Warwickshire Stop Smoking Service

Warwickshire Stop Smoking Service Warwickshire Stop Smoking Service Smoke Free Warwickshire FREEPOST MID23827 Leamington Spa CV32 5BR Tel: 0800 085 2917 Smoking and Young Persons Resource Pack September 2008 Contents  Smoking and Young People Background Information o Why tackle smoking o Smoking statistics o Changes your body goes through when you quit  Examples of sessions for use with Young People designed to stimulate debate around smoking issues  Websites  Resources available to loan to support activities  Information about Stop Smoking Services in North Warwickshire 2 Why Tackle Smoking?        Smoking remains the largest single preventable cause of death and disability in the UK Around 114,000 people a year in the UK die from smoking, around 1,200 in Warwickshire In the UK approximately 450 young people start smoking every day About one fifth of Britain’s 15 year olds – 16% boys and 25% girls – are regular smokers 80% of smokers started as teenagers Smoking is responsible for 50 diseases and conditions One in two smokers will die before their time due to their smoking, losing an average of 13 years  Deaths caused by smoking are five times higher than the 22,833 deaths arising from: road traffic accidents (3,439), other accidents (8,579), poisoning and overdose (881), alcoholic liver disease (5,121), murder and manslaughter (513), suicide (4,066), and HIV infection (234) in the UK during 2002.   Smoking costs the NHS up to £1.7 billion each year Adult smoking prevalence is 25% o Highest among 20-34 years – 36% men and 29% women (ONS 2004) o Higher among poorer people – 34% men and 30% women in manual groups     Smoking hits poorer people harder, widening inequalities in health among social groups No safe level of smoking No “safer” type of cigarette Two-thirds of smokers, including young people, would like to give up o 30% try every year o Without any support only 2-3%v will succeed o Using an NHS stop smoking service means smokers are four times more likely to quit than if they don’t use any support 3 Second Hand Smoke   Breathing in other people's smoke is known as secondhand smoking Smokers and nonsmokers alike inhale secondhand smoke; this is an unavoidable consequence of being in a smoke-filled environment. An estimated 12,000 people die every year from secondhand smoke exposure in the UK Exposure to secondhand smoke has immediate health effects o reduces lung function o Exacerbate respiratory problems o Increases chance of breathing/chest problems o Triggers asthma attacks o Reduces coronary blood flow o Irritates eyes o Causes headaches, coughs, sore throats, dizziness and nausea o Risk of lung cancer up by 24% o Risk of heart disease up by 25%    Secondhand smoke and children o Particularly vulnerable as bodies are still developing o Increases chances of middle ear infections o Doubles the chance of getting asthma o Exposes babies to a greater risk of cot death – up to 5 times more likely o More likely to go to hospital in their first year  There is no safe level of exposure to tobacco smoke and there are long-term health effects, especially with continued exposure over time 4 factsheet no:2 Smoking statistics: Illness and death Action on Smoking and Health – August 2005 Illness caused by smoking Smoking has more than 50 ways of making life a misery through illness and more than 20 ways of killing you. In general, smokers endure poorer health than non-smokers. It has been estimated that, in England, 364,000 patients are admitted to NHS hospitals each year due to diseases caused by smoking. This translates into 7,000 hospital admissions per week, or 1,000 day. i[1] In 1997/98, cigarette smoking caused an estimated 480,000 patients to consult their GP for heart disease, 20,000 for stroke and nearly 600,000 for COPD. Error! Bookmark not defined.Error! Bookmark not defined. Half of all teenagers who are currently smoking will die from diseases caused by tobacco if they continue to smoke. One quarter will die after 70 years of age and one quarter before, with those dying before 70 losing on average 21 years of life. ii[2] It is estimated that between 1950 and 2000 six million Britons, 60 million people worldwide, would have died