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Ramakrishnan v. State Of Kerala

Ramakrishnan v. State Of Kerala

(High Court Of Kerala)

Original Petition No. 24160 Of 1998 | 12-07-1999

K. Narayana Kurup, J.

1. This is an Original Petition highlighting the public health issue of the dangers of passive smoking and in which prayers are made to declare that smoking of tobacco in any form, whether in the form of cigarette, cigar, beedis or otherwise in public places is illegal, unconstitutional and violative of Art.21 of the Constitution of India; issue a writ in the nature of mandamus or such other writ commanding the respondents to take appropriate and immediate measures to prosecute and punish all persons guilty of smoking in public places treating the said act as satisfying the definition of public nuisance as defined under S.268 of the Indian Penal Code. We heard Mr. P. Deepak, counsel for the petitioners, the Advocate General for the State and counsel for other respondents.

2. In the Writ Petition originally there were only respondents 1 to 9 viz. State of Kerala, Director of Panchayat, Director General of Police, Commissioners of Police, Thiruvananthapuram, Kochi and Kozhikode and Commissioners of Thiruvananthapuram, Kochi and Kozhikode Municipal Corporations. During the pendency of the Original Petition this Court suo-mote impleaded additional respondents 10 to 5 2 on whom service is complete.

3. Before proceeding to discuss the legal issues arising in this Original Petition, we feel that it is useful to refer to certain facts and figures of startling revelations which has a direct bearing on the dangers of smoking, active and passive, and its horrifying impact on public health.

On Smoking Generally

4. One million Indians the every year from tobacco-related diseases. This is more than the number of deaths due to motor accidents, AIDS, alcohol and drug abuse put together, say the Indian Medical Association (IMA) and the Indian Academy of Paediatrics (IAP), quoting studies 1.

5. Cigarette smoking is the major preventable cause of death in America, contributing to an estimated 350000 deaths annually. Epidemiological and experimental evidence has identified cigarette smoking as the primary cause of lung cancer and chronic obstructive pulmonary diseases (COPD) and as a major risk factor for coronary heart disease. Smoking has been associated with other cancers, cerebro vascular and peripheral vascular diseases, and peptic ulcer disease. Smokers also suffer more acute respiratory illness. Cigarette smoke, consisting of particles dispersed in a gas phase, is a complex mixture of thousands of compounds produced by the incomplete combustion of the tobacco leaf. Smoke constituents strongly implicated in causing disease are nicotine and tar in the particulate phase and carbon monoxide in the gas phase. Smokers have a 70 per cent higher mortality rate than nonsmokers. The risk of dying increases with the amount and duration of smoking and is higher in smokers who inhale. Coronary heart disease is the chief contributor to the excess mortality among cigarette smokers, followed by lung cancer and chronic obstructive pulmonary disease (COPD). Life expectancy is significantly shortened by smoking cigarettes. Tobacco smoke also gets dissolved in the saliva and is swallowed, exposing the upper gastrointestinal tract to carcinogens. A strong association between smoking and lung cancer has been demonstrated in multiple prospective and retrospective epidemiological studies, and corroborated by autopsy evidence. Lung cancer has been the leading cause of cancer death in men since the 1950s, and it surpassed breast cancer as a leading cause of cancer death in women in 1985. Male smokers have a tenfold higher risk of developing lung cancer, and the risk increases with the number of cigarettes smoked. There is also strong evidence that smoking is a major cause of cancers of the larynx, See The Hindu Trivandrum Edition dated 31-10-1998 under the caption "Smoking Kill 10 lakhs Indians a Year."

oral cavity and oesophagus. The risk of these cancers increases with the intensity of exposures to cigarette smoke either active or passive. Epidemiologic studies show an association between smoking and cancers of the bladder, pancreas, stomach, and uterine cervix.

6. Cigarette smoking is a major independent risk factor for coronary artery disease. Retrospective and prospective epidemiologic studies have demonstrated a strong relationship between smoking and coronary morbidity and mortality in both men and women. The coronary disease death rate in smokers is 70% higher than in nonsmokers, and the risk increases with the amount of cigarette exposure. The risk of sudden death is two to four times higher in smokers. Smoking is also a risk factor for cardiac arrest and severe malignant arrhythmias. In addition to increased coronary mortality, smokers have a higher risk of nonfatal myocardial infraction or unstable angina. Patients with angina lower their exercise tolerance if they smoke. Woman who smoke and use oral contraceptives or post-menopausal estrogen replacement greatly increase their risk of myocardial infraction.

7. Autopsy studies demonstrate more atheromatous changes in smokers than nonsmokers. Carbon monoxide in cigarette smoke decreases oxygen delivery to endothelial tissues. In addition, smoking may trigger acute ischemia. Carbon monoxide decreases myocardial oxygen supply, while nicotine increases myocardial demand by releasing catecholamines that raise blood pressure, heart rate, and contractility. Carbon monoxide and nicotine also induce platelet aggregation that may cause occlusion of narrowed vessels. Cigarette smoking is the most important risk factor for peripheral vascular disease. In patients with intermittent claudication, smoking lowers exercise tolerance and may shorten graft survival after vascular surgery. Smokers have more aortic atherosclerosis and an increased risk of dying from a ruptured aortic aneurysm. Smokers under the age of 65 have a higher risk of dying from cerebrovascular disease and women who smoke have a greater risk of subarachnoid haemorrhage, especially if they also use oral contraceptives.

Smoking and Pulmonary Disease :

8. Cigarette smoking is the primary cause of chronic bronchitis and emphysema. Smokers have a higher prevalence of respiratory symptoms than nonsmokers. Studies of pulmonary function indicate that impairment exists in asymptomatic as well as symptomatic smokers. Smokers have a higher risk of acute as well as chronic pulmonary disease. Inhaling cigarette smoke impairs pulmonary clearance mechanisms by paralyzing ciliary transport. This may explain the susceptibility to viral respiratory infections, including influenza. Smokers who develop acute respiratory infections have longer and more severe courses, with a more prolonged cough.

