Tobacco: The Silent Killer
Mandatory Anti-Tobacco Warnings on OTT Platforms
Note4Students
From UPSC perspective, the following things are important :
Prelims level : NA
Mains level : Tobacco consumption and issues
Central Idea
- Over-the-top (OTT) streaming platforms must display anti-tobacco warnings similar to those seen in movies screened in theatres and on TV.
- The requirement is based on a Union Health Ministry notification that amends the rules under the Cigarettes and Other Tobacco Products Act (COTPA), 2004.
What is COTPA, 2004?
| Description | |
| Purpose | Regulate production, sale, distribution, and consumption of tobacco products |
| Prohibition of Smoking in Public Places | Smoking prohibited in public areas like offices, restaurants, parks, public transport, etc. |
| Health Warnings on Tobacco Products | Mandatory display of health warnings on cigarette packages and other tobacco products |
| Ban on Advertisement and Promotion | Prohibition on direct and indirect advertising of tobacco products |
| Prohibition on Sale to Minors | Selling tobacco products to individuals below 18 years of age is strictly prohibited |
| Packaging and Labelling Requirements | Health warnings and pictorial representations of harmful effects on cigarette packages |
| Powers of Enforcement | Authorities empowered to enforce the act, conduct inspections, and seize contraband products |
New requirements for Anti-Tobacco Warnings
- Publishers of online curated content displaying tobacco products or their use must show anti-tobacco health spots at the beginning and middle of the program.
- When tobacco products or their use are displayed during the program, an anti-tobacco health warning must be prominently displayed as a static message at the bottom of the screen.
- The warning message should be legible and readable, with black font on a white background.
- The specified warnings are ‘Tobacco causes cancer’ or ‘Tobacco kills.’
- Health spots, warnings, and audio-visual disclaimers should be in the same language as used in the show.
Negative health impacts of tobacco
- Cancer: Tobacco use is the leading cause of preventable cancer. It can cause cancer of the lungs, mouth, throat, larynx, pancreas, bladder, kidney, and cervix.
- Respiratory diseases: It may cause chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema. It can also worsen asthma symptoms.
- Cardiovascular diseases: Consumption increases the risk of heart attack, stroke, and other cardiovascular diseases. It damages blood vessels and increases the risk of blood clots.
- Reproductive health: Tobacco use can lead to infertility, premature birth, and low birth weight in babies.
Socio-economic impact
(1) On an individual level:
- Decreased productivity: Smoking-related illnesses can result in absenteeism from work, decreased work performance, and increased medical expenses.
- Decreased life expectancy: Tobacco consumption can lead to decreased life expectancy, which reduces the overall productive years of an individual.
(2) On a societal level:
- Healthcare cost: Tobacco consumption can lead to decreased economic development due to the increased burden of healthcare costs and decreased productivity.
- Increased social expenditure: According to a study conducted by the World Health Organization (WHO), tobacco-related illnesses cost India about $22.4 billion in healthcare costs and lost productivity annually
Why tobacco isn’t completely banned?
- Revenue loss: The industry contributes a significant amount of tax revenue to the government. Banning tobacco would result in the loss of these tax revenues, which are used for various public welfare programs and initiatives.
- Economic Impact: The tobacco industry provides employment to a large number of people, especially in the agricultural sector, where tobacco farming is prevalent.
- Not a psychotropic substance: While the harmful effects of tobacco are well-documented, banning a legal product entirely requires careful consideration and legal processes.
- Regulatory approach: Instead of a complete ban, the Indian government has adopted a regulatory approach to control tobacco use.
Way forward
- Strengthen tobacco control laws: Review and enhance existing laws to effectively reduce tobacco consumption.
- Conduct public awareness campaigns: Educate the public about the health risks of tobacco use and the benefits of quitting.
- Expand access to tobacco cessation programs: Increase availability of affordable and effective programs to support individuals who want to quit tobacco.
- Implement sin taxes on tobacco products: Increase taxes to discourage consumption, especially among price-sensitive populations.
