STOP SMOKING

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CALL FOR DOCTORS, HEALTH CARE PROFESSIONALS AND SCIENTISTS IN SUPPORT OF ELECTRONIC CIGARETTES.
As physicians and health professionals we see everyday patients who are severely affected by tobacco smoking, many of whom will eventually die or have their health severely affected despite our help and advice. Tobacco smoking remains the most serious public health issue in the world.
People smoke for the nicotine but die from the chemicals produced when tobacco is burned.i Unfortunately, currently available smoking cessation medications have limited efficacy and acceptability for the majority of smokers. However, we believe that there is a solution: the use of electronic cigarettes clearly has huge potential to help many smokers turn their backs on tobacco.
To this end, we strongly believe that ethically and scientifically speaking it is our responsibility to draw attention to the following:
  • It is the combustion of tobacco and the 4000 chemical substances that are produced when smoking cigarettes that are harmful to health of smokers, not the nicotine.
  • The dangers of electronic cigarettes are considerably lower than those of tobacco. From analysis of the constituents of e-cigarette vapour, e-cigarettes can be expected to be at least 95 to 99% safer than smoking tobacco cigarettes in terms of long-term health risks.ii
  • The vapour exhaled from e-cigarette users is highly unlikely to be harmful to bystanders; nicotine concentrations in exhaled vapour are too low to have pharmacological effects on bystanders.iii
  • Randomised controlled trials show that e-cigarettes are effective in smoking cessationiv and studies of the use of e-cigarettes in real world settings show that they are more effective than other means for stopping smoking including Nicotine Replacement Therapy.v
  • It is estimated that for every one million people who switch from smoking to electronic cigarettes, some 6000 premature deaths a year would be averted.vi
  • E-cigarettes do not ‘renormalise smoking’ – ‘vaping’ is not smoking.  In many countries the rise in e-cigarette use has been accompanied by a continued decline in tobacco sales and prevalence of smoking.vii
The characteristics of electronic cigarettes should always be compared to those of conventional cigarettes, and discussion about the absolute long-term safety of electronic cigarettes must be contrasted ethically and scientifically with the absolute certainty of the harmfulness of smoked tobacco.
Already estimated 29m consumers in Europe use e-cigarettes.viii But we believe that the individual and public health gains associated with electronic cigarette use are held back by misconceptions about the product.
In light of the numerous studies undertaken to date we – as health professionals – cannot remain passive in the face of the clear public health benefits of electronic cigarettes.
We therefore recommend that our colleagues actively learn more about electronic cigarettes as a new public health tool in the ongoing global health campaign against tobacco-related diseases.
We call on our colleagues to sign this declaration in support of the merits of electronic cigarettes based on scientific evidence and ethical debate.
Yours faithfully,
Group of professionals who support this statement.
If  you  agree  with  the  M.O.V.E  statement please  click  on  the  image  below  to  add  your  support.

i Russell, M. A. Low-tar medium-nicotine cigarettes: a new approach to safer smoking (1976) BMJ  1 (6023) 1430-1433

ii Farsalinos, K. E., & Polosa, R. (2014). Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: a systematic review. Therapeutic Advances in Drug Safety, 5(2), 67–86. doi:10.1177/2042098614524430

iii Hajek P, Etter J-F, Benowitz N, McRobbie H (2014) Electronic cigarettes: review of use, content, safety, effects on smokers, and potential for harm and benefit. Addiction.

iv McRobbie, H., Bullen, C., Hartmann-Boyce, J., & Hajek, P. (2014). Electronic cigarettes for smoking cessation and reduction. The Cochrane Database of Systematic Reviews, 12, CD010216. doi:10.1002/14651858.CD010216.pub2

v Brown, J. et al (2014).  Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross-sectional population study. Addiction doi:10.1111/add.12623

vi West, R. B. J. (2014). Electronic cigarettes : fact and fiction. British Journal of General Practice, (September), 442–443.doi:10.3399/bjgp14X681253

vii West R, Brown J, Beard E. Trends in electronic cigarette use in England. Smoking Toolkit Study 140122. 2014. www.smokinginengland.info/latest-statistics

viii Vardavas, C.et al (2014). Determinants and prevalence of e-cigarette use throughout the  European Union: a secondary analysis of 26 566 youth and adults from 27 Countries.  Tobacco Control, 1–7. doi:10.1136/tobaccocontrol-2013-051394

