Category: Tobacco

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Empowering Tobacco Marshals – October 2023 Training

Empowering Tobacco Marshals – October 2023 Training

Introduction

In October 2023, a pivotal event took place aimed at combating the pervasive health threat of tobacco use. On the 22nd of October 2023, the “BASIC COURSE IN TOBACCO CONTROL,” centered around the 8R principles, was conducted online. This training was a significant step in creating a cadre of individuals committed to eradicating the harmful effects of tobacco.

Training Highlights

– Date: 22nd October 2023

Participants

A diverse group of participants gathered for this training, including members from DANT PARI, doctors, and socially responsible members of GELNOVA.

Expert Trainers

The training was conducted by accomplished ICanCaRe Certified Tobacco Cessation Specialists, including Mrs. Sonal Bhatia, Dr. Pravesh Singh, and Dr. Pawan Gupta. Their expertise and dedication played a crucial role in the success of this initiative.

Empowering Knowledge

Across two intense sessions, each spanning two hours, participants engaged in in-depth discussions. These sessions comprehensively covered the 8R aspects of Tobacco Control. The knowledge acquired in these discussions empowered every participant to become a “TOBACCO MARSHAL.”

DANT PARI Foundation

This marked the third batch of enthusiastic participants from DANT PARIS. The DANT PARI FOUNDATION, spearheaded by Dr. Shweta K Javali and Dr. Neeru, focuses on training rural girls as dental assistants. In this batch, four Dant Paries joined the course, displaying their strong interactive skills and a sincere desire to combat tobacco use in rural areas.

GELNOVA Members

Seventeen socially responsible members from the GELNOVA family, led by Mr. Rajeev Khanna, enthusiastically participated in the training. Hailing from various regions of Uttar Pradesh and Uttarakhand, these individuals regularly interact with doctors and conduct awareness camps. The knowledge they gained during the training will be instrumental in educating doctors and organizing tobacco awareness campaigns, furthering the #advisequittobacco campaign.

New Enthusiastic Doctors

The training also welcomed two dedicated doctors who are eager to enhance their professional practice and make a substantial societal impact by joining the ranks of Tobacco Marshals.

ICanCaRe Academy Welcomes New Members

ICanCaRe Academy extended a warm welcome to the new batch of TOBACCO MARSHALs, recognizing the vital role they will play in the ongoing battle against tobacco.

Join as a Tobacco Marshal

If you are inspired by this initiative and wish to join as a Tobacco MARSHAL, you can register at [ICanCaRe Academy] (https://www.icancare.in/academy/MARSHAL).

Learn More

For more information on the comprehensive CAPACITY BUILDING courses for TOBACCO CESSATION and control offered by ICanCaRe academy, please visit their website at [www.icancare.in/academy](https://www.icancare.in/academy).

Conclusion

The training of Tobacco Marshals in October 2023 was a crucial step in the ongoing battle against tobacco. With a diverse group of participants, expert trainers, and a shared commitment to making a difference in society, these newly trained Tobacco Marshals are poised to have a real impact in the fight against tobacco. Their knowledge and dedication mark a brighter, tobacco-free future.

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Cessation using the Cold Turkey Method for Asthmatic patient

CTCS Tutorial #13 Case 2

 

On 15 September 2023, the 13th monthly tutorial session was conducted for Certified Tobacco Cessation Specialists. One of the two cases discussed a 38-year-old, chronic cigarette smoker, owner of a travel agency, referred for cessation by a pulmonologist. He had been smoking for the last 25 years, consuming around 40 cigarettes a day. He was married, had 2 children, and was accompanied by his mother to the cessation center. He gave a history of bronchial asthma for 3 years and diabetes, and blood pressure for 2 years, and was under medications for the same.

            He had been consuming 40 cigarettes in a day, with maximum consumption during morning hours, around 6-7 cigarettes reportedly before using the washroom. Apart from this, he had increased frequency while driving, meeting friends, after meals, and under stress. He stated that a few times when he could not smoke for 2-3 days, he felt extreme anger, stress, and restlessness. He reported sweating, thirst, constipation, and increased appetite during this phase. Presently, he was quite motivated to quit smoking due to health issues.

            He was explained the adverse effects of smoking and the benefits of quitting in the long run. A detailed treatment plan was made for him after counseling. He was guided for a Cold Turkey method of quitting smoking, replacing it using a 21-mg Nicotine patch to be used for three weeks and Nobacco gums (4 mg) to be used for severe craving episodes. He was allowed 2 puffs of smoking a day initially, which he stopped after 2 days. He complained of body cramps and worsening asthma in 2-3 days of withdrawal. He was supplemented with SleepNova, Lycoedge, Cbinan, ELC, and Mg tablets.  He was suggested to use the Acapella device for breathing exercises, which helps in clearing mucous in the throat. Mucolytics and anti-asthmatic drugs were also modified accordingly by the consulting pulmonologist. He was kept on a nebulizer, steam inhalation, and a modified diet plan and showed considerable improvement in asthma over 2 weeks.

