{"id":290768,"date":"2023-04-28T09:00:35","date_gmt":"2023-04-28T03:30:35","guid":{"rendered":"https:\/\/www.scconline.com\/blog\/?p=290768"},"modified":"2023-04-27T18:56:37","modified_gmt":"2023-04-27T13:26:37","slug":"decoding-the-139th-report-of-parliamentary-standing-committee-on-health-and-family-welfare-striving-to-counter-a-non-communicable-disease","status":"publish","type":"post","link":"https:\/\/www.scconline.com\/blog\/post\/2023\/04\/28\/decoding-the-139th-report-of-parliamentary-standing-committee-on-health-and-family-welfare-striving-to-counter-a-non-communicable-disease\/","title":{"rendered":"Decoding the 139th Report of Parliamentary Standing Committee on Health and Family Welfare\u2014 Striving to Counter a Non-Communicable Disease"},"content":{"rendered":"
\n

Introduction<\/h4>\n

After China, India has the second largest1<\/sup><\/a> smoking population in the world. Tobacco which is one of the single most risk factors for all non-communicable diseases is alarmingly high in India. Increasing rates of smoking are a major factor in premature mortality and high health expenses. In India, tobacco smoking is seen in 22.4% of masses between the ages of 15 and 54.2<\/sup><\/a> To stave off this increasing threat in the country, the Parliamentary Standing Committee on Health and Family Welfare, in its 139th Report3<\/sup><\/a> on “Cancer Care Plan & Management: Prevention, Diagnosis, Research & Affordability of Cancer Treatment” urged the Government to enact certain provisions in existing laws for abating not only the accessibility but also the consumption of the tobacco products. This article tries to look into the fundamental proposals of the report, by delving into its trinity approach – firstly, the proposal to abolish smoking areas, secondly, banning the sale of single stick cigarettes, and lastly, increasing the taxes on tobacco products.<\/p>\n

Extirpation of designated smoking areas<\/h4>\n

Smoking in public spaces has detrimental effects that extend beyond smokers and infringes on the right of non-smokers to maintain a healthy lifestyle. Even if they do not smoke, they are prone, as a secondhand smoker, to contract heart disease owing to the smoke exhaled by the smoker.4<\/sup><\/a> A serious effect of secondhand smoke can be seen in unborn children as well. Pregnant women who are exposed to secondhand smoke had a 23% higher risk of stillbirth and a 13% higher chance of congenital deformity.5<\/sup><\/a><\/p>\n

To safeguard the rights of non-smokers to breathe clean air and lead a life free from exposure to secondhand smoke, India’s primary anti-tobacco statute Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003<\/a> (COTPA Act)6<\/sup><\/a> inhibits smoking in any public place providing exceptions for airports, hotels with more than thirty rooms, and restaurants with a minimum sitting capacity of thirty if a designated smoking area has been made in these establishments.<\/p>\n

Interestingly, the Committee encourages the Government to extirpate designated smoking areas in these establishments per seand promotes smoke-free workplaces. Smokers will smoke less owing to being prohibited from smoking in public since they are likely to wait until they return to their private space to fire up a cigarette. This will ultimately help smokers who have been striving to quit or cut down on their smoking frequency and overcome their craving for cigarettes.<\/p>\n

Proscribing the sale of loose cigarettes<\/h4>\n

By 2035, 17 lakh new instances7<\/sup><\/a> of cancer are projected to occur annually in India. To eschew such a projection, it is incumbent upon the Government to act accordingly and contain the sale of tobacco products. And to make that possible, the Committee has highlighted the requirement to forbid the selling of cigarettes by the single stick, imposing severe penalties and fines on violators.<\/p>\n