from tobacco-related diseases. iii[3] Non-lethal illness Smokers face a higher risk than non-smokers for a wide variety of illnesses, many of which may be fatal (see “Deaths caused by smoking” below). However, many medical conditions associated with smoking, while they may not be fatal, may cause years of debilitating illness or other problems. These include: iv[4] Increased risk for smokers Acute necrotizing ulcerative gingivitis Muscle injuries (gum disease) Angina (20 x risk) Back pain Neck pain Nystagmus (abnormal eye movements) (fungal eye Buerger’s Disease (severe circulatory Ocular Histoplasmosis disease) infection) Duodenal ulcer Cataract (2 x risk) Osteoporosis (in both sexes) Osteoarthritis Cataract, posterior subcapsular (3 x Penis (Erectile dysfunction) risk) Colon Polyps Peripheral vascular disease Crohn’s Disease (chronic inflamed Pneumonia bowel) Depression Psoriasis (2 x risk) 5 Diabetes (Type dependent) Hearing loss Influenza Impotence (2 x risk) 2, non-insulin Skin wrinkling (2 x risk) Stomach ulcer Rheumatoid arthritis (for heavy smokers) v[5] Tendon injuries Optic Neuropathy (loss of vision, 16 x Tobacco Amblyopia (loss of vision) risk) Ligament injuries Macular degeneration (eyes, 2 x risk) Tooth loss Tuberculosis Function impaired in smokers Ejaculation (volume reduced) Fertility (30% lower in women) Immune System (impaired) Sperm count reduced Sperm motility impaired Sperm less able to penetrate the ovum Menopause (onset 1.74 years early on Sperm shape abnormalities increased average) Symptoms worse in smokers Asthma Graves’ gland) disease (over-active thyroid Chronic rhinitis (chronic inflammation Multiple Sclerosis of the nose) Diabetic retinopathy (eyes) Optic Neuritis (eyes) Disease more severe or persistent in smokers Common cold Pneumonia Crohn’s Disease (chronic inflamed Tuberculosis bowel) Influenza Deaths caused by smoking One in two long-term smokers will die prematurely as a result of smoking – half of these in middle age. The most recent estimates show that around 114,000 people in the UK are killed by smoking every year, accounting for one fifth of all UK deaths. vi[6] Most die from one of the three main diseases associated with cigarette smoking: lung cancer, chronic obstructive lung disease (bronchitis and emphysema) and coronary heart disease. The table below shows the percentage and numbers of deaths attributable to smoking, based on the latest available detailed breakdown (2002 data). 6 Estimated percentages and numbers of deaths attributable to smoking in the UK by cause (based on 2002 mortality data) Error! Bookmark not defined.Error! Bookmark not defined., vii[7] Deaths from disease estimated to be caused by smoking Number Men Cancer Lung Upper respiratory Oesophagus Bladder Kidney Stomach Pancreas Unspecified site Myeloid Leukaemia Respiratory Chronic obstructive lung disease Pneumonia Circulatory Ischaemic heart disease Cerebrovascular disease Aortic aneurysm Myocardial degeneration Atherosclerosis Digestive Ulcer of the stomach or duodenum Total caused by smoking Preventable by smoking * : Parkinson's Cancer of the endometrium Total prevented by smoking Deaths from all causes due to smoking (causes less prevented) 69,927 42,410 112,337 1369 549 260 1918 260 55 28 17 43 17 907 71,296 1008 43,219 1915 114,597 45 45 45 14182 3064 3652 6670 63 6361 3764 1939 2936 56 20543 6828 5591 9606 119 22 12 61 22 15 12 9 52 12 7 17 10 57 15 10 13193 3162 10685 2900 23878 6062 86 23 81 13 84 17 264 131 395 19 11 15 18002 525 3248 1521 788 1385 670 10032 85 1743 318 72 266 923 28034 610 4991 1839 860 1651 1593 89 74 71 47 40 35 20 75 50 65 19 6 11 26 84 66 68 37 27 26 23 Women Total As % of all deaths from disease Men Women Total * Studies have shown that smoking appears to have a protective effect against the onset of some diseases such as endometrial cancer. However, the positive effect is so small in comparison with the overwhelming toll of death and disease caused by smoking that there is no direct public health benefit. Deaths caused by smoking are five times higher than the 22,833 deaths arising from: traffic accidents (3,439); poisoning and overdose (881); alcoholic liver disease (5,121); other accidental deaths (8,579); murder and manslaughter (513); suicide (4,066); and HIV infection (234) in the UK during 2002. Error! Bookmark not defined.Error! Bookmark not defined. World-wide, almost 5 million die prematurely each year as a result of smoking. Based on current trends, this will rise to 10 million within 20 years. viii[8] www.ash.org.uk 7 Changes your body goes through when you quit Tick the box when you reach each target 20 minutes after quitting Blood pressure and pulse rate return to normal. Circulation improves in hands and feet, making them warmer.  