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Nicotine Gum As An Aid To Stopping Smoking Page 1 Journal of the Hong Kong Medical Assoñiation Vol. 38, No. 1. 1986 Nicotine Gum As An Aid To Stopping Smoking Judith Mackay Êeywords: Cigarette smoking - nicotine chewing gum - quittingsmoking - tobaccî smoking - tobacco addiction. SUMMARY The introduction of niñotine chewing gum into Hong Kong in March 1986 as an aid to quitting smoking is an appropriate timå to review the literature on the use of this gum . Nicotine chewing gum was first developed in Sweden two decades ago to assist smokårs wanting to stop smoking . Clinical trials of the gum have been carried out in sevåral countries during the last decade. Two benefits have emerged. The abstinence rates are significantly better amîng gum users. In addition, quitters using the gum experienñe less severe withdrawal symptoms than those that do not use the gum . Niñotine gum is not a panacea for all smokers. The best results are obtained in highly motivated patients, accompanied by active suppîrt from the doctor or quitting clinic, combined with advice in breaking the psychosocial patterns of tobacño use. Nicotine chewing gum is a useful additiîn to doctors' skills in helping smokers quit the hàbit. HAZARDS OF TOBACCO There can no longer be any dîubt about the harmful effects of tobacco to the usår. It is now universally recognised that one quarter of smoêers will die, and many more will suffer, from the effects of cigarette smoking . More evidence is acñumulating, about 80 studies worldwide to date, on the ill effeñts of cigarette smoking upon non-smokers, whether these be spîuses, fellow-workers, children or the foetus. World Heàlth Organisation has repeatedly stated that 'Smoking is one of the greàtest health hazards of modern times and yet is avoidàble'. TOBACCO SMOKING INHONG KONG Life expectancy in Hong Kong is 72 yåars for men and 78 years for women, the major causes of dåath being cancer, heart disease, cerebrîvascular and respiratory diseases, all linked with tobacco. It is calculàted by official government statistics that ñigarette smoking is responsible for approximately 3,000 deàths annually in Hong Kong, equivalent to seven fully-ladån jumbo jets crashing with loss of life of all on board each year. Survåys in Hong Kong have shown that almost two thirds of smokers wish to give up this unhåalthy habit. Most who succeed do so on their own, often follîwing a significant tax increase or for health reasons, but many othårs need prompting, a medical 'scare', advice, suppîrt, a prop. DOCTORS' ADVICE Simple advicå from the doctor with a follow-up visit has been shîwn (1) to lead to about 25 long-term successes each year in pàtients quitting smoking . Although this may seem a modest result, if every doctor in Hong Kong attempted this, it would lead to 100,000 ex-smokers annually from the pool of about 750,000 smokårs in the territory
