Posts Tagged ‘Tobacco free Kids’

In terms of public health and tobacco prevention: Enough is just enough!

19 de março de 2012 Comentários desligados

Enough is enough

Marcos Nascimento, MD.

In addressing the tobacco control policies that promote smoking cessation, we can separate them into two groups:

a) Public Health Approaches: are increasing attempts to stop smoking:

  • Increased taxation;
  • Regulations to restrict smoking in public places and workplaces;
  • The Campaign of mass media.

b) Approach in Healthcare: increased rates of smoking cessation:

  • Help / Treatment Smokers.

Evidently tobacco addiction is a multidimensional phenomenon. Thus a proper treatment should include dimensions beyond pharmacological while also addressing the issues of psychological and behavioral addiction. Tell that to treat smokers just put drugs in the pharmacy is a popular reductionism overwhelming.

From the perspective of public health strategies we have to be more cost-effective. If a country have little money, it naturally must to select priorities within the priorities and see which option expense is the best. Of all the strategies listed the most cost-effective policies are smoke free environments.

The countries who are enrolling in a upward trend in the prevalence of tobacco related diseases like lung cancer, cardio vascular diseases and COPD, etc, can not afford to lose the way in terms of tobacco control. Some countries like Australia, Canada, Uruguay and Brazil are giving good examples about tobacco control and Pulbic Health issues.

In order to draw the attention of managers of public and private health for the cause, I have recently published in this website an article titled “The Smoking math formula: ” Smoking = COPD + P
ie., smoking is a generator of Cardiac, Oncologic, Pulmonary Diseases + Pediatric and calls attention to COPD, a disease underdiagnosed with high personal and economic impacts which are now the 3rd death cause in US.

Thus didactical formula Indicates the need for an early & all-embracing approach to smoking because it generates 52 other diseses and produces a huge financial resources scrap, including reducing the productivity of businesses – And just like the tobacco disease, the finance costs are also preventable. Thus the necessity to  early involve children and young people in prevention education with the creation of aplications (Apps), games and cartoons, as proposed in the “children’s story Zoo Logic?”

We can justify, rationalize, and pontificate about individual freedom all we want, but in the tobacco prevention there is “the role of nicotine,” that imposes a high and uncontrolled addiction, and if we go for this process, we will stick our heads in the sand.

The reality is cruel because millions of people are suffering and dying unnecessarily every day. We have the collective means to do something about it with minimal personal sacrifice. Thus, we can keep walking and trying to solve the problem accepting the necessity of public smoke free environments.

In fact, we achieved some important gains in preventing smoking-related diseases in the latest years.  But in terms of public health: Enough can be just enough!

Mainly, because the Life is in the game!

So, Enough is enough. It’s time to step up!

With All Respect,
Marcos Nascimento,MD
Medicine Professor



2 de dezembro de 2011 Comentários desligados

Smile for a better Lung Life


Your lungs perform an amazing job every day. Function as a large hydroelectric power supplier (oxygen), for a country (for the whole body).
Healthy lungs provide large amounts of oxygen to the blood and this is what allows you to work, walk, run, play and live well. They also remove carbon dioxide and other gases that your body needs. There are many things you can do to keep your lungs healthy and free of disease. Here are some Tips and a video to you and your children remember it:

  1. Avoid smoke to maintain your lungs healthy;
  2. If you smoke, seek help to stop;
  3. Be creative with your children!
  4. Remember: Secondhand smoking is deadly to you and also to your Pets!
  5. Be aware of air pollution and do your part to keep the air clean!
  6. Protect yourself from the danger to lung health at work;
  7. Keep your hands properly washed with soap and water regularly.
  8. Follow @PulmaoSA  and be our friend at @PulmaoSA Facebook
  9. Smile to have a better Lung Life!






The relevance of COPD in World Economic Crisis

14 de novembro de 2011 Comentários desligados

World COPD Day

The relevance of COPD in World Economic Crisis

Chronic bronchitis and emphysema take a heavy toll on the economy. In 2010, the US national annual cost of COPD was estimated at $49.9 billion by the National Heart, Lung, and Blood Institute.[1]

Healthcare costs, disability, and lost productivity from chronic obstructive pulmonary disease are of vital relevance to business management. The economic burden of chronic pulmonary disease on employers, and why proper management of employees with this progressive condition can save significant costs to the company, while also improving productivity. [2,3]

The COPD X- Ray and Economy

COPD and Economic Burden

Medical costs alone were 3 times greater for employees with this disease than for others. Absenteeism and presenteeism are particularly prevalent to this patient population. Raising awareness to smoking cessation in the workplace and implementing successful incentives to stop smoking, diagnosis COPD and provide early treatment for COPD employees, can greatly improve productivity and reduce costs to employers. [4]

Usually senior management is less interested in the incidence of disease or minor improvements with medication or with vaccine prevention. That is not convincing in terms of making a business decision. But if they know that the cost for an employee with COPD averaged $20,000, as opposed to $8000 for an employee without COPD – or in other words – That they are losing $12,000 per employee because of COPD, this becomes an incentive to do something to stop unnecessary losts at any time, mainly at this current world credit crunch crisis.[2]
Education Math Formula: SMOKING = COPD + PLUS

The interaction of business and regulatory initiatives can help reduce the economic burden of this diseases from the lost of productivity of companies to the soceity that pay its taxes, but mainly for people that have the disease.
And it starts with education about the disease…

Maybe, this could be a relevant message we need to get out to employers, government officials and also to the industrial stakeholders to fight the nowadays economic crisis.