8 hours Oxygen levels in the blood return to normal. Chances of a heart attack start to fall. 24 hours Carbon monoxide is eliminated from the body. The lungs start to clear out mucous and other debris. 48 hours (2 days) Nicotine is no longer detectable in the body. The ability to taste and smell is improved. 72 hours (3 days) Breathing becomes easier and the bronchial tubes relax. Energy levels increase. 2-12 weeks Circulation improves throughout the body, making walking easier. 3-9 months Breathing problems such as cough, shortness of breath and wheezing improve. Overall lung function is increased by 5-10%. 5 years Risk of a heart attack falls to about half that of a smoker. 10 years Risk of lung cancer falls to about half of that found in a smoker. Risk of heart attack falls to about the same as someone who has never smoked.        8 Other Benefits of Quitting         More money More control over lift Less impact on other, ie. Secondhand smoke Role model for children Improved sense of smell Fresher breath Tastier food Reduced stress and anxiety 9 Following are examples of sessions that can be use with Young People and are designed to stimulate debate around the smoking issues:  Smoking General Knowledge Quiz – Key Stage 1 and 2 o Quiz and Answers  Smoking the Risks - Key Stage 2 and 3 o Activity fact sheet and sheet of statements – young people work in small groups and rank the statements into occurs soon after smoking, occurs after smoking for a long time and not sure. Aim is to understand the health and social risks of smoking cigarettes.  Smoking Myths and Facts – Key Stage 2 and 3 o Activity fact sheet with answers and questionnaire – young people given the questionnaire to complete. Aim is to distinguish fact and myth about smoking.  Pictures of cigarette packets only in color contains no wording – Key Stage 3 and 4 o An activity to engage young people to talk about smoking using the pictures as a way to introduce and stimulate discussion by asking them what the pictures mean to them. Many more session plan ideas can be obtained from the resource packs and website available for you to loan and visit – please refer to the relevant section in this pack or contact Smoke Free Warwickshire on 0800 0852917 or visit the website at www.smokefreewarwickshire.org for more details. 10 Smoking General Knowledge Quiz Please circle the answer you think is correct. If you need any help with the question, please ask. 1. How many young people do you think start smoking every day in the UK? a) 25 c) 225 2. b) 75 d) 450 Why do you think young people start smoking? a) Because their parents do c) Because of peer pressure from friends b) Because they were bored d) Because their brother / sister smokes 3. In cigarettes, there are a number of gases, one of which is called Carbon Monoxide (CO). This gas is so poisonous that if it is measured at 10 parts per million of the air in a classroom, the school would have to be shut down. How much of this CO poison do you think would be found in a person who smokes 20 cigarettes a day? a) 1-5 parts of CO Poison c) 11-15 parts of CO Poison b) 6-10 parts of CO Poison d) 16-60 parts of CO Poison 4. How many illegal cigarettes do you think were sold to young people under 16 last year? a) 1/2 a million b) 5 million c) 10 million d) 1 billion 5. How many different chemicals do you think there are in every cigarette? a) 4 b) 40 c) 400 d) 4,000 6. If you breathe in somebody else's smoke, it is called Second Hand Smoking. This can cause you to become ill. Approximately, how much smoke (equal to a cigarette) would you breathe in if you lived with parents that both smoked? a) 5-10 cigarettes worth of smoke b) 10-60 cigarettes worth of smoke c) 