Ers annual congress 2013 - abst.pdf

Tobacco smoke: Environmental control in a public hospital of Rome
Tobacco use and secondhand smoke exposure levels among Muslim
Rosastella Principe1, Gregorino Paone2, Patrizio Palermo2, Salvatore Damante3, community in Ireland
Sergio Fuselli4, Giuseppe Alessio Messano5, Piergiorgio Zuccaro6.
Zubair Kabir1, Sheila Keogan2, Vanessa Clarke2, Luke Clancy2.
1Smoking Cessation Center, S. Camillo-Forlanini Hospital, Rome, Italy; 2Heart 1Epidemiology Public Health, University College Cork (UCC), Cork, Ireland; and Lung Institute, Sapienza University of Rome, S. Camillo-Forlanini Hospital, 2Research, TobaccoFree Research Institute Ireland, Dublin, Ireland Rome, Italy; 3Environmental Researcher for Air Quality, Health Institute, Rome, Italy; 4Hygienic Living Environment, Health Institute, Rome, Italy; 5Department Background and objectives
of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Smoking among ethnic minorities and immigrants continues to be a tobacco Italy; 6Observatory Smoking, Alcohol and Drugs, Health Institute, Roma, Italy control policy issue in many industrialized nations. Ireland experienced recent immigration. We characterized tobacco use and secondhand smoke (SHS) levels Background. The Environmental Tobacco Smoke (ETS) is a complex mixture
among the Muslim community in Ireland considering the recent heterogeneous of around 4000 chemicals, some 50 which are carcinogens. Particulate Matters (especially PM2,5) are the most commonly used indicators to evaluate environmental exposure to ETS. Passive smoking has been associated with many A validated questionnaire, with additional questions tailored to the Muslim adverse health effects. On 10 January 2005 in Italy a smoking ban was enforced community, was administered between July 2011 and January 2012, online (survey-monkey link, in English) and a self-administered print questionnaire Aims and objectives. Our Study was aimed to monitor the compliance with the
survey (in Bengali, English and Arabic). The survey was distributed through a smoke free policy within a Public Hospital in Rome.
Muslim magazine and emailed to well-known Irish Muslim organizations. 270 Methods. A cross sectional study was designed to measure 4 month levels of
online and 130 print questionnaire responses (fi eld interviewer-administered) Particulate Matter (PM2,5 and PM10) in three sensitive areas of a Public Hospital: totalling 400 respondents were collected.
Administrative Offi ces, Surgical Units and Main Entrances. To accomplish this, Both descriptive and chi-square tests of proportions were performed using SPSS we used passive environmental mass analyzer by Radiello and personal samplers EGO plus TT Zambelli and GT 531 Met One Instruments.
Results. While no signifi cant concentrations of PM2,5 and PM10 were measured
Age-adjusted current tobacco users was 21.9% (28% men and 10% women); in the Administrative Areas and in the Surgical Units (except a peak of 38 —g/ 4.3% consumed smokeless products. 27% in 26-45 years of age were current m3 PM2,5 ), a signifi cant increase of PMs levels was observed at Hospital Main tobacco users; surprisingly 25% in higher educated individuals used tobacco Entrance (PM2,5 for 24h > 18 —g/m3), which was above the 10 —g/m3 that WHO compared to 18% with lower levels of education. 25.3% are former tobacco users. 14.3% of the recent migrants (<5 years) currently used tobacco compared Conclusion. Hospitals should be among the most infl uential settings in terms
to 28.3% who lived longer in Ireland. 23% allowed smoking inside homes (27% of controlling tobacco consumption promoting smoke-free environments and in lower social class vs. 13% in upper social class); 29% were exposed to SHS monitoring compliance with the law. Our study confi rms the compliance with the ban in most of the analyzed areas, however, the Main Entrances were not Conclusion
completely free from second-hand smoke. This data should prompt a revision of Muslim men in Ireland from many different nations have smoking rates similar to current smoke free policies particularly in the outdoor settings.
