The latest statistics show that nearly 24 out of 100 people in Guangdong smoke, and more than 43% of them do not want to quit. May 31 is the 28th World No Tobacco Day, the theme of which is “Smoke-free life”. The smoking rate among women has been increasing year by year Guangdong conducted a survey on tobacco prevalence among the province’s residents in 2012 and 2013. “In 2013, we surveyed more than 4,000 permanent residents aged 15-69 at 16 monitoring sites across the province, and the results showed that the smoking rate among permanent residents that year was 23.78%, down from 26.9% in Guangdong Province in the 2010 National Adult Tobacco Survey “. In the smoking population, 40.54% of men and 5.68% of women. It is worth noting that since 2012, the smoking rate of women in Guangdong has been rising year by year and the rise is greater, in 2010 was 1.6%, in 2012 was 3.41%, the latest in 2013 was 5.68%. More than 40% of the current smoking population in 2013, 43.74% of people do not want to quit smoking, nearly 40% (39.05%) of the people to quit smoking “by their own perseverance to quit smoking”, “to buy smoking cessation drugs” way to quit smoking accounted for 13.64% In addition, fewer smokers sought help through the quitline or quit clinics; more than 60% (62.05%) of smokers had no intention of quitting within a year. In 2006, the hospital officially began to see people interested in quitting, and the clinic is open 2-3 times a week. “To date, we have seen a total of only 461 people; at first there were more people, but now an average of 25-38 people come to the clinic each year.” Research confirms that the role played by smoking cessation specialists should not be underestimated, “If it is dry quit, the 7-day quit rate is only 3%-5%, but through smoking cessation specialist treatment, the 7-day quit rate can reach 30%-50%.” Nearly 40% of people are exposed to secondhand smoke every day The survey also showed that nearly 40% (38.91%) of people are exposed to secondhand smoke almost every day, and nearly 80% (77.34%) of people are exposed to secondhand smoke at different frequencies every week. Among the four types of public places, the proportion of people who saw someone smoking within 30 days was, in descending order, workplaces (58.48%), government buildings (37.33%), primary and secondary schools (32.56%), and medical institutions (29.28%). Except for primary and secondary schools, the percentage of people seen smoking in all three types of places has decreased compared to 2012. In terms of knowledge of the hazards of smoking and other scientific knowledge, in 2013, residents’ knowledge of “smoking causes lung cancer” and “secondhand smoke causes lung cancer in adults” was over 80%; however, their knowledge of “smoking causes stroke However, the awareness rates of “smoking causes stroke”, “smoking causes heart disease” and “secondhand smoke causes heart disease in adults” were all lower than 45%, which was less than the awareness rate of “smoking causes stroke” and “secondhand smoke causes heart disease in adults” proposed in the “China Tobacco Control Plan (2012-2015)”. There is still a long way to go before the awareness rate of 60% proposed by the China Tobacco Control Plan (2012-2015). Statistics show that the prevalence of chronic diseases in the smoking group is 1.7 times that of the nonsmoking group, and the difference is statistically significant, so we still need to vigorously carry out various forms of tobacco control communication activities and popularize knowledge about the hazards of tobacco smoke. Smoking damage to blood vessels, ten years difficult to repair Claimed to “reduce the damage to the body of smoking” health care products in clinical research can not meet the requirements of prevention and treatment, not recognized by the medical community. When it comes to smoking, many people think of lung cancer, chronic obstructive pulmonary disease and other respiratory diseases. In fact, smoking causes a hundred diseases, the cardiovascular system can also cause serious damage. In recent years, the number of deaths caused by cardiovascular disease in China ranks first before other diseases, and in this country with hundreds of millions of smokers, smoking bad habits have undoubtedly made an important “contribution”. Cardiovascular experts point out that even if smokers quit smoking, it will take 10 years to completely repair the damage to the endothelium, and it is impossible to reverse atherosclerosis, in order to avoid coronary heart disease, myocardial infarction and other life-threatening pathologies, it is recommended to quit smoking and receive long-term drug therapy. Tobacco burning produces a variety of harmful substances, which not only enter the smoker’s lungs and cause damage, but also enter the circulatory system and damage the thin endothelium of blood vessels. Dr. Tan Ning, deputy director of the Department of Cardiology at Guangdong Provincial People’s Hospital, said that smoking is an important factor in atherosclerotic cardiovascular disease, and if smokers have high levels of cholesterol in their blood, cholesterol can easily enter the damaged endothelium of blood vessels and then form atherosclerosis. According to the American Heart Association, smoking increases blood pressure, reduces exercise tolerance, increases the blood’s tendency to clot, reduces high-density lipoprotein cholesterol (HDL, “good cholesterol”), increases the risk of aortic aneurysms, and greatly increases the risk of coronary heart disease and stroke in women taking oral contraceptives who smoke. In general, even if you don’t smoke much, you will develop significant atherosclerosis after 10 years, according to Tannen, and blood vessels will gradually become blocked, slowing blood flow and triggering coronary heart disease, among other things. What is more dangerous is that once the unstable atheromatous plaque ruptures or falls off, it will block the blood vessels in a short time, leading to acute myocardial infarction or stroke, seriously endangering the lives of smokers. Currently, this pathology has a younger trend, men who love to smoke have an earlier onset than women, and Tanning has seen a smoker who had a myocardial infarction at the age of 22. In addition, smoking can damage the carotid artery (leading to stroke), the renal artery (leading to renal insufficiency and hypertension), and the peripheral vasculature, with the blood vessels of the lower extremities predominating (leading to weakness in the lower extremities, intermittent claudication, and necrosis of the ends of the toes). Smokers who suspect they have this injury can have ultrasound, CT, MRI, etc. for diagnosis. Tannin recommends that men over 40 and postmenopausal women should have annual lipid testing, adults over 20 should have fasting lipids measured at least once every 5 years, and people with ischemic cardiovascular disease and other high-risk groups should have their lipids measured every 3 to 6 months. So can the damage to the cardiovascular system be recovered after quitting smoking? It takes 10 years after quitting to fully repair the damage to the vascular endothelium, however, this only prevents further deterioration of the lesion, but does not reverse atherosclerosis. Some smokers find it difficult to quit, so they comfort themselves with the notion that “someone who smoked lived to be over 90 years old”. This concept is incorrect and should not be interpreted as a case by case basis, but rather as “someone” who might have lived longer if they had not smoked. Moreover, there is no medicine that can stop the harm caused by smoking, and some health products that claim to “reduce the damage caused by smoking” have failed to meet the requirements of prevention and treatment in clinical studies, and are not recognized by the medical community. The only way to avoid cardiovascular disease is to quit smoking and maintain a healthy lifestyle. In terms of treatment, it is recommended that smokers should take statins to lower their cholesterol and aspirin to fight platelets – aspirin enteric tablets are now different from the old dosage form and should be taken before meals. Some patients can take some antihypertensive drugs to protect the vascular endothelium as well as heart function even if they do not yet have high blood pressure. A special reminder: “Treatment of cardiovascular disease requires a long-term ongoing process, and once the medication is discontinued, the effectiveness of treatment will be greatly reduced.”