60-150 cigarettes worth of smoke d) 150-300 cigarettes worth of smoke 7. How much would you spend if you smoked 20 cigarettes a day for ten years? a) £5,000 b) £8,000 c) £13,000 d) £15,000 8. How many people do you think die from smoking related diseases last year? a) 1,000 b) 12,000 11 c) 114,000 9. d) 1 million How many people do you think lose their legs because of smoking each year? a) 2 c) 2,000 b) 20 d) 20,000 10. How many trees do you think are cut down each year to make way for tobacco plants, and to be used to dry the tobacco leaves? a) 6,000,000 b) 60,000,000 c) 600,000,000 d) 6,000,000,000 11. How many fires do you think are started each year in the UK from cigarettes, lighters and matches? a) 60 b) 600 c) 6,000 d) 60,000 The Answer Sheet 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 450 Young People begin smoking every day in the UK. All the answers are right. 16-60 parts of CO Poison. Remember 10 particles is enough to have a school shut down. 1 billion cigarettes are smoked by young people each year. That's almost £200 Million pounds worth. 4,000 different chemicals, including ant poison, Hydrogen Cynaide, petrol fumes, lead plus many others. 60-150 cigarettes worth of smoke. £15,000, or if you smoked from 15 to 75 years old, £90,000! 114,000 people die each year. That's 320 people a day. 2,000 people unfortunately have to have their legs amputated because of smoking. 600,000,000 Trees, an area the size of Northern England. 6,000 fires. In 1998 2500 people were injured and over 150 people lost their lives. 12 13 14 15 16 17 18 Warwickshire Stop Smoking Service Tobacco Resources Available on Loan from Westgate House, Warwick The Tobacco Team Office at Warwickshire PCT, Westgate House, Warwick has a small library of tobacco-related resources including teaching packs, books, teaching models, videos, audio-visual equipment. Collection/Return of Booked Items Whilst the office is normally open 9 am – 5 pm (4.30 pm on Fridays) we cannot guarantee that staff will be available, so we advise that you phone the office in advance to ensure a member of staff is available to assist you. There are usually free spaces in the car park in front of Westgate House and you can get a free 15 minute ticket. Conditions for Loans      Loans are normally for a 4 week period. It is possible to keep items for longer only if by the 4th week of the first booking it is not required by anyone else. Please always return resources promptly as someone else may be waiting for the resource. Normally up to 4 items can be booked by one person. If equipment is observed to be faulty DO NOT USE, contact a member of the Tobacco Team IMMEDIATELY. Items on loan are the responsibility of the borrower, any loss or damage must be paid for. Please note that tobacco resources are also available from Warwickshire Specialist Health Promotion Service: Nuneaton Office 02476 865581 Warwickshire Stop Smoking Service Smoke Free Warwickshire, FREEPOST MID23827, Leamington Spa, CV32 5BR Tel: 0800 0852917 www.smokefreewarwickshire.org 19 Teaching Models Puffing Poisons – display Represents the most dangerous and poisonous chemicals in tobacco smoke. Contains a set of 30 labelled jars each containing relevant objects, liquids and gases to represent the 4000 deadly chemicals. Eg. Jars contain – wax (stearic acid), flies (DDT), caterpillar and leaf (arsenic), battery (cadmium), sewer rat (methane). Designed to generate discussion. Jar of Tar Demonstrates the amount of tar in tobacco smoke and helps to explain the smokers what causes cancer, bronchitis and emphysema. The average 15-20 a day smoker takes about half a litre of brown, sticky tar into the lungs every year. Designed to generate discussion. Carbon Monoxide Monitor This simple breath test monitor shows the immediate effects of smoking on the body. Carbon monoxide from cigarettes replaces the available oxygen in the body, making the heart work harder to pump oxygen round the body. An excellent motivational tool and can also be used to validate quit attempts. Supporting information available The ABCs of Smoking - transparencies Medical photography shows the results of smoking in a graphic way. Quit with us Display Fits onto 6 panel display board. Quotes and