Necessity of “Cigarette Smoking De-Addiction Kiosks” at Ayush Health and Wellness Centers – An Overview

Year : 2025 | Volume : 14 | Issue : 02 | Page : 9 19
    By

    Arish Mohammad Khan Sherwani,

  • Ahamed Shifak Fathima Shifra,

  1. Professor & HOD, Department of Tahaffuzi wa Samaji Tib, National Institute of Unani Medicine, Banglore, Karnataka, India
  2. Lecturer, Department of Unani Pharmacology, Faculty of Indigenous Medicine, University of Colombo, Rajagiriya, , Sri Lanka

Abstract

Introduction and Socio-Demography: Cigarette is the most common form of smoked tobacco that is used globally. About 1.3 million deaths have been reported in India associated with tobacco use. India has implemented several tobacco controls measures, and as a part of that, de-addiction centers play an important role in treating addictions using various therapies. However, the discontinuation from taking de-addiction care from those allopathic centers is high due to higher costs and adverse effects with the currently available conventional management modalities. On the other hand, Ayush systems of medicine can provide a cost effective and economic health care with good efficacy and sans side effects. According to Unani systems of medicine, different modes of treatments have been practiced in treating de-addiction. However, up to now, those practices have not been applied in treating de-addiction, as mentioned in Unani medicine. Hence, this review aims to explore the necessity of provision of Unani management modalities for cigarette de-addiction through the establishment of de-addiction kiosk at each Ayush wellness center and de-addiction center that provide conventional therapies for de-addiction. Materials and Methods: All the available information was compiled from journals, articles, textbook, manuscripts, reports, guidelines and electronic databases and classical Unani texts. Results: The literature search revealed that the sale of loose cigarettes in both regulated and unregulated Indian markets seem to be contributing to the tobacco epidemic in India and is linked to numerous health, familial, social, and economic issues for smokers, their families, and the country. To combat these burdens, Unani medicine promises various management modalities to treat cigarette smoking addiction in the forms of Ilaj bil Dawa (Pharmaco-therapy) and Ilaj bil Tadbeer (Regimental therapy) Conclusion: It can be concluded that the provision of Unani management modalities for cigarette and other substance de-addiction by establishing Ayush wellness kiosks for de-addiction at government de-addiction centers and de-addiction kiosks at Ayush health and wellness centers will be a better alternative to combat addiction of cigarette smoking and its harmful effects.

Keywords: Addiction; Cigarette; De-addiction; Kiosk; Tobacco

[This article belongs to Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy ]

How to cite this article:
Arish Mohammad Khan Sherwani, Ahamed Shifak Fathima Shifra. Necessity of “Cigarette Smoking De-Addiction Kiosks” at Ayush Health and Wellness Centers – An Overview. Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy. 2025; 14(02):9-19.
How to cite this URL:
Arish Mohammad Khan Sherwani, Ahamed Shifak Fathima Shifra. Necessity of “Cigarette Smoking De-Addiction Kiosks” at Ayush Health and Wellness Centers – An Overview. Journal of AYUSH: Ayurveda, Yoga, Unani, Siddha and Homeopathy. 2025; 14(02):9-19. Available from: https://journals.stmjournals.com/joayush/article=2025/view=209481


