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In this entry we are looking at smoking, alcohol consumption and the use of illicit drugs. We are studying who is using these substances, how their use has changed over time, and we are presenting the estimates of their impact on health. Collectivel
...
y, smoking, alcohol and illicit drug use kills 11.8 million people each year. This is more than the number of deaths from all cancers
more
The global burden of disease associated with air pollution exposure exacts a massive toll on human health worldwide: exposure to air pollution is estimated to cause millions of deaths and lost years of healthy life annually. The burden of disease attributable to air pollution is now estimated to be
...
on a par with other major global health risks such as unhealthy diet and tobacco smoking, and air pollution is now recognized as the single biggest environmental threat to human health.
more
Prevention of stroke and transient ischemic attack includes both conventional approaches to vascular risk factor management (blood pressure lowering, cholesterol reduction with statins, smoking cessation and antiplatelet therapy)
and more specific
...
interventions, such as carotid revascularization or anticoagulation for atrial fibrillation. The objective of this review is to discuss effective interventions for optimal primary and secondary stroke prevention.
more
What You Can Do About a Lung Disease Called COPD
Global Initiative for Chronic Obstructive Lung Disease (GOLD)
Global Initiative for Chronic Obstructive Lung Disease (GOLD)
(2019)
CC2
The "GOLD Patient Guide 2019" explains Chronic Obstructive Pulmonary Disease (COPD), its causes, symptoms, and stages. It provides practical advice for managing COPD, including the importance of quitting smoking, following medical treatment plans, e
...
xercising, maintaining a healthy diet, and creating a supportive living environment. The guide emphasizes early diagnosis, regular medical checkups, and strategies for managing severe COPD to improve quality of life.
more
The article presents findings from the BREATHE study, which assessed the distribution of COPD-related symptoms in the Middle East and North Africa (MENA) region. The study involved a large cross-sectional survey in 11 countries, collecting data on respiratory symptoms,
...
smoking habits, and potential COPD prevalence in adults aged 40 and older. Results showed that 14.3% of the surveyed population reported symptoms consistent with COPD, with variations across countries. Women reported symptoms more frequently than men, though diagnosed COPD was more common in men. The study highlighted smoking, including waterpipe use, as significant risk factors and called attention to underdiagnosed COPD in the region, emphasizing the need for increased awareness and better diagnostic practices.
more
Long-term exposure of humans to air pollution enhances the risk of cardiovascular and respiratory diseases. A novel Global Exposure Mortality Model (GEMM) has been derived from many cohort studies, providing much-improved coverage of the exposure to fine particulate matter (PM2.5). We applied the GE
...
MM to assess excess mortality attributable to ambient air pollution on a global scale and compare to other risk factors.
Methods and results
We used a data-informed atmospheric model to calculate worldwide exposure to PM2.5 and ozone pollution, which was combined with the GEMM to estimate disease-specific excess mortality and loss of life expectancy (LLE) in 2015. Using this model, we investigated the effects of different pollution sources, distinguishing between natural (wildfires, aeolian dust) and anthropogenic emissions, including fossil fuel use. Global excess mortality from all ambient air pollution is estimated at 8.8 (7.11–10.41) million/year, with an LLE of 2.9 (2.3–3.5) years, being a factor of two higher than earlier estimates, and exceeding that of tobacco smoking. The global mean mortality rate of about 120 per 100 000 people/year is much exceeded in East Asia (196 per 100 000/year) and Europe (133 per 100 000/year). Without fossil fuel emissions, the global mean life expectancy would increase by 1.1 (0.9–1.2) years and 1.7 (1.4–2.0) years by removing all potentially controllable anthropogenic emissions. Because aeolian dust and wildfire emission control is impracticable, significant LLE is unavoidable.
Conclusion
Ambient air pollution is one of the main global health risks, causing significant excess mortality and LLE, especially through cardiovascular diseases. It causes an LLE that rivals that of tobacco smoking. The global mean LLE from air pollution strongly exceeds that by violence (all forms together), i.e. by an order of magnitude (LLE being 2.9 and 0.3 years, respectively).
