Diversity of Tobacco use

Smoking forms: Smokeless forms:

Cigarettes Gutkha
Beedis Zarda
Cigars Pan masala
Pipes Pan with tobacco
Hookah etc… Khaini
Snuff etc…
Agents
of
Disease
Burden of Tobacco Use in India

2nd Largest
Consumer 2nd Largest
Producer
 Burden of Tobacco Use in India

Global Adult Tobacco

Survey-2 (GATS) India
estimated the number of
tobacco users in India to be
27 crore, with 20 crore
users of smokeless
tobacco, 10 crore smokers
and 3.2 crore use both.
More than 27 crore
adult Indians are
using tobacco!*

9 crore adult Indians

may die prematurely
Cardiovascular disease, Pulmonary diseases,
Cancer etc
Burden of Tobacco use in India

 Approx 13 lakh deaths every year due to tobacco

related diseases in India
 27 crore Tobacco users in India

 20 Crore Smokeless Tobacco (SLT) users

 The prevalence Pan Masala (single and twin pack)

is huge
 Tobacco use increase risk of Tuberculosis by 40%

 27% of all type of cancers caused by Tobacco use

 90% of oral cancer caused by SLT use and India

has become Mouth Cancer capital of the world
Prevalence of tobacco use in
Bihar
Tobacco prevalence in Bihar 25.9% v/s 28.6%
for India
Male Users 43.4 %, Female Users 6.9 %
SMOKELESS form of Tobacco (Khaini, Pan
Masala, Zarda, Flavored Tobacco, Gutkha etc.)
23.5 %
Use of KHAINI is maximum in Bihar 20.4%
BIDI smokers in Bihar 4.2%
Source: Global Adult Tobacco Survey-2016-17
GLOBAL YOUTH TOBACCO SURVEY
(GYTS 2019)
 Among 13-15 years
school students
 8.5% use tobacco

in India
 7.3% use tobacco
in Bihar
 8.0% females use
tobacco before the
age of 15 Years
Young warrior in Tobacco
control ..…
Young warrior in Tobacco
control ..…
Legal Provisions for
Tobacco control
Legal Framework for Tobacco Control

1. Cigarettes and Other tobacco products

(Prohibition of Advertisement and Regulation of
Trade and Commerce, Production, Supply and
Distribution) Act, 2003 [COTPA]
2. The Juvenile Justice (Care and Protection of
Children) Act, 2015
3. Food Safety and Standards Act, 2006
4. Bihar Municipal Act 2007 for mandatory Vendor
Licensing of Tobacco Traders
COTPA, 2003
Cigarettes and Other
Tobacco Products
(Prohibition of
Advertisement and
Regulation of Trade and
Commerce, Production,
Supply and
Distribution) Act, 2003
Main provisions….COTPA 2003
 Ban on Smoking at public places (Sec 4)
 Ban on Sale of Tobacco to the minors (Sec 6 A)
 Ban on Sale of Tobacco by the minors (Sec 6 A)
 Ban on Sale of Tobacco product with in 100
yards of Educational Institutions (Sec 6 B)
 Ban on Direct / indirect advertisement of
Tobacco product (Sec 5)
 Ban on sale of Tobacco product without pack
warnings (Sec 7)
Prohibition of Smoking in a Public
Place

The Owner / Proprietor / Manager /

Supervisor / In charge of the
affairs of a public place is
responsible to make the public
place “Smoke Free”
Authorized persons to implement
smoke free rules
SI. No Persons Authorized to take action Description of
1. Inspector of Central Excise/Income Tax, Customs/Sales All public places within their
Tax/ Health/ Transport and above. jurisdiction
2. Station Masters/Asst Station Master/ Station Head/ Railways and all its premises
Station Incharge.
3. All gazetted officers of State/Central Govt. or equivalent Govt Offices / premises and
rank and above in Autonomous organizations. offices of Autonomous bodies
and corporations.
4. Director/ Medical Superintendent/Hospital Administrator. Government and private
Hospitals
5. Post Master and Above Respective Post Offices in their
jurisdiction.
6. Head of the Institution/HR Manager/Head of Private Offices / Workplaces
Administration
7. College / School / Headmaster Principal/Teacher Respective Educational
Institutions
8. Librarian /Asstt. Librarian/Library in-charge/ other Libraries / Reading Rooms.
administrative staff in library.
9. Airport Manager/Officers of Airport Authority of India and Airports
Officers of all schedule Airlines
10. Dir Public Health/ Director Health Services All Public Places
11. In charge Administration in Central/ State Govt. All Public Places
12. Nodal Officers/Focal Points of Anti-Tobacco Cell at All Public Places
District and State level
Authorized persons to implement
smoke free rules (contd…….)
SI. No Persons Authorized to take action Description of
All Public Places within their
13 Police Officers not below the rank of Sub-Inspector of Police jurisdiction.