Stop tobacco

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MENGUNDANG PARA DOKTER, PELAKU PROFESIONAL KESEHATAN, DAN PENELITI YANG MENDUKUNG ROKOK ELEKTRIK.
Sebagai dokter dan ahli kesehatan setiap harinya kami menyaksikan pasien yang menderita sakit akibat dari konsumsi rokok tembakau. Banyak diantara mereka akhirnya diprediksikan akan meninggal atau kesehatannya akan terganggu seumur hidup meskipun segala usaha dan bantuan medis telah dengan maksimal kami upayakan. Hingga saat ini, merokok tetap menjadi masalah kesehatan yang paling serius di dunia.
Alasan utama orang-rang merokok adalah nikotin, namun mereka akhirnya meninggal karena zat-zat kimia yang dihasilkan saat tembakau dibakar i. Sayangnya alternatif merokok yang tersedia saat ini memiliki tingkat efektifitas yang sangat rendah dan sulit untuk diterima oleh para perokok. Namun, kami percaya ada satu solusi: penggunaan rokok elektrik memiliki potensi besar untuk membantu perokok berhenti mengonsumsi rokok.
Hingga saat ini, kami optimis bahwa baik dari segi etis maupun sains merupakan kewajiban kami untuk memberi perhatian khusus pada hal-hal berikut:
  • Bahwasanya proses pembakaran tembakau dan 4.000 zat kimia yang dihasilkan saat pembakaran tersebutlah yang berbahaya bagi kesehatan perokok, bukan nikotinnya.
  • Bahaya dari rokok elektrik cenderung lebih rendah dibandingkan dengan tembakau. Analisa yang dilakukan pada zat-zat di dalam uap rokok elektrik menunjukkan rokok elektrik terbukti 95 sampai dengan 99% lebih aman daripada rokok konvensional dilihat dari pengaruh jangka panjangnya pada kesehatan.ii
  • Kemungkinan dampak negatif dari uap yang dihasilkan oleh rokok elektrik bagi para non-perokok sangatlah rendah. Konsentrasi nikotin pada uap yang dihembuskan terlalu rendah untuk memiliki dampak efek farmakologis pada non-perokok.iii
  • Percobaan acak yang terpantau menunjukkan bahwa konsumsi rokok elektrik efektif dalam mengurangi kebiasaan merokok tembakau.iv Penelitian penggunaan rokok elektrik di lingkungan nyata menunjukkan rokok elektrik lebih efektif dampaknya dibandingkan alternatif lain termasuk Nicotine Replacement Therapy (NRT). v
  • Diestimasikan pada setiap satu juta orang yang beralih dari rokok konvensional ke rokok elektrik, kurang lebih 6.000 kematian dini dapat dicegah.vi
Rokok elektrik tidak akan kembali menormalisasikan aktifitas merokok — ‘vaping’ bukanlah merokok. Di banyak negara naiknya konsumsi rokok elektrik telah diikuti dengan terus menurunnya penjualan tembakau dan kebiasaan merokok. vii
Karakteristik rokok elektrik harus selalu dibandingkan dengan rokok konvensional, dan diskusi mengenai tingkat keamanan jangka panjang rokok elektrik harus dikontraskan dari sisi etis dan sains dengan tingkat bahaya rokok tembakau yang sudah terbukti absolut.
Angka pengguna rokok elektrik di Eropa diestimasikan mencapai angka 29 juta.viiiTetapi kami percaya publikasi dampak positif yang dirasakan masing-masing individu dan masyrakat umumnya masih tertahan akibat pemahaman produk yang masih simpang siur.
Mengacu pada penelitian yang telah dilakukan hingga saat ini kami – ahli kesehatan – tidak dapat tetap pasif menanggapi besarnya manfaat yang dapat dirasakan oleh publik akibat dari rokok elektrik.
Maka dari itu kami merekomendasikan agar para kolega dapat lebih aktif lagi mempelajari rokok elektrik sebagai sarana kesehatan publik yang baru dalam kampanye melawan penyakit akibat tembakau.
Kami mengundang kawan-kawan seprofesi untuk ikut menandatangani deklarasi ini sebagai tanda dukungan terkait manfaat rokok elektrik berdasarkan bukti ilmiah dan perdebatan etis.
Salam,
Kelompok Professional Pendukung Pernyataan diatas
Apabila anda setuju dengan pernyataan M.O.V.E silahkan klik gambar dibawah untuk menambahkan dukungan anda.

