Latest news with #LMICs
The Print
2 days ago
- Health
- The Print
AIIMS researchers call for warning labels on alcohol like tobacco
The opinion piece by oncologists Dr Abhishek Shankar, Dr Vaibhav Sahni and Dr Deepak Saini from the Department of Radiation Oncology, Dr BR Ambedkar Institute Rotary Cancer Hospital, AIIMS, Delhi stated that adolescence forms a crucial period for the initiation and intensification of substance use behaviour, including alcohol. In an opinion piece titled 'Expanding behavioural interventions through cancer warning labels in India: from cigarette packs to alcohol bottles' published in Frontiers in Public Health on July 24, the doctors have highlighted that alcohol, like tobacco, is a proven carcinogen, yet awareness remains low. New Delhi, Jul 27 (PTI) Researchers at AIIMS have called for strong, evidence-based warning labels on alcohol products to prevent avoidable cancers, building on India's success with tobacco warnings. Behavioural interventions instituted by means of alcohol warning labels may prove to be effective in affecting positive changes in the consumption habits of individuals belonging to this age group, particularly in Low- and Middle-Income Countries (LMICs), where it is all the more important for certain sections of society to be educated and sensitised towards the consequences of substance use, the researchers said. They stated that cancer cases in India have seen a steep rise, with data from the 2012 to 2022 period suggesting a 36 per cent increase in incidence (1.01 million-1.38 million). GLOBOCAN 2022 data saw about 1.41 million new cancer cases in India with a five-year prevalence at around 3.25 million and a total cancer mortality at 916,827. Alcohol attributable a fraction for cancer and age-standardised rate per 100,000 in India are 4.7 per cent and 4.8 per cent, respectively, according to the GLOBOCAN 2020 data. Data from 2016 suggested that 6.6 per cent of Disease Adjusted Life Years in India were attributable to alcohol consumption which followed that of tobacco at 10.9 per cent, the researchers said. The researchers also mentioned about the advisory brought out by the US surgeon general in January 2025 regarding the consumption of alcohol and the risk of cancer, which stated that alcohol consumption demonstrably elevates the risk for developing at a minimum, seven types of cancer (colon/rectum, liver, breast, esophagus, larynx, pharynx and oral cavity). The advisory also mentioned the mechanistic links between alcohol consumption and the risk of developing cancer along with the fact that this effect is observable regardless of gender. Even before the release of this advisory, alcohol-attributable cancers have been recognised to contribute significantly to the global burden of disease, the researchers said. Cancer warning labels on alcohol containers have been observed to be of benefit in reducing alcohol consumption and lowering the perception of consumption, they said. The Global Adult Tobacco Survey (GATS) in 2016-17 noted an increase by 16 per cent for health warnings on cigarette packs, with pictorial health warnings demonstrating a 50 per cent elevated impact on the intention to quit smoking cigarettes. Warnings can be differentiated based on the type of messaging involved into loss-framed and gain-framed which have an emphasis on associated risks/harms and the benefits of quitting, respectively, the researchers explained. There is evidence in literature to suggest that gain-framed messaging possesses an advantage over loss-framed warnings but the research on such aspects has mainly focused on loss-framed warnings in the case of cigarette smoking. It is also suggested that a combination of messaging can help inform behaviour change in a more effective manner which is based off the concept of the role individual beliefs play in determining outcomes, they said. India being an LMIC, this trend indicates the effect of cancer warning labels in modifying the behaviour of a significant number of people consuming such products, the researchers highlighted. 'The LMICs may look into expanding the positive experience gained from tobacco warning labels to those pertaining to alcohol containers, which clearly state a cancer risk from consumption. It may also be useful for these cancer labels to state that there is no lower threshold for alcohol-related cancer risk along with the types of cancers demonstrably attributable to alcohol consumption so far,' the doctors said. They pointed out that a crucial but often ignored aspect while considering warning labels is the multiplicative interaction of smoking and alcohol consumption in determining cancer risk. A National Cancer Institute (NCI) Workshop in December 2020 emphasised the importance of addressing the combined usage of tobacco and alcohol. Co-use of tobacco and alcohol has been found to be associated with a multiplicative effect in cancer risk, particularly for pharyngeal and oral sites. The importance of reciprocative warning labels on tobacco and alcohol product packaging is further underscored by the fact that alcohol usage has been observed to go up with an increase in cigarette smoking, with the former being associated with lower rates of quitting and higher relapse rates in smokers. It may also be worth considering to have helpful or constructive labelling on containers which guide the user to seek medical advice or undergo screening for cancer instead of being terminalistic in its messaging by suggesting graphic or fatal outcomes upon consumption, the researchers said. 'Since cancer as a disease may present as a result of the combined effect of alcohol and tobacco consumption, it makes sense to place such cancer warning labels and not address these risk factors in isolation,' they said. PTI PLB MNK MNK This report is auto-generated from PTI news service. ThePrint holds no responsibility for its content.
