BANGLADESH

Doctors have urged the government to pass the draft amendment of the tobacco control law to curb use of tobacco and related businesses in the interest of public health.

In the backdrop of nearly 57,000 annual deaths and 382,000 disabilities due to tobacco related illness, the government had started amending the 2005 law two years ago to make it 'stricter'. The idea was to help smokers give up, and deter youths from taking up the habit.

After completing all processes, the draft law was ready to be placed in a cabinet meeting in December last year. But the health ministry's deputy secretary, Azam-e-Sadat, who was assigned the task, said in a meeting late last year that the finance ministry had recalled the draft.

Addressing a seminar on 'tobacco and endangered public health' in the capital on Saturday, national professor brig Abdul Malik (retd) urged everyone to be "persistent" in order to realise the demand for a "stricter" tobacco control law.

United Forum Against Tobacco, a platform of doctors and professional bodies, organised the seminar.

Referring to pressure from the tobacco companies, Malik, chairman of the forum, said, "Our opponents (tobacco companies) are very strong. But we should be persistent in the interest of public health."


MORE TEETH NEEDED
Taifur Rahman, a member of the law amendment committee, said if passed and implemented, the draft amendment could help curb tobacco consumption "substantially".

He said smokeless tobacco products such as zarda, sada pata and gul had been incorporated as tobacco products in the draft law, which also suggested pictorial health warnings to be put up, covering 50 percent of a cigarette packet, to discourage smokers.

He said they also suggested declaring restaurants smoke-free and stopping duty-free shops from selling 'duty-free' cigarettes.

Studies suggest two-third of smokers in Bangladesh pick up the habit before they are 17, so the draft law barred children below 18 to sell and buy cigarettes.

Penalty has been increased from Tk 50 to Tk 500 for individuals who violate the law, while companies will have to pay up to Tk 1 million for violating the law, according to the draft.

Chairman of Bangladesh Red Crescent Society Prof Mohammad Sirajul Akbar MP said the 2005 anti-tobacco law should be updated at the earliest.

"Farmers should be encouraged to cultivate alternative crop instead of tobacco products," he said. "And at the same time, higher taxes should be imposed on tobacco products."

Member of Parliament Prof Matiur Rahman said a "vested group" is active against raising tobacco tax. "Lower economic groups are worst affected because of cheaper prices of bidis (local cigarettes)," he said.

Organising secretary of the forum Dr Sohel Reza Choudhury said a tougher tobacco control law would be able to save thousands of lives, lost untimely to diseases triggered by tobacco.

He said Bangladesh spends more to combat tobacco-related illnesses than it earns in revenue from tobacco producers.


NUMBERS RISE ASTRONOMICALLY
According to Global Adult Tobacco Survey 2009, at least 41.3 million people aged above 15 used tobacco either in smoke or smokeless form in Bangladesh. The number was 32.3 million in 2007.

According to experts, tobacco usage has decreased in developed world but increased in developing countries due to lax tobacco control laws.

Estimation suggests with 5.4 trillion cigarettes consumed, the developing world constitutes about 70 percent of the total global tobacco use.

According to the World Health Organisation, 'very poor' households in countries such as Bangladesh, Indonesia, Mexico and Egypt spend up to 15 per cent of their income on buying tobacco products.