New resources posted in the articles section of the resource area:

  • The Pediatrician as Smoking Cessation Counselor: Rationale and Review of the Literature (PDF)
  • Multiple Approaches and Participation Rate for a Community Based Smoking Cessation Intervention Trial in Rural Kerala, India (PDF)
  • Correlates of Digit Bias in Self-reporting of Cigarette per Day (CPD) Frequency (PDF)
  • Socio-economic patterning of tobacco use in Indian states (PDF)

A reminder, you will need to be logged in to access these materials – If you have already registered here, and are having trouble accessing the resource area, email for assistance.

News Articles on Quit Strategies and the Tobacco Industry

  • Using Ex-Smokers to Spur Others to Quit (URL)
  • Strategies of the Tobacco Industry (URL)

A reminder, you will need to be logged in to access these materials – If you have already registered here, and are having trouble accessing the resource area, email for assistance.

Indian Association of Preventive & Social Medicine Conference (IAPSM), Jan 2013


Members of the Project Quit Tobacco India (QTI) project presented on the first day of the conference in the plenary session. Their session was entitled “Introducing a comprehensive evidence based tobacco cessation curriculum in Indian Medical Colleges: Methods, Materials and Quit Tobacco India Experience”. The session began with an overview on QTI by Dr Thankappan, followed by a presentation by Dr Yamini Thankachy entitled “Introduction & Implementation of Tobacco Modules & Cessation Training in Medical Colleges”. The third paper in the session was delivered by Dr. G.K. Mini: “Smoking Cessation for Diabetes Patients: Results of a Pilot Randomized Controlled Trial in Kerala, India. Following the session, CDs were distributed to interested participants which contained a few of the tobacco modules, tobacco cessation clinical videos, and QTI publications. Participants were referred to the QTI website for further information on the project and full access to project educational materials.

The session received an overwhelmingly positive response from the faculty of various medical colleges, who were quite impressed by the presentations. Many of the participants agreed that they did not have enough information on specific effects of tobacco on different medical conditions which they frequently saw in their practice. They also opined that tobacco cessation is a needed area and that they had not come across such a curriculum before. They were very appreciative of the clinical videos (one of which was shown during the presentation), since it captured the medical condition and the effect of tobacco on the condition, the patient response, and demonstrated how the doctor could provide information on tobacco cessation within the context of a medical encounter.

During the discussion, a number of questions were raised by faculty in the audience. These included:

  1. How were the modules actually implemented in the classroom?
  2. Did the faculty need to spend extra time and effort in the preparation and implementation of the modules?
  3. Were faculty members able to teach the mini lectures even though they did not have any formal training on tobacco and health or on issues of tobacco cessation?
  4. Where could faculty from other medical colleges obtain tobacco cessation training and how come they become certified as BI trainers?
  5. Did the website offer an online course on tobacco cessation?
  6. Were all materials shown in the presentation available on the website?
  7. Did QTI have any branches or partners in North India which could be approached for guidance?
  8. How have medical students benefitted from the curriculum and cessation training and when do they are these introduced in the curriculum?

Project QTI activities were highlighted in a ‘Times of India” newspaper article the day after the presentation. The article focused on the introduction and implementation of the tobacco curriculum and cessation and on the community program of “smoke free homes” in Kerala.

The IAPSM conference was an excellent opportunity to disseminate the research findings of Project QTI. Tobacco cessation modules and videos produced for the project were provided to the large national audience which was assembled comprised mainly of faculty from community medicine departments. Notably, these departments have successfully coordinated the implementation of the QTI tobacco curriculum in our partner medical colleges in Kerala and Karnataka. Thus, there is clearly scope and excitement about the spread of QTI curriculum and cessation training to other medical colleges in the country.

In the coming months, the main focus for QTI should be:

  1. To disseminate materials and publicize the website to as many medical colleges as possible throughout India.
  2. To provide a tobacco cessation course for doctors interested in certification as BI trainers.
  3. To develop the QTI demonstration video with both faculty and students to highlight how to implement the modules, the relative ease of implementation, and the utility of module implementation and training of medical students.

