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e male al ource: WHO R

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ribute to proences due to

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es es es es es

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nt to quit. Cuit will succeerage are avapopulation. countries.

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warnings in Btly increase pcountries, rep which includ

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obacco adveehensive ban tion by an ave6%. countries, repadvertising, prne country in hip.

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MPOWER meaobacco use aneople from tobp to quit tobacout the dangebans on tobaces on tobacco

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asures are: nd preventionbacco use cco use rs of tobacco

cco advertisingo.

ndia

trol Act COT

tobacco prodrce, Productioto all product

s,gutka,pan mhole of India

obacco Contro

ments and grchildren who

mokers to protar children. Sa, Singaporeeness of the

4% of the wongs in the locs. Most of theeduce tobaccstop using toblive in the 37 within the las

otion and spoco advertisingut 7%, with s

% of the worsponsorship.nimal or no re

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TPA 2003

ducts (Prohibiton, Supply ants containing t

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raphic pack wbegin smokin

tect the healtStudies carrieand Thailandharms of tobaorld's populatcal languageese countriesco consumptiobacco. 7 countries thst two years.

nsorship cang, promotion asome countrie

rld’s populatio. estrictions at a

o reduce tobaeases tobaccuntries and b

is rarely usedter than 75%on tobacco co

ctive way to s: MPOWER. Eonvention on

and sponsors

tion of Advertnd Distributiontobacco in anining tobacco

warnings – eng and increa

h of non-smod out after the

d consistentlyacco use. tion, meet thand cover aare low- or mon, by influen

at have imple

reduce tobacand sponsorses experiencin

on, have com

all on tobacco

acco use, espco prices byby up to 8%

d. Only 32 coof the retail p

ontrol, based

scale up impEach MPOWTobacco Con

ship

tisement and n) Act, 2003 ny form i.e. o),Mavva,Kha

especially thoase the numb

okers by smoke implementashow that pic

e best practin average of

middle-incomencing people

emented at le

cco consumpship could decng a decline

mpletely bann

o advertising,

pecially amongy 10% decrein low- and

ountries, less price. Tobaccon available

lementation oER measure ntrol.

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se that includber of smoke

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e countries. to protect no

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SSSSalSanm

Enforcact • Any P• Any O• Any Sub IGovern Punish• A finplacesany off• Offenproducor/and impriso• Any tobaccon thepunishextenda term

State Sce

PInR

PercentagCurrent Tobacco user Current tobacco user

32.3 Source: G Percentag

Current Tobacco user Current tobacco user

50.5 Source: G

ection 4 : Baection 5 proection 6 (a) :ection 7: Dell tobacco prection 7(5) nd tar conte

maximum per

cement Agen

Police OfficerOfficer of StatOfficer, holdiInspector ofnments

hment For Vione up to Rs.2 and sale of tficer as authonces relating tct is punishab

with fine onment up to person who

co products wir label, the s

hable with impd to 5000 Rs ,

which may e

enario: Rajas

ercentage of ndia = 35% Rajasthan =32

ge of adults a

Daily user

Ou

28.4 3GATS India, 2

ge of males a

Daily user

Ou

44.8 5GATS India, 2

ans Smokinghibits advert:Prohibits Saemands specroducts Every Tobants along witrmissible lim

ncies for imp

, not below thte Food or Drng the equivf Police. A

olations 200/-for offentobacco produorized by the cto the direct able with maxi

upto Rs. 5 years and wproduces or

which do not specified warnprisonment fo, or with both

extend to 5 ye

sthan

current tobac

2%

age 15 and ab

Occasional user

Oufo

3.9 1009-2010

age 15 and ab

Occasional user

Oufod

5.7 1009-2010

g in all “publitisement, proale of tobacccified health

acco packagth

mits.

plementation

he rank of Subrug Administravalent rank, nAs authorize

nses relating ucts to minorscentral/state gand indirect aimum of 2 ye1000. In swith fine uptomanufacturecontain, eithenings and nicor a term whand for the s

ears and with

cco users to S

bove by detail

Occasional user, ormerdaily

1.5

bove by detail

Occasional user, ormer

daily

Ound

1.8 4

ic places omotion andco to minors h warning la

ge to have n

n of tobacco

b Inspector ation

not below thed by Cent

to smoking is; can be impgovt. advertising of ears of imprissubsequent o Rs 5000 es cigarettes er on the paccotine and tarich may exte

second and sufine which ma

States/UTs:

led status of t C

N

Occasional user, never daily

Cn

2.4 6

led status of t

Occasional user, never daily 4.0 4

d sponsorshi

abels on

nicotine

control

e rank of ral/State

in public posed by

tobacco sonment offence,

or other ckage or r contents, shend to two yeubsequent coay extend to 1

tobacco use Current Non User

Current nonuser

Foerdaus

67.7 2.

tobacco use Current Non User

Current nonuser

Foerdaus

49.5 3.

