Tabacco smoking is a major health problem in India and is also said to be the one that will only worsen unless we act. Smoking alone is estimated to cause nearly 10 lakh deaths a year in India. It is also found that seventy percent of deaths from tabacco use occur during middle age, when people are still in the most productive part of their lives. Chewing tabacco products such as gutka is common in India. It causes over half of the deaths from oral cancers and women are especially hard hit. More young people are now chewing tobacco and conditions such as mouth lesions are increasing among youth. It is also found to be a very common activity among men and women all over. Almost thirty one percent men and nineteen percent women chew tabacco products in India. Specifically, the pregnant women must avoid the use of tabacco, as is leads to low bith weight babies, still briths and birth defects. As per the Golbal Adult Tabacco Survey, chewing is more common among the poorest. About thirty percent of poorest, twenty five percent of middle income group and only fifteen percent of higher income group people chew tabacco products. Women, who chew tabacco, have especially high risks of dying from oral cancer. 3.8 percent of women in the age group 30 to 69 years face relative risk of dying from chewing than 1.5 percent of men. In simple words, the relative risk of dying from oral cancer is greater among women. In Kishanganj, one lakh men in the age group of 15 to 69 years smoke regularly. Almost seventy percent of them die during their productive years, while the remaining dies in the old age. 612 lakh men, who smoke cigarettes, lose 10 years of life where as 687 lakh men, who smoke bidis, lose 6 years of their precious life. The usage of tabacco is not just costing lives, but it is imposing economic burdens on the health care systems of our conutry, This implies that the health facilities are forced upon to spend a great share of their precious resources in treating largely preventable diseases. The cost of treatment for serious diseases, like cancer or stroke can push families into poverty. Every year, almost 28,000 people are pushed into poverty in Kishanganj. The district expends an approximate total of Rs. 11 crore on purchasing tobacco every year. Smoking cessation is the single most important action that smokers can take improve their health and lengthen their lives. But, this doesn't seem to be happening in India, as the quit rates are very low at 6 percent. Quitting before or by the age of 40, avoids nearly all the risks.