Dr Yamini Thankachy

Link to Times of India News


New Content on QTI Site

We have added a discussion section, where you can:

  • Give/Receive advice, and share experiences about answering patient’s questions and dealing with counseling challenges
  • Ask questions related to smoke free household community programs, and QTI module implementation & cessation training practices/materials
  • Post queries about general topics related to tobacco control as well as behavior change

All registered users of the QTI website can post new questions (click the “new topic” button) or post responses to existing questions (please note: you will need to be logged in to the QTI restricted area to access the discussion forums)

There is also new content (PDFs) in the articles section, the most recent being:

  • Smoking cessation among diabetes patients: results of a pilot randomized controlled trial in Kerala, India

Articles added to QTI Resource Section

A number of new articles are posted on the QTI Resource Section

  • IOM Tobacco and cancer report – Reducing Tobacco-Related Cancer Incidence and Mortality: Workshop Summary (PDF)
  • Addiction Research Centres and the Nurturing of Creativity – National Drug Dependence Treatment Centre, India—a profile (PDF)
  • New media and tobacco control (PDF)
  • Roadmap to a tobacco epidemic: transnational tobacco companies invade Indonesia (PDF)
  • Understanding the vector in order to plan effective tobacco control policies: an analysis of contemporary tobacco industry materials (PDF)

A reminder, you will need to be logged in to access these materials – If you have already registered here, and are having trouble accessing the resource area, email for assistance.

New Articles Posted to Resource Section

A number of new articles are posted on the QTI Resource Section

  • The Waterpipe; a New Way of Hooking Youth on Tobacco (PDF)
  • Using Salivary Cotinine to Validate Self-Reports of Tobacco Use by Indian Youth Living in Low-Income Neighborhoods (PDF)
  • Promoting Life Skills and Preventing Tobacco Use among Low-Income Mumbai Youth: Effects of Salaam Bombay Foundation Intervention (PDF)
  • Social Determinants of Health and Tobacco Use in Thirteen Low and Middle Income Countries: Evidence from Global Adult Tobacco Survey (PDF)
  • Knowledge of Health Effects and Intentions to Quit Among Smokers in India: Findings From the Tobacco Control Policy (TCP) India Pilot Survey (PDF)
  • Impact of cigarette smoke exposure on host–bacterial pathogen interactions (PDF)
  • Building tobacco control research in Thailand: meeting the need for innovative change in Asia (PDF)
  • Chronic Obstructive Pulmonary Disease, Inflammation, and Lung Cancer (PDF)

A reminder, you will need to be logged in to access these materials – register here

New Articles Posted in Resource Area

A number of new articles are available in the QTI resource area.

  • Tobacco Addiction – Overview Chapter (PDF)
  • Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone text messaging (PDF)
  • Passive Smoking and the Development of Cardiovascular Disease in Children: A Systematic Review (PDF)
  • Motivational interviewing versus prescriptive advice for smokers who are not ready to quit (PDF)
  • Cigarette Smoking and Oral Lesions Other Than Cancer (PDF)
  • Tobacco industry issues management organizations: Creating a global corporate network to undermine public health (PDF)
  • Risk Assessment of Pesticide Exposure on Health of Pakistani Tobacco Farmers (PDF)
  • Knowledge of Health Effects and Intentions to Quit among Smokeless Tobacco Users in India: Findings from the International Tobacco Control Policy Evaluation (ITC) India Pilot Survey (PDF)
  • Approach to Smoking Cessation in the Patient With Vascular Disease (PDF)
  • “Working to shape what society’s expectations of us should be”: Philip Morris’ societal alignment strategy (PDF)
  • Tobacco Use or Body Mass – Do They Predict Tuberculosis Mortality in Mumbai, India? Results from a Population-Based Cohort Study (PDF)
  • Environmental health impacts of tobacco farming: a review of the literature (PDF)

A reminder, you will need to be logged in to access these materials – If you have already registered here, and are having trouble accessing the resource area, email for assistance.

Smoking, TB, and Lung Cancer (article)

What is the relationship between being a smoker, experiencing TB and being diagnosed with lung cancer?

