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'Say No to Tobacco' WHO WNTD 31st May

Tobacco has been a serious threat to development . Yes, it s time to fight against tobacco use.

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'Say No to Tobacco' WHO WNTD 31st May

  1. 1. World No Tobacco Day (WHO-WNTD) 31st May 2017 Dr Sasikumar Sambasivam, MBBS.,DNB.,MNAMS.,PDCR., Consultant Radiation Oncologist, Dr APJ Abdul Kalam Centre for Oncology, Meenakshi Hospital, Tanjore.
  2. 2. What is TOBACCO ? "Dried Leaves of Tobacco Plants" Cigarette Bidi Khaini Gutkha Pan masala
  3. 3. Tobacco Consumption Pattern 1. 20 per cent tobacco-users consume Cigarettes. 2. 40 per cent smoke Bidis. 3. Remaining 40 per cent chew tobacco and tobacco – containing products such as Paan Masala, Gutkha and Khaini.
  4. 4. Say No To Tobacco
  5. 5. ‘World No Tobacco Day’ by WHO
  6. 6. AIM • To create public awareness • To pressurize the Government • To warn industries • To stimulate policy makers
  7. 7. Ultimate aim •To save our nation from human & financial losses •To increase our National Pride
  8. 8. First World No Tobacco Day by WHO On April 7th, 1988 Theme “Tobacco or Health; choose Health”
  9. 9. •The theme for World No Tobacco Day 2017 is ‘Tobacco – a threat to development’ • It will demonstrate the threats that the tobacco industry poses to the sustainable development of all countries, including the health and economic well-being of their citizens. • It will propose measures that governments and the public should take to promote health and development by confronting the global tobacco crisis.
  10. 10. Why people smoke or consume tobacco? • For pleasure • Out of curiosity • Peer pressure • To satisfy nicotine addiction • For social purpose • For rituals
  11. 11. Today Tobacco is the major public health issue Smoking & smokeless tobacco may lead to - Mouth cancer Lung cancer Lung diseases Heart disease Decrease blood supply in legs Premature birth of baby Poor reproductive health in females Fetal defects-child born with defects Impotence Premature Death of person
  12. 12. Tobacco in India • Portuguese brought in tobacco through Goa in 1600 for the purpose of trade • Initially introduced to Royal courts • Spread to commoner in 17th century • Portuguese traded it for Indian textiles & spices • British colonial rule magnified the tobacco production & consumption (Import of American tobacco to India)
  13. 13. Tobacco in India British East India company grew tobacco in India as cash crop Cultivated tobacco in India Exported to Britain Re-imported cigarettes to India to earn revenue
  14. 14. Tobacco in India • In late Nineteenth century Beedi industry grew in India • Oldest Beedi manufacturing firm established in 1887 • Tax policies of Indian Government after Independence also favoured Beedi consumption
  15. 15. Introduction of Gutkha (oral tobacco) has opened New front between commercial tobacco use and public health Tobacco in India
  16. 16. Some facts about Tobacco Consumption
  17. 17. Some facts – cause of worry • Currently 1.4 billion tobacco users in the world • Second major cause of death due to non communicable disease. • Half of today tobacco users will lose life due to tobacco • Currently 6 million people die every year globally • 1.2 million die in SEA region • By 2030 – 8 million death / year is projected of which 80% live in low & middle-income countries
  18. 18. We are So proud! Aren’t we? No We shouldn’t Be!!!!
  19. 19. Some facts – cause of worry • One death in every six seconds • 2nd largest cause NCD deaths after hypertension • Smokers more prone for TB & pneumonia • Tobacco killed 10 crore people in 20th century and may kill 1 billion in 21st century (All deaths are totally preventable)
  20. 20. “One Titanic [2200] sinks every day in India”
  21. 21. Menace of Tobacco use •Health hazards to users & cultivators •Exacerbate Poverty amongst users •Kills people at height of their productivity •Cause of premature deaths •Makes living people less productive due to sickness •Increase poverty of countries •Harms the environment
  22. 22. Youth are of special concern
  23. 23. Why Youth? • Global population of young people (10-24) is about 1.8 billion • 325 million young people live in SEA region • 85% in Developing countries • New, young & potentially life long tobacco users are soft targets for tobacco industry • Most people start smoking before 18 years • 1/4th of these, use tobacco before 10 years
  24. 24. Why Youth? • Experimentation at child & adolescent stage leads life time tobacco dependence (Nicotine is highly addictive) • Younger children – More likely regular user • Less likely to quit • Easily moved by misleading advertisements • Ignorant about health hazards
  25. 25. “Easier to build a strong child than repair a broken man” Every age group is important for tobacco cessation programme
