Te e Ohu hu Au Auahi hi Mutunga nga M M ā Pango, M ā Whero, Ka oti te mahi
TOA TOAM Regi gion onal S Stop op S Smok oking Servi vice Purpose o To deliver a consumer-centric, high quality, effective, evidence based, kaupapa driven stop smoking intervention to meet the local smoking population needs Priorities o M āori local action o Pasifika o Hapū whānau regional co-operation o Rural Residents of MidCentral DHB who smoke
The e ABC BC path thway • A – is for Asking and documenting every persons smoking status • B - is for giving Brief advice to every person who smokes and • C – is for strongly encouraging every person who smokes to use Cessation support and offer them help to access it.
Rational ale for this approac ach To encourage more people to make more quit attempts, supported by evidence- based treatments, more often
Nicoti tine ne Replacement nt Therapy py (N (NRT) What does NRT do? Alleviates withdrawal Maintains nicotine serum concentration at or above • patient comfort level Eliminates The reinforcing effect of nicotine absorbed • through smoking Gives patient time To break the habit and psychological dependence •
Se Second Ha Hand Sm Smoke Pregnancy - Second-hand smoke and the unborn child Research has shown that exposure to second -hand smoke through the mother smoking while pregnant can slow the growth of the unborn child and increase the risk of reduced birth weight, miscarriage and placenta previa. One of the causes is the carbon monoxide in tobacco smoke which binds with haemoglobin stopping a good flow of oxygen in the blood.
Second Ha Se Hand Sm Smoke Second-hand smoke and young children The small lungs and lighter weight of young children make them particularly vulnerable to the harmful effects of second-hand smoke. Exposure is linked to increased risk of: Middle ear infections(including Glue ear) 2018-135 Grommets(0-14) • Lower respiratory illness(including Croup, Bronchitis, Bronchiolitis • and Pneumonia) The onset of asthma and worsening of asthmatic symptoms • Reduced lung growth • Sudden and unexpected death in infants – SUDI or cot death • Meningococcal disease •
To V To Vape ape or or Not ot to V o Vape ape? Th That at i is s the Q Que uestion!
MOH OH Hea ealth Surv urvey 2017/18 Smoking • Daily smoking has dropped to 13.1% from 13.8% in 2016/17 • Daily smoking for Maori 31.2% from 32.5% • Daily smoking for Pasifka 20% from 21.8% E-Cigarettes Daily e-cigarette use is reported at 2.6%, up from 0.9% in • 15/16 • Highest daily e-cig use is by Maori at 4.7% • 0.6% for 15-17 year olds • 4% for 18-24 year olds •
MoH oH Directive to o Quit Sm Smoking Servic ices es MoH have directed all stop smoking services to support people to vape to quit’
Myth ths and nd Facts ts What is “Popcorn Lung”? Popcorn Lung – Bronchiolitis Obliterans – Can result from a variety of medical and environmental causes • The chemical, Diacetyl, is used to flavour Popcorn and may also be found in some of the juices used for vaping • Also found in some cigarettes • The national institute of health list several other chemicals including Chlorine, Ammonia, Sulphur Dioxide and inhaled metal fumes from welding
Myth ths and nd Facts ts Is Is Vaping Sa Safe? • Vaping is not harmless…. but is about 95% less harmful than smoking • Vaping is less harmful to those around you than smoking is • There is no current evidence that second hand vaping is dangerous to others • People who vape should buy quality products from reputable sources • It is important to have good equipment, advice and support • If you don’t smoke……don’t vape!
Cur urren rent MOH OH adv dvice e on n vaping • Regulations still under development • Directed Stop Smoking Services to support people to “vape to quit” • Vaping is 95% less harmful than smoking……. Although not totally harmless • Vaping products are intended for smokers only • For further information refer to the MOH website for their position statement
More Vaping g Informat mation www.health.govt.nz/our - work/preventative -health- wellness/tobacco -control/vaping-and-smokeless-tobacco
The TOAM Team steering towards Auahi Kore Aotearoa
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