ASH Australia: Information for health professionals
                                             

SmokeSignals      February 2010 
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.

 

 


MAORI INQUIRY PUTS TOBACCO INDUSTRY UNDER THE MICROSCOPE

The New Zealand Government's Maori Affairs inquiry has received hundreds of submissions (including from ASH Australia) calling for tobacco control reforms towards the NZ vision of ending commercial sales of tobacco by 2020. The Maori Party is at the forefront of debate to end tobacco sales, as tobacco has damaged the health and self-determination of Maori people. 
See  ASH Australia submission    See  all submissions

 

TOBACCO INDUSTRY “SKEWED” FINDINGS ON ALZHEIMER’S LINK

The latest of many examples of how the tobacco industry has acted to cover up health evidence for long periods. A new review of evidence has confirmed link between smoking and Alzheimer's Disease - and says tobacco industry-associated research has "skewed" findings on the link for over 20 years.   See  Tobacco Industry News 

 

N.T. ACTS TO GET WORKPLACES SMOKEFREE    See  SmokeFree Australia workplace news 

Totally enclosed areas of Northern Territory pubs and clubs are now smokefree by law - and the NT government has promised to make outdoor staffed eating and drinking areas smokefree by January 2011. The NT government says while licensed venues will be able to designate up to 50% of their outdoor space as smoking areas, these areas are not to be used for gambling, live entertainment or for consuming meals or serving drinks. A government consultative taskforce is working on the details.  See  chart  showing  where Australian states and territories are up to in getting workplaces smokefree. Qld, NT and ACT lead the table, with NSW in last place

 

… AS RESEARCH EVIDENCE MOUNTS ON SECONDHAND HARM
See  SmokeFree Australia workplace news

The case for 100% smokefree dining, drinking, entertainment and other areas has been further boosted by latest research….

Foetal harm
A major international review of 76 studies on impact of passive smoking on pregnancy shows it causes lower birthweight and increased birth abnormalities. The review considered data from over 130,000 women. 

TB risk
Exposure to secondhand smoke increases the risk of tuberculosis (TB) in older women by 50%, says a study from Hong Kong.  Australia's incidence of TB is only about 700-800 cases a year but strongly related to disadvantage – with Indigenous rate around 8 times higher than general rate.

Smoke drift
Victorian air quality study in pubs and bars has found smoke drifting from outdoor smoking areas to adjacent indoor areas compromises health - some "smokefree" areas significantly contaminated by smoke drift. The authors raise concerns for “adequate protection of the health of employees and patrons at hospitality venues." 

 

LOCAL COUNCILS MAKE SMOKEFREE PROGRESS      See  smokefree outdoor areas news

The Council of Frankston, just south of Melbourne, is about to make three busy outdoor shopping streets smokefree on a six-month trial - with fines of up to $110. Frankston Mayor Christine Richards says the health benefits will be "worth any flak." 

Meanwhile many NSW councils are also moving to make crowded outdoor areas under their control smokefree – including al fresco dining areas, transport shelters, children’s playgrounds and more.

 

 

COMING EVENTS

Plain Packaging Inquiry
The Plain Tobacco Packaging (Removing Branding from Cigarette Packs) Bill 2009 introduced by Senator Fielding is under review by this Senate inquiry. Submission deadline now extended to April 30 – final report in August. See  inquiry webpage including submission info    See  plain packaging background 

APACT Conference, Sydney, 6-9 October 2010
Abstract submissions are open for the Asia Pacific Association for the Control of Tobacco with focus on the Framework Convention on Tobacco Control and its implementation in the region. Abstract submissions open until 5th March.  
See  APACT conference website 

 


Resources for Health Professionals

 

GUIDELINES, PRACTICE

Code of practice on tobacco control for health professional organisations
WHO's 14-point code adopted (2004) by informal meeting of health professional organisations. 
See  the code

Guidance for implementing smoke free mental health facilities in NSW
2009 practical guide for Chief Executives and designated personnel in NSW Area Health Services wanting to implement NSW Health Smoke Free Workplace Policy in NSW public hospital and residential mental health care facilities and drug and alcohol facilities used by mental health consumers. 
   Available from  NSW Health website 

  • 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. 

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 

Guide for the management of nicotine-independent inpatients
Innovative strategy from NSW Health (revised 2008) for identifying and providing suitable treatment options for all smokers entering departmental health services. 
See 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 
Includes links to resource materials and funding guidelines.

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 routine evidence-based advice to smoker clients.   See guide and desktool diagram. Both are available from NSWhealth.

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.

 

REPORTS

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

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

Treatobacco
Useful international site for health professional, policy-makers and regulators. Research, health effects, interventions, economics, policy, more. Society for Research on Nicotine and Tobacco with input from WHO, World Bank, CDC, Cochrane and others. Includes 2006 "Ask the Experts" feature on new quit medications and evidence for their effectiveness. 

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

ASH online tobacco resources
Sites, reports, factsheets, publications - Australia/overseas, government/non-government.

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



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