4250- Smoking

Question 1

What are the 3 pillars of the Smoke-free Ontario strategy?

Answer 1

1) Cessation
2) Prevention
3) Protection

Question 2

What is cessation?

Answer 2

help and support to quit tobacco use

Question 3

What is prevention?

Answer 3

preventing children and youth from using tobacco

Question 4

What is protection?

Answer 4

protecting involuntary behaviour from second hand smoke

Question 5

What does the Smoke-Free Ontario (SFO) strategy do?

Answer 5

Combines public education with policies

Question 6

How does it SFO combine public education with policies?

Answer 6

• Creating a tobacco free policy
• Pricing and taxation
• Organization effort normalizing the industry to put health warnings on packaging

Question 7

What challenges does the SFO deals with?

Answer 7

• Low prices
• Availability
• Inequities to meeting some populations

Question 8

Main focus of SFO?

Answer 8

Prevention and building capacity!

• Toughened the rules of prohibiting sales to minors and smoking in multiple venues (ex. entertainment venues)
• ban on display of tobacco products
• ban on smoking in the car with children (16 and under present)

Question 9

Name some ways they are promoting prevention of smoking?

Answer 9

• Working with schools services for youth engagement (pig’s lung)
• Creating smoke free bylaws
• “Leave the pack behind”/ “Would you rather”
• Driven to quit

Question 10

Describe the “Stuck on the road program”

Answer 10

Tobacco cessation program where they provided cognitive behaviour with nicotine patches but delivered by the health unit.

Provided local support, but went the people rather than the people come to them.

Question 11

Pros and Cons of E-cigarretes

Answer 11

• Monitoring internationality (not normally use tobacco)
• Gateway to other tobacco use
• Some say it helps them quit (no evidence)
• Only vaping in non-smoking areas

Question 12

What is the smoking prevalence in Canada and how many are exposed?

Answer 12

16% of Canadians, 600 people are exposed to smoking legally.

Question 13

What are the Health Consequences of Smoking?

Answer 13

Cardiovascular disease
Cancer
Respiratory disease
Cataracts

Question 14

How much does tobacco related diseases cost the healthcare annually? Productive costs?

Answer 14

1.6 billion in health care, 4.4 billion in productivity loses
500 hospital days

Question 15

How long does it take nicotine to reach the brain?

Answer 15

seconds- 2 min

Question 16

Heroin, cocaine, alcohol and marijuana have a higher dependency than cigarettes. TRUE/FALSE.

Answer 16

FALSE- cigarettes have a higher dependency than all of them

Question 17

What is the industries strategy for Tobacco smoking?

Answer 17

Modifications claiming to make tobacco less hazardous (less tar) and to make “positive” change without having to quit.
However, products still pose a population health risk

Question 18

What is the population based programs approach?

Answer 18

Modify:
Social environment
Physical environment
Economic environment
Product and how it is marketed

Question 19

What is Smokers’ Helpline goal?

Answer 19

To reduce tobacco use in Ontario by balancing utilization, effectiveness and efficiency to maximize population impact

Question 20

Why is smoking Cessations a challenge?

Answer 20

Hard to reach certain sub-populations (aboriginals)

Looking beyond the surface numbers around it

Question 21

What is Harm reduction?

Answer 21

aims to diminish, not eliminate health risks

Question 22

What should harm reduction do?

Answer 22

• Reduce occurrence of disease and death
• allow smokers to become tobacco and nicotine free
• Incorporate messages of smoking cessation

Question 23

What should harm reduction NOT do?

Answer 23

• present addition health or safety risks
• contribute to nicotine dependence
• reduce the likelihood of eventual cessation
• Lure or lead to misuse by adolescents

Question 24

Cigarette warning labels history

Answer 24

1960- Manufactures print health warning labels on products
1991- 77 countries required warnings (text only)
2000- Canada was the 1st country to implement health warnings with pics (50% on display with french and english)
2011-requires it to be 75% of the display

Question 25

Why have warning labels?

Answer 25

• Very effective and low-cost method to inform the public
• message is repeated and reinforced every time a smoker reaches for a cigarette
• Smokers believe and remember the messages more than they do public education campaigns

Question 26

What did the Article on Warning labels find?

Answer 26

Decreased the odds of becoming a smoker and increased odds of quit attempts

Question 27

Limitations to graphic warning labels? In the study?

Answer 27

Wear out effect and black market smuggling with no graphic labelling.
There was also an increase in cigarette tax when this was implemented.