Press release: PHE publishes independent expert e-cigarettes evidence review

first_imgThe report covers e-cigarette use among young people and adults, public attitudes, the impact on quitting smoking, an update on risks to health and the role of nicotine. It also reviews heated tobacco products.The main findings of PHE’s evidence review are that: vaping poses only a small fraction of the risks of smoking and switching completely from smoking to vaping conveys substantial health benefits e-cigarettes could be contributing to at least 20,000 successful new quits per year and possibly many more e-cigarette use is associated with improved quit success rates over the last year and an accelerated drop in smoking rates across the country many thousands of smokers incorrectly believe that vaping is as harmful as smoking; around 40% of smokers have not even tried an e-cigarette there is much public misunderstanding about nicotine (less than 10% of adults understand that most of the harms to health from smoking are not caused by nicotine) the use of e-cigarettes in the UK has plateaued over the last few years at just under 3 million the evidence does not support the concern that e-cigarettes are a route into smoking among young people (youth smoking rates in the UK continue to decline, regular use is rare and is almost entirely confined to those who have smoked) Read the report commissioned by PHE – Evidence review of e-cigarettes and heated tobacco products – McNeill A, Brose LS, Calder R, Bauld L & Robson D (2018). Over the past few years, e-cigarette use has hovered at just under 6% of the adult population in Britain. The most common reason for e-cigarette use continues to be to help with quitting and they are the most popular quitting tool in England. At the same time, quit success rates have been improving and we are also seeing an accelerated drop in smoking rates (currently 15.5% in England): 79,000 people in England die every year as a result of smoking, and over half of long-term smokers will die from a smoking-related illness if they do not quit: Nicotine without smoke: tobacco harm reduction, Royal College of Physicians, April 2016. PHE’s evidence review comes just a few weeks after a US National Academies of Sciences, Engineering and Medicine report on e-cigarettes. Their conclusion on e-cigarette safety also finds that based on the available evidence ‘e-cigarettes are likely to be far less harmful than combustible tobacco cigarettes.’Professor John Newton, Director for Health Improvement at PHE said: Smoking Toolkit Study. ASH (May 2017) Use of e-cigarettes (vapourisers) among adults in Great Britain. Bauld, Linda, Anne Marie MacKintosh, Brian Eastwood, Allison Ford, Graham Moore, Martin Dockrell, Deborah Arnott, Hazel Cheeseman, and Ann McNeill. ‘Young people’s use of e-cigarettes across the United Kingdom: Findings from five surveys 2015–2017.’ International journal of environmental research and public health 14, no. 9 (2017): 973. Professor Linda Bauld, author and Professor of Health Policy, University of Stirling and Chair in Behavioural Research for Cancer Prevention, Cancer Research UK said: Concern has been expressed that e-cigarette use will lead young people into smoking. But in the UK, research clearly shows that regular use of e-cigarettes among young people who have never smoked remains negligible, less than 1%, and youth smoking continues to decline at an encouraging rate. We need to keep closely monitoring these trends, but so far the data suggest that e-cigarettes are not acting as a route into regular smoking amongst young people. It’s of great concern that smokers still have such a poor understanding about what causes the harm from smoking. When people smoke tobacco cigarettes, they inhale a lethal mix of 7,000 smoke constituents, 70 of which are known to cause cancer. People smoke for the nicotine, but contrary to what the vast majority believe, nicotine causes little if any of the harm. The toxic smoke is the culprit and is the overwhelming cause of all the tobacco-related disease and death. There are now a greater variety of alternative ways of getting nicotine than ever before, including nicotine gum, nasal spray, lozenges and e-cigarettes. Towards a Smokefree Generation: A Tobacco Control Plan for England Department of Health, July 2017. Authors’note on evidence for ‘around 95% safer’ estimate. e-cigarettes, alongside nicotine replacement therapies are available for sale in hospital shops vaping policies support smokers to quit and stay smokefree smoking shelters be removed frontline staff take every opportunity to encourage and support patients to quit PHE 2015 e-cigarettes evidence review: McNeill A., P. Hajek et al, E-cigarettes – an evidence update: A report commissioned by Public Health England, Public Health England, August. Every minute someone is admitted to hospital from smoking, with around 79,000 deaths a year in England alone. Our new review reinforces the finding that vaping is a fraction of the risk of smoking, at least 95% less harmful, and of negligible risk to bystanders. Yet over half of smokers either falsely believe that vaping is as harmful as smoking or just don’t know. It would be tragic if thousands of smokers who could quit with the help of an e-cigarette are being put off due to false fears about their safety. PHE is calling on smokers and a number of bodies to act on the evidence.SmokersAnyone who has struggled to quit should try switching to an e-cigarette and get professional help. The greatest quit success is among those who combine using an e-cigarette with support from a local stop smoking service.Local stop smoking services and healthcare professionalsThese should provide behavioural support to those smokers wanting to quit with the help of an e-cigarette. A new training course on e-cigarettes for healthcare professionals by the National Centre for Smoking Cessation and Training is now live.Medicines and Healthcare products Regulatory Agency (MHRA)MHRA continue their work in regulating and licensing e-cigarette products and support manufacturers to expedite the licensing of e-cigarettes as medicinal quit aids. PHE believes there is compelling evidence that e-cigarettes be made available to NHS patients.NHS TrustsTo become truly smokefree, Trusts should ensure The government’s new Tobacco Control Plan for England includes a commitment to ‘maximise the availability of safer alternatives to smoking’. It makes clear that e-cigarettes have an important part to play in achieving the ambition for a smokefree generation.Background NHS Digital, Statistics on Smoking: England, 2017. US National Academies of Sciences, Engineering, and Medicine (January 2018) Public Health Consequences of E-Cigarettes. Professor Ann McNeill, lead author and Professor of Tobacco Addiction at King’s College London said: About Public Health EnglandPublic Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. We do this through world-leading science, knowledge and intelligence, advocacy, partnerships and providing specialist public health services. We are an executive agency of the Department of Health and Social Care, and a distinct organisation with operational autonomy. We provide government, local government, the NHS, Parliament, industry and the public with evidence-based professional, scientific expertise and support. Follow us on Twitter: @PHE_uk and Facebook: read more

