Sunday 29 April 2012

Oral carcinogen identified in smokeless tobacco

Scientists in the US have, for the first time, identified a chemical in smokeless tobacco which causes oral cancer. Smokeless tobacco products have long been associated with certain cancers, including those of the oral cavity and oesophagus, but it is for the first time that a specific chemical present in these has been shown to induce oral cancers in animals.

A team of researchers at the Masonic Cancer Center of the University of Minnesota found that a compound called (S)-N'-nitrosonornicotine, or (S)-NNN, present in smokeless tobacco is a strong oral carcinogen. “(S)-NNN is the only chemical in smokeless tobacco known to cause oral cancer," said Silvia Balbo, a research associate at the Masonic Cancer Center. “This finding provides mechanistic underpinning for the epidemiologic observations that smokeless tobacco products cause oral cancer.”

In their findings presented at the American Association for Cancer Research Annual Meeting in Chicago, the researchers said they tested the effects of two forms of NNN – called (S)-NNN and (R)-NNN – on rats.

Two dozen rats were divided into four groups and given either (S)-NNN alone, (R)-NNN alone, a combination of both or tap water. The total dose was approximately equivalent to the amount of (S)-NNN to which a smokeless tobacco user would be exposed from chronic use of these products. At the end of one year, all rats assigned to (S)-NNN alone or the combination began losing weight after one year of exposure and died by 17 months. Rats assigned to (R)-NNN or tap water were terminated at 20 months.

All rats assigned to (S)-NNN had oesophageal tumours and demonstrated 100 per cent incidence of oral tumours including tumours of the tongue, buccal mucosa, soft palate and pharynx.

In contrast, researchers found oral tumours in only five of 24 rats given (R)-NNN and oesophageal tumors in three of 24 rats assigned to (R)-NNN. Twelve rats given the combination of (S)-NNN and (R)-NNN had 153 oesophageal tumours and 96 oral tumours.

According to Ms Balbo, the results reinforce the dangers of tobacco products. It also belies the perception that smokeless tobacco is safer than smoking.

"Measures should be taken to reduce this chemical in smokeless tobacco," Balbo said. "If it is not possible to stop the use of smokeless tobacco products, we should advocate for a reduction of this chemical in these products."


Times of India, 6 May 2012

Free Press, 29 April 2012


Metro Vaartha, 30 April 2012

Siraj, 20 April 2012



Madhyamam, 29 April 2012



Kerala Bhooshanam, 28 April 2012



Veekshanam, 28 April 2012

Newage, 28 April 2012

Thejas, 28 April 2012
Chandrika, 28 April 2012

Mangalam, 28 April 2012







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Saturday 28 April 2012

Tobacco - No remedy for toothache


It might seem perplexing to many - but a sizeable section of the population has taken on to tobacco to solve tooth-related problems! 


According to a large controlled prospective intervention trial for primary prevention of oral cancer in Ernakulam district, showed that 48 per cent of users reported tooth-related problem as an initiating factor for tobacco use. This was followed by 38 per cent who got hooked on through peer influence. 


The intervention cohort, at baseline, in Ernakulam District consisted of 12,212 tobacco users 15 years of age and older in the intervention group and there were 6,075 subjects in a non-concurrent control cohort. Both cohorts were interviewed about their tobacco use by trained investigators, and subjects were examined for the presence of oral lesions by dentists and subjected to 10 annual follow up examinations.


Tobacco has damaging tobacco compounds that cause oral cancer. Irritation from exposure to tobacco juices can tissue changes, and thereby increase the risk of developing oral cancers. 


Oral cancer can form in any part of the mouth or throat. Some of the symptoms of oral cancer include white or red patches in the mouth, a mouth sore that won't heal, bleeding in the mouth, loose teeth, problems or pain with swallowing, lump in the neck and earache. Experts say that oral cancer can be life-threatening, if not diagnosed and treated early.


It is a myth that tobacco use can cure toothache, rather tobacco use leads to toothache and also can cause the very painful oral cancer.