p of all tobac

hall in case ofears , or withonviction , with10000 Rs

ormr aily ser

Never daily user

3 65.3

ormr aily ser

Never daily user

9 45.6

cco products

f first convicti a fine whichh imprisonme

Former occasional user

0.9

Former occasional user 1.2 4

s

on be h may ent for

Never user

64.4

Never user

44.4

Percentag

Current Tobacco user Current tobacco user

12.9 Source: GA Percent d

Cto 32

Source: GA

Percent d Cto 50

Source: GA

Percent distPattern :

Cuto

12Source: GATS Percent dist

InR

Source: GA

GAATS FThe Globtobacco uGATTS isincluding

This fact sinterviews GAATS HTobacco

• C• C• C• C• C• A

an• 67

ge of females

Daily user

Ocus

10.9 2.1ATS India, 200

istribution of

Current obacco user

2.3 ATS India, 200

istribution of

Current obacco user

0.5 ATS India, 200

tribution of fem

urrent bacco user

2.9 India, 2009-2010

tribution of age

ndia Raj ATS India, 2009

Findings –Rabal Adult Tobuse (smoking s a nationally India.

sheet represes of males and

Highlights Use

Current tobaccCurrent tobaccCurrent cigareCurrent bidi smCurrent users Average age and 11 4.1 y e78% of daily t

s age 15 and a

ccasional ser

Oufod

1 109-2010

adults age 15Type of cuSmoked only 13.4

09-2010

males age 15Type of curSmoked only 21.8

09-2010

males age 15 and

Type of cuSmoked only 4.5

e at initiation amAge at tobaccinitiation <15 15.7 17.0

9-2010

ajasthan Factbacco Surveyand smokelerepresentativ

ents the stated females in R

co use in any co smoking: 1tte smoking: 2

moking: 16.0%of smokelessat daily initiatars in femaletobacco users

above by deta

Occasional user, ormer

daily 1.3

5 and above wrrent tobacco

Smokeonly 13.5

5 and above wrrent tobacco u

Smokeonly 19.0

d above who ar

rrent tobaccoSmokeleonly

7.6

mong ever dailyco product

15-1724.735.3

t Sheet y (GATS) is ss) and trackve survey, us

e of RajasthanRajasthan wit

form: 32.3% 8.8 % of adu2.8 %% of ad

% o ff adults; 2s tobacco: 18.ion in of tobacs s consume to

ailed status o

Occasional user, never daily 0.8

who are curreo use eless Bo

ansm5.4

who are curreuseeless Bo

ansm9.7

re current tobacc

o use ess Bot

andsmo0.8

y tobacco users

18-119.321.4

the global sking key tobacsing a consist

n in India. Theth an overall r

of adults; 50.lts; 31.5 %%

dults; 4.9 00%26.7% of mal.9% of adults;cco use: 17 e

obacco within

of tobacco Current Non User

Current nonuser

Foerdaus

87.1 0.6

ent tobacco us

oth smoked nd mokeless 4

ent tobacco us

oth smoked nd mokeless 7

co users by toba

th smoked d okeless

8

age 20-34 by ag

19 23 44 2

tandard for scco control indtent and stan

e estimates wresponse rate

.5% of males of males and

% of males andes and 4.6% ; 28..7% of m

ee.3 y ears in

half an hour

ormr aily ser

Never daily user

6 86.5

sers by tobac Non-user

67.7

sers by tobac Non-user

49.5

acco use

Non-user

87.1

ge at tobacco us

20-3440.326.3

systematicallydicators.

ndard protoco

were based oe of 95.0%.

and 12.9 % od 5.3% of femd 0.6 %% of fof females

males and 8.5%adults, 17.7 y

of waking up

Former occasional user 0.6

cco use patter

cco use patter

se initiation: Mean age

17.8 17.0

y monitoring

ol across coun

n 2,046 comp

of females males

females

% of femalesy ears in male

Never user

85.8

rn

rn

e

adult

ntries,

pleted

es,

Cessatio

• 54ab

• 39ca

Second-h• 74• 40

Media

• Aan

• • w

Knowledg

• 92• 92• 94

Rajastha Complianassessmecity in the

Aims andcurrent leassess thcity.

MethodoFebruary an observTuberculoof 50%, ccluster sapublic pla

Results: • O

sibo

• Bot

• Tofon

• Wpeasav

Conclusifollowing signage wplaces anin terms

Initiatives

n 4.6% of currebout quitting 9.7% of smokare provider

hand Smoke 4.3% of adult0.2% of adult

Adults who notnd 60.7% for Current users

warning label:

ge, Attitudes2.8% of adult2.3% of adult4. 1% of adul

n: Jhunjunu D

ce Assessmeent survey onyear 2013.

d objectivesevel of complhe preparedne

logy: It was2013- 20 Mavation check

osis and Lungconfidence inampling; hencces (of all sev

Out of the 494ignage’, out ooth the entranut 80 (40%) ther conspicuhe places whf 20 x 40 inchnly 2% gave c

