W4 - Smoking Cessation (based on old PowerPoint)

Question 1

How many deaths a year in Scotland does smoking cause? Out of all deaths, what fraction is due to smoking?

Answer 1

10,000 deaths a year
1/5th of deaths

Question 2

Smoking leads to an average loss of how much life?

Answer 2

7.5 years

Question 3

What % of males and females smoke in Scotland in 2022?

Answer 3

12% males
11% female

Question 4

What 6 cancers does smoking relate to?

Answer 4

Lung
Upper resp
Bladder
Pancreas
Oesophagus
Kidney

Question 5

In the top SIMD quintile, what percent of people smoke? In the bottom SIMD quintile, what percent smoke?

Answer 5

2% highest
22% lowest

Question 6

Second hand smoke in homes and cars leads to what 6 conditions in kids?

Answer 6

Resp infections
Bronchitis
Bronchiolitis
Pneumonia
Cot death
Middle ear infection

Question 7

In what 6 ways can smoking affect a pregnancy?

Answer 7

Low birth weight
Stillbirth
Miscarriage
Preterm birth
Heart defects
Sudden Infant Death

Question 8

In 2022, what % of Scottish women smoked while pregnant?

Answer 8

12%

Question 9

How do vapes work?

Answer 9

Battery power to vaporise solution of nicotine in propylene glycol/polyethylene glycol

Question 10

Vaping has what % hit of nicotine of a cigarette puff? How many carcinogens does it lack?

Answer 10

25-50% nicotine hit of cig puff
Lacks 69 carcinogens (though may contain ones we don’t know about yet!)

Question 11

What health benefit is there to quitting after:
- 20 mins
- 8 hours (three things)
- 24 hours (two things)

Answer 11

20 mins: Pulse normal
8 hours: Nicotine reduced 90%, CO reduced 75%, circulation improves
24 hours: CO and nicotine eliminated, lungs clear smoking debris

Question 12

What health benefit is there to quitting after:
- 48 hours
- 72 hours (three things)
- 2-4 weeks

Answer 12

48h - ability to smell and taste improves

72h - breathing easier, bronchial tube relaxes, energy level increase

2-4w - circulation improves

Question 13

What health benefit is there to quitting after:
- 1 month (two things)
- 3-9 months
- 1 year

Answer 13

1m - skin loses grey pallor and becomes less wrinkled

3-9m - cough/wheeze reduced

1 year - excess risk of heart attach halves

Question 14

What health benefit is there to quitting after:
- 10 years
- 15 years

Answer 14

10y - risk of lung cancer falls to half of a continuing smoker

15y - risk of heart attack falls to same as someone who’s never smoked

Question 15

How much does a pack a day cost per year?

Answer 15

£4580.75

Question 16

A 10% increase in cigarette price leads to what % reduction in smoking? What society is this conditional on?

Answer 16

4% reduction
This is in a less economically well-off society than the UK

Question 17

In what 4 ways do population strategies protect children against smoking?

Answer 17

• No tobacco products <18
  
  • No smoke in private vehicle with kids
  • No proxy purchase
    No vending machines

Question 18

Name 5 outcomes of the EU Tobacco Product Directive (2016)

Answer 18

• Picture warnings - 65% of surface of pack
  
  • Ban on distinguishable flavours, e.g. menthol
  • Minimum pack size 20 cigs
  • Limits on tar, nicotine and carbon monoxide
    Terms like “mild” and “ultra-smooth” banned