There is lack of implementation of anti-smoking laws in India. It is also difficult to quit tobacco, as nicotine is the most addictive substance.

India is home to nearly 11 crore smokers. Almost 42% of the cancers among men in India are related to tobacco, making it the single largest cause of cancer amongst men in India. One hundred thousand new cancer patients are added annually of which up to 63,000 patients suffer from lung cancer that is related to smoking.
"The treatment of lung cancer is the most cumbersome and risks of relapse are very high. The patient suffers endlessly for years and mortality is high," said Dr Kumar Prabhash, Oncologist, Tata Memorial Hospital.
The report stated that, 15% of the smoker population has managed to quit cigarettes in China and over 40% of women and men gave up on smoking over the past five years in Uruguay and Brazil.
Dr Prakash Gupta, Director, Healis-Sekhsaria Institute of Public Health, Navi Mumbai said, "Brazil and many other countries have organized services for tobacco cessation. They have also started with tobacco control measures earlier than India and strong tobacco control measures are adopted like absolutely no smoking is permitted in public places. Tobacco control and cessation are grafted well in their health care services."
In India, on the other hand, Dr Gupta pointed out that there is lack of implementation of anti-smoking laws. It is difficult to quit tobacco, as nicotine in tobacco is the most addictive substance. Nicotine receptors develop in brain and continue to demand nicotine. "This is the reason for high relapse even after quitting tobacco. The person may quit once but will continue to have the urge for a long period," said Dr Gupta.
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Source-Medindia