i Russell, M. A. Low-tar medium-nicotine cigarettes: a new approach to safer smoking (1976) BMJ  1 (6023) 1430-1433

ii Farsalinos, K. E., & Polosa, R. (2014). Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: a systematic review. Therapeutic Advances in Drug Safety, 5(2), 67–86. doi:10.1177/2042098614524430

iii Hajek P, Etter J-F, Benowitz N, McRobbie H (2014) Electronic cigarettes: review of use, content, safety, effects on smokers, and potential for harm and benefit. Addiction.

iv McRobbie, H., Bullen, C., Hartmann-Boyce, J., & Hajek, P. (2014). Electronic cigarettes for smoking cessation and reduction. The Cochrane Database of Systematic Reviews, 12, CD010216. doi:10.1002/14651858.CD010216.pub2

v Brown, J. et al (2014).  Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross-sectional population study. Addiction doi:10.1111/add.12623

vi West, R. B. J. (2014). Electronic cigarettes : fact and fiction. British Journal of General Practice, (September), 442–443.doi:10.3399/bjgp14X681253

vii West R, Brown J, Beard E. Trends in electronic cigarette use in England. Smoking Toolkit Study 140122. 2014. www.smokinginengland.info/latest-statistics

viii Vardavas, C.et al (2014). Determinants and prevalence of e-cigarette use throughout the  European Union: a secondary analysis of 26 566 youth and adults from 27 Countries.  Tobacco Control, 1–7. doi:10.1136/tobaccocontrol-2013-051394

Interview with Dr. Jörg große Schlarmann

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Interview with German M.O.V.E supporter Dr. Jörg große Schlarmann

Department for Nursing Science at the Universität Witten/Herdecke

 

Wir hatten die Gelegenheit, Dr. Jörg große Schlarmann, Pflegewissenschaftler an der Universität

Herdecke, unsere Fragen zu stellen:

 

F:  Aus welchem Grund unterstützen Sie das Manifest von M.O.V.E?

A:  Ich möchte als Vertreter der Gesundheitsberufe und Gesundheitswissenschaften ein  Zeichen setzen.

 

F:  Halten Sie es für möglich, dass das Dampfen, wenn man die richtigen Anreize setzen würde, für Raucher eine Lösung (heraus aus dem Tabak) sein könnte?

A:  Ja, und meine bisherigen persönlichen Erfahrungen unterstützen diese Aussage.

 

F: Haben Sie sonstige Gedanken, die Sie zum Thema gern Ihren Kollegen zur Kenntnis geben möchten?

A: Liebe KollegInnen: Lest die Studien, die Evidenzlage ist ziemlich klar!

