Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
The Pharmacist’s Role in Ending the Tobacco Pandemic<br />Alan Blum, MD<br />Auburn University <br />Harrison School of Ph...
DEATHS FROM CIGARETTE SMOKING IN US SINCE 1964<br />12,000,000<br />
Smoking Prevalence<br />
CAUSES OF DEATH<br />Heart disease<br />Cancer<br />Stroke<br />COPD<br />Accidents<br />Diabetes<br />
MARLBORO’S MYOCARDIAL MAYHEM<br />↑ oxygen demand<br />↓ angina threshold<br />↓ exercise performance<br />↑ recurrent inf...
CAMEL’S CORONARY CONSEQUENCES<br />Adverse lipid profile<br />Altered hematologic factors<br />Direct arterial wall effect...
Cancer Death Rates for Men, US, 1930-2005<br />
Cancer Death Rates for Women, US, 1930-2005<br />
COPD<br />5% of US population<br />80% caused by smoking<br />4th leading cause of death<br />
DIABETES:<br />3x Cardiovascular Mortality<br />
SMOKING + DIABETES:<br />11x Cardiovascular <br />Mortality<br />
OTHER TOBACCOGENIC PROBLEMS<br />Osteoporosis<br />Hip fractures<br />Early menopause<br />Macular degeneration<br />Pepti...
SECONDHAND SMOKE<br />Lung cancer:  3,000 deaths/year<br />Heart disease:  40,000 deaths/year<br />Asthma:  2 million visi...
SMOKING IN PREGNANCY<br />Low birthweight<br />Preterm labor<br />Spontaneous abortion<br />Abruptio placenta<br />Placent...
EFFECTS ON CHILDREN<br />SIDS<br />Asthma<br />Bronchitis<br />Otitis media<br />Pneumonia<br />
INFLUENCES<br />Peers<br />Parents<br />Propaganda<br />
SMOKING CESSATION<br />44.5 million smoke<br />77% want to stop<br />40% try each year<br />5% succeed<br />
MARKERS OF  ADDICTION<br />>20 Cigarettes /day<br />Smoke upon awakening<br />Psychiatric condition<br />Alcohol dependenc...
BEHAVIOR MODIFICATION<br />Identify situations<br />Choose oral substitutes<br />Do five-minute plan:<br />		Postpone<br /...
SMOKING’S MYTHS<br />Relieves stress<br />Keeps weight down<br />Low-tar, filters, are safer<br />
THE PRODUCT<br />Filter<br />Low tar<br />Lights<br />Menthol<br />
MONEY LOST<br />Number of packs/day<br />x Cost/pack<br />x 365 days/year<br />X Number of years smoking<br />Total cash l...
INHALATION COUNT<br />Number of cigarettes/day<br />x 10 inhalations/cigarette<br />x 365 days/year<br />x Number of years...
BENEFITS OF STOPPING<br />1 day:  ↓ MI risk<br />1 year:  ↓ Stroke risk 50%<br />10 years:  Stroke risk of non-smoker<br /...
COSMETIC BENEFITS<br />Fresher breath, clothing<br />Whiter teeth, nails<br />Endurance<br />
NICOTINE REPLACEMENT THERAPY<br />Gum (Nicorette)<br />Transdermal patch (Nicoderm)<br />Inhaler (Nicotrol)<br />Lozenge (...
ADJUNCTIVE PHARMACOTHERAPY<br />Bupropion<br />Clonidine<br />Nortriptyline<br />Verenicline<br />Rimonabant<br />
SMOKING PREVENTION<br />Increase cigarette taxes<br />Restrict teen access<br />Clean indoor air laws<br />Ban advertising...
SHIFTING THE FOCUS<br />Substance	->	Product<br />Effects		->	Promotion<br />User			->	Pusher<br />
AMERICAN TOBACCO COMPANIES<br />Philip Morris USA<br />Reynolds-American Inc.<br />Lorillard Inc.<br />United States Smoke...
CANCER’S 7 WARNING SIGNS<br />Philip Morris USA<br />Reynolds American Inc<br />Lorillard Inc.<br />United States Smokeles...
Alan Blum, M.D.<br />Professor and Gerald Leon Wallace Endowed Chair in Family Medicine, College of Community Health Scien...
STRATEGIC WEAPONS<br />Map<br />Calendar<br />Camera<br />
Alan Blum, M.D.<br />Professor and Endowed Chair in Family Medicine, The University of Alabama<br />Director, The Universi...
Upcoming SlideShare
Loading in …5
×

