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23 juin 2009

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Nouvelles sur le tabagisme de Stop-tabac.ch
Préparées par Jean-François Etter
Le 23 Juin 2009

 


- Fumée passive: Vaud se dote d'une loi sévère
- Etude pré-traitement de nicotine: résultats publiés
- MAJOR REPORT ON U.S. TOBACCO CONTROL POLICIES AND USE FINDS STARK CONTRASTS IN PROGRESS AMONG STATES


 

Fumée passive: Vaud se dote d'une loi sévère

L'interdiction de fumer dans les lieux publics sera rapidement une réalité dans le canton de Vaud. Le Grand Conseil a adopté aujourd'hui sa loi cantonale contre la fumée passive. Vaud est un des huit cantons qui n'autorise que des fumoirs sans service.

Les députés se sont livrés à un délicat exercice législatif. Il s'agissait d'obtenir une loi applicable par les restaurateurs sans trahir la volonté des quelque 70% de Vaudois ayant voté pour l'interdiction de fumer dans les lieux publics.

Comme lors des précédents débats sur le sujet, les discussions se sont focalisées sur les fumoirs. Les fumeurs pourront y emmener leur boisson. Le personnel n'y entrera pas, à l'exception d'"interventions rapides et légères", par exemple si une boisson s'est renversée.

Pas d'automates

Les députés ont refusé que des automates à boissons ou des Tactilo puissent y être installés. "Il ne faut pas rendre les fumoirs attractifs", a expliqué le conseiller d'Etat Pierre-Yves Maillard, suivi par une majorité.

Les fumoirs ne devront pas occuper plus du tiers de la surface de l'établissement. Le Grand Conseil a cependant approuvé des exceptions pour les très petits établissements.

Toujours dans le but de ne pas mettre en difficulté les tenanciers de petites structures, un délai de 15 mois sera accordé aux établissements pour munir leur fumoir d'un système d'aération réglementaire. "Cela permet de faire entrer la loi rapidement en vigueur et cela vaut toujours mieux que la situation actuelle", a souligné M. Maillard.

le 09 juin 2009
LeMatin.ch & les agences
http://www.lematin.ch/actu/suisse/fumee-passive-vaud-dote-loi-severe-130600


 

Etude pré-traitement de nicotine: résultats publiés

L'étude conduite notamment sur le site Stop-tabac.ch, concernant le traitement de substitution nicotinique dès un mois avant l'arrêt du tabac est publiée dans Archives of Internal Medicine. Nous remercions les participants à cette étude.

Nicotine Gum Treatment Before Smoking Cessation: A Randomized Trial

Jean-François Etter, PhD, MPH; Philippe Huguelet, MD; Thomas V. Perneger, MD, PhD; Jacques Cornuz, MD

Arch Intern Med. 2009;169(11):1028-1034.

Background New ways of improving the efficacy of nicotine therapy need to be explored. We tested whether starting nicotine polacrilex gum treatment 4 weeks before the quit date improved smoking abstinence rates compared with starting treatment on the quit date.

Methods An open randomized trial of 314 daily smokers (mean, 23.7 cigarettes/d) enrolled through the Internet and by physicians in Switzerland from November 2005 to January 2007. In the precessation treatment group, participants received nicotine polacrilex gum (4 mg, unflavored) by mail for 4 weeks before and 8 weeks after their target quit date, and they were instructed to decrease their cigarette consumption by half before quitting. In the usual care group, participants received the same nicotine gum for 8 weeks after their quit date and were instructed to quit abruptly. Instructions were limited to a booklet sent by mail and access to a smoking cessation Web site. Results are expressed as self-reported abstinence rates at the end of treatment and as biochemically verified smoking abstinence (cotinine plus carbon monoxide) after 12 months.

Results Eight weeks after the target quit date, self-reported 4-week abstinence rates were 41.6% in the precessation treatment group and 44.4% in the usual care group (P = .61). One year after the target quit date, biochemically verified 4-week smoking abstinence rates were 20.8% in the precessation treatment group and 19.4% in the usual care group (P = .76).

Conclusion Starting nicotine gum treatment 4 weeks before the target quit date was no more effective than starting treatment on the quit date.

http://archinte.ama-assn.org/cgi/content/abstract/169/11/1028


 

MAJOR REPORT ON U.S. TOBACCO CONTROL POLICIES AND USE FINDS STARK CONTRASTS IN PROGRESS AMONG STATES

Subtitle: A new report by Gary Giovino looks at cigarette smoking rates and policies throughout the country.

The United States is becoming a nation of haves and have-nots when it comes to tobacco control, according to a comprehensive publication on cigarette smoking prevalence and policies in the U.S. that was released today.

The new report, "Cigarette Smoking Prevalence and Policies in the 50 States: An Era of Change -- the Robert Wood Johnson Foundation ImpacTeen Tobacco Chart Book," was presented today at the National Conference on Tobacco or Health meeting in Phoenix.

It was prepared for the Robert Wood Johnson Foundation by researchers in the University at Buffalo Department of Health Behavior in UB's School of Public Health and Health Professions and at the Roswell Park Cancer Institute. Researchers from eight other institutions also contributed, including the University of Illinois at Chicago, the National Cancer Institute and the Robert Wood Johnson Foundation.

The report includes individualized data on smoking behaviors for all 50 states as well as a discussion of national trends revealed by the data.

"States can reduce death and disease by reducing smoking prevalence," said Gary G. Giovino, Ph.D., professor and chair of the Department of Health Behavior in the UB School of Public Health and Health Professions and principal investigator on the report. "It's that simple."

Source: www.tobacco.org and University of Buffalo
Date: 2009-06-10

URL: http://www.buffalo.edu/news/10175



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