We, the participants of the 4th NCTOH assembled at Tata Memorial Hospital, Mumbai on 8-10 February 2019 hereby make the following declaration:
17% relative reduction in tobacco use showed India's commitment to curb the tobacco epidemic. Despite such a strong and passionate commitment to reduce tobacco use countrywide, some challenges in effective enforcement of FCTC and COTPA 2003 and interference by tobacco industry still exist.
The 4thNCTOH through its theme 'Tobacco Free Generation' not only provided us the platform to collectively share the vision for a 'Tobacco Free India' but also helped us to develop a concrete multi-sectoral action plan to move ahead to protect upcoming generations from menace of tobacco and achieve the ultimate goal of making India "Tobacco Free".
In order to achieve our goal of "Tobacco Free India" we recommend implementation of following steps
1. Focus on
Comprehensive mass awareness and education on harms of tobacco use and benefits of quitting; and, Strengthen tobacco cessation delivery countrywide
Amendments in COTPA 2003 to plug all its loop-holes; and, ensure its optimal enforcement for all its notified rules uniformly, specifically by amending the clause on accountability of the enforcers for delay or inaction
Persuading Central Government to divest from tobacco industry through LIC and other portals
Creation of alternate crops and jobs for tobacco cultivators and workers (industry and informal bidi sector) respectively
Elimination of tobacco-specific environment pollution; and,
Preservation of human rights of the users, industry workers and cultivators
2. Augment youth-specific initiatives by
Prioritizing control of smokeless tobacco, which is often a gateway to smoking, alcohol and other addictions
Strategizing a full-proof control on emerging new products such as various forms of ENDS, Heat not Burn products, etc. including their online and illegal sale
Curbing all kinds of tobacco advertisements from the digital media that influence adversely
Deciding on timeline for Tobacco-free Generation in India- We propose 1st January 2025 as the cut-off date.
3. Counter tobacco industry interference by
Developing a policy for compliance of article 5.3 of FCTC that disallows governmental- and corporate- investments in tobacco industry
Raise tobacco taxes to the levels recommended by WHO which is 75% of the retail price of the tobacco products
Control illegal trade practices through the introduction of the stringent legal measures.
4. Link Tobacco Control (TC) with NCDs and SDGs
Identify critical opportunities to strengthen tobacco control policies within the ambit of NCDs and SDGs.
Evaluate the strategies of National Tobacco Control Programme (NTCP) and align them with the other programmes being implemented for prevention of NCDs