Generic pharmacy talk

744 views

Published on

Published in: Education
  • Be the first to comment

  • Be the first to like this

Generic pharmacy talk

  1. 1. The Pharmacist’s Role in Ending the Tobacco Pandemic<br />Alan Blum, MD<br />Auburn University <br />Harrison School of Pharmacy <br />February 18, 2011<br />
  2. 2.
  3. 3. DEATHS FROM CIGARETTE SMOKING IN US SINCE 1964<br />12,000,000<br />
  4. 4.
  5. 5.
  6. 6. Smoking Prevalence<br />
  7. 7. CAUSES OF DEATH<br />Heart disease<br />Cancer<br />Stroke<br />COPD<br />Accidents<br />Diabetes<br />
  8. 8. MARLBORO’S MYOCARDIAL MAYHEM<br />↑ oxygen demand<br />↓ angina threshold<br />↓ exercise performance<br />↑ recurrent infarction<br />
  9. 9. CAMEL’S CORONARY CONSEQUENCES<br />Adverse lipid profile<br />Altered hematologic factors<br />Direct arterial wall effects<br />Elevated blood pressure<br />
  10. 10.
  11. 11.
  12. 12. Cancer Death Rates for Men, US, 1930-2005<br />
  13. 13. Cancer Death Rates for Women, US, 1930-2005<br />
  14. 14.
  15. 15. COPD<br />5% of US population<br />80% caused by smoking<br />4th leading cause of death<br />
  16. 16. DIABETES:<br />3x Cardiovascular Mortality<br />
  17. 17. SMOKING + DIABETES:<br />11x Cardiovascular <br />Mortality<br />
  18. 18. OTHER TOBACCOGENIC PROBLEMS<br />Osteoporosis<br />Hip fractures<br />Early menopause<br />Macular degeneration<br />Peptic ulcer disease<br />
  19. 19.
  20. 20. SECONDHAND SMOKE<br />Lung cancer: 3,000 deaths/year<br />Heart disease: 40,000 deaths/year<br />Asthma: 2 million visits/year<br />
  21. 21. SMOKING IN PREGNANCY<br />Low birthweight<br />Preterm labor<br />Spontaneous abortion<br />Abruptio placenta<br />Placenta praevia<br />Premature rupture of membranes<br />
  22. 22. EFFECTS ON CHILDREN<br />SIDS<br />Asthma<br />Bronchitis<br />Otitis media<br />Pneumonia<br />
  23. 23.
  24. 24.
  25. 25.
  26. 26. INFLUENCES<br />Peers<br />Parents<br />Propaganda<br />
  27. 27.
  28. 28.
  29. 29.
  30. 30.
  31. 31.
  32. 32.
  33. 33.
  34. 34.
  35. 35.
  36. 36.
  37. 37.
  38. 38.
  39. 39.
  40. 40.
  41. 41.
  42. 42.
  43. 43.
  44. 44.
  45. 45. SMOKING CESSATION<br />44.5 million smoke<br />77% want to stop<br />40% try each year<br />5% succeed<br />
  46. 46. MARKERS OF ADDICTION<br />>20 Cigarettes /day<br />Smoke upon awakening<br />Psychiatric condition<br />Alcohol dependence<br />
  47. 47. BEHAVIOR MODIFICATION<br />Identify situations<br />Choose oral substitutes<br />Do five-minute plan:<br /> Postpone<br /> Inhale<br /> Reconsider<br />
  48. 48. SMOKING’S MYTHS<br />Relieves stress<br />Keeps weight down<br />Low-tar, filters, are safer<br />
  49. 49. THE PRODUCT<br />Filter<br />Low tar<br />Lights<br />Menthol<br />
  50. 50. MONEY LOST<br />Number of packs/day<br />x Cost/pack<br />x 365 days/year<br />X Number of years smoking<br />Total cash lost (plus interest)<br />