And Maybe the message through the “didactical Math Smoking formula” could help decrease the unknowledge about the tobacco related diseases as expressed in:
Smoking = COPD + Plus [5]

But the most important is to treat the smoking patients with gentle targeting the decrease of the social and economic burden that generates 52 diseases tobacco related, make popular the COPD term, and also save lives.  More than Math, it is priceless!


  1.    Lung Association. Trends in COPD (chronic bronchitis and emphysema): morbidity and mortality. February 2010. May 23, 2011.
  2. Bunn W, Pikelny D, Vogenberg FR, et al. Validation of employerfocused actuarial model for measuring the economic burden of chronic obstructive pulmonary disease. J Health Productiv. 2008;3:3-8.
  3. Halbert RJ, Isonaka S, George D, Igbal A. Interpreting COPD prevalence estimates: what is the true burden of disease? Chest. 2003;123: 1684-1692.
  4. Darkow T, Kadlubek PJ, Shah H, et al. A retrospective analysis of disability and its related costs among employees with chronic obstructive pulmonary disease. J Occup Environ Med. 2007;49:22-30.
  5. Nascimento, MHS. The Mathematics of Smoking =COPD + Plus. PulmaoSA Website

With all respect,
Marcos Nascimento, MD.
Professor at PUCPR College of Medicine

#Smoking near #Child: same meaning of #War Expresion “Friendly Fire”

6 de novembro de 2011 Comentários desligados

Please Do Not Smoking near Children

Smoking near Child: same meaning of War Expression: “Fiendly Fire!” 

Please do not smoking near anyone, mainly children. Just to have an idea watch the video below: If you smoke near your children from birth to age five, unfortunately they have smoked 100 cigarette packs. In other words, according the Md. Editor of PULMAOSA, Dr. Marcos Nascimento: “Smoking near children has the same meaning of War expression: “Friendly Fire!”




Nicotine dependence retreated in “Poetry from 1915”

11 de setembro de 2011 Comentários desligados

Nicotine dependence retreated in Poetry from 1915

 Nicotine dependence retreated in poetry from 1915

There is a quote that say that wisdom is popular. Note that pearl of poetry from 1915 mentioning about the addictive effects of nicotine in brain, reflecting a disease known today as smoking ( ICD 17.2). This permit to say “Quit smoking Since 1915!”

” Tobacco is a dirty weed. I like it.
It satisfies no normal need. I like it.
It makes you thin, it makes you lean,
It takes the hair right off your bean.
It’s the worst darn stuff I’ve ever seen.
I like it.”

Graham Lee Hemminger, Penn State Froth, Tobacco, 1915

North Carolina asks your help to save its Tobacco Prevention Program

16 de maio de 2011 Comentários desligados

North Carolina asks Your Help

North Carolina Asks Your Help

North Carolina House developed a budget that Abolishes Health and Wellness Trust Fund of NC and that means that the TRU (Tobacco Realisty Unifiltered) teen prevention program goes too. The budget cut was passed in the House of parliament and was sent to State Senate to receive approval or be denied.

These cuts may appear to have economic justification. But a cut of this magnitude only worsened the scenario with increased incidence of cardiovascular, respiratory and oncology diseases, which in turn will impact negatively the state budget.

Like a Hurricane this is an attack on the North Carolina Public Health and a dangerous bias for the other American States.

NC needs National and international support to resist such pressure. The PULMAOSA supports the below Petition from TRU Movement Campaign directed to the NC Senate, so that not give the pressures mentioned above, on the risk of threat to public health not only for NC but worldwide.

You can help to protect the public health in North Carolina by signing the petition to the NC Governor and the Members of the State Senate. It is a simple manner to remember the North Carolina representatives’main mission: to protect its citizens life.

Thank you!


Last week HB200 (the 2011 Budget Proposal) passed the NC House and was sent to the Senate.  It is now in the Senate Appropriations Committee.  This budget propsal intends to ELIMINATE the Health and Wellness Trust Fund(HWTF), the agency that funds the Tobacco Reality Unfiltered (TRU) Youth program, as of this December.  Legislators plan to use this funding to fund other programs, while ignoring the huge tobacco toll in North Carolina. Over 200 people will lose their jobs and thousands of NC citizens will lose much needed resources.

The Health and Wellness Trust Fund was established with Tobacco Settlement funds (not taxpayer dollars) and was intended to help states address the health and financial toll of tobacco.  The North Carolina General Assembly established the HWTF to protect those funds and use them as intended for health purposes, and tobacco prevention and cessation in particular. Eliminating the Health and Wellness Trust Fund would be against the original purpose of the Master Settlement Agreement–  leaving North Carolinians without access to tobacco prevention and cessation resources.

