tobacco cessation issues
TRANSCRIPT
:Tobacco cessation issues :A glimpse
Dr. Srabana Misra Bhagabaty: Assistant Professor cum In-Charge,
Department of preventive oncology, Dr. B. Borooah Cancer Institute
What is tobacco cessation
Tobacco cessation (colloquially quitting tobacco) is the process of discontinuing tobacco use
CESSATION IS ONE OF THE MOST IMPORTANT WEAPONS TO CUT DOWN THE DEMAND POOL(of the current tobacco users
FOR EFFECTIVE TOBACCO CONTROL
• Health benefits of tobacco cessation should be remembered.
TOBACCO CESSATION IMPROVES HEALTH
QUTTING TOBACCO LEADS US IN THE RIGHT PATH TOWARDS A HEALTHY AND LONG LIFE
Nicotine is a potentparasympathomimeticalkaloid
Stimulates release of two chemicals
Nicotine reaches brain
Dopamine ‘Good’ feeling
Nicotine is highly addictive
with its
The Vicious Cycle of ADDICTION
A tobacco user
takes tobacco NoradrenalineAlertness & energy
NICOTINE ADDICTION• A psychoactive drug affecting mood and
performance
• Nicotine is:-
- 1000 times more potent than alcohol
- 10 – 100 times more potent than barbiturates
- 5 – 10 times more potent than cocaine or morphine
• Nicotine is a legalized drug more addictive than marijuana, cocaine, heroin, morphine and bhang
• Within 10 seconds reaches brain.
CESSATION SERVICE DELIVERY SYSTEM STILL NEEDS FURTHER UPGRADATION
• <Half of the current users in India visited any health care provider during last 12 months out of which only 46.3% of current smokers and 26.7% of current chewers got any advice to quit tobacco by any health care provider.
• North East these figures are even lower and only 24.7% current smokeless tobacco users and 41.6% current smokers got any advice to quit the tobacco habit by any health care provider
(Global Adult Tobacco Survey, 2010)
Motivation to quit needs to be geared up
India reports that only 38.4% of current tobacco users above 15
years of age made a quit attempt in the last 12 months. These
figures are much lesser in the North Eastern states
(Global Adult Tobacco Survey, 2010)
Tobacco cessation: is it at all possible
The answer is a BIG YES…many people have already done it.
85% of the tobacco users want to quit…. adding self confidence and determination to these “wants to quit” can make quitting a real success
Hit the target : catch them young
Youth motivation not to take up the tobacco habit/ quit the habit : here role of a teacher, Institutional head, School Inspectors and education department is very important
Process of tobacco cessation
The main thing towards successful tobacco quitting is SELF DETERMINATION
The 5 A’sFor Patients Willing To Quit
• ASK about tobacco use.• ADVISE to quit.• ASSESS willingness to make a
quit attempt.• ASSIST in quit attempt.• ARRANGE for follow-up.
Expert help intervention type depends on
Use pattern and type, Stage of use, Level of addiction, Personality of the person, Type of motivation, Choice of quit method by the person and many other factors
DR.SRABANA
First-line pharmacotherapy
Nicotine Replacement Therapy
• Patch
• Gum
• Lozenge
• Inhaler
• Nasal spray
Bupropion (Zyban)
Non nicotine replacement
DR.SRABANA
How an expert can help ?
Dealing with the withdrawal symptoms
Dealing with the medication side effects
Monitoring and follow up sessions
DR.SRABANA
1. Delay: remember
that the worst
cravings last for
only a few minutes
and will become
even less frequent
the longer you
have quit.
DR.SRABANA
Drink water: it is a good idea to drink plenty of fluids to help flush the nicotine and other toxins out of your system.
DR.SRABANA
Do something else: you could go for a walk, to the movies or visit a supportive friend. Try eating an apple or cleaning your teeth when you would normally have a cigarette. You could hold something else, such as a pen or beads, to replace the need to hold a cigarette, or chew some gum or eat or drink a healthy snack to have something other than a cigarette in your mouth.
DR.SRABANA
Cotton Collegiate H.S School Control Cell : Dated 26.08.2014. Total participants: 250 KV Khanapara organized by State
Tobacco Control / Dated 25.082014. Total participants: 1500
DR.SRABANA
BBCI reaching out to Policy Makers
Governor of Assam & Nagaland Shri P B Acharya
on 20.06.15Health Minister of Assam Dr Nazrul Islam
on 23.06.15
Education Minister Sri Sarat Barkatoky
on 24.06.15
Former Chief Minister of Assam Sri P K Mahanta
on 16.06.2015DR.SRABANA
BBCI reaching out to Policy Makers
MP Sri R P Sharma on 02.05.15 MP Sri Kamakhya Prasad Tasa on 20.06.2015
Justice Sri B K Sarma on 29.05.2015 Editor – Purbanchal Prahari Sri G L Agarwala on 20.06.2015
DR.SRABANA
BBCI reaching out to Policy Makers
Former Governor of Meghalaya Sri R S Mooshahary
on 17.06.2015
Adviser (Health), NEC Dr. Bamin Tada
on 19.06.15
Former Chief Secretary, GoA Sri Haren Das
on 21.06.15
CM of Assam signing a anti-tobacco pledge
DR.SRABANA
Guru Stotram(Guru geeta):
Gurur Brahma Gurur Vishnu GurudevoMaheshwara –
Gurure[-I]va Param Brahma Tasmai Shrii-Gurave Namah ||1||
DR.SRABANA
Meaning:
The Guru is Brahma, the Guru is
Vishnu, the Guru Deva is Maheswara
(Shiva),
The Guru is Verily the Para-Brahman
(Supreme Brahma); Salutations to that
Guru.
DR.SRABANA
Dr. A.C.Kataki , Director BBCIDr.B.Borooah Cancer Institute
Department of Secondary Education, Assam
Assam State and DistrictTobacco Control Cell
Team members of Mukti
All the partners andDignified participants
DR.SRABANA