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Smokeless Tobacco (SLT),is consumed in the unburnt form, either orally or nasally,and is commonly known as chewing tobacco, oral tobacco,spit or spitting tobacco, dip,chew,or snuff (1). SLT use is a recognized public health challenge with more than 350 million users in over 140 countries especially in South-East Asia.It constitutes a plethora of unregulated, under-researched and unidentified products. Given the growing socio-economic and health concerns related to SLT particularly in low and lower-middle-income countries, a need for research on various aspects,including effective regulation of SLT use,has been highlighted in various sessions of the Conference of Parties (COP) of the WHO Framework Convention on Tobacco Control (FCTC).

SLT HUB Brochure 2017

 

GLOBAL SMOKELESS TOBACCO CONTROL POLICIES AND THEIR IMPLEMENTATION

 

Expert Report on the Health Hazards of Smokeless Tobacco Use and Areca Nut Use: This is the Report of the Experts Committee constituted by the National Institute of Health & Family Welfare (NIHFW) submitted by the Ministry of Health and Family Welfare (MoHFW), Government of India before the Hon'ble Supreme Court of India in the matter of Ankur Guthka V. Indian Asthama Care Society & Other [SLP(C) No. 16308/2007].

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SUPREME COURT VOLUME.l ANNEXURES [PDF]
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SUPREME COURT VOLUME.2 ANNEXURES [PDF]
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SUPREME COURT VOLUME.3 ANNEXURES [PDF]
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SUPREME COURT VOLUME.4 ANNEXURES [PDF]
Health Warning Databases
SUPREME COURT VOLUME.5 ANNEXURES [PDF]