Other Health consequences :

9. Smokers have a higher prevalence of peptic ulcer disease and a higher case-fatality rate. Smoking has been associated with increased osteoporosis in men and post-menopausal women. Female smokers weigh less than nonsmokers and have an earlier age of menopause; both of these factors are associated with osteoporosis and may contribute to the relationship between smoking and osteoporosis. Moreover, smoking depresses serum estrogen levels in post-menopausal women taking estrogen replacement therapy.

ON PASSIVE SMOKING Passive Smoking (Environmental Smoke Exposure) :

10. Nonsmokers involuntarily inhale the smoke of nearby smokers, a phenomenon known as passive smokinWives, children and friends of smokers are a highly risk-prone group. Inhalation of sidestream smoke/-%y a non-smoker is definitely more harmful, to him than to the actual smoker as he inhales more toxins. This is because sidestream smoke contains three times more nicotine, three times more tar and about 50 times more ammonia. Passive smoking `5 (because of smoking by their fathers) could lead to severe complications in babies aged below two. It is pointed out that in India hospital admission rates are 28 per cent higher among the children of smokers. These children have acute lower respiratory infection, decreased lung function, increased eczema and asthma and inreased cot deaths 4. Also, children of heavy smokers tend to be shorter.

11. Passive smoking is associated with an overall 23 per cent increase in the risk of coronary heart disease (CHD) among men and women who had never smoked. The following datashows just how heavy is cigarette smokings toll on non-smokers. A new "meta-analysis" of data from 14 studies involving 6,166 individuals with coronary heart disease (CHD) finds that passive smoking was associated with an overall 23% increase in the risk of CHD among men and women who had never smoked. It is estimated that 35,000 to 40,000 non-smokers death each year in the United States can be attributed to passive smoking s. This underscores the need to eliminate passive smoking as an important strategy to reduce a societal burden of CHD. The United Nations Health

L Sidestream smoke is the smoke issued from the burning end of a cigarette between puffs. I bid. The Hindu.

Exposure of non-smokers to environmental tobacco smoke (ETS) is known as passive smoking.

4- Ibid.

o- american heart association smoking 2hrt 19th march, 1998 Page 1.

Agency insisted that passive smoking caused lung cancer and that an environmental tobacco smoke poses a positive health hazard. Research on the subject has found an estimated 16% increase in the risk of developing lung cancer among nonsmoking spouses of smokers and an estimated 17 per cent rise in risk for work place exposure. The public is left high and dry over the risks of "second hand smoke" t . For non-smokers, the major source of carbon monoxide is from passively inhaled cigarette smoke. Environmental tobacco smoke (ETS) has been shown to reduce lung function in children. Its irritant effect could not be ignored as this is the reason why most people object to being the victims of passive smoking. Patients with asthma find this irritant effect will worsen symptoms. The most remarkable effect of environmental tobacco smoke (ETS) is the development of lung cancer in passively exposed non-smokers as shown by reports from Japan and Greece. Large number of controlled studies have confirmed a relative risk of developing lung cancer in passively exposed subjects. Estimates from the United States have suggested that 3000 to 5000 deaths per year from lung cancer can be attributed to passive smoking.

12. Maternal smoking during pregnancy increases risks to fetus and non-smokers chronically exposed to tobacco smoke will suffer health hazards. Maternal smoking during pregnancy contributes to foetal growth retardation. Infants born to mothers who smoke weigh an average of 2008. less but have no shorter gestations than infants of nonsmoking mothers. Carbon monoxide in smoke may decrease oxygen availability to the foetus and account for the growth retardation. Smoking during pregnancy has also been linked with higher rates of spontaneous abortion, foetal death, and neonatal death.

When smoking occurs in enclosed areas with poor ventilation, such as in buses, bars, and conference rooms, high levels of smoke exposure can occur. Acute exposure to smoke-contaminated air decreases exercise capacity in healthy non-smokers and can worsen symptoms in individuals with angina, chronic obstructive pulmonary disease (COPD) or asthma. Chronic exposure to smoky air occurs in the workplace and in the homes of smokers. Non-smokers in smoky workplaces develop small-airways dysfunction similar to that observed in light smokers. Compared to the children of non-smokers, children whose parents smoke have more respiratory infections throughout childhood, a higher risk of asthma, and alterations in pulmonary function tests. In recent studies of non-smoking women, those married to smokers had higher lung cancer rates than those married to non-smokers. Chronic smoke exposure may be associated with increased incidence of cardiopulmonary disease in nonsmokers.

13. Environmental tobacco smoke (ETS) also contributes to respiratory morbidity of children. Increased platelet aggregation also occurs when a nonsmoker smokes or

Reuter - World WthMarch, 1998.

