"It is mentionable that no government will allow to put anything inside the mouth which is a poison or a toxic substance. If we modify the definition of 'food' by saying that 'a substance which is put into the mouth for the purpose of consumption fully or partially, by methods like chewing, sucking or any other method may be labelled as a 'Food Item," said S K Arora, Additional Director, Health, Government of Delhi, in a letter to the Union Health Ministry.
Arora said consumption of chewable tobacco is increasing in Delhi because of surrogate advertisements of pan masala, especially by Bollywood celebrities.
Immediately after coming to power in February 2015, the AAP government had issued a notification banning chewable tobacco but some manufacturing companies filed a writ petition in the Delhi High Court on account of which it could not implemented.
(REOPEN MES7)
Dr Satheesan said high availability and consumption of tobacco in smoking and chewing forms in north Kerala may also be attributed as a reason for high rate of tobacco related cancers in the area.
"Provision of health-friendly alternative livelihoods to beedi workers which has been adopted by leading groups in the field is expected to change the scenario. But increasing beedi prices to dissuade users would be welcome," he added.
Pan chewing among patients from Kannur, Kasargod and Kozhikode stands at 14, 19 and 16 per cent respectively.
Dr Saina Sunilkumar, Lecturer, Department of Cancer Registry and Epidemiology, Ratheesan K and Shri Subhradev Sen, Lecturers in Biostatistics collaborated for the study.
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