1. Evidence supporting ABC Smoking Dr John McMenamin GP Primary Care Advisor MOH Tobacco Team March 2015

2. The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in the UK Lancet. 2013 January 12; 381(9861): 133–141. At age 80: 78% of nonsmokers still alive 47% of smokers still alive

3. The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in the UK Lancet. 2013 January 12; 381(9861): 133–141.

4. Who is smoking? Regular smokers in NZ by age

5. Smoking prevalence by ethnicity (New Zealand Census 2013, Statistics New Zealand)

6. Smokers by region

7. Currently around 450,000 smokers

8. NZ Census Data (age 15+) 2006 - 2013

9. Current smoking Year 10 students

10. Four-weekly equivalent cigarettes sale volume (ScanTrack data, AC Nielson)

11. Reduction in tobacco sales since 2009 364,382 Kg less tobacco sold = 300 million fewer cigarettes per year

12. NZ: Tobacco Trends 2008 & census; England: Office for National Statistics; Australia: National Drug Strategy Household Survey.

13. Monthly registrations with the Quitline (Sources: Quitline registration data, The Quit Group

14. General Practice referrals to Quitline

16. Agreement with the statement “Society disapproves of smoking” (Health and Lifestyles Survey 2008 and 2010, Health Promotion Agency)

19. Tobacco plays a significant role in health inequalities within New Zealand.

21. * To achieve the 2025 goal the net annual cessation rates must increase to: * 10% in non- Maori (2-3 x current rate) * 20% in Maori Business-as-usual forecast of smoking prevalence Ikeda T, et al. Tob Control 2013;0:1–7. EEK

22. ‘The first law of smoking cessation’ Professor Robert West, UCL E = N x S number of ex- smokers created in a given time period number of smokers who try to stop probability of success in those who try

23. Average number of quit attempts/year = 1.5 1. Li, J., & Newcombe, R. (2013). Past 12-month quit attempts and the use of cessation aids. [In Fact]. Wellington: Health Promotion Agency Research and Evaluation Unit. 2. 2009 Tobacco Use Survey

24. With support (behavioural + pharmacological)

26. Li, J., & Newcombe, R. (2013). Past 12-month quit attempts and the use of cessation aids. [In Fact]. Wellington: Health Promotion Agency Research and Evaluation Unit.

27. Clients who used multiple Quitline service types were more likely to succeed. At 6 months the quit rate for clients who had used: – phone support was 20.9% – online support was 26.6% – phone and online support was 33.46% – phone and online and text support was 37%

28. The New Zealand Guidelines for Helping People to Stop Smoking (pdf, 1 MB) Background and Recommendations of The New Zealand Guidelines for Helping People to Stop Smoking (pdf, 1.7 MB) Guide to Prescribing Nicotine Replacement Therapy (docx, 388 KB) The ABC Pathway: Key messages for frontline health care workers (pdf, 820 KB) http://learnonline.health.nz/course

29. General Practice Toolkit for more heart and diabetes checks...