42P - Impact of legislative restrictions on tobacco usage in prevalence of COPD and other lung disorders in Kerala, India

Date 15 April 2016
Event European Lung Cancer Conference 2016 (ELCC) 2016
Session Poster lunch
Topics Bioethics, Legal, and Economic Issues
Aetiology, Epidemiology, Screening and Prevention
Basic Scientific Principles
Presenter Fawaz Pullishery
Citation Journal of Thoracic Oncology (2016) 11 (supplement 4): S57-S166. S1556-0864(16)X0004-4
Authors F. Pullishery
  • Public Health, Educare Institute of Dental Sciences, 676504 - Kozhikode/IN



Tobacco smoke is by the far the common cause of Chronic Obstructive Pulmonary Disease and other lung diseases. Kerala government has imposed restrictions on sales and usage of tobacco in the state in recent years. The aim of this study was to assess the impact of legislative restrictions in the usage of cigarettes, beedi and other variants of smoking tobacco on prevalence of COPD and other lung diseases in Malappuram district in the state of Kerala, India.


A cross-sectional data analysis was conducted using health records from the District Medical Office in Malappuram, Kerala from the year 2010 to 2015. The prevalence of COPD and other lung disorders associated with tobacco smoking were assessed before and after the imposition of legislative restrictions on tobacco usage in the state. Data were statistically analyzed and results were tabulated accordingly.


Our study showed that there is a considerable decrease in prevalence of COPD and other lung disorders related to tobacco smoking in the district after the restrictions and it was statistically not significant. There was approximately a 36% reduction in the prevalence of COPD; a reduction of 15% and 42% in prevalence of Emphysema and Chronic bronchitis respectively (p > 0.05). It also showed a significant reduction in the prevalence of Tuberculosis and Lung cancers in the district.


The restrictions on usage and sale of cigarettes and other smoking products of tobacco have shown considerable improvement in the status of related lung diseases. There is limited evidence on tobacco smoking in the state although the trend is downwards. There is much support for and compliance with smoking bans in public places after the legislative measures.

Clinical trial identification

Legal entity responsible for the study

Educare Institute of Dental Sciences


Educare Institute of Dental Sciences


All authors have declared no conflicts of interest.