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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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Anti-smoking campaign: Is social smoking analogous to social farting?

Some says social smoking can be good. This is Ontario Ministry of Health answer. A farting one! WeWantAds shows you the most funny, creative and sexy ads all...
Seth Bilazarian, MD's insight:

Occasional social smoking is smoking.

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Ellen Diane's comment, June 26, 2013 7:33 AM
ha ha- excellent articles-glad I found you:)
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Women Who Quit Smoking Do Live Longer

Women Who Quit Smoking Do Live Longer | Heart and Vascular Health | Scoop.it
Life expectancy was dramatically improved among participants in Great Britain's Million Women Study who quit smoking compared with continuous smokers, confirming the previously uncertain benefits of smoking cessation in women, researchers said.

Although women who stopped smoking around age 50 remained at significantly higher risk of all-cause mortality compared with never-smokers (relative risk 1.56, 95% CI 1.49 to 1.64), it was much lower than the tripled risk of death seen in current smokers.

"Even cessation at about 50 years of age avoids at least two-thirds of the continuing smoker's excess mortality in later middle age."

"Stopping well before age 40 years would avoid well over 90% of the excess hazard in continuing smokers."

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Is Quitting Smoking Harder for Women?

Is Quitting Smoking Harder for Women? | Heart and Vascular Health | Scoop.it

THE BOTTOM LINE According to the strongest data, men do not have an easier time giving up smoking than women.

 

Conventional wisdom says it is harder to quit for women, but the largest study of the claim to date finds that there is little difference in successful cessation rates among men and women.

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JAMA => The War Against Tobacco: 50 Years and Counting

JAMA => The War Against Tobacco: 50 Years and Counting | Heart and Vascular Health | Scoop.it

JAMA theme issue on tobacco control.  Epidemiology, original reserach and the status of e-cigarettes and strategies for quitting cigarettes is reviewed.  It's been 50 years since the Surgeon General's report. 

Seth Bilazarian, MD's insight:

The cover collage is great.  How far we've come, but not all the way there.  The advertisement of a physician recommending smoking at the top left with highlights of the Surgeon general's report and other news highlights over the last 50 years.

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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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Vaccine Shows Promise for Nicotine Addiction (in mice)

Vaccine Shows Promise for Nicotine Addiction (in mice) | Heart and Vascular Health | Scoop.it

Take Home message:  Smoking addiction is very difficult to overcome for many patients.  Our most effective strategy currently is a combination of Chantix with counseling.  A life time strategy of vacciantion is attractive, but would need very long term data on overall safety but especially psychiatric safety for it to win my confidence for my patients.

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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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