Consumption of tobacco in its various forms and manifestation remains a serious health concern. What is worrying for a small State like Nagaland is that series of reports and studies conducted over the last few years have conclusively exposed the high tobacco consumption among the Nagas. While study about minors indulging in such a deadly habit was made known sometime back, it is not surprising to now learn that Nagaland is again among the top when it comes to female tobacco users. The latest finding is as per India’s first-ever adult tobacco survey. Northern and southern India records the lowest prevalence -- 3.7% and 13.7%, respectively. While one in five women in central India consumes tobacco, the prevalence is one in three in eastern India. At 30.8%, the prevalence is also very high in north-eastern India. As per the state-wise break-up, Mizoram records the highest number of female tobacco users (62%) followed by Tripura (48%), Nagaland (43%), Manipur (41.8%), Chhattisgarh (41.6%) and Bihar (40.1%). This statistic is indeed a matter of deep concern for all of us. This worrying data on Nagaland comes at the backdrop of another recent study on tobacco use among students in the eight North-eastern states of India which has revealed some frightening details as well. Here too Nagaland figures among the top.
The State government along with other stakeholders including the school system and churches must step in to arrest this dangerous trend of willful tobacco consumption. In fact for many years now it has been observed that tobacco consumption among the Nagas has increased so much so that it has become a socially accepted habit. Who can blame our children for taking tobacco when parents themselves indulge in such habits? According to the recent studies, it was found (not surprisingly) that tobacco use by parents and close friends was positively associated with young people’s current tobacco use. Let us face it; tobacco consumption has become a chronic habit and one which has become socially acceptable as a way of life. And this is the crux of the problem. Also because it is not categorized as an ‘illegal substance’ tobacco in its various forms and manifestation has become ubiquitous. Attempts made to ban such items as gutkha has also failed. And even if we are to successfully enforce such a ban on a single item, what about cigarettes, beedis and kaini (chewing tobacco).
The fight against tobacco consumption is not going to be easy. As mentioned almost half the population of the State is indulging in such habit. Tobacco in various forms is a favourite in government offices, within the police force, colleges and even schools. Also because of its easy availability and given that it is inexpensive (unlike drugs and foreign liquor) it is part of the common man’s diet whether it is in the villages or urban areas. The popular ‘Pan shop’ in every nook and corner of the State ensures easy access. There is no regulation of any sort and so even children can easily buy them. While it is not practical to suggest prohibitory measures, the concerned government authorities along with civil society groups should nevertheless give a serious thought on formulating some kind of regulation so that at least our young children do not become part of the problem. Side by side, the most plausible option is to create mass awareness on the ill effects of tobacco consumption. The State Health & Family Welfare Department should urgently design appropriate messages both in English and local dialects and undertake awareness campaign across the State. Different mass forums can also be identified such the Church, schools, colleges, festivals, youth events, road-shows etc. to disseminate information on the killer substance. Let this be known to all that tobacco consumption is a serial killer, which if not controlled will devour our youths. The well being of our future generation is at stake.
