33,000 Welsh smokers quit the habit since start of Covid-19 pandemic

33,000 Welsh smokers quit the habit since start of Covid-19 pandemic

Covid-19 has led to the biggest surge in smokers quitting in Wales since the 2007 smoking ban – with 33,000 Welsh smokers having given up since the pandemic hit.

According to analysis by ASH and University College London an estimated one million smokers in the UK have quit since the start of the outbreak, including 33,000 Welsh smokers.

Fears over the impact of the virus have been a major driver for those quitting, with 41% surveyed in the UK citing Covid-19 as their main reason for giving up.

Smokers are more at risk from Covid-19 because they have weakened lung defences as a result of smoking, which damages the cells protecting their nose, upper and lower airways. Many have existing lung and heart conditions caused by smoking that increase their risk from the virus.

ASH Wales joined other leading charities in welcoming the news and said the huge increase in smokers wanting to quit the habit meant it was more important than ever for Welsh Government to invest in stop smoking services and awareness campaigns to tackle smoking prevalence.  The latest figures from the National Survey for Wales had revealed that before the start of the pandemic, smoking prevalence in Wales rose to 18%, from 17% the previous year.

Suzanne Cass, CEO of ASH Wales, said: “What we’ve seen during the pandemic is a year’s worth of quitting figures in just four months.

“We know that smokers are at significantly higher risk from the Covid-19 virus, and we welcome the news that so many are quitting as a result.

“This presents an opportunity to tackle the stubbornly high smoking prevalence in Wales and it is crucially important that those smokers that do want to give up can access the smoking cessation support they need both to quit and to remain smoke-free.

“There is also a strong need to reach those smokers in deprived areas where smoking prevalence is highest, and health inequalities are greatest, with targeted community-based cessation support.

“We are calling for more funding for stop smoking services and awareness campaigns and to introduce tougher tobacco control policies and more smoke-free spaces that will de-normalise smoking and encourage more smokers to quit the habit. “

Joseph Carter, Head of Asthma UK and British Lung Foundation Wales, also welcomed the figures and called for a new strategy to tackle smoking prevalence in Wales:

“Smoking is still the biggest preventative cause of lung diseases such as COPD and lung cancer, so unless we tackle smoking, lives will continue to be affected by these conditions.

The news that 33,000 smokers in Wales have quit during the pandemic is deeply encouraging but to continue this progress, we need a new smoking and tobacco strategy with a target for a smoke-free nation by 2030.”

Last year ASH Wales joined forces with other leading charities to call on Welsh Government to set an endgame target to eradicate smoking in Wales. Currently there is a target to reduce smoking to 5% of the population in England by 2030 and to make Scotland smoke-free by 2034.

According to the latest ASH Wales YouGov survey, 68% of adults in Wales would support the setting of an endgame target to reduce smoking in Wales.

Andy Glyde, Public Affairs Manager for Cancer Research UK in Wales said:

“Smoking accounts for 3,000 cases of cancer each year in Wales and remains the most preventable cause of the disease. We have been calling for the Welsh Government to adopt a new target for a smoke-free Wales, where smoking rates drop to just 5% by 2030.

“To achieve this we need to see progress speed up, which will include more resources for smoking cessation services like Help Me Quit so it can support more smokers across Wales.”

Adam Fletcher Head of British Heart Foundation Cymru said: “Quitting smoking is the best thing you can do for your health and to protect the health of your heart. We want to see a clear commitment in Wales for a smoke-free target date of 2030 or earlier to ensure investment and action is taken to reduce smoking prevalence below 5%.

“Further investment in smoking cessation services and tobacco control policies is likely to be highly cost-effective for improving people’s health in Wales and reducing the burden of preventable disease on the NHS.”

Welsh Government proposals could see smoking banned outside pubs, cafes and restaurants

Smoking could be banned outsides pubs, cafes and restaurants, if new Welsh Government proposals get the go-ahead.

ASH Wales has welcomed the plans which would see tough new anti-smoking laws extended to the outdoor seating areas of pubs, cafes, bars and restaurants to protect non-smokers from the effects of second hand smoke. The move follows concerns that smoking and exposure to second hand smoke, puts people at higher risk of suffering more severe symptoms if they catch Covid-19.

The ban on smoking in the outdoor seating areas of pubs, cafes and restaurants could come into force during the next Senedd term if the proposals are given the go-ahead.

New legislation is being planned to come into force shortly and will ban smoking in the grounds of  hospitals and schools and in playgrounds under the the Public Health (Wales) Act in a bid to protect the public from second hand smoke and de-normalise smoking in the eyes of young people.

