ASH Australia: Information for health professionals
                                             

SmokeSignals      August 2010 
Latest Tobacco News Online from ASH Australia

A monthly update from Action on Smoking and Health (ASH) Australia – to keep health professionals and others in touch with the latest tobacco issues and developments.

Suggestions and comments welcome - please email us at  staffords@ashaust.org.au

 


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

 

 


PARTIES URGED TO COMMIT TO 10 POLICIES FOR TOBACCO-FREE AUSTRALIA

In the leadup to Federal Elections on August 21, ASH is seeking commitment from major party leaders to ten policies for a tobacco-free Australia, to meet our FCTC treaty obligations (the first 9 were also recommended by the National Preventative Health Taskforce):

1.   Further tobacco tax increase by 2012 to increase price of average pack of 30 to $20;

2.   Set a minimum floor price of $15 for a pack of 25;

3.   Abolish duty-free tobacco sales and raise up to $200m pa in extra revenue;

4.   Increase frequency, reach and intensity of counter-tobacco social marketing campaigns - with particular emphasis on social disadvantage and high-needs targets;

5.   End all forms of tobacco advertising and promotion, including a ban on internet sales;

6.   Eliminate tobacco promotion in package design by honouring federal government commitment to mandate plain packaging by July 2012 (see our  factsheet for MPs);

7.   Strengthen smokefree places laws by ending exemptions in high roller gaming rooms;

8.   Substantially improve content regulation and mandatory consumer information;

9.   Increase availability of quitline services and evidence-based cessation aids; and

10. End organisational donations to political parties and candidates, cap individual donations and electoral expenditure by parties and candidates.

 

CALL TO STAND FIRM ON DISPLAY BANS vs TOBACCO SCARE CAMPAIGN -
AS STUDY CONFIRMS IMPACT ON CHILD UPTAKE

Health, child welfare and other organisations have urged Australian governments to stand up to tobacco industry misinformation and push ahead with putting tobacco out of sight in all retail outlets – as a new study confirms shop advertising boosts child smoking uptake. The study of over 1600 children aged 11-14 shows exposure to shop advertising raises risk of smoking initiation by 60% - demolishing retailer claims that out-of-sight policies have “failed”. 

The 41-group Protecting Children from Tobacco coalition has urged governments to stand firm and end exemptions.  See  PCT media release 23/7/10     Study abstract    Tobacco display myths

 

 

BRISBANE, PARRAMATTA CONTINUE SMOKEFREE SNOWBALL


Parramatta has become the latest Australian city to adopt a 100% smokefree alfresco dining licence policy.  Health, child protection, employee and community organisations have welcomed the decision as a victory for safe workplaces and protection of staff and patrons.  Several more NSW councils are considering new smokefree places reforms.

Meanwhile Hobart City has made three major pedestrian malls smokefree from August 1;  and Brisbane has voted to make its Queen Street pedestrian mall smokefree, possibly with designated outdoor smoking areas.   More on  smokefree workplaces  and  local government initiatives

 

 

SUPPORT GROWS FOR SMOKEFREE PRISONS

A national summit on smoking in prisons will be held at ANU on August 13-14.  Prisoners have higher than average smoking rates, though most want to quit. Inmates and staff have complained about secondhand exposure, and all should be protected under OH&S and treaty commitments.  The summit is organised by the Public Health Association and the National Drug Research Institute, Curtin Uni.  More info: t.butler@curtin.edu.au 

Overseas, the Canadian Appeal Court has upheld a no-smoking directive by the Correctional Services Authority covering all prison areas. A prisoner group had challenged the directive but the Appeal Court upheld the smokefree policy.   See the decision

 

 

ANOTHER GREAT TALENT LOST TO SMOKING

Former world snooker champion Alex “Hurricane” Higgins has died at just 61 from throat cancer. Reduced to final days of emaciation and eating pureed food, he blamed tobacco’s aggressive sponsorship of his sport. How many more?   See   BBC report  and  227 famous people killed by tobacco



LATEST RESEARCH     See our  latest research page  


Much important new research lately – some highlights:

Smoking still our no. 1 preventable cause of death, disease
AIHW report shows  16.1% - almost 3m - still smoke daily, causing 7.8% of burden of disease.

Duty free cigs adding to Australian military's health problems
Study shows high rates in navy and overseas personnel; health impacts; duty-free an issue.

Tobacco addiction causes depression... but is neglected in mental health settings 
Two studies, both of over 1,000 cases, show while dependence increases depression risk, its treatment in Australian psychiatric settings is "negligible".

Low daily tobacco consumption in remote indigenous communities: study
Smoking rate still high in SA indigenous communities but number of cigarettes smoked is low.

Secondhand smoke hurts kids' grades
Children exposed at home may get poorer grades than smokefree peers, says Hong Kong study.

Smoking gets under your skin
Review of studies shows impact on wound healing, wrinkling, ageing, cancers, infections, more.

Early menopause almost double in smoking women
Women who currently smoke 80% more likely to suffer early menopause.

 

 


Resources for Health Professionals

 

GUIDELINES, PRACTICE

Tobacco addiction neglected in mental health settings 
June 2010: Study of over 1,000 patients at an Australian psychiatric hospital shows documentation of nicotine dependence very low, treatment "negligible". ANZJPH study authors urge "Considerable system change and staff support.... to provide an environment where a primary prevention approach such as smoking care can be sustained."  See  abstract

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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                               Page last updated 3/8/10