Primary Care Medicine - Respiratory Problems; Health Consequences of Smoking,

Nancy A. Rigotti, Page 167. Ibid. Page 167-168. is passively exposed to smoke. Although environmental tobacco smoke (ETS) differs from "mainstream smoke" y in several ways, it contains many of the same toxic substances. Infants and toddlers may be especially at risk when exposed to environmental tobacco smoke (ETS). Considering the substantial morbidity, and even mortality of acute respiratory illness in childhood, a doubling in risk attributable to passive smoking clearly represents a serious paediatric health problem. Exposure to environmental tobacco smoke (ETS) has been associated with increased asthma-related trips to the emergency room of hospitals. There is now sufficient evidence to conclude that passive smoking is associated with additional episodes and increased severity of asthma in children who already have the disease. Exposure to passive smoking may alter childrens intelligence and behaviour and passive smoke exposure in childhood may be a risk factor for developing lung cancer as an adult.10 Environmental tobacco smoke (ETS) contains more than 4000 chemicals and at least 40 known carcinogens. Nicotine, the addictive drug contained in tobacco leads to acute increase in heart rate and blood pressure. ETS also increases platelet aggregation, or blood clotting. It also damages the endothelium, the layer of cells that line all blood vessels, including the coronary arteries, In addition, nonsmokers who have high blood pressure or high blood cholesterol are at even greater risk of developing heart diseases from ETS exposure ll. An investigation in Bristol has found that the children of smokers have high levels of continence, a metabolite of nicotine, in their saliva. The results indicated that children who had two smoking parents were breathing in as much nicotine as if they themselves were smoking 80 cigarettes a year. A study published in the "New England Journal of Medicine" found that the children of smoking mothers were less efficient at breathing. A study conducted by the Harvard Medical School in Boston, concluded that passive exposure to maternal cigarette smoke may have important effects on the development of pulmonary function in children. An important discovery is that the cocktail of chemicals in a smoky room may be more lethal than the smoke inhaled by the smoker. The "side stream" smoke contains three times as much benz (a) pyrene (a virulent cause of cancer) six times as much toluene, another carcinogen, and more than 50 times as much dimethylnitrosamine. It has been commented by Dale Sandier of the National Institute of Environmental Health Studies in the United States that the potential for damage from passive smoking may be greater than has been previously recognised.

14. Thus, it can be safely concluded that the dangers of passive smoking are real, broader than once believed and parallel those of direct smoke. It has long been established that smoking harms the health of those who smoke. Now, new epidemio-logical studies11 and reviews are strengthening the evidence that it also harms the health

9 "Main-stream smoke " is the one that is exhaled by the smoker after inhalation.

tug Active and Passive Tobacco Exposure: A Serious Paediatric Health Problem, Page 1.

" I bid. Page 8.

n- Health - Evidence mounts onpassive smoking (The HinduSunday, August 5,1990).

of other people nearby who inhale the toxic fumes generated by the smoker, particularly from the burning end of the cigarette. Such indirect or second hand, smoking causes death not only by lung cancer but even more by heart attack, the studies show. The studies on passive smoking, as it is often called, also strengthen the link between parental smoking and respiratory damage in children. According to experts, there was little question that passive smoking is a major health hazard. What has swayed many scientists is a remarkable consistency in findings from different types of studies in several countries with improved methods over those used in the first such studies a few years ago. The new findings confirm and advance the earlier reports from the U.S. Surgeon General, who concluded that passive smoking caused lung cancer. According to Dr. Cedric F. Garland, an expert in the epidemiology of smoking at the University of California at San Diego "the links between passive smoking and health problems are now as solid as any finding in epidemiology". The newer understanding of the health hazards of passive smoking were underscored in a report at a world conference on lung health in Boston recently. Dr. Stanton A. Glantz of the University of California at San Fransisco estimated that passive smoke killed 50,000 Americans a year, two-thirds of whom died of heart disease. Passive smoking ranks behind direct smoking and alcohol as the third leading preventable cause of death. Dr. Donald Shopland of the U.S. National Cancer Institute, who has helped to prepare the Surgeon Generals reports on smoking has said: "theres no question" now that passive smoking is also a cause of heart disease. The new findings on passive smoking parallel recent changes in U.S. laws and rules that limit smoking in public places. In recent years, all but four States (Missouri. North Carolina. Tennessee and Wyoming) have passed comprehensive laws limiting smoking in public place. Only a decade ago many scientists were skeptical about the initial links between passive smoking and lung cancer.

15. "Mainstream smoke" is inhaled and consists of large particles deposited in the larger airways of the lung. "Side stream smoke" is generated from the burning end of cigarettes, cigars and pipes during the smoldering between puffs. It may come from someone elses tobacco or from ones own and is the major source of environmental tobacco smoke (ETS). Itis a mixture of irritating gasses and carcinogenic tar particles that reach deeper into the lungs because they are small. According to scientists, because of incomplete combustion from the lower temperatures of a smoldering cigarette, side stream smoke is dirtier and chemically different from mainstream smoke. Scientists have found a 30% increase in risk of death from heart attacks among nonsmokers living with smokers due to passive smoking. Researchers have found that passive smoking makes platelets, the tiny fragments in the blood that help it clot, stickier.

Platelets can form clots on plaques in fat-clogged arteries to cause heart attacks and they may also play a role in promoting arteriosclerosis, the underlying cause of most heart attacks. Researchers have also shown that passive smoking affects heart function, decreasing the ability of people with and without heart disease to exercise. It has been pointed out that passive smoking increases the demand on the heart during exercise and reduces the hearts capability to speed up. For people with heart disease, the decreased function can precipitate chest pains from angina. The children exposed to passive smoke since birth had increased amounts of cholesteral and lower levels of HDL, a protein in blood that is believed to provide protection against heart attacks. The researchers found that the greater the exposure to passive smoke, the greater were the biochemical changes 1`~.

16. A pioneering report linking passive smoking and lung cancer came in 1981 from a 14-year Japanese study by Dr. Takeshi Hirayama. His research methods were criticised at first. Mr. Lawrence Garfinkel, an epidemiologist who is Vice-president of the American Cancer Society, said that he was at present sceptical of Dr. Hirayamas report but was convinced from later studies, including his own, that there was about a 30% increased risk of developing lung cancer from passive smoking. Mr. Garfinkel said a study of 1.2 million Americans now being completed should help clarify the degree of risk from all types of cancer and other diseases. Dr. Glantz estimated that one-third Of the 50,000 deaths from passive smoking were from cancer. In addition to lung cancer, researchers have linked cancer of the cervix to both mainstream and side stream smoke. The American Academy of Paediatrics estimates that 9 million to 12 million American children under the age of 5 may be exposed to passive smoke. The newer studies strengthened earlier conclusions that passive smoke increases the risk of serious early childhood respiratory illness, particularly bronchitis and pneumonia in infancy. Increased coughing was reported from birth to the mid-teenage years among 13 newer studies of passive smoking and respiratory symptoms. It has also been found that passive smoke can lead to middle ear infections and other conditions in children. Asthmatic children are particularly at risk and the lung problem in childhood can extend to adulthood 14.

