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Manual of University Program

Introduction:

Tobacco is world’s leading killer. Every year 5.4 million deaths are occurred due to tobacco in the world. By 2030, the toll will rise to 10 million deaths every year. The very important fact is that, more than 80% of tobacco deaths will be in developing countries by the year 2030.

Tobacco and Children & Youth in India

Every day, more than 5500 children below the age of 15 try tobacco for the first time.

Over 5 million Indian children are addicted to tobacco

The most vulnerable time for initiation of tobacco use is during adolescence and early adulthood.

Majority of people start using tobacco from their youth before the age of 18 years, while some even start at a very young of 10 years.

Everyday about 80,000-100,000 young people initiate smoking; most of them are from developing countries.

These facts are demanding more awareness and action in tobacco control sector. The research shows if a child does not try tobacco by the age of 18, he or she may not try tobacco & its products in the near future. So Salaam Mumbai Foundation has been trying to spread the awareness among the children, youth and different system about tobacco epidemic through different programs.

Need to collaborate with Universities:

From ancient time Universities are playing essential role to evolve personality of citizen. It is not only providing knowledge and information but it is creating character and polishing the skills of students. As University has different faculties and is providing vast knowledge to the students and having the power to inculcate the different information in curriculum by which students can groom their life and get additional Knowledge. Fact and our experience show that children and youth are the most vulnerable for tobacco use. When schools, colleges and universities will take initiative for tobacco

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control activities then our nation’s youth will live tobacco free and accept healthy lifestyle. Objectives of Program:

Inculcate anti tobacco information in Universities different syllabus. To create awareness among University’s staff and initiate the process to make

Tobacco Free University campus. Encourage students to take forward tobacco control movement.

Methodology: 1. Organize training for faculties and students in universities 2. Activities to make University Campus Tobacco Free 3. Field work to make nearest community Tobacco Free 4. Awareness activities in community through street play, posters, and songs 5. Research on tobacco and its prevalence.

Process will be followed by Salaam Mumbai Foundation to conduct the activities in universities

Manual and Material Preparation: Manual and IEC material is made to conduct training for faculty members and students along with information leaflet and PPTs.

Permission from authorities: The permission to conduct activities from Authorities of Universities e.g. Vice Chancellor, Director of Students Welfare Department is taken.

Training: Our next step is to conduct training in Universities for students and faculty

members. It will be one day training; and 2 faculties and 4 students of all departments of university are invited. The detail information about tobacco and tobacco control law is given in training. The action plan to make tobacco free campus and how to inculcate tobacco information in syllabus is made in training. The pre and post test with the participation are conducted in the training. Hallabol newspaper and information leaflet will be distributed to students and faculty members.

Feedback: After the session will over, facilitator will take written feedback from participants

and Vice Chancellor, Director of Students Welfare Department. How they liked the session,

which changes they required in session, what will they do after the session for tobacco

control are these points will be mentioned in feedback form.

Follow up: Tell the University to send us a report at the end of academic year that which activities they conduct for tobacco control. The brief yearly report of university program will be sent to university by us.

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Post Training: For follow up, the following activities will be organized:

Send the report of the training program Send Hallabol’s copies for Vice chancellors and students Constant communication and updating to faculties and students through emails. Organize Youth Melava/ festival of active students in Mumbai (if possible) University’s students will put anti tobacco stall in youth festival in their districts. Best University Award: Salaam Mumbai Foundation will be given the Best University Award

for their excellent work for tobacco control.

Monitoring: After the training, University’s Tobacco Control Committee will initiate awareness and advocacy activities in university’s premises. The SMF team will monitor it whenever we will go to that district for other purposes. 6 monthly and yearly monitoring will be done.

Detailed Information to conduct Session:

Training Period: Full Day (Depend upon the time will be provided by Universities) Schedule of training:

No. Timing Session Name

1 10.00 to 10.15 Inauguration of Training

2 10.15 to 10.30 Pre test

3 10.30 to 12.30

Introduction of Salaam Mumbai Foundation and life se panga mat le yar

Harmful effect of tobacco.

Physical, Economical and environmental ill effects of tobacco.

Causes of tobacco addiction

Prevalence of Tobacco Use in India

4 12.30 to 1.00 Lunch break

5 1.00 to 3.00 Refusal Skill Tobacco Cessation Tobacco control law

6 3.00 to 4.00 Display of Anti tobacco Film

Group Discussion:

Strategy planning of Making tobacco free university campus

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Material

• Registration form

• Tobacco information leaflet for students and faculty members

• Posters of tobacco information

• PPT on tobacco information and tobacco control law

• Avehi and Media CD & small clippings

• Pre & Post test form (as per students)

• Feedback form (as per students)

• Check List for Tobacco Free University Campus (to give Tobacco Control Students Committee

and Vice – Chancellor/Director) • Yearly report on Tobacco Control Activities (to give Tobacco Control Students Committee

and Vice – Chancellor/Director) • Information books for university

• Banner of Salaam Mumbai Foundation

• Hallabol

• Camera

Process:

Introduction of Facilitators and participants through ice-breaking game: Beginning of the training the pre test is conduct with students and faculty members to gauge their knowledge about tobacco and tobacco control law. The form is given at the end of the manual. The session will be started with introduction of Facilitator and participation through the game. Here Facilitator and participation will tell their first name and add favorite thing or favorite person name with it; e.g. Maneesh- Cricket, etc. After that, facilitator will introduce Salaam Mumbai Foundation, its different projects to achieve the organization’s mission along with objectives of training program.

Avenues to inculcate tobacco information in University’s curriculum.

7 4.00 to 4.30 Presentations of Group Discussion

8 4.30 to 5.00 Conclusion of training Post – Test and Written Feedback

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Activity 2: Give the all participants a small card and tell them to write their names on the card. Participants also make a draw on that paper that what they feel about tobacco. One – one participant will come forward and tell their name and explain the others what s/he had drawn. This activity will help the facilitator the gauge the mentality of participants. The participants are having positive attitude then facilitator get boost to conduct training. And if the participants’ mentality is negative then through our sessions and ppt we can change their mentality. Facilitator need to take care when they are going to conduct introductory activity with participants first the time which university is provided and second numbers of participants.

Info about Salaam Mumbai Foundation: Salaam Mumbai Foundation was started on the belief that educating children is the most enduring way of shaping India’s future. We have been fighting a crusade to guard the next generation against tobacco. We work towards empowering children through life skills training, confidence building and personality development initiatives.

Foundation works primarily with government-run schools. The Foundation also works with private schools, street children and other communities and this year, it has furthered its reach into rural Maharashtra. We currently run the largest preventive program in tobacco control which has already reached out to over 500,000 children.

