Compliance with packaging and labelling rules for tobacco products marketed in slum areas of Bhubaneswar, India

2018 ◽  
Vol 28 (e1) ◽  
pp. e13-e15 ◽  
Author(s):  
Ansuman Panigrahi ◽  
Dheeraj Sharma
Keyword(s):  
Cross Sectional Study ◽  
Health Warnings ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Display Area ◽  
Present Cross Sectional Study ◽  
The Government ◽  
Promotional Messages ◽  
Packaging And Labelling ◽  
Slum Areas

BackgroundThe Government of India has been issuing notifications regarding packaging and labelling rules for tobacco products since 2003 under the ‘Cigarettes and Other Tobacco Products Act’ (COTPA) guidelines.MethodsThe present cross-sectional study was carried out during November 2016 to March 2017 to assess the extent of compliance with the COTPA prescribed packaging and labelling rules for packages of tobacco products marketed in 11 slum areas of Bhubaneswar, India. From 81 retail outlets, 42 different brands of tobacco products were purchased which consisted of 23 in smoking form (17 brands of cigarette, 6 brands of bidi) and 19 in smokeless form (9 brands of gutkha, 4 brands of khaini and 6 brands of betel quid with tobacco).ResultsIn most of the product packages, particularly in smokeless tobacco, the health warnings were not in compliance with the COTPA specifications. In a majority of the tobacco brands (69.0%), specified health warnings occupied less than the prescribed size of 85% of the principal display area of the package. Misleading descriptors and promotional messages were also present.ConclusionThe tobacco products marketed in Bhubaneswar slums were not in compliance with the packaging and labelling rules specified by COTPA. This underscores the need for strict implementation of COTPA guidelines and enforcement measures to assure full compliance.

scholarly journals MOTHERS KNOWLEDGE RELATED PREVENTIVE MEASURE OF PNEUMONIA IN SLUM COMMUNITY, KARACHI, PAKISTAN

2018 ◽  
Vol 8 (3) ◽  
pp. 156-159
Author(s):  
Adeel Eliyas ◽  
Badil Das Goil ◽  
Shaheen Sherali ◽  
Imran Khan ◽  
Kamran Khan ◽  
...  
Keyword(s):  
Study Participant ◽  
Preventive Measure ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Number Of Children ◽  
Present Cross Sectional Study ◽  
The Government ◽  
Slum Community

Background: Pneumonia is the leading cause of death of children under five years of age. The considerable number of children having pneumonia has difficulty to reach health services in the appropriate time due to their mother's failure to recognize the seriousness of their infection. Methods: Present cross-sectional study was performed by using a close-ended, adapted questionnaire comprising of 15 closed-ended items. Data was gathered through a convenient sampling method. The calculated sample size was 120 subjects of the female gender. Written consent was taken from each participant before filling of the questionnaire. Data was entered and analyzed in SPSS version 21.00. Results: Out of 120 subjects, 59.2% study participant was illiterate, 51.6% subjects were in the age group of 31 to 41 years. 15.8% of women had fair knowledge whereas 55.5% of women did not have knowledge about pneumonia. And 28.7% of women they did not know what is pneumonia. 60.8 % of respondents were unable to recognize sign and symptoms of pneumonia. Only 19.2% of participants know vaccination of pneumonia should be made essential for children. Conclusion: The study concluded that mother had scanty knowledge of pneumonia its preventive measure, and immunization. The government should also provide awareness through mass media, so that the mortality and morbidity rates can be reduced and many valuable lives can be protected.

scholarly journals Influence of health warnings present on cigarette packets, on motivation to quit smoking, among smokers in a slum of Kolkata

2020 ◽  
Vol 7 (2) ◽  
pp. 652
Author(s):  
Rajesh Kumar Dalal ◽  
Dipanwita Sarkar ◽  
Narendra Kumar Tiwary
Keyword(s):  
Relative Reduction ◽  
Related Factor ◽  
Health Warnings ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Health Warning ◽  
Quit Smoking ◽  
Motivation To Quit ◽  
Quitting Smoking ◽  
The Government