Image courtesy - Cancer Council Victoria

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Friday 27 April 2012

Chulbul Pandey for tobacco control

Chulbul Pandey, the super-hero do-gooder character of Dabaang is all for tobacco control. In the embedded clip, he is seen giving money to a hospitalised man, who has lost the powers to use his left hand.
 

As if in re-assurance, Chulbul points out a benefit of losing his hand - of not being able to consume tobacco. The man's wife readily concurs - and rightly so. 




We need more characters like Chulbul Pandey to spread the message on the dangerous fall-outs of tobacco use. Dabaang 2 is in the making and here's hoping that Chulbul would continue to take up this noble cause
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Tuesday 24 April 2012

Tobacco Free Kerala Salutes Prof. Prabhat Jha

Tobacco Free Kerala salutes Prof.Prabhat Jha of Dalla Lana School of Public Health, University of Toronto, Canada for his commitment to the cause of tobacco control in the world.


Prof.Jha was recently honoured with the 2012 Luther L.Terry Award for Outstanding Research Contribution by the American Cancer Society for his globally influential work on tobacco control at the 15th World Conference on Tobacco or Health at Singapore.


The award was in recognition for his research on the epidemiology and economics of tobacco control, including a renowned 1999 World Bank report, 'Curbing the Epidemic: Governments and the Economics of Tobacco Control', of which he was the lead author.


The report was translated into over 25 languages and led to the first global treaty on tobacco, the Framework Convention on Tobacco Control (FCTC), which was signed by more than 160 countries including India. The FCTC has provided nations with a blue-print to adopt clean air laws, restrict advertising for smoking and raise cigarette taxes, among others.


He is also the principal investigator of the 'Million Death Study', an ongoing examination of health, disease and mortality launched in India in 2002, for which researchers collected on 15 million people including many rural and poor, with little access to institutional medical care.


The study findings were published in the prestigious Lancet journal and widely covered in the media.


Image courtesy: University of Toronto
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Monday 23 April 2012

Smokers more vulnerable to H1N1

The threat of Influenza A (H1N1) is back in Kerala, with a case being reported from Alappuzha. Smokers are all the more vulnerable to this potent virus as it delays immune responses. 

The relatively new strain of the virus A (H1N1), which rose to pandemic proportions in 2009, spreads among humans through coughing or sneezing of people infected with the virus. 

Kerala, where a state wide alert was sounded recently on H1N1 infection, has a sizeable smoking population. According to the figures of the Global Adult Tobacco Survey (2009-10), 13.4 per cent of adults smoke cigarettes or bidis in Kerala.


Deepika, 30 April 2012




Newage, 24 April 2012

Varthamanam, 22 April 2012






Janmabhumi, 22 April 2012
Chandrika, 22 April 2012
Kerala Bhooshanam, 22 April 2012
Metro Vaartha, 22 April 2012
Siraj, 22 April 2012

Madhyamam, 22 April 2012







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Saturday 21 April 2012

Ignorance about tobacco's heart risk worrying

It is a widely known fact that smoking damages the lung and causes cancer, but few tobacco users are aware that it also heightens the risk of the equally deadly cardiovascular disease and stroke, according to a new study.


Nearly half of India’s 120 million smokers do not know that their habit can cause stroke, and a third are not aware it can lead to heart disease, research commissioned by the World Heart Federation has found.
The report compiled by the International Tobacco Control (ITC) Project in collaboration with WHO’s Tobacco Free Initiative, says the awareness about the link between second-hand smoke and cardiovascular problems is even lower, among both smokers and non-smokers.


Ignorance about the harmful effects of tobacco and second hand smoke is prevalent around the world, including in countries such as China, Vietnam, Uruguay, South Korea and Poland. Even in developed nations such as the US, UK and Australia, nearly half of smokers are unaware that second-hand smoke causes heart attacks in non-smokers.
The findings are a major cause of worry, say the researchers. Out of the 17.3 million people who die of cardiovascular disease every year, 80% are in low- and middle-income group countries – nations that are increasingly being targeted by tobacco companies.