References

  1. World Health Organization (WHO). WHO [Internet]. 2025 [cited 2025 May 19]. Available from: https://www.who.int.
  2. Farrar J, Hotez PJ, Junghanss T, Kang G, Lalloo D, White NJ, et al. Manson’s Tropical Diseases E-Book [Internet]. Elsevier Health Sciences; 2023 [cited 2025 May 19]. Available from: https://www.who.int/publications/i/item/9789241512824.
  3. Georgakilas AG. Cancer Prevention [Internet]. BoD – Books on Demand; 2012 [cited 2025 May 19]. Available from: https://www.who.int/publications/i/item/9789241596282.
  4. Stanaway JD, Afshin A, Gakidou E, Lim SS, Abate D, Abate KH, et al. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018 Nov 10;392(10159):1923–94.
  5. World Health Organization (WHO). Tobacco [Internet]. World Health Organization; 2023 [cited 2025 May 10]. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco.
  6. Carrillo-Sierra SM, Cárdenas-Cáceres L, Cadrazco-Urquijo JA, Salazar-Gómez AN, Rivera-Porras D, Bermúdez V. Psychological therapies used for the reduction of habitual cigarette smoking cigarette consumption: A systematic review. Int J Environ Res Public Health. 2024 Jun 9;21(6):753.
  7. Jebet A, Kibet J, Ombaka L, Kinyanjui T. Surface bound radicals, char yield, and particulate size from the burning of tobacco cigarette. Chem Cent J. 2017 Dec;11:1–8.
  8. De Grey AD. Life span extension research and public debate: Societal considerations. Stud Ethics Law Technol. 2007 Dec 21;1(1).
  9. Li Y, Wang DD, Ley SH, Howard AG, He Y, Lu Y, et al. Potential impact of time trend of lifestyle factors on cardiovascular disease burden in China. J Am Coll Cardiol. 2016 Aug 23;68(8):818–33.
  10. Church J, O’Malley M, Laguardia L, Crowe D, Xhaja X, Hasson H, et al. Hereditary colorectal cancer registry: A Cleveland Clinic Foundation experience. Rev Med Clin Las Condes. 2017 Jul 1;28(4):553–60.
  11. Regan EA, Lowe KE, Make BJ, Lynch DA, Kinney GL, Budoff MJ, et al. Identifying smoking-related disease on lung cancer screening CT scans: Increasing the value. Chronic Obstr Pulm Dis. 2019 May 8;6(3):233.
  12. Sinha DN, Palipudi KM, Gupta PC, Singhal S, Ramasundarahettige C, Jha P, et al. Smokeless tobacco use: A meta-analysis of risk and attributable mortality estimates for India. Indian J Cancer. 2014 Dec 1;51(Suppl 1):S73–7.
  13. Gupta PC. Mouth cancer in India: A new epidemic? J Indian Med Assoc. 1999 Sep 1;97(9):370–3.
  14. World Health Organization (WHO). Tobacco fact sheet Key facts [Internet]. 2022 [cited 2025 May 19]. Available from: https://www.who.int/docs/default-source/campaigns-and-initiatives/world-no-tobacco-day-2020/wntd-tobacco-fact-sheet.pdf.
  15. Kaur G, Singh J. Effects of radiation on the environment. In: Radiation effects in polymeric materials. 2019:1–34.
  16. Kubalek D, Serša G, Štrok M, Benedik L, Jeran Z. Radioactivity of cigarettes and the importance of 210Po and thorium isotopes for radiation dose assessment due to smoking. J Environ Radioact. 2016 May 1;155:97–104.
  17. Chaly PE. Tobacco control in India. Indian J Dent Res. 2007 Jan 1;18(1):2–5.
  18. Gajalakshmi V, Peto R, Kanaka TS, Jha P. Smoking and mortality from tuberculosis and other diseases in India: Retrospective study of 43000 adult male deaths and 35000 controls. Lancet. 2003 Aug 16;362(9383):507–15.
  19. Ministry of Health and Family Welfare, Government of India. Global Adult Tobacco Survey GATS India 2009-2010. [Internet]. Available from: https://ntcp.mohfw.gov.in/assets/document/surveys-reports-publications/Global-Adult-Tobacco-Survey-India-2009-2010-Report.pdf.
  20. Gupta S, Kumar V, Gupta P. A comprehensive study on the harmful effects of smoking on human beings. In: Challenges in Information, Communication and Computing Technology. CRC Press; 2025. p. 577–82.
  21. Jameson JL, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. Harrison’s Principles of Internal Medicine. 20th ed. Volume 1. McGraw Hill Education.
  22. Das S, Pandey MK. Behavioral addictions: An emerging public mental health crisis? Indian J Soc Psychiatry. 2023 Jul;39(3):230–5. Available from: https://journals.lww.com/ijsp/fulltext/2023/
    39030/behavioral_addictions__an_emerging_public_mental.8.aspx.
  23. National Institute on Drug Abuse. Drugs, brains, and behavior: The Science of Addiction. National Institute on Drug Abuse, National Institutes of Health, US Department of Health and Human Services; 2007.
  24. Berridge KC, Robinson TE. Liking, wanting, and the incentive-sensitization theory of addiction. Am Psychol. 2016 Nov;71(8):670.
  25. Cami J, Farre M. Drug addiction. N Engl J Med. 2003 Sep 4;349(10):975–86.
  26. Halberstadt AL, Geyer MA. Neuropharmacology of Lysergic Acid Diethylamide (LSD) and other hallucinogens. In: Biological Research on Addiction. Elsevier Inc.; 2013 May 17.
  27. World Health Organization (WHO). WHO factsheet on Tobacco addiction. [Internet] [cited 2025 Jan 19]. Available from: https://www.who.int.
  28. Gupta S, Kulhara P. Cellular and molecular mechanisms of drug dependence: An overview and update. Indian J Psychiatry. 2007 Apr;49(2):85.
