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No excuse for inaction: #EndTobacco to prevent epidemics of diseases and deaths

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Tobacco was already an epidemic, now fueling COVID-19

Tobacco was already an epidemic if we look at the preventable disease burden and death toll since years - year after year. But the association of tobacco as a life-threatening risk factor for a range of conditions that can result in serious outcomes of COVID-19, including death, must become the tipping point to hold the industry liable, ban all forms of killer tobacco products, and strictly enforce all evidence-based health policies on the ground.

Prof (Dr) Surya Kant, Head of Respiratory Medicine Department of King George's Medical University (KGMU) said that according to Ministry of Health and Family Welfare, Government of India, 86% of deaths due to COVID-19 have exhibited comorbidity related to diabetes, chronic kidney issues, hypertension and heart related problems. Tobacco is a common major risk factor for all these conditions. Tobacco spitting in public places could enhance the spread of COVID-19. According to Indian Council of Medical Research (ICMR), "Chewing/ smokeless tobacco products (Gutkha, 'Paan masala' with tobacco, 'Paan' and other chewing tobacco products) and areca nut (supari) increase the production of saliva followed by a very strong urge to spit. ICMR has urged to refrain from consuming smokeless tobacco products and spitting in public places. State Government of Uttar Pradesh in India had banned the sale of 'paan masala', in view of the alarming COVID-19 pandemic in March 2020.

The recent release of a report by the National Institute of Health in Italy stated that more than 99% of those who have died from COVID-19 had pre-existing medical conditions, including high blood pressure, heart disease, Chronic Obstructive Pulmonary Disease, and diabetes. Tobacco is a major common risk factor for all these listed conditions, said Prof Rama Kant, WHO Director General's Awardee and noted surgeon and tobacco control leader.

Recent COVID-19 deaths in Delhi show that 45.28% of those who died due to COVID-19 were less than 60 years of age (54% were above 60). An important factor which can cause serious outcomes of COVID-19 including death is co-morbidities. In Delhi, 86.79% of those who died of COVID-19 had high blood pressure, diabetes, heart ailment or kidney disease. Again, tobacco is a major common, yet entirely preventable risk factor for all these conditions.

Moment of truth is here, now!

If we are to deliver on sustainable development where no one is left behind, then we need to eliminate disaster-causing risk factors like tobacco, alcohol, etc and have to hold these corporations liable for the irreparable damage they have caused over the years. These are the roadblocks that must be removed before we can accelerate progress towards all other sustainable development goals and targets. Governments must consider stronger life-saving measures towards preventing tobacco caused epidemic of diseases, which is now also linked to COVID-19. The cost of inaction is very high and will threaten progress on health and other sustainable development goals.

Shobha Shukla, Bobby Ramakant - CNS

(Shobha Shukla and Bobby Ramakant are part of CNS (Citizen News Service). Follow them on Twitter @shobha1shukla, @bobbyramakant or visit www.citizen-news.org)

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Citizen News Service (CNS) specializes in in-depth and rights-based, health and science journalism. For more information, please contact: www.citizen-news.org or @cns_health or www.facebook.com/cns.page
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