Officers of State Food & Drug Administration not below the rank of All Public Places within
14
Sub-Inspector of Police. their jurisdiction.
Representatives of Panchayati Raj Institutions All Public Places within
15
(Sarpanch / Panchayati Secretary) their jurisdiction.
Dist Program Manager/ Finance Manager – Dist Health Society All Public Places within
16
(National Rural Health ) their jurisdiction.
Civil Surgeon /Chief Medical Officer(CMO) at / Medical Officer at /Health Institutions/
17
Primary Health Centre (PHC) dispensaries
Registrar/ Deputy Registrar/ Public Prosecutors/ Government
18 Court Buildings
Counsels.
19 Inspector of Schools/ District Education officer Educational Institutions
Traffic Superintendents /Asst Traffic Superintendents / Bus Station
20 Public Conveyances
Officer / Ticket Collector or Conductor.
Travelling ticket Examiner/ Chief Ticket Inspectors/ Ticket Collectors/
21 Officers not below the rank of ticket collector or equivalent rank not Railways
below the rank of Asst Sub-Inspector of Railway Protection Force
Sample signage……(sec 4)
Sample signage……(sec 4)
Smoke-free signage to be
placed at every
 Entrance;
 Floor;
 Staircase;
 Entrance of the Lift; and
 Conspicuous place(s) inside
Provisions of Sec 6 of COTPA 2003

• It warn tobacco sellers, vendors and industry that

sale to and by Minors is prohibited (Section 6 A)
• Display of signage with pictorial depiction of ill
effects of tobacco use at point of sale (Section 6 A)
• Prohibits on sale of Tobacco within 100 yards of any
Educational Institutions (Section 6 B)
Section 6 (a): Signage
Section 6 (a): Violations

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Section 6 (a): Violations.....(Contd)
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Section 6 (a): Violations

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 Section 6 (b): Provisions of the law

• All educational institutions should have a board or

wall painting on their boundary wall or at the
entrance. The board should state prominently that

“sale of cigarette or any other tobacco products in

an area within the radius of 100 yards of the
educational institution is strictly prohibited; the
offence is punishable with a fine upto Rs. 200”
 Section 6 (b): Measurement of the distance
• Distance of 100 yards shall be measured
radially from the outer limit of boundary
wall, fence or as the case may be, of the
educational institution, for the location of a
tobacco vendor or point of sale
Signage section 6(b)
Section 6 (b)….Statutory boards
at educational institutions
Section 6 (b)….Statutory boards
at Educational Institutions
Violation of section 6 (b)

ions
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The contents of the warning must be strictly as prescribed

by the law
Violation of section 6 (b)

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The contents of the warning must be strictly as prescribed

by the law
Violation of section 6 (b)

ions
olat
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Tobacco shop should not be within 100 yards of school campus

Violation of section 6 (b)

ions
olat
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Tobacco shop should not be within 100 yards of school campus

Tobacco vendors on cycle

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 As per the rules….
 No tobacco product shall be sold unless the package
contains the specified health warning.
 It shall occupy at least EIGHTY FIVE percent (85%) of
the principal display area of the pack and;
 shall be positioned parallel to the top edge of the
package
 in the same direction as the information on the principal
display area.
 The specified Health Warning shall be printed, pasted or
affixed on every retail package.
 No messages that directly or indirectly promote a specific
tobacco brand or tobacco usage in general can be
inscribed on the tobacco product package
Contd.....
Health warnings on tobacco products
packs (85% on all major sides)

1st December, 2023 1st December, 2022

Penalties under COTPA 2003
• Section 4: up to Rupees 200
• Section 6: up to Rupees 200

• Section 5:
• First conviction: up to 2 yrs jail or up to Rs.1,000 fine or
both
• Subsequent conviction: up to 5 yrs jail and up to 5,000 fine
• Section 7:
• Producers or manufacturers:
 First conviction: up to 2 yrs jail or up to Rs.5,000 fine or both
 Subsequent conviction: up to 5 yrs jail and up to 10,000 fine
• Seller or distributer:
 First conviction: up to 1 yrs jail or up to Rs.1,000 fine or both
 Subsequent conviction: up to 2 yrs jail and up to 3,000 fine
Institutional Structure
created for
Tobacco Control
Institutional Structure @ District Level
 District Tobacco control cell (DTCC) under
District Health Society (DHS)
 District Nodal Officer (DNO) is in-charge of
District Tobacco Control Cell (DTCC)
 District Tobacco Control Coordination
Committee (DTCCC) headed by District Magistrate
and Civil Surgeon as Member Secretary and DNO
as convener
 Anti Tobacco squad at District / Sub Division /
Block level notified by District Magistrate
 Institutional Structure @ District
Level…(Contd.)

 Senior Medical officer as District Nodal Officer

(DNO); appointed by Health Dept
 Nomination of SDM / SDC / ADM / DDC as
Special Nodal officer from District Administration
side for reinforcement of challaning of COTPA by
District Magistrate
 Dy. Superintendent of Police (HQ) has been
nominated as Nodal officer by the Police
department in each districts for the effective
enforcement of COTPA
State Level Direction on
Monitoring and Enforcement
Enforcement of COTPA 2003…!!!
Enforcement of COTPA 2003…!!!
Enforcement drive
Enforcement drive
Enforcement drive
Enforcement drive
Enforcement drive
Enforcement of Ban on Smokeless
Tobacco Products
Let us all work together to fulfill the
dream of a healthy and

Tobacco Free Bihar