This provision is inclined to restrain adolescents from smoking. An adolescent may start smoking for a variety of reasons. They are considerably correlated with current cigarette use if adults smoke in their vicinity; influencing adolescents to smoke as well. It substantially raises adolescent’s chances of starting to smoke. The other reason could be that they happen to think that smoking makes a person “cool”. One in four adolescents said that teenagers who smoke are likely to have more friends.8<\/sup><\/a> Owing to such instances, they are likely to purchase single sticks of cigarettes. As buying a single stick of cigarettes is more cost-effective than purchasing a whole pack. Adolescents who may have little money on hand may find this particularly appealing. A prohibition on the sale of single sticks would force them to purchase the full pack, which might not be very cost-effective, limiting the opportunity for exploration and regular consumption of cigarettes.<\/p>\n

Raising the taxes on tobacco products<\/h4>\n

Due to the magnitude of the nation’s consumer base, it is easy for the tobacco business to thrive and take advantage of the market.9<\/sup><\/a> In order to abate consumption, the importance of taxes cannot be subdued. The most economical method of reducing tobacco use would be through taxes. Hanging in consonance with the same reasoning, the Committee further determined that India has the lowest tobacco product pricing, thus it must consider raising taxes. In India, cigarettes are taxed according to their length. Hand-rolled bidis are subject to lower taxes than machine-rolled bidis, as such, around 38% of the sales price is made up of cigarette taxes. This rate is far lower than what the World Bank advises which is from 65% to 80% of the sales price10<\/sup><\/a>, which is frequently evident in nations with efficient tobacco control laws.<\/p>\n

To make tobacco products unaffordable, the price increase should be inflation adjusted and greater than the growth in the per capita income. According to the Tobacco-Free Kids Organisation, the increase in the tax on cigarettes to 78% of the retail price will save 3.4 million premature deaths due to tobacco use while also generating an additional 3.1 billion USD in Government income annually.11<\/sup><\/a><\/p>\n

Conclusion<\/h4>\n

In general, the Committee’s trinity approach is intended to reduce access to, and consumption of tobacco products. While parents may do a lot more, such as not smoking in the vicinity of the adolescents, to prevent them from being exposed to secondhand smoke, the Government should also pay special attention to policies that protect adolescents from tobacco industry promotion. The Government may convey that it is sincerely concerned for the welfare of its masses by eliminating the designated smoking locations in public places. The planned change is likely to decrease sales and consumption yet there still persists a great deal to be accomplished. Opinions and views can be sought from the public as well; as Cyril Alexander argues12<\/sup><\/a> that the Government should also take into account implementing vendor licensing. We may conclude that the cooperation and coordination between the Government and the governed play an important role in fighting the menace at hand.<\/p>\n<\/div>\n\n

† First year student, National Law Institute University, Bhopal. Author can be reached at madhur.nliubhopal@gmail.com<\/a>.<\/span><\/strong><\/p>\n

1.<\/a> World Health Organization, Tobacco <Tobacco in India (who.int)<\/a>> accessed on 3-1-2023.<\/p>\n

2.<\/a> Government of India, Ministry of Health and Family Welfare, National Family Health Survey (NFHS-5), Vol. I, March 2022.<\/p>\n

3.<\/a> Parliamentary Standing Committee on Health and Family Welfare, One Hundred Thirty-Ninth Report on Cancer Care Plan & Management: Prevention, Diagnosis, Research & Affordability of Cancer Treatment (RS 2022).<\/p>\n

4.<\/a> World Health Organisation, Tobacco <https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/tobacco<\/a>> accessed on 4-1-2023.<\/p>\n

5.<\/a> World Health Organisation, New Brief Outlines Devastating Harms from Tobacco Use and Exposure to Second-Hand Tobacco Smoke During Pregnancy and Throughout Childhood – Report Calls for Protective Policies <https:\/\/www.who.int\/news\/item\/16-03-2021-new-brief-outlines-devastating-harms-from-tobacco-use-and-exposure-to-second-hand-tobacco-smoke-during-pregnancy-and-throughout-childhood<\/a>> accessed on 7-1-2023.<\/p>\n

6.<\/a> The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003, S. 4.<\/a><\/p>\n

7.<\/a> Jacob Koshy, “India’s Cancer Care Facilities Highly Inadequate, says Parliamentary Panel”, The Hindu<\/i> (12-11-2019) <https:\/\/www.thehindu.com\/sci-tech\/health\/indias-cancer-care-facilities-highly-inadequate-says-parliamentary-panel\/article61620383.ece<\/a>> accessed on 7-1-2023.<\/p>\n

