How to approach the question of smoking in health units with a tuberculosis program in Brazil?

摘要

Background: In Brazil, tuberculosis is a serious public health problem, every year approximately 70,000 new cases are reported and 4,500 deaths occur due to the disease. The major global guidelines on tuberculosis do not highlight the need for tobacco control to better control tuberculosis. In Brazil, tuberculosis is treated free of charge and provided by the Unified Health System. In order to guide the approach to smoking in health units with a tuberculosis program, a manual has been developed to empower services, health professionals and managers. Methods: Elaboration of the Manual "How to address the issue of tobacco control in health units with a tuberculosis program in Brazil?" Was based on the Clinical Protocol and Guidelines on Nicotine Dependence advocated by the Brazilian Ministry of Health. He participated in the elaboration of the National Tobacco Program of the Ministry of Health, National Tuberculosis Program of the Ministry of Health, Representative of PAHO Brazil and representative of the Brazilian Medical Association. Results: Manual has been finalized and will be distributed to all health units that attend the National Tuberculosis Program. It is hoped to contribute to organize the articulation of tuberculosis services in the health units with the tobacco control program, to establish better care practices for the patient with tuberculosis who wants to abandon tobacco use. Conclusions: The manual "How to approach the issue of tobacco control in health units with a tuberculosis program ?" Will instrumentalize health professionals to approach smoking cessation among the population with tuberculosis and optimize that this approach occurs preferentially in the attention Mainly in areas of greater poverty and misery. Thus, units should be able to apply at least the minimum approach or that have all the guidance to refer patients with tuberculosis who demonstrate motivation to quit smoking to units licensed for smoking cessation in the municipality.