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Unsuccessful ban on gutkha and need for tobacco control in India

In India, the use of smokeless tobacco, including gutkha, is a prevalent and dangerous
practice that poses serious health risks, especially for oral cancer. Despite being
banned by Indian states since 2012, gutkha remains widely used and available.1 Gutkha
is a mixture of areca nuts, slaked lime, catechu, tobacco, added flavourings, and
sweeteners.2 The ban on gutkha aimed to control addiction rates and adverse effects
on the oral mucosa. However, companies producing gutkha have found ways to circumvent
the ban by producing pan masala (a non-tobacco product containing areca nuts, slaked
lime, catechu, and seasonings) under the same brand name, with tobacco provided separately
in a packet for free, allowing users to prepare their own gutkha. ....

Elsevier Ltd , Tob Res , Oral Pathol Med ,

Defining and conceptualising the commercial determinants of health

Although commercial entities can contribute positively to health and society there
is growing evidence that the products and practices of some commercial actors notably
the largest transnational corporations are responsible for escalating rates of avoidable
ill health, planetary damage, and social and health inequity; these problems are increasingly
referred to as the commercial determinants of health. The climate emergency, the non-communicable
disease epidemic, and that just four industry sectors (ie, tobacco, ultra-processed
food, fossil fuel, and alcohol) already account for at least a third of global deaths
illustrate the scale and huge economic cost of the problem. ....

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