Studies show tobacco use and secondhand smoke exposure is responsible for one in 10 global deaths from cardio vascular disease. Even smoking a few cigarettes a day significantly increases the risk of heart disease.
Smokeless tobacco products, which are used by an estimated 206 million people across India, have also been linked to an increased risk of heart disease and stroke.


 Secondhand smoke exposure increases the risk of heart disease by 25–30% and more than 87% of worldwide adult deaths caused by secondhand smoke are attributable to cardio vascular disease, says the report.
Professor Geoffrey T. Fong at the University of Waterloo, Canada, and Chief Principal Investigator of the ITC Project, believes putting labels on cigarette packs warning about cardiovascular risks may be an effective way to educate the public.


“A number of countries have introduced warnings about the increased risk of heart disease or heart attack, but no country has yet implemented a label to warn people that secondhand smoke causes heart disease. Increasing knowledge of these specific health risks will help encourage smokers to quit and help non-smokers protect themselves, so raising awareness is an important step in reducing people’s exposure to tobacco smoke,” he said.
Johanna Ralston, CEO of World Heart Federation, adds: "In countries like India or China, so many people are at high risk for heart attack or stroke, and it strikes at a relatively early age: risks of CVD are far more present and immediate than most of the better-known fatal effects of tobacco use and secondhand smoke exposure.


"Knowing about cardiovascular risks of tobacco will help smokers take quitting seriously, and encourage people to demand and comply with policies that protect everyone from the harms of tobacco.”


Image Courtesy: http://img.ehowcdn.co.uk/article-new/ehow/images/a07/u5/em/five-main-ingredients-cigarette-smoke-800x800.jpg
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Tuesday 17 April 2012

Taxing tobacco to save lives

The government of Kerala raised taxes on cigarettes from 12.5% to 15%; and pan masala from 22% to 22.5% in the state Budget this year. It’s certainly a commendable move, expected to fetch the treasury additional revenues of Rs 76 crore every year. 

But it’s hardly the quantum taxation leap health experts have been clamouring for in the campaign to wean people away from tobacco and prevent millions of avoidable deaths.

Kerala has a long way to go even in relative terms, if we look at how other states are faring on tobacco taxation. Jammu and Kashmir raised taxes on cigarette and tobacco products from 25% to 30% in the Budget this year.

Maharashtra has, for the first time, introduced VAT on bidis – a deadly tobacco product left untouched by the Kerala government in Budget 2012. A duty of 12.5% has been introduced for bidis in Maharashtra.

Madhya Pradesh has nearly tripled the tax on bidis – from 5% to 13%. It has also become the first state in India to ban the sale of gutka and has ordered manufacturers to shut down production facilities in the state.

Rajasthan, meanwhile, has leapt ahead of the pack by increasing tax on all tobacco products from an already impressive 40% to 50% this year.

In neighbouring Tamil Nadu cigarettes are taxed at 20% of the retail price. A carton of cigarettes has the same MRP on both sides of the border, which means the Kerala government which taxes cigarettes at 15% generates less revenue than Tamil Nadu on the same product. It also means that manufacturers make more money on a pack of cigarettes sold in Kerala than in Tamil Nadu – a dangerous incentive.

Studies have shown time and again that increased taxation is an effective deterrent to smoking and tobacco consumption.  “Increasing the retail price of tobacco through higher taxes is the single most effective way to decrease consumption and encourage tobacco users to quit,” says the World Health Organisation.

A study by the Toronto-based Centre for Global Health Research estimates that raising tax in India from 7% to 33% on bidis and from 43% to 58% on cigarettes would lead to 14 million smokers quitting and 27 million children never starting to smoke. 

Researchers say it will be the equivalent of “69 million years of saved healthy life over the next 40 years”.

India is the world’s second largest tobacco user after China, the WHO’s Global Adult Tobacco Survey 2009-10 found. According to the CGHR experts this “relatively high tobacco consumption is partly the result of historically low or non-existent taxes on bidis, and an inefficient, complex taxation system on cigarettes”.

