12.5.2023 TOBACCO CESSATION STRATEGIES IN LUNG CANCER – Dr. Pawan Gupta M.Ch.
I was invited to talk about the strategy of tobacco Cessation for lung cancer patients in the Symposium on Management of Early Lung Cancer at Maple Hall, India Habitat Centre on 12.5 .2023.
About 40 young Oncologists from across all Institutes in Delhi NCR gathered for the symposium convened by Dr. Satyapal Kataria and Dr. Anshul Gupta.
These young oncologists are different, they have special bonding, unlike the older oncologists who have compartmentalized themselves in their Institutions and work only to gain patients.
The discussion was rich and educative. I as an Onco-surgeon with in-depth research in tobacco cessation and running a successful tobacco cessation center at MAX gain an insight into the simplified methodology to successful tobacco cessation protocol-based intervention. ICanCaRe protocol is a salable, scalable, and sustainable model to be adopted by all institutions.
Tobacco Cessation, a preventive aspect of oncology is generally not a part of even major conferences but was accepted very well by the young oncologists. Each one felt that they need to do more and get involved for the better treatment and future of their patients. 100% said there is a great need for tobacco cessation in their practice. A cessation expert is needed in all the hospitals.
They were eager to know about the cessation methodology. Each was more than ready to incorporate #advicequittobacco in their practice.
Appreciate #anshulgupta #satyapalkataria for the wonderful meet.
Dr. Pawan Gupta at the VISON ODISHA 2036/86 on 22nd April 2023 at the constitution club, New Delhi on the topic “Challenges in Health, Hygiene, and Sanitation.
As we develop the facilities will develop. We will have lots of hospitals coming up in private-public, with the latest equipment, etc.
But all the facilities will be overwhelmed by the increase in the number of patients, still, they will be insufficient. NCD -non-communicable diseases are going to increase exponentially. Hypertension, diabetes, obesity, nephropathy, liver cirrhosis, cancer, stroke, cardiac, etc are on the increase. But importantly they are all preventable diseases. If we vision for 2036 and 2086 we have to work towards prevention 3 important – “The way we eat, the way we live, and the way we take care of ourselves”
WE HAVE TO WORK TOWARD THE PREVENTION
1. TOBACCO and ALCOHOL – Control most diseases.
2. BAN PLASTICS – The micro-polymer is the biggest hazard to the environment, soil, and health.
3. WOMEN SANITATION – HYGIENE – universal availability of HPV Vaccine and Sanitary pads (reusable and environment friendly). Eradicate Cervical Cancer.
4. FOOD DIET
5. EXERCISE AND YOGA
Education has to start at the school level. Lifestyle has to be adopted from childhood.
“HAR GHAR TOBACCO MARSHAL” – to start with we have to work to make our teachers Tobacco MARSHALs. Odisha is one of the highest consumers of tobacco and one of the highest in oral cancer. Tobacco causes 200 varieties of diseases. Mortality due to tobacco consumption is the highest. The consumption rate has increased to 51.5% population. This is the cause for concern.
Tobacco is the highest pollutant in the environment. Once controlled it will lead to environmental change.
EACH ONE OF US HAS TO TAKE RESPONSIBILITY and make our ODISHA a beautiful state – free from tobacco. It is possible but we have to start now.
Dr. Pawan Gupta, Director of Surgical Oncology HN, MAX Institute of Cancer Care – EZ and Founder of ICanCaRe was invited faulty at the 2nd National Consultation for Smokeless Tobacco held at India International Centre, New Delhi from 21st to 23rd February 2023.
It is an honour to be invited to deliver a talk at the august gathering of stalwarts who are at the helm of changing the scenario for Smokeless Tobacco.
The Consultation is conducted by NICPR, MOHFW with The UNION with SEEDS as partner.
Dr. Pawan Gupta being a clinician presented his experience as the changing force for SLT management in clinics. His practical experience with the SLT patients presenting with oral lesions is common. “GROUND REALITIES FOR SLT” Chair of the session were Dr. Suneela Garg and Dr. Preeti Kumar.
Dr. Pawan Gupta emphasized that Tobacco Cessation in India is different and the western methodology cannot be just copied for our Indian patients. The Indians have different sorts of problems and each problem needs to be addressed independently. Tobacco cessation is now available, feasible, and effective. ICanCaRe has evolved the methodology over a period of time and simplified it by laying down some simple protocols – put as ABCD of Tobacco Cessation. A standard intervention but customized for the individual as per digital protocol on the ICanCaRe app (http://app.icancare.in) has borne results.
The simplified protocol needs to be amplified with the involvement of everyone across society. People need specialists who can successfully treat this complex disease of Tobacco Addiction. ICanCaRe academy trains people at three different levels to get involved in tobacco control – TOBACCO MARSHAL, TOBACCO AMBASSADORS, and TOBACCO INTERVENTION SPECIALISTS (www.icancare.in/academy). The course has been accredited by Gujarat University and is an intensive practical course to introduce standardized intervention for tobacco cessation across India. We need to have effective tobacco cessation clinics across India manned by a trained and skilled specialists, visibly present and networked with other specialists to benefit their patients.
Dr Pawan Gupta also showcased the TRISCaRe for trismus care the Innovative mouth opener device needed for the SLT and Areca nut users who have Submucous Fibrosis.
First ever private Quitline number – 011-43077695 and also multilinguistic virtual clinic with E-Pharmacy for tobacco is unique to ICanCaRe. Resource books – Tobacco Cessation – a Comprehensive Guidelines, Win over Tobacco – made Easy, Be Smart Do not Start, Making an Institute Tobacco Free – Guidelines and Campaigns – #SAVEtheYouth, #ChotaDaana, #Knowtobacco #tobaccomarshal are unique intervention that may be widely adopted.
Scholarship for the OCTC has been made available of limited seats with the funding received from Bajaj Electricals Foundation through I CAN WIN FOUNDATION.
The ICanCaRe campaign #ADVISEQUITTOBACCO is to promote to all the HCPs so that they are inclusive in the tobacco cessation program.
Co-participants for the panel included Dr. Vikrant Mohanty, Dr. Shalini Gupta, Mrs. Mira Aghi, and Dr J.S.Rana.
Tobacco is a public problem and it is important that everyone gets involved and stand strong to subdue the Tobacco Industry.
