Tobacco reliance is not merely a disease
Tobacco reliance is not merely a disease
The seventh World Conference on hygiene economy held in Beijing, invites the expert to" the tobacco is endangered with the financial burden of hygiene " for the first time The relevant topic has carried on the deep discussion from the academic angle. The experts have further annotated the tobacco to endanger from the brand-new economic angle, and call upon the society to pay attention to the financial burden that the tobacco endangers, offer better giving up smoking service for the public to guide with the method. Tobacco reliance is that it became addiction disease that one kind is chronic, World Health Organization listed it in international disease (ICD-10 as a kind of disease in 1998, F17.2, belongs to the spiritual behavior obstacle) . Existing and having intervening measure of giving up smoking and tobacco reliance treatment of cost-effective at present, it was World Health Organization that recommended, including several following respects: Propose briefly, drug therapy, gives up smoking and consults, the hot line of giving up smoking. The best healing solution on tobacco reliance is that medicine, psychology and behavior treatment are combined at present. About the brief suggestion, can a clinician recognise when see smokers in routine duties, tell them to give up the cigarette. Just the brief suggestion of a word, can make 2% of the smokers give up smoking. Smoking becomes the addiction is not merely a kind of behavior, or a kind of chronic disease. It is disease that needs medicines to treat. Have already verified, in case of not consulting, give up smoking alone drug therapy is effective too at present. " the U.S.A. tobacco will use and rely on treating the guide clinically " to recommend 7 treatments and a gleam of medicine on tobacco reliance in 2008, including nicotine substitute treatment, the intersection of Ann and non- the intersection of he and ketone, cut down Nick to be blue still, oral administration give up smoking medicine cut down Nick to be blue (smooth and abundant) among them Have nicotine excited and resisting double action short of moneyly receptor concurrently. By March of 2009, 86 countries have sanctioned cutting down Nick blue and giving up smoking as a prescription medicines already, probably already 12 million people have adopted and cut down Nick blue to give up smoking and treat in the whole world. About give up smoking, consult, if clinician offer some give up smoking consultation while can write a prescription ing, the time that the doctor pays will be directly proportional to with energy and success rate of giving up smoking. Effective therapeutic tobacco reliance method regarding the hot line of giving up smoking is recommended by World Health Organization too. For example smoker in the remote place, if they seek help, can dial the corresponding hot line of giving up smoking. At present, the tobacco brings the enormous burden to mankind. The nicotine becomes people of the addiction are popular victims of tobacco. There are more than 300 million smokers in China, most smokers have tobacco reliance at various degrees, the tobacco will die because of tobacco finally as half of person of the addiction. World Health Organization statistics show, 1/4 and emergence too early of relevant death of tobacco are in the middle age, 35~69 -year-old crowd, lead to the fact the life-span in 20~25 years of losses is annual on average. In the world, if the tobacco uses the actual mode not to change, it is estimated that 450 million people die from the use of tobacco in the first 50 years of this century. Only through encouraging smokers to give up smoking and support him to take action, relevant mortality of tobacco and morbidity could drop notably over the next dozens of years. So " the tobacco controlled the frame convention " to issue the report on tobacco reliance and question of giving up smoking in 2008 in World Health Organization, it mentions one of the important challenge and opportunity is medicines, hot line of giving up smoking including giving up smoking,etc. in the global range at present. These intervening measures with cost-effective, should let the smoker get extensively, and can afford. As to the crowd and becoming smokers in the high-risk group of addictions in the social economic lower level, service of submitting an expense account and giving up smoking, medicines and expenses supported, help to encourage them to adopt the action of giving up smoking. The international research shows too, submit an expense account and give up smoking the cost treating can increase the number of people trying to give up smoking, to give up smoking application of therapeutic method, smoke after the two year rate can reduce 1%~2%. Some area and country give up smoking medicine list the intersection of medical insurance and range in, wipe out medicines treating already in the world at present. The country of Britain optimizes the research institute (NICE) healthily and clinically Point out, it has the giving up smoking and treating the method of cost-effective most that cut down Nick blue. To smooth to implement all wiping out while being abundant in Australia, Irish, Britain, Japan at present then; In Belgium, Spain ' 73 provinces all submit an expense account in 2007) , Canada ( Quebec province all submit an expense account) , U.S.A., South Korea, Taiwan of China, to part submit an expense account. The smooth abundant course of treatment that gives up smoking is 12 weeks, expenses needed and expenses needed to treat cardiovascular vessel disease of others are compared, only lower 1/4 of blood pressure treatment, and lower 1/25 of treatment of fat of blood. Much depressor at present, lower the intersection of lipoprotein and medicine in within the medical insurance wipe out in the range, and give up smoking and serve and have such high cost-effective, if can include in the medical insurance, will surely benefit the Chinese smoker, will reduce and smoke disease and financial burden caused. It is chained that relevant: China accuse of the intersection of cigarette and association release by the intersection of Capital University of Medical Sciences and Cui XiaoBo Professor,et al. to 18~65 -year-old 5629 residents in Beijing in 2008 during World Conference on hygiene economy One ones that pay give up smoking cognition is investigated. Among them, rely on the investigation to reveal to the nicotine, in the smoker, slight nicotine reliance accounts for 53.73%, China's severe nicotine reliance accounts for 46.27%. Whether need the doctor to help in the course to reveal, 23.33% of the persons who give up smoking shows to need very much and need doctor's help in giving up smoking, 60.72% of the persons who give up smoking shows that does not need doctor's help, 15.95% express that does not matter. According to census data, explaining most smokers realizes mistaken ideas on idea and method to give up smoking. Most people fail to regard smoking a kind of disease into an addiction as, has not chosen by " treat " either Way give up smoking. The investigation still reveals, in the smoker, 46.05% of the people think that should include to serve in the medical insurance and submit an expense account in the range to give up smoking, 22.85% of the people think that should include in the medical insurance; In the non-smoker, 39.81% think that should include to serve in the medical insurance and submit an expense account in the range to give up smoking, 33.98% think that should include in the medical insurance.
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