The Nicotine replacement patch would be reduced to a 14-mg dose after 3 weeks, further to a 7-mg dose in 2 weeks, continuing, in addition with 1mg BD Varnitrip, over 3 months duration. He would be regularly monitored by a cessation specialist and pulmonologist over this period and the treatment plan would be modified accordingly.

ICanCaRe Academy Tutorial for Certified Tobacco Cessation Specialists (CTCS) is a monthly program on the 15th, from 9-10 PM. We welcome our CTCS to present complex cases on tobacco cessation for discussion and finding solutions for successful quitting. Please contact Dr. Mariya, Dr Siddhi, or Dr. Monalee for tutorial cases.

ICanCaRe Academy encourages you to take part in our monthly session and learn in-depth details about practical tobacco cessation through cases discussed here.

To be a Certified Tobacco Cessation Specialists go to www.icancare.in/academy/ctcs

#icancareacademy #tutorial #icancare #siddhi #pawangupta #CTCS #icancare #mariya #monalee #reenarkumar

Case presented by – Dr. Anshika Pandey, BDS, Certified Tobacco Cessation Specialist with MAX – ICanCaRe Centre.

Blog composed by  – Dr. Siddhi Hathiwala, MDS (Public Health Dentistry), CTCS(GU) – ICanCaRe. Assoc. Prof. & HoD, HDCH, Jabalpur)

Expert – Dr. Pawan Gupta M.Ch. Cancer Surgeon and Master Trainer Tobacco Cessation

Cessation using Plateau Therapy for chronic Smokeless Tobacco consumer

CTCS TUTORIAL #13 Case 1 ICanCaRe Academy

On 15 September 2023, the 13th monthly tutorial session was conducted for Certified Tobacco Cessation Specialists. One of the two cases discussed a 60-year-old retailer, chronic tobacco chewer. He had a history of consuming tobacco, 6-7 pouches in a day, for over 40 years, with added supari, chutney, and slaked lime. He consumed tobacco after breakfast, and had quid in his mouth the whole day, even while sleeping.

He had a known case of hypertension for 4 years, under medications including Aspirin, Telmisartan, and Rabeprazole. Also, he had a history of phobia of crossing roads and uneasiness and had been taking Escitalopram oxalate and Clonazepam for 5 months. He was self-motivated to quit tobacco and had come to the clinic with his wife. He had himself tried to quit earlier twice but failed within a week duration. He developed cold and cough, fever, and uneasiness during quit attempts. Presently, he has been gradually tapering his tobacco consumption for 1 month, 1 pouch per week following his behavioral motivation.

Our team has now suggested asking him to set a committed Quit Date for himself, within 14 days; while the specialist is handholding him to cope with withdrawal symptoms. He has to be kept on a gradual reduction of tobacco consumption while using nicotine patches continuously. Initially, apply a 7-mg patch for a week, reducing tobacco by 50%, then a 14-mg patch and complete stoppage of tobacco consumption in the next 7-10 days. He would then be continued with a 14-mg or 21-mg patch beyond the quit date. Also, Varenicline (1mg BD) would be added at this stage during the maintenance phase and reduced gradually over a 2-3 month period. Other supplements would include Nobacco pastilles or lozenges (only in the beginning to curb intense craving episodes) and oral supplementation with Aquazyl, Turmnova, or chia seeds. He would be prescribed multivitamins and minerals, Vit. C, Folic Acid, as needed. He would be kept on regular follow-ups every week for 3 months duration along with his medical assessment at regular intervals.

ICanCaRe Academy Tutorial for Certified Tobacco Cessation Specialists (CTCS) is a monthly program on the 15th, from 9-10 PM. We welcome our CTCS to present complex cases on tobacco cessation for discussion and finding solutions for successful quitting. Please contact Dr. Mariya, Dr Siddhi, or Dr. Monalee for tutorial cases.

ICanCaRe Academy encourages you to take part in our monthly session and learn in-depth details about practical tobacco cessation through cases discussed here.

To be a Certified Tobacco Cessation Specialists go to www.icancare.in/academy/ctcs

#icancareacademy #tutorial #icancare #siddhi #pawangupta #CTCS #icancare #mariya #monalee #reenarkumar

 Case presented by – Dr. Mariya, BDS, Certified Tobacco Cessation Specialist, Mumbai

Blog composed by  – Dr. Siddhi Hathiwala, MDS (Public Health Dentistry), CTCS(GU) – ICanCaRe. Assoc. Prof. & HoD, HDCH, Jabalpur)

Expert – Dr. Pawan Gupta M.Ch. Cancer Surgeon and Master Trainer Tobacco Cessation