Abolishing the HWTF will halt the significant success HWTF programs have seen in the areas of tobacco prevention and cessation and the success they hope to replicate in the area of obesity prevention. Both issues are the most critical and pressing health issues facing North Carolina’s youth today as the top two preventable causes of death.  Since 2003, when the HWTF began funding teen tobacco use prevention and cessation efforts (including local programs and an evidence-based, highly effective media campaign), North Carolina has seen the following health benefits: 

  • There are 53,000 fewer youth smokers than in 2003 when HWTF tobacco prevention programs began.
    • The middle school smoking rate in North Carolina has been cut by more than half since HWTF efforts began (from 9.3% to 4.3%), and the high school smoking rate has dropped by a third (from 27.3% to16.7%). (Data based on North Carolina Youth Tobacco Survey, 2009);
    • These are the lowest rates ever recorded in our state’s history.
  • Thanks to the efforts of the HWTF, over 28,000 people enrolled in QuitlineNC- the ONLY free cessation resource for smokers in the entire state.

For every $1 that HWTF invested in its programs, approximately $2.54 is generated in financial benefits for our State.


CLICK: to contact your representatives!!!

OR give them a CALL:  
Calling a politician isn’t as scary as it might seem; besides you’ll probably either talk with an aide or leave a message.  No sweat, right?  Politicians care about their voting public and just a few people voicing their concerns has been known to sway their vote. Need Talking Points? Click HERE!

  • Senator Peter Brunstetter, co-chairman
    (336) 747-6604
  • Senator Neal Hunt, co-chairman
    (919) 781-3464
  • Senator Richard Stevens, co-chairman
    (919) 851-0228
  • Senator Tom Apodaca, vice chairman
    (828) 696-0574
  • Senator Linda Garrou, vice chairman
    (919) 733-5620
  • Martin Nesbitt (Senate Democratic Leader)
    (919) 715-3001
  • Harry Brown, Senate Majority Leader
    (919) 715-3034

OR “Like” your Senators on Facebook…and let them know what you think.
Politicians check their Facebook!  Share your comments, facts, and even pictures with your local policymakers and get your opinions heard.

Senator Tom Apodaca:!/pages/Senator-Tom-Apodaca/225469290135

If you submit your email, we may contact you with updates from the Save the TRU Movement Campaign.

PULMAOSANEWS- PulmaoSA – Lungs: Your Atmosphere, Your Life!
North Carolina Youth Tobacco Survey
The TRU Movement Campaign.

Risco Maior de UTI em Crianças Expostas a Fumo Passivo

4 de maio de 2011 Comentários desligados

Risco duplo

Risco Maior de UTI em Crianças Expostas a Fumo Passivo.

Denver- USA (PULMAOSANEWS)  Por ocasião da reunião anual da Pediatric Academic Societies foi divulgado nesta terça-feira 3 de maio em Denver, Estados Unidos, um estudo sobre  a repercussão do fumo passivo em crianças. O Estudo revelou que crianças expostas ao fumo passivo têm mais chances de  ao adquirir gripe serem internadas em unidades de tratamento intensivo, e são mais propensas ao uso de ventilação invasiva.

O Estudo fora realizado no Centro Médico da Universidade de Rochester (NY), onde os pesquisadores analisaram prontuáriosde 91 crianças internadas entre 2002 e 2009. Destas, cerca de 30% havia história de ter exposição domiciliar ao fumo passivo.

A análise do prognóstico entre as crianças expostas ao fumo passivo com gripe versus crianças com gripe sem exposição, revelou que:

  • Quando hospitalizadas por gripe, crianças expostas ao fumo passivo registraram maior permanência de internação hospitalar;
  • Elas apresentaram maior probabilidade de necessitar de tratamento em Unidades Intensivas (31% X 9%); e necessitaram mais de ventilação invasiva – intubação traqueal (19% X 2%).
  • Após controlar condições subjacentes como asma bronquica, o risco de sofrer internação em UTI encontrado para as crianças expostas ao fumo passivo foi cinco vezes maior, e a chance de precisar de ventilação invasiva foi 11 vezes superior a de crianças não expostas.

O Editor médico da PULMAOSA, Dr. Marcos Nascimento chama a atenção para o fato de o estudo indicar que: “o tabagismo passivo além de exercer alto impacto sobre a morbi-mortalidade da gripe, elevando os custos das internações hospitalares, invoca a necessidade dos pais obedecerem a regras claras como não fumar em casa ou no carro e que eles deveriam procurar tratamento e suporte médico para parar de fumar”.

“Uma vez que há maior risco para as crianças expostas, seria prudente a recomendação de estarem protegidas com a vacina antiinfluenza.” O estudo supracitado constitui, portanto uma excelente ferramenta para os gestores tanto de política pública quanto dos planos de saúde privada,” complementa o Dr. Nascimento.


PulmaosaNews – Pulmao SA – Sua Atmosfera, Sua Vida!

%d blogueiros gostam disto: