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Thread: Tobacco Harm Reduction Approaches to Smoking

  1. #1
    Senior Member
    Join Date
    Jul 2012

    Tobacco Harm Reduction Approaches to Smoking

    Tobacco harm reduction

    Tobacco: harm-reduction approaches to smoking
    Public health guidance, PH45 - Issued: June 2013
    This guidance partially updates and replaces NICE public health guidance 10 (published in February 2008).
    Nicotine inhaled from smoking tobacco is highly addictive. But it is primarily the toxins and carcinogens in tobacco smoke – not the nicotine – that cause illness and death. The best way to reduce these illnesses and deaths is to stop smoking – ideally, stopping in one step (sometimes called ‘abrupt quitting’). (See the NICE pathway on smoking)
    However, there are other ways of reducing the harm from smoking, even though this may involve continued use of nicotine. This guidance is about helping people, particularly those who are highly dependent on nicotine, who:
    may not be able (or do not want) to stop smoking in one step
    may want to stop smoking, without necessarily giving up nicotine
    may not be ready to stop smoking, but want to reduce the amount they smoke.
    It recommends harm-reduction approaches which may or may not include temporary or long-term use of licensed nicotine-containing products.
    The guidance is for: commissioners, managers and practitioners with public health as part of their remit, organisations that provide education and training, manufacturers and retailers of licensed nicotine-containing products.
    It is especially aimed at those involved in providing advice about stopping smoking, including those working in smoking cessation services.
    The recommendations cover awareness-raising, advising on, providing and selling licensed nicotine-containing products; self-help materials; behavioural support; and education and training for practitioners.
    This guidance does not cover ‘reduced exposure cigarettes’, ‘smokeless tobacco’ or any other products containing tobacco. In addition, it does not provide advice for women who are pregnant or maternity services.
    The guidance was updated in July 2013 to reflect the MHRA decision that all nicotine-containing products should be regulated. This is expected to come into effect in 2016. For further details, see the MHRA website.
    Evidence Statements
    Tobacco: harm-reduction approaches to smoking The evidence PH45
    Very interesting
    spud and Mathy like this.
    Cigarette Addiction: 12 years Quit Smoking: 22.11.2011 Started Vaping: 22.11.2011
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  2. #2
    AussieVapers approved Vendor
    Join Date
    Oct 2011
    Townsville QLD
    The bit I read
    The strongest evidence available for the long-term safety of NRT with concurrent smoking comes from a large subgroup of patients studied in the 5-year 'Lung health study'1,2 (+) of NRT in smoking cessation, where a large patient group continued to smoke and continued to use NRT.
    Does that mean they were dual users?
    lozza 82 and essiemessy like this.

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