17. In 1962 and 1964 the Royal College of Physicians in London and the Surgeon General of the United States released landmark reports documenting the casual relation between smoking and lung cancer lZ3. Thereafter, extensive research has confirmed that smoking affects virtually every organ system. By 1990. the Surgeon General of the United States concluded that "smoking represents the most extensively documented cause of disease ever investigated in the history of biomedical research". Studies have shown increased risk of lung cancer in non-smoking women whose husbands smoked. Spousal studies on passive smoking showed a positive association between smoking and lung cancer. It has now been shown that involuntary smoking is a cause of disease.

" Ibid Page 12. " Ibid, page 12.

15 Selections from British Medical Joumal(South Asia Edition)Vol. 13,No. 11, January 1990, Page 1110-1111.

including lung cancer, in healthy non-smokers. Studies in various countries have established a positive association between passive smoking and lung cancer. The Environmental Protection Agency of U.S. classified environmental tobacco smoke (ETS) as a known human carcinogen, to which it attributed 3000 lung cancer deaths annually in American non-smokers. The agency also documented casual associations between exposure to environmental tobacco smoke (ETS) and lower respiratory tract infections such as pneumonia and bronchitis, middle ear disease, and exacerbations of asthma in children. A report on environmental tobacco smoke (ETS) published in December 1998 by the California Environmental Protection Agency affirmed the findings of the US Environmental Protection Agency on the link between environmental tobacco smoke (ETS) and lung cancer and respiratory illness. It also concluded that passive smoking is a cause of heart disease mortality, acute and chronic heart disease morbidity, retardation of foetal growth, sudden infant death syndrome (SIPS), nasal sinus cancer, and induction of asthma in children. Two important studies from the Wolfson Institute of Preventive Medicine in London, published in 1998 show that marriage to a smoker increased the risk of lung cancer by 26%. Studies have also established strong relation between passive smoking and alchemic heart disease,. (IFID). The systematic reviews from the Wolfson Institute, the California Environmental Protection Agency and the US Environmental Protection Agency, and various reports released make it clear that exposure to environmental tobacco smoke (ETS) is a cause of lung cancer, heart disease and other serious illness. In the United States alone, it is responsible each year for 3000 deaths from lung cancer, 35,000 to 62,000 deaths from alchemic he art disease (IHD), 1,50,000 to 3,00,000 cases of bronchitis and pneumonia in infants and children aged 18 months and younger causing 136 to 212 deaths, 8000 to 26,000 new cases of asthma, exacerbation of asthma in 4,00,000 to 1 million children, 7,00,000 to 1.6 million visits to physician offices for middle ear infection, 9700 to 18600 cases of low birth weight, and 1900 to 2700 sudden infant deaths. These figures make passive smoking one of the leading preventable causes of premature death in the United States It).

18. Public health action by policy makers to eliminate exposure to environmental tobacco smoke (ETS) is long overdue. A total ban on smoking is preferred on various grounds. Policy makers should pursue all strategies that would help accomplish that goal, including education, legislation, regulation, litigation and enforcement of existing laws.

19. Government of India is a party to 16 or so resolutions adopted by the World Health Organisation since the 1970s, particularly the one adopted in 1986 which urged member-countries to formulate a comprehensive national tobacco control strategy. It was envisaged that the strategy would contain measures (i) to ensure effective protection to non-smokers from involuntary exposure to tobacco smoke; ii) to promote

n Ibid. 15. abstsention from the use of tobacco to protect children and young people from becoming addicted; (iii) to ensure that a good example is set on all health-released premises by all health personnel; (iv) to progressively eliminate all incentives which maintain and promote the use of tobacco; (v) to prescribe statutory health warnings on cigarette packets and the containers of all types of tobacco products; (vi) to establish programmes of education and public information on tobacco and health issue with the active involvement of health professionals and media; (vii) to monitor trends in smoking and other forms of tobacco use, tobacco related diseases and effectiveness of national smoking control action; (viii) to promote viable economic alternatives to tobacco production, trade and taxation; and (ix) to establish a national focal point to stimulate, support and co-ordinate all these activities. Despite the fact that India is a signatory to those regulations it is saddening to note that no significant follow-up action has been taken, except banning smoking in public places and public transport and printing a statutory warning on cigarette packets. Even here, the action has been half-hearted with the ban on smoking in public places confined to Delhi and a few other cities and the statutory warning being followed more as a ritual and printed in such small letters that the consumer hardly notices it. Advertisement in the government-controlled mass media has been prohibited, but it continues unabated in the print media and private television channels. The Governments lip-service is reflected in the absence of any mention about the hazards of tobacco in the Health Ministrys annual Report. Except on the occasion of the "World No Tobacco Day" Once a year, there has been no sustained campaign to counter the promotional campaign of tobacco and highlight the toll tobacco use takes.

20. Every year,1 million tobacco-related deaths take place in Indialt$. An estimated 65 % of men use tobacco and in some parts a large proportion of women chew tobacco and bidies. About 33% of the cancers are caused by tobacco. About 50% of all cancers among men and 25% among women are tobacco-related. The number of cases of avoidable tobacco-related cancers of the upper alimentary and respiratory tracts, coronary heart disease and chronic obstructive pulmonary disease (COPD) has been estimated as 2,00,000 every year. Many still-births, low birth infants, and pre-natal morality have been reported among female chewers.