STOP TOBACCO

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FELHÍVÁS AZ EGÉSZSÉGÜGYI DOLGOZÓK, ORVOSOK, TUDOMÁNYOS SZAKEMBEREK FELÉ AZ ELEKTROMOS CIGARETTA ÜGYÉRT!
Orvosként és egészségügyben dolgozó szakemberként, nap mint nap szembesülünk a dohányzás következményeivel, amely gyakran betegeink életét követeli vagy maradandó károsodást okoz egészségükben – minden erőfeszítésünk ellenére. A dohányzás jó ideje a legsúlyosabb közegészségügyi probléma világszerte.
A dohányosok jórészt a nikotin hatásai miatt dohányoznak, de őket azok a vegyi anyagok ölik meg, amelyek a dohány elégetésekor keletkeznek.i Sajnos, a rendelkezésre álló leszokást segítő gyógyszerek és segédeszközök hatékonysága erősen korlátozott és a dohányfogyasztók többsége számára használatuk nem megfelelő lehetőség. Ennek ellenére úgy hisszük, van megoldás: az elektromos cigaretta készülékek használata rendkívüli potenciállal bír abban, hogy a dohányosok java hátat fordíthasson a hagyományos dohánytermékek használatának. A fentiek fényében hisszük, hogy erkölcsi és tudományos kötelességünk szíves figyelmét felhívnunk az alábbiakra:
  • A dohány elégetése, valamint az ezzel járó mintegy 400 toxikus és karcinogén anyag felszabadulása az, ami a dohányosokra nézve egészségkárosító hatású, nem pedig maga a nikotin;
  • Az elektromos cigaretta használat kockázata jelentősen alacsonyabb a dohányzásnál. Az elektromos cigaretta gőzének kémiai összetevőit vizsgálva kijelenthető, hogy 95-99%-kal biztonságosabb hosszú távú használata is, mint a dohányfogyasztással együtt járó ártalmak; ii
  • Az elektromos cigaretta használatakor kilélegzett pára nikotin tartalma túl alacsony ahhoz, hogy farmakológiai hatást fejthessen ki , így az e-cigaretta használók környezetében élőkre gyakorolt ártalmas hatás kizárt; iii
  • Randomizált, kontrollált vizsgálatok kimutatták, hogy az e-cigaretta hatékonyan segít a hagyományos dohányzás elhagyásában iv, emellett valós élethelyzetben végzett kutatások szerint jóval hatékonyabb, mint a hagyományos leszokást segítő eszközök és nikotin pótló terápiás készítmények; v
  • Becslések szerint egymillió, a hagyományos dohányzásról elektromos cigarettára áttérő dohányfogyasztó esetén 6000 idő előtti elhalálozást lehet elkerülni. vi
Az elektromos cigaretta nem normalizálja a dohányzást, hiszen az e-cigaretta használat nem dohányzás. Több országban kimutatható a párhuzam az e-cigaretták növekvő felhasználási aránya és a hagyományos dohánytermékek forgalmának csökkenése között. vii
Az elektromos cigaretta hatását és karakterisztikáját tekintve csak a hagyományos cigarettához hasonlítható, ugyanígy a hosszú távú egészségügyi kockázatok tekintetében is csak úgy etikus és tudományosan hiteles, ha a hagyományos dohánytermékek jól ismert és bizonyított egészségkárosító hatásaival mérjük össze.
Jelen becslések szerint Európában 29 millióan használnak elektromos cigarettát.viii Hisszük, hogy a személyes és közegészség szempontjából hasznos tulajdonságai ellenére a terjedésének tévhitek és félinformációk vetnek gátat.
Azon számos kutatási eredmény fényében, melyek a mai napig világot láttak – egészségügyi szakemberekként – nem maradhatunk tétlenek és nem hallgathatjuk el az elektromos cigaretták pozitív hatásait.
Így tehát azt javasoljuk kollégáinknak, hogy tájékozódjanak és informálódjanak az elektromos cigarettáról, mint új és hasznos, a dohányzás okozta ártalmakat és egészségügyi kockázatokat csökkentő segédeszközről!
Kérjük a tisztelt kollégákat, aláírásukkal csatlakozzanak felhívásunkhoz és tudományos bizonyítékokra alapozott érveink mentén támogassák az elektromos cigaretták ügyét!
Tisztelettel,
Orvosok és egészségügyben dolgozók az elektromos cigaretta mellett.
Ha egyetért a MOVE törekvéseivel, kérjük az alábbi képre kattintva támogasson minket!