  29. Roh S. Scientific evidence for the addictiveness of tobacco and smoking cessation in tobacco litigation. J Prev Med Public Health. 2018;51:1–5.
  30. Chaiton M, Diemert LM, Bondy SJ, Cohen JE, Fung MD, Zhang BR, et al. Real-world effectiveness of pharmaceutical smoking cessation aids: Time-varying effects. Nicotine Tob Res. 2020;22:506–511.
  31. McRobbie H, Hajek P. Effects of rapid smoking on post-cessation urges to smoke. Addiction. 2007;102:483–489.
  32. Fernández MR. Efectividad de una intervención enfermera sobre abordaje al tabaquismo en personas con un trastorno mental. Rev Española Enferm Salud Mental. 2019 Dec 12(9).
  33. Paolini M, De Biasi M. Mechanistic insights into nicotine withdrawal. Biochem Pharmacol. 2011 Oct 15;82(8):996–1007. doi:10.1016/j.bcp.2011.07.075.
  34. American Oncology. Second-hand Smoke and Cancer: The Hidden Danger to Non-Smokers [Internet]. American Oncology Institute. 2025 [cited 2025 May 19]. Available from: https://www.americanoncology.com/blogs/second-hand-smoke-and-cancer-the-hidden-danger-to-nonsmokers#:~:text=According%20to%20the%20World%20Health.
  35. Méndez D, Alshanqeety O, Warner KE. The potential impact of smoking control policies on future global smoking trends. Tob Control. 2013 Jan 1;22(1):46–51.
  36. Health Millions. Making a difference. The World Health Report 1999. Health Millions. 1999;25:3–5.
  37. World Health Organization (WHO). Tobacco [Internet]. World Health Organization; 2019 [cited 2025 May 19]. Available from: https://www.who.int/health-topics/tobacco#tab=tab_1.
  38. McRobbie H, Lee M, Juniper Z. Non-nicotine pharmacotherapies for smoking cessation. Respir Med. 2005;99:1203–1212.
  39. Abdul-Kader J, Airagnes G, D’almeida S, Limosin F, Le Faou AL. Les outils du sevrage tabagique en 2018 [Interventions for smoking cessation in 2018]. Rev Pneumol Clin. 2018;74:160–169.
  40. Kawai A, Kano M, Sato T. Motivational interviewing and cognitive behavior therapy for smoking cessation. Nihon Rinsho. 2013;71:493–498.
  41. Borgne A, Aubin HJ, Berlin I. Les stratégies thérapeutiques actuelles du sevrage tabagique [Current therapeutic strategies in smoking cessation]. Rev Prat. 2004;54:1883–1893.
  42. Carim-Todd L, Mitchell SH, Oken BS. Mind-body practices: An alternative, drug-free treatment for smoking cessation? A systematic review of the literature. Drug Alcohol Depend. 2013;132:399–410.
  43. National Institute on Drug Abuse. What are treatments for tobacco dependence? [Internet]. National Institute on Drug Abuse. 2025 [cited 2025 May 19]. Available from: https://nida.nih.gov/publications/research-reports/tobacco-nicotine-e-cigarettes/what-are-treatments-tobacco-dependence.
  44. Farooq MU, Puranik MP, Uma SR. Effectiveness of cognitive-behavioral therapy compared with basic health education for tobacco cessation among smokers: A randomized controlled trial. J Indian Assoc Public Health Dent. 2020;18:25–30.
  45. Brett EI, Chavarria J, Liu M, Hedeker D, King AC. Effects of a brief motivational smoking intervention in non-treatment seeking disadvantaged Black smokers. J Consult Clin Psychol. 2021;89:241.
  46. Lindson-Hawley N, Thompson TP, Begh R. Motivational interviewing for smoking cessation. Cochrane Database Syst Rev. 2015 Mar 3;CD006936.
  47. Lai DT, Cahill K, Qin Y, Tang JL. Motivational interviewing for smoking cessation. Cochrane Database Syst Rev. 2010 Jan 1;CD006936.
  48. Lotfalian S, Spears CA, Juliano LM. The effects of mindfulness-based yogic breathing on craving, affect, and smoking behavior. Psychol Addict Behav. 2020;34.
  49. Le K, Chen TA, Martinez Leal I, Correa-Fernández V, Obasi EM, Kyburz B, et al. Organizational-level moderators impacting tobacco-related knowledge change after tobacco education training in substance use treatment centers. Int J Environ Res Public Health. 2021;18:7597.
  50. Tucker I. Temporalities of peer support: The role of digital platforms in the ‘living presents of mental ill-health. Health Soc Rev. 2024;33:59–72.
  51. Yilmazel Ucar E, Araz O, Yilmaz N, Akgun M, Meral M, Kaynar H, et al. Effectiveness of pharmacologic therapies on smoking cessation success: Three years results of a smoking cessation clinic. Multidiscip Respir Med. 2014 Feb 4;9(1):9. doi:10.1186/2049-6958-9-9.
  52. Ministry of Ayush. Ayush.gov.in. 2025 [cited 2025 May 10]. Available from: https://ayush.gov.in/#!/.
  53. Frequently Asked Questions about AYUSH Health & Wellness Centres established under Ayushman Bharat. Ministry of Ayush. Available from: https://namayush.gov.in.
  54. Selvamary AL, Narayanan MA, Doss J, Kumar SR. Effectiveness of cognitive behavior therapy in tobacco cessation at a dental setting: A hospital-based randomized controlled trial. J Indian Assoc Public Health Dent. 2016 Oct 1;14(4):370–6.
Regular Issue Subscription Review Article
Volume 14
Issue 02
Received 19/04/2025
Accepted 29/04/2025
Published 30/04/2025
Publication Time 11 Days
199

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