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Picture perfect: the effectiveness of pictorial health warnings on tobacco products

A picture is worth a thousand words. Browsing through the survey, Team DNA underscores the survey that points the effectiveness of pictorial health warnings on tobacco products

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The Karnataka high court on Friday struck down the 2014 amendment rules that mandated pictorial health warnings to cover 85% of tobacco product packaging space on all tobacco products sold in India. It is worth mentioning that the pictorial warnings on both sides of packages of tobacco products came into effect in April 2016 following the direction of the Rajasthan High Court and subsequently the Supreme Court too made it mandatory. After the decision of Karnataka High Court, health activists and doctors in Rajasthan have expressed their worries about the adverse effects of diluting the pictorial warning.

“The second edition of Global Adult Tobacco Survey (GATS-2) says that in Rajasthan 50.4% of cigarette smokers,47.4% of bidi smokers and 60.5% of smokeless tobacco users thought of quitting smokeless tobacco use because of warning label on the packets. These figures show that the bigger pictorial warning on pack is critical to protect our youth from the dangers of tobacco and the government’s earlier decision of 85% pictorial warnings on all tobacco packages should be defended,” said Jayesh Joshi, Secretary of Vaagdhara, an NGO working for tobacco control in Rajasthan. 

Highlighting the severity of tobacco triggered cancer, Dr Naresh Somani, senior consultant, Medical Oncology Department at Bhagwan Mahavir Cancer Hospital and Research Centre, Jaipur said that in Rajasthan 30% of total cancers patients suffer from the cancer caused by tobacco use. “It is estimated that 30,000 new cancer patients every year reach to the hospital due to tobacco generated cancer. Cancers of oral cavity and lungs in males account for over 50% of all cancer deaths in India,” he added.

Raj takes the first step:

Bigger pictorial warnings were first mandated by a notification issued in October 2014. Followed by the removal of the then Union Health Minister, Dr Harsh Vardhan and the then Health Secretary Keshav Desiraju, the notification was then taken up suo motu by the Lok Sabha Committee on Subordinate Legislation, which asked the government to put the implementation on hold. While the implementation was then stayed, Rajasthan HC in July 2015 asked the government to implement it.

Bigger the picture, bigger the impact:

As per GATS-2, there has been a change in perception. 92% of adults surveyed under GATS-2 believed smoking caused serious illness, and 96% said use of smokeless tobacco causes serious illness. It was also found in survey that in Rajasthan 50.4% of cigarette smokers,47.4% of bidi smokers and .60.5% of smokeless tobacco users were planning or thinking of quitting tobacco use.

Pictorial warning impact across India

In India, more and more people of those still consuming tobacco are thinking of quitting on seeing pictorial warnings. 

AS PER GATS-2

62% feet
cigarette smokers...

54% feet
beedi users...

46% feet
smokeless tobacco... 

...users are thinking of quitting because of pictorial warnings, compared with 38%, 29% & 34%, respectively during GATS-1

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