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Tobacco and Health

Tobacco and Health. Eva Kralikova. Tobacco killed more people during first century of tobacco epidemic than both World Wars together - 100,000,00. Deaths/year in Czech Republic. 300 drugs+AIDS 300 murdered 1,300 suicides 1,400 street accidents 2,100 other accidents 22,000 smoking.

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Tobacco and Health

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  1. Tobacco and Health Eva Kralikova

  2. Tobacco killed more people during first century of tobacco epidemic than both World Wars together - 100,000,00

  3. Deaths/year in Czech Republic • 300 drugs+AIDS • 300 murdered • 1,300 suicides • 1,400 street accidents • 2,100 other accidents • 22,000 smoking

  4. USA: 450,000 deaths/year • About 3,500 died after terrorist attacs on September 11, 2001 • Each week about 9,000 killed by tobacco in USA = 3 times as on September 11, 2001

  5. Tobacco causes • 20 - 25% of CVD • 30% of all cancer • 75% of chronic pulmonary diseases • other diseases

  6. Cardiovascular diseases • increased fibrinogen • increased trombocytes, activated tromboc. • increased erythrocytes • increased leukocytes • double risk of diabetes • higher homocysteinaemia • negative impact on blood lipids • blood pressure, vasoconstriction

  7. Passive smoking • Recognized in 1981 • (more than 10% of non-smokers with lung cancer: partners of smokers) • also dogs and cats living in smokers household die sooner

  8. Passive smoking • mainstream smoke (burning at 900-1000 C) • sidestream smoke (burning at 300-400 C) • environmental tobacco smoke - ETS • measuring ETS exposure: nicotine

  9. Tobacco dpendence = diagnosis F 17 (10-IDC)

  10. Tobacco dependence: * psychosocial * physical

  11. First WHO European Recommendations on the Treatmentof Tobacco DependenceEvidence based core recommendationsfor health care systems in EuropeWorld Health Organization European Partnership Project to Reduce Tobacco DependenceJune 2001

  12. Pharmacotherapies* nicotine replacement therapy (patch, gum, nasal spray, inhalator, tablet, lozenge)* bupropion Smokers of 10 or more cigarettes a day who are ready to stop

  13. Effects of stopping smoking at various ages on the cumulative risk (%) of death from lung cancer up to age 75, at death rates for men in United Kingdom in 1990. (Non-smoker risks are taken from a US prospective study of mortality, Peto, 1992) Peto et al., 2000

  14. SHORT INTERVENTION (3-5 min) 5 A METHOD * ASK * ADVISE * ASSESS * ASSIST * ARRANGE for smokers willing to quit

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