i Russell, M. A. Low-tar medium-nicotine cigarettes: a new approach to safer smoking (1976) BMJ  1 (6023) 1430-1433

ii Farsalinos, K. E., & Polosa, R. (2014). Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: a systematic review. Therapeutic Advances in Drug Safety, 5(2), 67–86. doi:10.1177/2042098614524430

iii Hajek P, Etter J-F, Benowitz N, McRobbie H (2014) Electronic cigarettes: review of use, content, safety, effects on smokers, and potential for harm and benefit. Addiction.

iv McRobbie, H., Bullen, C., Hartmann-Boyce, J., & Hajek, P. (2014). Electronic cigarettes for smoking cessation and reduction. The Cochrane Database of Systematic Reviews, 12, CD010216. doi:10.1002/14651858.CD010216.pub2

v Brown, J. et al (2014).  Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross-sectional population study. Addiction doi:10.1111/add.12623

vi West, R. B. J. (2014). Electronic cigarettes : fact and fiction. British Journal of General Practice, (September), 442–443.doi:10.3399/bjgp14X681253

vii West R, Brown J, Beard E. Trends in electronic cigarette use in England. Smoking Toolkit Study 140122. 2014. www.smokinginengland.info/latest-statistics

viii Vardavas, C.et al (2014). Determinants and prevalence of e-cigarette use throughout the  European Union: a secondary analysis of 26 566 youth and adults from 27 Countries.  Tobacco Control, 1–7. doi:10.1136/tobaccocontrol-2013-051394

INTERVIEW WITH ANDREAS WAGENER

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Wir sprachen mit dem M.O.V.E.-Unterstützer Andreas Wagener und befragten ihn nach seinen Gründen, den Aufruf zu unterstützen.

 

Andreas Wagener, Jahrgang 1967, verheiratet; Krankenpfleger und spätere Qualifikation für die Anaesthesie- und Intensivpflege. Der Vater von zwei Kindern übt seinen Beruf seit über 20 Jahren auf einer interdisziplinären Intensivstation aus.

  1. Herr Wagener, warum haben Sie das M.O.V.E-Statement mit Ihrer Unterschrift unterstützt?

Weil ich es enorm wichtig finde, dass gerade aus dem medizinisch-wissenschaftlichen Bereich mehr Unterstützung und Aufklärung kommt.
Dieses regt wahrscheinlich doch mehr Bürger und Politiker zum Nachdenken an und lässt sie einige Dinge hinterfragen.
Dafür müssen aber zuerst auch diese Berufsgruppen aufgeklärt werden, die ja im Prinzip alle das gleiche Ziel haben: Menschen zu helfen und potenziellen Schaden abzuwenden.

  1. Glauben Sie, dass das Dampfen, wenn es richtig angegangen wird, eine Lösung für Raucher sein könnte, um vom Tabak loszukommen?

Ja, wenn nicht sogar die einzige Möglichkeit.
Ob es mehr Potential hat, sich die Sucht abzugewöhnen, kann ich nicht beurteilen, aber es kann jedem Raucher helfen, seine Sucht zu “verlagern” und darauf kommt es an. Viele Raucher haben unzählige Versuche hinter sich mit dem Rauchen komplett aufzuhören. Meist angetrieben vom schlechten Gewissen, aus finanziellen Gründen und vor allem aus gesundheitlichen Gründen.  Aber gerne geraucht haben fast alle.
Mit den richtigen Gerätschaften und der richtigen Anleitung ist es für viele Raucher sehr einfach, ihre Abhängigkeit von der Zigarette auf „die Dampfe” zu verlagern. Selbst wenn man dadurch zum Dual User wird, minimiert man doch erheblich die Aufnahme von stark gesundheitsschädlichen Stoffen.