21. Tobacco kills 50% of its regular users within 40 years. Apart from these direct health implications of tobacco use, the hazards faced by those engaged in the plucking and curing of tobacco leaves have been highlighted by researchers of the Ahmedabad based National Institute of Occupational Health. The hands of the workers get affected by the chemicals in tobacco and sickness is caused when nicotine gets absorbed into the body through the skin. The symptoms are head-ache, nausea and vomiting. Ail l~-Whither tobacco control by B. S. Padmanabhan -The Hindu dated 8-8-1998.1- Ibid, page 1. these well-documented findings are available with the State but if it has not taken any effective action it can only be attributed to the clout which the lethal leaf enjoys in the corridors of power. One of the pet contentions of the protagonists of tobacco is that it makes a significant contribution to the exchequer by way of taxes and hence should not be disturbed. Also a large number of tobacco farmers will be hit if consumption is curbed. Both these have been countered by WHO forcefully. Several studies have brought out that the cost of healthcare of those affected by tobacco-related ailments. which is met from the Government exchequer, is much more than what the Government garners by way of taxes. Thus, there is a net drain on the government resourcefulness the premature death of the tobacco users would cast a heavy economic burden on their families perpetuating the cycle of poverty. As regards the possible impact of any curb on tobacco use on tobacco farmers, studies by the Rajahmundry-based Tobacco Research Institute of the ICAR have brought out equally remunerative alternatives to tobacco cultivations, besides use of tobacco for purposes other than smoking and chewing.

22. Taking note of the alarming scenario as discussed above, the question then is, what is the relief which this Court can grant to the petitioners Can this Court direct the legislature to enact a law banning tobacco smoking In our considered opinion the answer can only be an emphatic no. It is entirely for the executive branch of the Government to decide whether or not to introduce any particular legislation... The Court certainly cannot mandate the executive or any member of the legislature to initiate legislation, howsoever necessary or desirable the Court may consider it to be.... If the executive is not carrying out any duty laid upon it by the Constitution or the law, the Court, can certainly require the executive to carry out such duty and this is precisely what the court does when it entertains Public Interest Litigation. But at the same time the Court cannot usurp the functions assigned to the executive and the legislature under the Constitution and it cannot even indirectly require the executive to introduce a particular legislation or the legislature to pass it or assume to itself a supervisory role over the law making activities of the executive and the legislature. Thus, from the above observation of the Supreme Court, it is clear even the Supreme Court found that Himachal Pradesh High Court had exceeded the limits of judicial power in ordering relief in Public Interest Litigationly. But then, it has to be borne in mind that this Court acting as the sentinel on the qui wive can certainly interfere and grant relief by way of mandamus to the Government and its officials including police to enforce the existing laws which is quite sufficient to safeguard the interests of the public against the wisp of environmental tobacco smoke (ETS). When laws are there to deal with nuisance the law has to be enforced by the law enforcing agency of the State. The question of ly- State of Himachal Pradesh v. A Parent ofaStudent of Medical College, Shimla (AIR 1985 SC 910 [LQ/SC/1985/124] ). discretion of the police in the matter of prosecution of offenders was considered by Lord Denning, saying: "For instance, it is for the Commissioner of Police of the Metropolis, or the Chief Constable, as the case may be, to decide in any particular case whether inquiries should be pursued, or whether an arrest should be made, or a prosecution brought. It must be for him to decide on the disposition of his force and the concentration of his resources on any particular crime or area. No court can or should give him direction on such a matter. He can also make policy decisions and give effect to them, as, for instance, was often done when prosecutions were not brought for attempted suicide. But there are some policy decisions with which, I think, the courts in a case can, if necessary, interfere. Suppose a chief constable were to issue a directive to his men that no person should be prosecuted for stealing any goods less than 100 pounds in value I should have thought that the court could countermand it. He would be failing in his duty to enforce the law." 1-u The discretion possessed by the police in enforcing the law was considered by the Court of Appeal in a case in which the applicant complained, merely as a citizen, that the police had adopted a policy of not prosecuting London gaming clubs for illegal forms of gaming /-l. The Commissioners confidential instructions, when revealed to the court, substantially bore out the complaint, being based on the uncertainty of the law and the expense and manpower required to keep the clubs under observation. But while the case was pending the law was clarified, fresh instructions were issued, and the Commissioner undertook to withdraw the fanner instructions. The Court therefore, found no occasion to intervene. But they made it clear that the Commissioner was not an entirely free agent as his counsel contended. He had a legal duty to the public to enforce the law and the court could intervene by mandamus if. for example, he made it a rule not to prosecute housebreakers. On the other hand the court would not question his discretion when reasonably exercised, eg. in not prosecuting offenders who for some special reason were not blameworthy in the way contemplated by the Act creating the offence. The Court criticised the public policy of suspending observation of gaming clubs, as being clearly contrary to Parliaments intentions; and had it not been changed, they would have been disposed to intervene. In 1972 the same public-spirited citizen brought similar proceedings, asking the court to order the police to take more effective action to enforce the law against the publication and sale of pornography. The Metropolitan Police were given instructions not to institute prosecutions or apply for destruction orders without the approval of the Director of Public Prosecutions; and it was shown that much pornographic literature was flagrantly offered for sale without interference by the police. The Court of Appeal found that the efforts of the police had been largely

L R. v. Metropolitan Police Commissionerexp. blackbum ((1968)2 Q.B.118atl35. See also R. v. Devon and Cornwall Chief Constable ex p. C.E.G.B. ((1981)3 W.L.R.967).

