First Nations and Inuit Regional Health Survey
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How Schools Can Help Students Stay Tobacco-Free
HOW SCHOOLS CAN HELP STUDENTS STAY TOBACCO-FREE Schools are in a uniquely powerful position to play a major role in reducing the serious problem of smoking and other tobacco use by kids. Children spend almost a third of their waking time in school, or about 135 hours per month; and much of the peer pressure kids feel regarding whether or not to use tobacco occurs in school.1 Nearly 90 percent of adult smokers begin smoking at or before age 18.2 A national survey in 2020 found that 2.2 percent of eighth graders, 3.2 percent of tenth graders, and 7.5 percent of twelfth graders had smoked in the past month.3 Unfortunately, this problem can begin long before high school or even junior high. Though very little data about smoking is regularly collected for kids under 12, the peak years for first trying to smoke appear to be in the sixth and seventh grades (or between the ages of 11 and 13), with a considerable number starting even earlier.4 In 2015, 3.8 percent of eighth grade students reported having had their first cigarette by the end of fifth grade (ages 10 to 11).5 If current trends continue, 5.6 million kids under the age of 18 who are alive today will ultimately die from smoking-related disease.6 Nicotine is a highly addictive drug; and adolescents, who are still going through critical periods of growth and development, are particularly vulnerable to its effects.7 Symptoms of serious addiction, which can lead to years of tobacco use and dependence, can appear within weeks or even days after occasional smoking begins.8 Smoking and other tobacco use causes numerous immediate, sometimes irreversible, health effects and risks that can seriously damage kids’ health well before they leave school or reach adulthood.9 Because of the addictive power of nicotine, about three out of four teen smokers ends up smoking into adulthood, even if they intend to quit after a few years.10 Smoking may also be a “gateway” to illegal drug use. -
NATIONAL GUIDELINES for TOBACCO CESSATION
NATIONAL GUIDELINES For TOBACCO CESSATION Ministry of Health & Family Welfare, Govt of India TABLE OF CONTENTS Page No. 1. Introduction 3 2. Tobacco and Health 8 3. Nicotine Addiction 9 4. Tobacco Cessation Services in India-A overview 12 5. Process of Cessation--Interventional Strategies (the 5 A’s) 14 Ask Advise Assess ° Readiness to change model ° Assess Nicotine Dependence Assist ° Who are not willing/unsure to quit (5 Rs) ° Willing to quit °° Barriers of quitting °°Cognitive/behavioral/Pharmacotherapy Strategies to assist quitting ° Withdrawal Symptoms Arrange Common problems while quitting and their solution 6. Relapse prevention 34 ° Coping Tips to Stay away from Tobacco ° Type smoker/ Reasons of Tobacco use and tips to help to quit 7. Self-help intervention for tobacco cessation 37 8. Developing a plan with your client 41 9. Quit tobacco for busy physicians 42 10. Smokeless Tobacco & how to quit it 44 11. Tobacco cessation in dental Clinic 47 12. Tobacco cessation in special situation 51 13. How to start Tobacco cessation services 54 14. Pharmacotherapy 58 15. Other form of therapy 62 16. References 63 17. Appendixes 67 I - Tobacco Cessation Data Collection Form (for understanding) 1 II - Nicotine addiction questionnaire III - Handouts IV - TCC Centres V - Participants of developing guidelines 2 1. INTRODUCTION This learning module is designed to empower clinicians, health educators and counselors to provide the best behavioral modification strategy / Pharmacotherapy for tobacco cessations Tobacco use is leading cause of preventable deaths all over the world. According to WHO there are 1100 million smokers worldwide, which constitutes one-third of global population aged 15 years and above. -
Tax, Price and Cigarette Smoking
i62 Tob Control: first published as 10.1136/tc.11.suppl_1.i62 on 1 March 2002. Downloaded from Tax, price and cigarette smoking: evidence from the tobacco documents and implications for tobacco company marketing strategies F J Chaloupka, K M Cummings, CP Morley, JK Horan ............................................................................................................................. Tobacco Control 2002;11(Suppl I):i62–i72 Objective: To examine tobacco company documents to determine what the companies knew about the impact of cigarette prices on smoking among youth, young adults, and adults, and to evaluate how this understanding affected their pricing and price related marketing strategies. Methods: Data for this study come from tobacco industry documents contained in the Youth and Marketing database created by the Roswell Park Cancer Institute and available through http:// roswell.tobaccodocuments.org, supplemented with documents obtained from http://www. See end of article for tobaccodocuments.org. authors’ affiliations Results: Tobacco company documents provide clear evidence on the impact of cigarette prices on ....................... cigarette smoking, describing how tax related and other price increases lead to significant reductions in smoking, particularly among young persons. This information was very important in developing the Correspondence to: F J Chaloupka, Department industry’s pricing strategies, including the development of lower price branded generics and the pass of Economics (m/c 144), through of cigarette excise tax increases, and in developing a variety of price related marketing efforts, University of Illinois at including multi-pack discounts, couponing, and others. Chicago, 601 South Conclusions: Pricing and price related promotions are among the most important marketing tools Morgan Street, Chicago, IL 60607-7121, USA; employed by tobacco companies. -