We educate children through different creative forms, taking children away from the traditional classroom format. The projects use theatre, film, music, sport, exhibits and interactive workshops. Our Projects are designed to teach and empower children through life-skills training, confidence building and personality development initiatives. Mission of Salaam Mumbai Foundation: “To eliminate the threat of the tobacco for all children, empowering them to become confident adults to lead tomorrow’s India.” SMF’s programs based on Mission:

Super Army std. 5 to 9th

Academies: Cricket, Creative, Hockey

Hallabol:, A children’s newspaper

SHOUT- A Youth Program

Outreach program: Rural, Zila Parishad teacher training, NGO networking, BEST, Police, D. Ed & B. Ed. colleges, University

Reach of D.Ed. B. Ed. and law program

Year College Students

2008-09 33 3745

2009-10 17 1599

2010-11 16 1251

2011-12 20 1220

Total 86 7815

Last year achievement of Salaam Mumbai Foundation

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1. Super Army reached in 178 schools of Mumbai 2. Research was conducted by std. 9th students on tobacco selling near 100 yards of school in

200 schools. 3. By children’s advocacy, the surrogate advertisement were not shown in Ganpati Festival in

Mumbai 4. Approximate 12000 teachers have been trained through ZP tabccoo Control Program. 5. We have given training to 1797 police staff in Mumbai’s police station. 6. 19850 BEST workers and 397 Authorities of Health Department got tobacco and law

information. 7. Organized sensitization workshop for General Board of Film Certification and Ministry of

Information and Broadcasting 8. Sensitization workshop for MLA’s in Vidhimandal of Maharashtra 9. Shaan is a brand ambassador of tobacco control sector and he made on song on it. 10. SMF won Qimpro, WHO, Americare awards

Success:

1. BMC License Department had added section 6 (b) at COTPA in vender license rule.

2. BMC and BEST had made curricular to not put any surrogate ads of tobacco products

Further information about Life se Panga Mat le yaar Campaign:

To eliminate the treat of tobacco from our country, Ministry of Health and Family Welfare and Salaam Mumbai Foundation, Act India, TATA Memorial Hospital came together and launched Na

Guthka.. Na Cigarette, Life se Panga Mat le yaar” campaign on 1oth May, 2011. Here

Shaan, a Bollywood singer has become a Brand Ambassdor for tobacco control. He made a wonderful song to create awareness among general people to stay away from tobacco. Based on the song, Salaam Mumbai’s Creative Academy’s kids had presented street play and dance in railway stations and malls. The campaign also integrated in Super Army module.

We will show the video of Life se Panga Mat le yaar to the participants. The video will

encourage university youth to join the tobacco control campaign as Shaan had taken forward his feet to fight against tobacco. After that the tobacco information will be given to the participants:

Why tobacco is harmful?

Ask the participants that why tobacco is harmful? The following chemicals are found in it; these chemicals make tobacco harmful.

Tobacco is a tall, leafy annual plant, originally grown in South and Central America, but now cultivated all over the world, including southern Ontario. Nicotine, a powerful central nervous system stimulant found naturally in tobacco leaf it is even classified as drug. Nicotine is one of the main ingredients in tobacco. In higher doses, nicotine is extremely poisonous. It is commonly used as an insecticide. Nicotine is highly addictive. The addictive effect of nicotine is the main

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reason why tobacco is widely used. Many smokers continue to smoke in order to avoid the pain of withdrawal symptoms. Smokers also adjust their behavior (inhaling more deeply, for example) to keep a certain level of nicotine in the body.

SMOKED TOBACCO

Smoked tobacco in any form contains 4000 chemical and at least 80 carcinogenic agents. • Tar - a mixture of dangerous chemicals • Arsenic - used in wood preservatives • Benzene - an industrial solvent, refined from crude oil • Cadmium - used in batteries • Formaldehyde - used in mortuaries and paint manufacturing • Polonium-210 - a highly radioactive element • Chromium - used to manufacture dye, paints and alloys • 1,3-Butadiene - used in rubber manufacturing • Polycyclic aromatic hydrocarbons - a group of dangerous DNA-damaging chemicals • Nitrosamines - another group of DNA-damaging chemicals • Acrolein - formerly used as a chemical weapon

SMOKELESS TOBACCO • Chewing tobacco and snuff contain 28 carcinogens. The most harmful carcinogens in

smokeless tobacco are the tobacco–specific nitrosamines (TSNAs). • Other cancer causing substances in smokeless tobacco include N–nitrosamino acids,

volatile N–nitrosamines, benzo(a)pyrene, volatile aldehydes, formaldehyde, acetaldehyde, crotonaldehyde, hydrazine, arsenic, nickel, cadmium, benzopyrene, and polonium–210.

(According to International Agency for Research on Cancer, WHO)

Types of tobacco consumption: The types of tobacco consumption are discussed; participants are asked to tell different types of tobacco consumption. Tobacco is used in following form Smoking, Chewing, Snuff, Tobacco paste.

Smokeless Tobacco

Chewing tobacco is a type of tobacco product that is placed inside the mouth. This gives the user a continuous high from the nicotine. Chewing tobacco is made from a mixture of tobacco, nicotine, sweeteners, abrasives, salts and chemicals.

CHEW: a leafy form of tobacco sold in pouches. Users keep the chew between the cheek and gums for several hours at a time. Examples: Gutaka, mava, khaini, paan (betel quid), paan masala etc.

SNUFF: a powdered, moist form of tobacco sold in tins. Users put the snuff between the lower lip or cheek and the gum. As well, some users will sniff it. Using snuff is also called “dipping.”

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Harmful chemicals are found in different tobacco products beside tobacco:

Gutkha: Gutkha contains many harmful substances, one of which is Magnesium Carbonate. So Maharashtra Govt. banned this harmful product. Whoever eats gutkha there is a 400% risk of developing cancer. A daily intake of an average of ten pouches of gutkha per day would mean exceeding the recommended daily intake of lead, arsenic and copper. Lead is particularly dangerous for the younger age group, as excess of it lowers the IQ. So it could also affect the scholastic performance of children.

Pan is harmful because it contains the following substances:

1) Kimam - This is a brown colored paste, which is applied on the pan leaf. It is very poisonous. If you put a safety pin or a plain pin in a bottle of kimam and leave it overnight, it would start dissolving. You probably know that pins and safety pins are made of iron. If kimam can dissolve iron, you can imagine what it will do to the lining of your cheeks.

2) Chuna - Chuna is lime or calcium carbonate. It is an alkaline substance and can eat

away into substances as hard as the marble on which it is placed in the panwala shop. If chuna can dissolve marble, you can imagine what it will do to the lining of your cheek.

