ASH Australia: Information for health professionals
                                             

SmokeSignals      May-June 2009 
Latest Tobacco News Online from ASH Australia

Smoke Signals  is a monthly update from Action on Smoking and Health Australia (ASH)  – 
to keep health professionals in tobacco control in touch with the latest issues and developments.

Suggestions and comments are welcome - please contact us by emailing 
Stafford Sanders (ASH Communications) at staffords@ashaust.org.au.

 


See other  RESOURCES FOR HEALTH PROFESSIONALS - guidelines, reports, useful sites.

 

 


CALL FOR TOBACCO TAX RISE SUPPORTED

Health groups have backed a Federal Opposition call for a rise in tobacco tax, made in the Budget Reply speech. 
See  Cancer Council Australia media release 15/5/09   ASH and other groups have for several years urged a tax increase to benefit public health. Australia is long overdue for a tobacco tax increase, with some countries’ packet prices now almost double Australia ’s.  News, research on  Realistic funding  

The Rudd Government is waiting on recommendations from its Preventative Health Taskforce and the Henry Review of tax policy before determining whether there will be a tobacco tax rise – and how much.

74% of smokers say they would quit if cigarette prices increased by 50% according to a Quit / Heart Foundation / Cancer Council study.  See  latest research 

Once again, the tobacco industry has sought to interfere in government health policymaking (see above) – Philip Morris making the scaremongering claim that a tax increase would boost illicit trade. 

 

TOBACCO INDUSTRY SHOULD BUTT OUT OF HEALTH POLICY

ASH has written to Australian governments urging them to prevent interference by the tobacco industry in public health policy, in line with international law.

ASH called on federal, state and territory governments to fulfil Australia ’s obligations to the Framework Convention on Tobacco Control (FCTC) by ensuring that tobacco companies, including front groups, take no part in formulation of any policy relating to health.

Tobacco companies continue to find ways “under the radar”, using cross-border media to bypass national tobacco sponsorship bans; trying to delay or weaken measures to protect children; and lobbying against smokefree public places reforms.

The ASH letter highlighted British American Tobacco front group, the Butt Littering Trust – whose partnerships with local councils and state government agencies have been used by the tobacco company in anti-smokefree areas campaigns.

ASH has asked all governments to comply with Article 5.3 of the FCTC by making sure the tobacco industry plays no role at all in the formulation of policies to protect health, protect children and protect people in their workplaces.   See   ASH media release 5/5/09    See FCTC guidelines to prevent tobacco industry interference

 

W.A. BILL A BIG FRESH STEP

A Private Members’ Bill to reform WA's tobacco laws has been embraced by the major parties and looks set to pass into law soon. The bill, moved by independent MP Dr Janet Woollard and supported by the major parties after some compromises, will put tobacco out of sight in shops, make cars carrying children smokefree and also prohibit smoking in outdoor playing and safe swimming areas, al fresco cafes and restaurants, and half the outdoor dining areas of pubs and clubs.  
See  Tobacco Products Control Amendment Bill 2008 

 

ROLAH MCCABE STRIKES BACK!  

The case of Rolah McCabe v British American Tobacco may have to be re-argued, following latest legal developments. McCabe sought damages from British American Tobacco after being recruited to smoking at the age of 12 – but died of cancer before her case was lost on appeal in the High Court after a fierce legal battle in which BAT was accused of shredding thousands of its potentially embarrassing files. The case is now back in the courts.   See  Richard Ackland update, Sydney Morning Herald, 24/4/09 

 

COMING EVENTS

World No Tobacco Day, May 31
This year’s theme set by the World Health Organisation is “Tobacco packet health warnings”. ASH and other health groups have called for plain packaging of tobacco products to end the industry’s packet-as-advertising strategies.  
See WHO WNTD site  and ASH facts and issues  under “Packaging” and “Packet health warnings”.