Research by ASH Wales has shown there is strong public support for the introduction of tougher measures to curb smoking in Wales. Its research has shown that 63% of adults support a smoking ban in the outdoor seating areas of restaurants and cafes and over half (59%) support a ban on smoking in town centres.

ASH Wales’ latest YouGov survey showed that 68% of people in Wales would support the setting of an endgame target to reduce smoking to less than 5% of the population by 2030.

Currently in Wales 17% of adults smoke, an estimated 440,000 adults, and 45% of smokers tried to quit last year.

Minister for Health and Social Services, Vaughan Gething, said:

“Our Tobacco Control Delivery Plan for Wales sets a clear vision for a smoke-free society in Wales in which the harm from tobacco is eradicated.

“We have begun the process of setting our priorities for post-2020 to further reduce smoking rates to achieve our aim of a smoke-free Wales and I remain committed to making more of Wales’ public spaces smoke-free.”

Suzanne Cass, CEO of ASH Wales, said: “In Wales, where 83% of the population don’t smoke, it is crucially important that we introduce measures both to protect non-smokers, but also to de-normalise this devastating addiction and encourage smokers to seek help to quit.

“As lockdown restrictions are lifted and customers, including families with young children, return to the outdoor areas of pubs, cafes and restaurants, it is more important than ever to ensure that staff and customers are protected from breathing in second hand smoke which we know carries significant health risks.”

Keir Lewis professor of respiratory medicine at Swansea University, said he welcomed the proposals and explained the risk of smoking in enclosed outdoor seating areas: ” We know there is a direct risk from inhaling second-hand smoke due to  the small particulate matter going into the lungs and making people more likely to suffer from respiratory symptoms and narrowing of their airways.

“Moreover, the closer you are standing to someone, the higher the exposure to these fumes and molecules and the higher this risk. This risk is especially highest for those working in the hospitality industry who are exposed to second hand smoke on a daily basis because the effects are cumulative, even if they are outside.

“Theoretically there is also an increased risk of smokers passing on Covid-19 because they cough more often and when people cough, we know the droplets spread further than two metres. There is also the risk that those exposed to second-hand smoke are more likely to cough and spread any of their droplets further.

“During these uncertain times, anything we can do in terms of reducing discomfort and risk to others and ourselves, without any harm to others- is a really good thing.”

Smokers are more at risk from Covid-19 because they have weakened lung defences as a results of smoking, which damages the cells protecting their nose, upper and lower airways. Many have existing lung and heart conditions caused by smoking that increase their risk from the virus. They also have more regular hand to mouth contact, giving more chances for picking up the virus.

Data from the COVID Symptom Study app involving more than 3 million people from the UK, Sweden and the US found that current smokers were 14% more likely to develop the three classic symptoms of Covid-19 infection – fever, persistent cough and shortness of breath – than non-smokers.

Smokers were also 29% more likely to report more than five symptoms associated with Covid-19 and 50% more likely to report more than 10, including loss of smell, skipping meals, tiredness, diarrhoea, confusion and muscle pain. In addition, smokers were more than twice as likely as non-smokers to end up in hospital with severe symptoms of Covid-19 having tested positive for the disease.

How I quit smoking during lockdown – Barry’s Story

Barry, from Swansea, planned to stop smoking once he retired earlier this year. What he didn’t anticipate was having to quit as the country saw itself transition into lockdown. Thankfully with support from NHS Wales Help Me Quit, he was finally able to conquer a 47 year addiction.  

I started smoking when I was 9 years old. I was the youngest in a group of friends who had already started smoking so peer pressure was a big part of it. My father and aunts and uncles also smoked so it seemed like the grown up thing to do. I began smoking more regularly when I was 14.

I decided to quit as I wanted to take early retirement and this would save about £100 per month. A friend I knew from the smoking shelter at work had a heart attack and died a day after I was talking with him and I was certain I didn’t want to go the same way.

I tried giving up initially 2 days after retiring but wasn’t ready. On the 29th March lockdown had started but I finally felt ready, so I smoked all the tobacco I had left and decided that was it.

Wales' NHS Stop Smoking Service - Help Me Quit

I had been advised not to go out so it was difficult. In the first 8 weeks I put on the best part of a stone which worried doctors. I have now stabilised my weight and have begun going out on more walks. I found the help of Help Me Quit invaluable. Even during lockdown they arranged for 12 weeks of patches for me and I had weekly phone calls which were helpful and confidence boosting.

I have to admit I still miss smoking but I know I’m doing the right thing. My advice to anyone wanting to quit is to do so as soon as you are ready, the younger the better, as the health impacts creep up on you. My other tip is to save the money you would have used for cigarettes in a jar, and spend it on something meaningful for YOU, no-one else. I intend to have a great holiday next year with the money I’ve saved from stopping smoking.

