Transcript West Sussex Stop Smoking Services E-Cig Friendly

West Sussex
Stop Smoking Service
E-Cig Friendly
Rebecca Robb and Caroline Staddon, Smokefree West Sussex
POSITIVE COMMS
Frequently Asked Questions
Should we recommend an
e-cigarette product?
Can a stop smoking provider
make a claim for helping
someone to quit tobacco
products even if they used an
unlicensed product such as an
e-cigarette to help them quit?
Can e-cigarettes be
used in combination
with any other stop
smoking
medication?
Can people who use ecigarettes only and
have stopped smoking
tobacco products still
use the service?
Where can ecigarettes be
bought?
NCSCT and Public Health Publications
 Electronic Cigarettes : A briefing for Stop Smoking Services – McEwen, McRobbie H 2016
National Centre for Smoking Cessation and Training (NCSCT) – www.ncsct.co.uk
 E – cigarette guide for stop smoking practitioners – 2014 Tobacco free futures –
tobaccofreefutures.org
 Electronic cigarettes : A report commissioned by Public Health England – Britton J, Bogdanovica
L. 2014 – www.gov.uk/phe
Clear Information for Partners
Assisting providers to support e cigarette
users who wish to quit smoking
 This approach brings together the most effective method of quitting (Stop Smoking
Services) with the most popular (e cigarettes)
 Public Health England recommend that stop smoking services should offer support to
smokers using e cigarettes to quit smoking
 Clients with Stop Smoking Services who combined behavioural support with e cigarettes
had the highest quit rates in 2014 -15.
Prevalence and Epidemiology Awareness
 Prevalence and epidemiology awareness of e-cigarettes is high in countries where ecigarettes are available, especially among current and ex-smokers
 In Britain the use of e-cigarettes increased from 2.7% in 2010 to 6.7% in 2012.
 In 2014 and 2015 , 20% of smokers reported using e-cigarettes at some point
 Data suggests that use has plateaued at around 21%.
 It is currently estimated that there are 2.6 million e-cigarette users in Britain.
Inside the e-cigarette
E-cig Terminology
o Vapers – e cigarette users
o E-liquid - is the flavoured liquid
o Tank - where the e-liquid is stored
o Atomiser -are what heat the e-liquid and then turns it into a vapour.
o Cartomisers - Accessories for flavour and vapour production.
o Adjustable air flow – enables the cooling of the coil from the heat generated by the power
from the battery
o Micoprocessor – controls heater and light.
o NCP – Nicotine Containing Products
E-cigs – 3 generations
1st Generation
o 1st generation e-cigarettes, sometimes
called cigalikes, are designed to look
like a cigarette and generally use
cartomisers.
o When the user takes a puff (or presses
a button on some models) a heating
coil is activated to vapourise the eliquid, creating a vapour that can be
inhaled.
o Many 1st generation models have a
light on the end of the device that
also glows when a puff is taken.
E-cigs –
2nd Generation
o More experienced e-cigarette users (vapers)
prefer to use newer (second and third)
generation e-cigarettes.
o These are often called personal vaporisers.
o These e-cigarettes are typically larger
o Have a more powerful battery linked to an
atomiser and a ‘tank’.
o There are choices of e-liquid which may include
flavours and contain nicotine in different
concentrations .
o These devices can be used with a range of
atomisers, cartomisers and tank systems. They
typically use larger batteries and may have
adjustable power settings
E-cigs –
3rd Generation
o Third generation e-cigarettes are usually larger still
with a more powerful battery and adjustable air
flow.
o They also allow the user to adjust the voltage or
wattage applied to the atomiser (often referred to
as ‘variable voltage’ or ‘variable wattage’
devices).
o Some have ‘puff counters’ or downloadable
software that allow users to program their own
voltage and wattage level, and to monitor their
patterns of use.
o Third generation devices are designed to allow
modifications and substitution of individual
components according to user preference.
Benefits of E-cigarettes
 E-cigarettes can support people to quit smoking.
 Clients of stop smoking services who combined e-cigarettes with behavioural support had
the highest quit-rates in 2014–15
 The four-week self-reported quit rates for these two groups, unlicensed NCP alone and
NCP in combination with a stop smoking medication, were higher (66% and 63%
respectively) than those seen in people who used combination nicotine replacement
therapy (NRT) (48%, n=135,719).
 There is an opportunity to improve success rates by combining the most popular (ecigarettes) with the most effective method of quitting (behavioural support from
services)hat they were predominantly e-cigarettes.
8 TOP TIP’s
 Don’t be anxious about not being an expert.
 It is unlikely that you will know, or be expected to know, everything about e-cigarettes
 What you do know is how to help people stop smoking.
 Familiarise yourself with e-cigarettes, read the documents .
 Talk to experienced vapers
 Visit a reputable retailer
 Read posts on forums.
 Be positive when speaking about e-cigarettes.
 Don’t push people to come off their e-cigarette.
Regulation – 20 May 2016
 At present, e-cigarettes are covered by general product safety
legislation.
 This will change 20 May 2016 with the introduction of new regulations
under the revised European Union Tobacco Products Directive (TPD).
 Under the TPD e-cigarettes will either be licensed as medicines or, if
unlicensed, will be subject to new quality and safety standards.
 packaging and labelling requirements to include all ingredients
 restrictions on advertising.
 Limiting size of tanks, banning additional ingredients
 Products must be child proof
What are the health risks of E-cigs?
Limited current research…….
o Low levels of toxicants and carcinogens have been detected in e-cigarette liquid and
vapour, but these are much lower than those found in cigarette smoke.
o The concentration of toxins in exhaled vapour is much lower than that in side-stream and
exhaled cigarette smoke.

The US Food and Drug Administration has classified propylene glycol as an additive that is
“generally recognized as safe”. It has been used as an excipient - as vehicle in some old
and new pulmonary (lung) inhalation devices, as well as in food and cosmetics.

Mild adverse effects (e.g. throat irritation) have been recorded when using e-cigarettes

There is no research showing Young people taking up smoking using e-cigarettes when not
already smoking

The other main component of e-liquids is flavourings. These flavourings are considered safe
for oral ingestion, but the risks of their inhalation are largely unknown.
Medicines and Healthcare Regulatory
Agency - MRHA
 Some manufactures have applied for licensing of the e cigarettes to be made available
on the NHS
 First may be available in the near future , however it is likely to be the first generation type
of e cigarette
We Will…
 Continue to work with all smokers who want to quit in West Sussex,
including those who are already or who would like to use ecigarettes as part of the quitting process
 Provide the same evidence based, Russell standard service to all
smokers in West Sussex who wish to quit, regardless of whether they
are using e-cigarettes or not
 Answer all queries about E-cigarette usage to the best of our ability
and ensure that our partners are kept up to date and receive
relevant training on E-cigarettes
We Will Not…
Prescribe e-cigarettes to people
Recommend any brand of e-cigarettes
Offer the service to people who are using ecigarettes but who do not smoke tobacco
Rebecca Robb
Breathe Project Manager
Additional smokeless tobacco products.
Gutkha
Snuff
Hookah/shisha
Snus
Chewing
tobacco
Thank you
www.smokefreewestsussex.co.uk
/smokefreewestsussex
@QUITWestSussex