Oceania Tobacco Control Conference, October 2009
Darwin , October 7-9, 2009. Theme is “Addressing inequality through tobacco control.” Abstract submissions are open and will close June 19. 
See  Oceania website 

 

LATEST RESEARCH           See these and other studies at our  latest research  webpage

"Tremendous" impact of smoking on heart, vascular and other deaths
Smoking is "strongly" related to cardiovascular and other causes of death, says a 30-year Norwegian study of 54,000 men and women. 

Secondhand smoke affects babies' brains to cause SIDS
Australian study shows not just prenatal smoke in utero  but also secondhand smoke after birth changes babies' brains to make them more susceptible to Sudden Infant Death syndrome. 

 

 


Resources for Health Professionals

ASH has compiled the following resources for health professionals working in tobacco control and public health in general.

 

GUIDELINES, PRACTICE

Cessation training by e-learning
"Implementing lifestyle change" modules (2009) including one on smoking cessation - from the Heart Foundation, RACGP and GPlearning. Helping patients to quit and stay quit. 
See  GPlearning site   See similar resource from  NZ

Tobacco-free health care facilities
2009 guide prepared by the International Union Against Tobacco and Lung Disease on developing and maintaining 100% tobacco-free healthcare facilities.  
See  the guide 

Smoking cessation pharmacotherapy update
Feb. 2009: Update from the Royal Australian College of General Practitioners (RACGP) aiming to inform doctors, nurses, pharmacists, dentists, Quitline counsellors and other health professionals on how to provide up-to-date advice to patients on medicines to assist quitting. 
See the  update 

Smoking and mental health: myths busted
Debate continues about how smoking should be handled in mental health settings. Smoking is a serious contributor to the problems faced by people with mental illness. Evidence shows it worsens health, shortens lives and imposes financial hardship - and it does NOT relieve stress. 
See 2008 report  Smoke and Mirrors  from the Cancer Council NSW and Mental Health Coordinating Council NSW which explodes several popular myths. 

Statement from World Medical Association
November 2007: 
The World Medical Association represents about 85 national medical associations.  At its meeting in October in Copenhagen, the WMA General Assembly adopted a strong statement on tobacco, amending an earlier statement first adopted in 1988 and then revised in 1997. See the  statement.

Guide for using NRT to "Cut Down Then Stop"
February 2007: The Therapeutic Goods Association has approved guidelines for Nicotine Replacement Therapy use - including how to use NRT to reduce smoking as a means of quitting - changing some warnings to precautions. Includes key messages, processes, evidence, pharmacist flow chart and nicotine fact sheet. 
See the  guidelines

Guide for the management of nicotine-dependent inpatients
Innovative strategy from NSW Health for identifying and providing suitable treatment options for all smokers entering departmental health services. 
See also their slideshow.

and see what the NSW North Coast Area Health Service (NCAHS) has done:

Physician survey highlights difficulties in treating smoking 
4/9/06: Report on international survey of physicians' attitudes, presented at World Congress of Cardiology, with some useful insights and suggestions on how to approach smoking patients.

National Tobacco Strategy 2004-2009 
Supposedly now in full effect, though not fully funded.

Tobacco Facts for Physicians
May 2005 factsheet produced by ASH Australia and the Royal Australasian College of Physicians. Includes advice on what physicians can do to help smokers, recent research and other info, useful resources and links. See also....

Tobacco Policy: Using evidence for better outcomes
Latest policy of the Royal Australasian College of Physicians - what physicians should do individually and collectively about tobacco smoking.

Let's Take a Moment: quit smoking brief intervention - a guide for all health professionals
2005 NSWhealth guide to the processes of ask-advise-assess-assist-arrange followup. Help for health professionals wanting to provide good evidence-based advise to smoker clients, as part of routine practice.   See guide and desktool diagram. Both are available from NSWhealth.

TCRC resources on smoking and health
The Tobacco Control Resource Centre (TCRC - now sadly closed down) has published a number of specialist resources for medical education on tobacco. These articles and accompanying materials are intended for free and copyright-free use by medical specialists. Each review article is accompanied by poster and slide show. The review articles include:
- Smoking and child health: a review for paediatricians
- Smoking and the endocrine system: a review for endocrinologists
- Smoking and eye health: a review for ophthalmologists
- Smoking and surgery: a review for surgeons and anaesthesiologists
- Smoking and the vascular system: a review for vascular specialists
- Smoking and womens reproductive health: a review for gynaecologists and obstetricians

What dentists should know about smoking
Presentation by ASH published in Australasian Dental Perspectives, May-June 2005 

Referring patients or clients to Quit help
New referral guide for professionals, from NSWhealth 
- including referral flowchart and fax referral steps.