Barry is 56 and worked as a civil servant for 35 years alongside a number of other jobs. He’s married with 2 grown up sons and enjoys travelling, football, swimming, reading, puzzles, gardening, walking, cinema and eating out as well as spending as much time as possible with his family.

Smoker swaps cigarettes for 15,000 steps a day

After smoking for 27 years Andrew from Cardiff decided to quit following a health scare. He replaced smoking with walking and now aims to achieve 15,000 steps every day.

Andrew Action on Smoking and Health Wales

I quit smoking 7 months ago and it was the best thing I’ve ever done. I’ve now replaced smoking with walking and make sure I do a minimum of 15,000 steps a day, so it’s been a complete change of lifestyle for me.

I smoked for 27 years in total from 1992 to last November.  I had wondered whether there was any point in giving up, given how long I’d been smoking. I thought the damage was already done.

But I did lots of research and found out that even after so many years of smoking the body can repair itself and that after six months your risk from lung, mouth, throat and pancreatic cancer goes down. Your risk of developing smoking related conditions doesn’t disappear completely but it can make a real difference.

I’d decided to quit several times before using patches but never managed longer than a couple of weeks, a month at best.

Then last year I started to feel ill and had trouble swallowing my food. At that point I decided to give up smoking for good.

I saw my doctor who was very matter of fact and told me it could be the dreaded cancer then a week later I went for tests which included having a camera put down my throat. I got lucky in a way – they did find lumps, however they were benign and non-cancerous.

The lumps in my oesophagus might turn cancerous later on, who knows but hopefully not. I’m ok at the moment as I’ve got my medicine and I’m know that I’m more likely to stay healthy for longer if I don’t smoke.

At first the hardest bit about giving up was the anxiety. I was particularly concerned about the harm I’d done to my health and kept worrying about cancer.

It took about three months for this anxiety to start wearing off and what really helped was downloading a walking app and concentrating on my daily step count. That really took my mind off things.

My advice to smokers thinking of giving up would be of course to go for it. But I’d also say that it’s not easy and they have to be prepared to really work at it.

I’d also like to share with smokers some of the information I found on the Cancer Research UK website that really motivated me to quit.

If you smoke 20 cigarettes every day for a year that causes 50 DNA mutations per lung cell minimum and there are hundreds of millions of cells in the lungs.
Smoking also changes cells in the oesophagus, stomach, pancreas and liver to name but a few.

Another thing to consider is that people born after 1960 have a 1 in 2 chance of developing cancer at some point in their lives and that’s before you start smoking…

I really wish someone had shown me some of those statistics – if they had I would have stopped years ago.  But it’s really important to remember that it’s never too late to give up. Even after 20 years of smoking some of the damage can be reversed and your body starts healing within days of stopping. So, stub that cigarette out and get active.

Quit smoking to show your lungs some love

Today is the start of the British Lung Foundation’s Love Your Lungs Week, when the charity will highlight the importance of maintaining good lung health. To mark the occasion, we’ve listed eight reasons why quitting smoking really is the best way to show your lungs some love. ?

Smoking causes around 7 in 10 of all lung cancer cases in the UK. Around 9 out of 10 people who get lung cancer are smokers or ex-smokers. The younger a person starts smoking the higher the risk of lung cancer is. If you stop smoking, then after 12 years your risk of lung cancer is about 70% lower than that of smokers. After 15 years it is almost same as a non-smoker.

People who smoke are at far greater risk of developing respiratory infections. This is because smoking damages cilia, the tiny hairs that line the airways helping to sweep out mucus and dirt and allowing the lungs to stay clear.

Many smokers go on to develop the disease emphysema, which leads to severe shortness of breath. Alveoli are air sacs in the lungs that allow oxygen to enter the bloodstream from the lungs. Smoking destroys the alveoli, restricting the flow of oxygen around the body. Once the air sacs have been destroyed, they cannot grow back so smoking causes permanent damage to the lungs. Once enough of the alveoli have been destroyed the emphysema can develop.

Smoking causes inflammation in the small airways and tissues of the lungs. This can make the smoker’s chest feel tight and lead to wheeziness and shortness of breath. If the lungs are continually inflamed then scar tissue will build up. This can lead to a chronic cough and make breathing difficult.

quit for covidSmokers are more at risk of suffering severe symptoms if they catch Covid-19 because smoking destroys the cells that line the nose and the upper and lower airways. Once these cells have been damaged the body’s natural lung defences are less able to fight off respiratory infections.

Covid-19 also poses a higher risk to smokers because of the pre-existing conditions it is linked to. Many of these conditions, including heart disease and respiratory conditions make patients far more vulnerable to the effects of the coronavirus.

