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- 13.4 ROLE OF STAKE HOLDERSProvision of Tobacco Free Campus and Role of Students, Role Of Students In Their FamilyAnd Immediate Surroundings, Role Of NGOs and Other Agencies3.4.0. Objectives3.4.1. Introduction3.4.2. Provision of Tobacco Free Campus and Role of Students3.4.2.1. Objective of these Guidelines3.4.2.2. Guidelines for Tobacco Free Campus (Govt of India)3.4.3. Roles and Responsibilities of Students in Tobacco Free Campus3.4.3.1. Preparing Students for Tobacco and Drug Campus3.4.3.2. Role and Responsibilities of Students in Drug & Tobacco FreeCampus3.4.4. Role of Students in Tobacco & Drug Prevention in Their Family and Society3.4.4.1. Role of Students in Drug abuse in Family3.4.4.2. Role of Students in Society and community against substance abuse3.4.4.3. Value of youth participation in drug prevention program3.4.5. Role of NGOs in Prevention of Substance abuse3.4.6. Role of National bodies3.4.7. Let Us Sum Up3.4.8. Key Words3.4.9. Check Your Learning3.4.10. Suggested Readings
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- 23.4.0. ObjectivesIn the earlier units, we covered substance misuse from a variety of perspectives. Thischapter attempts to make you aware of the importance of taking action in the fight againstaddiction. Since substance misuse affects not just one person but also the entire world, a country,a society, and a family; it is crucial that all societal stakeholders get involved. There is a need forspecialized organizations, NGOs, and individuals—such as students—to mount an effectivedefense against this evil. After finishing this unit, you will be aware of the part that various stakeholders, including you, can play in eliminating addiction from society. After studying this lesson,you will be able to: Know about the role of students in the fight against addictions of drugs. assess the duty of students for bringing awareness in school, family and surrounding forthe eradication of substance abuse; give an overview of the role of NGOs and other specialized national and internationalagencies for eradication of drugs, tobacco and alcohol addiction in India.3.4.1. IntroductionThe usage of drugs is an increasing concern across the world. No civilization or nationmay assert immunity. The globe has understood that unless we mount a calculated defense anddevelop successful intervention tactics, this evil will consume the entire planet. Addiction toalcohol, drugs, and cigarettes is increasing among adolescents and college-bound teenagers as aresult of a number of variables that have been explored in earlier units. This implies that thethreat of addiction affects even schools and colleges. As a result, society's and humanity's futuresare both in risk. Addiction is consuming both youths and adults alike outside of academiccampuses, in the villages and urban areas. This is something that many of us have realized, andoccasionally, at least some of us have believed that something concrete ought to be done in orderto stop things from continuing in this way.The government works to reduce both the supply and the demand for certain substances.However, the government cannot handle everything, particularly in a huge nation like India.Individuals, such as students and NGOs, have a moral obligation to support the government'sefforts to end the drug epidemic. The function of students on the university, in the home, and inthe neighborhood is discussed in this chapter. Because society contributes to substance misuse invarious ways, it has to be made aware of its part in fostering addiction and given the tools to stopit from happening again. Various organs make up society. All of these organs must be involvedin order to plan an efficient prevention and treatment strategy. We'll talk about how to attain this