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Tobacco kills up to half of its users who don’t quit (1-3).
Tobacco kills more than 8 million people each year, including an estimated 1.3 million non-smokers who are exposed to second-hand smoke Around 80% of the world's 1.3 billion tobacco users live in low- and middle-income countries.In 2020,
...
22.3% of the world’s population used tobacco: 36.7% of men and 7.8% of women.
To address the tobacco epidemic, WHO Member States adopted the WHO Framework Convention on Tobacco Control (WHO FCTC) in 2003. Currently 182 countries are Parties to this treaty.
The WHO MPOWER measures are in line with the WHO FCTC and have been shown to save lives and reduce costs from averted healthcare expenditure.
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این مجموعه ویژه شامل مرورهای کاکرین در موضوعات زیر است: دارو، پشتیبانی رفتاری، و ترک تدریجی. مداخلاتی که عمل سیگار کشیدن را تقلید میکنند، بهویژه سیگارهای الکترون
...
یکی، بهعلت اینکه خطر مرتبط با استفاده از آنها در همهگیری اخیر واضح نیست؛ از این مجموعه خارج شدهاند. گروه اعتیاد به دخانیات کاکرین در حال کار هستند تا همه اطلاعات مرتبط را به منظور ارائه پشتیبانی به افرادی که در این زمان سخت در تلاش برای ترک سیگار هستند؛ بهروز نگهدارند.
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Cette collection spéciale comprend des revues Cochrane sur les sujets suivants : les médicaments, le soutien comportemental et le sevrage tabagique progressif. Les interventions qui imitent l'acte de fumer, notamment les cigarettes électroniques, ont été exclues de cette collection car les risq
...
ues associés à leur utilisation en relation avec la pandémie actuelle ne sont pas clairs. Le Groupe Cochrane sur le Tabagisme travaille pour rester à jour sur toutes les informations pertinentes, afin d'apporter un soutien aux personnes qui tentent d'arrêter de fumer pendant cette période difficile.
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Diese Sonderkollektion enthält Cochrane Reviews zu den folgenden Themen: Medikamente; Verhaltensunterstützung; und allmähliches Aufhören. Interventionen, die den Vorgang des Rauchens imitieren, insbesondere E-Zigaretten, wurden von dieser Sonderkollektion ausgeschlossen, da die Risiken ihrer Ver
...
wendung vor dem Hintergrund der aktuellen Pandemie unklar sind. Cochrane Tobacco Addiction arbeitet daran, zu allen relevanten Informationen auf dem aktuellen Stand zu bleiben, um Menschen, die während dieser schwierigen Zeit mit dem Rauchen aufhören wollen, Unterstützung zu bieten.
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Koleksi Istimewa ini termasuk Ulasan Cochrane mengenai topik berikut: ubat-ubatan; sokongan tingkah laku; dan berhenti secara beransur-ansur. Intervensi yang meniru tindakan merokok, terutamanya e-rokok, telah dikecualikan daripada koleksi ini kerana risiko yang berkaitan dengan penggunaannya berhub
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ung dengan pandemik semasa tidak jelas. Ketergantungan Tembakau Cochrane sedang berusaha untuk terus kemaskini pada semua maklumat yang berkaitan, untuk memberikan sokongan kepada orang yang cuba berhenti merokok dalam masa yang sukar ini.
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Esta Coleção Especial inclui Revisões Cochrane sobre os seguintes tópicos: medicação; apoio comportamental; e desistência gradual. As intervenções que imitam o ato de fumar, especialmente os cigarros electrónicos, foram excluídas desta coleção uma vez que os riscos associados ao seu uso
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em relação à atual pandemia não são claros. O grupo Cochrane Tobacco Addiction está trabalhando para se manter atualizado com todas as informações relevantes, para apoiar as pessoas que tentam parar de fumar durante este período difícil.
