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Electronic Cigarettes

Electronic Cigarettes | Heart and Vascular Health | Scoop.it

Electronic cigarettes (E-cigarettes) are devices that deliver nicotine to a user by heating and converting to an aerosol a liquid mixture typically composed of propylene glycol, vegetable glycerin, flavoring chemicals, and nicotine. E-cigarette use doubled in just 1 year among both adults and children, from 3.4% to 6.2% in adults (2010–2011) and 3.3% to 6.8% in youth (2011–2012), with high levels of dual use with tobacco cigarettes.  Although most youth using e-cigarettes are dual users, up to one third of adolescents who tried an e-cigarette have never smoked a conventional cigarette, indicating that some youth are initiating use of the addictive drug nicotine with e-cigarettes.

Smoke-free policies are a critical intervention both to protect nonsmokers and to support smoking cessation attempts. To avoid reversing the effectiveness of these policies, e-cigarettes should not be used anyplace where smoking cigarettes is not allowed (including in homes that are smoke-free). There is no reason to reintroduce toxins into clean indoor air environments.

Seth Bilazarian, MD's insight:

I tell patients who want to use  E-cigarettes that we don't have adequate information to say that these new nicotine drug delivery devices are safer than cigarettes.  For patients who are motivated to quit smoking, use of  E-cigarettes has not been shown to be an effective  aid to end the addiction of smoking.

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Teen smoking rates stuck at 1 in 12.

Teen smoking rates stuck at 1 in 12. | Heart and Vascular Health | Scoop.it
For years, health officials watched with satisfaction as rates of teen smoking in New York City plummeted, far outpacing the national average. In 2007, the rate dipped to 8.5%. Then it stopped falling.
Seth Bilazarian, MD's insight:

To be sure, the 8.5% is still a dramatic improvement from 15 years ago, when nearly a quarter of the city's high school-age students smoked, according to data from the Department of Health and Mental Hygiene.

The stagnation mirrors a national trend, experts said, though the city's numbers remain well below the national teen-smoking average of 18.1% and even the state average of 12.5%.

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Smoking and Health (1964)

Smoking and Health (1964) | Heart and Vascular Health | Scoop.it

January 11, 2014 marks the 50th anniversary of the first Surgeon General's report on Smoking and Health. The 1964 report was the first comprehensive compilation of research linking cigarette smoking to severe adverse health effects. Victories have occurred since the release of this landmark report, but there are ongoing challenges and gaps in protections and the course that we will chart to ensure that everyone lives and works in a smokefree environment, that no one picks up the smoking habit and subsequent nicotine addiction, and that no one has to needlessly suffer from a smoking- or secondhand smoke-related disease is an ongoing effort.

Seth Bilazarian, MD's insight:

I still see patients in there 70 and 80's who say that the day the Surgeon general's report came out they put down their cigarettes and never smoked again.  Its a testament to the power of information.  It's estimated that 50% of smokers quit on there own.  We live in a new era and information is more disseminated via the web, and often less authoritative than in 1964, but information still has a potent effect on prevention for many.

The patients that did quit smoking in the early 60's would not be alive today had they not responded  to the surgeon general's call.

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Absolute Risk of Tobacco Deaths: One in Two Smokers Will Be Killed by Smoking

Absolute Risk of Tobacco Deaths: One in Two Smokers Will Be Killed by Smoking | Heart and Vascular Health | Scoop.it
If you have help 2 smokers quit, you have saved (at least) 1 life The acronym “AWARD” is a guide:  (1) Ask about smoking.  (2) Warn smoking patients by saying “If you continue to smoke, your chance of dying from smoking-induced diseases (such as cancer, heart diseases, stroke, and respiratory and many other serious diseases) is 50% (67% for the very young; 40% for the very old).”  (3) Advise: “If you quit now, your risk will be greatly reduced (by 25% at old age, and by much more before age 40 years).” This will take about 10 seconds.  (4) Refer to a cessation clinic or hotline (5) Do it again until they quit
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