Pictorial Health Warnings on Tobacco Packages



Pictorial Health Warnings on Tobacco Packages

The Section – 7 of the “The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003” (COTPA) inter alia mandates that all tobacco products produced, supplied or distributed shall have the specified health warnings.


As per the extant Rules pictorial health warnings shall occupy at least 40% of the principal display area of tobacco product packages, limited to front side/panel only.

Framework Convention on Tobacco Control (FCTC) WHO recommends that the size of the pictorial health warnings should be 50% or more, but no less than 30%, of the principal display areas and on both the sides/panels.

The present rules provide that pictorial health warnings will occupy 40% of the principal display area, as stated above. However, the Ministry of Health & Family Welfare has notified the new Rules related to depiction of specified health warnings on tobacco product packages vide G.S.R. 727 ( E ) dated 15th October, 2014, to come into effect from 1st April, 2015. As per the new Rules, the Health warnings shall cover at least 85% of the principal display area and on both the sides/panels. However, the rules are under examination of the Committee on Subordinate Legislation, Lok Sabha.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.


************

Antibiotic Policy



Information regarding consumption of antibiotics in India is not being centrally collected. However, irrational uses of antibiotics including irregular, incomplete and inadequate treatments along with overuse of antibiotics are known drivers of drug resistance.



In order to strengthen the surveillance of antimicrobial resistance (AMR) in the country, Indian Council of Medical Research (ICMR) has set up a National Anti-Microbial Resistance Research and Surveillance Network (AMRRSN) to enable compilation of national data of AMR at different levels of Health Care.



The Drugs and Cosmetic Rule, 1945 were amended in 2013 to incorporate a new Schedule H1 under the said rules containing 46 drugs which include III and IV generation antibiotics, anti TB drugs and certain habit forming drugs for having strict control over the sale of these drugs. The Drugs falling under Schedule H1 are required to be sold in the country with the following conditions:-



1.      The supply of a drug specified in Schedule H1 shall be recorded in a separate register at the time of the supply giving the name and address of the prescriber, the name of the patient, the name of the drug and the quantity supplied and such records shall be maintained for three years and be open for inspection.



2.      The drug specified in Schedule H1 shall be labeled with the symbol Rx which shall be in red and conspicuously displayed on the left top corner of the label, and shall also be labeled with the following words in a box with a red border:



Schedule H1 Drug Warning:
-It is dangerous to take this preparation except in accordance with the medical advice.
-Not to be sold by retail without the prescription of a Registered Medical Practitioner.”


Further, the Government of India has formulated a National policy for containment of antimicrobial resistance in 2011. A National Programme for Containment of AMR has also been initiated in 12th Five Year Plan with the following objectives:-



§  To establish a laboratory based surveillance system by strengthening laboratories for AMR in the country and to generate quality data on antimicrobial resistance for pathogens of public health importance.
§  To generate awareness among healthcare providers and in the community regarding rational use of antibiotics.
§  To strengthen infection control guidelines and practices and promote rational use of antibiotics.



The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

********

Banned/Suspended Drugs


The following drugs have been banned/suspended during last three years and current year keeping in view the likely risk to human beings and availability of safer alternatives in the country:-

1.      Serodiagnostic test kits for diagnosis of tuberculosis on 7th June, 2012.

2.      Dextropropoxyphene and formulations containing Dextropropoxyphene for human on 23rd May, 2013.

3.      Analgin and all formulations containing Analgin on 18th June, 2013. [Suspension of this drug was subsequently revoked on 13th February, 2014 subject to the certain conditions.]

4.      Suspension of fixed dose combination of Flupenthixol + Melitracen on 18th June, 2013. It was subsequently prohibited on 11th July, 2014.

No case of manufacturing and marketing of unapproved New Drugs / Fixed Dose Combinations (FDCs) have been reported in the recent past. The manufacturing and marketing of banned drugs is a punishable offence under the Drugs & Cosmetics Act, 1940 and the State Licensing Authorities are empowered to take action in such cases.