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- 3balance. The individual, family, and community may not fully comprehend some aspects ofprevention and treatment. For those area how the government agencies are working to control thethreat of addiction will be also dealt here in the following paragraphs.3.4.2. Provision of Tobacco Free Campus and Role of StudentsTobacco use is the leading global contributor to preventable disease and prematuremortality, killing half of its users before they reach reproductive maturity. Use of tobaccoincreases the chance of developing diseases such as cancer, cardiovascular disease (CVD),diabetes, chronic pulmonary disease, stroke, infertility, blindness, TB, oral cavities, etc.According to the Global Youth Cigarettes Survey (GYTS), 2009, 14.6% of Indian youthsbetween the ages of 13 and 15 use tobacco. Many health issues, such as more frequent andsevere asthma episodes, respiratory infections, ear infections, sudden infant death syndrome(SIDS), coronary heart disease, stroke, lung cancer, etc., are brought on by passive smoking orsecond-hand smoke exposure in newborns, youths, and adults.Over 13.00 lakh people in India die from tobacco-related causes each year, or about 3500people every day. Public health risks associated with spitting up tobacco and tobacco productsinclude the spread of gastro-intestinal illnesses, pneumonia, and the swine flu, as well as thepossibility of transmitting tuberculosis because the bacteria can survive in spit for up to a day.Given the aforementioned information, governments all around the world, includingIndia, have passed laws prohibiting smoking on school grounds. Colleges and institutions thathave enacted laws banning the use of tobacco products at all indoor and outdoor campus sites areconsidered to have tobacco-free campuses. It is well established that tobacco use is bad for theenvironment, smokers, and bystanders. Colleges have been developing tobacco usage rules eversince this problem was first identified in an effort to raise health standards, create a moreenjoyable campus environment, and lessen nicotine's harmful environmental effects.In order to implement measures to reduce tobacco usage, the Government of India passedthe Cigarettes and other Tobacco Products (Prohibition of Advertisement and Regulation ofTrade and Commerce, Production, Supply and Distribution) Act, 2003 (COTPA 2003) in 2004..Various laws prohibit smoking in public places, selling tobacco to and to minors, selling tobaccowithin 100 yards of educational institutions, and engaging in direct and indirect tobacco productadvertising and promotion. These have been discussed in the last sub units. The NTCP is acomprehensive programme that emphasizes community involvement, school programmes, IEC,
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- 4and advocacy in addition to offering a strong foundation for the implementation of tobaccocontrol laws and activities.The Government of India released, launched, and prepared the "Guidelines for TobaccoFree Schools/Educational Institutions" in 2008 and the "Step by Step Guidelines forimplementation of Section 6(b) of the Act and Rules" in 2017. This was done in response to theGYTS and GATS findings that there is significant tobacco use among adolescents and youngadults, despite the fact that they are most susceptible to exposure to tobacco use. Since then,numerous further actions have been taken. These rules were created as a result of the GATS2data, which also indicated that the earlier guidelines needed to be reviewed.While some educational institutions only forbid smoking on their campuses, someuniversities and colleges have made it illegal to use any kind of tobacco, cannabis, or othersubstance. The intensity and rigor of each college's cigarette policy varies slightly. Colleges areattempting to reduce tobacco use in a variety of ways, not only by outright prohibiting it oncampus. Many colleges provide students seeking to quit tobacco use cessation programmes andongoing support.The Government of India has created Guidelines for "Tobacco-Free EducationalInstitutions (ToFEI)" under the NTCP, and all schools in the nation are required to abide bythem. The Central Board of Secondary Education (CBSE) also adopted it for use in all of theschools that are associated with it. In reaction to the lax enforcement of the law in educationalinstitutions, these principles were developed.3.4.2.1. Objective of these GuidelinesThe purpose of these guidelines is to provide tobacco control programmes for teenagersand young adults a new lease on life. Any educational institution, including schools at all levels,colleges for further or professional education, and universities, both in the public and privatesectors, may implement these rules.3.4.2.2. Guidelines for Tobacco Free Campus (Govt of India) An Educational Institution should display of “Tobacco free School” or “Tobacco-freeInstitution” board at a prominent place on the boundary wall outside the main entrance.The signage should be displayed in the language of instruction in the EducationalInstitution and also in the local language if it is so possible.