Smoking Tobacco:

For tobacco smoking people use cigarette, cigar, bidi, cheroots, chuttas, pipe, hooklis, chillum, and hookah.

Ratio of tobacco consumption in India:

54%, of the tobacco is smoked as bidis.

19% of tobacco is consumed as Cigarettes and is the second most popular smoked form in India

27% of the people use smokeless forms of tobacco.

Passive smoking (second-hand smoke):

Smoke does a lot of damage and not just to smokers. Anyone who’s near a lit cigarette, pipe or cigar is probably breathing. Two-thirds of the smoke from a burning cigarette is not inhaled by the smoker but enters the surrounding environment. The contaminated air is inhaled by anyone in that area.

Prolonged and repeated exposure to second-hand smoke means that you, your family and friends are more likely to develop second-hand smoke diseases.

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Second-hand smoke is a combination of poisonous gases, liquids and breathable particles that are harmful to your health.

A non-smoker breathing second-hand smoke can be exposed to 4,000 different chemicals, 50 of which are associated with or known to cause cancer.

Second-hand smoke has twice as much nicotine and tar as the smoke that smokers inhale. It also has five times the carbon monoxide which decreases the amount of oxygen in your blood.

Exposure to second-hand smoke for as little as 8 to 20 minutes can cause physical reactions linked to heart and stroke disease. For example: the heart rate increases, the heart’s oxygen supply decreases, and blood vessels constrict which increases blood pressure and makes the heart work harder

Health Effects of Passive Smoke in children

Those most affected by secondhand smoke are children. Because their bodies are still developing, exposure to the poisons in secondhand smoke puts children in danger of severe respiratory diseases and can hinder the growth of their lungs.

Secondhand smoke exposure during childhood and adolescence may increase lung cancer risk as an adult, and can cause new cases of asthma or worsen existing asthma.

A New Cigarette Hazard: ‘Third-Hand Smoke’

"Third-hand smoke is tobacco smoke contamination that remains after the cigarette has been extinguished," The third-hand smoke is the stuff that remains [after visible or "second-hand smoke" has dissipated from the air. The cocktail of toxins that linger in carpets, sofas, clothes and other materials hours or even days after a cigarette is put out. The toxin coat will be added on the surface of things whenever person smoke. Children ingest twice the amount of tobacco toxin that grown-ups do due to faster respiration and proximity to dusty surfaces. SO the third- hand smoke is a health hazard for infants and children; they will get 20 times the exposure.

Facilitator will tell the participants that expose of passive smoking is at home, with classmates and roommates or in a car. Due to COTPA, 2003, nobody will smoke in public places but in open places we exposed and inhale the poisonous chemicals. University administrators, tobacco control committee should take steps to reduce smoking in university campus.

Harmful effect of tobacco

The physical, economical, environmental problems are occurred by tobacco. Ask tobacco related problem to the participants which they faced in day to day life.

Physical Diseases:

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Short term effects of tobacco use are:

Addiction to nicotine.

Increased heart rate and blood pressure.

Constricted blood vessels Reduced physical performance and productivity.

Smelly hair

Bad breath

Stained teeth

tooth decay

Reduced sense of taste and ability to smell.

Trouble in breathing.

Increased sensitivity to cold & heat.

Abortion.

Long term effects of tobacco use-

Pre-cancerous lesions- leukoplakia, erythroplakia, oral sub mucous fibrosis.

Cancer: Mouth, food pipe, sound box, breathing tubes, lung cancer, stomach & cancer of pancreas, ulcer in stomach.

Warning Signals of Oral Cancer: Before oral cancer develops, the body will give certain warning signals. These are also known as precancerous lesions. Most oral cancers develop from these pre-cancers.

Leucoplakia (white patch in the mouth): Normally develops at the site where the person places the tobacco in the mouth.

Erythroplakia (red patch in mouth): A velvety red patch that develops in the mucosa. Sub - mucous Fibrosis: A chronic mucosal condition that result in uniform whitish

discoloration of the entire oral cavity with difficulty in opening mouth fully, intolerance to spicy food.

Non healing Ulcers: This ulcer is usually painless, keeps increasing in size and does not show signs and healing.

Brain – paralytic attacks, strokes.

Cardiovascular system: Hypertension (high blood pressure) heart disease, peripheral vascular disease.

Respiratory system: chronic cough, tuberculosis, asthma.

Eye Cataracts

Sexual dysfunction

Effect on Fetus: Low birth weight, premature delivery, reduced newborns, lung function.

Elevated risk of death.

Miscarriage.

Economic and tobacco:

More national income spends on tobacco cure treatment rather than other things. Nation spends their national income on tobacco import and decreases their foreign

exchange.

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Savings of family reduce; children can’t get good education and health.

Environment and tobacco:

To make tobacco in eatable manner, tobacco is baked so lots of trees are cut in jungle. Water and land are polluted by tobacco production. On average, a tree is cut down for every 300 cigarettes (about a two-week supply for a pack-

a-day smoker). The smoke of tobacco, pollute the environment. Spit tobacco makes dirty places. Packets of tobacco product make waste in environment. In the U.S., all cigarette butts

thrown away in 1993 weighed as much as 30,800 large elephants. Cigarette butts are washed into rivers, lakes and the ocean from city streets, through storm

drains. Seabirds, animals and fish eat them by mistake. Their bodies have no way to digest the filters and they can die.

Cigarette butts take an average of 25 years to decompose.

Some tobacco related Facts: Discuss with participants the tobacco related facts. It’s not necessary that you have to deliver the all facts in one time; you can tell the facts with other topics to relevant context.

1. Every year 10 lack people die due to tobacco related diseases. 2. Every day 2500 people die in India due to tobacco related diseases. 3. In India every 2 seconds 1 child taste tobacco for the first time. 4. People get addicted through nicotine. 5. India stands number one for oral cancer patients. 6. In world every year 55 lacks died due to tobacco related dieses

Tobacco production in India:

Tobacco was introduced in India by the Portuguese in the 17th century and its use spread rapidly to all parts of the country.

India is the second largest producer of tobacco in the world. More than 80% India’s tobacco production is consumed locally. Top multinationals import tobacco from India: British American Tobacco, Philip

Morris, RJ Reynolds, Seita, Imperials, Reemtsma. The current gross product value of manufactured tobacco is estimated to be of the

order of Rs.80,319 million (US $ 1785 million)

Tobacco and Children If a child does not try tobacco by the age of 18, he or she is not likely to take to it at

all. Every day, more than 55, 00 children below the age 15 try tobacco for the first time. Over 5 million Indian children are addicted to tobacco 10 to 40 percent of school children and 70 percent of students in colleges in

Mumbai, consume gutkha and pan masala, as much as 1-2 packets (sachets) a day.

