Tobacco- May 23, 2014

smokingandmentalillness_355pxResources on Smoking Cessation and Mental Illness
American Psychiatric Association
This resource list includes procedure coding for smoking cessation counseling, recent studies and resources/services available through various agencies.

Reports and Articles
E-cigarette ‘vaping’ puts Ore. kids in danger
PORTLAND — Justin Wilcox no longer smokes cigarettes. He relaxes with e-cigarettes. When he is finished with the e-juice, containing liquid nicotine, he stores it in a carrying case, out of the reach of his 4-year-old son.
“It’s out of sight, out of mind,” said Wilcox. “If I keep the case closed and locked up he’s not going to touch it.”
What works for the Wilcox family does not work for every family.
Figures just released by Oregon and Washington poison centers highlight an alarming problem.  Kids are getting their hands on e-juice.  Since 2010, more than 130 kids were poisoned by it.    

Campaign for Tobacco-Free Kids Honors CVS Caremark CEO Larry Merlo For Company’s Historic Decision to End Tobacco Sales
Washington, DC – The Campaign for Tobacco-Free Kids tonight will present Larry J. Merlo, President and Chief Executive Officer of CVS Caremark Corporation, with its highest honor, the Champion Award, for his company’s leadership in the fight to reduce the devastating toll of tobacco use in the United States.

CVS Caremark announced in February that it will stop selling cigarettes and other tobacco products at its more than 7,600 stores nationwide by October 1.  CVS Caremark is the first national pharmacy chain to end tobacco sales. The company also announced that it will launch a national smoking cessation program to help smokers quit.
For more information on the Campaign for Tobacco-Free Kids, visit

Study: Hookahs Not a Safe Alternative to Smoking
RWJF: 5.19.14
Hookahs produce significant amounts of nicotine and compounds that can cause cancer, heart disease and other health problems, according to a new study in the journal Cancer Epidemiology, Biomarkers & Prevention. “Water pipe smoking is generally perceived to be a safe alternative to cigarette smoking, even for children and youths. Our study shows that water pipe use, particularly chronic use, is not risk-free,” said study author Gideon St. Helen, a postdoctoral fellow in the division of clinical pharmacology and the Center for Tobacco Control Research and Education at the University of California, San Francisco, according to HealthDay. In the study, researchers examined the urine of 55 men and women, who were regular hookah smokers, once after they avoided all smoking for a week and then again after an evening of smoking hookahs. After that single evening the found that the urine samples had: 73 times higher nicotine levels; four times higher levels of cotinine; two times higher levels of NNAL, a breakdown product of a tobacco-specific chemical called NNK; and 14 percent to 91 percent higher levels of breakdown products of volatile organic compounds such as benzene and acrolein. Read more on tobacco

Why Thirdhand Smoke Looks to Be a First-Rate Problem
RWJF: 5.20.14
Data on thirdhand smoke—tobacco smoke left on surfaces, walls and floors—was first published in 2009. The data has raised significant concerns that the smoke can linger for months or longer, as well as combine with indoor air compounds to possibly form new carcinogens. In the last few months researchers from the California Thirdhand Smoke Consortium, funded by the University of California’s Tobacco-Related Disease Research Program (TDRP), have been presenting and publishing data that indicates that thirdhand smoke is linked to serious health risks in animals and humans—though more research is needed to better measure thirdhand smoke constituents and their health impact.

Current, Former Smokers May Have Harder Time Becoming Pregnant
RWJF: 5.20.14
Current and former smokers may face more difficulty when trying to become pregnant, according to a new study in the journal Fertility and Sterility. Researchers at the Boston University School of Public Health (BUSPH) analyzed the chances of getting pregnant among 686 current smokers, 741 former smokers and 2,346 women who never smoked, finding that among the former smokers with the highest level of exposure, the chance of getting pregnant was reduced on average by 26 percent per menstrual cycle. “Pregnant women are already encouraged to quit smoking because of the risks to the mother and baby. Some women might not be aware that current regular smoking also harms female fertility, as concluded by the U.S. Surgeon General based on observational studies and animal studies,” said Rose Radin, a doctoral student in the BUSPH Department of Epidemiology and the lead author of the study, in a release. “Our study also found that current regular smokers take longer to get pregnant than never smokers.” Read more on tobacco.


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