Salvadoran Armed Forces Provides Medical Specialists for People with Disabilities

first_imgBy Lorena Baires/Diálogo July 25, 2016 The Salvadoran Armed Forces (FAES, for its Spanish acronym),through their Coordination Support Unit for the Disabled (UCADFA, for itsSpanish acronym), travels to the country’s remote mountainous regions to bringspecialized healthcare to people with disabilities. Doctors from UCADFA and the Military Health Command (COSAM,for its Spanish acronym) organize the visits in conjunction with localgovernments and, if necessary, they secure additional support from theSalvadoran Social Security Institute and the Health Ministry (MINSALUD). On June 20th, Arnoldo Valladares, a 54-year-old soldier andresident of the municipality of El Paisnal in the department of San Salvador,responded to the FAES’ offer of free transportation to the Special ForcesCommand (CFE, for its Spanish acronym). On the way to the CFE, Valladares recalled that he had justturned 25 when he was shot through his right knee by a stray bullet at asugarcane plantation near his home. It was 1985, and El Salvador was the sceneof a civil conflict. Without immediate medical attention, he lost his leg. Since then Valladares has had several prosthetics, and thelast one, which he purchased in 2013 with the help of some friends who liveabroad, was already worn out. Not only did medical specialists at the CFErepair the prosthesis, but they also took care of a visual impairment thatprevented him from reading. “I am so thankful to the Armed Forces because Iwouldn’t have been able to pay for all of the medical care I received, themedicines and the glasses,” Valladares said during the medical campaign at theCFE. “My life will now get a lot better because I will be able to walk betterand read, which I haven’t done for a long time.” A total of 160 people with disabilities, and their families, were mobilized through this medical campaign to receive specialized care in general medicine, orthopedics, dentistry, pediatrics, and psychology. All received their medication at no charge. Alejandro Segovio, a 47-year-old mechanic and resident ofthe municipality of Aguilares, in the department of San Salvador, stood in lineto receive free pain medication for his hands. His pain was the result of usingworn-out crutches. “My crutches are useless now. The wood was splinteredand hurt my hands,” Segovio said, with tears in his eyes. “Now I walk with newcrutches, and I have pain medicine for my injured hands. I don’t know how tothank them for what they have done for me.” A few days later, the Sixth Infantry Brigade traveled to the municipality of Nueva Granada in Usulután, where it set up a joint healthcare center, in which COSAM and MINSALUD also took part. “This is the sixth poorest of the country’s 262municipalities. That’s why we decided to come and bring specialized medicalservices to people with disabilities,” said Colonel Jaime Ernesto Arias,commander of the FAES Sixth Infantry Brigade. Julián de los Ángeles Hurtado, 49, was also lined up toreceive treatment at the medical campaign. He was injured during an armedconflict that confined him to a wheelchair. “I can’t fully express my appreciation towards the ArmedForces for curing an infection I had in my knee that was caused by some rustedmetal sheets I was moving in my house. Thank God it’s nothing serious, andeverything is okay,” Hurtado said while receiving his medication. María de Jesús Recinos, 39, gave one of the COSAM doctors atight hug and thanked him tearfully for her husband’s crutches. He lostmobility in his right leg after a traffic accident 15 years ago. “I am happy and so thankful because they have given myhusband a way to get around on his own. Now he will be able to continue workingwithout worrying, without having to depend on me to walk. We would never havebeen able to pay for the help we received,” said Recinos at the end of theday in Usulután. So far this year, UCADFA has run five medical outreach daysfor people with disabilities and has provided services for more than 1,500people and their families. Colonel Óscar Alberto Ramírez, commander of the CFE,considers these outreach days to be a show of the solidarity which is instilledin every military unit. “These activities make us stronger and give us a lot ofsatisfaction because we are serving our Salvadoran brothers and those who haveserved our country,” Col. Ramírez saidduring the medical outreach day on June 20th. “We appreciate all the public andprivate institutions which have joined our efforts, because together we willcontinue bringing good health to the population.”last_img read more