  1. Haben Sie noch weitere Gedanken zum Thema, die Sie unseren Lesern mitteilen möchten?

Ich möchte alle bitten, sich unabhängig von den tendenziösen Medienberichten ein eigenes Bild vom Dampfen zu machen. Man sollte hinterfragen, warum man ein Produkt mit so viel Potenzial aus dem Verkehr ziehen möchte.
Wir würden es wahrscheinlich alle belächeln, wenn man plötzlich Rumkugeln in die Apotheke verbannen würde, mit der Begründung, dass Jugendliche durch das Alkoholaroma zum Alkohol und damit zur Abhängigkeit geführt würden. Oder weil sie Nüsse enthalten, die Allergien auslösen können, Zucker, der bekanntlich auch nicht gerade gesund ist und natürlich Schokolade, wovon so mancher doch auch abhängig wird.

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招募医生,健康专家以及科研人员支持电子香烟

作为医生和健康专家,我们每天都看到深受吸烟危害的患者。在我们的帮助和建议下,仍然有其中的许多人最终将面临死亡或者健康受到严重影响。吸烟仍然是世界上最严重的公共健康问题。

 

人们吸烟是为了获得尼古丁,但是确因烟草燃烧时产生的化学物质而死亡。不幸的是,目前的戒烟药物对广大烟民来说疗效和可接受性都有限。但是,我们认为有一个解决方案:

使用电子烟显然有着巨大的潜力去帮助许多吸烟者戒烟。

为此,我们坚信,从道德和科学的角度,我们有责任提醒大家注意以下几点:

 

  • 是烟草燃烧时产生的4000种化学物质对吸烟者产生健康危害,而不是尼古丁。
  • 吸电子香烟比吸烟的危害要低得多。通过对电子烟烟雾成分的分析发现,从长期的健康风险方面来看,吸电子香烟可以预期会比吸烟草安全至少95至99%。
  • 电子香烟产生的烟雾是极度不可能对周围人产生危害的;呼出的烟雾中的尼古丁含量很低,低到无法对周围人群产生任何药理作用。
  • 随机对照试验显示,电子香烟对戒烟有疗效,并且通过对现实生活中电子烟使用者的研究表明,用电子烟戒烟比其他方法戒烟更有效,包括尼古丁替代疗法。
  • 据估计,每一百万烟民从吸烟改为吸电子烟,每年将有约6000人避免过早死亡。

 

电子烟不“重新规范吸烟”,同样“吸电子烟”也不是“吸烟”。在许多国家电子香烟的使用的兴起的同时,烟草的销售和吸烟的患病率持续下降。

电子香烟的特点应该总是与那些传统的香烟比较,有关电子烟绝对的长期安全性的讨论必须在道德和科学上与传统烟草的危害进行比较。

已经估计有290万消费者在欧洲使用电子香烟。但我们发现,由于对电子烟产品的误解,如此一款帮助个人和公众健康利益产品的使用受到了抑制。

鉴于迄今为止我们开展的无数研究,作为健康专业人员,在看到电子香烟如此明确地对公众健康有利的情况下,不再保持被动。

因此,我们建议我们的同行积极了解更多关于电子烟在当前全球卫生运动中作为一个新的公共卫生手段来对抗因吸烟产生的相关疾病。

我们呼吁我们的同僚共同签署这一宣言,基于科学和道德的态度,来支持拥有众多优点的电子香烟。

 

此致,

支持本声明的专业小组。

如果您也赞同M.O.V.E.的声明,请点击下面的图片添加您的支持。

i Russell, M. A. Low-tar medium-nicotine cigarettes: a new approach to safer smoking (1976) BMJ  1 (6023) 1430-1433

ii Farsalinos, K. E., & Polosa, R. (2014). Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: a systematic review. Therapeutic Advances in Drug Safety, 5(2), 67–86. doi:10.1177/2042098614524430

iii Hajek P, Etter J-F, Benowitz N, McRobbie H (2014) Electronic cigarettes: review of use, content, safety, effects on smokers, and potential for harm and benefit. Addiction.