Time of India
2 days ago
- Health
- Time of India
AIIMS researchers call for warning labels on alcohol like tobacco
New Delhi, Researchers at AIIMS have called for strong, evidence-based warning labels on alcohol products to prevent avoidable cancers, building on India's success with tobacco warnings. In an opinion piece titled "Expanding behavioural interventions through cancer warning labels in India: from cigarette packs to alcohol bottles" published in Frontiers in Public Health on July 24, the doctors have highlighted that alcohol, like tobacco, is a proven carcinogen, yet awareness remains low. The opinion piece by oncologists Dr Abhishek Shankar, Dr Vaibhav Sahni and Dr Deepak Saini from the Department of Radiation Oncology, Dr BR Ambedkar Institute Rotary Cancer Hospital, AIIMS, Delhi stated that adolescence forms a crucial period for the initiation and intensification of substance use behaviour, including alcohol. Behavioural interventions instituted by means of alcohol warning labels may prove to be effective in affecting positive changes in the consumption habits of individuals belonging to this age group, particularly in Low- and Middle-Income Countries (LMICs), where it is all the more important for certain sections of society to be educated and sensitised towards the consequences of substance use, the researchers said. They stated that cancer cases in India have seen a steep rise, with data from the 2012 to 2022 period suggesting a 36 per cent increase in incidence (1.01 million- 1.38 million). GLOBOCAN 2022 data saw about 1.41 million new cancer cases in India with a five-year prevalence at around 3.25 million and a total cancer mortality at 916,827. Alcohol attributable a fraction for cancer and age-standardised rate per 100,000 in India are 4.7 per cent and 4.8 per cent, respectively, according to the GLOBOCAN 2020 data. Data from 2016 suggested that 6.6 per cent of Disease Adjusted Life Years in India were attributable to alcohol consumption which followed that of tobacco at 10.9 per cent, the researchers said. The researchers also mentioned about the advisory brought out by the US surgeon general in January 2025 regarding the consumption of alcohol and the risk of cancer, which stated that alcohol consumption demonstrably elevates the risk for developing at a minimum, seven types of cancer (colon/rectum, liver, breast, esophagus, larynx, pharynx and oral cavity). The advisory also mentioned the mechanistic links between alcohol consumption and the risk of developing cancer along with the fact that this effect is observable regardless of gender. Even before the release of this advisory, alcohol-attributable cancers have been recognised to contribute significantly to the global burden of disease, the researchers said. Cancer warning labels on alcohol containers have been observed to be of benefit in reducing alcohol consumption and lowering the perception of consumption, they said. The Global Adult Tobacco Survey (GATS) in 2016- 17 noted an increase by 16 per cent for health warnings on cigarette packs, with pictorial health warnings demonstrating a 50 per cent elevated impact on the intention to quit smoking cigarettes. Warnings can be differentiated based on the type of messaging involved into loss-framed and gain-framed which have an emphasis on associated risks/harms and the benefits of quitting, respectively, the researchers explained. There is evidence in literature to suggest that gain-framed messaging possesses an advantage over loss-framed warnings but the research on such aspects has mainly focused on loss-framed warnings in the case of cigarette smoking. It is also suggested that a combination of messaging can help inform behaviour change in a more effective manner which is based off the concept of the role individual beliefs play in determining outcomes, they said. India being an LMIC, this trend indicates the effect