Background: The Government of India by National Health Policy 2017 has set the target of relative reduction in prevalence of current tobacco use by 15% and 30% by 2020 and 2025 respectively. The Union health ministry had notified to mandatory display new health warnings to be covering 85% of the principal display area on all tobacco products (1 April 2016).Methods: This was an observational descriptive study with cross sectional in design carried out at Baghbazar slum in Kolkata with objective to study the smoking pattern, knowledge about health warning symbols (HWS) on tobacco products among the study population and to assess their motivation to quit and influence of HWS on their motivation. A total 66 smokers were interviewed using predesigned and pre tested questionnaire and analysis done using SPSS version 1.Results: About 83.3% study subjects were presently smoking and they were smoking daily, about 10 cigarette and bidi was smoked daily (median) and median duration without smoking was 1 month. About 63.6% study subjects were highly motivated to quit smoking. Health warning was definitely motivating them to quit smoking (p=0.01) but it was not resulting in actual quitting smoking (p=1.000). The main reason for motivation for quitting smoking was self-health related factor (84.6%).Conclusions: Health warning on cigarette packets increased the awareness about ill effects of smoking and motivated the smokers to quit smoking but not compelling them to quit smoking. Mostly those who were motivated to quit smoking were actually thinking about quitting due to other reasons.

scholarly journals Tobacco abuse and dental problems among sanitation workers of Allahabad city: a cross sectional study

2019 ◽  
Vol 6 (7) ◽  
pp. 2967
Author(s):  
Abdul M. M. Ansari ◽  
Shiv Prakash ◽  
Khurshid Parveen ◽  
Deepak Anand
Keyword(s):  
Random Sampling ◽  
Cross Sectional Study ◽  
Stratified Random Sampling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Present Cross Sectional Study ◽  
Tobacco Abuse ◽  
Study Population ◽  
Enamel Erosion

Background: ‘Sanitary labourers’ are known by different names such as ‘Health Labourers’, ‘Manual Scavengers’ garbage man, trash man etc. They are mainly involved in street cleaning, waste carrying, drainage and toilet cleaning in the cities. Intake of alcohol and tobacco products is prevalent to cope with the inhuman task of cleaning filthy sewage, and as a modality to forget their health problems. The aim of the present cross-sectional study was to find out the association of dental problems with tobacco abuse among the study population.Methods: The study population included 610, 122 from each zone of Allahabad city through “Proportionate stratified random sampling”. The study subjects was interviewed and examined, Dental problems were assessed by taking history, doing a clinical examination, reviewing past medical records.Results: Dental problems were found to be higher in prevalence among “exclusive smokers”, “combined abuser” and “exclusive tobacco” chewers as compared to “non abuser”. Dental caries were found to be higher in prevalence among the entire three abusers group as compared to “non abusers”. Missed teeth were found to higher in prevalence among “combined abuser” and “exclusive tobacco chewers” group as compared to “non abusers”. Enamel erosion was found to be higher among “exclusive tobacco chewers” group as compared to “non abusers”. All these finding were found to be statistically significant.Conclusions: Dental problems were found to be more prevalent among tobacco abusers than non abusers.

scholarly journals Compliance with Statutory Tobacco Guidelines in and around Schools in Mangaluru, India: An Observational Study

2017 ◽  
Vol 8 (1) ◽  
pp. 10-13
Author(s):  
G Rajesh ◽  
Ravi Priyanka ◽  
Ashwini Rao ◽  
Shenoy Ramya ◽  
Pai BH Mithun
Keyword(s):  
Social Sciences ◽  
Observational Study ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Interview Schedule ◽  
Cross Sectional ◽  
Tobacco Products ◽  
The World ◽  
The Government

