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Te Ohu Auahi Mutunga

Mā Pango, Mā Whero, Ka oti te mahi

TOAM Regional Stop SmokingService

Purposeo To deliver a consumer-centric, high quality, effective, evidence

based, kaupapa driven stop smoking intervention to meet the local smoking population needs

Prioritieso Māori local actiono Pasifikao Hapū whānau regional co-operationo RuralResidents of MidCentral DHB who smoke

The ABC pathway

• A – is for Asking and documenting every persons smoking status

• B - is for giving Brief advice to every person who smokes and

• C – is for strongly encouraging every person who smokes to use Cessation support and offer them help to access it.

Rationale for this approach

To encourage more people to make morequit attempts, supported by evidence-

based treatments, more often

Nicotine Replacement Therapy(NRT)

What does NRT do?

Alleviates withdrawal• Maintains nicotine serum concentration at or above

patient comfort levelEliminates• The reinforcing effect of nicotine absorbed

through smokingGives patient time• To break the habit and psychological dependence

Second Hand SmokePregnancy - Second-hand smoke and the unborn childResearch has shown that exposure to second-hand smoke through the mother smoking while pregnant can slow the growth of the unborn child and increase the risk of reduced birth weight, miscarriage and placenta previa.

One of the causes is the carbon monoxide in tobacco smoke which binds with haemoglobin stopping a good flow of oxygen in the blood.

Second Hand Smoke

Second-hand smoke and young childrenThe small lungs and lighter weight of young children make them particularly vulnerable to the harmful effects of second-hand smoke.

Exposure is linked to increased risk of:• Middle ear infections(including Glue ear) 2018-135 Grommets(0-14)• Lower respiratory illness(including Croup, Bronchitis, Bronchiolitis

and Pneumonia)• The onset of asthma and worsening of asthmatic symptoms• Reduced lung growth• Sudden and unexpected death in infants – SUDI or cot death• Meningococcal disease

To Vape or Not to Vape?That is the Question!

MOH Health Survey 2017/18Smoking

• Daily smoking has dropped to 13.1% from 13.8% in 2016/17• Daily smoking for Maori 31.2% from 32.5%• Daily smoking for Pasifka 20% from 21.8%

E-Cigarettes• Daily e-cigarette use is reported at 2.6%, up from 0.9% in• 15/16• Highest daily e-cig use is by Maori at 4.7%• 0.6% for 15-17 year olds• 4% for 18-24 year olds

MoH Directive to Quit Smoking Services

MoH have directed all stop smoking services to support

people to vape to quit’

Myths and Facts

What is “Popcorn Lung”?Popcorn Lung – Bronchiolitis Obliterans – Can result from a variety of medical and environmental causes

• The chemical, Diacetyl, is used to flavour Popcorn and may also be found in some of the juices used for vaping

• Also found in some cigarettes• The national institute of health list several other chemicals

including Chlorine, Ammonia, Sulphur Dioxide and inhaled metal fumes from welding

Myths and FactsIs Vaping Safe?

• Vaping is not harmless…. but is about 95% less harmful than smoking

• Vaping is less harmful to those around you than smoking is • There is no current evidence that second hand vaping is

dangerous to others• People who vape should buy quality products from reputable

sources• It is important to have good equipment, advice and support• If you don’t smoke……don’t vape!

Current MOH advice on vaping

• Regulations still under development• Directed Stop Smoking Services to support people to “vape to

quit”• Vaping is 95% less harmful than smoking……. Although not

totally harmless• Vaping products are intended for smokers only• For further information refer to the MOH website for their

position statement

More Vaping Information

www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/vaping-and-smokeless-tobacco

The TOAM Team steering towards Auahi Kore Aotearoa