- Enforce smoke-free environments: Strictly implement smoke-free laws in public places, workplaces, and public transport.
- Support tobacco farmers: Provide alternative livelihood options and assistance for farmers transitioning away from tobacco farming.
- Conduct research and surveillance: Invest in data collection and analysis to inform evidence-based policies and interventions.
- Collaborate with international organizations: Partner with global entities like WHO to leverage expertise and resources in tobacco control.
Tobacco: The Silent Killer
Tobacco consumption: Higher Prices Could Be The Effective way
Note4Students
From UPSC perspective, the following things are important :
Prelims level : NA
Mains level : Tobacco consumption, Health and socio economic impact
Central Idea
- The share of smokers is declining in India, but smokeless tobacco consumption continues unabated. Smokeless tobacco use is widespread and is a significant public health challenge. The use of smokeless tobacco in India is deeply ingrained in cultural and traditional practices, making it difficult to address through public health interventions.
DATA: Tobacco consumption in India
- High Consumption in north eastern states: In the north-eastern States of India, consumption of tobacco among men in both smokable and chewable forms was higher than the rest of India in 2019-21.
- Consumption in southern states is relatively low: In the southern States, the share was relatively low with regard to both forms of tobacco consumption. However, among those who smoked, the share of those who consumed more than five sticks a day was much higher in many southern States. So, while smokers were fewer in the south, those who smoked did so heavily.
- Smokable forms: If only the smokable forms were considered, the share was higher in the northern States of Himachal Pradesh, Uttarakhand, Haryana, J&K U.T. and the eastern State of West Bengal.
- Chewable forms: If only the chewable forms were considered, the share was higher in the east Jharkhand, Bihar and Odisha and in Uttar Pradesh, Madhya Pradesh and Gujarat.
- Share of cigarette/bidi smokers is coming down: Overall, in India, the share of cigarette/bidi smokers is coming down. Compared to 2005-06, the share of smokers came down by over 10% points in 2019-21.
Why is this trend?
- Increase in prices of smokable forms: According to health economists the reduction in cigarette smoking may be attributed to the increase in the prices of the commodity over time.
- Price of chewable form have not increased: On the other hand, the prices of bidis and other chewable forms have not increased much, and so consumption too has not reduced much.
Why price and taxation of tobacco matters?
- Effective way to reduce consumption: Research from many countries around the world including India shows that a price increase induces people to quit or reduce tobacco use as well as discourages non-users from getting into the habit of tobacco use.
- For example: a study conducted in India found that a 10% increase in the price of tobacco products led to a 6.4% reduction in tobacco consumption among adults.
- Higher prices can also discourage young people from taking up smoking: According to the World Health Organization, increasing tobacco prices by 10% can reduce tobacco use among young people by about 4%. This is particularly important as most tobacco users start smoking during adolescence.
Tobacco consumption: Negative health effects
- Cancer: Tobacco use is the leading cause of preventable cancer. It can cause cancer of the lungs, mouth, throat, larynx, pancreas, bladder, kidney, and cervix.
- Respiratory diseases: It may cause chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema. It can also worsen asthma symptoms.
- Cardiovascular diseases: Consumption increases the risk of heart attack, stroke, and other cardiovascular diseases. It damages blood vessels and increases the risk of blood clots.
- Reproductive health: Tobacco use can lead to infertility, premature birth, and low birth weight in babies.
Tobacco consumption: Social-Economic Impact
- On an individual level:
- Tobacco consumption can lead to decreased productivity and increased healthcare costs.
- Smoking-related illnesses can result in absenteeism from work, decreased work performance, and increased medical expenses.
- In addition, tobacco consumption can lead to decreased life expectancy, which reduces the overall productive years of an individual.
- On a societal level:
- Tobacco consumption can lead to decreased economic development due to the increased burden of healthcare costs and decreased productivity.