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- 5 A representative of the students, a teacher, or an official from the staff of the educationalinstitution should be chosen to serve as the tobacco monitor(s) (the student from class IXonwards). Tobacco Monitors should be assigned as Health & Wellness Ambassadors.The placard should also include the name, title, and phone number of the tobaccomonitor(s). It is possible to designate more than one tobacco monitor, and doing so mightbe a good idea. Smokers should be careful not to be identified as Tobacco Monitors. The administration of an educational institution should make sure that no tobaccoproducts are sold there or within 100 yards of the building. Calling the National Quitlineat 1800-11-2356 is the best way to report any violations. If at all possible, themanagement should work with the community, particularly parents, and local lawenforcement to put a stop to such transactions. It should be noted that clause 6(b), whichprohibits the sale of tobacco products within 100 yards of educational institutions, alsoallows the Head of the Institution to levy fines for violations. To ensure that no tobaccoproducts are offered inside the defined area, educational institutions should also use theassistance of local authorities to mark such limits or areas that clearly define the 100yards area.
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- 6 The administration of a school must forbid the use of tobacco products on the school'sproperty by anybody, including students, teachers, other staff members, drivers of schoolbuses, and visitors. The Campus Code of Conduct should include the "No Tobacco Use"rule, and infractions should result in disciplinary action in accordance with their internalpolicy. Because all educational institutions' grounds are public spaces by definition, smoking ontheir property is against section 4 of the COTPA. According to the COTPA, 2003, theHead of all Educational Institutions is also permitted to levy and collect fines for suchoffences. Due to the 2011 Food Safety and Standards (Prohibition and Restrictions on Sales)Regulation's prohibition on the use of tobacco and nicotine as food additives, many States
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- 7have issued the required directives to make it illegal to purchase gutkha and pan masala(containing tobacco or nicotine). Despite being a standardized product under the FoodSafety and Standards Act of 2006 and the Regulations enacted thereunder, Pan Masalawithout tobacco and/or nicotine should not be consumed because it is harmful to health. By encouraging them to use the Quitline and Cessation programmes, educationalinstitutions may aid tobacco users and addicts in their efforts to stop using tobacco. TheQuitline is a good source of details regarding these options. A tobacco-free educational institution is not allowed to take part in any event that issponsored by a business that encourages the use of tobacco products or that manufacturesor distributes them in any way. Additionally, EIs and students should not accept anyaward or scholarship established by such companies.. The management of educational institutions and tobacco monitors must also be on thelookout for tobacco substitutes like e-cigarettes and similar devices, such as Heat-Not-Burn devices, Vape, e-Sheesha, and e-Nicotine Flavored Hookah. Even though they arenot tobacco products, these products are nevertheless bad for your health. E-cigarettescome in a wide range of sizes and designs that resemble conventional cigarettes, cigars,pipes, pens, USB flash drives, and other items. They also have a slick, high-tech designand rechargeable batteries. These products are typically sold as safer substitutes fortraditional cigarettes, but this safety claim is untrue. There is evidence that these productslead to nicotine addiction in young adults and adolescents. The Quitline can receivereports of any use of these products on campus. The institution may use the Self-Evaluation Scorecard for Tobacco Free EducationalInstitution recommended by the Ministry of Health and Family Welfare, (MoHFW)Government of India, to evaluate the state of implementation of the Tobacco FreeEducational Institutions Guidelines in their institution on a semi-annual basis and toobtain a certificate to this effect for those EIs who score 90% or higher marks. TheEducational Institutions might decide to take part in the Tobacco Free EducationalInstitutions Award Scheme after they are convinced that they have attained thebenchmark score. If a Tobacco Free Educational Institution's score is verified to be equalto or higher than the benchmark score, the EI will get a Tobacco Free EducationalInstitution Certificate. The MoHFW will release specific information regarding theTobacco Free Educational Institution Award Scheme separately.
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- 8 Tobacco Control activities: The Educational Institutions should undertake tobaccocontrol activities from time to time. Some suggestive activities are as under –o There must be a "Tobacco Control Committee" in place. A science teacher, or anyother instructor, a school counsellor (if available), at least two NSS/NCC/scoutrepresentatives, at least two parent representatives, a municipal councilor, amember of PRIs, and any other member may serve as its chairperson. Thecommittee will keep an eye on the school's or institution's tobacco control efforts.The committee must meet every three months and submit a report to the districtoffice.o Tobacco-free pledge gatherings; competitions for posters, slogans, essays,quizzes, and debates; and street plays, among other activities. Posters that havebeen created with information regarding the negative effects of tobacco useshould be placed prominently around the educational facility.o Integration of tobacco control activities with ongoing School Health Programmeof the State.o The Educational institution management should encourage tobacco controlinitiatives by students /teachers/ other staff and certificates of appreciation orawards may be given to those who take initiative and do good work in this regard.