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Tobacco and Women

• Tobacco use in women stems from tradition and social acceptability. Tobacco use among women is prevalent in all regions of India and among all sections of society – overall, 2.4% of woman smoke and 12% chew tobacco.

• The prevalence of smoking among women is low in most areas due to social unacceptability, but it is somewhat common in parts of the north, east, northeast and Andhra Pradesh. This is more the exception than the rule for the country as a whole. Smoking in rural women is in various indigenous forms.

• In the affluent sections of society women are now increasingly getting attracted to cigarettes.

• In women smokeless tobacco is still more popular in most regions. Smokeless tobacco is largely prevalent as chewing tobacco, Gutkha, Masheri, Mawa etc. or oral dentrifice. Smokeless tobacco use is more common among women from low socio-economic strata and rural women.

• Women are often initiated into tobacco use by other (older) women thus making the habit seem desirable without any social stigma. It is commonly seen in cultural and family settings like festivals, weddings). The tobacco industry promotes cigarettes to the affluent urban women using seductive but false images of vitality, slimness, modernity, emancipation, sophistication and sexual allure.

• Women are not heavy users but once habituated keep a steady regular use which they consider their harmless indulgence and do not perceive it as having serious health consequences.

• Tobacco companies have now produced a range of brands aimed at women. Most notable are the “women-only” brands: these “feminised” are long, extra-slim, low-tar, light coloured or menthol.

• In South East Asia smoking among women may be rare, but use of smokeless tobacco is common. In the Mumbai cohort study in India of 59 527 lower middle class and lower class women aged 35 years and older, 57.5% currently used tobacco, 99.6% of which was smokeless.

• Low birth weight and preterm birth are powerful determinants of morbidity and mortality in newborn babies and infants. It has been known for more than 40 years that babies born to mothers who smoke weigh less than babies whose mothers don't smoke. Smoking during pregnancy also increases the risk for preterm delivery.

Causes of tobacco consumption

Discuss with participants the reasons of tobacco use; the following point is causes of tobacco use.

Tradition: In our society tobacco is socially accepted as people are not aware about its ill effects and so they use it as any other food product. And many times it is served to people during auspicious occasions like marriages.

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Tension: People are usually told that consuming tobacco reduces stress and tension. After consuming tobacco the person feels relaxed and at ease. The reason for this is that tobacco contains Nicotine, which is a poisonous chemical. When people consume tobacco, nicotine reaches the brain, and it stops functioning, it cannot think. Till the person is under the influence of Nicotine the brain goes dead / numbness, thus a person doesn’t realize the tension. If a person cannot think, obviously she/he will not even realize the tension, but no sooner does the influence start wearing off the person realizes and feels the tension and so takes to further consumption. Over a period time the amount of intake increases and the person craves for more.

Fashion/ style and Media: Here facilitator add fashion and media points in short because so many youth and teenagers think our favorite star is smoking on screen and that he looks cool and smart, why not we? They believe that smoking makes one smart and popular and that, it increases creativity and concentration. They do not realize that these wrong beliefs give them ill health, bad breath, stained teeth, racking cough and poor exercise tolerance.

Peer pressure: We may have friends, older cousins who are into this habit and they tend to tell us to take to it. Boys are usually told that its damn hip and manly to smoke so one should get into it. Moreover smoking is in fashion, everyone smokes so why cant you. Girls are told that if you can wear such modern and fashionable clothes why can’t you smoke, as that too is modern and in fashion. Moreover tobacco helps us to keep our weight low as it kills hunger. This is how people get into smoking.

Media and its effects

Media like TV, Radio and News Papers are the mediums of communication where we give information to other and we also get information from it. In modern time Mass Media is a powerful medium of communication; we can spread lot of information to people by it. But it is very important that Mass Media should be honest to operate it in appropriate way. Misuse of media can demolish our society and pure values of society. Facilitator explains how media give misinformation and many times, people blindly follow it. In Tobacco issue, media is influencing people; most of the time children, youth and women to consume tobacco product. To get an idea about it, facilitator will show Salaam Mumbai Foundation’s advertisement film or Burning Brain’s Tobacco in Movies film, if the projector is not available then facilitator can explain it through media worksheet. Through the films and worksheet, participants get the idea that how media provoke for tobacco consumption by using attractive models, packets, punch lines. Facilitator needs to communicate that the using media, tobacco manufactures, models, media agencies have been gaining profit but the person who consume tobacco losing their life.

Kills hunger: tobacco kills hunger so girls smoke and try to keep our weight low. In poor family mothers give child gutka instead of biscuits and other food, after the gutka eating child don’t ask for food.

Influence of elders: Child, youth and teenage have the influence of elders for the smoking. They feel that if the elder are smoking then it is good for them also.

Curiosity: Whenever we tell no to any person they want to try the things the same mentality is appeal here.

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Suggest the participants that there are a lot of reasons to be addicted to tobacco. We learnt that the habit of tobacco is easy to obtain but difficult to quit. IF the habit is formed and the person is already affected with tobacco related disease, even at that time they fail to quit tobacco. The end result is death. So we should try to live tobacco free and refrain from the use of tobacco.

Developing refusal skills Peer pressure is one of the major cause of tobacco consumption. Participants need to know the refusal skills. We can use the different techniques to say no to bad habit and behavior. How we can say no to bad habit and behavior: By simply saying no. By not replying and just leaving. By giving a reason to saying no. By changing the subject. By joking about the whole thing. Tell the participants that we found that it is very difficult to quit tobacco habit so we have to refuse the invitation of tobacco; we have to develop the refusal skill. Through the street play the above five points will be shown.

The more information on Tobacco Cessation:

Due to tobacco the number of diseases occurred so a person who has habit of tobacco consumption should quit the habit. 50% tobacco users want to quit tobacco but find difficult it; some time they don’t know how to quit it; we should motivate them for quitting. Here we get more information about tobacco cessation. We find the person who had tobacco addicted is go through these following stages This process generally takes about 3 years. Person should quit tobacco in beginning stage otherwise s/he get difficult to quit. Stages of Development of addiction 1. Forming Attitudes and Beliefs about Tobacco 2. Trying Tobacco 3. Experimenting with Tobacco 4. Regularly Using Tobacco 5. Becoming Addicted to Tobacco How the person quit tobacco. The few tips of tobacco cessation:

Avoid: People and places where you are tempted to smoke. Later on, you will be able to handle these with more confidence.