ABSTRACT Context Tobacco is the foremost cause of preventable death and disease in the world today, and India is the second largest consumer of tobacco products in the world. The Cigarettes and Other Tobacco Products Act (COTPA) promulgated in 2003 by the Government of India, not only mandates ban on the sale of tobacco within a 100-yard radius around schools, but also provides guidelines for tobacco-free schools. Aim To determine if the provisions of the COTPA are being complied with, in Mangaluru, India. Materials and methods A cross-sectional study was conducted among 30 randomly selected schools in Mangaluru, India. Information was collected regarding sale of tobacco at vendor locations within 100-yard radius of these schools. An interview schedule was administered to the representative of the school, pertaining to the guidelines for tobacco-free schools. Statistical analysis used The data were coded and analyzed using the Statistical Package for Social Sciences (SPSS) version 11.5. The level of statistical significance was kept at p < 0.05. Results There were 48 shops located within 100-yard radius of the schools, out of which 46 (95.8%) sold single cigarettes but only one shop displayed surrogate advertisement. Among the 30 schools surveyed, only 3 (10%) displayed signages prohibiting smoking. Although the guidelines for tobacco-free schools explicitly state that all schools must have a copy of the COTPA, only 3 (10.0%) schools maintained a copy. Conclusion This study showed that there was a widespread violation of Section 6 of the COTPA 2003 in Mangaluru, India. How to cite this article Priyanka R, Rao A, Rajesh G, Ramya S, Mithun PBH. Compliance with Statutory Tobacco Guidelines in and around Schools in Mangaluru, India: An Observational Study. World J Dent 2017;8(1):10-13.

scholarly journals Current smokers’ perception of cigarette graphic health warnings and smoking habits: a cross sectional study from Nepal

2016 ◽  
Vol 15 (1) ◽  
pp. 2-8 ◽  
Author(s):  
Shiva Raj Mishra ◽  
Parash Mani Bhandari ◽  
Sujan Babu Marahatta ◽  
Hari Krishan Singh Rana ◽  
Pawan Acharya ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Smoking Habits ◽  
Intention To Quit ◽  
Sectional Study ◽  
Health Warnings ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Health Warning ◽  
Metropolitan City ◽  
Quit Smoking

Background: Nepal introduced Tobacco Products (Control and Regulatory) Act in 2011. This act has mandatory provision of enlarged graphical health warning in Nepali language on at least 75% area on the package of all the tobacco products. This study examined the perception of cigarette graphic health warnings and smoking habits among current smokers.Methodology: This is a cross-sectional study conducted in Butwal sub-metropolitan city in Rupandehi district of Nepal. Among 19 wards of the sub-metropolitan city, four wards were selected randomly by computer-generated codes. Enumerators purposively selected 10 shops from each ward, then recruited every third cigarette buyer from each shop to make a total of five. Smoking status was ascertained by asking if they had ever smoked in last thirty days. We approached 200 people, of whom 40 (20.0%) didn’t agree to participate and 10 (5.0%) didn’t smoke currently. Thus, information from 150 current smokers was finally included in the analysis.Results: Nearly 71% of respondents said they would smoke even if the price of cigarette was doubled. Similarly, 55.3% reported that they had intention to quit smoking, followed by 62.0% agreeing on taxation of cigarette and tobacco products is essential. Nearly 81% said it is necessary to keep health warnings in the package of cigarette. About 87% knew that the Government of Nepal has introduced some regulations to control tobacco products. Nearly 80% of respondents had heard of new provision on enlarged graphic health warning on cigarette packages. More than one-fourth (26.7%) had reduced the frequency of smoking since they started using packages with enlarged graphic health warning.Conclusion: Majority had heard of graphic health warning on cigarette packages. Greater than a half of the respondents had intention to quit smoking, and nearly two-third identified taxation as important means to control smoking. A quarter of respondents reported that they forewent smoking after they started using new packages with enlarged graphic health warning. Further research on impact of graphic health warning on smoking levels through repeated cross sectional studies can be the future research priority.

