Tobacco has been a serious threat to development . Yes, it s time to fight against tobacco use.

1. World No Tobacco Day
(WHO-WNTD)
31st May 2017
Dr Sasikumar Sambasivam, MBBS.,DNB.,MNAMS.,PDCR.,
Consultant Radiation Oncologist,
Dr APJ Abdul Kalam Centre for Oncology,
Meenakshi Hospital, Tanjore.

2. What is TOBACCO ?
"Dried Leaves of Tobacco Plants"
Cigarette Bidi
Khaini Gutkha Pan masala

3. Tobacco Consumption Pattern
1. 20 per cent tobacco-users consume Cigarettes.
2. 40 per cent smoke Bidis.
3. Remaining 40 per cent chew tobacco and tobacco –
containing products such as Paan Masala, Gutkha and Khaini.

5. Say No To Tobacco

6. ‘World No Tobacco Day’ by WHO

7. AIM
• To create public awareness
• To pressurize the Government
• To warn industries
• To stimulate policy makers

8. Ultimate aim
•To save our nation from human &
financial losses
•To increase our National Pride

9. First World No Tobacco Day
by WHO
On April 7th, 1988
Theme
“Tobacco or Health; choose Health”

11. •The theme for World No Tobacco Day 2017
is
‘Tobacco – a threat to development’
• It will demonstrate the threats that the tobacco industry
poses to the sustainable development of all countries,
including the health and economic well-being of their
citizens.
• It will propose measures that governments and the
public should take to promote health and development
by confronting the global tobacco crisis.

16. Why people smoke or
consume tobacco?
• For pleasure
• Out of curiosity
• Peer pressure
• To satisfy nicotine addiction
• For social purpose
• For rituals

17. Today
Tobacco is the major public health issue
Smoking & smokeless tobacco may lead
to -
Mouth cancer
Lung cancer
Lung diseases
Heart disease
Decrease blood supply in legs
Premature birth of baby
Poor reproductive health in females
Fetal defects-child born with defects
Impotence
Premature Death of person

18. Tobacco in India
• Portuguese brought in tobacco through Goa in
1600 for the purpose of trade
• Initially introduced to Royal courts
• Spread to commoner in 17th century
• Portuguese traded it for Indian textiles & spices
• British colonial rule magnified the tobacco
production & consumption (Import of American
tobacco to India)

19. Tobacco in India
British East India company grew tobacco in India as
cash crop
Cultivated tobacco in India
Exported to Britain
Re-imported cigarettes to India to
earn revenue

20. Tobacco in India
• In late Nineteenth century Beedi industry grew in
India
• Oldest Beedi manufacturing firm established in
1887
• Tax policies of Indian Government after
Independence also favoured Beedi consumption

21. Introduction of Gutkha (oral
tobacco) has opened New
front between commercial
tobacco use and public health
Tobacco in India

22. Some facts about Tobacco Consumption

23. Some facts – cause of worry
• Currently 1.4 billion tobacco users in the world
• Second major cause of death due to non communicable
disease.
• Half of today tobacco users will lose life due to tobacco
• Currently 6 million people die every year globally
• 1.2 million die in SEA region
• By 2030 – 8 million death / year is projected of which
80% live in low & middle-income countries

24. We are So proud! Aren’t we?
No We shouldn’t Be!!!!

25. Some facts – cause of worry
• One death in every six seconds
• 2nd largest cause NCD deaths after hypertension
• Smokers more prone for TB & pneumonia
• Tobacco killed 10 crore people in 20th century and
may kill 1 billion in 21st century
(All deaths are totally preventable)

26. “One Titanic [2200] sinks every day in India”

27. Menace of Tobacco use
•Health hazards to users & cultivators
•Exacerbate Poverty amongst users
•Kills people at height of their productivity
•Cause of premature deaths
•Makes living people less productive due
to sickness
•Increase poverty of countries
•Harms the environment

28. Youth are of special concern

29. Why Youth?
• Global population of young people (10-24) is
about 1.8 billion
• 325 million young people live in SEA region
• 85% in Developing countries
• New, young & potentially life long tobacco users
are soft targets for tobacco industry
• Most people start smoking before 18 years
• 1/4th of these, use tobacco before 10 years

30. Why Youth?
• Experimentation at child & adolescent stage leads
life time tobacco dependence (Nicotine is
highly addictive)
• Younger children – More likely regular user
• Less likely to quit
• Easily moved by misleading advertisements
• Ignorant about health hazards

31. “Easier to build a strong child than
repair a broken man”
Every age group is important for
tobacco cessation programme

32. Vulnerability of the Children
All India institute of medical and Science(AIIMS) studied the smoking
behavior of more than 4500 children, ages 11 to 14 years, in Delhi's 30
schools; nearly 8.5% children experimented with smoking. The study
noted that the mean age for intervention is 12 years.

