P1-048: Smoking cessation in volunteers for a chemoprevention study

Abstract

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...