Publications

  • Singh, P., Jain, P., Singh, N., Singh, L., Kumar, C., Yadav, A., Subramanian, S. and Singh, S., 2022. Social desirability and under-reporting of smokeless tobacco use among reproductive age women: Evidence from National Family Health Survey. SSM - Population Health, p.101257. Available at: https://www.sciencedirect.com/science/article/pii/S2352827322002361
  • Singh PK, Singh L, Wehrmeister FC, Singh N, Kumar C, Singh A, Sinha DN, Bhutta ZA, Singh S. Prevalence of smoking and smokeless tobacco use during breastfeeding: A cross-sectional secondary data analysis based on 0.32 million sample women in 78 low-income and middle-income countries. EClinicalMedicine. 2022 Sep 18;53:101660. doi: 10.1016/j.eclinm.2022.101660. Available at: https://pubmed.ncbi.nlm.nih.gov/36159043/
  • Singh, P., Jain, P., Singh, N., Singh, L., Kumar, C., Yadav, A., Subramanian, S. and Singh, S., 2022. Social desirability and under-reporting of smokeless tobacco use among reproductive age women: Evidence from National Family Health Survey. SSM - Population Health, p.101257. Available at: https://www.sciencedirect.com/science/article/pii/S2352827322002361
  • Singh PK, Singh L, Wehrmeister FC, Singh N, Kumar C, Singh A, Sinha DN, Bhutta ZA, Singh S. Prevalence of smoking and smokeless tobacco use during breastfeeding: A cross-sectional secondary data analysis based on 0.32 million sample women in 78 low-income and middle-income countries. EClinicalMedicine. 2022 Sep 18; 53:101660. doi: 10.1016/j.eclinm.2022.101660.  Available at: https://pubmed.ncbi.nlm.nih.gov/36159043/
  • Saxena, S., Singh, P., Singh, L., Kashyap, S., & Singh, S. (2022). Smokeless Tobacco Use and Public Health Nutrition: A Global Systematic Review. Public Health Nutrition, 1-31. doi:10.1017/S1368980022001331. Available at: https://pubmed.ncbi.nlm.nih.gov/35618706/
  • Singh PK, Dubey R, Singh L, Singh N, Kumar C, Kashyap S, Subramanian SV, Singh S. Mixed Effect of Alcohol, Smoking, and Smokeless Tobacco Use on Hypertension among Adult Population in India: A Nationally Representative Cross-Sectional Study. Int J Environ Res Public Health. 2022 Mar 9;19(6):3239. doi: 10.3390/ijerph19063239. PMID: 35328927; PMCID: PMC8950998. Available at: https://pubmed.ncbi.nlm.nih.gov/35328927/
  • Singh PK, Sinha P, Singh N, Singh L, Singh S. Does secondhand smoke exposure increase the risk of acute respiratory infections among children aged 0-59 months in households that use clean cooking fuel? A cross-sectional study based on 601 509 households in India. Indoor Air. 2022 Jan;32(1):e12980. doi: 10.1111/ina.12980. Epub 2022 Jan 11. PMID: 35014716. Available at: https://pubmed.ncbi.nlm.nih.gov/35014716/
  • Singh PK, Jain P, Pandey V, Saxena S, Tripathi S, Kumar A, Singh L, Singh S. Smokeless tobacco quitting during COVID-19: A mixed-methods pilot study among participants screened for a cessation trial in India. Clinical epidemiology and global health. 2021 Oct 1; 12:100902. Available at: https://pubmed.ncbi.nlm.nih.gov/34786519/
  • Siddiqui F, Croucher R, Ahmad F, Ahmed Z, Babu R, Bauld L, Fieroze F, Huque R, Kellar I, Kumar A, Lina S, Mubashir M, Nethan ST, Rizvi N, Siddiqi K, Kumar Singh P, Thomson H, Jackson C. Smokeless Tobacco Initiation, Use, and Cessation in South Asia: A Qualitative Assessment. Nicotine Tob Res. 2021 Aug 29;23(10):1801-1804. doi: 10.1093/ntr/ntab065. PMID: 33844008; PMCID: PMC8521714. Available at: https://pubmed.ncbi.nlm.nih.gov/33844008/
  • Singh PK, Yadav A, Singh L, Mazumdar S, Sinha DN, Straif K, Singh S. Areca nut consumption with and without tobacco among the adult population: a nationally representative study from India. BMJ Open. 2021 Jun 15;11(6): e043987. doi: 10.1136/bmjopen-2020-043987. PMID: 34130957; PMCID: PMC8208015. Available at: https://pubmed.ncbi.nlm.nih.gov/34130957/
  • Singh PK, Singh N, Jain P, Sinha P, Kumar C, Singh L, Singh A, Yadav A, Singh Balhara YP, Kashyap S, Singh S, Subramanian SV. Mapping the triple burden of smoking, smokeless tobacco and alcohol consumption among adults in 28,521 communities across 640 districts of India: A sex-stratified multilevel cross-sectional study. Health Place. 2021 May; 69:102565. doi: 10.1016/j.healthplace.2021.102565. Epub 2021 Apr 27. PMID: 33930730. Available at: https://pubmed.ncbi.nlm.nih.gov/33930730/
  • Singh PK, Singh N, Jain P, Sinha P, Kumar C, Singh L, Singh A, Yadav A, Singh Balhara YP, Kashyap S, Singh S, Subramanian SV. Mapping the triple burden of smoking, smokeless tobacco and alcohol consumption among adults in 28,521 communities across 640 districts of India: A sex-stratified multilevel crosssectional study. Health Place. 2021 May; 69:102565. doi: 10.1016/j.healthplace.2021.102565. Epub 2021 Apr 27. PMID: 33930730. Available at: https://pubmed.ncbi.nlm.nih.gov/33930730/