Irish men, Muslin women smoke less than Irish women. SHS exposure was high.
The airways response to inhaled corticosteroid therapy in children with
Aspects of smoking in teachers-past and present
asthma exposed to environmental tobacco smoke
Snezana Radic1, Zorica Zivkovic1, Branislav Gvozdenovic2, Sofi ja Cerovic1, Pneumology, Municipal Hospital, Urziceni, Romania; Project Management, Olivera Calovic1, Tamara Krivokapic1, Milka Micic-Stanojevic1, Olivera Partnership for Europe Association, Bucharest, Romania Vlahovic1, Vera Aleksic1.
1Children’s Hospital for Respiratory Diseases, Clinical Hospitale Centre “Dr Teachers were and remain models for students,regardless of age.Therefore Dragisa Misovic Dedinje”, Belgrade, Serbia; 2Clinical Management, PPD tobacco among them has a negative infl uence on children.Aim of this study was to determine the trend in smoking prevalence teachers.
Material and method:we used anonymous questionnaires to teachers of Background: Corticosteroids are the most effective anti-infl ammatory therapy Urziceni(group A) and Bucharest(group B),repeated at an interval of ten for asthma. A reduction in histone deacetylase (HDAC) activity is suggested to prevent the anti-infl ammatory action of inhaled corticosteroids (IC). Cigarette Results:Teachers smoking prevalence was 45.4 %in 2001(47.9%in group A;43.3 smoke is known to reduce HDAC expression.
%in group B) and 23.5 %in 2011(21.7 % group A;24.7 %- group B). Prevalence Aim: To compare the lung function test parameters and the response to the IC in by gender was similar for group B(42.6 %M/43.9 %F) and higher for males in the asthmatic children exposed and not exposed to environmental tobacco smoke group A(60.6%M;39.2%F) in 2001.In 2011 the prevalence M/F was:39.3%/19.0 % for A and 28.8 %/23.2 %for B.In 2001almost 90% of smoking teachers Methodology: 527 children (6-16 years) with moderate to severe asthma consumed tobacco inside school,while in 2011 only 4 %of teachers smoking performed spirometry before and after the 6 months of IC. According to in school.Nicotine dependence was high at 44.8% of subjects in 2001( 45.7 questionnaire, we divided children into two groups: ETS exposed (ETSE, N 337) %-A;43.9 %-B).In 2011 38.6% of them were highly dependent. The level of knowledge about the harmful effects of smoking on health was defi nitely better Results: There were 49.9% of boys and 50.1% of girls (mean age 10.83). Average in 2011 than 2001.It should be noted that 10.4% of teachers were ex-smokers in dose of Fluticasone dipropionate (FP) was 225.11±119.98 mcg per day per child. Among ETSE children, 208 were with one, 129 with both smoking parents, Conclusions:Considerable decrease of tobacco consumption in teachers over 228 had smoking mother and 238 had smoking father. ETSE children received the past decade can be correlated with a better health education-information statistically higher dose of FP, and dose of FP increased with increasing of campaigns conducted in schools in recent years.
number of smokers in the family (F=45.412, p<0.001). ETSE children had lower Also amending legislation on tobacco was effi cient-banning smoking in lung function parameters before and after the IC, and the infl uence of mother and schools,ban on tobacco media advertising.
both smoking parents on lung function was more pronounced then fathers alone. Initiation of national anti-tobacco program,including free counseling and After the 6 months of IC, both groups of children signifi cantly improved lung treatment for smokers also helped a number of teacher to quit smoking.
function tests, no difference between groups.
Future action is needed for a greater reduction of smoking in general population Conclusion: ETS impaired the lung function growing rate in exposed children and default among educators,main models for our children.
with asthma, but did not decrease response to inhaled corticosteroids. It is necessary to educate smoking parents to protect asthmatic children from tobacco smoke negative infl uence.

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