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Introduction: Smokeless tobacco (ST) is a significant South Asian public health problem. This paper reports a qualitative study of a sample of South Asian ST users.Methods: Interviews, using a piloted topic guide, with 33 consenting, urban dwelling adult ST users explored their ST initiation, continued use, and cessation attempts. Framework data analysis was used to analyze country specific data before a thematic cross-country synthesis was completed.Results: Participants reported long-term ST use and high dependency. All reported strong cessation motivation and multiple failed attempts because of ease of purchasing ST, tobacco dependency, and lack of institutional support.Conclusions: Interventions to support cessation attempts among consumers of South Asian ST products should address the multiple challenges of developing an integrated ST policy, including cessation services.Implications: This study provides detailed understanding of the barriers and drivers to ST initiation, use, and cessation for users in Bangladesh, India, and Pakistan. It is the first study to directly compare these three countries. The insight was then used to adapt an existing behavioral support intervention for ST cessation for testing in these countries. [ABSTRACT FROM AUTHOR]

This article argues that the so-called Chinese string of pearls policy needs to be examined from the perspectives of those small countries of this maritime region that are said to be supporting Chinese strategic interests in the region by providing naval bases to China. Bangladesh neither has compelling strategic reasons to be part of an anti-India policy nor is its economy dependent only on the Chinese economy—a situation which could have pushed it into such a strategy. Therefore, apprehensions of the Indian strategic community of Sino-Bangladeshi relations constituting a larger anti-India design are somewhat misplaced. Bangladesh is likely to continue to pursue a policy of making best of its relations with both countries, even though an anti-India bias in certain sections of Bangladeshi society and politics will persist. In the post-Cold War, countries are focused on how to reap the dividends of economic globalisation and such hostile policies are anachronistic and counterproductive especially from the point of view of countries like Bangladesh that are small in terms of overall national capabilities. It is, therefore, argued that China–Bangladesh relations are flourishing in their own right, by and large free from the Indian shadow. [ABSTRACT FROM PUBLISHER]

The temporal distributions of meteorological drivers and air pollutants over Dibrugarh, a location in the upper Brahmaputra basin, are studied using observations, models and reanalysis data. The study aims to assess the performance of the Weather Research and Forecasting model coupled with chemistry (WRF-Chem), the WRF coupled with Sulfur Transport dEposition Model (WRF-STEM), and Copernicus Atmosphere Monitoring Service (CAMS) model over Dibrugarh for the first time. The meteorological variables and air pollutants viz., black carbon(BC), carbon monoxide(CO), sulphur dioxide(SO2), Ozone(O3), and oxides of Nitrogen(NOx) obtained from WRF-Chem, WRF-STEM and CAMS are evaluated with observations. The source region tagged CO simulated by WRF-STEM delineate the regional contribution of CO. The principal source region of anthropogenic CO over Dibrugarh is North-Eastern India with a 59% contribution followed by that from China (17%), Indo-Gangetic Plains (14%), Bangladesh (6%), other parts of India (3%) and other regions (1%). Further, the BC-CO regression analysis is used to delineate the local emission sources. The BC-CO correlations estimated from models (0.99 for WRF-Chem, 0.96 for WRF-STEM, 0.89 for CAMS), and reanalysis (0.8 for Modern-Era Retrospective Analysis for Research and Applications, Version 2 (MERRA2) are maximum in pre-monsoon whereas surface observations show highest correlations (0.81) in winter. In pre-monsoon season, 90% of the modeled CO is due to biomass burning over Dibrugarh. [ABSTRACT FROM AUTHOR]

Objective: Tobacco use begins at an early age and typically leads to a long-term addiction. The age of initiation for tobacco use is not well studied in South Asia, where 22% of tobacco smokers and 81% of smokeless tobacco (SLT) users reside., Methods: Data from the nationally representative Global Adult Tobacco Surveys in India, Bangladesh and Pakistan were analysed to examine patterns of initiation among smokers and smokeless tobacco users., Results: Data on 94 651 individuals were analysed, of which 13 396 reported were ever daily smokers and 17 684 were ever SLT users. The proportion of individuals initiating tobacco use before the age of 15 years has increased over time. The rates of SLT initiation among those aged 15-24 years increased markedly in Bangladesh (by 7.8%) and Pakistan (by 37.7%) between 1983 and 1999-2000. Among males, the increase in SLT initiation was higher in individuals aged below 15 years compared with other age groups in India and Bangladesh. Smoking initiation among females aged below 15 years has also significantly increased in India over time. Compared with the initiation of tobacco smoking before the age of 15 years, a greater increase in the proportion of SLT users was observed in urban areas., Conclusion: Our findings indicate that the proportion of youth initiating tobacco (both smoking and smokeless) before the age of 15 years has increased over time in all three countries. Moreover, variations in age at initiation for different types of tobacco products across countries, and by rurality, were noticeable. Younger youths (aged up to 15 years) should therefore be a priority population for tobacco control interventions. Strategies such as raising the legal age of tobacco sale and use to 21 years, and, other measures under WHO Framework Convention on Tobacco Control (FCTC), may prevent underage use and avert lifelong addiction to tobacco products., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)