photos from people who have successfully quit with Warwickshire Stop Smoking Service. Big Cig Costume Big Cig puts the “tar” into “star” when his or her toxic tobacco talents appear at press and media events. Fits people from 5’2” to 5’11”. Armholes allow Big Cig to hand out leaflets, shake hands, slap on a giant nicotine patch or stub out a giant cigarette. Display Boards – various Contact us for further information. Large Cigarette Box Useful talking point of displays and stalls. Giant realistic cigarette box opens to reveal nine “cigarette butts”, each naming a major disease caused by smoking, and removable giant cigarette model. Smokey Sue A doll’s head that smokes a real cigarette. Tar is collected in a tube placed where Sue’s lungs would be. Great for stimulating discussion. Be aware that this involves lighting a real cigarette and we advise that it is used either outside or out of a window, with the prior permission of the organisation. Consequences of Smoking Display case featuring 3-D models that show the diseases and conditions that result from smoking – cancer, heart disease, emphysema and more. 20 Skeletal Smoker 3-D model of skull and lungs, which smokes a real cigarette. Tar is collected on the washable lung surface. Be aware that this involves lighting a real cigarette and we advise that it is used either outside or out of a window, with the prior permission of the organisation. Teaching Packs SmokeOut: An activity pack on smoking issues for teachers and youth workers Contains 37 activities and 9 fact sheets about tobacco and smoking, including information on: health, why people smoke, costs, quitting, environment, politics, economics and advertising. The activities include discussion, games, projects, drama, surveys, quizzes, etc. Grouped suitable for 812 and 12-adult Can You Hack It! What you can do in a few minutes to tackle smoking with young people Suggests effective actions to take when you only have a few minutes to discuss smoking. Contains charts, posters and handouts. Smoke Screen Strategies for working with 11-18 year olds in schools, colleges, youth project and health settings. Includes guidance on running smoking education, guidance on running stop smoking groups, learning activities and factsheets. The World of Tobacco Skills for the Primary School child Part 6 – turning over a new leaf The effects and hazards of Smoking – Slide set Books 1. The Faber Book of Smoking 2. Cigarettes, Nicotine & Health A Biobehavioral Approach 3. Nicotine Addiction in Britain A report of the Tobacco Advisory Group of the Royal College of Physicians 4. Cigarettes What the warning label doesn’t tell you 5. Cigarettes What the warning label doesn’t tell you Updated and revised for the 21 st Century 6. Smoking in British popular culture 1800-2000 Matthew Hilton 7. The fight for Public Health Principles & Practice of Media Advocacy – Simon Chapman Deborah Lupton 8. H D A The smoking epidemic in England 9. H D A Searching for the solution Women, smoking & inequalities in Europe 10. Supporting Change – A guide to helping lone parents quit smoking 11. BHFS Smoking Statistics 2004 12. “Faith Facts” A multifaith perspective 13. Tobacco: A global Threat John Crofton & David Simpson 14. Smoking Who has the Right? 15. The ABC’s of Smoking by W R Spence, M.D. 16. AMD Alliance International: Campaign Report 2005 Awareness of Age-related Macular 21 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. Degeration and Associated Risk Factors Tobacco Control Advocacy: Framing the Debate – A resource pack Smoke-Free Workplaces in Ireland – A One-Year Review Smoking and health inequalities - ASH Going Smokefree: The case for all pubs and clubs Scientific Committee on Tobacco and Health (SCOTH) – Secondhand Smoke: Review of evidence since 1998 – DoH Guidance for smokefree hospital trusts - HDA Choosing Health for the West Midlands Choosing Health Making health choices easier – Executive Summary - DoH Learn to say No! Smoking – Angela Royston A Right to Smoke? – Emma Haughton Smoking – Craig Donnellan Kick the Habit How to stop smoking and stay stopped – Martin Raw You are the Target by Georgina Lovell The first comprehensive guide to the Health Consequences of Smoking Cigarettes What