Activities: Exercise or do hobbies that keep your hands busy, such as needlework or woodworking that can help distract you from the urge to smoke.

Exercise: Yourself: Jogging, Breathing, skipping etc.

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Drink Water: It will flush out the chemicals.

Discuss: Talk about your thoughts and feelings.

Ride out: the desire. It will go away, but do not fool yourself into thinking you can have just one.

Reward: yourself in ways that don’t cost money: take time out to read, work on a hobby, or take a relaxing bath.

Breathing for relaxation, three things to remember: Breathe slowly, from the bottom up. Sit relaxed with hand below rib cage, above stomach. Imagine lungs divided into 3 parts. Expand the bottom, middle, and top in one continuous motion. Inhale through the nose, exhale through the mouth. Exhale with a sigh (relaxing sound) or with a “whistle,” through pursed lips (good for clearing the lungs of stale, trapped air). Repeat 10 times.

At least 3 glasses of water in the day and 2 glasses to counter craving

Avoid situations/activities that are normally associated with smoking (e.g. drinking alcohol.); Change surroundings or sit down and relax; Review reasons for quitting; Talk with a friend about the urges and what you are doing about them. Take a nap or a shower and exercise.

Avoid coffee, tea, caffeinated drinks after 6 pm. Drink fruit juices, and water. Read up on relaxation /meditation techniques and try one. Avoid changes in sleep routine: always get up at the same time every morning.

Figure out which memories make you want to smoke most and learn to manage them. Take up some new activities such as walking, reading, a hobby, playing a sport or attending community events. Repeat the following: “If I’d known then what I know now, I never would have started smoking.” Focus on the thought that you will be able to enjoy your good memories longer, now that you’ve quit smoking.

Keep in the mind that tobacco quitting is not easy, the person needs strong willpower can stop their bad habit. Withdrawal Symptoms: The following symptoms are shown when person stop using tobacco; but the person need to firm and tackle the critical situation more strongly. Then s/he can be a tobacco free. 1. Dysphoric or depressed mood

2. Insomnia

3. Irritability, frustration, or anger

4. Anxiety

5. Difficulty in concentrating

6. Restlessness

7. Decreased heart rate

8. Increased appetite or weight gain

Social Support: A person who want to quit have more support and motivation from closest people. We as a close friends also motivate our classmates to quit tobacco. Primary Support - Family, Key relatives Secondary Support- Friends, Colleagues, Peers. Tertiary Support –Treatment Centre, Community etc.

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• Medication: If person is not able to control him/herself by using the above different methods then go ahead and take medical help for cessation.

Nicotine Replacement Therapy (NRT)

Nicotine gum

Dosage and duration: For 1-24 cigarettes/ bidis 2mg gum (up to 24 places day) for 12 weeks. For > 25 cigarettes/ bidis – 2 mg gum (up to 24 pieces/ day) for 12 week Chewers need about half or a quarter of the dose as prescribed for smoker. Side effect: Mouth soreness, burning in the mouth, throat irritation, dyspepsia, nausea, vomiting, hiccups and excess salivation Contraindications: Gastric ulcers, myocardial infarction or stroke in the past two week or poorly controlled cardiovascular disease.

Nicotine Patch

Dosage and duration: 21 mg / 24 hours for 4 weeks than 15mg /24 hours for 2 week followed by 7 mg /24 hours for 2 week Side effect: Local skin reaction insomnia Contraindications: Myocardial infarction or stroke in the past two week or poorly controlled cardiovascular. If a patient has any serious medical condition, refer to an appropriate specialist

Bupropion

Dosage and duration: 150 mg OD for 3 day followed by 150 mg BD for 7 to 12 week. Bupropion is started while the person is still using tobacco. The person can completely quit two week after initiating bupropion. Side effect: Agitation, restlessness, insomnia, gastrointestinal upset, anorexia, weight loss, headache and lowering of seizure threshold (at doses above 600 mg /day. Rarely allergic reactions can occur, including skin rashes, fever, muscle and joint pain Contraindications: History of allergy, tumours of central nervous system severe liver diseases, undergoing unsupervised withdrawal of alcohol or benzodiazepenes uncontrolled seizures, pregnant and lactating women, those below 18 years and person on monoamine oxidase inhibitors

Varenicline

Dosage and duration: Initially 0.5 mg once daily for the first three days increased to 0.5 mg twice a daily for the next four days, and then increased to 1 mg twice daily for 12 week after initiating verenicline. Side effect: Agitation, depression, restlessness, insomnia bad dreams, suicidal ideations, gastrointestinal upset and headaches, allergic reactions may occur rarely. Contraindications: Pregnant women Children or people with mental illness. Stop treatment if

changes in mood and behavior, agitation and suicidal ideations occur. Benefits of quitting tobacco Personal benefit:

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• Increase life time • Increase health, stamina, youthfulness • Saves money

The following Physical benefits happened after the Quitting

After 20 Minutes: Blood pressure and pulse drop to a normal rate temperature of hands and feet increase to Normal

After 8 Hours: Carbon Monoxide level in blood drops in normal. Oxygen level in blood goes to normal

24 Hours: Chance of heart attack starts going down.

48 Hours: Never ending starts growing again. ability to smell and test begins to improve.

2 weeks to 3 Month: Circulation improves, Waking gets easier, Lung function improve up to 30%,

1 Month to 9 month: Coughing, sinus congestion, tiredness and shortness of breath decrease, cilia (Small hairs) grow back in lungs to better handle mucous, clean the lunge and reduce infection.

One Year: Risk a coronary artery disease is half that of a smoker “ I’m not scared by heaviness in my chest in the morning anymore”

Five Years: Lung cancer death rate goes down by one half Risk of stroke become same as non smoker. Risk of cancer of the mouth, throat, esophagus, bladder, kidney and pancreas goes down.

In addiction: If you have a chronic illness like diabetes, asthma or kidney failure quitting can democratically improve your health.

Family benefit: • Bring happiness in family • Save the family members life by non exposure of passive smoking. • You become a role model for your friends

Tobacco control law, 2003

With the worksheet, tobacco control law will be discussed with participants. Government of India has made a tobacco control law. It’s called Cigarettes and other tobacco products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and distribution) law 2003 (COTPA, 2003). This act was signed by the President of India on behalf of Indian citizen in 2003. The Act extends to whole of India. The Act came into force on 1st, May, 2004. Goal of the Cigarette and other tobacco product act, 2003

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To ensure that effective protection is provided to non smokers from involuntary exposure to tobacco smoke and protects children and young people from being addicted to the use of tobacco. Main points of the Law

Prohibits all forms of direct and indirect tobacco advertising Prohibits smoking in closed public places. Prohibits sale of tobacco products to persons under 18 years Prohibits sale of tobacco products within 100 yards of educational

institutions. Make compulsory indication of nicotine and tar contents on the packets and

presence of symbolic warnings on the packets in English as well as Indian languages.

