Smoking cessation

Question 1

How many deaths in Scotland are caused by smoking each year?

Answer 1

10, 000 (1/5th of all deaths)

Question 2

How many years of life will a smoker loose on average?

Answer 2

7.5

Question 3

What are the three top conditions associated with smoking?

Answer 3

1. Lung cancer
2. COPD
3. Heart disease

Question 4

What % of the Scottish population smokes?

Answer 4

20%

Question 5

How much more likely to smoke are adults in deprived areas compared to adults in less deprived areas?

Answer 5

3 times more likely

Question 6

What do e-cigarettes/ vapes vaporise the nicotine in?

Answer 6

propylene glycol/ polyethylene glycol

Question 7

What is the advantage of an e-cigarette over a traditional cigarette

Answer 7

they lack many of the poisons and carcinogens present in tobacco smoke

Question 8

What are the risks associated with smoking in pregnancy?

Answer 8

Low birth weight 
Stillbirth 
Miscarriage 
Preterm birth 
Heart defects 
Sudden infant death syndrome

Question 9

What are the two biggest brands of cigarette manufacturer in the UK?

Answer 9

1. Imperial Brands (formerly Imperial Tobacco)

2. Japan Tobacco International

Question 10

How much does a packet of cigarettes cost?

Answer 10

Around £12.50

Question 11

What % of the cost of a pack of cigarettes goes to the government?

Answer 11

80%

Question 12

Increasing the price of cigarettes by 10% reduces smoking prevalence by _%

Answer 12

4%

Question 13

How has the government tried to reduce smoking in the community?

Answer 13

By making it illegal to;

• Sell tobacco products to anyone <18 years old
• Smoke in private vehicles with children inside
• Undertake proxy purchases
• Sell tobacco in vending machines
• smoke in virtually all public places and workplaces

Question 14

What is “UK Duty Paid” and why is it important?

Answer 14

It is a marking on cigarette packets sold in the UK designed to distinguish genuine goods from smuggled goods

Question 15

What are the European laws regarding the sale and marketing of cigarettes?

Answer 15

• Picture warnings must cover 65% of the pack’s surface
• Distinguishable flavours (e.g. menthol) are banned
• Packs of cigarettes must have a minimum of 20 cigarettes in order to avoid the sale of smaller, more affordable packets that would be the beginning of somebody’s addiction
• There must be limits on the amount of tar, nicotine and carbon monoxide associated with cigarettes
• Terms that may lead the user to believe that the cigarettes are safer, such as “mild” or “ultra-smooth”, are banned

Question 16

How do you calculate a patient’s pack years?

Answer 16

Pack years calculation = number of cigarettes smoked per day/ 20 (the number of cigarettes in a pack) x Number of years smoked

Question 17

Where can patients go to seek smoking cessation help?

Answer 17

All local pharmacies in grampian offer a 12 week one-to-one programme.

Smoking advice service

GP

Online advice

Question 18

If nicotine replacement is not working, what drugs can patients try and how do they work

Answer 18

1. Bupropion (relieves nicotine withdrawal symptoms)

2. Varenicicline (blocks the effects of nicotine on the brain making it less pleasurable and reducing withdrawal)

Question 19

Can breastfeeding women take nicotine replacement therapy?

Answer 19

Yes but try not to use it in the hour before breastfeeding