Showing posts with label smoking. Show all posts
Showing posts with label smoking. Show all posts

Thursday, 7 December 2017

Tobacco use and smoking can be discouraged with a more positive approach

Tobacco use and smoking can be discouraged with a more positive approach
These habits can cause, among other things, heart diseases and eventually death

New Delhi, 06 December 2017: Tobacco use among children and teenagers claims about one million lives in India, indicate statistics. There is also a huge economic burden among people due to tobacco use. One of the major causes for continued tobacco consumption in India is the fact that it is a part of the country’s social culture. However, a recent study has also indicated that there have been many benefits due to the large pictorial warnings on product packs, higher taxes and an intensive awareness campaign against tobacco consumption.

Tobacco use is associated with many adverse health effects and is a major preventable cause of morbidity and mortality. As per the CDC, smoking increases the risk of coronary heart disease by 2 to 4 times, for stroke by 2 to 4 times, lung cancer by about 25 times. In addition, it reduces quality of life, and increases health care utilization and cost.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, “India has a ‘National Tobacco Control Programme’ in place to make the public aware about the harmful effects of tobacco use, control tobacco consumption and minimize the deaths. ‘Smoking kills’ has been the message that has been conveyed in the campaigns on tobacco control with the expectation that highlighting the potentially life-threatening health consequences would deter people from smoking or using tobacco products. It’s time to alter the tone of such public health campaigns, from negative to positive. Quite often, we may rebuke a patient for failing in his efforts to quit smoking and say, ‘If you do not quit, you may die’. A statement worded as this may inadvertently sound discouraging to the patient. While it is important that people know the dangers of smoking or using tobacco products, a positive communication approach may have a more fruitful impact than a critical approach.

Kids start to smoke before they’re old enough to think about the risks; after starting they rapidly become addicted to smoking and then regret it later.

Adding further, Dr Aggarwal, said, “The chances that a patient would adhere to the lifestyle modifications are higher if communicated in an empathetic and supportive manner. IMA is committed to working closely with all National Health Programs alongside the government. As individual doctors, we too can contribute to the success of National Tobacco Control Program. Counsel your patients who smoke about quitting smoking but with a difference… Turn a negative situation to a more positive action.”
Some tips to help such people cope with and quit the habit are as follows.

  • Avoid violent communication. Do not condemn, criticize and complaint, the 3Cs of violent communication.
  • Use a nonviolent communication approach to help and support your patient in his efforts to give up smoking.
  • Tell your patient, who is trying to quit smoking, or other tobacco products, “Thank you for not smoking”.
  • Appreciate the hard work put in and their perseverance. This way the patient knows that he has your support and will have trust and faith in you. 

Saturday, 1 July 2017

Positive reinforcement key to help patients quit smoking

Positive reinforcement key to help patients quit smoking Doctors should say 'Thank you for not smoking' to patients and avoid the use of discouraging remarks New Delhi, 30 June 2017: As part of its commitment to working closely with all National Health Programmes alongside the government, the IMA has urged individual doctors to counsel their patients who smoke about quitting smoking. It has, however, said that such counseling should be done in a manner that turns a negative situation into a more positive action. According to statistics, more than one-third (35%) of Indian adults use tobacco in some form or the other. Of these, 21% adults use only smokeless tobacco, 9% only smoke and 5% smoke as well as use smokeless tobacco. Additionally, about 52% of the adults are exposed to second-hand smoke at home.
The National Tobacco Control Programme aims at making the public aware of the harmful effects of tobacco use, controlling tobacco consumption, and minimizing related deaths. Tobacco use has many adverse health effects and is a major preventable cause of morbidity and mortality. Smoking not only increases the risk of various diseases but also reduces the quality of life, and increases health care utilization and cost.
Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, "Campaigns on tobacco control convey the message 'smoking kills' with the intention of highlighting the potentially life-threatening health consequences of this habit based on the assumption that this would deter people from smoking or using tobacco products. However, many of these campaigns do not reinforce these messages in a positive manner. It is time to alter the tone of such public health campaigns from negative to positive. Quite often, we rebuke patients for failing in their efforts to quit smoking and tell them they may die if they do not quit. A statement worded in this manner can inadvertently sound discouraging to the patient."
People should know the dangers of smoking or using tobacco products. However, rather than adopting a critical approach, this message should be conveyed through positive communication for a more fruitful impact. Any violent communication should also be avoided.
Adding further, Dr Aggarwal, said, "It is best to avoid the 3Cs of violent communication - Condemn, Criticize, and Complaint. A nonviolent communication approach should be used instead to help and support patients in their efforts to quit smoking. It is important to say 'Thank you for not smoking' to the patients. Appreciate their hard work and perseverance in trying to quit this deadly habit. This way, they would know that they have your support and will in turn have trust and faith in you. Empathetic and supportive communication can increase the chances of patients adhering to lifestyle modifications." There is a very strong relationship between a doctor's communication skills and the patient’s capacity to follow through with medical recommendations, self-manage their medical condition, and adopt preventive health behaviors. It is imperative for a doctor to adopt a positive approach to explain, listen, and empathize with the patient. This in turn can have a profound effect on the biological and functional health outcomes.