Ll R. v. Metropolitan Police Commissionerexp. Blackburn ((1968) 2 Q.B. 118. See also

Adams v. Metropolitan Police Commissioner (1980 R. T.R.289).

ineffective, but that the real cause of the trouble was the feebleness of the Obscene Publications Act, 1959. Accordingly it could not be said that the police were failing in their duty, and an order of mandamus was refused 22. It was again made clear that if the police were carrying out their duty to enforce the law, the court would not interfere with their discretion; but that the court would do so in the extreme case where it was shown that they were neglecting their duty. Exactly, that is the factual situation here.

23. The existing law on the subject is embod in Ss.268and278IPC,R.227(1)(d) and 227(5) LLka) of the Kerala Motor Vehicles Rules 1989 besides the relevant provisions of Cr.P.C. S.268 IPC defines public nuisance. S.268:

"Public nuisance - A person is guilty of a public nuisance who does any act or is guilty of an illegal omission which causes any common injury, danger or annoyance to the public or to the people in general who dwell or occupy property in the vicinity, or which must necessarily cause injury, obstruction, danger or annoyance to persons who may have occasion to use any public right. A common nuisance is not excused on the ground that it causes some convenience or advantage".

There can be no doubt that smoking in a public place will vitiate the atmosphere so as to make it noxious to the health of persons who happened to be there. Therefore, smoking in a public place is an offence punishable under S.278 IPC. The punishment for the offence is fine which may extend to Rs. 500/- as prescribed under S.278 IPC. S.278:

"Making atmosphere noxious to health.- Whoever voluntarily vitiates the atmosphere in any place so as to make it noxious to the health of persons in general dwelling or carrying on business in the neighborhood or passing along a public way, shall be punished with fine which may extend to five hundred rupees."

In Schedule I of Cr.P.C. offence under S, 278 IPC is a non-cognizable offence. Since the offence alleged is non-cognizable the police has no authority to arrest the offender without an order from a Magistrate or without a warrant. But, since the complaint includes the report of a police officer in a non-cognizable case, the police can LL- R.v. Metropolitan Police Commissioner ex p. BlackburnNo. 3, (1973) 1 Q.B. 241).

22 (a). 227. Passengers inpublic service vehicles:- rules to be observedby(1) When a public service vehicle is carrying passengers or waiting to pick up passengers, a passenger or intending passenger shall not - xx xx

(d) smoke inside the vehicle and also when the vehicle is being re-fueled (5) Any passenge contravening the provisions of these rules may be removed rom the vehicle by the river or conductor or on request of the driver or conductor, by any police officer. file a complaint before the Magistrate against the offender for the said offence. Since the offence is punishable with fine upto Rs. 500/- only, the case comes within the definition of a petty case as per S.206(2) Cr. P.C. However, it is not necessary that the offence complained of is cognizable to enable the police to file a complaint. A reading of S.153(2) Cr.P.G. shows that the police can file a complaint to the Magistrate in a non-cognizable case. When the complaint is made by a public servant in discharge of his official duty the Magistrate need not follow the procedure under Ss.200 and 202 Cr.P.C. in which case the Magistrate can straight away issue process to the accused. That apart, if any person who commits the offence refuses to give his name and address, a police officer can arrest him for the purpose of ascertaining his address. Since smoking is a public nuisance, it can be more effectively abated by invoking S.133 Cr.P.C. S.133 Cr.P.C:

"Conditional order for removal of nuisance- (1) whenever District Magistrate or any other Executive Magistrate specially empowered in this behalf by the State Government, on receiving the report of a police officer or other information and on taking such evidence (if any) as he thinks fit, considers -

(a) that any unlawful obstruction or nuisance should be removed from any public place or from any way, river or channel which is or may be lawfully used by the public; or

(b that the conduct of any trade or occupation, or the keeping of any goods or merchandise, is injurious to the health or physical comfort of the community, and that in consequence such trade or occupation should be prohibited or regulated or such goods or merchandise should be removed or the keeping thereof regulated; or

(c) that the construction of any building, or, the disposal of any substance, as is likely to occasion conflagration or explosion, should be prevented or stopped: or

(d) that any building, tent or structure, or any tree is in such a condition that it is likely to fall and thereby cause injury to persons living or carrying on business in the neighborhood or passing by, and that in consequence the removal, repair or support of such building, tent structure, or the emovalor support f such tree, is necessary; or

(e) that any tank, well or excavation adjacent to any such way or public place should be fenced in such manner as to prevent danger arising to the public; or

(f) that any dangerous animal should be destroyed, confined or otherwise disposed of, such Magistrate may make a conditional order requiring the person causing such obstruction ornuisance,or carrying on such trade any such goods or merchandise, or owning, possessing or controlling such building, tent, structure, substance, tank, well or excavation, or owning or possessing such animal or tree, within a time to be fixed in the order -

(i) to remove such obstruction or nuisance: or

(ii) to desist fromcarryingon,ortoremoveorregulateinsuchmannerasmaybedirected, such trade or occupation, or to remove such goods or merchandise, or to regulate the keeping thereof in such manner as may be directed; or

iii) to prevent or stop the construction of such building, or to alter the disposal of such substance; or

(iv) to remove, repair, or support such building, tent or structure, or to remove or support such trees; or

(v) to fence such tank, well or excavation; or

(vi) to destroy, confine or dispose of such dangerous animal in the manner provided in the said order; or, if he objects so to do, to appear before himself or some other Executive Magistrate subordinate to him at a time and place to be fixed by the order, and show cause, in the manner hereinafter provided, why the order should not be made absolute.

(2) No order duly made by a Magistrate under this Section shall be called in question in any Civil Court. Explanation.- A public place includes also property belonging to the State, camping grounds and grounds left unoccupied for sanitary or recreative purposes."

