Lok Sabha Question No. 192 (UNSTARRED), answered on 2024-02-02
Subject: Rise of Tobacco Abuse
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kotagiri Sridhar

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 192 TO BE ANSWERED ON 2 ND FEBRUARY 2024

## RISE OF TOBACCO ABUSE

## 192: SHRI SRIDHAR KOTAGIRI:

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

(a) whether it is a fact that consumption of tobacco accounts for almost 50% of causes of all cancers in India and if so, the details thereof;

(b) whether any study has been conducted to ascertain the instances of tobacco abuse, in the country;

- (c) if so, the details thereof, State/UT-wise and if not, the reasons therefor; and
- (d) the steps taken/proposed to be taken by the Government to reduce tobacco consumption?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (PROF. S.P. SINGH BAGHEL)

(a) to (c): As per the Indian Council of Medical Research ' s Clinicopathological Profile of Cancers in India: A Report of the Hospital Based Cancer Registries, 2021, Cancers associated with tobacco use comprised of 48.7% of all cancers among males and 16.5% among females, respectively. Of all the cancers reported in the hospital-based cancer registry, irrespective of gender, such cancers associated with tobacco use constituted 33.3% of all cancers. The Number (n) and relative proportion (%) of cancers associated with use of tobacco according to geographic region is at Annexure.

- (d): The steps taken by the Government to reduce tobacco consumption are;
-  A comprehensive legislation, namely the Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003 (COTPA 2003) has been enacted to regulate the use of tobacco products and to discourage the use of tobacco, with a view to improve public health in general as enshrined in Article 47 of the Constitution. The provisions under COTPA, 2003 and the Rules made thereunder prohibit smoking in public places; ban on sale of tobacco products to and by minors, sale of tobacco products within a radius of 100 yards of educational institutions; prohibition on direct and

indirect advertising of tobacco products and mandatory display of specified health warnings on all tobacco product packs. The Ministry has also issued the ' Guidelines for Tobacco Free Educational Institution ' to all States/Union Territories for effective implementation of Section-6 of COTPA, 2003.

-  The Government launched National Tobacco Control Programme (NTCP) in 200708 to discourage the use of tobacco; create awareness about the harmful effects of tobacco consumption through regular and sustained public awareness campaigns; National Tobacco Quitline to provide tobacco cessation services to reach out to tobacco users who are willing to quit tobacco use.
-  Ministry of Health & Family Welfare launched a 60 days Tobacco Free Youth Campaign on the 'World No Tobacco Day, 2023'. The campaign was successfully implemented from 31 st May to 31 st July, 2023 by all States and UTs to create intensive mass awareness on harmful effects of tobacco use, particularly amongst the youth and rural communities.
-  The Government has also enacted 'T he Prohibition of Electronic Cigarettes (Production, Manufacture, Import, Export, Transport, Sale, Distribution, Storage and Advertisement) Act, 2019 ' on 5 th December, 2019 to protect the youth from getting addicted to nicotine.

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Annexure

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|            | Males       | Males   | Males   | Females     | Females   | Females   | Total       | Total   | Total   |
|------------|-------------|---------|---------|-------------|-----------|-----------|-------------|---------|---------|
| Region     | All Classes | n       | %       | All Classes | n         | %         | All Classes | n       | %       |
| Central    | 13963       | 8895    | 63.7    | 13342       | 2577      | 19.3      | 27305       | 11472   | 42      |
| East       | 27036       | 10314   | 38.1    | 27198       | 3402      | 12.5      | 54234       | 13716   | 25.3    |
| North      | 74700       | 35215   | 47.1    | 60512       | 9274      | 15.3      | 135212      | 44489   | 32.9    |
| North East | 28677       | 18972   | 66.2    | 21274       | 6228      | 29.3      | 49951       | 25200   | 50.4    |
| South      | 102641      | 45210   | 44      | 114205      | 16719     | 14.6      | 216846      | 61929   | 28.6    |
| West       | 72081       | 36699   | 50.9    | 54455       | 9937      | 18.2      | 126536      | 46636   | 36.9    |
| Total      | 319098      | 155305  | 48.7    | 290986      | 48137     | 16.5      | 610084      | 203442  | 33.3    |