When we takeeople were fos ashtrays, mvailability of c

on: A majorithe norms ar

was availablend at other coof availability

s in Rajastha

ent smokers a

kers and 29.0

ts were exposts were expos

ticed any advsmokeless to

s of thee follo63.2% for cig

s & Perceptiots believe smots believe expts believe sm

District and Jo

ent Survey: St Prohibition o

s: The objectliance to secess of Jaipur

s a cross sarch 2013 Jaklist was useg Disease”. A nterval of 95%ce the 1.3 waven categorie

4 public placeof which only nce and otherplaces had th

uous places. hich displayedh, 6% (32) follcontact detail

e a look at theound actively match-sticks ecigarette butts

ity of the plare not abidinge at only 40%onspicuous play, size, text,

an

and 57.4% of

0% of users of

sed to secondsed to second

vertisement orobacco. owing tobaccogarettes, 42.4

ons oking causesposure to toba

mokeless toba

odhpur City h

tate Institute oof Smoking un

tive of the stction 4 of COr city for decla

sectional studaipur city. Fored which has

total of 494 p% and at 5%as taken as

es) surveyed.

es in Jaipur c49 (25%) arer conspicuoushese signage

d ‘No Smokingowed the texls of the repoe evidences osmoking in th

etc were founs and beedi st

ces are not g completely % of the sitesaces in 60% design and

users of smo

f smokeless t

d-hand smoked-hand smoke

r promotion: 3

o products wh44% for bidis,

serious illnesacco smoke cacco use caus

ave been dec

of health andnder COTPA

tudy was to aOTPA in Jaipuaring it as a s

dy conductedr compliance s been devepublic places

% margin of edesign effect

ity , only 199e the places ws places.

e at the entran

g Signage’ onxt of the signarting person. of smoking inhe public placd at 85 (17%tubs.

complying toto the specif

s. Of these, places. Comcontact deta

okeless tobacc

tobacco were

e at home e in public pla

36.2% mm fo

ho thought bband 46.8% fo

ss. causes seriouses serious ill

clared as Sm

Family Welfain Jaipur

assess the ur city and smoke free

d from 20 monitoring

eloped by thewere observ

error. This sut. Subsequen

9 (40%) placewhich follow th

nce while 119

nly 11% (56) mage, 11% had

n Jaipur city, wces while smo

%) places and

o the COTPAfications. It wsignage waspliance to CO

ails of reporti

co planned to

advised to q

aces

r cigarettes, 4

about quittinor smokeless

s illness in noness.

oke Free in R

are had done

e “Internationved at the estiurvey was contly, in each

es have displahe COTPA of

9 (60%) had

matched the sa design sim

we find that aoking aids – f 131 (26.5%)

A presently, awas observeds available atOTPA specificng person w

oo quit or thou

uit by a health

47.44% for bid

g because of tobacco.

on-smokers.

Rajasthan.

a compliance

nal Union Agimated complnducted usinclusters, tota

ayed ‘No Smof having signa

these display

size of the sigmilar to COTPA

at 95 (19%) pfacilitating sm) places show

and those whd that ‘no smot entrance atcations for sig

were seen mo

ught

h

dis,

f a

e

gainst liance

ng the al 164

oking’ age at

yed at

gnage A and

places moking ws the

ho are oking’ t 40% gnage ore in

educationunder othwas obseplaces whwas less wThus it wasignage adone by en

Establish C

S P F D

T

S D T M F ep C A M P

Recomm

W

S S S S

S

Tap

T T T H D

H H

heto

R M W M

di E S A

n establishmeher categorieserved in 19% here display owhile those pas found that as per their anormous agenc

hment of NCD

Composition tate Programrogram Assisinance cum L

Data Entry Op

erms of Refetate action pl

Develop districrainings

Manpower und flow and pidemiologica

Convergence wAvailability of pMonitoring

ublic awarene

endations:

What MOs shurveillance creening ervices tatistics

creening o conduct cppropriately. o rule out como refer complo provide follo

Health promotiData and recor

Health promoHealth promot

ealthy foods obacco and alRisk assessmeMotivate and cWork closely wManagement

ifferent centestablish an efupervision of

Assist resource

ents, Offices &s covered, tho

of the placeof signage welaces which fonly 23% com

available infocies/ organizati

D cell in DMH

of NCD Cell m Officer stant Logistics Officerators (2)

erence an ct wise NCD m

SOE/ UCs al profiling with NRHM palliative and

ess

ould do:

comprehensiv

mplications orlicated cases ow up care toion rd

otion tion activities(ii) increase

lcohol and (ivent and manacreate role mowith other secof patients srs ffective referrf the activitiese centers/ ins

