Anti-smoking legislation enacted by many Indian
States has fallen victim to the gross insensitivity of law-enforcement
agencies and the casual approach to public health. The population of
smokers and tobacco consumers is steadily increasing, causing a threat
to the objective of Health for All. The Supreme Court of India has
recently asked the States to enforce a ban on smoking in public places.
The age-old phenomenon of smoking can be controlled or put to an end
only by enacting legal provisions.
Though, many States like Tamilnadu, Madhya Pradesh
and Kerala have strongly advocated and enforced the ban on the
production, sale and marketing of tobacco products, concrete results
have yet to be seen. Recently, Uttar Pradesh exempted gutka (a
combination of raw tobacco and betelnut) from tax—a jolt to the
anti-tobacco movement.
The World Health Organisation’s report titled "The
Great Tobacco Tragedy" expresses deep concern over the growing tendency
of smoking among women in developing nations. According to the report,
4.3 crore women smoke regularly in India. The highest percentage of
women accustomed to smoking are in Andhra Pradesh. It is awesome to
think of the impact on future generations if expectant mothers proudly
continue smoking and an average of 20 lakh youngsters start consuming
tobacco in all forms from a tender age. In the next two decades, 15
crore people will die prematurely due to tobacco consumption.
Every year, 42 lakh persons die of cancer caused by
tobacco consumption. In India, the scenario has worsened since
Independence. Now 80 per cent of the male and 30 per cent of the female
population suffer cancer caused by tobacco consumption.
China, the U. S. A. and India are the three leading
tobacco producers, followed by Russia, Turkey, Italy, Zimbabwe,
Indonesia, Bulgaria and Japan. The area under tobacco cultivation is 4.5
million hectares worldwide. Per capita tobacco consumption in India is
0.7 kg. India has 250 million tobacco consumers; half of them smoke
bidis, while 77 million consume raw tobacco. The bidi-making industry is
growing fast. Indian bidis have a good market potential in Afghanistan,
Pakistan, Bangladesh, Nepal, Sri Lanka and Myanmar. India is the third
largest tobacco producer after China and the U. S. A. It ranks eighth
among the largest tobacco exporters in the world. Twenty lakh Indian
farmers, mainly from Karnataka, Gujarat, Andhra Pradesh and Tamilnadu
cultivate tobacco over a total four-lakh hectare area.
Since tobacco production and marketing involves about
one crore people and has assumed the status of a potential cottage
industry, it would be difficult for any government at the Centre to wind
up this Excise-earning industry whose share in agriculture export
remains nearly five per cent. The domestic bidi industry alone employs
4.4 million people.
Tobacco consumption has been steadily increasing
since independence. Cigarette and bidi companies and tobacco product
manufacturing companies have succeeded in securing visibility in the
Indian economy. They have also generated employment opportunities. In
such a scenario, even if a ban on smoking at public places is strictly
enforced, tobacco consumption in private would continue. Indian society
and law-making bodies will have to think about a practical strategy.
First, all advertisements in the print and electronic
media motivating readers and viewers to smoke should be banned. Such
advertisements should be properly scrutinised. Sale of tobacco products
like gutka should be strictly prohibited around educational
institutions. Highly motivated teams, groups of government officials and
representatives of voluntary bodies should launch an anti-smoking
movement at the grassroots level. The provisions of the Cigarette
Production, Supply and Marketing Act, 1975, should be strictly enforced.
Sections 270 and 269 of the Indian Penal Code should be implemented in
the right spirit. The campaign against smoking and tobacco consumption
should not become a mere ritual but should continue in word and spirit.