Medicinal Herbs Quick Reference Guide Revision 2*
Medicinal Herbs Quick Reference Guide * Revision 2 Julieta Criollo DNM, CHT Doctor of Natural Medicine Clinical Herbal Therapist Wellness Trading Post [email protected] www.wellnesstradingpost.com 604-760-6425 Copyright © 2004–2011 Julieta Criollo All rights reserved. Note to the reader This booklet is intended for educational purposes only. The information contained in it has been compiled from published books and material on plant medicine. Although the information has been reviewed for correctness, the publisher/author does not assume any legal responsibility and/or liability for any errors or omissions. Furthermore, herbal/plant medicine standards (plant identification, medicinal properties, preparations, dosage, safety precautions and contraindications, pharmacology, and therapeutic usage) are continuously evolving and changing as new research and clinical studies are being published and expanding our knowledge. Hence, readers are encouraged and advised to check the most current information available on plant medicine standards and safety. T his information is not intended to be a substitute for professional medical advice. Always seek the advice of a medical doctor or qualified health practitioner prior to starting any new treatment, or with any questions you may have regarding a medical condition. The publisher/author does not assume any legal responsibility and/or liability for the use of the information contained in this booklet. * Revision 1 updates: addition of color bars to the Herb Groups and the various Herb -
YOUTH and TOBACCO USE Youth Use of Tobacco in Any Form Is Unsafe
YOUTH AND TOBACCO USE Youth use of tobacco in any form is unsafe. If smoking continues at the current rate among youth in this country, 5.6 million of today’s Americans younger than 18 will die early from a smoking–related illness. That’s about 1 of every 13 Americans aged 17 years or younger alive today. BACKGROUND Preventing tobacco use among youth is critical to ending the tobacco epidemic in the United States. Tobacco use is started and established primarily during adolescence. Nearly 9 out of 10 Each day in the United States, cigarette smokers first about 2,000 youth under 18 tried smoking by age years of age smoke their first 18, and 98% first tried cigarette and more than 300 smoking by age 26. youth under 18 years of age become daily cigarette smokers. Flavorings in tobacco products can make them more appealing to youth. 73% 56% of high school students of middle school students who used tobacco products in the past 30 days reported using a flavored tobacco product during that time. CS300635-A www.cdc.gov/tobacco ESTIMATES OF CURRENT TOBACCO USE AMONG YOUTH About 2 of every 100 middle Nearly 8 of every 100 high school Cigarettes school students (2.1%) reported in students (7.6%) reported in 2017 From 2011 to 2017, current 2017 that they smoked cigarettes that they smoked cigarettes in cigarette smoking declined in the past 30 days. the past 30 days. among middle and high decrease from 4.3% in 2011 decrease from 15.8% in 2011 school students. -
2015 Tobacco Data Pages
Tobacco Data Pages Division of Health Surveillance January 2017 Revised 3/2017 Table of Contents 2 Page Introduction and Executive Summary................................. 3 Tobacco Use Among Adults & Youth................................... 7 Tobacco Use Initiation............................................................ 23 Cessation.................................................................................. 28 Secondhand Smoke................................................................ 36 Tobacco Control Program Priorities..................................... 44 Vermont Department of Health Tobacco Data Pages January 2017 Introduction 3 Established in 2001, the Vermont Tobacco Control Program (VTCP) is a comprehensive statewide program administered by the Vermont Department of Health (VDH) with funding from the Master Settlement Agreement and the Centers for Disease Control and Prevention (CDC). The VTCP implements policy, systems, and environmental level state and community interventions, mass-reach health communication interventions, and cessation interventions while conducting ongoing surveillance of tobacco use in Vermont and evaluation of program efforts to make progress in achieving VTCP goals: o Promote quitting among adults and youth. o Eliminate exposure to secondhand smoke. o Prevent initiation of tobacco use among youth and young adults. o Identify and eliminate tobacco-related disparities among population groups. The Tobacco Data Pages are designed as a quick reference for the most current and pertinent data -
Tobacco Cessation
Tobacco Cessation Judith J. Prochaska, PhD, MPH Professor of Medicine Stanford University 1 A MESSAGE FROM U.S. SURGEON GENERAL JEROME ADAMS 2 DISCLOSURES Current Funding: NHLBI R01HL117736; NCI R01CA204356, R01CA217165 and P01CA225597; NCI Moonshot Suppl P30CA124435; NIDA UHAG052168, R34DA046008, R21DA042222, and R44DA04871 Consulting: Consultant to pharmaceutical (Pfizer, Achieve Life Sciences) and technology companies (Carrot) focused on helping people quit smoking; expert witness for plaintiff counsel in litigation against the tobacco companies 3 Learning Objectives Describe evolution of the tobacco product landscape; Discuss fundamentals of tobacco use, health effects, and nicotine addiction; Understand combined behavioral & pharmacological treatment best practices; Describe newer strategies with cessation medications & behavioral treatments; Discuss brief motivational approaches for client engagement & referral; Summarize key conclusions of 2020 Surgeon General Report on Smoking Cessation; Identify gaps in the treatment literature and future directions. 4 Overview Epidemiology: nicotine product landscape, use patterns, addiction and health harms Counseling: modalities for delivery of behavioral counseling (e.g., quitlines, web, text, app interventions) Pharmacotherapy: new approaches to medications (e.g., combination medications, pre- loading) 5 Overview Epidemiology: nicotine product landscape, use patterns, addiction and health harms Counseling: modalities for delivery of behavioral counseling (e.g., quitlines, web, text, app interventions) Pharmacotherapy: new approaches to medications (e.g., combination medications, pre- loading) 6 Tobacco Products • Cigarettes • Smokeless tobacco (chew, oral snuff, dip) • Snus • Cigars, cigarillos, little cigars • E-cigarettes, nicotine vapes • Hookah (water pipe smoking) • Heated Tobacco Products • Nicotine Pouches • Cloves, Kreteks • Bidis • Pipes 7 E-CIGARETTE EVOLUTION 8 FORMS of TOBACCO: SUMMARY • A variety of tobacco products exist. • For US adults, cigarettes are, by far, the most common form of tobacco. -
Indiana Youth Smoking
Indiana Youth Smoking Tobacco use is the leading preventable cause of death and disease in the United States.1 An estimated 2,600 Hoosier youth become new daily smokers each year, and unless smoking rates are further reduced, an estimated 151,000 Indiana youth currently under age 18 will ultimately die prematurely from smoking.1,2 Indiana has made substantial progress, Quick Facts however, in reducing smoking among Hoosier youth. ▪ Over 1 in 5 Hoosier high Cigarette Smoking among Indiana Youth - 20183 school students have ever Ever Smoking tried cigarettes. ▪ In 2018, 22.1% of Hoosier high school students had ever tried smoking cigarettes – down from 65.3% in 2000. ▪ Nearly 1 in 10 Hoosier ▪ In 2018, 9.5% of Hoosier middle school students had ever tried smoking middle school students cigarettes – down from 34.1% in 2000. have ever tried cigarettes. * Current Smoking ▪ An estimated 2,600 ▪ In 2018, 5.2% of Hoosier high school students were current smokers – Hoosier youth become down from 31.6% in 2000. new daily smokers each ▪ In 2018, 1.9% of Hoosier middle school students were current smokers – year.2 down from 9.8% in 2000. ▪ 5.2% of Hoosier high Indiana Youth Smoking Prevalence, school students and 1.9% 40% Indiana Youth Tobacco Survey (IYTS) 2000-2018 of Hoosier middle school 31.6% students were current 30% smokers in 2018. 20% ▪ Current smoking has 9.8% declined 81% among 10% 5.2% middle school students 1.9% 0% and 84% among high 2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 school students since Middle School High School 2000. -
Tobacco-Free Youth
Scientific and Technical Publication No. 579 Tobacco-free by the e from live in Youth grows ach to m ever mong ople— cco at grams people pres- of the senal. A “life skills” primer ators, iew of ell as ent of grams Pan American Health Organization Scientific and Technical Publication No. 579 Tobacco-free Youth A “life skills” primer Pan American Health Organization Pan American Sanitary Bureau, Regional Office of the World Health Organization 525 Twenty-third Street, N.W. Washington, D.C. 20037 U.S.A. 2000 Also published in Spanish (2000) with the title: Por una juventud sin tabaco: formación de habilidades para una vida saludable ISBN 92 75 31579 5 Pan American Health Organization Tobacco-free youth: A “life-skills” primer.—Washington, D.C.: PAHO, © 2000. x, 54 p.—(Scientific and Technical Publication No. 579) ISBN 92 75 11579 6 I. Title II. (Series) 1. SMOKING—in adolescence 2. SMOKING—prevention 3. TOBACCO USE DISORDER—epidemiology 4. HEALTH PROMOTION 5. LATIN AMERICA NLM WM290 The Pan American Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. Applications and inquiries should be addressed to the Publications Program, Pan American Health Organization, Washington, D.C., U.S.A., which will be glad to provide the latest information on any changes made to the text, plans for new editions, and reprints and translations already available. © Pan American Health Organization, 2000 Publications of the Pan American Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. -