& workplacesough nowher

es. Evidencesere prominenfailed to compmplied with th

ormation or feions, which are

HS

cer

mapping,

rehabilitative

ve examinati

r advanced stto higher car

o the patients

s – (i) Educaed physical av) stress manaagement throuodels in the coctors/ departmsuffering from

ral mechanisms undertaken bstitution in org

s and Health re the figures s of smoking nt the numberply to the normhe signage speasibility. (Sime available on n

e services

ion to diagn

tage. re facility

ate regardingactivity througagement. ugh opportunommunity

ments for NCDm Cancer, D

m with the neaby paramedic

ganizing the tr

care facilitiesreached a pwere below

r of active smms also showpecifications omilarly other conet)

nose, investig

g common risgh sports, ex

istic screenin

D prevention Diabetes, CV

arest medicalcal workers raining for diff

s as compareromising plac27%.It needs

moking or evidwed more evidof COTPA andompliance stud

gate and m

sk factors, inxercise, etc.

g

VDs and Stro

l colleges

ferent cadre o

ed to places fce. Active sms to be noteddences of smdences of smod the rest usedies have also

anage the c

ncreased inta(iii) avoidan

oke referred

of health work

falling moking

d that moking oking. ed the o been

cases

ake of nce of

from

kers

What

N

C

Actio

C

P E E

co

S

Study onA study oPopulatioconductedwas an opublic plaoutlets anat various CCOTPA avisited vill T

Investiga

Research

t staff should

Nursing staff: To ass To tea

wellbe To ass

Counselor: To pro To ass

ons at HospitCounseling of

What i What i What c What

side ef What o

roper depictioducate womeducate persoorners, docum

creening for Routin Screen Pap sm Routin Trainin

COTPA Comon compliancn Services d in three dibservation st

aces, educationd in depth sts shops. Compliance stact. Three teaages, blocks he data gene

ators in proce

h Study

d do:

: sist in examinach the pati

eing sist in follow u

ovide counselsist in follow u

tals f identified pis the illness is the prognoscomplicationsdrugs to takeffects other interven

Habitual phBalanced dMeditation

on / display ofen on self-exaons coming tmentaries ma

r early diagnone measuremning tests In hmear examinane examinationg of different

mpliance e of COTPA International stricts of Rajudy which inconal institutiotudy about sm

tudy formats ams for the th

and District Herated is being

ess of data c

nation and invent and fam

up and care

ing on diet anup care and re

patients of NC

sis s can arise e – proper d

ntions can redhysical exercisdiet

f health educamination of bto the hospit

ay be shown o

osis of NCDsent of BP of ahigh-risk caseation

on of oral cavit categories o

Act was donduring 13

jasthan-Alwacluded obser

ons, residentimoking and n

were used ahree districts iHQ (city) of thg analyzed th

collection at

Little gi

vestigation mily about ris

nd life style meferral

CDs:

osage, impor

duce the sevese

ation messagbreast tal on risk faon TV screens

s all patients es

ty for early siof health staff

ne by SIHFWto 21 May, r, Ajmer and

rving signageal places, reon smoking f

as observatioincluding SIH

he study arearough softwa

a village sho

irl carrying t

sk factors of

management

rtance of reg

erity of illness

ges / posters

actors for diffs, etc.)

gns of cance

W supported b2013. It wa

d Nagaur. Th compliance staurants, saforms availab

on checklists HFW supervis

. are and report

op

tobacco prod

f NCDs and

gularity of dru

ferent NCDs

r

by as his at

ale ble

for various Sors and a tea

t writing is in p

duct home fo

promote pa

ug intake, po

(health educ

Sections undeam of investig

progress.

or parents…

atients

ssible

cation

er the gators

Signage d State levGroups In continu2014 for cRI, a halfdevelopinorganisedworkshopSIHFW aImmunizabrainstormplan for thactionable Followed each themthematic aand ChildProcesses Supportiv Team of SupervisioDirector SChaturvedVinod Rat The visits personneChauhan,and Mr Aswere visite

Trainin

displayed, b

vel Consulta

uation of the Dcompiling Disf day brainstog State spec

d at SIHFW p was held unand co-chair

ation and Mming for draft he modalitiese points, base

by the Consumatic area-kearea to develd Health, Ados.

ve Supervisi

SIHFW person activity in SIHFW with Rdy, Dr Sanjethode.

were done dl included D, Dr Richa Cseem Malawaed under this

gs, Worksho

ut Incomplet

ation on SB

Divisional levtrict/Block levorming for di

cific SBCC stron May 2,

nder the Charmanship of aternal Heaplans and de

s and tools foed on which s

ultation, a mey indicators wop strategy oolescents He

on and Ment

sonnel visitedpartnership

Resource Peeev Gupta, D

uring May 21Dr Vishal SChaturvedy, Mat. CHC, PHC activity.

ops and Mee

te!