If such an order is passed by the Executive Magistrate any person who disobeys the order is guilty of the offence punishable under S.188 IPC. S.188:

"Disobedience to order duly promulgated by public servant.- whoever, knowing that, by an order promulgated by a public servant lawfully expowered to promulgate such order, he is directed to abstain from a certain act, or to take certain order with certain property in his possession or under his management, disobeys such direction, shall, if such disobedience causes or tends to cause obstruction, annoyance or injury, or risk of obstruction, annoyance or injury, to any persons lawfully employed, be punished with simple imprisonment for a term which may extend to one month or with fine which may extend to two hundred rupees, or with both; and if such disobedience causes or tends to cause danger to human life, health or safety, or causes or tends to cause a riot or a affray, shall be punished with imprisonment of either description fora term which may extend to six months, or with fine which may extend to one thousand rupees, or with both.

Explanation.- It is not necessary that the offender should intend to produce harm, or contemplate his disobedience as likely to produce harm. It is sufficient that he knows of the order which he disobeys, and that his disobedience produces, or is likely to produce, harm". Offence under S.188 IPC is cognizable as per First Schedule of Cr.P.C. Therefore, after the promulgation of an order under S.133(a) Cr.P.C.. if any person is found smoking in a public P1 ace, the police can arrest him without a warrant. The only condition is that the order is duly promulgated by the Executive Magistrates. The Executive Magistrates have a duty to promulgate such an order.

24. In Ratlani Municipality v. Vardhichand 1-5, Krishna Iyer, J. speaking for the Bench ruled that the imperative tone of S.133 Cr.P.C. read with the punitive temper of S.188IPC make me prohibitory act a mandatory duty. If a complaint is filed under S.188 IPC, there is an embargo for the Magistrate to take cognizance under S.195(1) Cr.P.C. as cognizance can be taken for the offence on the complaint in writing of the public servant concerned or of some other public servant to whom he is administrative subordinate. This embargo will disappear if there is a complaint in writing by the public servant concerned. When there existed a public nuisance this Court could require the executive under S.133 Cr.P.C. to abate the nuisance by taking affirmative action on a timebound basis. Otherwise, it will pave the way for a profligate statutory body or pachydermic governmental agency to defy the law by wilful inaction. S.133 Cr.P.C. is categoric Although reads discretionary. Judicial discretion when facts for its exercise are present, has a mandatory import. Therefore, when a Magistrate has, before, him all the information and evidence, which disclose the existence of a public nuisance and, on the materials placed, he considers that such nuisance should be removed from any public place which may be awfully used by the public, he shall act. Thus, his judicial power shall, passing through the procedural barrel, fire ponlheobstruction or nuisance. trjggered_byAthejurisdictional facts. The responsibility of the Magistrate under S.133 CrL P.C.JS to order removal of such nuisance within a time to be fixed in the order. This is a public duty implicit in the public power to be exercised on behalf of the public and pursuant to a public proceeding. Failure to comply with the direction will be visited with a punishment contemplated by S.188 IPC. The new social justice orientation imparted by the Constitution of India makes S.133 Cr. P.C. a remedial weapon of verstaileuse. Social justice is due to the people and therefore, the people must be able to trigger off the jurisdiction vested for their benefit in any public functionary like a Magistrate under S. JJ3 CrP.C. L4 In the exercise of such power, the judiciary must be informed by the broader principle of access to justice necessitated by the conditions of developing countries and obligated by the mandate contained in Art.21. Art.38 and Art.51(a) of the Constitution of India. Art.21 of the Constitution of India provides that no person shall be deprived of his life or personal liberty except according to procedure established by law. The word life in this Articles very significant as it covers every facet of human existence. The word life has not been defined in the Constitution but it does not mean nor can it be restricted only to the vegetative or animal life or mere existence from conception to death. Life does not merely connote a continued drudgery through life. The expression life has a much wider meaning bringing within its sweep some of the "A.I.R. 1980 SC 1622 [LQ/SC/1980/291] . L4 Ibid 23, Page 2628.

finer graces of human civilisation which makes life worth living.LO Life includes all such amenities and facilities which a person born in a free country is entitled to enjoy with dignity, legally and constitutionally. The amplitude of the word -life is so wide that the danger and encroachment complained of would impinge upon the fundamental rights of citizens as in the present case. The apex court has interpreted Art.21 giving wide meaning to life which includes the quality of life, adequate nutrition, clothing and shelter and cannot be restricted merely to physical existence. The word life in the Constitution has not been used in a limited manner. A wide meaning should be given to the expression "life to enable a man not only to sustain life but to enjoy it in a full measure. The sweep of right to life conferred by Art.21 of the Constitution is wide and far-reaching so as to bring within its scope the right to pollution free air and the "right to decent environment.4b Under our Constitutional set up the dignity of man and subject to law the privacy of home shall be inviolable. The Constitution through various Articles in Part III and Part IV guarantees the dignity of the individual and also right to life which if permitted to trample upon will result in negation of these rights and dignity of human personality.

25. For the purpose of the present controversy, suffice it to say, that a person is entitled to protection of law from being exposed to hazards of passive smoking. Under the common law a person whose right of easement, property or health is adversely affected by any Act or omission of a third person in the neighborhood or at a far off place is entitled to seek an injnction and also claim damages, but the constitutional rights stand at a higher pedestal than the legal rights conferred by law be it the municipal law or the common law. Such a danger as depicted the earlier paragraphs of this judgment is bound to affect lakhs of people who may suffer from it unknowingly because of lack of awareness, information and education and also because such sufferance is silent and fatal and most of the people who are exposed to the lethal smoke do not know that they are in fact facing any risk or are likely to suffer by such risk. Because of lapses on the part of the authorities concerned in creating awareness of the dangers of passive smoking innocent people are unwillingly made to inhale noxious environmental tobacco smoke (ETS) and consequently become victims of various deadly diseases. It is therefore time that the authorities should wake up before the matter slips out of their hands since health of large number of people is at stake. Maintenance of health and environment falls within the purview of Article 21 of the Constitution as it adversely affects the life of the citizens by slow and insidious poisoning thereby reducing the very life span itself. Exposing unsuspecting individuals to environmental tobacco smoke (ETS) with ominous consequences amounts to taking away their life, not by execution of death sentence by a slow and gradual process by robbing him of all his qualities and graces, a process which is much more cruel than sending a man to gallows. To convert L " Board of Trustees of the Port of Bombay v. D.R. Nadkarni (AIR 1983 SC109). L 6 Mis. Shantistar Builders v. Narayan Khimalal Totame (AIR 1990 SC 630 [LQ/SC/1990/52] P. 9).