Big Tobacco on Campus Ending the Addiction Big Tobacco on Campus: Ending the Addiction Introduction
Big Tobacco on Campus Ending the Addiction Big Tobacco on Campus: Ending the Addiction INTroductioN n 2006, roughly one in five college1 students smoked I 2 (19.2 percent). Although still unacceptably high, this marked the lowest rate of smoking among college students since 1980. This report explores the trends in smoking among college students and examines steps to help students—and the colleges and universities—break their addiction to tobacco. 2 www.lungusa.org 1-800-LUNG-USA Big Tobacco on Campus: Ending the Addiction ProfILE of ThE ProBLEm ollege students smoked at lower Crates in 2006 than at any time since 1980, CoLLEGE studENT 3 according to the latest published study. Only SmokErS ArE: 19.2 percent of college students smoked in 2006, a rate one-third lower than at the peak in 1999, when 30.6 √ Former high school percent of students reported smoking within the previous smokers 30 days.4 They smoke at a much lower rate than 18 to 22- √ Equally likely to be year-olds who are not in college full-time; 35.7 percent of male or female those young adults smoke.5 √ Predominantly White √ Likely to be social While the drop in prevalence is remarkable, these smokers students still smoke well above the rate set as a national √ More likely to also use goal by the U.S. Department of Health and Human alcohol or other Services—12 percent among adult smokers in 2010.6 substances Smoking rates have been nearly this low before, only to rise to new peaks. In 1989, the previous low year, only 21.1 percent of college students smoked, but within ten years, the number skyrocketed by one-third to the peak high of 30.6 percent in 1999. -
ITC Sustainability Award for India's Million Smoking Deaths by John R
WhyQuit Law of Addiction Joel's Library Freedom Turkeyville How to Quit FOR IMMEDIATE FREE RELEASE Contact: John R. Polito Saturday, April 20, 2014 [email protected] PDF of this article 01 (843) 797-3234 ITC sustainability award for India's million smoking deaths by John R. Polito India is home to 12% of the world's smokers (120 million), nearly one million annual smoking related deaths, and arguably the world's most brazen tobacco company, ITC Limited. ITC Ltd was originally known as Imperial Tobacco Company and then India Tobacco Company. But name changes cannot hide the fact that 82 percent of 2012-13 ITC profits came Question: How many millions of lives did ITC from cigarette sales. Nor can it hide corporate greed kill during 100 "inspiring" years? Why is it permitted inside India's schools? Click British American Tobacco's 30% image for higher resolution. ownership of ITC. ITC's website boasts, "ITC is the market leader in cigarettes in India. With its wide range of invaluable brands, ITC has a leadership position in every segment of the market. ITC's highly popular portfolio of brands includes Insignia, India Kings, Lucky Strike, Classic, Gold Flake, Navy Cut, Players, Scissors, Capstan, Berkeley, Bristol, Flake, Silk Cut, Duke & Royal." "Invaluable" brands? "Highly popular"? What ITC website visitors are not told is that smoking nicotine is highly addictive, that 80-90 percent of all lung cancers are attributable to smoking, or that 40-50 percent of ITC's nicotine addicts smoke themselves to death, with up to one-quarter dying during middle-age. -
A Neurobiological Basis for Nicotine Withdrawal
COMMENTARY A neurobiological basis for nicotine withdrawal Neil E. Grunberg* Department of Medical and Clinical Psychology and Neuroscience Program, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814 obacco products have been week, all year round. Nicotine is the tobacco use. Their collective findings used for Ͼ1,000 years, and the primary drug of addiction in tobacco, were summarized in the U.S. Surgeon key active psychopharmacologi- and it maintains a powerful hold on its General’s Report, The Health Conse- cal ingredient, nicotine, has user, despite knowledge about the quences of Smoking: Nicotine Addiction Tbeen studied for almost 200 years (1, 2). deadly effects of tobacco. Yet nicotine (2), which concluded that The health hazards of tobacco use have also offers promise as a treatment for Y been studied and documented exten- obesity, attention disorders, depression, Cigarettes and other forms of tobacco sively in dozens of reports from U.S. Parkinson’s disease, Alzheimer’s disease, are addicting. Surgeons General, the Centers for Dis- senile dementia, and pain. Y Nicotine is the drug in tobacco that ease Control and Prevention, the World Arguably, nicotine is also the most causes addiction. Health Organization, and other govern- interesting drug of addiction in history. Y The pharmacologic and behavioral ment offices, as well by not-for-profit Certainly, all of the drugs of addiction processes that determine tobacco ad- organizations, epidemiologists, physi- are fascinating, and each has biological diction are similar to those that de- cians, psychologists, nurses, and others. and psychological actions and mecha- termine addiction to drugs such as Nicotine also has received an extraordi- nisms that are well worth studying.