BCC and F

vel Workshopvel SBCC plascussing morategy for RM2014 at SIH

airmanship ofDr. R.P.Ja

lth. The woevelop a consor finalizing thstrategy will be

eting was hewere formed. outline. The aealth, Routine

toring visits

d facilities owith Unicef.

ersons and exDr Pallavi an

-23, 2014. SISingh, Dr MMs Neha AwC and Sub ce

tings

ST

ormation of

s done in mons under RMdalities for u

MNCH+A andHFW. The mf Dr. M.L Ja

ain – Projecorkshop wassensus on updhe strategy ae developed f

ld on May 7, The groups w

areas are Repe Immunizati

of Dungarpur The visits w

xperts of Unind Mr

IHFW Mamta wasthi entres

School wall Tobacco, but

Efforts ma

f Sub-Core

onth of April, NCH+A and pdating and

d RI is being meeting cum

in- Director-ct Director-

s done with dation to be d

and rolling oufurther for imp

2014 at SIHFwill be doing tproductive Heon, System

and Banswwere done unicef including

and displayit was sold!

ade, Full-pro

following odone in the exut the same aplementation

FW wherein sthink tank exeealth, MaternaStrengthening

wara districts der guidance

g Dr. Anil Agr

y both said

oof Complian

objectives: Txisting strategand to plan fo.

sub-core grouercise on partal health, Neog and Comm

under Suppe of Dr. M.L. rawal, Dr Ap

d…no

nce!

To do gy, To or the

ps on ticular onatal munity

portive Jain,

oorva

After the v23, 2014 aFocused Dalso prese

Seeing thsome sugthe facilitie

Orientatio

A half-dayRMNCH+the AS an

The objecRMNCH+SIHFW an

National

To discusHealth anconsultati

The consrepresentstakehold

Experien

An experunder Tomeeting. involved. ASHAs. Tchairmanstrainers indiscussed

Mr Mohit Bayana, M

Monitorin

visits, a De-brat CMHO OffDistrict coordent at the de-

he discussion ggestions weres

on of Trainin

y workshop w+A Coalition SndMD (NHM)

ctive of the wo+A implementand Dr. Mamta

Consultation

ss the strategnd Family Weon on May 19

ultation was atives from aers. Dr M.L. J

ce Sharing o

rience sharingoT of Round

Each particiThe trained The meetingship of Dr. Mn strengthend.

Dhonkeriya oMay 29-30, 20

ng/ Visits don

riefing Meetinfice. Dr.Barwainators Mr Alibriefing meet

over the actre given by D

ng Institutes

was organisedSecretariat by

Ms Anuradha

orkshop was tation on RMN

a Chauhan, Fa

n on CAC: Pr

gies for priorlfare, Govern9-20, 2014 at

chaired by Sall 35 states aJain, Director

of ASHA Trai

g meeting wOne held a

ipant made participants

g was held M.L. Jain, Diing supervis

of SIHFW did 014 at Nagar

ne by SIHFW

ng was done oa, Joint Directi and mr Kapiting.

tivities held inDirector SIHF

on RMNCH+

d on May 5, 20Save the Ch

a Gupta.

to orient the kNCH+A strateaculty SIHFW

rioritizing Co

ritizing CAC nment of India

New Delhi.

Secretary, Heand union terr SIHFW parti

iners

was organisedat Garchiroli,a presentatiare now eligon May 6, irector –SIHFion and mon

monitoring ofin Bharatpur

W personnel

on May tor and l were

n the field, W for future

+A Approach

014 at New Dildren India. It

key stake holdegy of GOI, incW participated

omprehensiv

services for a in collabora

ealth and Famrritories and wcipated in this

d at SIHFW. , Maharastraon on learn

gible to train 2014 under

FW. Role of nitoring was

f HBNC+ Traidistrict.

course of ac

h

Delhi. The wort was organis

ders involvedcluding 5x5 m in the orienta

ve Abortion C

women withiation with IPA

mily Welfare, will also brings consultation

Participants participateding and exp

ining of NIPI d

ction for

rkshop was osed under the

d in training anmatrix. Dr M.Lation.

Care

n NHM framAS organised

Governmentg together exn workshop.

trained d in the perience

during May 26

organised by te chairmanshi

nd monitoringL. Jain, Direct

mework, Minisa two-day na

t of India witxpertise from

6-27, 2014 at

the p of

g of or

stry of ational

th key other

t

Birthday of Ms Richa Chhabra was celebrated on May 2, 2014 at SIHFW

1. Training and good behaviour of teachers 2. Interactive sessions and field visits 3. Teaching faculties and their way of communication 4. Healthy conversation between everyone 5. Sessions were two-way communication and did not feel as a lecture only 6. Way of imparting knowledge, friendly hospitability and good services 7. Teaching and demonstration by the trainers with appropriate examples

Source: Training feedbacks

Global

WHO calls for higher tobacco taxes to save more lives On World No Tobacco Day (May 31), WHO calls on countries to raise taxes on tobacco to encourage users to stop and prevent other people from becoming addicted to tobacco. Based on 2012 data, WHO estimates that by increasing tobacco taxes by 50%, all countries would reduce the number of smokers by 49 million within the next 3 years and ultimately save 11 million lives. Today, every 6 seconds someone dies from tobacco use. Tobacco kills up to half of its users. It also incurs considerable costs for families, businesses and governments. Treating tobacco-related diseases like cancer and heart disease is expensive. And as tobacco-related disease and death often strikes people in the prime of their working lives, productivity and incomes fall. “Raising taxes on tobacco is the most effective way to reduce use and save lives,” says WHO Director-General Dr Margaret Chan. “Determined action on tobacco tax policy hits the industry where it hurts.” High prices are particularly effective in discouraging young people (who often have more limited incomes than older adults) from taking up smoking. They also encourage existing young smokers to either reduce their use of tobacco or quit altogether.