The Central Government has, on 1st October 2012, issued statutory directions under Sections 33P of the Drugs and Cosmetic Act, 1940 to all the State/Union Territory Governments to instruct their respective Drug Licensing Authorities to abide by the provisions of the Drugs and Cosmetics Rules, 1945 while granting manufacturing licenses for drugs falling under the definition of the term “New Drug” and not to grant licenses for manufacture, for sale or for distribution or for export of such new drugs, except in accordance with the procedure laid down under the said Rules including obtaining approval of the Drugs Controller General (India) before granting such licenses. The State Drug Controllers have also been requested to ensure that New Drugs and FDCs are not permitted without approval from the office of DCG (I) and the drugs prohibited by the Central Government are withdrawn from the market with immediate effect.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.



***********

Auxiliary Nurse Midwives


The total number of Auxiliary Nurse Midwives (ANM) under National Rural Health Mission (NRHM) in the country, as per Rural Health Statistics (RHS) 2014, is given below:-


Health Worker (Female)/ANM at Sub-Centers & PHCs



Source: Data from Rural Health Statistics 2014 Bulletin (as on 31st March 2014)

Public health being a state subject, all the administrative and personnel matters, including that of appointments of ANMs on temporary/contractual basis under NRHM fall within the purview of respective State/UT Governments. Data regarding salary/allowances paid to ANMs is not maintained centrally.

Demands to regularize contractual employees including contractual ANMs appointed under the NRHM have been made in many states. The support under NRHM (except for the regular staff supported under Infrastructure Maintenance, scheme which predates NRHM) is for contractual staff only because the NRHM was initially approved only up to March 2012. It has subsequently been extended for a period till March 2017 only.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

**********

CGHS Wellness Centres


The Government has extended free OPD consultation facilities to senior citizens (60 years and above) from general public from 1.30 P.M. to 3.00 P.M. at the following 26 Wellness Centers of CGHS including six Wellness Centers under AYUSH in Delhi on pilot basis with effect from 1st September, 2014.

Details are given below:-



The facility has been initiated in 26 CGHS Wellness Centers in Delhi only as a pilot basis and there is no proposal, at present, to extend it to other locations.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

**********


Allocation of Funds for HIV/AIDS Control



Budgetary allocation to National AIDS Control Organization (NACO) and utilization at NACO and State Level is given below respectively:-




 * figures provisional only

 Release of Funds by NACO and utilization by SACS


2014
2015
Allocation
Release
Utilization
Allocation
Release
Utilization
Ahmadabad MC ACS                                 
832.55
414.42
648.4
710.44

265.61
Andaman & Nicobar SACS                           
191.59
134.91
151.29
207.29
133.48
32.75
Andhra Pradesh SACS                              
11707.93
7500.17
10613.39
11449.54
10317.17
4866.44
Arunachal Pradesh SACS                           
1022.9
980.29
947.31
1181.86
1102.00
312.76
Assam SACS                                       
2142.96
1795.28
1628.29
2503.81
1782.82
668.91
Bihar SACS                                       
3194.97
515
1904.51
4129.73
1241.17
1090.93
Chandigarh SACS                                  
709.72
479.41
573.85
865.52
596.45
406.70
Chattisgarh SACS                                 
2471.99
1001.81
1439.78
2831.78
2006.13
567.20
Chennai MCACS                                    
266.39
189.813
183.39
90.02

