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Help and advice on quitting smoking

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Help and advice on quitting smoking

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10 effective measures against smoking

According to Prof. Konrad Jamrozik of Imperial College (London) and the University of Western Australia (Perth), there are 10 effective measures to reduce tobacco use in a population. All are based on studies published in the international scientific literature.

Today these recommendations are more than relevant. 

1. Prohibit workplace tobacco smoke and in public places (stations, restaurants, etc.) . This is first of all to protect bystanders against passive smoking. Moreover, the fact that the places and times when it is possible to smoke become scarce led some smokers to quit, or at least to reduce their consumption. And non-normalization of smoking cigarettes has a preventive effect, especially with regard to youth who lack adult role models who smoke .... Finally, we must remember that where tobacco smoke was banned in cafes and restaurants (some US and Australian states), there was no reduction in turnover café.

2. Increase the price of pack of cigarettes.It is proven that this not only reduces the number of smokers, but also the number of cigarettes consumed by the remaining smokers. The teenagers, because of their reduced budget, are particularly sensitive to the price of cigarettes. Generally, an increase of 10% leads to a 4% reduction of smoking among adults and 6% among minors. Every significant increase should be accompanied by an information campaign and measures against smuggling.

3. Information campaigns.Some campaigns for the general public (radio, television, billboards ...) manage to reduce the proportion of smokers in a population. When the results are good, it's usually because of the people who quit smoking, and more rarely with those who renounce become smokers. The analyzes show that the most effective interventions combine several media and / or actions, and extend over a relatively long time (several months). Messages must be original, well presented, impactful and scientifically unassailable. In schools, however, even the best campaigns seem to have no lasting effect on behavior.

4. Prohibit advertising, even indirectIn the media, but also in the life of every day, a subtle shift has taken place in recent years. Given the limits on direct advertising, cigarette manufacturers have invested in the "investment" of their products in the world of sport, fashion, entertainment, etc. (film actors accept money to be filmed smoking). But the ban on indirect advertising requires agreements between governments, as well as effective means of control.

5. dull packaging and "generic".Another consequence of the limitations of direct advertising: the cigarette pack itself has become a key advertising medium (just drop it on the table of a café for it exerts its effect). The importance of packaging is confirmed by the fierce resistance of the manufacturers against attempts to introduce packages "generic" devoid of illustrations and look alike. The obligation to use such packages would break the image of happiness, independence and social success that manufacturers are trying to associate with the consumption of their products.

6. Intervene in stores.Increasingly, the outlets are arranged in order to increase the visual impact of cigarette packs, which sometimes cover entire walls. Advertising point of sale could also be limited by a law such as that in force in a State of Australia (Western Australia), which requires posters to bring a message of prevention to at least 50% of their surface. Following the introduction of this legislation, we see few signs in this state outlets ...

7. Individual treatments that workThere are three methods -combinables them - which can double the chances of quitting: personalized advice (doctors, nurses), nicotine substitutes (gums, patches, lozenges) and Zyban (bupropion). We must therefore encourage the use of these treatments, and avoid that they are too expensive or too difficult to access.

8. Implement existing laws. We need laws, such as those prohibiting sales to minors are actually applied. In parallel, a communication effort must be made to know that regular inspections take place and that offenders are systematically punished.

9. Tighten the law.Cigarettes are subject to less stringent regulations than those governing the food market or medications. The substances used to stop smoking must go through a long and costly procedure of acceptance, which is justified but that has never been applied to cigarettes. The emergency rule enjoyed this toxic product whose ingredients are unknown is not tolerable. The law must be changed.

10. Reply to propaganda. The lies of the tobacco industry must be publicly denounced and brought their leaders to court. Several companies have already been convicted for such acts in several countries (including the United States andAustralia). Such convictions are important because they damage the image of companies and their products.

Reference:

ABC of smoking cessation: Population strategies to prevent prevention tuxedo . Jamrozik K, British Medical Journal, 328, S. 759-761 (2004)

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