Moist Snuff Regulations-Reducing tobacco related diseases

05 Aug 2021
Respiratory conditions
  • Tobacco Dependence
Type of resource
Dublin 2021
Qamar Iqbal, Alpha Foundation, Pakistan
Clinical Research Results Moist snuff / Naswar is a populous smokeless tobacco (SLT) in Pakistan{12,3}. 80% of the SLT users live in south Asia and 10 millions Pakistanis{4} use SLT of different kinds. However, Naswar is being excessively used throughout the country as a cheap alternatives to fulfil nicotine dependency and self- motive perceptions. It is a complex and widespread challenge to public health that has so far received very limited attention from researchers and policy makers in Pakistan. Regulation & development in SLT control policy will decline a 70% in oral cancer incidence in the country. Aimed to Identify manufacturing units, intervention with manufacturers, gaps in regulating and user’s perceptions in the context of comprehensive tobacco control efforts.Objectives:To check status of manufacturing units regarding their locations, ingredients information, child labour, users perceptions and knowledge sharing in the context of comprehensive tobacco control efforts.To support authorities and civil societies should take measures to control rapidly increase in Naswar usage and for regulating.Promoting good health and reducing tobacco related diseases and deliver real benefits to public.Methods:Mix–Methods qualitative, quantitative and observations was used for gathering data from market. In first step, 15 well populated & condense and 5 less populated areas (15 + 05=20) were selected randomly to conduct survey. In 2nd step, mapping was completed to identify the relevant points applying link to link approach, as a result 74 manufacturing units and whole- sale points (manufacturers) were mapped in the urban areas of ICT & Rawalpindi. 200 respondents and 20 manufacturers were interviewed systematically.Results:More than 250 brands are in the market. 74 manufacturers and whole units were identified in the research area.53% manufacturing business duration is 5 years.Manufacturing cost is only 5 to 6 rupees / 5 grams sachet & retail price is 10 rupees equal to $ 0.039prevalence increased 31% within 2 to 5 years, followed 11.66% in 10 years59% users are labor and small business owners75% are addicts as per addiction standard63% users switch to snuff by self perception, clinical or psychological motives25% manufacturing units are violation child labor.46% consider it an intoxicant; they get reliefs from anxiety, fatigue and stress.22% are dual users.Conclusions:Regulation could provide an opportunity to ensure compliance and enforcement of laws & Increase in revenue Smokeless tobacco contains nicotine and its use can lead to addiction and is as difficult to quit as smoking. Charming advertisement and easy accessible encourage youth to use However, smokeless tobacco is not a safe alternative to cigarette smoking. Chewing tobacco and moist Snuff contain at least 28 cancer-causing substances, and cause cancer of the mouth, pancreas and oesophagus. It is also linked to other health problems.If the SLT be regulated then small manufacturers ultimately discourage and systematically decrease the products in the market ultimately decrease in usage Implementation Science/Service Development Research Ideas on Respiratory Conditions and Tobacco Dependency Abstract Declaration of Interest References and Clinical Trial Registry Information Wikipedia ‘Naswar and clinical correlates of oral squamous cell carcinoma in patients from north-west Pakistan of potential toxicity of a smokeless tobacco product (naswar) available on the Pakistani marketPakistan Tobacco control Cell