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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

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