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Indian J Med Res. 2018 Jul;148(1):110-115. doi: 10.4103/ijmr.IJMR_288_18.

Implementation of Article 20 of the World Health Organization Framework Convention on Tobacco Control.

Author information

1
School of Preventive Oncology, Patna, India.
2
Data Management Laboratory, ICMR-National Institute of Cancer Prevention & Research, Noida, India.
3
Division of Cytopathology, ICMR-National Institute of Cancer Prevention & Research, Noida, India.
4
WHO FCTC Global Knowledge Hub for Smokeless Tobacco, ICMR-National Institute of Cancer Prevention & Research, Noida, India.

Abstract

Background & objectives:

Article 20 of the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) deals with surveillance and research on all tobacco products including smokeless tobacco (SLT). Here we describe the availability of indicators related to SLT among 180 Parties to the convention (countries ratifying the WHO FCTC are referred as Parties to the Convention).

Methods:

Data on SLT use among adults and adolescents and SLT-related economic and health indicators among Parties were obtained through rigorous literature search. Data analysis for high-burden parties was done using SPSS.

Results:

Nearly 92 per cent (166) of the Parties reported SLT use prevalence among adults or adolescents at national or subnational level, of these nearly one-fifth of the Parties (20.5%) were high-burden Parties. Comparable SLT tax incidence rate was available for 19.4 per cent (n=35) Parties, and SLT attributable morbidity and mortality risks of major diseases were available for only five per cent (n=10) of Parties.

Interpretation & conclusions:

SLT use is a global epidemic widespread among Parties to the Convention. There are a data gap and dearth of research on SLT-related issues. Parties need to monitor SLT use and related health and economic indicators regularly at periodic intervals.

KEYWORDS:

Economics - health - prevalence - smokeless tobacco - WHO FCTC

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