the warning label doesn’t tell you Need to know Tobacco Sean Connelly Smoking in Adolescence Images and Identities – Barbara Lloyd and Kevin Lucas Videos 1. They’re Rich, You’re Dead Aimed at young people aged 12-18, a US video divided into 2 sections: Section 1 (17 mins) – Raises a lots of issues around smoking for discussion, including power of addiction, withdrawal symptoms, how tobacco companies target young people, peer pressure, effects on relatives, secondhand smoke, money, etc. Includes interview with Bill Stone outlining the effects of smoking on his life. Section 2 (23 mins)– Hard-hitting, very graphic images of the health effects of smoking using real patients. Includes cancers, emphysema, chronic bronchitis, heart disease, pregnancy, ageing effects and briefly outlines how smoking causes disease. Also outlines the health effects on young people. Advisable to use the 2 Sections separately, using Section 1 to stimulate discussion. We recommend that you view this video prior to showing it to young people. 2. No Smoking No Butts 17 mins. Aimed at young people 10-16. Dramatisations, street interviews, and facts, including:  Description of smoking which makes it looks “ridiculous”  Asking a smoker in the street if he would be willing to try a new product which is in a box, describing it and the dangerous chemicals it contains. He doesn’t want to try it even though he is smoking a cigarette.  Demonstration on what it is like inside a smoker’s lungs  Effects on love life  Secret smoking is no secret because smoke clings to clothes, skin and hair.  Benefits of quitting  Top tips for quitting Comes with a basic activity pack of ideas to use along with the video. We recommend that you 22 view this video prior to showing it to young people. 3. Smoking: Truth or Dare? 34 mins. Aimed at young people 13-18. A US video featuring real young people which raises a range of issues for discussion. Includes:  Model from Lucky Strike adverts who was encouraged to smoke and got throat cancer and had her voice box removed  Ageing effects of smoking – using computer modelling of the ageing process of 2 young female smokers  Autopsy of 60 year old female smoker, illustrating enlarged heart, blocked arteries, emphysema, lung cancer  Young smokers visiting emphysema patients  Effects of chewing tobacco including mouth cancer developed at age 26 by a baseball player (chewing tobacco is not particularly relevant to this country, and you may want to consider fast forwarding this section)  18 year old female twins, one of which smokes – tests are carried out to show the immediate impact smoking has on the body, including lung capacity and circulation  Christy Turlington talks about the effects of smoking on herself and her father  28 year old female talks about her diagnosis of emphysema at age 24, her lung transplant which has rejected and the effects of smoking on her life. A thought-provoking video which keeps the audience engaged. We recommend that you view this video prior to showing it to young people. Audio-Visual Equipment 1. Powerpoint Projector Do you want Free Posters and Leaflets? A Resources and Information on Smoking Issues Pack is available that includes:  What’s available FREE  How to access FREE posters, leaflets, etc  How to access specialist advice and support on smoking issues To get a copy visit www.smokefreewarwickshire.org or call free on 0800 085 2917 23 Smoking and Young People Websites  ASH (Action on Smoking and Health) – lots of facts and information on tobacco with section for schools with lesson plan related to the National Curriculum www.ash.org.uk No Smoking Day – Information on stopping smoking and the campaign www.nosmokingday.org.uk Department of Health Smoking website – general information on stopping smoking www.gosmokefree.nhs.uk Wired for Health website – Health information for teachers related to the National Curriculum www.healthyschools.gov.uk QUIT – Information on stopping smoking with sections for teachers www.quit.org.uk Schools Health Education Unit www.sheu.org.uk Manchester Stop Smoking Site – offers fact sheets, quizzes, likes to websites and lesson plans, plus much more www.stopsmokingmanchester.co.uk The Roy Castle Lung Cancer Foundation – offers