  • Nethan ST, Sinha DN, Kedar A, Kumar V, Sharma S, Hariprasad R, Mehrotra R. Tobacco use among urban slum dwellers attending a cancer screening clinic in the National Capital Region of India: a cross-sectional study. Ecancermedicalscience. 2021 May 11; 15:1230. doi: 10.3332/ecancer.2021.1230. PMID: 34158834; PMCID: PMC8183651. Available at: https://pubmed.ncbi.nlm.nih.gov/34158834/
  • Singh PK, Yadav A, Lal P, Sinha DN, Gupta PC, Swasticharan L, Singh S, Mehrotra R. Dual burden of smoked and smokeless tobacco use in India, 2009–2017: a repeated cross-sectional analysis based on global adult tobacco survey. Nicotine and Tobacco Research. 2020.Dec;22(12):2196-202. Available at: https://pubmed.ncbi.nlm.nih.gov/32034915/
  • Singh, Prashant Kumar and Singh, Nishikant and Jain, Pankhuri and Sinha, Pallavi and Kumar, Chandan and Singh, Lucky and Singh, Ankur and Yadav, Amit and Balhara, Yatan Pal Singh and Kashyap, Shekhar and Singh, Shalini and Subramanian, S. V., Smoking, Smokeless Tobacco and Alcohol Consumption Among Adults in India: A Sub-National Cross-Sectional Study. SSRN. Nov 2020. Available at: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3728583
  • Nethan ST, Hariprasad R, Babu R, Kumar V, Sharma S, Mehrotra R. Project ECHO: a Potential Best-Practice Tool for Training Healthcare Providers in Oral Cancer Screening and Tobacco Cessation. J Cancer Educ. 2020 Oct;35(5):965-971. doi: 10.1007/s13187-019-01549-8. PMID: 31124001. Available at: https://pubmed.ncbi.nlm.nih.gov/31124001/
  • Gupta R, Gupta S, Sharma S, Sinha DN, Mehrotra R. Association of smokeless tobacco and cerebrovascular accident: a systematic review and meta-analysis of global data. J Public Health (Oxf). 2020 May 26;42(2):e150-e157. doi: 10.1093/pubmed/fdz054. Erratum in: J Public Health (Oxf). 2021 Apr 12;43(1):e115. PMID: 31067304. Available at: https://pubmed.ncbi.nlm.nih.gov/31067304/
  • Narain R, Sardana S, Gupta S. Prevalence and risk factors associated with substance use in children: A questionnaire-based survey in two cities of Uttar Pradesh, India. Indian J Psychiatry. 2020;62(5):517-523. doi:10.4103/psychiatry.IndianJPsychiatry_595_19. Available at: https://pubmed.ncbi.nlm.nih.gov/33678832/
  • Yadav A, Singh PK, Yadav N, Kaushik R, Chandan K, Chandra A, Singh S, Garg S, Gupta PC, Sinha DN, Mehrotra R. Smokeless tobacco control in India: policy review and lessons for high burden countries. BMJ global health. 2020 Jul 1;5(7): e002367. Available at: https://pubmed.ncbi.nlm.nih.gov/32665375/
  • Singh S, Jain P, Singh PK, Reddy KS, Bhargava B. White paper on smokeless tobacco & women's health in India. Indian J Med Res. 2020 Jun;151(6):513-521. doi: 10.4103/ijmr.IJMR_537_20. PMID: 32719223; PMCID: PMC7602932. Available at: https://pubmed.ncbi.nlm.nih.gov/32719223/
  • Nethan ST, Sinha DN, Sharma S, Mehrotra R. Behavioral Interventions for Smokeless Tobacco Cessation. Nicotine and Tobacco Research. 2020 Apr;22(4):588-93. Available at: https://pubmed.ncbi.nlm.nih.gov/31251347/
  • Singh PK, Yadav A, Singh L, Singh S, Mehrotra R. Social determinants of dual tobacco use in India: An analysis based on the two rounds of global adult tobacco survey. Prev Med Rep. 2020 Mar 4; 18:101073. doi: 10.1016/j.pmedr.2020.101073. PMID: 32257776; PMCID: PMC7125349. Available at: https://pubmed.ncbi.nlm.nih.gov/32257776/
  • Asthana S, Vohra P, Labani S. Association of smokeless tobacco with oral cancer: A review of systematic reviews. Tob Prev Cessat. 2019;5:34. Published 2019 Oct 8. doi:10.18332/tpc/112596. Available at: https://pubmed.ncbi.nlm.nih.gov/32411897/
  • Kaur J, Sharma A, Kumar A, Bhartiya D, Sinha DN, Kumari S, Gupta R, Mehrotra R, Singh H. SLTChemDB: A database of chemical compounds present in Smokeless tobacco products. Scientific reports. 2019 May 9;9(1):1-8. Available at: https://pubmed.ncbi.nlm.nih.gov/31073139/
  • Chakma JK, Dhaliwal RS, Mehrotra R, Writing Committee. White paper on electronic nicotine delivery system. The Indian Journal of Medical Research. 2019 May;149(5):574. Available at : https://pubmed.ncbi.nlm.nih.gov/31169129/
  • Mehrotra R, Yadav A, Sinha DN, Parascandola M, John RM, AyoYusuf O, Nargis N, Hatsukami DK, Warnakulasuriya S, Straif K, Siddiqi K, Gupta PC. Smokeless tobacco control in 180 countries across the globe: call to action for full implementation of WHO FCTC measures. Lancet Oncol. 2019 Apr;20(4):e208-e217. Available at: https://pubmed.ncbi.nlm.nih.gov/30942182/
  • Mehrotra R, Singh PK. Mahatma Gandhi's Perspective on Tobacco. Indian J Med Res. 2019;149(Suppl):S137-S139. doi:10.4103/0971-5916.251670. Available at                                                       

:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6515733/#:~:text=in%201927.,himself%20and%20the%20nation%20both.%E2%80%9D

  • Nethan ST, Sinha DN, Chandan K, Mehrotra R. Smokeless tobacco cessation interventions: A systematic review. Indian J Med Res. 2018;148(4):396-410. Available at: https://pubmed.ncbi.nlm.nih.gov/30666002/
  • Sinha DN, Gupta PC, Kumar A, Bhartiya D, Agarwal N, Sharma S, Singh H, Parascandola M, Mehrotra R. The Poorest of Poor Suffer the Greatest Burden From Smokeless Tobacco Use: A Study From 140 Countries. Nicotine Tob Res. 2018;20(12):1529-1532. Available at: https://pubmed.ncbi.nlm.nih.gov/29309692/
  • Gupta AK, Tulsyan S, Bharadwaj M, Mehrotra R. Grass roots approach to control levels of carcinogenic nitrosamines, NNN and NNK in smokeless tobacco products. Food ChemToxicol. 2018;124:359-366. Available at: https://pubmed.ncbi.nlm.nih.gov/30543893/
  • Yadav A, Singh A, Khadka BB, Amarasinghe H, Yadav N, Singh R. Smokeless tobacco control: Litigation & judicial measures from Southeast Asia. Indian J Med Res. 2018 Jul;148(1):25-34. Available at: https://pubmed.ncbi.nlm.nih.gov/30264751/
  • Saraf DS, Mehrotra R, Chandan K, Sinha DN, Yadav A. A review of trade practices of smokeless tobacco products in terms of prohibition on sale, manufacturing & importation in Framework Convention on Tobacco Control ratified Parties. Indian J Med Res. 2018;148(1):90-97. Available at : https://pubmed.ncbi.nlm.nih.gov/30264757/
  • Mehrotra R, Grover S, Chandra A. Role of World Health Organization Framework Convention on Tobacco Control Global Knowledge Hub on Smokeless Tobacco. Indian J Med Res. 2018;148(1):7- 13. Available at: https://pubmed.ncbi.nlm.nih.gov/30264749/
  • Kumar A, Bhartiya D, Kaur J, Kumari S, Singh H, Saraf D, Sinha DN, Mehrotra R. Regulation of toxic contents of smokeless tobacco products. Indian J Med Res. 2018;148(1):14-24. Available at: https://pubmed.ncbi.nlm.nih.gov/30264750/
  • Kaur J, Sharma A, Gupta R, Singh H. Development of comprehensive data repository on chemicals present in smokeless tobacco products: Opportunities & challenges. Indian J Med Res. 2018 Jul;148(1):4-6. Available at:https://pubmed.ncbi.nlm.nih.gov/30264748/
  • Gupta R, Gupta S, Sharma S, Sinha DN, Mehrotra R. A systematic review on association between smokeless tobacco & cardiovascular diseases. Indian J Med Res. 2018;148(1):77-89. Available at: https://pubmed.ncbi.nlm.nih.gov/30264756/
  • Gulati HK, Kumar A, Dhama AS, Gupta R, Sharma AK, Singh H, Sinha DN, Mehrotra R. Setting research priorities in smokeless tobacco control: A retrospective review. Indian J Med Res. 2018;148(1):103-109. Available at: https://pubmed.ncbi.nlm.nih.gov/30264759/
  • Sharma V, Nandan A, Shukla AK, Chandra A, Kaushik R, Sinha DN, Mehrotra R. Dohra- a mixture of potent carcinogens. Indian J Med Res. 2018 Jul;148(1):116-119. PMID: 30264761; PMCID: PMC6172915. Available at: https://pubmed.ncbi.nlm.nih.gov/30264761/
