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Ban on Tobacco Ads by GOI ‘The ethical dilemma’ BY EPGPKC01052 : AJAL JOSE AKKARA
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Tobacoo

Jun 01, 2015

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Health & Medicine

Ajal Jose

Ban on Tobacco Ads by GOI ‘The ethical dilemma’

The Indian government decided to ban advertising by tobacco companies as a first step towards its goal of discouraging smokers
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Page 1: Tobacoo

Ban on Tobacco Ads by GOI ‘The ethical dilemma’

BY

EPGPKC01052 : AJAL JOSE AKKARA

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Intro

• ‘Feb 6, 2001’ Government of India (GOI) dropped bombshell on the tobacco Industry

• They announced it would shortly table a ‘bill’ banning Tobacco Companies from advertising their products and sponsoring sports and cultural events

• Aim - To discourage adolescents from consuming tobacco products and also arm the Government with powers to launch an anti-Tobacco Program

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History of TobaccoHistory of Tobacco

Tobacco cultivation has a history of about 8000 years.

Europeans were introduced to tobacco when Columbus landed in America in 1492.

Portuguese traders introduced tobacco in India during 1600. Tobacco became a valuable commodity in barter trade and its use spread rapidly.

Gradually tobacco got assimilated into the cultural rituals and social fabric due to presumed medicinal and actually addictive properties attributed to it.

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Types of tobacco use in India

Smoked forms of tobacco use

- Bidis, Cigarettes, Cigars, Cheroots, Chuttas, Dhumti, Pipe, Hooklis, Chillum, Hookah.

Smokeless forms of tobacco use- Paan (betel quid) with tobacco, Paan masala with tobacco

- Tobacco, areca nut and slaked lime preparations, Mainpuri tobacco, Mawa, Khaini, chewing tobacco, snus, gutkha

- Tobacco products for application: Mishri, Gul, Bajjar, Lal dantmanjan, Gudhaku, Creamy snuff, Tobacco water, Nicotine chewing gum.

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Tobacco in Indian Economy -ITobacco cultivation has sustained despite social disapproval because of domestic

demand (beedi tobacco) and the international market (flue-cured Virginia tobacco).

Tobacco plays a significant role in the Indian economy as it contributes substantially in terms of excise revenue, export revenue and employment.

India is the world’s second largest producer of tobacco and also the second largest consumer of unmanufactured tobacco. It is a major exporter of unmanufactured tobacco.

The total social costs of tobacco products exceed the direct outlay on them, owing to morbidity, mortality and negative externalities associated with the consumption of tobacco products.

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Tobacco economy in the post-Independence period

YearArea

(x1000 hectare)

Production

(million kg)

Excise revenue (Rs

in million)

Export revenue

(Rs in million)

Tobacco

consumption

(million kg)

1950–1951

1960–1961

1970–1971

1980–1981

1990–1991

2000–2001

2001–2002

360

400

450

450

410

290

-

260

310

360

480

560

490

601

258

540

2284

7553

2,6957

8,1824

-

150

160

320

1400

2630

9034

8885

245

328

367

360

474

470

-

Source: Tobacco Board 2002; Directorate of Tobacco Development 1997

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Tobacco Toll in India

700, 000 deaths per year due to smoking

800, 000 to 900, 000 per year due to all forms of tobacco use/ exposure

Fastest trajectory of rise in tobacco related deaths forecast for the next 20 years

Many of the deaths (>50%) occur below 70 years of age

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Health effects of tobacco in IndiaThe relative risk for death due to tobacco use in cohort studies from rural India is:

40%-80% higher for any type of tobacco use;

50%-60% higher for smoking;

90% higher for reverse smoking;

15% and 30% higher for tobacco chewing in men and women, respectively;

40% higher for chewing and smoking combined.

Overall, smoking alone currently causes about 700,000 deaths per year in India.

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Studies in India have shown that tobacco use in its various forms is directly responsible for increase in cardiovascular diseases, cancers of the oral cavity, espohagus, pharynx etc, and chronic obstructive lung disease, TB, poor reproductive health outcomes, oral precancerous lesions and green tobacco sickness.

Tobacco Use and Related Diseases

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INITIATOR OF THIS BAN

• Union Minister for health and Family welfare,Shri Anbumani Ramadoss.

• His words “There is a beautiful law on paper. It is the duty of the states to implement it but none of the States is enthusiastic. When a country like Bhutan could ban selling of tobacco products, India too should be able to do it.”

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Land Mark Events – I1970s to 2005

1975: Cigarettes (Regulation of Production, Supply and Distribution) Act

1980: Central and State Governments imposed restrictions on tobacco trade and initiated efforts for comprehensive legislation for tobacco control

1990: Central Government issued directive for prohibiting smoking in public places, banned tobacco advertisements on National Radio and T.V. channels, advised State Governments to discourage sale of tobacco around educational institutions and mandated display of statutory health warning on chewing tobacco products.