Human existence into animal existence no doubt amounts to taking away human life, because a man lives not by his physical existence or by bread alone but by his human existence.-" Smokers dig not only their own graves prematurily but also pose a serious threat to the lives of lakhs of innocent nonsmokers who get themselves exposed to ETS thereby violating their right to life guaranteed under Art.21 of the Constitution of India. A healthy body is the very foundation for all human activities. In a welfare State it is the obligation of the State to ensure the creation and the sustaining of conditions congenial to good health.

26. In the result, we declare and hold as follows:

i) Public 2-6 smoking of tobacco in any form whether in the form of cigarettes, cigars, beedis or otherwise is illegal, unconstitutional and violative of Art.21 of the Constitution of India. We direct the District Collectors of the Districts of the State of Kerala who are suo mote impleaded as Additional respondents 39 to 52 to promulgate an order under S.13 3(a) Cr.P.C. prohibiting public smoking within one month from today and direct the 3rd respondent Director General of Police, Thiruvananthapuram, to issue instructions to his subordinates to make appropriate and immediate measures to prosecute all persons found smoking in public places treating the said act as satisfying the definition of "public nuisance" as defined under S.268IPC in the manner indicated in this judgment by filing a complaint before the competent Magistrate and direct all other respondents to take appropriate action by way of display of Smoking Prohibited boards etc. in their respective offices or campuses.

i) There will be a further direction to Addl. respondents 39 to 52 to issue appropriate directions to the respective R.T.Os to strictly enforce the provisions contained in R.227(1)(d)and227(5) of the Kerala Motor Vehicles Rules, 1989.

iii) Tobacco smoking in public places falls within the mischief of the penal provisions relating to "public nuisance" as contained in the Indian Penal Code and also the definition of air pollu tion as contained in the statutes dealing with the protection and preservation of the environment, in particular the Ah" (Prevention & Control of Pollution) Act, 1981.

iv) The respondents, repositories of wide statutory powers and enjoined by the statute and Rules to enforce the penal provisions therein are duty bound to require that the invidious practice of smoking in pubic places, a positive nuisance, is discouraged and offenders visited with prosecution and penalty as mandated by law. Accordingly, the respondents are liable to be compelled by positive directions from this Court to act 27 Sankar Banerjee v. Durgapur Projects Ltd. (AIR 1988 Cal. 136 [LQ/CalHC/1987/213] ).

Public place will include Educational Institutions, Hospitals, Shops, Restaurants, Commercial Establishments, Bars, Factories, Cinema Theatres, Parks, Walk-ways, Stadiums, Places of amusement, Bus stops, Bus Stations, Railway Stations, Railway Compartments, Buses and other Pub lie Transport Vehicles, Highways or any other place where people congregate.

And take measures to abate the nuisance of public smoking in accordance with law. Directions in the above lines are hereby issued.

v) The continued omission and inaction on the part of the respondents to comply with the constitutional mandate to protect life and to recognise the inviolability of dignity of man and their refusal to countenance the baneful consequences of smoking on the ptibficat large bas resulted in extreme hardship and injury to the citizens and amounts a negation of their constitutional guarantee of decent living as provided under Art.21 of the Constitution of India.

26(a). Media, print and electronic will take note of this judgment and caution the public about penal consequences of violation of the ban of public smoking.

27. The petitioners are free to move this Court for further directions as and when deemed necessary. The Original Petition is allowed as above.

Advocate List
  • P. Deepak For Petitioners Advocate General (M.K. Damodamn), N. Nandakumara Menon, K. Balakrishnan, K.P.G. Menon, Siby Mathew, K. Radhakrishnan, M.C. Cheriyan, S. Gopakumaran Nair, K. Jayakumar, P.C. Sasidharan, P.J. Mathew, Joe Joseph, K. Kuriakose, John Varghese, M. V. Joseph, P.R. Ramachandra Menon & Pirappancode V. Sreedharan Nair For Respondents
Bench
  • HON'BLE ACTING CHIEF JUSTICE MR. A.R. LAKSHMANAN
  • HON'BLE MR. JUSTICE K. NARAYANA KURUP
Eq Citations
  • LQ/KerHC/1999/332
Head Note

Indian Penal Code, 1860 — S. 268 — Public nuisance — Definition — Active/passive smoking of tobacco in public places — Held, public smoking of tobacco is illegal, unconstitutional and violative of Art. 21 of the Constitution of India — Cigarette smoking is the primary cause of lung cancer and chronic obstructive pulmonary diseases (COPD) and a major risk factor for coronary heart disease; Environmental Tobacco Smoke (ETS) causes lung cancer in passively exposed non-smokers — Direction issued to District Collectors of the State of Kerala to promulgate an order under S. 133(a)Cr.P.C. prohibiting public smoking within one month and further direction to Director General of Police, Thiruvananthapuram, to issue instructions to his subordinates to make appropriate and immediate measures to prosecute all persons found smoking in public places — DGP further directed to strictly enforce the provisions of the Kerala Motor Vehicles Rules, 1989. \n\n(Paras 1, 25 and 26)