The study led by Prof Prabhat Jha of the University of Toronto and published in the October issue of Economic & Political Weekly points to the current “chaotic tax structure” in India. The authors argue that it has led to, among other things, higher tobacco consumption; loopholes that allow manufacturers to counter the impact of higher taxes; increased corruption and tax evasion; and difficulty adjusting for income growth and inflation.

They recommend implementing a tobacco control strategy that uses research and policy regulation to curb consumption, and adopting higher, more effective levels of taxation on bidis and cigarettes that adjust for annual inflation.

Reforms aimed at creating a “rational system of taxation” that involves periodic adjustment for inflation will go a long way in tackling corruption, increasing revenues and cutting smoking deaths, they argue. 

“Modest action on tobacco taxes in India might well save millions of lives,” the report concludes.

Based on an earlier study by the John Hopkins Bloomberg School of Public Health, raising VAT on cigarettes, bidis and smokeless  tobacco to 25% could prevent an estimated 150,400 premature deaths in Kerala.

Image adapted from http://theworldisenough.blogspot.com


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Thursday 12 April 2012

Quit Smoking for Benefits Aplenty

For smokers, quitting might seem an impossible task to achieve. But experts say that it is possible to quit, with will and determination. 


To begin with, smokers should distance themselves from factors that induces craving such as seeing a lighter or an ashtray. Also keep away from the company of other smokers or people using tobacco.


Smokers can seek support of near and dear ones to replenish motivation levels. Counselling and advice from doctors/health workers is effective in helping smokers quit, as a recent study in Palakkad has shown. 


The Health Worker Guide of National Tobacco Control Programme has listed the following benefits - immediate and long-term - from quitting. The immediate benefit is that smokers start to feel better and food tastes better. 


Two hours after quitting, nicotine is out of the system. Carbon monoxide is out of the system and lung function begins to improve after 12 hours.


Two days hence, sense of smell improves; physical activity becomes easier and more air gets into the lungs. Lung works more efficiently and is able to remove mucous after two months, besides improving blood flow to limbs. 


The risk of heart disease is halved in 12 months, as compared to a continuing smoker. 


The risk of lung cancer is less than half that of a continuing smoker in 10 years. By the 15th year, the risk of heart attack and stroke is almost the same as a person who has never smoked.


Take heart, quit smoking!


Image courtesy: About.com


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Monday 9 April 2012

Illegal tobacco outlet exposed

Section 6 of COTPA, 2003 prohibits sale of tobacco products within a radius of 100 yards of educational institutions. The Kerala Government has enhanced the ban on sale of pan masala and other addictive products to 400 metres of educational institutions. 

However these rules are observed more in violation.

The Reporter TV scans and exposes an illegal outlet of tobacco products in the heart of the capital city in this exclusive report, telecast on 7 April 2012.






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Saturday 7 April 2012

Who's benefited - Let's ponder on this World Health Day

Today is the World Health Day - it is celebrated every year to commemorate the founding of the World Health Organization (WHO) on 7 April 1948. 

The theme of World Health Day 2012 is "Good health adds life to years". Based on the topic Ageing and Health, the focus this year is how good health throughout life can help older men and women lead full and productive lives and be a resource for their families and communities.

Lifestyle choices play a key role in determining health; lifestyle factors are stressed and discussed about as individuals have a control over it. 

Use of tobacco and other tobacco products is a major lifestyle factor that charts the course of one's life and health. Individuals can make a choice here if they want their health to be good or bad. 

Scientific studies and surveys all over the world have reiterated the strong correlation between use of tobacco products and health. In India alone, more than 10 lakh people die annually due to tobacco related diseases. 

An Expert Committee Report of the Indian Council of Medical Research (ICMR) in 2001 made a telling analysis of cost-benefit analysis of tobacco use in India. A case analysis showed that in the year 1999, the Indian Government raised funds to the tune of 24 thousand crores from tobacco and related products but ended up expending 27 thousand crores on diseases caused due to tobacco use. 

We'll let the scale speak for itself.

Image courtesy: Tobacco Control in Contemporary India
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Friday 6 April 2012

India to combat illicit tobacco trade

India, along with 134 countries of the world has agreed on a global deal to combat tobacco smuggling.