  26. 26. Vulnerability of the Children All India institute of medical and Science(AIIMS) studied the smoking behavior of more than 4500 children, ages 11 to 14 years, in Delhi's 30 schools; nearly 8.5% children experimented with smoking. The study noted that the mean age for intervention is 12 years.
  27. 27. 1st hand, 2nd hand, 3rd hand smoke ??? First hand Second hand Third hand
  28. 28. Non smokers are at risk of passive smoking
  29. 29. HAZARDS OF TOBACCO Paan Masala, Gutkha and Khaini 1. Carcinogenic Effects Gutkha is another name for betel nut. Small doses may bring about euphoria and increased energy flow, while large doses can cause sedation, according to the National Institutes of Health (NIH). Due to its stimulant activity, gutkha is used in many areas of the world as a recreational drug. However, guthka, which is usually chewed, does have some side effects. 2. Breathing Reaction 3. Body Reactions 4. Toxicity
  30. 30. Cigarettes and Bidis 2) Cardiovascular disease 1) Chronic bronchitis 6) Emphysema 3) Increases the risk of heart stroke 5) Kidney and liver diseases
  31. 31. 7) Babies born with lower birth weight from habitual smoker parent 8) T2 DM ,Blood pressure, exacerbates asthma and causes impotence, infertility 9) Lung and other cancers
  32. 32. CANCER 1. Cancer of lung, esophagus, tongue, oral cavity, larynx, pharynx and urinary bladder 2. The rising oral cancer rates in India are among the highest in the world, and 90% of these can be attributed to tobacco use 3. cancer burden has been estimated at between 700,000 to 900,000 new cases every year 4. Proportion of Tobacco-related cancers (TRCs) varies from 35 to 50 per cent of all cancers in males; and up to 17 per cent of all cancers among females 5. Oral cavity and esophagus cancers together account for 80 per cent of all TRCs
  33. 33. Globally observing a day to say “No to Tobacco” Observed every year on 31st May
  34. 34. • Ban on smoking in public places – Ethiopia • Suspension of govt. Tobacco sales – Cuba • Radio transmission and printed messages from government – Lebanon • Poster contests – Spain • Public cigarette burning ceremony – Nepal • Large public information campaign – China Impact of first WNTD
  35. 35. Interference of tobacco companies
  36. 36. They include: •Manufactures •Whole sale distributors •Importers
  37. 37. Tobacco industries – Enemies of Nation
  38. 38. Because • Continue to book profit for life • It’s own expansion before health of future generation. • Own economic gain before the developing & struggling countries.
  39. 39. Tobacco industries – lure the innocent public • By launching new weapon disguised as Less harmful • NEW products WITH MORE SAFETY • BY LIGHT, MILD AND LOW TAR CIGARETTE CAMPAIGN. • Providing more attractive packets. • Giving healthier names • Providing fruity flavors.
  40. 40. But Poison is poison In Any form
  41. 41. Chewing Tobacco – Equivalent to DEATH
  42. 42. Luring People By Advertisements
  43. 43. Two critical messages to understand 1. Tobacco marketing can contribute to disability & death
  44. 44. 2. Complete ban on advertisements/ sponsorship/promotion by industry are highly effective “Banreduces experimentation& initiation”
  45. 45. Do Not Support Them at the Expense of your life!!!
  46. 46. Do you want to be one of amongst them ????
  47. 47. This also needs your attention
  48. 48. What would you want?
  49. 49. What would you want?
  50. 50. Should Tobacco be stopped or not?
  51. 51. How to Quit – 10 Steps • Commit to quitting by a certain date, about a month in the future. • Cut your tobacco use down to one half or one third your regular rate. • Replace all tobacco products with gum or other chewables on your quit date. • Stay active and occupied during your early tobacco-free days. • Stay away from your triggers. • Keep up good habits once withdrawal symptoms subside.
  52. 52. Step 1—Commit Youself! • Write down the reasons for quitting • What Bothers you? • How will it change your life?
  53. 53. Step 2---Decide for yourself!! • Commitments, Concerns on health , physical status, relationship adversities
  54. 54. Fix a date, Happy ending Step 3– Make a Plan
  55. 55. Step 4– Notify People around you Stay away and disconnect from Triggers
  56. 56. Step 5 --Get outside Support Doctors, People with Same goals, Group formation
  57. 57. Step 6– Cut Down Usage
  58. 58. Step 7– Prepare your Home, Office for Quitting
  59. 59. Step 8– Dealing with Withdrawal
  60. 60. Step 9– Take Control your thoughts
  61. 61. Step 10--- Staying Tobacco Free Keep up the good habits Celebrate victories Don’t Slip back.
  62. 62. Arise, Awake & stop not, till goal is reached! Swami Vivekanand
  63. 63. Let us join hands to make this world tobacco free planet... A place which even god would envy to live.......
  64. 64. Meenakshi Hospital is with you in this great social movement  Signature Campaign– Sign Today– Take an Oath
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Tobacco has been a serious threat to development . Yes, it s time to fight against tobacco use.

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