Tobacco: The Cost-effectiveness of Current Smoke-free Policies
Tobacco use constitutes a global epidemic that results in 5 million deaths each year (World Health Organization, 2008). If current trends in tobacco use continue, the number of tobacco-related deaths is expected to rise to 8 million deaths annually by 2030 – with 80 percent of these deaths taking place in low and middle-income countries (LMICs) (Mathers & Loncar, 2006).
Currently, about 10 percent of the world’s smokers live in India (World Health Organization, 2008). The 2009-2010 Global Adult Tobacco Survey, a nationally representative household survey, found that 34.6% of adults over the age of 15 in India currently use tobacco (International Institute for Population Sciences (IIPS), 2010). The prevalence of …show more content…
Since ratifying the FCTC in 2004, India’s tobacco control policies and programs have undergone improvements necessary to create the evidence-based strategies suggested in the FCTC text. The Cigarettes and Other Tobacco Products Act (COTPA) was enacted by the national government of India on May 1, 2004 (Ministry of Health and Family Welfare, 2008b; Ministry of Health and Family Welfare, 2008a). This legislation contains most of the areas covered by the FCTC's articles – including provisions on advertising, promotion and sponsorship, health warnings, and a ban on smoking in public places. COTPA’s Section 4, which bans smoking in public places, contains an exemption that allows separate smoking areas or space in restaurants with seating capacity for 30 or more persons, hotels with 30 or more rooms, and airports (Ministry of Health and Family Welfare, 2008b; Ministry of Health and Family Welfare, 2008a). This is inconsistent with the FCTC’s Article 8, which recommends all public places should be smoke free and should not allow designated