use, and (v) facilitate implementation of strategies for prevention and control of tobacco advo WHO Framework Convention of Tobacco Control.

During  the  12 th Five  Year  Programme,  there  is  a  target  to  reduce  the  prevalence  o tobacco use by 5%. As per the findings of Global Adult Tobacco Survey -2  (GATS - 2),  India 2016- 17, the prevalence of tobacco use has decreased by six percentage points from 34.6 GATS - 1 in 2009 - 10 to 28.6% in GATS - 2 in 2016 - 17.

No  such  specific  informati on  regarding  the  Government  spending  on  control  and treatment of tobacco related diseases is available with this Ministry. However, the exp under NTCP for the last three years is as under:

| Year     |   Expenditure (Rs. In Crores) |
|----------|-------------------------------|
| 2015- 16 |                         20.29 |
| 2016- 17 |                         48.16 |
| 2017- 18 |                         19.91 |

- (b): As  per  the  'Report  on  Tobacco  Control  in  India'  published  in  2004,  about  8 - 9  lakhs deaths per year are attributable to tobacco related diseases.
- (c): Food  Safety  and  Standards  (Prohibition  and  Restrictions  on  Sales)  Regulations, 2011 dated 1 st August 2011, issued under the Food Safety and Standards Act, 2006 (FSS Act, 2006) the Food Safety & Standards Authority of India (FSSAI), lays down that tobacco and nico shall not be used as ingredients in any food products. The onus of enforcement of FSS Act, 2006 and regulations made thereunder primarily lies with the States/Union Territories.
- (d): The stakeholders are being made aware on a regular basis about the adverse effec tobacco  usage  on  health  through  various  anti -tobacco  campaigns  vide  different  mode  of communication including TV, Radio, Print media, social media, films, train wrap etc. and by displaying awareness material in trade fair, mela etc.

However, no such specific awareness campaign against the use of electronic cigare has been undertaken by this Ministry.

- (e): As per the direction of the Hon'ble Supreme Court of India in the matter 'Central Areca -nut Marketing Corporation & Others Vs Union of India & Ors (Transfer Case (C) 1 of 2010)' , the States/Union Territories has to file their affidavits on the issue of total complianc imposed on manufacturing and sale of Gutkha and Pan Masala with tobacco and/or nicotine.