Law Says A person cannot smoke in public place means auditorium, hospital buildings, railway

waiting room, amusement centre, restaurants, public offices, court buildings, educational institution, libraries, public conveyances etc. where the general public have access, but does not include any open space. Display of prominent non smoking signs e.g. “Smoking here is strictly prohibited” is mandatory at all public places.

Sale of tobacco products to persons under the age of 18 is prohibited. The seller should ensure that the person who is buying the tobacco product is not a minor. A display board to be put up at the point of sale declaring that “sale of tobacco products to minors is prohibited”.

Both direct & indirect advertisement of tobacco products prohibited in all forms of audio, visual and print media

Advertisement includes any visible representation by Circular, Label, Wrapper, Other document, any announcement made orally, By any means of producing or transmitting light, sound, smoke or gas.

Prohibits certain persons from directly or indirectly (surrogate advertising) advertising or causing advertising of cigarettes and other tobacco products: Person engaged in production, supply or distribution of cigarettes or any other

tobacco products (manufacturers, shopkeepers etc)

Person purported to be engaged in production, supply or distribution of cigarettes or any other tobacco products

Person having control over a medium (e.g. news papers, visual media etc)

Person taking part in advertisements (e.g. models etc)

No person : Display, cause to display, or permit or authorize to display any tobacco ads.

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Sell or cause to sell or permit or authorize to sell a film or video tape of tobacco ads.

Distribute, cause to distribute or permit or authorize to distribute in public any leaflet, hand-bill or document which contains tobacco ads.

No one can erect, exhibit, fix or retain upon or over Land, Building, Wall, Hoarding, Frame, Vehicle

Total ban on sponsoring of any sport and cultural events by cigarette and other tobacco product companies.

No trade mark or brand name of cigarettes or any tobacco product to be promoted in exchange for sponsorship, gift, prize or scholarship

No person, under contract or otherwise, to promote or agree to promote any tobacco product.

But advertisement is displayed at the entrance or inside a warehouse or a shop where tobacco product are offered for distribution or sale & in or on a package of tobacco products.

No person can sell tobacco products within the radius of one hundred yards of educational institutions. A display board to be put up outside the educational institutions declaring the same.

No person shall trade in any tobacco products including imported products unless the specified warnings are indicated. Warning to be visible before opening and clear presentable.

Pictorial depiction of skull and cross bones and such other warning should be prescribed on the packets of all tobacco products. Now this point is debatable; pro tobacco lobby does not want this clause. But it’s very important for tobacco cessation. Lot of countries implements this rule and tobacco consumption rate has been decreased.

The nicotine and tar contents and the maximum permissible limits will be indicated on the package as prescribed under the rules, which will be notified separately.

The language of the warning on the package will be English and any Indian language (s) on the package.

Any officer not below the rank of sub- inspector of police or State Food or Drug Administration or any other officer authorized by the state/central Government will be authorized to carry out the provision of this proposed legislation provided that officer thus authorized shall not be less than equivalent to the level sub-inspector of the police.

Any violation will lead to confiscation of the goods. The owner of goods will be given the option to pay a fine lieu of the confiscation which should be equal to the value of goods confiscated.

The minor offences relating to smoking in public places and sale of tobacco products will be made compoundable and fine up to Rs. 200 /- will be levied.

I) for advertisement of tobacco products, the punishment is imprisonment of a term which may extend to two years or with fine which extend to RS. 1000 /- or with both for the first conviction; for the second and subsequent conviction, imprisonment to extend to five years and with fine which may extend Rs. 5000/-

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II) A) for producers and manufactures, the punishment is imprisonment of term which may extend to two years or with fine which may extend to RS. 5000/- or with both for the first conviction; for the second and subsequent conviction, imprisonment to extend five years and with fine which may extend to Rs. 10000 /- B) For sellers and distributors, the punishment is imprisonment of term which may extend to one year or with fine which may extend to Rs. 1000/- or with both for the first conviction. For the second and subsequent conviction, imprisonment to extend to two years and with fine with may extend to Rs. 3000/-.

The proposed Act will cover cigarette, cigars, cheroots, Beedis, Cigarette tobacco, pipe tobacco and hooka tobacco, chewing tobacco and pan masala or gutkha or any chewing material having tobacco as one of its ingredients (with whatever name called.)

Amendments of COTPA, 2003: Ban on sale of tobacco products by minors Ban on sale of tobacco products through vending machines Definition of Indirect Ads means:

The use of a name or brand of tobacco products for marketing, promoting or advertising other goods, services and events.

The marketing of tobacco products with the aid of a brand name or trademark which is known as, or in use as, a name or brand for other goods and service.

The use of particular colors and layout and/or presentation those are associated with particular tobacco products.

The use of tobacco products and smoking situations when advertising other goods and services.

Ban on display of tobacco products or their use in movies or television Ban on display of names / logos of tobacco brands in any manner during media

coverage of international events sponsored by tobacco manufacturers. Restrictions on the content, size and number of point of sale for advertisements The size of the sign board used for the advertisement of cigarettes and any other

tobacco products displayed at the entrance of a warehouse or a shop where cigarette or any other tobacco products is offered for sale shall not exceed 60 cms x 45 cms.

Each such board shall contain in an Indian language as applicable, one of the following warnings occupying the top edge of the board in a prominent manner measuring 20 cms x 15 cms namely: Tobacco causes cancer, or Tobacco Kills

The health warning must be prominent, legible and in black colour with a white background.

The display board shall only list the type of tobacco products available and no picture of brand. Brand name of the tobacco product or other promotional message and picture shall be displayed on the board. The display board shall not be backlit or illuminated in any manner.

Restrictions on the content, size and number of point of sale of advertisements

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The size of the board used for the advertisement of cigarettes and any other tobacco products displayed at the entrance of a warehouse or a shop where cigarette or any other tobacco products is offered for sale shall not exceed 60 cms x 45 cms.

Each such board shall contain in an Indian language as applicable, one of the following warnings occupying the top edge of the board in a prominent manner measuring 20 cms x 15 cms namely: Tobacco causes cancer, or Tobacco Kills

The health warning must be prominent, legible and in black colour with a white background. Latest Health Warnings:

The display board shall only list the type of tobacco products available and no brand pack shot, brand name of the tobacco product or other promotional message and picture shall be displayed on the board. The display board shall not be backlit or illuminated in any manner.