iv McRobbie, H., Bullen, C., Hartmann-Boyce, J., & Hajek, P. (2014). Electronic cigarettes for smoking cessation and reduction. The Cochrane Database of Systematic Reviews, 12, CD010216. doi:10.1002/14651858.CD010216.pub2

v Brown, J. et al (2014).  Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross-sectional population study. Addiction doi:10.1111/add.12623

vi West, R. B. J. (2014). Electronic cigarettes : fact and fiction. British Journal of General Practice, (September), 442–443.doi:10.3399/bjgp14X681253

vii West R, Brown J, Beard E. Trends in electronic cigarette use in England. Smoking Toolkit Study 140122. 2014. www.smokinginengland.info/latest-statistics

viii Vardavas, C.et al (2014). Determinants and prevalence of e-cigarette use throughout the  European Union: a secondary analysis of 26 566 youth and adults from 27 Countries.  Tobacco Control, 1–7. doi:10.1136/tobaccocontrol-2013-051394

INTERVIEW WITH KELLIE FORBES

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KELLIE FORBES

Kellie is a Canadian Registered Nurse Bscn and author of the “Vaping, The Truth” report.

 

Kellie, you have supported the MOVE statement; Why?

My opinion on vaping is solely based on my research on THR studies, surveys & articles. The MOVE statement concurs with my opinion on every point. We as healthcare professionals have an ethical responsibility to remain current in credible evidence to provide an informed opinion on matters of health to our communities. I believe that MOVE is adhering to that responsibility

Kellie, you are the author of “Vaping, The Truth”, Why you decided to write this excellent report?

Well thank you for your kind words. As an RN I am trained to identify gaps in knowledge. We are also trained how to facilitate learning to improve health outcomes. I saw a gap in knowledge of THR in the general population, healthcare professionals & politicians. This is concerning because understanding THR is essential to the application. WIthout application the public cannot benefit. So I decided to compile my research into a paper to use as a teaching tool. To appeal to the general population I wrote it in simple language, included lots of colour & kept the content concise. To appeal to healthcare professionals I included several graphs & 52 references to further their learning.

As a nurse you have treated patients suffering for the effects of smoking. Do you think that health authorities should prescribe the eCig as a harm reduction tool? Are the eCig as effective or more than other smoking cessation therapies?

In my opinion the evidence clearly indicates that vaping is an appealing alternative for smokers without the thousands of pathogenic chemicals produced when burning today’s additive laden cigarette tobacco. I do not believe they should be prescribed but should be recommended by healthcare professionals. These products contain pharmaceutical nicotine in controlled dosage just like NRTs. NRTs are OTC products as should be vape products so they are easily accessible to facilitate compliance. Consider that tobacco  kills 2 out of 3 users, causes chronic disease, has no dosage of nicotine, does not require a prescription & is available for purchase 24 hours a day.

Controlled clinical trials have concluded that smoking cessation rates with vaporizers more than triples that of NRTs (21% vs 6% at six months). Vaping increases nicotine serum levels resulting in a reduction of craving to smoke tobacco. Furthermore, it uniquely satisfies the ritualistic behaviours & mimics the internal sensations of smoking. Science clearly indicates  that the physical action of smoking is a significant aspect of the addiction. Furthermore, those that dual use report a 40% reduction of their tobacco smoking. There is a direct correlation between the number of cigarettes smoked & the risk of lung cancer. I don’t think you  need a degree to figure out that a reduction of pathogenic chemicals entering the body reduces the risk of disease.


Finally, what do you think about the WHO official position and other eCig detractors? Do you think that restrictive policies on electronic cigarettes could long term damage the public health?

I am dismayed with the position of WHO. Like I said earlier, my opinion is based solely on scientific published articles. I, a lone RN, in my home, accessed medical data bases, read the dozens articles & formed an opinion based solely on the science of THR. Quite honestly,  after I completed my research & reviewed the positions of WHO, Health Canada, Canadian non-profit organizations & our healthcare agencies I was literally heartbroken. I suppose I was naive to believe that the agencies created long ago to champion for human rights & the application of science to improve population health outcomes were adhering to the ethical standards under which they were created. The efficacy & safety of vaping is overwhelmingly blatant especially when compared to tobacco smoking.

