Goel Sonu, Rajkhowa Priyobrat, Kapoor Shivam, Pandey Ashish K, Singh Rana J
Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Tobacco Control Division, Vital Strategies, New Delhi, India.
Indian J Community Med. 2024 Dec;49(Suppl 2):S228-S233. doi: 10.4103/ijcm.ijcm_827_24. Epub 2024 Dec 30.
Tobacco use in India contributes to over 1.35 million deaths annually, posing a major public health challenge. Tobacco industry interference (TII) is a significant barrier to effective tobacco control, especially in low- and middle-income countries (LMICs), such as India. This interference undermines public health efforts by manipulating policy implementation and enforcement. The adoption of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) Article 5.3 in India has made progress, with 23 states implementing the guidelines. However, enforcement gaps and persistent tobacco industry (TI) tactics continue to weaken tobacco control measures. Nefarious strategies, such as lobbying and misinformation, further complicate the effective execution of these policies. To effectively reduce tobacco use in India, stronger and enforceable policies are needed at both national and state levels. Strengthened legal frameworks, increased public awareness, and robust monitoring systems are critical to protect public health policies from TII. These steps are essential to safeguard public health and enhance the impact of tobacco control initiatives.
在印度，吸烟每年导致超过135万人死亡，构成了一项重大的公共卫生挑战。烟草行业干预是有效控烟的重大障碍，在印度等低收入和中等收入国家（LMICs）尤为如此。这种干预通过操纵政策实施和执行来破坏公共卫生工作。印度在采用世界卫生组织《烟草控制框架公约》（WHO FCTC）第5.3条方面取得了进展，已有23个邦实施了相关准则。然而，执法漏洞和烟草行业（TI）持续的策略继续削弱控烟措施。诸如游说和错误信息等邪恶策略，进一步使这些政策的有效执行复杂化。为了在印度有效减少烟草使用，国家和邦两级都需要更强有力且可执行的政策。加强法律框架、提高公众意识以及建立健全的监测系统对于保护公共卫生政策免受烟草行业干预至关重要。这些举措对于保障公众健康和增强控烟举措的影响力必不可少。
