“Tobacco-free generation” is a proposal wherein children born after a certain year grow up in tobacco free environments, with legislation in place restricting exposure, sale and use of tobacco for that generation. This is potentially a very powerful intervention, that is progressive and strategic in achieving tobacco control. It has been proposed and implemented to various extents in a few countries, including Tasmania and Netherlands. As a strategy it is feasible as it is aimed at overcoming defects with current youth access laws.
Dr. Upendra
Bhojani, India
Alliance Fellow and Director at IPH, published a video as a part of a 2-day
National Consultation by Generation
Saviour Association (GSA), The Union
and Post Graduate Institute
of Medical Education & Research (PGIMER),
Chandigarh on date
that explains his views on this topic. He explains the issue and argues for its
social, economic and national importance, while shedding light on the ethical
issues that can arise in the context of such interventions.
The video has been uploaded to YouTube and is available for viewing here:
The MPOWER package
is a package introduced by WHO, comprising of six measures to assist in country-level
implementation of the WHO Framework Convention on Tobacco Control. One of the
six components of the MPOWER package is “Offer help to quit tobacco use.”
Often, tobacco
users are aware of the risks, but require support to overcome addiction or dependence
on the substance. It is recommended that support for tobacco cessation should
also lie with health-systems, where programs for tobacco cessation should be
incorporated and embedded into primary health care services, with health care
providers acting as advocates for tobacco control.
Dr. Upendra Bhojani serves as a guide for Rachana Shah (Government Dental College and Hospital, Ahmedabad, Gujarat, India) on her work on how to integrate tobacco cessation support with the help of health professionals as a part of routine primary care. This project shifts the focus from tobacco cessation centres to healthcare providers as playing an important role in delivering such services.
Rachana Shah’s
doctoral proposal examines the role of oral health professionals (OHP) and the
experiences and expectations of dental patients in the context of tobacco
cessation (TC) services. The protocol of her doctoral study titled “Integrating
tobacco cessation into routine dental practice: protocol for a qualitative
study” was recently published in
BMJ Open, linked here.
IPH Faculty and Wellcome Trust DBT India Alliance research fellows Upendra Bhojani and Pragati Hebbar attended the 9th Annual Fellows’ Meet in Bengaluru from June 13 – 15th 2019. The annual fellows meet serves as a platform to bring together India Alliance Fellows and other grant recipients from prestigious research institutes together to foster collaboration, support and exchange of ideas across a wide range of research areas.
Both Pragati and Upendra presented their work during the first year of their fellowships through scientific poster sessions. Upendra Bhojani was invited to present his work and research supported by India Alliance during this meet. Upendra gave a talk titled “Commercial Determinants of health: the political economy of tobacco in India”, available for viewinghere.
Given the present focus on and the growing concern of
the role of corporations in promoting products and choices that are mass produced
and are in general detrimental to health, Upendra’s talk was relevant and well-received.
At the Fellows meet, new committee members were introduced. Wellcome Trust and DBT India Alliance also launched new grant opportunities such as the Team Science Grants and grants to establish virtual Clinical/Public Health Research Centres, in order to provide a platform for collaborating and strengthening important research initiatives in India.
The conference aimed to showcase the role of Implementation Science in promoting a culture of evidence-based health and other social development programmes, policies, and practices. It was an excellent attempt to bridge the gap between research and policy making.
The GCIS was a very good platform to network with like-minded researchers and engaging policymakers to listen to the success stories through the use of Implementation Sciences to influence programme, policy, and practice.
Dr. Upendra Bhojani was invited to participate in a National Consultation on Tobacco and Lung Health organized by the World Health Organization (WHO) country office in partnership with the Ministry of Health and Family Welfare (MoHFW) in New Delhi on 31st May 2019 to observe the occasion of World No Tobacco Day (WNTD). The annual World No Tobacco Day is organised by the WHO for advocating for effective policies to reduce tobacco consumption and engaging stakeholders across multiple sectors in the fight for tobacco control. The theme for 2019, “Tobacco and Lung Health” focuses on “the negative impact that tobacco has on people’s lung health, from cancer to chronic respiratory disease and the fundamental role lungs play for the health and well-being of all people.” During the award ceremony, prizes were awarded to acknowledge the work of individuals and organizations in their exceptional efforts toward promoting tobacco control in India. Additionally, scientific documents titled
Tobacco use and Lung Health: From evidence to policy in India
were released during the event, providing an overview of tobacco use and providing multi-pronged recommendations to reduce the burden of tobacco attributable lung diseases in India. An official website dedicated to the National Tobacco Control Program was also launched during the same day.
This workshop and public dialogue examined critical questions in the context of dynamic policy environments and brought together academics, practitioners and others interested in the role of professional medical associations as key stakeholders in shaping health policy. The panelists shared their research and experiences, methodological challenges and together came up with ideas and strategies for further research and action in the context of the present and increasingly globalized world of biomedicine.
The workshop was organised by Dr. Veena Sriram from UChicago Center for Health and the Social Sciences. The other panelists included prominent health researchers and key stakeholders from various organizations including Dr. Arima Mishra (Azim Premji University), Dr. Sorcha Brophy (University of Chicago), Dr. Rama Baru (Jawaharlal Nehru University) and Dr. Anant Bhan (President, International Association of Bioethics).
