1458P - Tobacco cessation in the community

Date 30 September 2012
Event ESMO Congress 2012
Session Poster presentation II
Topics Cancer Aetiology, Epidemiology, Prevention
Presenter Pritam Hazra
Authors P. Hazra1, S. Mukhopadhyay1, A. Mukhopadhyay2
  • 1Community Medicine, Netaji Subhas Chandra Bose Cancer Research Institute, 700016 - Kolkata/IN
  • 2Dept. Medical Oncology, Netaji Subhas Chandra Bose Cancer Research Institute, 700016 - Kolkata/IN

Abstract

Tobacco smoking is the most intensively investigated environmental cause of cancer. Smokes came out of cigarettes, bidis, hookahs etc. contains nicotine and other chemical compounds which are proved as dangerous carcinogens. Cancer causation by tobacco smoke is not attributable to any one chemical compounds but to an overall effect of the complex mixture of chemicals in smoke. Using tobacco, active smokers can get affected to lung and cancers in other organs such as larynx, oral cavity, pharynx, esophagus, pancreas, kidney and bladder. Non–smokers who are exposed to environmental tobacco either by family members or workplace are also equally at the risk of having lung, laryngeal cancers, other respiratory diseases and even breast cancer. This study aims to find out the tobacco use in the community and to stop usage. This was a population awareness study during period from September 2007 to 2012 in Mandarihaat village, Jalpaiguri district of North Bengal by the community medicine dept of NCRI. A population of 5000 people, in the age group between 6–45 years, was randomly interviewed following a structured questionnaire. We attended the village and did the awareness every three months. In our first visit, we have seen that 70% of the population was tobacco users, either by way of smoking (40%) or chewing (30%). We did a thorough awareness program and explained the different hazards of smoking for cancer and heart diseases. In the next visit, we advised them to quit smoking. Again after 3 months, we noticed that about 25% (875) of the tobacco users quit tobacco use. Thereafter, we screened the population every 6 months and continued our awareness program. At the end of 4 years, only 5% people continued the habit of tobacco. We advised them to use nicotine tablets 4mg three times daily. At the end of 5 years, the entire smoking population except 0.05% (p value <0.0001%) had left the habit of tobacco. In the previous 5 years before our study, there were 8 cases of lung cancer and 6 cases of oral cavity cancer in that population. In our 5 years program only 2 cases of cancer of lung and oral cavity cancer respectively were noted. Hence we conclude that awareness is the single most important factor for cessation of tobacco use. In the resistant cases nicotine has some role to play.

Disclosure

All authors have declared no conflicts of interest.