Gupta Rakesh, Goel Sonu, Bostic Chris, Bhatt Garima, Gurung Deepak, Cyril Alexander, Gill Opinderpreet K, Prabhakara Prabhakara, Singh Rana J, Hefler Marita
Rajasthan Cancer Foundation, Jaipur, India
Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Tob Control. 2025 Jan 7. doi: 10.1136/tc-2024-059064.
Tobacco-free generation (TFG) policies, also conceptualised as smoke-free or nicotine-free generation in some geographies, envision the elimination of tobacco use initiation by preventing tobacco sales to generations born after a specified birth date. This cohort-based policy approach eventually aims to phase out tobacco use. This paper defines TFG, reviews its international developments and explores the feasibility of the TFG policy approach in India, considering the country's federal governance structure with health as a state responsibility, within a national policy framework. Our review suggests that the concept of TFG aligns well with existing tobacco control measures in India, such as the Cigarette and Other Tobacco Products Act (COTPA), the National Tobacco Control Programme, Tobacco-free Educational Institutes and innovations such as tobacco vendor licensing and various tobacco-free campaigns. Amending section 6(a) of COTPA to replace the current prohibition of sale to and by those below 18 years of age with a specific section on TFG would be an effective approach to ensure policy coherence. Supporting grassroots movements countrywide at the state and/or substate level may activate the process within the Ministry of Health and Family Welfare, Government of India to table this proposal as an amendment in Section 6 of COTPA for the Parliament to adopt.
无烟一代（TFG）政策，在某些地区也被概念化为无烟或无尼古丁一代，其设想是通过禁止向特定出生日期之后出生的人群销售烟草来消除烟草使用的起始行为。这种基于人群的政策方法最终旨在逐步淘汰烟草使用。本文对无烟一代进行了定义，并回顾了其国际发展情况，还在国家政策框架内，考虑到印度以联邦治理结构且健康属于邦责任的情况，探讨了无烟一代政策方法在印度的可行性。我们的综述表明，无烟一代的概念与印度现有的烟草控制措施高度契合，比如《香烟和其他烟草制品法案》（COTPA）、国家烟草控制计划、无烟教育机构以及诸如烟草销售商许可和各种无烟运动等创新举措。修订COTPA第6(a)条，用关于无烟一代的具体条款取代目前禁止向18岁以下人群销售及由其销售的规定，将是确保政策连贯性的有效途径。在邦和/或邦以下层面支持全国范围内的基层运动，可能会促使印度政府卫生和家庭福利部启动相关程序，将此提案作为对COTPA第6条的修正案提交给议会通过。
