Tobacco smoking has become a major single cause of cancer mortality [death] around the world.
According to a report by WHO, the tobacco epidemic is one of the biggest public health threats the world has ever faced, which kills nearly six million people a year. More than five million of those deaths are the result of direct tobacco use while more than 600,000 are the result of non-smokers being exposed to second-hand smoke.
Approximately one person dies every six seconds due to tobacco, accounting for one in 10 adult deaths. Up to half of current users will eventually die of a tobacco-related disease.
The report says, “Tobacco caused 100 million deaths in the 20th century. If current trends continue, it may cause one billion deaths in the 21st century.”
Unchecked, tobacco-related deaths will increase to more than eight million per year by 2030. More than 80% of those deaths will be in low-and middle-income countries, the report suggests.
However, despite the menace caused by tobacco consumption, only four countries, representing just over a third of the world’s population, monitor tobacco use by repeating nationally representative youth and adult surveys at least once every five years.
As per the report, studies show that few people understand the specific health risks of tobacco use. For example, a 2009 survey in China revealed that only 38% of smokers knew that smoking causes coronary heart disease and only 27% knew that it causes stroke.
Among smokers who are aware of the dangers of tobacco, most want to quit. Counseling and medication can more than double the chance that a smoker who tries to quit will succeed.
National comprehensive cessation services with full or partial cost-coverage are available to assist tobacco users to quit in only 21 countries, representing 15% of the world’s population.
After the US health regulators found traces of asbestos in samples from Johnson & Johnson (J&J) baby powder and forced the company to recall 33,000 bottles of talcum powder, physicians in India have warned that long-term exposure of asbestos can trigger lung cancer in children.
Asbestos is a group of naturally occurring fibrous minerals that have the potential to cause cancer, according to the World Health Organization (WHO) and other health groups.
According to media reports, customers should stop using powder from the affected J&J batch ‘immediately’.
In its defence, the 133-year-old J&J said it had launched a review and prior tests have not found asbestos.
The firm is facing thousands of lawsuits from people who claim its talc products caused cancer, which J&J has strongly denied, said media reports.
“The only protection we have against asbestos is knowledge, vigilance and care for our children. If the lungs of children are pre-mature then they are more prone to get affected by asbestos,” Rajesh Chawla, Senior Consultant Respiratory Medicine, Indraprastha Apollo Hospital in New Delhi, told IANS.
“Children, who have accidentally inhaled asbestos, might see the effect after many years. Some can even develop lung cancer. In the advanced stage, one can also suffer from peritoneal mesothelioma,” Chawla explained.
The USFDA has been testing dozens of products for asbestos, a known carcinogen amid rising public concern.
In an earlier statement, J&J said that out of an abundance of caution, “it is initiating a voluntary recall in the United States of a single lot of its Johnson’s Baby Powder in response to a US Food and Drug Administration (FDA) test indicating the presence of sub-trace levels of chrysotile asbestos contamination (no greater than 0.00002%) in samples from a single bottle purchased from an online retailer”.
“Despite the low levels reported and in full cooperation and collaboration with the FDA, JJCI is initiating this voluntary recall of Lot #22318RB of Johnson’s Baby Powder, from which the tested sample was taken,” the company added.
According to Anubhava Patel, Consultant Neonatology and Paediatric at Motherhood Hospital in Noida, asbestos can cause restrictive lung disease and severe respiratory insufficiency.
“Long term inhalation can cause lung cancer (mesothelioma). It’s an occupational health hazard. These days asbestos is found in talcum powder and it is harmful to the kids,” Patel told IANS.
According to a case study on 33 patients, published recently in the Journal of Occupational and Environmental Medicine, exposure to asbestos-tainted talcum powder may cause malignant mesothelioma, a rare and deadly cancer that affects tissues lining internal organs.
“Exposure to asbestos-contaminated talcum powders can cause mesothelioma. Clinicians should elicit a history of talcum powder usage in all patients presenting with mesothelioma,” the study noted.
“Mesothelioma is considerably a new condition for India, with the first case being reported in 2015. Much of India’s asbestos-related health is primarily occupational and second-hand exposure,” said Manish Mannan, Pediatrics, Paras Hospital in Gurugram.
He added that kids who work with the material in factories are often the victims of diseases derived from asbestos exposure.
“Patients may not develop symptoms of mesothelioma as these symptoms are typically only discovered in the later stages of the disease. Treatment involved either some form of surgery, radiation or chemotherapy,” Mannan added. (IANS)