tobacco industry interference in government policy making is a deadly barrier to health & development in many countries #NoTobacco The Tobacco Industry Makes Systemic

Okay, spill the tea

pregnant women, smokeless tobacco users, light smokers, adolescents (Fiore, et al) Two categories of pharmaceutical options: Nicotine replacement therapy (NRT) Non-nicotine replacement therapy Nicotine Replacement Therapy (NRT) Non-prescription available over-the-counter Nicotine Patch Nicotine Lozenges Nicotine Gum Nicotine Inhalers Provide nicotine to reduce withdrawal symptoms Take between 1-4 hours to reach maximum blood levels (unlike cigarettes, 7 seconds) Do not cause sudden boost to nicotine blood levels (prevents addiction to product) Dose depends on habits of the smoker but is reduced over a 12 week period Non-nicotine Therapy Bupropion Hydrochloride (Zyban) Also marketed as the anti-depressant medication Wellbutrin Presumed to alleviate cravings associated with nicotine withdrawal affecting noradrenaline and dopamine Varenicline Tartrate (Champix) Targets nicotinic acetylcholine receptors to decrease cravings and withdrawal Clonidine & Nortriptyline Second-line medications used in smoking cessation All of these medications require a prescription Counselling Intensive intervention that last a minimum of 10 minutes Commonly conducted by nurses in various health-care settings Motivational Interviewing Directive and client-centred standard counselling techniques Stages of Change theory Alternative Therapies No clinical evidence to verify results from these treatments Some clients/patients report that they are beneficial (Fiore, et al., 2008) Self-help Most smokers want to quit on their own Self-help material should be provided Based on the health behaviour change model Tailored to specific population Commonly used resources One Step at a Time smoking cessation guide (Canadian Cancer Society) Smokers Helpline Phone Counselling Online Self-help Tips, tools & support Text messaging Supportive messages Benefits of Quitting Its never too late to quit smoking and experience the benefits Immediate Rewards: Improved health Stop worrying about quitting Food will taste better Set a good example for children Improved sense of smell Have healthier babies and children Feel better about yourself Feel better physically Breath, home and car will smell better Reduce wrinkling/aging of skin Key Points Smoking causes many chronic illnesses and death Nurses play an important role in helping patients/clients to quit smoking There are effective treatment options to help people quit smoking There are considerable immediate and long-term benefits to smoking cessation

Manny: Im not going to disrupt the evidence

This would make the maximum visible area permitted for a requested temporary display or incidental display: 1.5 square metres in England, Wales and Northern Ireland 0.1 square metres in Scotland We also propose that across the UK, a requested temporary display or an incidental display of vaping or nicotine products must not result in the display of: tobacco products (and smoking-related products in Scotland) cigarette papers heated and other tobacco-related devices herbal smoking products This is to help prevent adults who are trying to quit smoking, or who have already quit, from seeing tobacco or tobacco associated products that could cause them to relapse to smoking