1991: Regional and National Consultations on “Tobacco or Health”

1991: Central Government directed the Central Board of Film Certification to comply with the Cinematograph Act of 1952

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Land Mark Events – II1970s to 2005

1995: The Parliamentary Committee on Subordinate legislation of the Tenth Lok Sabha examined the rules framed

under Cigarette (Regulation of Production, Supply and Distribution) Act, 1975 and made specific suggestions

for stronger provisions to achieve better results in tobacco control

1995: Expert Committee on the economics of tobacco use constituted by the Central Ministry of Health.

1999: High Court of Kerala announced ban on smoking in public places

1999: Ministry of Railways banned sale of cigarettes and beedis on railway platforms and in trains

2000: Central Government banned tobacco advertisements on cable television

2001: Supreme Court of India mandated a ban on smoking in public places.

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Land Mark Events – III1970s to 2005

2001: Ministry of Railways imposed ban on sale of gutkha on railway station, concourses, reservation centres and in trains

2001: The National Human Rights Commission of India (NHRC) convened a South-East Asia Regional consultation on

‘Public Health and Human Rights”, and advocated tobacco control as an essential measure to protect human rights.

2001-2003: Ban on Gutkha production and sale of gutkha and paan masala containing tobacco or not containing tobacco in

states of Tamil Nadu, Andhra Pradesh, Maharashtra, Madhya Pradesh, Bihar and Goa using the provision of the

Prevention of Food Adulteration Act.

2003: The Cigarettes and other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce,

Production, Supply and Distribution) Act, 2003

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Implementation of Indian Law - I

Prohibition of smoking in public places- mandates display of board containing the warning ”No Smoking Area- Smoking Here is an Offence”- Hotels & Restaurants should ensure:

• physical segregation of smoking and non-smoking areas

• these areas should be labeled as ”Smoking Area/Non-smoking Area”

• proper location of smoking and non-smoking areas

Prohibition of advertisement of cigarettes and other tobacco products- Point of sale advertisement not to exceed two boards- This board should contain health warnings “Tobacco Kills or Tobacco Causes Cancer”

Prohibition of Sale to Minors- Display board containing the warning “Sale of tobacco products to a person under the age of 18 yrs is a

punishable offence” to be put at point of sale

Rules Notified and Enforced from May 1, 2004

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Implementation of Indian Law-IIRules notified and enforced from December 1, 2004

Prohibition on Sale of Cigarettes and other Tobacco Products around Educational Institutions

Board outside the premises to be displayed stating that sale of cigarettes and other tobacco products in an area within a radius of 100 yards of educational institution is strictly prohibited

Distance of 100 yards shall be measured radically starting from the outer limit of boundary wall or fence of the institution.

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Proposed Indian Health Warning on Gutkha Pack

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Proposed Indian Health Warning on Cigarette Pack

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Reactions

• Suhel Seth, CEO, Equus Advertising said, "The ban does not have teeth. It is a typical knee-jerk reaction by any Government to create some kind of popularity for itself"'

• ITC Ltd announced that it would voluntarily withdraw from all of the sponsorship events, irrespective of the legal position on the subject.

• The tobacco Industry was a major contributor to the State Exchequer (In the Year 2000-01 it contributed about Rs. 8000 crores in excise revenue)

• Dilemma for government - Ethical or commercial• Was it equitable?

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The Ayes (Yes)• Countries like France, Finland, and Norway had already

imposed similar bans (learn from the developed countries ?)

• As per World Health Organisation (WHO), tobacco accounted for over 3 million deaths in 1990, 4.023 million deaths in 1998, estimated to rise to 8.4 million in 2020 and to 10 million in about 2030 !

• The accusation was that the slick, colourful advertisements appealed to the children and encouraged them to smoke

• When people stopped smoking, the money did not disappear from the economy. It was spent on other goods and services, were more labour intensive.

• In 1992, department of Health (DOH), UK reviewed Four countries (Norway, Finland, Canada and New Zealand)

• Banning of advertising was followed by a fall in smoking

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The Nays'(No)• Playing the role of a responsible nanny• These amounted to unwarranted intrusion by the state in the private lives of

its citizens• Dangerous or potentially dangerous products even when banned remained in

the market (e.g. firearms, pharmaceutical Products)• Cigarettes contributed only 0.14% of the G.D.P• Health costs roughly translated to 0.21% of the G.D.P• Tobacco industry provided direct and indirect employment to 26 million

people• 1998 survey says - 49% of the respondents said they started smoking to see

what it was like, 24% said 'all my friends smoke'; and no one said advertising had induced them to start smoking

• Analysts pointed out that the ban could lead to spurt in surrogate advertising• A study - Aggregate advertising expenditure and total consumption of

cigarettes in the United States were not significantly related from 1961-90

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The Haze

• The Indian government decided to ban advertising by tobacco companies as a first step towards its goal of discouraging smokers

• Some say - Excess of anything is bad. Excess of coffee, tea...whatever. Where do we draw the line?"

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Questions

• Was it ethical for the govt to impose the ban ? Has it done any good• Did the govt lead by example ?• Was it in the customer interest ?• Will it help the 26m employees living on the business !• Will it help the tobacco companies who in India are the 3rd largest

producer of tobacco in the world !• Will it hep build a Good Nation ?

*References - http://www.icmrindia.org

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Thank You !