Carol Muir & Rachel Stewart NHS Grampian
Author Journalist Smoker Ex smoker Vaper..... “The pleasures of the plastic fag are many. So start sucking now, smokers, before someone tries to ban them” Esquire 2015
“Take my word on it: within five years, vaping will be under strict controls of one sort or another; either medical ones, so that you have to get a prescription for e-liquid, or commercial ones that make it prohibitively expensive (and stop the market diversifying). Either way, THEY will do all they can to stop the fun. So, take my advice, and get steaming while you can, because only that way will you have the opportunity to find out what it feels like not just to be an ex-smoker, but a former Vaper as well .”
Or More Won’t?........ Are More........ That is the
puffing ffing more re stimu mulation lation stimu mulation lation needed ded come me down
Unusual to find someone with a serious drug addiction who does not also drink alcohol and smoke tobacco Although improving - many young peoples’ first contact with drugs is through passive smoking and then experimenting with tobacco This makes tobacco a common gateway drug Its a route for many young people to use other substances later Max Cruickshank (2012)
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“ Listening to drug use histories of clients with drug problems too often reveals exactly this route towards a serious addiction” smokin oking Other drin inkin king illicit drugs gs cannabis bis
They are worse for you than tobacco ECigs lure kids into You don’t addiction know what’s in them E-Cigarettes aren’t regulated www.ecigarettedirect.co.uk/ashtray-blog
“Our results also suggest that while e - cigarettes are not only safer, the amount of nicotine they provide is not noticeably different to conventional cigarettes. This can help people to stop smoking altogether by dealing with their cravings in a safer way.” Dr Lion Shahab, UCL
‘ A critical part of cigarette design is first ensuring that enough nicotine is available in the unsmoked rod, and then making sure that the design enables the smoker to get enough of the nicotine out to maintain his or her addiction” ASH Scotland (2012)
puffing ffing more re stimu mulation lation stimu mulation lation needed ded come me down
Many people recover from their Drug & Alcohol dependences but later die of untreated tobacco dependence. Smoking amongst substance misusers is an important health risk within a population subgroup whose general health may already be compromised. Substance misusers have a higher burden of both mental and physical disease than the general population... ASH Scotland (2012)
9 smoking cessation pilots in substance misuse services ◦ Address staff understanding; attitudes & behaviour ◦ Keep smoking on the agenda ◦ Engage mutual aid & recovery groups to support ◦ CHAMPION – clear steer from management NOT steer clear ◦ Communicate ◦ DATA – TOPS/DAISY ◦ Involve commissioners & local SC services ◦ Develop pathway ◦ Review policies
A third (33%) of people with mental health problems (McManus et al. 2010) and more than two-thirds (70%) of patients in psychiatric units smoke tobacco (Jochelson and Majrowski 2006). Recent studies show that people with mental health problems are just as likely to want to stop smoking as the general population – and are able to stop when offered evidence-based support. However, support is not always available (Jochelson and Majrowski 2006; Siru et al. 2009). NICE PH45 Tobacco Harm Reduction (2013)
37 37.7% 7% in 19 1999 99
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Aberdeenshire SALSUS (2015)
AND this......
The more I vaped, the more I realised that the vaped cloud was also beautifully expressive of the whole essence of vaping: for this was no crude organic process of combustion ending in ash and cremains, but a digitally-calibrated, electronic one, worthy of a brave new world! Will Self, Esquire Magazine 2015
So who’s sooking the new witch’s tit today.....
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