Under the Protocol agreed upon by the Intergovernmental Negotiating Body (INS) after lengthy discussions, countries will establish a global tracking and tracing system for tobacco products. It sets the rules for combating illicit trade through supply chain controls.


A report brought out by Bloomberg Philanthropies and the Bill & Melinda Gates Foundation in 2009 showed that the volume of illicit cigarette trade in India was 14% of the total cigarette consumption. 


India also found place in the list of 10 countries with the greatest cigarette illicit trade with 18 billion cigarettes in 2007.


The report 'How Eliminating the Global Illicit Cigarette Trade Would Increase
Tax Revenue and Save Lives' notes that if the global illicit trade were eliminated, governments would gain at least $31 billion, and from 2030 onwards would save over 160,000 lives a year. 


Image source - Euromonitor
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Wednesday 4 April 2012

16th WCTOH in Abu Dhabi

The 16th edition of the World Conference on Tobacco or Health (WCTOH) is to be held in Abu Dhabi.The capital city of UAE was chosen unanimously by the International Liaison Group on Tobacco or Health (ILGTH).

The WCTOH a triennial gathering of international advocacy, public policy and health research experts working together to achieve the goals of the world’s first public health treaty, the World Health Organisation’s Framework Convention on Tobacco Control (WHO-FCTC).

At the 15th edition of WCTOH held at Singapore from March 20 to 24, Michael R Bloomberg, founder of Bloomberg group and current Mayor of New York city announced  that Bloomberg Philanthropies will commit an additional US$220 million to fight tobacco use around the world and stem this growing global public health crisis, bringing his total commitment to more than US$600 million.

“Tobacco kills every day, so we need to keep the fight moving forward and keep the momentum going,” said Bloomberg. “In low- and middle-income countries alone, an additional 1.2 billion people are now covered by at least one of six proven tobacco control policies – more than doubling the number of people protected in just five years. When these measures are implemented, the results are clear: fewer people use tobacco and they live longer, healthier lives.”

The Bloomberg Initiative to Reduce Tobacco Use - world’s largest coordinated effort to reduce the harm caused by tobacco globally - in partnership with the Bill and Melinda Gates Foundation, the Initiative has committed US$720 million to global tobacco control since 2006.

The Bloomberg Initiative is focused on reducing the public health impact of tobacco use globally by implementing proven tobacco control policies in low and middle income countries where 80% of tobacco-related deaths occur.

In the upcoming four years of the Initiative, activities will continue to be led by five of the world’s leading tobacco control advocacy and public health organizations - the Campaign for Tobacco-Free Kids, National Foundation for the Centers for Disease Control and Prevention (CDC Foundation), the Johns Hopkins Bloomberg School of Public Health, the World Health Organization and the World Lung Foundation/International Union Against Tuberculosis and Lung Disease.



 

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Tuesday 3 April 2012

Tobacco major cause of cancer deaths - Research


Tobacco use is estimated to have caused nearly 120,000 deaths across India in 2010, according to research carried out by the Toronto-based Centre for Global Health Research(CGHR) in partnership with Mumbai’s Tata Memorial Hospital.

Nearly 600,000 Indians die of cancer every year – over seven in 10 deaths (71%) taking place in the 30-69 age group, the most productive period of a person’s life, says the report published in the latest issue of the Lancet medical journal.


Kerala has the third cumulative risk of dying from cancer - 7.6 per cent for working age men, the study reports.


The Lancet report has received widespread media attention.





Metro Vaartha, 16 April 2012





Janmabhumi, 4 April 2012



Kerala Bhooshanam, 3 April 2012
Chandrika, 3 April 2012

Deepika, 3 April 2012

The Hindu Business Line, 3 April 2012

Janayugom, 3 April 2012

Kerala Kaumudi, 3 April 2012

Mathrubhumi, 3 April 2012

Madhyamam, 3 April 2012

Metro Vaartha, 3 April 2012

Newage, 3 April 2012

Siraj, 3 April 2012

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