Tobacco use rises in North Eastern states against an overall decline in the country

Agencies
November 25, 2017

Guwahati, Nov 25: Tobacco use has increased in Assam, Tripura and Manipur against an overall decline in the country between 2009-2017, according to the regional report of the second round of Global Adult Tobacco Survey (GATS) 2016-17 of North Eastern states.

Assam and Tripura also recorded the most significant increase in chewing of smoke-less tobacco when it has declined from 25.9 per cent to 21.4 per cent in the country, according to the report. It decreased significantly in Sikkim and rose moderately in Mizoram, Meghalaya and Nagaland.

When all the states have shown a significant decline to second-hand smoke (SHS) exposure at workplace, it has increased in Assam by 3 per cent, said the report.

The report highlights that the overall tobacco use prevalence in India has declined from 34.6 per cent to 28.6 per cent between 2009-10 and 2016-17 except for Assam and Tripura where it increased considerably, and marginally in Manipur.

In Assam, tobacco use increased from 39.3 per cent to 48.2 per cent, Tripura from 55.9 per cent to 64.5 per cent and marginally in Manipur from 54.1 to 55.1 per cent when all other states have shown a decline with Sikkim registering a remarkable fall from 41.6 to 17.9 per cent.

Smoking prevalence in the country has decreased from 14 to 10.7 per cent except for Tripura with 0.4 per cent increase, while all NE states have shown decrease with most significant decline in Nagaland from 31.5 to 13.2 per cent and Sikkim 26.4 to 10.9 per cent, the report revealed.

Exposure to SHS at public places has improved across the region with a sharp decline in Meghalaya, Manipur and Nagaland though slightly above the national average.

The initiation age has declined, which means more people began using tobacco at an earlier age in three states -- Arunachal, Nagaland and Sikkim -- from 17.5 in 2009-2010 to 15.9 in 2016-17.

The initiation age has increased in the other five NE states with the most significant being Manipur from 19.1 years to 20.8 years.

The report pointed out that while smoking product promotion has declined nationally and in the region, except in Mizoram where both bidis and cigarettes promotion has increased, bidi promotion has increased in Nagaland alone.

Pack warnings have elicited an increased response to quit among cigarette and bidi smokers and chewers nationally and in the region.

GATS is a global standard for systematically monitoring adult tobacco use (smoking and smokeless) and tracking key tobacco control indicators, according to the report.

The study is based on a household survey of persons 15 years of age and older conducted in all 30 states of the country and two Union Territories.

"Findings from GATS have added substantially to the knowledge about tobacco use in the north-eastern states and will be a valuable source of information for strengthening tobacco control policies and prevention programmes in Assam and our region," said Assam Health Minister Himanta Biswa Sarma at the report release programme.

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Agencies
February 6,2020

Researchers have found the rates of lung cancer are higher in young women than men.

The study, published in the journal Pediatrics, examined lung cancer rates in young adults in 40 countries across five continents and uncovered a trend of higher lung cancer rates in women compared with men in recent years.

The emerging trend was widespread, affecting countries across varied geographic locations and income levels.

The changes appeared to be driven by a rising rate of adenocarcinoma lung cancer among women, said the study researchers from University of Calgary in Canada.

Lung cancer rates have been higher among men than women because men started smoking in large numbers earlier and smoked at higher rates; however, recent studies have reported converging lung cancer incidence rates between sexes.

Among men, age specific lung cancer incidence rates generally decreased in all countries, while in women the rates varied across countries with the trends in most countries stable or declining, albeit at a slower pace compared to those in men.

For the findings, lung and bronchial cancer cases between 30-64 age group from 1993-2012 were extracted from cancer incidence in five continents.

The study found the higher emerging rates of lung cancer in young women compared to young men.

According to the researchers, future studies are needed to identify reasons for the elevated incidence of lung cancer among young women.

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Agencies
April 14,2020

There is no evidence that the Bacille Calmette-Guerin (BCG) vaccine, which is primarily used against tuberculosis, protects people against infection with the novel coronavirus, the World Health Organization (WHO) said.

The WHO therefore didn't recommend BCG vaccination for the prevention of COVID-19 in the absence of evidence, according to its daily situation report on Monday, Xinhua news agency reported.

"There is experimental evidence from both animal and human studies that the BCG vaccine has non-specific effects on the immune system. These effects have not been well characterized and their clinical relevance remains unknown," WHO stated.

Two clinical trials addressing the question are underway, and WHO will evaluate the evidence when it is available, it noted.

BCG vaccination prevents severe forms of tuberculosis in children and diversion of local supplies may result in an increase of disease and deaths from the tuberculosis, it warned.

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Agencies
June 24,2020

New Delhi, Jun 24: Expanding the testing criterion for coronavirus, the Indian Council of Medical Research has said it should be made widely available to all symptomatic individuals across the country.

"Since test, track and treat' is the only way to prevent spread of infection and save lives, it is imperative that testing should be made widely available to all symptomatic individuals in every part of the country and contact tracing mechanisms for containment of infection are further strengthened," it said in an advisory on 'Newer Additional Strategies for COVID-19 Testing' on Tuesday.

In its revised testing strategy for COVID-19 issued on May 18, the Indian Council of Medical Research (ICMR) had advised testing for all symptomatic Influenza-like illness (ILI) among returnees and migrants within seven days of illness.

All hospitalised patients who develop ILI symptoms, symptomatic individuals living within hotspots or containment zones and healthcare and frontline workers involved in containment and mitigation of coronavirus were also advised testing.

The apex health research body has also advised authorities to enable all government and private hospitals, offices and public sector units to perform antibody-based COVID-19 testing for surveillance to help allay fears and anxiety of healthcare workers and office employees.

The earlier advisories on rapid antibody testing advisories had focused on areas reporting clusters (containment zones), large migration gatherings/evacuees centers and testing of symptomatic ILI individuals at facility level.

Besides, the ICMR on Tuesday also recommended deployment of rapid antigen detection tests for COVID-19 in combination with RT-PCR tests in all containment zones, all central and state government medical colleges and government hospitals, all private hospitals approved by the National Accreditation Board for Hospitals and Healthcare (NABH), all NABL-accredited and ICMR approved private labs, for COVID-19 testing.

All hospitals, laboratories and state governments intending to perform the point-of-care antigen tests need to register with ICMR to obtain the login credentials for data entry.

"ICMR advises all state governments, public and private institutions concerned to take required steps to scale up testing for COVID-19 by deploying combination of various tests as advised," the advisory added.

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