Tobacco: The Silent Killer

The Tobacco Epidemic in India

Note4Students

From UPSC perspective, the following things are important :

Prelims level: Reports on Tobacco Consumption in India

Mains level: Implementing and Catching Up with Industry

Why in the News?

Tobacco is a leading preventable cause of disease which affects nearly 26 crore Indians and 60 lakh industry workers, posing significant health risks.

Reports on Tobacco Consumption in India

  • According to the Global Adult Tobacco Survey (GATS), there is a general decline in tobacco use, except for an increase in women between 2015-2016 and 2019-2021. (above 15 years)
  • According to the Global Youth Tobacco Survey (GYTS), tobacco use among students aged 13-15 years indicates a reduction in tobacco use in this demographic.
  • The National Family Health Survey (NFHS), which captures data on tobacco use in people above 15 years of age, aligns with the GATS findings, showing a decrease in tobacco use except among women.

What is the WHO Framework Convention on Tobacco Control (FCTC)?

  • The WHO Framework Convention on Tobacco Control (FCTC) is an international treaty adopted by the World Health Organization (WHO) in 2003. It is a legally binding treaty.
  • It means that countries that have ratified it are obligated to implement the measures outlined in the convention within their national jurisdictions.
  • It addresses the global health risks associated with tobacco use and provides a comprehensive framework for governments and organizations to implement effective tobacco control policies and strategies.

Challenges in India: Lobbying by the Tobacco Industry

  • The tobacco industry exerts substantial influence on policy-making to maintain low tax rates and evade stricter regulations.
  • Government Engagement: Both in-service and retired government officials often engage with the tobacco industry. Example: A retired Indian Administrative Services officer joined the board of Godfrey Phillips as an independent director.
  • Government Stake: The Central government holds a 7.8% stake in ITC Ltd., India’s largest tobacco company.
  • Tax Exemptions:  Continuous exemptions of cess on bidis and smaller tobacco manufacturers. Persistent extensions of these exemptions despite the harmful effects of tobacco.

Tax Measures and Lobbying

  • Current Tax Burden:  Cigarettes 51%, Bidis 22%, Smokeless Tobacco Products (SLTs) 64%
  • FCTC Recommendation: At least 75% tax on tobacco products.
  • Challenges at affordability level: Low taxes relative to income growth have kept tobacco products affordable, with cigarettes and SLTs becoming more affordable over the past decade due to the transition to the Goods and Services Tax (GST).
  • Thus, India’s score has worsened since 2021, indicating increased interference by the tobacco industry in governance.

Initiatives taken by the Government:

  • Cigarette and Other Tobacco Products Act (COTPA) 2003: It regulates the advertisement, promotion, and sponsorship of tobacco products, prohibits smoking in public places, mandates pictorial health warnings on tobacco product packaging, and sets rules for the sale of tobacco products to minors.
  • Awareness on Media: India is the first country in the world to implement the larger steps through implementing warnings on OTT platform content when actors are seen using tobacco products.
  • Awareness of Product: India has implemented prominent and graphic pictorial health warnings on tobacco product packaging.

Challenges in Implementation

  • Poor Enforcement: Existing measures are not strictly implemented, leading to widespread non-compliance, especially among smokeless tobacco products (SLTs).
  • Indirect Advertisements: Surrogate advertisements (e.g., using elaichi to promote tobacco brands) circumvent direct advertising bans, undermining control efforts.
  • Inadequate Fines: Penalties for violations of COTPA regulations have not been updated since 2003, making them ineffective deterrents.

Way forward:

  • Update COTPA Fines and Penalties: Revise and significantly increase fines for violations of COTPA regulations to create a stronger deterrent.
  • Strengthen Border and Market Surveillance: Improve customs and market surveillance to combat smuggling and illicit trade of tobacco products.

Mains question for practice:

Q Discuss the various measures undertaken by the Indian government to control tobacco consumption. Evaluate the effectiveness of these measures and suggest improvements. 15M

 

Tobacco Board of India

    • The Tobacco Board is a statutory body established under the Ministry of Commerce and Industry.
    • Hq: Guntur, Andhra Pradesh.
  • Functions:
    • To regulate the production and curing of Virginia tobacco by improving the yields and quality of tobacco.
    • To facilitate the sale of tobacco through e-auctions, undertaking various grower welfare measures and export promotion of tobacco.

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