The Gold Standard: A practical guide to providing smoking cessation services in pharmacy
A comprehensive guide for Australian pharmacists looking for best cessation results. From the Pharmaceutical Society of Australia, Pharmacy Guild of Australia and Pharmacia Australia Pty Ltd.    2 pdfs:   Full guide   Quick guide

Smoking Cessation Guidelines for Australian GPs
Advice, strategies and supportive background to help General Practitioners encourage and support patients in quitting. A Federal Government/universities/health groups effort. In pdf.

Smoking Cessation Interventions 
From the National Tobacco Strategy, a review of literature and suggestions for best health care practice. 

A report on what Dentists can do about smoking, 2001

Tobacco Control Resource Centre
Award-winning advice for doctors from the British Medical Association. 

 

REPORTS

Pfizer Australia Health Report on Smoking
July 2005 publication (with ASH input) updating latest research, health professional tips and resources. 
See the report - for more info,  ph. 1800-675-229.  

Smoke-Free World, Doctors' Notes on Clean Air Laws.
In this 2005 report, doctors' leaders from eight countries describe the success of smoke-free legislation. These stories from the frontline show the benefits of laws to make enclosed public places smoke-free, and dispel the common myths spun by opponents. The report can be downloaded from the TCRC website:  www.doctorsandtobacco.org.

Tobacco Time for Action Report
From the National Aboriginal and Torres Strait Islander Tobacco Control Project, 2002
. 


Cigarette smoking among women and girls 
Including trends for pregnant women, indigenous women, attitudes towards passive smoking, quitting.  2002

International Experts Report 
Find out why we should ban the misleading terms "light" and "mild" cigarettes, 2001.


Smoking and tobacco-related disease in NSW an agenda for control 1999

This report provides an overview of the evidence supporting the Cancer Council and its partners' case for a substantial enhancement of efforts in tobacco control.

Asthma in Australia 
Comprehensive report (2003) from the Australian Institute of Health and Welfare. For tobacco's impact, see Chapters 4.1 and 4.2, pp. 51-57.


USEFUL SITES

Australian Indigenous Doctors' Association (AIDA) 
Non- profit Aboriginal and Torres Strait Islander organisation striving for excellence in health and wellbeing. Lots of good info and ideas.

Treatobacco
Useful international site for health professional, policy-makers and regulators. Research and background on health effects, interventions, economics, policy and more. Society for Research on Nicotine and Tobacco with input from WHO, World Bank, CDC, Cochrane and others. 
March 2006: There's a new Ask the Experts feature on Treatobacco: "What new stop smoking medications are currently being developed and what is the evidence so far for their effectiveness?"

Tobacco Control
A quarterly scientific journal that considers all aspects of tobacco prevention and control. Includes published articles, papers and links.

Tobacco Information and Prevention Source
United States Centres for Disease Control site with general information about tobacco, current news and events, research, data and reports categorised by topic, new tobacco-related citations and educational materials.

Pharmacists Against Tobacco 
Website of global network of pharmacists.


OTHER RESOURCES

View award winning Australian campaign adverts here.


Is "chop chop" more natural and healthier than shop cigarettes?
No - in fact, mould and fungi are commonly found in chop-chop (rough rolled tobacco sold illegally under the counter) - and smokers are inhaling mould spores directly into their lungs. 
See  Chop chop factsheet

GLOBALink
Join an International Tobacco Control Network and stay in touch with developments world wide
.

Smoke-free resources to help people with a mental illness quit smoking


TOBACCOpedia
Online tobacco encyclopaedia, developed by the International Union Against Cancer and the University of Sydney.



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                               Page last updated 25/5/09