8.<\/a> Jai Kishun, Anup Kumar, and Uttam Singh, “Correlates of Cigarette Smoking Among Adolescents in India” (NIH, 13-10-2021) <https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8575211\/<\/a>> accessed on 12-1-2023.<\/p>\n

9.<\/a> Sarit K. Rout and Amrita Parhi, “Affordability of Cigarettes in India After Introduction of GST”, (2020) IX (XII) 5927 Journal of Family Medicine and Primary Care.<\/p>\n

10.<\/a> Rijo M. John and R. Kavita Rao, “The Economics of Tobacco and Tobacco Taxation in India”, Centre for Global Health Research <https:\/\/www.tobaccofreekids.org\/assets\/global\/pdfs\/en\/India_tobacco_taxes_report_en.pdf<\/a>> accessed on 12-1-2023.<\/p>\n

11.<\/a> Framework Convention Alliance: Building Support for Tobacco Control, “Putting the FCTC Article 6 Guidelines” <https:\/\/www.fctc.org\/wp-content\/uploads\/2008\/08\/Guide_Art_6_guidelines_1014_WEB.pdf<\/a>> accessed on 15-1-2023.<\/p>\n

12.<\/a> Saptaparno Ghosh, “Explained | The Recommendation to Ban the Sale of Single Cigarettes”, The Hindu<\/i> (28-12-2022) <https:\/\/www.thehindu.com\/news\/national\/explained-the-recommendation-to-ban-the-sale-of-single-cigarettes\/article66296332.ece<\/a>> accessed on 14-1-2023.<\/p>\n","protected":false},"excerpt":{"rendered":"