  • Sinha DN, Kumar A, Gupta R, Gulati HK, Gupta S, Mehrotra R. Implementation of Article 20 of the World Health Organization Framework Convention on Tobacco Control. Ind J Med Res 2018;148: 110-115. Available at: https://pubmed.ncbi.nlm.nih.gov/30264760/
  • Asthana S, Labani S, Kailash U, Sinha DN, Mehrotra R. Association of Smokeless Tobacco Use and Oral Cancer: A Systematic Global Review and Meta-Analysis. Nicotine Tob Res. 2018 May 22. doi: 10.1093/ntr/nty074. Available at: https://pubmed.ncbi.nlm.nih.gov/29790998/
  • Bhartiya D, Kumar A, Kaur J, Kumari S, Sharma AK, Sinha DN, Singh H, Mehrotra R. In-silico study of toxicokinetics and disease association of chemicals present in smokeless tobacco products. Regul Toxicol Pharmacol. 2018;95:8-16. Available at: https://pubmed.ncbi.nlm.nih.gov/29505798/
  • Sinha DN, Suliankatchi RA, Gupta PC, Thamarangsi T, Agarwal N, ParascandolaM, Mehrotra R. Global burden of all-cause and cause-specific mortality due to smokeless tobacco use: systematic review and meta-analysis. Tob Control. 2018;27(1):35- 42. Available at: https://pubmed.ncbi.nlm.nih.gov/27903956/
  • Sinha DN, Suliankatchi RA, Gupta PC, Thamarangsi T, Agarwal N, Parascandola M, Mehrotra R. Global burden of all-cause and cause-specific mortality due to smokeless tobacco use: systematic review and meta-analysis. Tob Control. 2018 Jan;27(1):35-42. doi: 10.1136/tobaccocontrol-2016-053302. Epub 2016 Nov 30. PMID: 27903956. Available at: https://pubmed.ncbi.nlm.nih.gov/27903956/
  • Gupta R, Gupta S, Sharma S, Sinha DN, Mehrotra R. Risk of coronary heart disease among smokeless tobacco users: results of systematic review and meta-analysis of global data. Nicotine Tob Res. 2018 Jan 9. Available at:https://pubmed.ncbi.nlm.nih.gov/29325111/
  • Nethan S, Sinha D, Mehrotra R. Non-Communicable Disease Risk Factors and their Trends in India. Asian Pac J Cancer Prev. 2017;18(7):2005-2010. Published 2017 Jul 27. doi:10.22034/APJCP.2017.18.7.2005. Available at: https://pubmed.ncbi.nlm.nih.gov/28749643/
  • Bhatt D, Sharma S, Gupta R, Sinha DN, Mehrotra R. Predictors of Hypertension among Nonpregnant Females Attending Health Promotion Clinic with Special Emphasis on Smokeless Tobacco: A Cross-Sectional Study. Biomed Res Int. 2017;2017:8765217. doi: 10.1155/2017/8765217. Epub 2017 Aug 16. PMID: 28900627; PMCID: PMC5576391. Available at: https://pubmed.ncbi.nlm.nih.gov/28900627/

 

  • Sinha DN, Kumar A, Bhartiya D, Sharma S, Gupta PC, Singh H, Mehrotra R. Smokeless Tobacco Use Among Adolescents in Global Perspective. Nicotine Tob Res. 2017 Nov 1;19(11):1395-1396. doi: 10.1093/ntr/ntx004. PMID: 28180905. Available at: https://pubmed.ncbi.nlm.nih.gov/28180905/
  • Sinha DN, Bhartiya D, Kumar A, Singh H, Mehrotra R. Men in Myanmar Submerged in Tobacco: Women Following. Nicotine Tob Res. 2017 Nov 1;19(11):1397-1398. doi: 10.1093/ntr/ntw314. PMID: 27928049. Available at: https://pubmed.ncbi.nlm.nih.gov/27928049/

Facts & Figures

Change In Smoking And Smokeless Tobacco Use Among Adults (25-64 Years) In Myanmar