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Dr. José Miguel ChatkinProf. Titular Med. Interna / Pneumologia

Faculdade De Medicina PUC-RS1

25/04/2013 – Sexta-feira 08h35 – 08h55

XV CNAP – Búzios - RJ

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Não há combustão de tabaco

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VAPOR DE NICOTINA / PROPILENOGLICOL / GLICERINA / OUTRAS SUBSTÂNCIAS

Vantagens (?) Problemas

Tobacco Control 2011

Reese Witherspoon e Julia Louis-Dreyfus Globo de Ouro 2014

David Letterman

Lindsay Lohan

Jack Nicholson

Filmes, Grammy, Oscar, Golden Globe

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UK, fev 2014

“I want you to get it out,” purrs a woman at the camera. “I want to see it, feel it, hold it, put it in my mouth. I want to see how great it tastes.”

“I’m tired of feeling guilty every time I want to light up.”

“Smelling like an ashtray is not the ideal aphrodisiac”

“We’re all adults here. It’s time to take our freedom back. Come on guys, rise from the ashes”

“Finally, smokers have a real alternative. Cigarettes, you’ve metyour match”

“Smoking bans and clean air advocacy are being hijacked.”

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4x; p<0.052x; p=0.01

Regan; Tob Control 2013

Questionário base populacional CDC enviado em 2009 (21 240 adultos - 49.8% de respostas) e 2010 (20 000 adultos - 51.6% de respostas)

Fairchild NEJM ; dez 2013

Regan; Tob Control 2013

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Ayers J, Am J Prev Med 2011

Ayers J, Am J Prev Med 2011

Adkison et al / Am J Prev Med 2013

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16Nutt et al (2014) European Addiction Research, 20, 218www.smokinginengland.info

Lancet, 2013

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Peter Hajek, Tobacco Dependence Research Unit at Barts and the London School of Medicine and Dentistry:

“They may kill smoking as we know it. That’s the biggest hope we have of ending the tobacco epidemic. Regulating e-cigarettes as medical devices would be a disaster.

Christopher Bullen, National Institute for Health Innovation, University of Auckland, NZ

“To overregulate now could threaten the existence of e-cigarettes and cut down the options for people who want to quit.”

CDC, Atlanta, USA… some children who have never smoked cigarettes are using e-cigarettes, suggesting

that the devices may be a gateway product. … several surveys have reported high levels of smokers using both cigarettes and e-

cigarettes, indicating that the products are being used to sustain nicotine addiction. … the use of vapor flavorings, such as vanilla, could also be seen as an attempt to

prolong use and appeal to younger consumers.

Nature(Sept 2013)

MEDICINA INDIVIDUAL

SAÚDE PÚBLICA

Nature(Sept 2013)

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J Bras Pneumol. 2014

Outros produtos de tabaco* Narguilé

Campo Grande 18,3% 87,3%

São Paulo 22,1% 93,3%

Vitória 4,3% 66,6%* Narguilé, cigarros enrolados à mão; cigarrilha; charuto; cigarro indiano, cachimbo

Szklo, 2011

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