Tobacco 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 tobacco use occur during middle age, when people are still in the most productive part of their lives. Chewing tobacco products such as gutka is common in India. It causes over half of the deaths from oral cancers and women and 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 very common activity among men and women all over. Almost thirty one percent men and nineteen percent women chew tobacco products in India. Specifically, the pregnant women must avoid the use of tobacco, as it leads to low birth weight babies, still births and birth defects. As per the Global Adult Tobacco 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 high, income group people chew tobacco products. Women, who chew tobacco, have especially high risks of dying from oral cancer. 3.8 percent of women in the age of group 30 to 69 years face of 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 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 tobacco is not just costing lives, but it is imposing economic burdens on the health care systems of our country. 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 to 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 5 percent. Quitting before by the age of 40, avoids nearly all the risks.