of cancer warning labels in modifying the behaviour of a significant number of people consuming such products, the researchers highlighted. "The LMICs may look into expanding the positive experience gained from tobacco warning labels to those pertaining to alcohol containers, which clearly state a cancer risk from consumption. It may also be useful for these cancer labels to state that there is no lower threshold for alcohol-related cancer risk along with the types of cancers demonstrably attributable to alcohol consumption so far," the doctors said. They pointed out that a crucial but often ignored aspect while considering warning labels is the multiplicative interaction of smoking and alcohol consumption in determining cancer risk. A National Cancer Institute (NCI) Workshop in December 2020 emphasised the importance of addressing the combined usage of tobacco and alcohol. Co-use of tobacco and alcohol has been found to be associated with a multiplicative effect in cancer risk, particularly for pharyngeal and oral sites. The importance of reciprocative warning labels on tobacco and alcohol product packaging is further underscored by the fact that alcohol usage has been observed to go up with an increase in cigarette smoking, with the former being associated with lower rates of quitting and higher relapse rates in smokers. It may also be worth considering to have helpful or constructive labelling on containers which guide the user to seek medical advice or undergo screening for cancer instead of being terminalistic in its messaging by suggesting graphic or fatal outcomes upon consumption, the researchers said. "Since cancer as a disease may present as a result of the combined effect of alcohol and tobacco consumption, it makes sense to place such cancer warning labels and not address these risk factors in isolation," they said. PTI
Hindustan Times
2 days ago
- Health
- Hindustan Times
AIIMS researchers call for warning labels on alcohol, cite low awareness
Researchers at AIIMS have called for strong, evidence-based warning labels on alcohol products to prevent avoidable cancers, building on India's success with tobacco warnings. Behavioural interventions instituted by means of alcohol warning labels may prove to be effective in affecting positive changes in the consumption habits.(Pixaby/Representational Image) In an opinion piece titled "Expanding behavioural interventions through cancer warning labels in India: from cigarette packs to alcohol bottles" published in Frontiers in Public Health on July 24, the doctors have highlighted that alcohol, like tobacco, is a proven carcinogen, yet awareness remains low. The opinion piece by oncologists Dr Abhishek Shankar, Dr Vaibhav Sahni and Dr Deepak Saini from the Department of Radiation Oncology, Dr BR Ambedkar Institute Rotary Cancer Hospital, AIIMS, Delhi stated that adolescence forms a crucial period for the initiation and intensification of substance use behaviour, including alcohol. Behavioural interventions instituted by means of alcohol warning labels may prove to be effective in affecting positive changes in the consumption habits of individuals belonging to this age group, particularly in Low- and Middle-Income Countries (LMICs), where it is all the more important for certain sections of society to be educated and sensitised towards the consequences of substance use, the researchers said. They stated that cancer cases in India have seen a steep rise, with data from the 2012 to 2022 period suggesting a 36 per cent increase in incidence (1.01 million-1.38 million). GLOBOCAN 2022 data saw about 1.41 million new cancer cases in India with a five-year prevalence at around 3.25 million and a total cancer mortality at 916,827. Alcohol attributable a fraction for cancer and age-standardised rate per 100,000 in India are 4.7 per cent and 4.8 per cent, respectively, according to the GLOBOCAN 2020 