  51. 51. INHALATION COUNT<br />Number of cigarettes/day<br />x 10 inhalations/cigarette<br />x 365 days/year<br />x Number of years smoking<br />Total inhalations<br />
  52. 52. BENEFITS OF STOPPING<br />1 day: ↓ MI risk<br />1 year: ↓ Stroke risk 50%<br />10 years: Stroke risk of non-smoker<br />15 years: CHD risk of non-smoker<br />
  53. 53. COSMETIC BENEFITS<br />Fresher breath, clothing<br />Whiter teeth, nails<br />Endurance<br />
  54. 54. NICOTINE REPLACEMENT THERAPY<br />Gum (Nicorette)<br />Transdermal patch (Nicoderm)<br />Inhaler (Nicotrol)<br />Lozenge (Commit)<br />Electronic cigarette?<br />
  55. 55. ADJUNCTIVE PHARMACOTHERAPY<br />Bupropion<br />Clonidine<br />Nortriptyline<br />Verenicline<br />Rimonabant<br />
  56. 56.
  57. 57. SMOKING PREVENTION<br />Increase cigarette taxes<br />Restrict teen access<br />Clean indoor air laws<br />Ban advertising<br />Educate on TV, radio, internet<br />
  58. 58.
  59. 59. SHIFTING THE FOCUS<br />Substance -> Product<br />Effects -> Promotion<br />User -> Pusher<br />
  60. 60. AMERICAN TOBACCO COMPANIES<br />Philip Morris USA<br />Reynolds-American Inc.<br />Lorillard Inc.<br />United States Smokeless Tobacco<br />Liggett Vector Brands Inc.<br />Swedish Match<br />Imperial Tobacco<br />
  61. 61. CANCER’S 7 WARNING SIGNS<br />Philip Morris USA<br />Reynolds American Inc<br />Lorillard Inc.<br />United States Smokeless Tobacco<br />Liggett Vector Brands Inc.<br />Swedish Match<br />Imperial Tobacco<br />
  62. 62.
  63. 63.
  64. 64.
  65. 65.
  66. 66.
  67. 67.
  68. 68.
  69. 69.
  70. 70.
  71. 71.
  72. 72.
  73. 73.
  74. 74. Alan Blum, M.D.<br />Professor and Gerald Leon Wallace Endowed Chair in Family Medicine, College of Community Health Sciences, School of Medicine, The University of Alabama<br />Director, The University of Alabama Center for the Study of Tobacco and Society<br />ablum@cchs.ua.edu<br />
  75. 75.
  76. 76.
  77. 77.
  78. 78.
  79. 79.
  80. 80.
  81. 81.
  82. 82.
  83. 83.
  84. 84.
  85. 85.
  86. 86.
  87. 87.
  88. 88.
  89. 89.
  90. 90.
  91. 91.
  92. 92.
  93. 93.
  94. 94.
  95. 95.
  96. 96.
  97. 97.
  98. 98.
  99. 99.
  100. 100.
  101. 101.
  102. 102.
  103. 103.
  104. 104.
  105. 105.
  106. 106.
  107. 107.
  108. 108.
  109. 109.
  110. 110.
  111. 111.
  112. 112. STRATEGIC WEAPONS<br />Map<br />Calendar<br />Camera<br />
  113. 113.
  114. 114.
  115. 115.
  116. 116.
  117. 117.
  118. 118.
  119. 119.
  120. 120.
  121. 121.
  122. 122.
  123. 123.
  124. 124.
  125. 125.
  126. 126.
  127. 127.
  128. 128.
  129. 129.
  130. 130.
  131. 131.
  132. 132.
  133. 133.
  134. 134.
  135. 135.
  136. 136. Alan Blum, M.D.<br />Professor and Endowed Chair in Family Medicine, The University of Alabama<br />Director, The University of Alabama Center for the Study of Tobacco and Society<br />ablum@cchs.ua.edu<br />

×