Health News

Visitors & Training Feedbacks

Celebrations!

“Price incamong oNoncommsupport. A WHO calcan extra U “These adadds Dr B Countriestobacco. Bwas followlung cancGovernmeservices. Tobacco each yearno action them amo Raising taWHO Fraforce in 2Measureseffective ain particul

E-cigaret "Despite tcessationthis purpo Another ccigarettesdangerou Dual use causing w "It also pChildren's Because ediscovere Due to the "Nicotine Asthma a Inhaling ir And irritanof Allergy,

creases are 2older adults,” municable DisAs tobacco ta

culates that if US$ 101 billio

dditional fundsBettcher.

s such as FranBetween the wed by sales cer in Franceent has collec

use is the wor, of which mis taken, tob

ong people liv

axes on tobacamework Con2005 and hass to Reduce and importantar young pers

ttes may hav

the apparent , there just si

ose," explaine

cause for cos at home, "s second-han

of both e-cigworsening res

promotes ongs Mercy Hosp

e-cigarettes aed.

e lack of prod

delivered by nd Immunolo

rritants such

nts can causey, Asthma & Im

2 to 3 times msays Dr D

seases at WHxes go up, de

all countries on in global re

s could – and

nce and the Pearly 1990s falling by mo

e started to gcted more tha

orld’s leadingore than 600

bacco will kill ving in low- an

cco in supponvention on Ts been endothe Demand

t means of resons”.

ve unknown h

optimism surmply is not ened allergist A

oncern is tha"they continund smoke", re

garettes and piratory effec

going nicotinpitals.

are fairly new

duction oversi

any mechanisogy (ACAAI) s

as smoke an

e asthma attammunology.

more effectivDouglas BettcHO. “Tax policeath and dise

increased tobevenue.

d should – be

Philippines haand 2005, Frre than 50%.go down. Inan the expec

g preventable0 000 are non

more than 8nd middle-inco

rt of the reduTobacco Con

orsed by 178d for Tobacc

educing tobac

health risks

rrounding e-cnough evidenndrew Nickel

at when peoue to exposeesearchers wa

regular cigacts on children

ne dependen

, there could

ight, most con

sm representstatement.

nd vapours h

acks in some

ve in reducingcher, Directocy can be divase go down

bacco taxes b

used to adva

ave already serance tripledA few yearsthe Philippin

cted revenue

e cause of den-smokers dy

million peopome countrie

uction of tobantrol (FCTC),

Parties. Artico, recognizeco consumpt

cigarettes andnce to suggess from Mayo

ple use e-cie children aarn.

rettes carriesn and asthma

ce," said Ch

be other long

nsumers do n

ts a drug expo

as an impact

individuals, s

g tobacco usor of the Devisive, but this.”

by 50% per pa

ance health a

een the beneits inflation-alater the num

nes, one yeaand plans to

eath. Tobaccoing from breale every years.

cco consump, an internaticle 6 of the

es that “priceion by various Source: WH

d their purporst that consum

Clinic's divis

garettes in pnd asthma s

s the risk of a sufferers.

hitra Dinakar

g-term health

not know wha

osure," said t

t on the lung

aid the study

se among youepartment fos is the tax ris

ack, governm

nd other soci

efits of imposinadjusted cigarmber of youngar after increa

spend 85%

o kills nearly athing secondr by 2030, m

ption is a coreonal treaty thWHO FCTC

e and tax ms segments oHO/ Media New

rted therapeumers should usion of allergy

public and ssufferers in

second-hand

r, a professo

complications

at is in the e-c

he American

s, whether it

published in Source: I

ung people thr Preventionse everyone

ments would e

al programme

ng high taxesrette prices. Tg men dying frasing taxes,of this on hea

6 million peod-hand smokeore than 80%

e element ofhat entered , Price and T

measures areof the populatws/ May 27, 20

tic role in smuse e-cigaretty and immuno

still smoke rethe househo

smoke expo

or of pediatri

s that are yet

cigarettes they

College of Al

is mild or se

the journal AIANS, May 27,

han n of can

earn

es,”

s on This rom the alth

ople e. If

% of

the into Tax an

ion, 014

moking tes for ology.

egular old to

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y buy.

llergy,

evere.

