138 million Indian smokers do not know tobacco causes stroke

April 20, 2012

Smoke_Stroke

New Delhi, April 20: Nearly 138 million Indian smokers do not know that smoking tobacco causes stroke.

As many as 92 million on the other hand aren't aware that tobacco causes heart disease.

According to a report released on Friday by the World Heart Federation, half of all Chinese smokers and one-third of Indian and Vietnamese smokers are unaware of the risks tobacco poses to our heart.

Awareness of the risk of secondhand smoke is even lower.

Around 275 million Indians consume tobacco which has 3095 chemical components - 28 of which are proven carcinogens tha can cause cancer According to WHF, cardiovascular disease (CVD) is the world's leading cause of death, killing 17.3 million people every year.

Eighty per cent of these deaths occur in low- and middle-income countries like India, which are increasingly being targeted by the tobacco industry.

Tobacco use and secondhand smoke exposure causes about one-tenth of global deaths from CVD.

Even smoking a few cigarettes a day significantly increases the risk of heart disease. Smokeless tobacco products have also been linked to an increased risk of heart disease and stroke.

Secondhand smoke exposure increases the risk of heart disease by 25 per cent and more than 87 per cent of worldwide adult deaths caused by secondhand smoke are attributable to CVD.

The report, entitled "Cardiovascular harms from tobacco use and secondhand smoke" was commissioned by the WHF and written by the International Tobacco Control Project (ITC Project), in collaboration with the Tobacco Free Initiative at the World Health Organization. Professor Geoffrey T Fong at the University of Waterloo, Canada and chief principal Investigator of the ITC Project, said "This report shows a broad correlation between poor knowledge of the risks of tobacco use and high levels of smoking prevalence. To break this link and reduce the deadly toll of tobacco, more needs to be done to increase awareness of the specific health harms."

Professor Fong added "Our research shows that the risks of tobacco use to lung health are very widely accepted. But we need to attain the same level of knowledge and awareness that tobacco use can cause heart disease, stroke, and peripheral vascular disease and secondhand smoke can cause heart attack."

According to Fong, health warning labels are known to be an effective method for educating the public on the health harms of tobacco products.

A number of countries have introduced warnings about the increased risk of heart disease or heart attack, but no country has yet implemented a label to warn people that secondhand smoke causes heart disease.

Johanna Ralston, CEO of World Heart Federation, commented: "If people don't know about the cardiovascular effects of tobacco use and secondhand smoke exposure, they cannot understand how much or how quickly smokers are endangering not only their own lives, but those of family members, friends, co-workers or other non-smokers who breathe tobacco smoke. In countries like India or China, so many people are at high risk for heart attack or stroke, and it strikes at a relatively early age: risks of CVD are far more present and immediate than most of the better-known fatal effects of tobacco use and secondhand smoke exposure."

According to him, knowing about cardiovascular risks of tobacco will help smokers take quitting seriously, and encourage people to demand and comply with policies that protect everyone from the harms of tobacco.

The report, which presents data from two major global tobacco research and surveillance studies - the Global Tobacco Surveillance System (GTSS) and the ITC Project - recommends three steps to reduce the current and future cases of CVD due to tobacco use - which may total over 100 million people - among the one billion people throughout the world who smoke today, and of their families exposed to secondhand smoke:

"Increase the price of tobacco products, eliminate tobacco promotion and marketing and Implement 100 per cent smokefree laws in workplaces and public places - which is proven to significantly lower hospital admissions for heart attacks," it suggested.

A recent WHO report had said that almost 2 in 5 deaths among adults aged 30 years and above in India are caused due to smokeless tobacco. According to WHO's "Mortality attributable to tobacco report" globally 12% of all deaths among adults aged 30 years and over were due to smokeless tobacco in 2004 compared with 16% in India, 17% in Pakistan and 31% inBangladesh.

Direct tobacco smoking was responsible for 5 million deaths. Another 6 lakh people died from second-hand smoke. Over the next 20 years, the annual death toll from tobacco will be 8 million, with more than 80% of those deaths projected to occur in low- and middle-income countries.

WHO says tobacco could, in the 21st century, kill over 1 billion people. Many think smokeless tobacco is safer than the smoking form. However that's not really true.