scholarly journals Tobacco menace near educational institutions of Mandya city, South Karnataka

2018 ◽  
Vol 5 (8) ◽  
pp. 3450
Author(s):  
Harish B. R. ◽  
Vinay M. ◽  
Ashwini D. ◽  
Bindiya J. ◽  
Mythily M. R.
Keyword(s):  
Educational Institution ◽  
Cross Sectional Study ◽  
Educational Institutions ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Display Board ◽  
Tobacco Sales ◽  
The Government ◽  
Health Burdens ◽  
Structured Questionnaire

Background: Tobacco kills more than 7 million people a year. India has one of the world’s heaviest tobacco-related health burdens. The government of India has enacted the Cigarettes and Other Tobacco Products Act (COTPA) 2003 to control the factors which favor the use of tobacco products. The present study was taken up with the objective to determine the proportion of educational institutions having display boards prohibiting tobacco sales and use, having advertisements & tobacco selling outlets nearby and to assess the awareness regarding rules for tobacco sales among the persons selling tobacco products in these outlets.Methods: Cross-sectional study conducted from October to December 2017, in all the educational institutions of Mandya city using a pretested, structured questionnaire. Descriptive and inferential statistics was used for analysis.Results: Of the 92 educational institutions 13 (14.1%) had “No smoking” display boards. 30 (32.6%) had the display board that sale of tobacco products is prohibited within a radius of 100 yards of the educational institution. 146 tobacco selling outlets were present near the 71 educational institutions. 19 (13.0%) sellers knew that sale of tobacco products is prohibited within a radius of 100 yards of the educational institution.Conclusions: One sixth of the educational institutions had “No smoking” display boards and one third had display board that stated that the sale of tobacco products was prohibited within a radius of 100 yards of the educational institution. The awareness regarding sale of tobacco products was inadequate among the persons selling tobacco products.

scholarly journals Assessment of compliance of prohibition of smoking (under section-4 of cigarettes and other tobacco products act) in Raipur city (C.G.), India: a cross sectional study

2018 ◽  
Vol 5 (4) ◽  
pp. 1327 ◽  
Author(s):  
Jitendra Kumar Kummar ◽  
Kamlesh Jain ◽  
Nirmal Verma ◽  
Ashish Sinha ◽  
Dhiraj Bhawnani ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public Places ◽  
Tobacco Products ◽  
Premature Deaths ◽  
The Government ◽  
Assessment Of Compliance

Background: Use of tobacco has been proven to be one of the leading causes of preventable premature deaths and diseases across the globe. The global adult tobacco survey (GATS) India report 2009-10 estimates 34.6% of India’s adult population use tobacco in some form or other. The government of India has taken various initiatives for tobacco control by enacting comprehensive tobacco control legislation (Cigarette and Other Tobacco Products Act {COTPA}, 2003). The objective of the study was to assess the level of compliance of section 4 of COTPA in public places of Raipur.Methods: A cross sectional observational study was conducted in Raipur. The study was done around 480 public places for observing the compliance of section 4 of COTPA.Results: From the total 480 public places visited, 36.9% public places displayed “No Smoking” signage, out of 117 public places where “No Smoking” signage displayed only 11.3% were as per the COTPA specification. Only 12.3% of public places active smoking was observed during visit.Conclusions: This finding suggests a poor level of compliance of section 4 of COTPA in Raipur. Although the law has been drafted comprehensively, it is implemented only to certain extent.

