Parliament Question: Tobacco Consumption

GOVERNMENTOFINDIA MINISTRYOFHEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE LOK SABHA UNSTARREDQUESTION NO.1058 TOBE ANSWERED ON05TH DECEMBER, 2025 TOBACCOCONSUMPTION 1058.SHRIM.K.RAGHAVAN: Will the Minister of HEALTH AND FAMILYWELFAREbe pleasedtostate: (a) whether the Government has comprehensive data on tobacco consumption including cigarette, bidi and smokeless tobacco products as per the latest National Family Health Survey (NFHS) or Global Adult TobaccoSurvey(GATS); (b) if so, the detailsthereof,State/UT-wise andage-wise; (c) whether the Government has noted any increase or decrease in tobacco consumption among youthbelow eighteenyearsof age during the last five years; (d) if so, the detailsthereofalongwith the reasons therefor; (e) whether the Government is aware that certain States continue to show high prevalence of smokeless tobacco use; and (f) if so, the detailsthereof,State/UT-wise alongwith the steps beingtakentoaddress this issue? ANSWER THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILYWELFARE (SHRIPRATAPRAO JADHAV) (a)& (b): Under the National TobaccoControl Programme,two nationallyrepresentative surveys are conducted – the Global Adult Tobacco Survey (GATS) and Global Youth Tobacco Survey (GYTS) thatmeasure tobaccoprevalence andother tobaccocontrol indicators. As per the second round of GATS (GATS-2, 2016-17), 28.6% adults aged 15 years and above use tobacco in some form. The detailed data of tobacco users State/UT-wise, age-wise and category -wise are at Annexure 1.(c) & (d): As perthe Global Youth Tobacco Survey(GYTS) conductedfor school-going children of age group 13-15 years reported a decline intobacco use from 14.6% (GYTS-3,2009) to 8.4% (GYTS-4, 2019). Further, GATS data shows a relative reduction of 54% in tobacco use among youthaged15-17 yearsbetweenthe GATS-1 (2009-2010) andGATS-2(2016-2017) surveys. (e) & (f): As per the GATS 2016-17, there is high prevalence of smokeless tobacco in some of the States/UTs as shown in the Annexure 1. Some of the key measures taken by the Government of India across the Country are givenbelow:  The MoH&FW has enacted a comprehensive legislation, namely the Cigarettes and Other Tobacco Products Act (COTPA), 2003 to regulate the trade and commerce, production, supplyanddistributionof tobaccoproducts.  The MoH&FW has also enacted the Prohibition of Electronic Cigarettes Act (PECA), 2019 which prohibits the production, manufacture, import, export, transport, sale, distribution, storage andadvertisement of electroniccigarettesandrelateddevices.  The MoH&FW launched the National Tobacco Control Programme (NTCP) in 2007-08 to ensure effective implementation of the provisions underthe COTPA, discourage tobacco use andraise awareness about the harmful effectsof tobaccouse.  As part of these awareness efforts, MoH&FW has also launched a 60-day annual Tobacco Free Youth Campaign since 2023 to educate youth about the dangers of tobacco and empower themtoresist or quit tobacco use.  The Ministry has established a toll-free National Tobacco Quitline Service (1800-112-356), which is operated by four Quitline centers (Delhi, Mumbai, Guwahati, Bengaluru) covering all States and UTs, and provides counselling in 16 languages, including regional/local languages.  Over 2,000 Tobacco Cessation Centres (TCCs) have been established across the country underintegrated effortsof NTCP, National Medical Commission (NMC) andNational Dental Commission (NDC), National Oral HealthProgramme (NOHP) etc.  The MoH&FW has also banned the use of tobacco/nicotine in any food product under Regulation2.3.4of the FoodSafety andStandardsAct (FSSAI),2006. *****Annexure 1 (i) Tobaccouse amongadultsaged15orabove,States/UTs wise, GATS 2,2016-17: Percentage of adultscurrently usingtobaccoinany form State/UT Overall Smokelesstobaccouser India 28.6 21.4 Jammu & Kashmir 23.7 4.3 HimachalPradesh 16.1 3.1 Punjab 13.4 8.0 Chandigarh 13.7 6.1 Uttarakhand 26.5 12.4 Haryana 23.6 6.3 Delhi 17.8 8.8 Rajasthan 24.7 14.1 Uttar Pradesh 35.5 29.4 Chhattisgarh 39.1 36.0 Madhya Pradesh 34.2 28.1 West Bengal 33.5 20.1 Jharkhand 38.9 35.5 Odisha 45.6 42.9 Bihar 25.9 23.5 Sikkim 17.9 9.7 Arunachal Pradesh 45.5 39.3 Nagaland 43.3 39.0 Manipur 55.1 47.7 Mizoram 58.7 33.5 Tripura 64.5 48.5 Meghalaya 47.0 20.3 Assam 48.2 41.7 Gujarat 25.1 19.2 Maharashtra 26.6 24.4 Goa 9.7 6.5 Andhra Pradesh 20.0 7.1 Telangana 17.8 10.1 Karnataka 22.8 16.3 Kerala 12.7 5.4 Tamil Nadu 20.0 10.6 Puducherry 11.2 4.7(ii) Percent distribution of adults aged 15 or above by tobacco use pattern, as per GATS 2, 2016-17: Typeof current tobaccouse Background Current Both Characteristic Tobacco Smoked Smokeless smoked Non-user Total s user only only and smokeless Overall 28.6 7.2 17.9 3.4 71.4 100 Age 15-24 12.4 1.6 9.1 1.8 87.6 100 25-44 30.1 6.8 19.2 4.1 69.9 100 45-64 39.8 12.7 23.0 4.1 60.2 100 65+ 41.4 11.8 25.9 3.7 58.6 100 (iii) Percent distributionof Category wise tobaccouse pattern,asperGATS 2,2016-17: Cigarette 4% Bidi 7.7% Cigar, cheroot or cigarillos 0.3% Hookah 0.7% Other smoking products 0.1% Betel quid with tobacco 5.8% Khaini or tobacco lime mixture 11.2% Gutkha or tobacco lime, areca nut6.8% mixture Oral tobacco use (mishri,gul, gudakhu) 3.8% Paanmasala with tobacco 2.8% Snuff 0.6% Other smokeless tobacco products 0.3% ******