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Smokeless tobacco control in India: policy review and lessons for high-burden countries.

BMJ Glob Health · 2020 · PMC7365431 · PMID 32665375

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an encouraging trendno p-value reported
2 However, the recent surveillance data show an encouraging trend with more than 17% relative decline in SLT use from the prevalence in 2010–2017 in the country. 15 Improvement in the enforcement of the COTPA provisions and implementation of the National Tobacco Control Programme (NTCP) in all districts along with one cessation centre in each district and all dental colleges has been initiated by the government of India. 35 These efforts offer real opportunities to accelerate the reduction in SLT use across the country including the 13 high SLT burden states.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.