Wednesday, 31 May 2017

Any smoking is harmful to health: Social smoking carries similar heart risks as current smoking

Any smoking is harmful to health: Social smoking carries similar heart risks as current smoking Today is World No Tobacco Day. Any amount of smoking is injurious to health. Even people who smoke only occasionally - ‘social smokers’ - have a risk of heart disease that is similar to people who smoke daily, says a new study published in the American Journal of Health Promotion. The study evaluated self-reported smoking habits, cholesterol levels and blood pressure in around 40,000 adults across the United States. Ten percent of the participants were found to be social smokers who smoked regularly in certain situations but not daily, while 17% were current smokers. Individuals aged 40 or younger were more likely to be social smokers. • Compared with non-smokers, social smokers had significantly higher risks of having hypertension (odds ratio [OR]: 2.08) and high cholesterol levels (OR: 1.53). • Social smokers and current smokers had similar odds of having hypertension (OR = 0.94) and high cholesterol (OR = 0.95), risk factors for heart attacks and stroke. • Both current and social smokers had similar rates of hypertension, 76% vs 75% respectively and high cholesterol levels 55% vs 53%, respectively. Although this study did not quantify the magnitude of impact of social smoking on heart health compared to other patterns of tobacco use, it does bring to the forefront the fact that any smoking is harmful to health. Social smokers often do not comprehend the health risks associated with only occasional smoking. It is important to educate them that social smoking is also a major health risk and counsel them about the need to quit smoking completely for long-term health, both general and heart specific. The Indian Medical Association (IMA) supports the efforts of the government to reduce the use of tobacco in the country. IMA has also introduced several initiatives to discourage use of tobacco and related products. • The IMA campaign “Koi Dekh to Nahi Raha” discourages social smoking amongst its members. Being public figures and role models for the society, it is our responsibility to adopt in our own lifestyle, what we teach our patients about healthy lifestyle habits. • All IMA CMEs will be (e) tobacco free and will serve health-friendly food. • IMA (e) tobacco policy will mention in all meetings “Thanks for not consuming tobacco” • IMA is for total tobacco ban with arrangements for alternative crops and rehabilitation of tobacco workers and industry. • IMA supports 85% pictorial warning on tobacco packs and high tobacco taxes to control non-communicable diseases. (Source: Medscape) Dr KK Aggarwal National President IMA & HCFI

Tuesday, 14 February 2017

Thank you for not smoking: Run a positive campaign

Thank you for not smoking: Run a positive campaign

The prevalence of tobacco use in India is very high in India as shown by the Global Adult Tobacco Survey India (GATS India) 2009-2010, more than one-third (35%) of adults in India use tobacco in some form or the other. Of these, 21% adults use only smokeless tobacco, 9% only smoke and 5% smoke as well as use smokeless tobacco. The survey also showed that 52% of adults were exposed to second-hand smoke (SHS) at home.
Tobacco use is associated with many adverse health effects and is a major preventable cause of morbidity and mortality. As per the CDC, smoking increases the risk of coronary heart disease by 2 to 4 times, for stroke by 2 to 4 times, lung cancer by about 25 times. In addition, it reduces quality of life, and increases health care utilization and cost. India has a ‘National Tobacco Control Programme’ in place to make the public aware about the harmful effects of tobacco use, control tobacco consumption and minimize the deaths.
 “Smoking kills” has been the message that has been conveyed in the campaigns on tobacco control with the expectation that highlighting the potentially life-threatening health consequences would deter people from smoking or using tobacco products. It’s time to alter the tone of such public health campaigns, from negative to positive.
Quite often, we may rebuke a patient for failing in his efforts to quit smoking and say, “If you do not quit, you may die”. A statement worded as this may inadvertently sound discouraging to the patient.  While it is important that people know the dangers of smoking or using tobacco products, a positive communication approach may have a more fruitful impact than a critical approach.
Avoid violent communication. Do not condemn, criticise and complaint, the 3 Cs of violent communication. Instead use a nonviolent communication approach to help and support your patient in his efforts to give up smoking. Tell your patient, who is trying to quit smoking or other tobacco products “Thank you for not smoking”. Appreciate the hard work put in by him and his perseverance. This way the patient knows that he has your support and will have trust and faith in you. The chances that the patient would adhere to the lifestyle modifications are higher if communicated in an empathetic and supportive manner.
IMA is committed to working closely with all National Health Programs alongside the government.  As individual doctors, we too can contribute to the success of National Tobacco Control Program. Counsel your patients who smoke about quitting smoking but with a difference… Turn a negative situation to a more positive action.
Dr KK Aggarwal
National President IMA & HCFI

