• An evaluation of the range and availability of intensive smoking cessation services in Ireland.

      Currie, LM; Keogan, S; Campbell, P; Gunning, M; Kabir, Z; Clancy, L; Research Institute for a Tobacco Free Society (RIFTFS), The Digital Depot, Thomas Street, Dublin 8, Ireland, lcurrie@tri.ie. (2009-06-27)
      BACKGROUND: A review of smoking cessation (SC) services in Ireland is a necessary step in improving service planning and provision. AIMS: To assess the range and availability of intensive SC services in Ireland in 2006. METHODS: A survey of SC service providers in Ireland was conducted. Descriptive analysis and simple linear regression analysis was used. RESULTS: Response rate was 86.3% (63/73). All service providers surveyed are employing evidence-based interventions; the most common form of support is individual counselling with initial sessions averaging 40 min and weekly review sessions 20 min in duration. Reaching the recommended target of treating 5.0% of smokers does not seem feasible given the current distribution of resources and there appears to be regional differences in resource allocation. CONCLUSIONS: While intensive SC services are available in all four Health Service Executive Areas, it would appear that there is little uniformity or consistency countrywide in the scope and structure of these services.
    • Smoking prolongs the infectivity of patients with tuberculosis.

      Siddiqui, U A; O'Toole, M; Kabir, Z; Qureshi, S; Gibbons, N; Kane, M; Keane, J; Trinity College Dublin, Centre for Global Health, 3-5 Foster Place, Dublin 2. siddiquu@tcd.ie (2010-10)
      We sought to establish if smokers on anti-tuberculosis treatment are more likely to have a prolonged period of infectivity, compared to non-smoking tuberculosis patients, in a low tuberculosis prevalence country. We conducted a cross-sectional, retrospective study in Ireland that recruited 53 microbiologically confirmed cases of pulmonary tuberculosis (PTB). The age-sex adjusted odds ratios (AOR) suggest that the infectivity status of PTB on treatment was four times more likely to be prolonged beyond 6-8 weeks, if the cases had a smoking history (AOR: 4.42; 95% CI: 1.23; 15.9). Smoking was associated with delayed sputum smear conversion in PTB patients on treatment.