te ohu auahi mutunga...the abc pathway • a – is for asking and documenting every persons smoking...
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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