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Эта Специальная Коллекция включает Кокрейновские обзоры по следующим темам: лекарственное лечение, поведенческая поддержка и постепенный отказ от курения. Вмеша
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ельства, имитирующие акт курения, в частности, электронные сигареты, были исключены из этой коллекции, поскольку риски, связанные с их использованием в связи с текущей пандемией, не ясны. Кокрейновская группа по табачной зависимости работает над тем, чтобы вся соответствующая информация была актуальна (обновлена), чтобы обеспечить поддержку людям, пытающимся бросить курить в это трудное время.
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La colección incluye revisiones Cochrane sobre los siguientes temas: medicamentos; apoyo conductual; y abandono gradual. Las intervenciones que imitan el acto de fumar, especialmente los cigarrillos electrónicos, se han excluido de esta colección ya que los riesgos asociados a su uso en relación
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con la pandemia actual no están claros. El Grupo Cochrane de Adicción al Tabaco está trabajando para mantenerse al día con toda la información relevante y brindar apoyo a las personas que intentan dejar de fumar durante este momento difícil.
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The primary objective of the 2015-16 MDHS project is to provide up-to-date estimates of basic demographic and health indicators. Specifically, the MDHS collected information on fertility levels, marriage, fertility preferences, awareness and use of family planning methods, breastfeeding practices, n
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utrition, maternal and child health and mortality, awareness and behavior regarding HIV/AIDS and other sexually transmitted infections (STIs), and other health-related issues such as smoking and knowledge of tuberculosis. As the 2015-16 MDHS is the first DHS survey in the country, trend analysis is not carried out in this report.
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During the first year of the Covid-19 pandemic, the world’s economy slowed. Yet, the global annual average particulate pollution (PM2.5) was largely unchanged from 2019 levels. At the same time, growing evidence shows air pollution—even when experienced at very low levels—hurts human health. T
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his recently led the World Health Organization (WHO) to revise its guideline for what it considers a safe level of exposure of particulate pollution, bringing most of the world—97.3 percent of the global population—into the unsafe zone. The AQLI finds that particulate air pollution takes 2.2 years off global average life expectancy, or a combined 17 billion life-years, relative to a world that met the WHO guideline. This impact on life expectancy is comparable to that of smoking, more than three times that of alcohol use and unsafe water, six times that of HIV/AIDS, and 89 times that of conflict and terrorism.
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People in prisons and other places of detention live in a closed environment and in close proximity with one another – conditions that facilitate transmission of diseases. They also have a greater underlying burden of disease and worse health conditions than the general population, and frequently
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face greater exposure to risks such as smoking, poor hygiene and weak immune defence due to stress, poor nutrition or existing diseases. All these factors make people living in prison more susceptible to infections.
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Recognizing the extent to which the COVID-19 outbreaks affects women and men differently is hugely important. Some preliminary data suggested that more men than women are dying, potentially due to sex-based immunological differences, higher rates of cardiovascular disease for men and lifestyle choic
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es, such as smoking. However, the experiences and lessons learned from the Zika and Ebola outbreaks and the HIV pandemic demonstrate that robust gender analysis and informed, gender-integrated response are vital to strengthen the access and acceptability of the humanitarian services needed to meet the distinct needs of women and girls, as well as men and boy and LGBTI people.
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Hypertension in adults: diagnosis and management
the National Institute for Health and Care Excellence (NICE)
the National Institute for Health and Care Excellence (NICE)
(2023)
CC
The NICE guideline "Hypertension in Adults: Diagnosis and Management" outlines recommendations for diagnosing and managing hypertension in adults over 18, including those with type 2 diabetes. It emphasizes accurate blood pressure measurement, recommending ambulatory or home monitoring to confirm di
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agnosis. Cardiovascular risk and target organ damage should be assessed, considering age, lifestyle, and other conditions. Initial treatment focuses on lifestyle changes such as diet, exercise, and smoking cessation, with medication advised for stage 1 hypertension at high cardiovascular risk or stage 2 hypertension. Regular monitoring and treatment adjustments are recommended to maintain target blood pressure levels, with specific guidance for people over 80 and those with additional conditions like diabetes or kidney disease. The guideline aims to reduce risks of heart attack, stroke, and other complications, supporting evidence-based treatment decisions in clinical practice.
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