by Madhur Anand†<\/p>\n","protected":false},"author":67011,"featured_media":290773,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[42503,1191],"tags":[57182,57184,57188,57189,57185,57186,57183,2928,30052,57187],"class_list":["post-290768","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-legal-analysis","category-op-ed","tag-health-and-family-welfare","tag-healthy-lifestyle","tag-lower-taxes","tag-machine-rolled-bidis","tag-single-stick-cigarettes","tag-smoke-free-workplaces","tag-smoking-areas","tag-tobacco","tag-tobacco-products","tag-tobacco-free-kids-organisation"],"yoast_head":"\nDecoding the 139th Report of Parliamentary Standing Committee on Health and Family Welfare\u2014 Striving to Counter a Non-Communicable Disease | SCC Times<\/title>\n<meta name=\"description\" content=\"After China, India has the second largest1 smoking population in the world. 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The objective of the Bill is to amend some provisions of Cigarettes and Other Tobacco Products (Prohibition\u2026","rel":"","context":"In "Legislation Updates"","block_context":{"text":"Legislation Updates","link":"https:\/\/www.scconline.com\/blog\/post\/category\/legislationupdates\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":226491,"url":"https:\/\/www.scconline.com\/blog\/post\/2020\/03\/04\/in-rajya-sabha-re-introduction-of-cotpa-bill\/","url_meta":{"origin":290768,"position":1},"title":"In Rajya Sabha | Re-Introduction of COTPA Bill","author":"Bhumika Indulia","date":"March 4, 2020","format":false,"excerpt":"The target envisaged in National Health Policy, 2017 for a relative reduction in prevalence of current tobacco use is 30% by 2025. The National Health Policy 2017 of the Government of India identifies coordinated action on \u2018Addressing tobacco, alcohol and substance abuse\u2019 as one of the seven priority areas as\u2026","rel":"","context":"In "Hot Off The Press"","block_context":{"text":"Hot Off The Press","link":"https:\/\/www.scconline.com\/blog\/post\/category\/news\/hot_off_the_press\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Parliament_Colour.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Parliament_Colour.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Parliament_Colour.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Parliament_Colour.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2017\/09\/Parliament_Colour.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":296511,"url":"https:\/\/www.scconline.com\/blog\/post\/2023\/07\/11\/madras-hc-quashes-copta-proceedings-against-dhanush-for-movie-poster-displaying-smoking-cigarette\/","url_meta":{"origin":290768,"position":2},"title":"Accused persons are engaged in movie business and not in business of cigarettes or tobacco products: Madras High Court quashes COPTA proceedings against Actor Dhanush","author":"Apoorva","date":"July 11, 2023","format":false,"excerpt":"COTPA was brought into force to eliminate all direct and indirect advertisements, promotion and sponsorship concerning tobacco and for providing regulation of trade and commerce, production, supply and distribution of cigarettes and other tobacco products.","rel":"","context":"In "Case Briefs"","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"madras high court","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2023\/04\/madras-high-court.webp?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2023\/04\/madras-high-court.webp?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2023\/04\/madras-high-court.webp?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2023\/04\/madras-high-court.webp?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":6401,"url":"https:\/\/www.scconline.com\/blog\/post\/2014\/12\/15\/restaurants-entitled-to-provide-tobacco-products-in-the-smoking-area-of-licensed-premises\/","url_meta":{"origin":290768,"position":3},"title":"Restaurants entitled to provide tobacco products in the smoking area of licensed premises","author":"Sucheta","date":"December 15, 2014","format":false,"excerpt":"Supreme Court: In the present case, the Court set aside \u00a0the decision of Bombay, Madras and Gujarat High Courts barring the restaurants to provide tobacco products including cigarettes and hookah in smoking area of the licensed premises viz. restaurants, airports etc. The Court was hearing challenge against the Circulars issued\u2026","rel":"","context":"In "Supreme Court"","block_context":{"text":"Supreme Court","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/supremecourt\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2015\/10\/scc-blog_Page_9.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":320562,"url":"https:\/\/www.scconline.com\/blog\/post\/2024\/04\/22\/hookah-banket-ban-public-space-state-govt-upheld-karnataka-hc-legal-news\/","url_meta":{"origin":290768,"position":4},"title":"Karnataka HC dismisses petitions challenging complete ban on sale of Hookah in any public place in the State","author":"Sucheta","date":"April 22, 2024","format":false,"excerpt":"\u201cIt is a fact that a session of hookah is more harmful than a pack of cigarettes (\u2026) If it is 200 puffs per session, it is equivalent to 100 cigarettes, in any of these sessions. Hookah, is, as addictive as a cigarette; as harmful as a cigarette; has the\u2026","rel":"","context":"In "Case Briefs"","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"Karnataka High Court","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/03\/Karnataka-High-Court.webp?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/03\/Karnataka-High-Court.webp?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/03\/Karnataka-High-Court.webp?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2024\/03\/Karnataka-High-Court.webp?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":289335,"url":"https:\/\/www.scconline.com\/blog\/post\/2023\/04\/13\/delhi-high-court-upholds-ban-on-gutka-tobacco-pan-masala-legal-updates-news-research-awareness-tobacco-ban-law\/","url_meta":{"origin":290768,"position":5},"title":"Delhi High Court upholds ban on flavoured\/ scented Tobacco, Gutka, Pan Masala; holds \u2018Ban\u2019 is a policy decision not subject to judicial review","author":"Arunima","date":"April 13, 2023","format":false,"excerpt":"The Delhi High Court held that Pan masala, gutka or any other form of chewing tobacco is meant for human consumption will fall under the ambit of Section 3(1)(j) of Food Safety and Standards Act, 2006.","rel":"","context":"In "Case Briefs"","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"Delhi High Court","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2023\/02\/MicrosoftTeams-image-472.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2023\/02\/MicrosoftTeams-image-472.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2023\/02\/MicrosoftTeams-image-472.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2023\/02\/MicrosoftTeams-image-472.png?resize=700%2C400&ssl=1 2x"},"classes":[]}],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts\/290768","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/users\/67011"}],"replies":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/comments?post=290768"}],"version-history":[{"count":0,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts\/290768\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/media\/290773"}],"wp:attachment":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/media?parent=290768"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/categories?post=290768"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/tags?post=290768"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}