Bhavna Mukhopadhyay, executive director, Voluntary Health Association of India added "2500 people die every day due to tobacco related diseases in India. Display of harsher pictorial warnings on tobacco products is one of the most effective tool to reduce tobacco consumption. Chewing tobacco and gutka itself contributes to 90% of oral cancer cases in the country," she said.

According to the Global Adult Tobacco India Survey (GATS), 21% of the country's population is addicted to smokeless tobacco alone and another 5% percent smoke as well as use smokeless tobacco.

Among smokeless tobacco products, khaini is used the most, followed by gutkha. Around 91% of female tobacco users use smokeless products like betel quid with tobacco is used the most, followed by gutkha and khaini.

According to GATS, India spends approximately Rs 300 billion annually in both public and private spending on treatment of tobacco related illness, accounting for roughly one fourth of all health spending.

The World lung Organisation recently said that globally, tobacco-related deaths have nearly tripled in the past decade, and tobacco is responsible for more than 15% of all male deaths and 7% of female deaths. The World Tobacco Atlas says more than 43 trillion cigarettes have been smoked in the last 10 years and cigarette production has increased by 16.5% in that time period.

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News Network
April 15,2020

New Delhi, Apr 15: CPI-M leader Sitaram Yechury has sought a substantial increase in relief spending of the Central government in the fight against coronavirus, saying that there should be cash transfer of Rs 7,500 to families not paying income tax and distribution of free foodgrains to all needy.

In an article in the forthcoming issue of the party's mouthpiece -- People's Democracy -- Yechury said that India ranks among the countries that are testing the least for the coronavirus and testing should be increased rapidly.

Yechury said the financial stimulus package should be raised from the current 0.8 per cent to at least 5 per cent of GDP and States should be provided liberal funding.

"We must ensure that there are no starvation deaths that occur in our country. It is, therefore, imperative that the government must immediately implement a Rs 7,500 ex gratia cash transfer to all non-income tax-paying families and resort to universal distribution of free foodgrains to all needy people," Yechury said.

He said all MGNREGA workers should be paid wages irrespective of work and employers should be assisted financially to protect workers from job losses and wage cuts and arrangement should be made for the return of migrant workers to their homes.

"Testing is of crucial importance to identify the clusters where the pandemic is spreading in order to isolate and insulate them to contain the community spread. Inadequate testing does not provide us with such information. It is dangerous both for the inability to contain the spread and to identify the critical areas," the article said.

It said that till April 9, India's record of testing was 0.092 per thousand, while in Germany it was 15.96, Italy 14.43, Australia 12.99, Denmark 10.73 and Canada 9.99. "Unless our testing rate increases substantially, our strength to combat the pandemic will not grow," the article said.

Yechury said that the first case in India was reported on January 30 and "no substantive measures were taken despite this for seven long weeks" until the declaration of the lockdown on March 24.

"As far as the lockdown is concerned, many countries in the world moved with greater urgency - China locked down Wuhan on January 23, the whole of Italy was locked down on March 10, USA declared a national emergency on March 13, Spain on March 14, France on March 17 and UK on March 23," he said.

Yechury said the people were looking forward to the Prime Minister's address to the nation on the last day of the three-week countrywide lockdown.

"These three weeks have thrown up many experiences that need to be addressed urgently in order, both, to strengthen our fight against the COVID-19 pandemic and to protect the lives and survival of crores of our fellow citizens. On none of these issues of vital importance did the Prime Minister have anything substantial to say," he said.

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Agencies
March 26,2020

New Delhi, Mar 26: The government on Thursday announced a Rs 1.7 lakh crore stimulus that included free foodgrain and cooking gas to poor for three months, and cash doles to women and poor senior citizens as it looked to ease the economic impact of the nationwide lockdown.

While over 80 crore poor ration card holders will each get 5 kg of wheat or rice and one kg of preferred pulses free of cost every month for the next three months, 20.4 crore women having Jan Dhan bank accounts would get one-time cash help of Rs 1,500 spread over three months.

Over 8.3 crore poor women, who were handed out free cooking gas connections since 2016, will get free LPG refills for the next three months, while poor senior citizens, widows and disabled will get an ex-gratia cash of Rs 1,000.

"Since the lockdown has been in force (since Wednesday) and therefore we have come out with a package which will immediately take care of the concerns and welfare of poor and suffering workers and those who need immediate help," Finance Minister Nirmala Sitharaman said at a news conference here.

