A smoking cessation rate of 20% has been found among volunteers for a chemopreventive trial investigating smoking-related premalignant lesions after almost 2 years after initial contact has been found. Volunteers experienced screening and trial participation as having influenced their smoking cessation. Smoking cessation was significantly associated with male gender, whereas the finding of premalignant lesions by bronchoscopy was not.

Introduction: Major challenge before Lung cancer activists is to reduce prevalence of smoking-related-diseases in developing nations. This is public health, social-economic problem with feasible solution requiring input at the political, community, institutional and individual levels. Smoking still popular among young people specially school children-adolescents. Efforts by WHO, IASLC & NGO's should be directed towards uniform policy planning for tobacco control & FCTC treaty ratification. We need to come under one umbrella at IASLC-2007 workshops to reduce socioeconomic hazards of crude & highly toxic tobacco products consumed in developing nations. Objectives: since past decade there is intense pressure on Tobacco industry by Anti-Tobacco activists about health hazards of tobacco products. Many studies done on tobacco related health-hazards but limited data available about socioeconomic , psychological impact in Asia. This project analyses these aspects of Tobacco induced lung cancer. Hence our Non-Govt-Organisation [NGO] decided to survey-analyze impact of tobacco consumption to incidence of lung cancer/COPD, impact on social stability-economical status of family. During Phase II of this project We also included [1] Type/dose of tobacco & correlaton with severity of lung cancer [2] Evaluated post-diagnosis impact on sexuality of patients. Methods: Health disorders & mortality due to cardio-pulmonary manifestations of chronic tobacco use serious concern. Since 1992 mortality & morbidity rate shown upward trend of 4.3 % aggregate per annum. Data collected & analysed for assessment of economic impact by actual price per annum, expenditure on tobacco-induced health injury & passive smoking hazards, cost for tobacco-de-addiction programme. These clubbed to asses impact on GDP & social life of tobacco addicts. Since 1992 sixteen tobacco control methods analysed. Target was tobacco consumers community from rural-India divided in 11 groups on basis of economic/social/cultural & ethnic background. Results: Tobacco consumption in rural areas 78%. 68% males [22-35 years], 20% males [35-50 years] & 11.3% females. 8.7% in health care workers. 77% using smoking, 26% are tobacco chewers [available as Ghutka & Paan]. Among smokers 77% were cigarette smokers while 23% BIDI smokers. 86% consumed tobacco was of locally manufactured handmade tobacco [Inhaled with pipe & Hooka]. Dose-response effect demonstrated between number of cigarettes smoked per day, duration of smoking, and subsequent cancer risk. Which is almost 20-fold higher for 15-20 cigarettes/day for 30 years of tobacco use vs nonsmokers. Adolescents have an increased risk as it increases the overall smoking duration. Life time tar exposure& smoking non-filtered cigarettes are additional cancer risk factors. Conclusion: Lung cancer 63%, cardio-pulmonary complications 78%, 20% psychological disorders, 15% nutritional deficiencies. Among chronic users [Age group 22-35 years], 26% reported sexual impotence. Cost calculations show expenditure of Rs. 17690 per annum for sm...