educational programs as well as Kids against tobacco smoke which offers information as well as an interactive educational site for young people www.roycastle.org Local Information Smoke Free Warwickshire Website with information on local campaigns and services for people trying to stop smoking as well as resources for young people www.smokefreewarwickshire.org          24 Stop Smoking Services in North Warwickshire General Service: All GP surgeries in North Warwickshire offer the Stop Smoking Service Some pharmacist offer the Stop Smoking Service to anyone aged 12 years and over Some community venues will offer the service The School Health Team are able to see young people at school and referrals can be made direct to the school health team by completing and returning the referral from on page 28 N.B. it is advisable to check current service provision direct with Warwickshire Stop Smoking Service by calling 0800 0852917 or visiting www.smokefreewarwickshire.org as the service providers can change at short notice.     Pregnancy service:   Specialist support in the home Can also been seen in general service if appropriate Service details:     For smokers who want to sign up to “NOT ONE MORE PUFF EVER” Half an hour initial appointment to plan strategy for stopping smoking 10-15 min follow-up appointments over first few weeks of quitting Prescriptions/supply of nicotine replacement therapy (NRT), Zyban® or Champix® for up to 12 weeks. Please note: Zyban and Champix can only be prescribed by a GP surgery for those aged 18+ Stop Smoking in Pregnancy Service      Delivered by Specialist Stop Smoking Advisor Referral from Midwives and others Home visits Partners and family can be included NRT supplied Stop Smoking Drugs Nicotine Addiction “Nicotine is just as addictive, if not more addictive, than heroin or crack cocaine” (Royal College of Physicians, 2000) Nicotine Replacement Therapy (NRT)  Gives a does of nicotine to reduce cravings which is reduced over time  Patch, gum, lozenge, sublingual tablet, nasal spray, inhalator 25  Available on prescription, over the counter and on general sale Bupropion (Zyban®) for 18 yrs and over only  Nicotine-free tablet taken whilst still smoking. Set quit date for 2 nd week.  Reduces cravings  Only available on prescription  7-9 weeks  Not for under 18’s, in pregnancy, those with seizure risk, in eating disorders, some drug interactions Varenicline (Champix®) for 18 yrs and over only      Non-nicotine tablet Start whilst smoking and set quit date for day 8 Reduces cravings and the feel good effect of smoking 12 weeks Not in under 18’s, pregnancy, epilepsy Referral to the Stop Smoking Services A B C D Ask Brief Confidence Direct – to 0800 0852917 Contact Details For specialist advice, support and guidance on smoking cessation issues contact your local Specialist Smoking Cessation Advisor: Rural North Warwickshire Locality Claire Ford 07900 228976 Rugby Locality Bev Avis-Dakin 07900 228978 Stratford Locality Lesley MacKinnon 07900 228975 Nuneaton and Bedworth Locality Zoe Jennison 07766 696170 Warwick Locality Dawn Powers 07917 227004 For referrals to a Specialist Stop Smoking in Pregnancy Advisor: 26 North Warwickshire Kelly-Ann Bullingham 07920 507305 Rugby Locality Betty Ritchie 07793 661738 South Warwickshire Annette Lloyd 07702 593359 For queries on monitoring forms, materials orders: Viv James, Data and Information Assistant 0800 0852917 For training bookings and queries: Karen Lee, Tobacco Team Administration Officer 0800 0852917 For tobacco control issues including second hand smoke, workplaces, smoke free homes: Denise Milnes, Tobacco Control Co-ordinator 0800 0852917 or 07831 677574 For management issues or when other staff are not available: Jane Wright, Smoking Cessation Manager 0800 0852917 or 07900 228980 27 School Health Stop Smoking Referral Form This referral form is only to be used following discussion with and at the request of the young person Name : (of person being referred into service) Age: School Attending: Date: Name of person making the referral: Contact address: Telephone: E-mail: Any Comments: Please return completed referral forms to: The School Health Team, Atherstone Clinic, Long Street, Atherstone CV9 1AX 28 29