Annals 2014

India WHO/UNsanitationSince 199have gainpiped waentitled Pdisparity i More thanimproved people livBy 2012, In 1990, 9ones. By water. Despite timproved “The vast on rural inequalitieDetermina “Too manconcrete who, whewho don’t In additionaccess woutskirts osanitation “When wepoorest aWater, Samore equ Poor sandiarrhoeaservices disease. The repohouseholdthe Millensanitationthe populaSource: W

Kerala co

And froIn 2011 Etotal of 5,Products still have

ICEF highlign 90, almost 2 bned access toter connectio

Progress on dn access to c

n half of the water and s

ving in urban 80% urban dw

95% people 2012, 96% p

this progressdrinking wate

majority of thsanitation –

es,” said Dr ants of Health

ny people still steps to acce

en and how pt yet have acc

n to the dispawithin towns a

of cities or sm.

e fail to provnd the most v

anitation and itable and fai

itation and c, dysentery, in health car

rt presents ed surveys andnnium Develo and 56 counation without HO/Media New

omes togethe

om what Ernakulam wa

324 cases of(COTPA) Promiles to go be

ht need to fu

billion peopleo drinking-waons in their hdrinking watecleaner water

global populsanitation thaareas had acwellers and 4

in urban areapeople living

s, sharp geoer and sanitat

hose without where it haMaria Neir

h.

lack a basic elerate acceseople accesscess to these

arities betweeand cities. Pemall towns ar

vide equal acvulnerable chHygiene. “If wrer access to

contaminatedhepatitis A, are facilities p

estimates ford censuses fopment Goal ntries had mesustainable a

ws, May 8, 201

er to stub the

they say, s declared thf public smokoducts (COTPefore Kerala s

urther reduce

e globally havater from imphomes or coer and sanitaand better sa

lation lives inn rural ones.

ccess to impro47% rural one

as could drinin towns and

ographic, soction facilities s

improved sanas occurreda, WHO Dir

level of drinkss to disadvans improved sabasic facilitie

en urban andeople living inre less likely

ccess to imprhildren and thwe hope to se

improved wa

d water are and typhoid. Iput already v

r 1990-2012for the same

(MDG) targeet both targetaccess to safe4

e cigarette

it looks he first smokeing were regiPA) Act. Despstubs the ciga

e gaps in acc

e gained accroved source

ompounds, acation: 2014 uanitation betw

n cities, and. But the gapoved sanitatio

es had access

k improved wd 82% of thos

cio-cultural, astill persist aro

nitation are po– has primarector for Pu

king water anntaged groupanitation andes,” she added

rural areas,n low-incometo have acce

roved water seir families,”

ee children heater and sanit

linked to traIn addition, invulnerable pa

and is baseperiod. It rev

et for drinkingts. MDG 7.Ce drinking wat

like theye free tourist distered underpite tall claimarette.

cess to impr

cess to improves. Some 1.6ccording to apdate, which

ween rural and

urban areasp is decreasinon, as opposs to better san

water, compase in rural ar

and economound the wor

oorer people arily benefitteublic Health,

d sanitation.ps. An essent

drinking wated.

there are ofte, informal or

ess to an imp

sources andsaid Sanjay W

ealthier and beation.”

nsmission ofnadequate oratients at add

d on data frveals that byg water, 77 aims to halvter and basic

mean bdestination in r Section 4 of

ms of being to

roved drinkin

ved sanitation billion of the

a new WHO/h also highligd urban areas

are still bettng. In 1990, ed to only 28nitation.

ared with 62%reas had acc

ic inequalitierld.

living in rural ed richer pe, Environmen

The challengtial first step ier, so we can

en also strikinillegal settlem

proved water

sanitation weWijesekera, Uetter educate

f diseases sr absent wateditional risk

rom nationally2012, 116 cohad met the

ve, by 2015, tsanitation.

usiness. Sthe State. Bu

f Cigarettes aobacco free in

ng water and

n, and 2.3 bilese people h/UNICEF rephts a narrow

s.

ter supplied wmore than 7

8% in rural on

% people in ruess to improv

es in access

areas. Progrople, increasntal and So

ge now is to tais to track ben focus on tho

ng differencesments or onsupply or be

e are failingUNICEF Chieed, there must

uch as choleer and sanitatof infection a

y representaountries had m

MDG targetthe proportion

mokers beut in 2013, agand Other Tobn public place

d

lion ave

port, wing

with 76% nes.

ural ved

s to

ress sing ocial

ake etter ose

s in the

etter

the ef of t be

era, tion and

tive met for

n of

eware! gain, a bacco

es, we

Several scontrol theto the distSmoke freon the pre

"Awarenetaken to finstitutioncadets to

In Ernakustatus of comprisincolleges icampuses Raids arenear educbeing confine is chErnakulamregistered

Smoking punishablsmoking zspace," sa

The healtmedical ospecial drRecently, hazards o

In Trivandhelp of StEducationof many csupport of

In 2008, Kfirst smok

The Keralother addbecause t There is spolice, whnumber osaid, "Wewhich is canti-drug passed ocampaign

chools and coe sale of tobatrict educatioee labels will emises."