I am afraid for the people of the world. Who will advocate for the greater good of all peoples?  What are the actual agendas of those managing these organizations?  It is clearly evident that allowing science to guide their decision making processes is questionable at best. I think that once the public understands the truth, for those suppressing this THR strategy, their credibility will come under scrutiny. My hope is that the majority of the people within these agencies, the compassionate, ethical professionals I have the privilege of working with will be able to rectify the current situation. I believe the vast majority of healthcare professionals adhere to our ethical responsibilities of non-maleficence, beneficence, justice & autonomy. There is power in numbers.

Restrictive policies of utilizing vaporizers as a tobacco harm reduction strategy promote harm induction. Period.

INTERVIEW WITH DR. CARLOS GUTIERREZ.

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INTENSIVIST (CRITICAL CARE PHYSICIAN)

*****Doctor, why did you sign the MOVE statement?

There are several reasons why I signed, but among them are these two:
I resent the tortuous manipulations that are being applied to electronic cigarettes for purely financial reasons, and without the provision of any serious scientific study as a basis for the attacks and false information being used to confuse the public.
I am totally convinced that the vaporiser is not only an alternative to smoking, but is currently the most effective method for people to stop smoking permanently.

*****So, do you think that encouragement of the correct use of eCigs could be a definitive solution to the problem of smoking?

For now, and until we have something that exceeds eCigs in terms of effectiveness, I have no doubt. This is why eCigs are being overwhelmingly attacked – tobacco taxes are, for governments, a strong argument in this ‘war’.
There are many thousands of vapers who vape for the pleasure of vaping and who have gradually decreased their nicotine concentration to zero. Governments would have no way to recover lost tobacco revenues even via exorbitant taxes on nicotine.
It is a government folly to only take into account savings on long term therapies, hospital stays and pensions, and ignore the pain, suffering and sickness that these devices could prevent.

*******We noticed that you are a vaper, why did you start vaping?

I was a heavy smoker, smoking 50-55 tobacco cigarettes per day, or 15 packs a week. I started smoking when I was 14, and continued for 42 years.
A few years ago I had a total occlusion of the right and circumflex coronary arteries, which could not be repaired by angioplasty (I nearly died in one of three attempts to position a vascular stent. My heart stopped for almost two minutes).
Imagine that picture, and yet I still smoked a pack a day, hiding it from my wife and son. I had daily episodes of angina which were alleviated with sublingual nitroglycerin. Even the slightest effort would bring on an attack. Just climbing the stairs to my room would cause dyspnoea.
It was vital that I stopped smoking tobacco. I started with a whole string of quit attempts (traditional and alternative) including patches, medication, gum, hypnosis and acupuncture.
My colleagues at the hospital said I was a hopeless case.
And still I smoked.
My echocardiogram and chest radiography were a real fright.
Suddenly I found vaping and as if by miracle, after the first puff of a high nicotine eCig I never smoked again. I gave up smoking without any effort, I do not miss it and I have suffered no anxiety or weight gain.

******Have you noticed any improvement in your health since you switched from smoking tobacco to using an eCig?

The episodes of angina disappeared (although my extensive daily medication, forced retirement and change of lifestyle have no doubt contributed to that, make no mistake).
I no longer suffer from dyspnoea from small tasks, only when greater efforts are required, such as climbing a hill.
My heart has sustained injury and has diminished capacity, but apart from that I am able to do more and my quality of life has improved 500%.

******How long have you been using an eCig?

For five years now…how time flies!

******That makes you the living proof on the use of eCigs in relation to chronic smoking related disease. What do the doctors who have treated you think?

Since you say so…yes. I am living proof that the use of eCigs has not only not worsened my condition, but against all of the odds my health has improved markedly in terms of my ability to function and my breathing capacity.
The doctors who are treating me are unable to explain my improvement, and although they are sceptical about eCigs, they are at least no longer hostile towards them.

******What is your conclusion doctor?

The electronic cigarette is the perfect and most effective method to quit smoking, despite what the ill-informed and isolated WHO, Governments and those who are less than honest about the studies may think. I say so strongly, because at least in my case, it saved my life.