The amendment has been made in 2008, restricted the smoking in working place also. Open places like open auditoriums, stadiums, railway stations, bus stops are also smoke free by legislation. The owner, supervisor and manager of public places will fine the person who disobeys the law.

Management of a public place shall ensure the following. No person shall smoke in a public place (including restaurants and hotels). The management should prominently display the specified board (shown in Figure 1)

at: each entrance, each floor, each staircase, each entrance of the lift, and

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conspicuous place(s) inside The name of the person to whom a complaint may be made in case of a violation of

the law should be prominently displayed. No ashtrays, lighters, matchsticks or other things designed to facilitate smoking are

to be provided. There should be no “smoking area or space” at the entrance or exit of restaurants

with a seating capacity of 30 or more, of hotels with 30 or more rooms and of airports, and such an area should be distinctively marked “smoking area” in English and one Indian language, as applicable.

A “smoking area” is to be used only for the purpose of smoking and no service(s) should be available therein.

Smoking area or space As defined under Section 2(e), the smoking area or space must be a physically separated and separately ventilated room, with walls of full height on all four sides. It should be fitted with an automatically closing door, which is normally kept closed. The air from the smoking area must be exhausted directly to the outside, through a non-recirculating exhaust ventilation system, an air cleaning system or a combination of the two, so that it does not mix back with the air supply of the building and the nonsmoking area therein. Separate smoking room

A separate smoking room may be designated in a hotel with 30 or more rooms under the following conditions. The room should be in a separate section of the floor or wing. In case there is more

than one floor/wing, the smoking rooms should be on a separate floor/wing. The room should be distinctively marked “smoking room” in English and one Indian

language, as applicable. The smoke from the room shall be ventilated outside and should not mix back with

the air of the non-smoking areas of the hotel. Disobedience of Law

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1. Around 100 yards of educational institution, we find shop of selling tobacco product over there. 2. There are indirect advertisements in society. There is ban on ads but in films viewers see clips where actors are shown smoking and it leaves a major impact on people especially on adolescence for example Amitabh in ‘Family’ movie hording. 3. There is no mention of tar and nicotine’s proportion in any tobacco products packet. 4. No warning is written in local language on tobacco products packet. 5. Below the age of 18 years children get/ buy cigarette or other tobacco products. 6. People still smoke in hotels and other public places.

Loopholes of law

• Very less punishment is given. • Freedom of smoking in open places. • No ban on tobacco use. • Indoor smoking is not banned; no punishment is mentioned in the law anywhere.

Facilitator will motivate the participants to be more active for enforcement of law and don’t tolerate the violation of law. They should work to implement the tobacco control law in their college premises also. Group Discussion: After the all session, facilitator will conduct the group discussion. The points are: 1. How to incorporate tobacco information in different syllabus of university

2. How we make our university tobacco free

3. How we enforce COTPA in our university campus

The first point will be discussed by faculty members of university and other two will be discussed by students. After the discussion one member from each group will present their action plan. The following action plan may be emerged after the discussion. Planning for making university campus Tobacco Free

Stick the anti tobacco posters in university campus to aware all the students, faculty

members and non-teaching staff that the campus is totally tobacco free.

Aware and sensitize the students, faculty members and non-teaching staff the essential of

to be a tobacco free through lectures, street-play, and other communication tools.

Research will be conducted to see, how many students, faculty members and non-teaching

staff are consuming tobacco.

Establish Anti tobacco Committee (anti tobacco club) in university.

Motivate the users to quit and organize Tobacco Cessation Camps with the help of Medical

faculty.

Organize one Resolution Program in your university campus on World No Tobacco Day (31st

May).

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Planning for implement COTPA

Stick the placards at entrances of all buildings and all stares, indicating that Smoking in

public places will be made compoundable and fine up to Rs. 200 /- will be levied.

Fine will be collected from guys who are smoking (Consuming Tobacco Products) in

university’s campus.

Ban of selling tobacco products in an area within radius of 100 yards of your university

campus and put board near the campus gate which is indicated that Prohibition on sale of

tobacco products near educational institutions will be made compoundable and fine up to

Rs. 200 /- will be levied.

Aware the tobacco vender who selling the product in an area within radius of 100 yards of

your university campus then aware him about the COTPA, 2003. Tell him to not sale tobacco

products.

If tobacco vender not supporting you then gives the written complain to Police and FAD

officers with all students, faculty members, and non-teaching staffs’ signatures. Don’t forget

to involve media so the impact will be double.

Planning for incorporate tobacco information in university’s different syllabus

Tobacco information will be added in Nursing and other medical courses’ syllabus.

COTPA’s information will be incorporate in Law related curriculum

The other avenues to incorporate tobacco information are D. Ed. and B. Ed., BSW, MSW

Arrange talk program for students to spread anti tobacco messages in university.

In community exposure program, students will work on this issue.

World No Tobacco Day will be celebrated in University Campus.

Give the assignment/ project to make Tobacco Free community

Awareness activities in community through street play, posters, and songs

Research on tobacco and its prevalence in nearest communities.

Establish Tobacco Control Committee of faculty and students: To conduct the different activities in university, Tobacco Control Committee will be established. We encourage students and faculty members to join this committee. 5 to 7 students and 2-3 faculty members from different department will be a member of this committee. Vote of thanks: After the presentation, give the vote of thanks to participants and tell the participants to fulfill the following task: 1. Organize the activities to make Tobacco Free University Campus and implement the rule of

the COTPA in university.

2. Do the field work, research in the nearest community, schools for tobacco control.

3. Tell the faculty members to incorporate tobacco information in their syllabus.

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Facilitator requests the university to send us a report at the end of academic year that which activities they conduct for tobacco control. (The format is given below.) The activities check list is given to the organizers and Tobacco Control Committee to check which activities are done or not.

Feedback After the session will over, facilitator will take written feedback from Vice Chancellor, or organizer. The report form is given below.

Energizing game:

To avoid boredom of participants the facilitator will take following energizer games during the session:

Pushing the walls: Facilitator will tell the participants to stand. Tell them that the tobacco manufactures, venders and consumers are angry because we are planning for tobacco control activities. They want to bury us in this venue so we push the walls and roof. First we push the right side wall then left side wall after that roof and land. By this game, participants will stretch their body and feel relax.

Facilitator will tell the participants to stand in circle. One participant will stand in middle of the circle and will announce a name of any colour or things. The other participants who having the colour in their attire or the things they have; then they will interchange their places. Participants who not able to get place, then s/he will stand in middle of the circle and repeat the process.