108.91
Dadra & Nagar Haweli                             
179.77
79.55
69.06
124.98

33.20
Daman & Diu SACS                                 
298.79
283.07
227.08
319.16
179.09
60.69
Delhi SACS                                       
3048.73
2185.13
2758.51
4447.68
1826.66
1390.23
Goa SACS                                         
597.61
458.024
504.58
755.56
272.85
345.18
Gujarat SACS                                     
6208.52
5103.82
4684.93
7093.63
4269.77
3409.13
Haryana SACS                                     
2453.51
1513.93
1871.23
2922.51
1571.12
608.45
Himachal Pradesh SACS                            
1638.23
1125.11
1135.5
1764.97
612.75
382.66
Jammu & Kashmir SACS                             
1008.04
487.4
755.37
1282.73
797.77
451.45
Jharkhand SACS                                   
2060.6
644.49
717.49
2431.93
1304.08
743.46
Karnataka SACS                                   
8374.4
5180.83
7094.95
9664.22
9098.93
2797.34
Kerala SACS                                      
2960.34
2345.31
2498.79
3593.00
2449.02
1625.95
Lakshadweep SACS                                 
51.12
43.52
24.68
25.52
6.08
10.23
Madhya Pradesh SACS                              
4734.47
905.82
3246.18
5560.53
4361.54
880.68
Maharashtra SACS                                 
11988.39
7732.55
8732.38
13012.02
11105.69
4981.21
Manipur SACS                                     
2853.85
1983.68
2148.12
3001.39
1961.36
1396.10
Meghalaya SACS                                   
587.74
475.35
518.36
739.00
608.68
346.73
Mizoram SACS                                     
1607.05
1365.42
1533.35
1847.77
1572.30
776.80
Mumbai MC ACS                                    
2504.58
1501.2
1977.27
3071.46
2096.27
917.78
Nagaland SACS                                    
2354.21
2144.94
2353.29
2450.25
2214.39
1318.72
Orissa SACS                                      
3695.94
2563.11
2388.69
4217.08
2039.49
1515.49
Pondicherry SACS                                 
436.76
331.15
378.51
478.19
327.89
235.53
Punjab SACS                                      
3019.76
1817.57
2316.88
3788.94
2309.49
1718.08
Rajasthan SACS                                   
4064.08
2168.36
2705.09
5146.45
2000.39
2278.71
Sikkim SACS                                      
583.35
528.41
543.2
614.24
518.60
294.92
Tamil Nadu SACS                                  
8382.02
4359.42
7424.39
9207.55
6926.41
4541.27
Tripura SACS                                     
822.31
670.66
693.77
947.15
818.88
346.12
Uttar Pradesh SACS                               
6476.26
3578.71
4058.41
8896.28
3225.33
2395.17
Uttarakhand SACS                                 
1610.68
1406.2
1250.37
1828.82
1010.77
695.38
West Bengal SACS                                 
5363.59
3065.83
3354.94
5353.33
3029.01
2578.33
Total
112505.7
69059.7
86055.58
128556.35
85693.83
47395.21


*Release and Expenditure figure as on 31st December 2014

 The details of release from SACS to NGOs State/UT wise are placed below:-

 No. of NGOs & Funds released by SACS

Consolidated State/UT wise Fund release and Utilization for 2011-12, 2012-13 and 2013-14





*As on date

The respective States AIDS Control Society (SACS) has monitored and assessed the work and performance of these NGOs/VOs.

 National AIDS Control Organization (NACO) has designed a system to review the functioning of the NGOs through a third party evaluation. The evaluation is carried out once in 2 years by the respective States AIDS Control Society (SACS).
 
SACS reviews the evaluation results and takes corrective steps based on the findings of the evaluation. For FY 2014-15 SACS have taken action basis the external and independent evaluation as follows:



The detailed evaluation reports are available on NACO website at http://naco.gov.in
The key strategies under The National AIDS Control Programme Phase-IV (2012-17) NACP-IV are being implemented which includes intensifying and consolidating prevention services with a focus on HRG and vulnerable population, increasing access and promoting comprehensive care, support and treatment.
The Minister of State, Ministry of Health and Family Welfare, Shri Shripad Yesso Naik stated this in a written reply in the Lok Sabha here today.



Pictorial Health Warnings on Tobacco Packages Pictorial Health Warnings on Tobacco Packages Reviewed by Ajit Kumar on 2:54 PM Rating: 5

No comments:

Powered by Blogger.