ess classes wind out if cigas. Frequent rcreate aware

ulam, the distthe district. Dg police, eduin the comings.

e already beincational institunducted in theharged as pem Rural, saysd against smo

in any pube. "Howeverzone, which iays Fino Bab

h departmentofficer Dr Hasrives in the ca seminar to

of smoking. W

drum, authorittudent Protectnal District ascrimes, in adf students, tea

Kottayam becke-free tourist

la Governmedictive producthe central le

still a good clihich had madof students ane have not noconsidered thclubs formedn to students

ns through stu

olleges are reacco productsnal officer sabe put up in

will be conduarettes or anyaids will be c

eness about th

trict administrDistrict Collecucation and hg academic y

ng conductedutions and ho

e entire city . Wer the Contros, "The past

okers and illeg

lic area, inc, one can smin turn shouldu, Food & Be

t officials measeena Mohamcity. A rally w

oo was conduWe are conduc

ties say the vtion Committe well as a dis

ddition to beinachers and so

came the firstdestination.

nt also came cts within a gislation COT

entele for gane networks innd minors wh

oticed such tre best - to thd in about 21s about the

udent cadet co

e-opening on s in shops neys, "On May all the school

cted for the y other tobacconducted by he ill-effects o

ration has joictor M G Raealth departmyear to check

and Shadowospitals. ComWe have beeol of Tobaccsix months h

gal sale of tob

cluding restaumoke in the d not be in th

everages Man

anwhile are ammed says, was held in tcted at a nurscting regular p

vicinity of eduees. In early Fstrict that's Tong hazardousociety at large

t district to be

out with an Oradius of 40

TPA, 2003 pr

nja among stun schools andho are custorends. Howeve capital city

100 high schnegative effeorps are also

June 2 and text to schools28, a meetinl compounds

students oncco products athe police anof smoking."

ned hands wajamanickam ment officials k the sale of

w Police are pmmissioner of

n conducting co Products have actuallybacco produc

urants, bars,aforemention

he vicinity of nager.

also taking eff"On World Nthe city alongsing college tprogrammes

cational institFebruary this

obacco Advers to health, ae to pitch in a

e tobacco fre

Order in 201100 meters of rovides a ban

udents in the d colleges hermers of such

ver, what we and try to seools and hig

ects of substquite impactf

the district eds from day ong was held wand smoke f

ce school reoare sold in smd training will

with the policein April had will conduct tobacco pro

posted at varif Police K J J

raids and haAct." Sathee

y seen an inccts in the distr

pubs and ned institutioa restaurant

forts to spreaNo Tobacco Dg with nursinto make the sto spread aw

tutions have b year, Trivand

rtisement Freeauthorities haand curb the m

ee. In 2011, E

1-2012 that baeducational

n of the said

city, going byre. When askeh groups, Exsee is that p

ell it here as ther secondaance abuse."ful. Source: T

ducation depane itself. Abduwith all the scree zone boa

opens and spmall stationery

l also be give

e to bring baannounced tsurprise checducts within

ious parts of ames says, "

ave nabbed seesh Bino, Discrease in theict."

discothequesons, if they h

and any othe

d awarenessDay, today, w

ng and other students awar

wareness and

been kept tobdrum was name! Citing toba

ave called upmenace.

Ernakulam wa

ans the sale oinstitutions.

products only

y the recent sed whether thcise Commis

people bring gthey get a bery schools, a" He adds thimes News Ne

artment is all ul Azeez, asshool headma

ards will be er

pecial care wy shops outsiden to student p

ack the smokethat special tcks in school400 metres o

the city, espe"Special driveeveral culpritsstrict Police Ce number of c

s, is bannedhave a desiger public gath

in the city. Dwe are condumedical stud

re about the hit will continu

bacco-free wimed Tobacco

acco as the inpon the contin

as declared a

of pan masalThis is signi

y within 100 y

seizures by thhere is a rise ssioner Anil Xganja from Idtter price. Th

awareness is hat the awareetwork, May 31

set to sistant asters. rected

will be de the police

e-free teams s and of the

ecially es are s. The Chief, cases

d and nated

hering

District ucting dents. health e."

th the o Free nitiator nuous

as the

a and ificant yards.

he city in the

Xavier ukki - rough been

eness , 2014

Rajastha

Rajastha

Applicantschew gutkAnyone seto submit State Peragencies,from appl Applicantschew gutk Since the of Conduclying pend Recently effectivelyopenings The DOPTthat no pe Hailing thDharamveshould als

We solicit y

State InstitJhalana In Phone-27 E-mail:-sih

n

n govt seeks

s should undka. eeking a job tan undertakin

rsonnel and public servicicants seekin

s should undka (betel-nut w

DOPT order ct was effectding for fresh

last month ony and sought

in electricT order, made

erson shall be

he initiative eer Kateva sso be added w

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