Prr & Pukutu: Ask everyone to stand in a circle. Explain that you would like them to think of two birds. One called "prr" and the other "pukutu". If one participant call out "prr", all the participants will get up on their toes, stick out their elbows and move them up and down, as if they were birds ruffling their wings. If one participant call out "pukutu", everyone stays still and does not move a feather. Proceed by calling out "prrr" or "pukutu". Anyone who moves when they should not or who stays still when they should move is out of the game. They can then help you to watch the other participants. Go on until there are only a few people left.

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A sensitization and training workshop ‘TOWARDS A TOBACCO FREE FUTURE’

Knowledge test about tobacco and tobacco control law

Date: _______________ Name of University: __________________________________________________

Time: _______________

Pre / Post Workshop Questionaire:

1. Name of participants: __________________________________________________

2. Age (in years): _______________

3. Gender: 1. Male 2. Female

4. Which of the following diseases do you think are caused by smoking?

a. Heart attack (Coronary heart disease)

b. Stroke

c. Macular degeneration (Blurred vision)

d. Low birth weight babies in smoking

e. Impotence in male smokers

f. Any other: __________________________________________________

5. Do you think smokeless tobacco causes any disease?

a. Mouth cancer

b. Difficulty in opening mouth (Sub mucous fibrosis)

c. Gum disease

d. Low birth weight babies in mothers

e. Impotence in males

f. Any other: __________________________________________________

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6. Do you think exposure to second hand smoke (passive smoking) can lead to adverse

health outcomes?

Yes No cannot say

If Yes,

According to you which amongst these are the adverse health outcomes?

a) Lung Cancer

b) Induction of Asthma both in adults and children

c) Coronary Heart Disease

d) Low birth weight babies

e) Sudden Infant Death Syndrome (SIDS)

7. Are you aware of any tobacco control laws in India?

Yes. No. cannot say

Will you tell rules of this law:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

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Feedback from Vice Chancellor or HOD

On Tobacco Control Training Program which was conducted by Salaam Mumbai Foundation

Date: Name of the Facilitator:

Name of the University: No. of participants: What did they like in the training and why? ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

What changes would they like to introduce? ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Suggestions: ________________________________________________________________________

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________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

How and where will they use the information which they have received in this training? ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Signature of Vice Chancellor or HOD with stamp

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Yearly report on Tobacco Control Activities Name of University: Tobacco free University Campus:

Did you make Tobacco Free University Campus after the training:

No. of total students and staff:

How many students and staff were using tobacco before the training in your office?

How many staffs and students did quit tobacco after the training?

What did you do to make your Tobacco Free University Campus? (Your strategy)

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

What did you do in community to make Tobacco Free Community?

In how many villages, you did awareness program?

How many children got information by your activities?

How many youth got information by your activities?

How many ladies got information by your activities?

How many male got information by your activities?

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What activities you did in community for tobacco control: (Report) ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Please attach your some photos and press articles with your report. Signature of Vice Chancellor/HOD: 5/6, Rewa Chambers, 31, New Marine lines, Mumbai 400020. (022) 66391500, 22034808

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Check List for Tobacco Free University Campus The following sequence may be changed according your planning and current circumstances Formation of Anti Tobacco Committee of Students and Faculty Members Declare your University/College is going to be Tobacco Free

Draft the Anti Tobacco University/College Law and decide the penalty by Anti Tobacco Committee Enforce the Anti Tobacco University/College Law in the campus Stick the anti tobacco Posters in every stairs, classrooms, staffroom, toilets and main places of University/college campus

Sensitize all students, faculty members and non-teaching staff about harmful effect of tobacco and COTPA, 2003 by different activities, i.e.: Signature Campaign Street Play Activities Lectures Pledge Ceremony Celebrate Anti Tobacco Day etc.

Identify the Tobacco Users and organize some cessation activities

Ban of selling tobacco products in an area within radius of 100 yards of university/college campus As per COTPA, put board near the campus gate which is indicated that Prohibition on sale of tobacco products near educational institutions Aware tobacco venders about COTPA, 2003 who sale tobacco products near the university/college campus

Lodge the complaint to Police and FAD officers with all students, faculty members, and non-teaching staffs’ signatures those tobacco vender who are disobeying the law

Involve media in your campaign so the impact will be double

Organize an Anti Tobacco Activities on World No Tobacco Day (31st May)

Reformation of Anti Tobacco Committee for the next academic year

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Check List for Incorporate Tobacco Control Information in Curriculum The following sequence may be changed according to your planning and current circumstances

Arrange the brainstorming session with faculty members to incorporate Tobacco Control Information in Curriculum. (Beside the theory part, the tobacco control activities should be action oriented.)

Some avenues to incorporate Tobacco Control information in University’s curriculum: B. Ed. and D.Ed. Medical, Nursing, health & Nutrition Master in Social Work Law Pyschology

Getting necessary permission from Study Boards and related authorities Start to incorporate Tobacco Control information in University’s curriculum

Organize field work activities in communities with students for tobacco control (involve NSS caded also).

Research activities will be organized for MSW Students

Give the assingment to the students to write the turm paper on this issue

Note: The process should be continued in further academic years also.

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A sensitization and training workshop

‘TOWARDS A TOBACCO FREE FUTURE’

Registration Form

Date: Name of University:

Name of Participants Designation Timing Signature

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A sensitization and training workshop

‘TOWARDS A TOBACCO FREE FUTURE’

Participants Feedback Form Name of institute: ________________________________________________________

Name of Participants: _____________________________________________________

Contact (Telephone, Mobile and email): _____________________________________

_______________________________________________________________________________________________________________________________________________

Occupation (Specify)________________________ a) Professional b) Trader c) Service d) Skilled e) Unskilled f) Unemployed g) Housewife h) Student i) Others Are you a tobacco user? a) Yes b) No Did you use tobacco in the past? a) Yes b) No Age (in years) when you started using tobacco: Age (in years) when you stopped using tobacco: Used which type of tobacco? a) Smoking b) Smokeless c) Both (smoking as well as smokeless tobacco) Mention the product brand:__________________________ What made you try tobacco? (Multiple options possible) a) Family influence b) Peer pressure c) Relieve stress d) Style e) Media f) Other Specify: Where do you generally consume tobacco? a) At home b) At work place c) Any other place. Specify: Have you ever tried to stop using tobacco? a) Yes b) No How many times have you tried to stop using tobacco? a) Once b) 2-5 c) More than 5 Were you successful in quitting tobacco? a) Yes b) No

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If no then what obstacle you face to quit tobacco? ________________________________________________________________________

Do you think this training is useful to quit tobacco? a) Yes b) No What did you like in the training and why? ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

What changes would you like to introduce? ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Your suggestions: ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

How and where will you use the information which you have received in this training? ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________