Saturday, 16 July 2016

Smoking and Clopidogrel may not go together

Smoking and Clopidogrel may not go together New Delhi, July 15, 2016: "Clopidogrel is an important antiplatelet (anti-clotting) drug effective in preventing thrombotic (heart attack) events, especially for patients undergoing percutaneous coronary intervention (balloon angioplasty)," said Padma Shri Awardee Dr KK Aggarwal – President Heart Care Foundation of India (HCFI) and Honorary Secretary General IMA. A study from the Department of Biopharmaceutics and Clinical Pharmacy, Faculty of Pharmacy, The University of Jordan, Amman, Jordan, published in the Journal of Clinical Pharmacy and Therapeutics has concluded that smoking is a significant factor affecting the pharmacokinetics of clopidogrel, following administration of a single 75-mg dose in healthy young volunteers. The study supports smoking-cessation recommendations in all patients on clopidogrel. In the study, 76 healthy adult male volunteers were selected randomly. Each subject received a single 75-mg oral dose of clopidogrel after overnight fasting. Clopidogrel carboxylate plasma levels were measured. One-third of volunteers were smokers (n = 27). Smokers had lower area under the curve [AUC] (smokers: 6.24 ± 2.32 microg/h/mL vs. non-smokers: 8.93 ± 3.80 microg/h/mL, P < 0.001) and shorter half-life (smokers: 5.46 ± 2.99 vs. non-smokers: 8.43 ± 4.26, P = 0.001). Earlier studies have also shown that BP drugs are not effective in patients who continue to smoke. This study gives one more reason for smoker heart patients to quit.

Monday, 30 May 2016

IMA, DMC and HCFI appeal to the medical fraternity to actively prescribe staying away from active and passive smoking to all their patients

IMA, DMC and HCFI appeal to the medical fraternity to actively prescribe staying away from active and passive smoking to all their patients

New Delhi, May 30, 2016: According to the World Health Organization, tobacco consumption is the second leading cause of death and fourth leading cause of diseases worldwide. As per the recently released Global Adult Tobacco Survey (GATS-India 2010), about 35 per cent of the adults in India consume tobacco in some form or the other.

“Tobacco use can trigger an onset of life-threatning non-communicable diseases (NCDs) like ischemic heart diseases, cancers, diabetes, chronic respiratory diseases and its increasing incidence must be curbed. The Delhi Medical Council, Heart Care Foundation of India & Indian Medical Association have jointly sent out a communication to members of the medical fraternity requesting them to actively prescribe refraining the use of all tobacco products as well as to stay away from smoke filled environments to each and every patient”, said Dr Arun Gupta – President DMC and Padma Shri Awardee Dr KK Aggarwal – President HCFI and Honorary Secretary General IMA.

IMA and HCFI have also written to the Health and Finance Ministry to consider treatment of tobacco de-addiction under the list of income tax exemptions. They also want them to consider giving concessions to non-smokers Mediclaim premium and include smoking de-addiction in the Mediclaim policy.

They have also appealed to the Chief Minister and Health Minister of Delhi to tweet on World No tobacco day asking general public to exercise their rights and ask smokers not to smoke in front of them.


Recently we had also sent an appeal to Honorable Health Minister of Delhi, Shri Satyendar Jain requesting him to declare May 31st as a dry tobacco day in the city. They had recommended a complete ban on the sale of all tobacco products including cigarettes, gutka, hookah and e-cigarettes for a period of 24 hours, said Dr Girish Tyagi Registrar DMC. 


World No Tobacco Day is observed across the globe on May 31st every year. It is aimed at encouraging people to abstain from consuming tobacco for 24 hours and raising awareness about the hazardous effects of tobacco consumption on a person’s health and well-being. Tobacco use is responsible for nearly 6 million deaths each year worldwide, 600,000 of which are the result of non-smokers being exposed to second-hand smoke.

IMA & HCFI also released the following policies

1.      All IMA meetings to be tobacco free
2.      Charity begins at home - Doctors should not smoke or consume tobacco
3.      While writing a prescription, a doctor should write  'No Passive smoking' before the prescribed drugs column
4.      Tobacco consumption is a disease and has to be treated by doctors
5.      Tobacco de-addiction should be covered by CGHS, PSUs, Mediclaim
6.      Income Tax exemption should be given to de-addiction treatment
7.      In Mediclaim, insurance premium should be lower for non smokers and should be reduced for those who quit smoking
8.      IMA meetings should be e-tobacco free
9.      All IMA meetings should also be hookah free