Etiologies, Clinical Manifestations, and Factors Associated with Severe Symptomatic Hyponatremia among Hospitalized Hyponatremia Patients

2020 ◽  
Vol 103 (5) ◽  
pp. 465-471
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Close Attention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Present Cross Sectional Study ◽  
Important Health ◽  
Baseline Characteristics

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia

scholarly journals Association between participation in the government subsidy programme for domestic travel and symptoms indicative of COVID-19 infection in Japan: cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e049069
Author(s):  
Atsushi Miyawaki ◽  
Takahiro Tabuchi ◽  
Yasutake Tomata ◽  
Yusuke Tsugawa
Keyword(s):  
Sore Throat ◽  
Fixed Effects ◽  
Cross Sectional Study ◽  
High Fever ◽  
Internet Survey ◽  
Government Subsidy ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Taste Disorder ◽  
The Government

ObjectiveTo investigate the association between participation in government subsidies for domestic travel (subsidise up to 50% of all travel expenses) introduced nationally in Japan on 22 July 2020 and the incidence of symptoms indicative of COVID-19 infections.DesignCross-sectional analysis of nationally representative survey data.SettingInternet survey conducted between 25 August and 30 September 2020 in Japan. Sampling weights were used to calculate national estimates.Participants25 482 survey respondents (50.3% (12 809) women; mean (SD) age, 48.8 (17.4) years).Main outcome measuresIncidence rate of five symptoms indicative of the COVID-19 infection (high fever, sore throat, cough, headache, and smell and taste disorder) within the past month of the survey, after adjustment for characteristics of individuals and prefecture fixed effects (effectively comparing individuals living in the same prefecture).ResultsAt the time of the survey, 3289 (12.9%) participated in the subsidy programme. After adjusting for potential confounders, we found that participants in the subsidy programme exhibited higher incidence of high fever (adjusted rate, 4.7% for participants vs 3.7% for non-participants; adjusted OR (aOR) 1.83; 95% CI 1.34 to 2.48; p<0.001), sore throat (19.8% vs 11.3%; aOR 2.09; 95% CI 1.37 to 3.19; p=0.002), cough (19.0% vs 11.3%; aOR 1.96; 95% CI 1.26 to 3.01; p=0.008), headache (29.2% vs 25.5%; aOR 1.24; 95% CI 1.08 to 1.44; p=0.006) and smell and taste disorder (2.6% vs 1.8%; aOR 1.98; 95% CI 1.15 to 3.40; p=0.01) compared with non-participants. These findings remained qualitatively unaffected by additional adjustment for the use of 17 preventative measures (eg, social distancing, wearing masks and handwashing) and fear against the COVID-19 infection.ConclusionsThe participation of the government subsidy programme for domestic travel was associated with a higher probability of exhibiting symptoms indicative of the COVID-19 infection.

scholarly journals Government management capacities and the containment of COVID-19: a repeated cross-sectional study across Chinese cities

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e041516
Author(s):  
Wenchao Li ◽  
Jing Li ◽  
Junjian Yi
Keyword(s):  
Outcome Measures ◽  
Cross Sectional Study ◽  
Control Measures ◽  
Secondary Outcome ◽  
Cross Sectional ◽  
Travel Restrictions ◽  
Government Management ◽  
The Government ◽  
Laws And Policies ◽  
Novel Coronavirus

ObjectivesBetter understanding of the dynamics of the COVID-19 (2019 novel coronavirus disease) pandemic to curb its spread is now a global imperative. While travel restrictions and control measures have been shown to limit the spread of the disease, the effectiveness of the enforcement of those measures should depend on the strength of the government. Whether, and how, the government plays a role in fighting the disease, however, has not been investigated. Here, we show that government management capacities are critical to the containment of the disease.SettingWe conducted a statistical analysis based on cross-city comparisons within China. China has undergone almost the entire cycle of the anticoronavirus campaign, which allows us to trace the full dynamics of the outbreak, with homogeneity in standards for statistics recording.Primary and secondary outcome measuresOutcome measures include city-specific COVID-19 case incidence and recoveries in China.ResultsThe containment of COVID-19 depends on the effectiveness of the enforcement of control measures, which in turn depends on the local government’s management capacities. Specifically, government efficiency, capacity for law enforcement, and the transparency of laws and policies significantly reduce COVID-19 prevalence and increase the likelihood of recoveries. The organisation size of the government, which is not closely related to its capacity for management, has a limited role.

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