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India introduced its first anti-tobacco act, The Cigarette Act (regulating production, supply and distribution), in 1975. But it was largely limited to health warning on cigarette packages and advertisements and proved to be insufficient. Since 1990, tobacco control efforts were strengthened. Smoking in certain public places such as hospitals, dispensaries, educational institutions, air-conditioner public transports, etc. is prohibited. Warning labels are also required on smokeless tobacco products. Multi-sectional approach to tobacco control as well as community education on tobacco is being promoted. State-level legislation on tobacco control has improved but needs to be unified. Toward this end, the national tobacco control coalition, the Advocacy Forum for Tobacco Control, was established. In addition, the Cigarettes and Other Tobacco Products Bill was passed and enacted. Under the new legislation, advertising at sports and cultural events are banned, sale of tobacco to minors are prohibited, and more prominent health warning labels are required. However, India still needs to devote more efforts to control smuggling, to raise tax, and to ensure the enforcement of tobacco control laws.

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