33. 1st hand, 2nd hand, 3rd hand smoke
???
First hand Second hand Third hand

35. Non smokers are at risk of
passive smoking

36. HAZARDS OF TOBACCO
Paan Masala, Gutkha and Khaini
1. Carcinogenic Effects
Gutkha is another name for betel nut. Small doses may bring about euphoria and
increased energy flow, while large doses can cause sedation, according to the
National Institutes of Health (NIH). Due to its stimulant activity, gutkha is used in
many areas of the world as a recreational drug. However, guthka, which is usually
chewed, does have some side effects.
2. Breathing Reaction
3. Body Reactions 4. Toxicity

37. Cigarettes and Bidis
2) Cardiovascular
disease
1) Chronic
bronchitis
6) Emphysema
3) Increases the risk
of heart stroke
5) Kidney and liver
diseases

38. 7) Babies born with lower birth weight from habitual
smoker parent
8) T2 DM ,Blood pressure, exacerbates asthma and causes
impotence, infertility
9) Lung and other cancers

40. CANCER
1. Cancer of lung, esophagus, tongue, oral cavity, larynx, pharynx and urinary
bladder
2. The rising oral cancer rates in India are among the highest in the world, and
90% of these can be attributed to tobacco use
3. cancer burden has been estimated at between 700,000 to 900,000 new cases
every year
4. Proportion of Tobacco-related cancers (TRCs) varies from 35 to 50 per cent of
all cancers in males; and up to 17 per cent of all cancers among females
5. Oral cavity and esophagus cancers together account for 80 per cent of all TRCs

42. Globally observing a day to
say
“No to Tobacco”
Observed every year on
31st May

43. • Ban on smoking in public places – Ethiopia
• Suspension of govt. Tobacco sales – Cuba
• Radio transmission and printed messages
from government – Lebanon
• Poster contests – Spain
• Public cigarette burning ceremony – Nepal
• Large public information campaign – China
Impact of first WNTD

44. Interference of tobacco
companies

45. They include:
•Manufactures
•Whole sale distributors
•Importers

46. Tobacco industries –
Enemies of Nation

47. Because
• Continue to book profit for life
• It’s own expansion before health of future
generation.
• Own economic gain before the developing
& struggling countries.

48. Tobacco industries – lure the
innocent public
• By launching new weapon disguised as Less
harmful
• NEW products WITH MORE SAFETY
• BY LIGHT, MILD AND LOW TAR CIGARETTE
CAMPAIGN.
• Providing more attractive
packets.
• Giving healthier names
• Providing fruity flavors.

49. But
Poison is poison
In
Any form

50. Chewing Tobacco
– Equivalent to
DEATH

51. Luring People By
Advertisements

56. Two critical messages to understand
1. Tobacco marketing can contribute to disability &
death

57. 2. Complete ban on advertisements/
sponsorship/promotion by industry are highly
effective
“Banreduces experimentation& initiation”

58. Do Not Support Them at the
Expense of your life!!!

59. Do you want to be one of amongst them
????

60. This also needs your
attention

61. What would you want?

63. What would you want?

66. Should Tobacco be stopped or not?

67. How to Quit – 10 Steps
• Commit to quitting by a certain date, about a month in
the future.
• Cut your tobacco use down to one half or one third your
regular rate.
• Replace all tobacco products with gum or other
chewables on your quit date.
• Stay active and occupied during your early tobacco-free
days.
• Stay away from your triggers.
• Keep up good habits once withdrawal symptoms
subside.

68. Step 1—Commit Youself!
• Write down the reasons
for quitting
• What Bothers you?
• How will it change your
life?

69. Step 2---Decide for yourself!!
• Commitments, Concerns on health , physical status,
relationship adversities

70. Fix a date, Happy ending
Step 3– Make a Plan

71. Step 4– Notify People around you
Stay away and disconnect from Triggers

72. Step 5 --Get outside Support
Doctors, People with Same goals, Group formation

73. Step 6– Cut Down Usage

74. Step 7– Prepare your Home, Office for Quitting

75. Step 8– Dealing with Withdrawal

76. Step 9– Take Control your thoughts

77. Step 10--- Staying Tobacco Free
Keep up the good habits
Celebrate victories
Don’t Slip back.

78. Arise,
Awake &
stop not,
till goal is
reached!
Swami Vivekanand

79. Let us join hands to make this
world tobacco free planet...
A place which even god would
envy to live.......

80. Meenakshi Hospital is with you in this great social movement 
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