See this article by Shiels et. al. 2011 published in Cancer Epidemiology,Biomarkers, & Prevention

This article, and many others, found in the QTI resource area.  (register here for access if you have not already…it’s free and takes about 1 minute)

New Article Posted in QTI Resource Area

A new study on the process and operational aspects of setting up tobacco cessation services in India along with results of interventions at different time intervals. The article has broad significance and adds to the growing literature that cessation services work in middle income and  developing countries.
  • Cherian Varghesea et. al.
  • Initiating tobacco cessation services in India: challenges and opportunities
  • WHO South-East Asia Journal of Public Health 2012;1(2):159-168

Background: Tobacco use contributes significantly to the diseases burden in India. Very few tobacco users spontaneously quit. Therefore, beginning 2002, a network of 19 tobacco cessation clinics (TCCs) was set up over a period of time to study the feasibility of establishing tobacco cessation services.

Methods: Review of the process and operational aspects of setting up TCCs was carried out by evaluation of the records of TCCs in India. Baseline and follow-up information was recorded on a pre-designed form.

Results: During a five-year period, 34 741 subjects attended the TCCs. Baseline information was recorded in 23 320 cases. The clients were predominantly (92.5%) above 20 years, married (74.1%) and males (92.2%). All of them received simple tips for quitting tobacco; 68.9% received behavioural counselling for relapse prevention and 31% were prescribed adjunct medication. At six-week follow-up, 3255 (14%) of the tobacco users had quit and 5187 (22%) had reduced tobacco use by more than 50%. Data for three, three-monthly follow-ups was available for 12 813 patients. In this group, 26% had either quit or significantly reduced tobacco use at first follow-up (three-months), 21% at the second (six-months) and 18% at the third follow-up (nine-months) had done so.

Conclusions: It is feasible to set up effective tobacco cessation clinics in developing countries. Integration of these services into the health care delivery system still remains a challenge.

*Remember you can register to receive full access to these and many other resources (training materials, articles, news, videos, etc)

More evidence on the impact of second hand smoke on low birth weight –article to be posted soon

Indian Pediatr. 2012 Jun 10. pii: S097475591100998-1. [Epub ahead of print]
Residential Environmental Tobacco Smoke Exposure During Pregnancy and Low Birth Weight of Neonates: Case Control Study in a Public Hospital in Lucknow, India.

Khattar D, Awasthi S, Das V.

Departments of Pediatrics, and * Obstetrics and Gynecology, CSMMU, Lucknow, Uttar Pradesh, India. Correspondence to: Prof. Shally Awasthi, Department of Pediatrics, CSMMU (Erstwhile King Georges Medical College), Lucknow, Uttar Pradesh, India.



To determine whether residential environmental tobacco smoke (ETS) exposure during pregnancy is associated with low birth weight (LBW) neonates and establish a dose response relationship.


Case control study carried out in a tertiary care hospital in Lucknow, India from May to July 2011. Excluded were women smokers and tobacco chewers, high parity (>3), multiple pregnancy and still births. Included were 100 cases and 200 controls, aged 20 to 30 years. Mothers giving birth to LBW neonate (2.5 kg at birth were controls. Information was collected on ETS exposure and other risk factors of LBW within 24 hours of delivery. Clinical information like maternal haemoglobin levels, birth weight and gestational age of the neonate was extracted from hospital records.


On univariate analysis, preterm pregnancy, low socioeconomic status, previous LBW neonate, no utilization of antenatal care (ANC), severe anemia and ETS exposure were statistically significantly associated with LBW neonate and controlling for these in logistic regression analysis, adjusted Odds ratio for ETS exposure association with LBW neonate was 3.16 (95% CI=1.88-5.28). A dose response relationship was also found which was statistically significant (10-20 cigarettes smoked/day: OR = 4.06, 95% CI=1.78-9.26 and >20 cigarettes smoked/day, OR = 17.62, 95% CI= 3.76-82.43).


Exposure to ETS during pregnancy is associated with LBW of neonates. Hence, there is an urgent need to increase awareness about health hazards of ETS during pregnancy and bring about behavioural changes accordingly as a one of the strategies to reduce LBW deliveries in India