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- 9o Educational institutions could ask local law enforcement officials, such as theState Nodal Officer for Tobacco Control in the State Health Directorate, toparticipate in school assemblies and give a speech on tobacco control. Theseofficials may also be consulted for technical or other feedback. This will make iteasier to lobby decision-makers on tobacco-related issues.o Marking of 100 yards area from the outer limit of boundary wall / fence of theEducational Institution.Besides the above suggestive list, the Educational Institutions team should explore otheroptions as well to make their campus tobacco free.3.4.3. Roles and Responsibilities of Students in Tobacco Free CampusSimply making policy for prevention of Tobacco usage in educational institutions willnot going to achieve its objectives. It is necessary for the various stake holders to perform theirresponsibilities honestly. National Tobacco Control Cell, Ministry of Health and Family Welfare,Government of India, State/District Tobacco Control Cell and Civil Society Organizationsshould properly perform their role and responsibilities to make educational institution tobaccofree. MoH&F, Government of India has laid down role and responsible of all the above-mentioned stake folders in its guidelines for Tobacco Free Educational Institutions. And all theaforesaid stake holders are doing their duties. Apart from the above stake holders, for makingEducational Institutions tobacco free and drug free, active participation of students is of outmostnecessity. In the following paragraphs responsibilities students for the mission of Tobacco FreeCampus initiatives are discussed.An Exemplary Pledge for StudentsI pledge that I will not use tobacco products, illegal drugs, or alcohol. I will do my bestto educate my friends and family and neighborhood about the dangers of using suchproducts and how they are life killers. I will always make the right decision by refusingto take any such product and resist their consumption and sale to the people of mysurroundings.
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- 103.4.3.1. Preparing Students for Tobacco and Drug CampusStudents are undeniably an integral part of society. They possess boundless energy andenthusiasm, and they often offer fresh perspectives on relevant issues. With their uniqueexperiences, viewpoints and vitality, young people are capable of making extremely importantcontributions to society.School and college going adolescent, young person’s confront difficult choices withrespect to drugs, alcohol, and tobacco and sometimes respond by experimenting or by rebellingagainst traditional sources of authority. These days, drug abuse has become more prominentamong youth. Today, there is a clear need for effective drug prevention programs directedtoward youth. And participation of youths in such prevention program is now an utmostnecessity. Thus, in the case of tobacco free campus initiative participation of students isessential. But a question arises here, how can we make the students actively participate in thecrusade against substance abuse? Is it necessary to train them? How and where to train them?And the answer to these questions is training in the school and colleges.Schools and colleges are among the most common settings for substance use preventionefforts. It is here in the classroom that students are groomed by teachers. Thus, school shouldtrain the students appropriately before seeking their participation in fight against substance use.Some of the possible way to train the students in school are as follows: School should engage themselves in supporting the development of social, emotional anddecision-making skills of students in early years and providing opportunities to practicethese skills in the context of substance use-related issues; and helping youth understandand resist negative social influences. School should develop a positive school culture that encourages pro-social behaviors andthe active participation of students in school life, and developing clear substance usenorms and policies and supportive practices to address any possible incidents ofsubstance use or mental health-related issues can contribute to substance use prevention. In tertiary education (comprising universities, colleges and vocational schools),addressing school policies and culture, altering the environment through social marketingcampaigns and providing brief interventions can prevent substance use, and studentparticipation in the planning, targeting, delivery and marketing of such interventions canalso be valuable. Educational institutions should conduct prevention programmes. Because preventiveprogramme provides a basis for teaching young people to develop healthy behavioral
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