2. CIGARETTE SMOKE CONTAINS
4000 POISONS

3. WHAT IS AT STAKE?
1 tobacco related death
every 6 seconds
= 10 million annual
deaths by 2030
1 Billion deaths in 21st Century

4. Global Tobacco Toll
 Tobacco toll rising globally: 5 million in 2002 to 10 million
in 2030- WHO
 Developing Countries increasingly vulnerable: 7 million
deaths in 2030- WHO
 700 million children worldwide are forced to passively
breathe tobacco smoke
 1.69 million due to cardiovascular diseases
 1.47 million due to all tobacco related
(0.83 million due to lung cancer)
 1 million due to chronic obstructive pulmonary disease.

5. TOBACCO AND CANCERS
 Lung
 Mouth (oral)
 Throat (Pharynx &
Larynx)
 Food Pipe (Oesophagus)
 Urinary Bladder
 Other Sites

6. CARDIOVASCULAR RISKS OF SMOKING
100% Increase in Risk
Stroke; CHD; Impotence
300% Increase in Risk
Death from undiagnosed CHD
> 300 % Increase in Risk
Peripheral Arterial Disease
400 % Increase in Risk
Aortic Aneurysm

7. OTHER DISEASES
 Chronic Bronchitis
 Emphysema
 Asthma
 Cataract
 Tuberculosis
 Diabetes
 Still Birth and Low Birth Weight
> 25 Diseases

8. PASSIVE SMOKING (ETS)
 Second Hand Smoke increase risk of
– Cancer by 30%
– Heart attack by 25%
in spouse of the smoker
 Increased risk of asthma and lung
disease in children

9. Cost of Tobacco related Cancer

10. ECONOMIC COSTS OF TOBACCO
Health Care: Just for 3 diseases
(Coronary Heart Disease; Cancer;
Chronic Lung Disease)
Health Care cost in 2002 – 2003 was
Rs. 308.33 Billion (USD 7.2 Billion)
Tobacco also has: Environmental costs
& Social costs

11. Prevalence Of Tobacco Use Among
The Youth - INDIA
Global Youth Tobacco Survey (GYTS) conducted among
school going youth (aged 13-15) during 2000-2004 in
India:
 Ever tobacco use : 25.1%
 Current tobacco use: 17.5%
 Current smokeless: 14.6%
 Current smoking: 8.3%
 Current cigarette smoking: 4.2%
Results support the need to prevent youth from initiating tobacco
habit and provide the evidence base for the provisions of Indian
Tobacco Control Act, 2003

12. PRICE INCREASE OF 10%
IMPACT ON SMOKERS ALIVE IN 1995
Change in Change in
Grouping number of smokers number of deaths
(millions) (millions)
Low/middle -36 -9
Income
High Income -4 -1
World -40 -10
Source: World Bank Report, 1999

13. TOBACCO CONTROL POLICIES WORK
 Ban on smoking in bars: 80% reduction in salivary
cotinine levels of bar staff
(BMJ 2005; 331:1117-22)
 Graphic warning labels have impact on smoking
cessation
(Tobacco Control 2003; 12:391-95)
 Reduced incidence of admissions for myocardial
infarction after public smoking ban
(BMJ 2004; 328:977-80)