Denis Fernander, Ribandar It cost A. Sharfudeen, a Tamilian, his voice box to realize that smoking is dangerous to health. Mr. Sharfudeen lost his voice box to smoking after a larynxectomy necessitated for removal of cancerous cell on his larynx. Now, he tours entire country to campaign against perils using tobacco and causing awareness among the youth, especially in educational campuses. The study reveals that the use of tobacco account for an average of over 1 million cases of tobacco related diseases in India every year. The study further reveals that incidence of tobacco use is high among the age group between 18 -25. The aetiology has proven that prolong use of tobacco causes cancer, arteriosclerosis, pulmonary diseases, heart diseases, renal related complications. The situation is alarming, but it is really shame that our government has done little or nothing at all to create qualitative awareness among people over the damaging effect caused by tobacco consumption. Just few days ago