data. Data from 2016 suggested that 6.6 per cent of Disease Adjusted Life Years in India were attributable to alcohol consumption which followed that of tobacco at 10.9 per cent, the researchers said. The researchers also mentioned about the advisory brought out by the US surgeon general in January 2025 regarding the consumption of alcohol and the risk of cancer, which stated that alcohol consumption demonstrably elevates the risk for developing at a minimum, seven types of cancer (colon/rectum, liver, breast, esophagus, larynx, pharynx and oral cavity). The advisory also mentioned the mechanistic links between alcohol consumption and the risk of developing cancer along with the fact that this effect is observable regardless of gender. Even before the release of this advisory, alcohol-attributable cancers have been recognised to contribute significantly to the global burden of disease, the researchers said. Cancer warning labels on alcohol containers have been observed to be of benefit in reducing alcohol consumption and lowering the perception of consumption, they said. The Global Adult Tobacco Survey (GATS) in 2016-17 noted an increase by 16 per cent for health warnings on cigarette packs, with pictorial health warnings demonstrating a 50 per cent elevated impact on the intention to quit smoking cigarettes. Warnings can be differentiated based on the type of messaging involved into loss-framed and gain-framed which have an emphasis on associated risks/harms and the benefits of quitting, respectively, the researchers explained. There is evidence in literature to suggest that gain-framed messaging possesses an advantage over loss-framed warnings but the research on such aspects has mainly focused on loss-framed warnings in the case of cigarette smoking. It is also suggested that a combination of messaging can help inform behaviour change in a more effective manner which is based off the concept of the role individual beliefs play in determining outcomes, they said. India being an LMIC, this trend indicates the effect of cancer warning labels in modifying the behaviour of a significant number of people consuming such products, the researchers highlighted. "The LMICs may look into expanding the positive experience gained from tobacco warning labels to those pertaining to alcohol containers, which clearly state a cancer risk from consumption. It may also be useful for these cancer labels to state that there is no lower threshold for alcohol-related cancer risk along with the types of cancers demonstrably attributable to alcohol consumption so far," the doctors said. They pointed out that a crucial but often ignored aspect while considering warning labels is the multiplicative interaction of smoking and alcohol consumption in determining cancer risk. A National Cancer Institute (NCI) Workshop in December 2020 emphasised the importance of addressing the combined usage of tobacco and alcohol. Co-use of tobacco and alcohol has been found to be associated with a multiplicative effect in cancer risk, particularly for pharyngeal and oral sites. The importance of reciprocative warning labels on tobacco and alcohol product packaging is further underscored by the fact that alcohol usage has been observed to go up with an increase in cigarette smoking, with the former being associated with lower rates of quitting and higher relapse rates in smokers. It may also be worth considering to have helpful or constructive labelling on containers which guide the user to seek medical advice or undergo screening for cancer instead of being terminalistic in its messaging by suggesting graphic or fatal outcomes upon consumption, the researchers said. "Since cancer as a disease may present as a result of the combined effect of alcohol and tobacco consumption, it makes sense to place such cancer warning labels and not address these risk factors in isolation," they said.
