Department of Community Medicine, Maulana Azad Medical College, Delhi, India.
Department of Community Medicine, Sri Aurobindo Medical College and PG Institute, Sri Aurobindo University, Indore, India.
Asian Pac J Cancer Prev. 2023 Mar 1;24(3):999-1005. doi: 10.31557/APJCP.2023.24.3.999.
Tobacco use is associated with mortality in low- and middle-income countries including India with dual burden of smoking and smokeless tobacco (SLT). Aligning with the FCTC, India has made substantial amendments in strengthening graphic warning under Cigarettes and Other Tobacco Products Act (COTPA) for sections 7,8 9 and "Specified warning". Compliance assessment studies are necessary to understand current status of implementation for packaging laws. This study aimed to assess the compliance of COTPA sections 7,8 9 and Cigarettes and other Tobacco Products (Packaging and Labelling) Third Amendment Rules, 2020 in Delhi.
Cross-sectional study was conducted in two districts of Delhi selected by simple random sampling. Fifteen points of sales were selected from each district through purposive sampling and 57 smoking and smokeless tobacco products were collected with Indian and foreign origin. An observation checklist for product analysis was prepared and pack analysis done based on COTPA sections 7,8 and 9 along with Third Amendment,2020 which included pictures and warnings to be circulated in 2021.
Total 57 samples has smoking (49.1%), smokeless (50.9%) with no SLT product of foreign origin. SLT and foreign products had low compliance of Section 7 and third amendment 2020 rules which includes manufacturing date and origin. Indian smoking products were highly compliant to section 8 and 9 whereas foreign and SLT products showed low compliance to section 8. COTPA Third Amendment Rules (2020) compliance was seen in Indian products with regards to SW (68.4%), PW (61.4%) and quit line (78.9%) with no compliance at all for foreign products.
Foreign brands and SLT products had low compliance with sections 7 and 8 of COTPA and its amendments (2020). Compliance with illicit trade and SW needs regulation and strict implementation of law for SLT products.
在包括印度在内的中低收入国家,吸烟与无烟烟草(SLT)的双重负担与死亡率相关。印度与《烟草控制框架公约》保持一致,对《香烟和其他烟草产品法》(COTPA)第 7、8 和 9 条以及“特定警告”进行了重大修订,以加强图形警告。为了了解包装法规的实施现状,有必要进行合规性评估研究。本研究旨在评估印度首都德里实施《烟草控制框架公约》第 7、8 和 9 条以及《香烟和其他烟草产品(包装和标签)第三次修正案规则》的情况。
采用简单随机抽样法在德里选择两个区进行横断面研究。通过目的抽样从每个区选择 15 个销售点,收集 57 种来自印度和国外的吸烟和无烟烟草制品。准备了产品分析观察清单,并根据《烟草控制框架公约》第 7、8 和 9 条以及 2020 年第三次修正案进行了包装分析,其中包括 2021 年要传播的图片和警告。
57 个样本中,吸烟制品(49.1%)和无烟制品(50.9%),无国外来源的无烟烟草制品。SLT 和国外产品对第 7 条和 2020 年第三次修正案规则的合规性较低,其中包括生产日期和产地。印度吸烟制品对第 8 条和第 9 条的遵守情况很高,而国外和 SLT 制品对第 8 条的遵守情况较低。在印度产品中,《烟草控制框架公约》第三次修正案(2020 年)规则的遵守情况体现在 SW(68.4%)、PW(61.4%)和戒烟热线(78.9%),而国外产品则完全不遵守。
外国品牌和 SLT 产品对《烟草控制框架公约》第 7 条和第 8 条及其修正案(2020 年)的遵守情况较低。需要对非法贸易和 SW 进行监管,并对 SLT 产品严格执行法律。