Smoking is the main cause of COPD (chronic obstructive pulmonary disease) which is caused by the chemical in smoke that damage the lining of the lungs and airways and leading them to become inflamed. Stopping smoking can however stop the COPD from progressing.

Within two days of stopping smoking, your lungs will start to clear our mucus and other smoking debris. The carbon monoxide in your blood will reduce by more than half and your oxygen levels will return to normal. Within three to 9 months, your lung function will increase by 10% and coughs, wheezing and breathing problems will improve.

If you would like to give up smoking then you can receive free smoking cessation support from NHS Wales’ Help Me Quit service. Contact the Help Me Quit helpline on 0800 085 2219 or click here.

What to do if you live with a smoker

If you don’t smoke, then life with a smoker can be challenging. From worrying about your loved one’s health to clashing over where they light up, smoking can become a source of conflict.

Lockdown restrictions will have exacerbated these tensions within many households, with non smokers forced to inhale second-hand smoke on a daily basis.

Concerns over the heightened risk faced by smokers from Covid-19 and the dangers of exposing children to second-hand smoke during lockdown, mean it’s more important than ever for smokers to quit the habit.

Persuading a smoker to change the habit of a lifetime, can be extremely difficult. A smoker has got to want to stop themselves and you may not be able to persuade them into taking action if they are not ready. Ultimately it is their decision. However there are ways for you to encourage them to think differently.

To help you to start conversations with a smoker about quitting, or changing their habits to protect you from second-hand smoke, we’ve put together a simple guide with some ideas you could try.

Get your facts straight before you start a conversation about why your partner should quit. Come armed with information about why quitting will benefit their health and the numerous deadly health conditions it causes. Simple, powerful statistics will help to strengthen your argument. Such as the fact that every 15 cigarettes they smoke will cause a genetic mutation in their body that could lead to cancer and that every cigarette contains 4,000 chemicals, many of which cause cancer. Tell them about the increased risk they face from Covid-19 if they continue to smoke. Evidence has shown that smokers are more likely to suffer more severe symptoms if they contract the virus.

Many people switch off when they hear bad news. Remember to speak not just about the dangers of smoking but about the huge benefits of quitting smoking and how their body will begin to recover within minutes of them stubbing out their last cigarette. Tell them that within a year of quitting smoking they will be 50% less likely to have a heart attack, heart disease or a stroke. Read our blog on what happens to your body when you quit smoking to find out how the body bounces back.

The financial impact of smoking can be huge. Remind the smoker about the cost of smoking.  A 20 a day smoker will be forking out a massive £3796 a year on cigarettes, while a 10 a day smoker will spend £1898 a year on their habit. Talk to the smoker about what they could spend that money on instead – a family holiday for instance, or a contribution towards a new car, home improvements or to pay off debts.

quitting smoking in lockdownTalk to the smoker about the different ways that they could quit and remind them that they don’t need to go it alone. You will be there to support them and there is great free, smoking cessation support available from NHS Wales Help Me Quit service which is currently offering help and advice via its helpline. Suggest that they make an appointment with their GP who can advise them on the options for quitting.

Find out about the different types of NRT (Nicotine Replacement Therapy) that is available and suggest some options to the smoker. Tell that NRT will enable them to satisfy nicotine cravings without actually having to smoke and that they may need to try different types of NRT before finding the one that suits them best.

Suggest that they may want to consider vaping rather than smoking. Vaping mimics the hand to mouth action of smoking and delivers a hit of nicotine, however e-cigarettes do not contain tobacco and are 95% less harmful than conventional cigarettes, according to research by Public Health England.  Find out where your local vape shop is and plan a visit when it is open.

Many smokers say they smoke to combat stress or anxiety. Explain to your smoker than smoking and the constant need to satisfy nicotine cravings, is actually a source of stress and that they could improve their mental health by quitting. Suggest alternative ways that they could deal with stress. Exercise can be particularly effective. A new hobby or project can also act as a distraction.

If the smoker in your life is not ready to quit at this time, then speak to them about the importance of not exposing those around them to second hand smoke. It is particularly important not to smoke in the home. Tell them that exposure to second hand smoke increases the risk of lung cancer in non-smokers by up to 30% and heart disease by up to 35%. Children are particularly vulnerable to the effects of inhaling second hand smoke as their lungs are smaller and still developing. Passive smoking increases their risk of lower respiratory tract infections such as flu, bronchitis and pneumonia by 50%.

80% of cigarette smoke is invisible and hangs around in the air for four hours even after a cigarette has been stubbed out. Suggest to the smoker that they could try using NRT in the house to combat nicotine cravings and remind them that opening a window or using an air purifier while they smoke indoors, will not help. The only way to protect others in the household from second hand smoke is to leave the house, close the door and smoke outside, well away from other people.