- According to a study conducted by the World Health Organization (WHO), tobacco-related illnesses cost India about $22.4 billion in healthcare costs and lost productivity annually
Conclusion
- Tobacco consumption in India has significant socioeconomic and health impacts, particularly on the poor and marginalized sections of the population. Worryingly, after GST implementation, cigarette prices have not increased much. Increasing the price of tobacco products through taxation is a key strategy for reducing tobacco consumption and its associated health and economic costs.
Mains Question
Q. Tobacco consumption in India has significant socioeconomic and health impacts? Discuss. Do you think increase in price of tobacco commodities reduces its consumption?
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Tobacco: The Silent Killer
Tobacco and related issues in India
Note4Students
From UPSC perspective, the following things are important :
Prelims level : GST Council
Mains level : Paper 2- Use of taxation to discourage tobacco use
Context
Tobacco is a silent killer in our midst that kills an estimated 1.35 million Indians every year.
The harm caused by tobacco
- It is the use of tobacco as a result of which more than 3,500 Indians die every single day, as estimated by scientific studies.
- It also comes at a heavy cost: an annual economic burden of ₹1,77,340 crore to the country or more than 1% of India’s Gross Domestic Product (GDP).
How price and taxation of tobacco matters
- Research from many countries around the world including India shows that a price increase induces people to quit or reduce tobacco use as well as discourages non-users from getting into the habit of tobacco use.
- There is overwhelming consensus within the research community that taxation is one of the most cost-effective measures to reduce demand for tobacco products.
- There has been no significant tax increase on any tobacco product for four years in a row.
- This is quite unlike the pre-GST years where the Union government and many State governments used to effect regular tax increases on tobacco products.
- As peer-reviewed studies show, the lack of tax increase over these years has made all tobacco products increasingly more affordable.
- The absence of a tax increase on tobacco has the potential to reverse the reduction in tobacco use prevalence that India saw during the last decade and now push more people into harm’s way.
- It would also mean foregone tax revenues for the Government.
Way forward
- The Union Budget exercise is not the only opportunity to initiate a tax increase on tobacco products.
- The Goods and Services Tax (GST) Council could well raise either the GST rate or the compensation cess levied on tobacco products especially when the Government is looking to rationalise GST rates and increase them for certain items.
- For example, there is absolutely no public health rationale why a very harmful product such as the bidi does not have a cess levied on it under the GST while all other tobacco products attract a cess.
- GST Council meetings must strive to keep public health ahead of the interests of the tobacco industry and significantly increase either the GST rates or the GST compensation cess rates applied on all tobacco products.
Conclusion
The aim should be to arrest the increasing affordability of tobacco products in India and also rationalise tobacco taxation under the GST.
Tobacco: The Silent Killer
WHO Framework Convention on Tobacco Control (FCTC)
Note4Students
From UPSC perspective, the following things are important :
Prelims level : Framework Convention on Tobacco Control (FCTC), WHO
Mains level : Not Much
The World Health Assembly (WHA) took the historic decision to form a global treaty to “strengthen pandemic prevention, preparedness and response”.
Significance of the launch
- The launch of putting together this accord is the second such initiative taken under Article 19.
- The first initiative was the WHO Framework Convention on Tobacco Control (FCTC), which came into effect in 2005.
About FCTC
- The Framework Convention on Tobacco Control (FCTC) is the world’s first modern-day global public health treaty.
- It is also the first treaty negotiated under the auspices of the World Health Organization (WHO).
- The treaty entered into force in February 2005.
- It was signed by 168 of the 192 WHO member states and more than 180 WHO member states have become parties to the convention.
Highlights of the FCTC
The FCTC provides an internationally coordinated response to combating the tobacco epidemic and sets out specific steps for governments addressing tobacco use, including:
- Adopting tax and price measures to reduce tobacco consumption
- Banning tobacco advertising, promotion and sponsorship
- Creating smoke-free work and public spaces
- Putting prominent health warnings on tobacco packages
- Combating illicit trade in tobacco products
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