News18
2 days ago
- Health
- News18
AIIMS researchers call for warning labels on alcohol like tobacco
Last Updated: New Delhi, Jul 27 (PTI) Researchers at AIIMS have called for strong, evidence-based warning labels on alcohol products to prevent avoidable cancers, building on India's success with tobacco warnings. In an opinion piece titled 'Expanding behavioural interventions through cancer warning labels in India: from cigarette packs to alcohol bottles" published in Frontiers in Public Health on July 24, the doctors have highlighted that alcohol, like tobacco, is a proven carcinogen, yet awareness remains low. The opinion piece by oncologists Dr Abhishek Shankar, Dr Vaibhav Sahni and Dr Deepak Saini from the Department of Radiation Oncology, Dr BR Ambedkar Institute Rotary Cancer Hospital, AIIMS, Delhi stated that adolescence forms a crucial period for the initiation and intensification of substance use behaviour, including alcohol. Behavioural interventions instituted by means of alcohol warning labels may prove to be effective in affecting positive changes in the consumption habits of individuals belonging to this age group, particularly in Low- and Middle-Income Countries (LMICs), where it is all the more important for certain sections of society to be educated and sensitised towards the consequences of substance use, the researchers said. They stated that cancer cases in India have seen a steep rise, with data from the 2012 to 2022 period suggesting a 36 per cent increase in incidence (1.01 million-�1.38 million). GLOBOCAN 2022 data saw about 1.41 million new cancer cases in India with a five-year prevalence at around 3.25 million and a total cancer mortality at 916,827. Alcohol attributable a fraction for cancer and age-standardised rate per 100,000 in India are 4.7 per cent and 4.8 per cent, respectively, according to the GLOBOCAN 2020 data. Data from 2016 suggested that 6.6 per cent of Disease Adjusted Life Years in India were attributable to alcohol consumption which followed that of tobacco at 10.9 per cent, the researchers said. The researchers also mentioned about the advisory brought out by the US surgeon general in January 2025 regarding the consumption of alcohol and the risk of cancer, which stated that alcohol consumption demonstrably elevates the risk for developing at a minimum, seven types of cancer (colon/rectum, liver, breast, esophagus, larynx, pharynx and oral cavity). The advisory also mentioned the mechanistic links between alcohol consumption and the risk of developing cancer along with the fact that this effect is observable regardless of gender. Even before the release of this advisory, alcohol-attributable cancers have been recognised to contribute significantly to the global burden of disease, the researchers said. Cancer warning labels on alcohol containers have been observed to be of benefit in reducing alcohol consumption and lowering the perception of consumption, they said. The Global Adult Tobacco Survey (GATS) in 2016-�17 noted an increase by 16 per cent for health warnings on cigarette packs, with pictorial health warnings demonstrating a 50 per cent elevated impact on the intention to quit smoking cigarettes. Warnings can be differentiated based on the type of messaging involved into loss-framed and gain-framed which have an emphasis on associated risks/harms and the benefits of quitting, respectively, the researchers explained. There is evidence in literature to suggest that gain-framed messaging possesses an advantage over loss-framed warnings but the research on such aspects has mainly focused on loss-framed warnings in the case of cigarette smoking. It is also suggested that a combination of messaging can help inform behaviour change in a more effective manner which is based off the concept of the role individual beliefs play in determining outcomes, they said. India being an LMIC, this trend indicates the effect of cancer warning labels in modifying the behaviour of a significant number of people consuming such products, the researchers highlighted. 'The LMICs may look into expanding the positive experience gained from tobacco warning labels to those pertaining to alcohol containers, which clearly state a cancer risk from consumption. It may also be useful for these cancer labels to state that there is no lower threshold for alcohol-related cancer risk along with the types of cancers demonstrably attributable to alcohol consumption so far," the doctors said. They pointed out that a crucial but often ignored aspect while considering warning labels is the multiplicative interaction of smoking and alcohol consumption in determining cancer risk. A National Cancer Institute (NCI) Workshop in December 2020 emphasised the importance of addressing the combined usage of tobacco and alcohol. Co-use of tobacco and alcohol has been found to be associated with a multiplicative effect in cancer risk, particularly for pharyngeal and oral sites. The importance of reciprocative warning labels on tobacco and alcohol product packaging is further underscored by the fact that alcohol usage has been observed to go up with an increase in cigarette smoking, with the former being associated with lower rates of quitting and higher relapse rates in smokers. It may also be worth considering to have helpful or constructive labelling on containers which guide the user to seek medical advice or undergo screening for cancer instead of being terminalistic in its messaging by suggesting graphic or fatal outcomes upon consumption, the researchers said. 