The package, she said, is being announced within 36 hours of the 21-day nationwide lockdown announced by the Prime Minister to protect the nation's 130 crore people from the fast-spreading coronavirus. "We do not want anyone to remain hungry."

She hinted at more announcements if a need arises.

"So, today's measures are very clearly aimed at reaching out with food and money that they need to have it in their hands. We will obviously think about other things. I will gradually address if there is more to attend," she said.

The package included advancing the payment of one-third of the Rs 6,000 a year pre-2019 general election cash dole scheme for farmers, government contributions to retirement funds for the next three months of small companies with 90 per cent of staff earning less than Rs 15,000, and a Rs 50 lakh insurance cover to healthcare workers.

For rural workers, the daily wage under the MNREGA employment guarantee programme has been increased to Rs 202 from Rs 182, benefiting 5 crore workers of about Rs 2,000 in all.

India joins countries -- from the US to Singapore -- that have pledged spending to contain the economic fallout of the pandemic that has infected almost 5 lakh people globally and left over 21,000 dead.

The pandemic has infected 649 persons in India and has killed 13 so far.

While the free food grains and pulses would cost Rs 45,000 crore, Rs 2,000 payment to 8.7 crore farmers under Pradhan Mantri Garib Kalyan Yojana will cost Rs 16,000 crore.

The cash to women Jan Dhan account holders will cost Rs 31,000 crore and another Rs 13,000 crore is estimated to be the expenditure for providing free cooking gas.

Sitharaman, however, evaded a reply to questions on how the government will finance the package given that the impact of the closure of businesses across the country will be felt over the next few months and would have a direct bearing on already strained tax collections.

She also did not say if the government will relax budget deficit targets or resort to additional borrowings to fund the programme.

The revised fiscal deficit - the gap between revenue and expenditure - has been put at 3.8 per cent of the GDP in the current fiscal. For the fiscal starting April, the government is targeting a 3.5 per cent fiscal deficit.

"Today's measures are very clearly aimed at reaching out to the poor," she said. "At this stage, I am more concerned about reaching out to those who need help."

With businesses closed during the lockdown, the government will contribute employees as well as employer's contribution to the provident fund for the next three months of companies with up to 100 employees with 90 per cent earning not more than Rs 15,000. The contribution will be a total of 24 per cent of eligible wages.

Also, workers will be allowed to draw a non-refundable advance of 75 per cent from credit in provident fund account or three months salary, whichever is lower, she said.

Sitharaman said the limit of collateral-free loans to 63 lakh women self-help groups is being doubled to Rs 20 lakh, impacting 7 crore households.

The free foodgrain and pulses are over-and-above the existing entitlement through the public distribution system (PDS). The ration card holders can take the foodgrain and pulses from the PDS in two installments, she added.

The government had previously relaxed timelines for meeting tax and other statutory filing requirements as well as allowed companies to divert their philanthropy or CSR funds to support the fight against coronavirus.

These measures and the ones announced on Thursday will be topped up by the expected announcement of interest rate cuts by the Reserve Bank of India (RBI) at its bi-monthly monetary policy review meet slated next week.

Commenting on the package, Anil Talreja, Partner, Deloitte India said the announcements are is expected to give reprieve to the mass sections of the population. "This is a good way to ensure that the poor and needy get what they deserve. It has ensured that the farmers, poor senior citizens, widows and specified sections of the society as well as people who are attached to the healthcare sectors get rewarded for their hard work and sacrifices".

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News Network
June 10,2020

Bengaluru, Jun 10: Congress' Rajya Sabha candidate from Karnataka and senior leader Mallikarjun Kharge and his son received threat calls on Sunday, with the latter filing a complaint with the state police chief. Kharge, a former Union Minister, received the call in the wee hours of Sunday on his landline while his son Priyank later got a call from a private number on his mobile phone.

Priyank lodged a complaint with the Director-General of Police Praveen Sood and former MLC Ramesh Babu shared the copy of the complaint on Twitter on Tuesday. In his complaint, Priyank Kharge stated that at about 1.30 am on Sunday, his father received a call on the landline where the caller spoke in Hindi and English and used invective against the Congress veteran.

The caller, according to the complaint, spoke about the Rajya Sabha election and threatened Kharge. Police are looking into the matter. Kharge is the Congress' pick for the June 19 Rajya Sabha election from Karnataka. JD(S) supremo and former Prime Minister Deve Gowda and two BJP candidates have also filed nominations for the election to the upper House.

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