国内外控烟进展及戒烟服务课件.ppt

第五步：安排随访（Arrange）：戒断与复吸 目标戒烟日第一周随访很重要：前三周每周一次，以后一月一次，共六个月 随访可以通过面对面或电话随访（热线） 随访的作用： 赞赏、鼓励 戒断症状处理指导 评估药效 给予更多强化治疗，避免松懈 控烟是一项保护人民健康、预防疾病的宏伟事业，虽然艰难，也要像愚公移山一样挖山不止，奋斗不已。 胡大一（北京人民医院著名心血管病专家） 控烟我们是认真的！ 全国无烟立法是必须的！ 所有室内公共场所、工作场所、公共交通工具全面禁烟，没有例外，不留死角！ * * * * * * * * Tobacco use is the chief preventable cause of illness and death in our society, responsible for more than 400,000 deaths in the U.S. each year. (Fiore, 1996) The cost of lost productivity and forfeited earnings due to smoking-related disability exceeds $80 billion per year. * * The most recent country to ratify – Liberia – September 18, 2009, Bahamas, November 3, 2009 As of Oct 2012 These jurisdictions have indoor public and workplace, public transport smoking bans that are completely smoke-free or smoke free with limited exemptions Not all have implemented Jurisdiction examples not all inclusive * Exemptions only for isolated rooms in health care institutions, upon dr’s orders, and for establishments designed for tobacco consumption * * Partially smoke-free venues. Smoking is permitted in hotels with 30 rooms or more, in restaurants, coffee houses, pubs, and bars with seating capacity of 30 or more persons, and in airports, but only in designated smoking rooms that meet the following conditions: ? Smoking rooms must be physically separated and surrounded by full height walls on all sides, have an entrance with an automatically closing door normally kept closed, have a ventilation system that vents directly to the outside, and have negative air pressure in relation to the rest of the building. ? Smoking rooms should be used exclusively for smoking; no food or beverage or other services may be provided in any smoking rooms. The only costs to the government are for enforcement. * These are enacted laws; a few have not yet been implemented These are enacted laws; a few have not yet been implemented * Brazil will implement WL on front of packaging of 30% in 2016 * Vietnam the regs haven’t been enact