'Since cancer as a disease may present as a result of the combined effect of alcohol and tobacco consumption, it makes sense to place such cancer warning labels and not address these risk factors in isolation," they said. PTI PLB MNK MNK (This story has not been edited by News18 staff and is published from a syndicated news agency feed - PTI) view comments First Published: July 27, 2025, 17:15 IST News agency-feeds AIIMS researchers call for warning labels on alcohol like tobacco Disclaimer: Comments reflect users' views, not News18's. Please keep discussions respectful and constructive. Abusive, defamatory, or illegal comments will be removed. News18 may disable any comment at its discretion. 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News18
22-07-2025
- Health
- News18
Best Cancer Screening Tests For Women In 2025
Breast cancer screening holds the power to transform outcomes dramatically. While international guidelines provide a strong foundation, local adaptation is essential. Breast cancer continues to be the most commonly diagnosed cancer among women in India, surpassing cervical cancer over the past decade. Global guidelines now emphasize risk-based screening over one- size-fits-all approaches. This includes taking family history, genetics, menstrual and reproductive history, lifestyle, and breast density into account. With increasing awareness, evolving technologies, and more robust global and Indian data, 2025 marks a pivotal year in how we think about breast cancer screening. Dr Karishma Kirti, Consultant Breast Specialist and Oncoplastic Surgeon shares all you need to know: International bodies such as the American Cancer Society (ACS) and the U.S. Preventive Services Task Force (USPSTF) now recommend: 1. Mammography beginning at age 40 for average-risk women 2. Annual or biennial mammograms depending on individual risk and access 3. 3D digital mammography (tomosynthesis) for improved detection where available 4. Earlier screening from age 30–35 for high-risk individuals (e.g. BRCA1/2 mutation carriers) India's breast cancer landscape is distinct as a significant proportion of cases are seen in women under 50, late-stage presentation is more common, especially in public hospitals and mammography access remains uneven, particularly outside major cities. One of the most important contributions to global breast cancer screening evidence actually comes from India itself. The Mumbai cluster randomized controlled trial, followed nearly 150,000 women over 20 years. It demonstrated that biennial clinical breast examination (CBE) by trained female health workers led to a significant stage shift to earlier detection. Among women aged 50 and above, there was a 15% reduction in breast cancer mortality. CBE was found to be low-cost, acceptable, and scalable. (Mittra I, et al. Lancet Oncol. 2021;22(3):402–15.) This study offers conclusive, real-world evidence that CBE, when done systematically with proper follow- up, saves lives especially in low- and middle-income countries (LMICs) like India. What about breast self-examination? While breast self-exams are no longer formally recommended for screening in the West, breast awareness knowing what's normal for you is still vital in India. Encouraging monthly self-checks and timely reporting of lumps or changes can lead to earlier diagnosis. Many women first discover their cancer themselves, not through screening, but by noticing a lump or change. In the absence of national guidelines, these are some of the recommendations I use in my clinic to guide my patients through screening for breast cancer. This tiered, risk-based approach is based on both the evidence and the ground realities of healthcare access in India. Breast cancer screening holds the power to transform outcomes dramatically. While international guidelines provide a strong foundation, local adaptation is essential. For Indian women, the best approach combines: Early vigilance, Accessible technology, and Open conversations around breast health. The earlier we detect, the more lives we save. The News18 Lifestyle section brings you the latest on health, fashion, travel, food, and culture — with wellness tips, celebrity style, travel inspiration, and recipes. Also Download the News18 App to stay updated! view comments Location : New Delhi, India, India First Published: July 22, 2025, 19:23 IST News lifestyle » health-and-fitness Best Cancer Screening Tests For Women In 2025 Disclaimer: Comments reflect users' views, not News18's. Please keep discussions respectful and constructive. Abusive, defamatory, or illegal comments will be removed. News18 may disable any comment at its discretion. By posting, you agree to our Terms of Use and Privacy Policy.
