TOBACCO PANDEMIC Smoking is a chronic addictive disorder, where relapse is part of the quitting p rocess. Understanding and contributes in improving our attitude to understand th e problem. The snuff is the leading cause of preventable death in developed coun tries and also the leading cause of years of life lost prematurely with YLD in S pain Spain has a greater prevalence rates of the European Community with a 27.1% of smokers among the population aged 16 years and only 1% decrease between 2003 and 2007 (National Health Survey, 2007) (Table 1). In the countries of Eastern Europe there are more smokers so the average prevalence in Europe is 28.6% (40% male and 18.2% women) among men born around 1920, prolonged cigarette smoking ha bit from early adult life tripled specific mortality rates by age, cessation of snuff to 50 reduces the risk in half and cessation at age 30 avoids almost compl etely (Doll R, 2004). Quitting smoking is associated with a substantial reductio n in risk of death from all causes among patients with coronary heart disease ov er 60% of smokers want to quit smoking and has made any attempt to quit in the p ast year (Jiménez Ruiz CA, 2000). Many of them resort to manuals and other do n ot know where to seek help effectively. It is increasingly common request for he lp to stop smoking in a primary care clinic. In our consultations each year goes to 75% of people assigned and most have 5 or 6 times. Although there is little time on each occasion, we have many opportunities to intervene and pharmacologic al weapons and proven non-pharmacological. Smoking is highly prevalent, causes h igh morbidity and mortality decreases with quitting, smokers often come to our c linic and want to quit and effective treatments available to help, hence in all clinical practice guidelines recognize the role of primary care professionals as a key in addressing this problem. Addictions are a problem in the field of public health, requiring comprehensive and coordinated actions that must be included the efforts of all sectors of soci ety about the health sector takes action, through the National Council Against A ddictions (CONADIC), with national programs, which combine the many proposals an d ideas that engage in countless groups and national and international (1). Howe ver, the timing and the conditions under which described the approach and attent ion to lower rates of addiction does not seem to reflect the effort and care groups and organizations, which among its activities is the implementation of strategies and activities against smoking for the benefit of the population. Tobacco smoking is a preventable disease is associated with more health problems and causes of death worldwide. In Mexico during 2000, it was estimated that ove r 40,000 deaths annually are associated with the consumption of snuff. The cost of this public health problem for our society is reflected in the premature deat hs, the invalidity of productive population and a deteriorating quality of life of Mexicans. Moreover, that attention to acute and chronic diseases caused by sm oking severely affect the budget systems to health care (2,3). The smoking as an epidemic, a constant opportunity to work and raise awareness. The anti-smoking programs, provide guidance and a commitment to work, progress in developing comp rehensive responses and initiatives proposed by many institutions and public org anizations, social and private. This in order to provide the population with aff ordable health alternative to smoking and with the purpose, to help preserve and improve the health of the population. Moreover, the spread of the epidemic of s moking has contributed to raise the development of strategic actions in the legi slative, preventive, treatment and rehabilitation as well as in the area of rese arch and community participation at the national level in international€this ty pe of effort is in addition to actions for tobacco control that initiated the Wo rld Health Organization and contributes to fulfilling the commitments it entered Mexico during the General Assembly of the United Nations in June 1998 and the X World Conference on Snuff and Health, held in China in 1997 Mexico and its corp orate strategy against smoking: SSA-CONADIC The field of preventive and curative care, smoking has relatively few years established in Mexico. It was in 1984 th at for the first time the General Health Law consider addiction, drug addiction,

alcoholism and smoking as a general health problem. This regulatory scheme led to the creation in the Ministry of Health (SSA), National Council Against Addict ions (CONADIC) on July 8, 1986 whose objectives are to promote and support the a ctions of the public, aimed at social and private prevent and combat public heal th problems caused by addictions, as well as propose and evaluate national progr ams on Alcoholism and Alcohol Abuse, Smoking and Drug Dependence (6.7). The anti -smoking program in 1986, developed with the consensus of the representatives of different sectors within the Technical Committee on the matter, was directed sp ecifically to the analysis of aspects of health, education, research and legisla tion in this area, Based on epidemiological and clinical approaches first in the country. Raised broad strategic guidelines aimed at prevention, health care, le gislation and research as the model of the agent, host and environment. By 1992, advances in these lines of work are to be the basis for the anti-smoking progra m was updated, counting, once again, with the active participation of more insti tutions. However, was not available specific mechanisms to carry out monitoring and evaluation of the commitments ma de by participating institutions. In 1993, the Department of Epidemiology perfor ms the second National Survey of Addictions, which was the basis for trends of t obacco use and support of the establishment of new priorities for how to provide care services to this phenomenon or situation that its dimensions, and was one of the major public health problems in the country. However, the prevalence dete cted in urban households pointed out that around a quarter of the population had used snuff "sometime in their life", which allowed us to estimate more than ten million users. These results prove that despite the actions taken, snuff consum ption remained high, particularly among adolescents, young women and a stable in come urban groups. It is 1997 when the SSA, through the Secretariat for Disease Control and Prevention, established the Program for Prevention and Control of Ad dictions, by the CONADIC, as one of its priority programs seeking to strengthen, expand coverage and increase the impact at the national level. All this in orde r to comply with the Program on Health Sector Reform 1995-2000. Similarly, the r egulation was issued Snuff consumption to implement the provisions of Article 18 8 of the General Health Law, which refers to the prohibition on smoking in facil ities of the Federal Government, National Health System and entities providing s ervices federal level. A pandemic of our times Smoking is now one of the biggest health problems in the world. Several diseases are associated with smoking, such as cardiovascular disease and lung bronco. Si nce respiratory cancer to become the gateway for illicit drug use, the snuff and consumption, with consequent morbidity and mortality, is a significant concern for the Pan American Health Organization. Some evidence worldwide point in the l ast decade, the tendency to start smoking snuff increasingly younger ages for bo th women and men, which implies the urgent need for preventive measures aimed at adolescents and young. In Bolivia, demographic changes and epidemiological prod uct of cultural, social and economic, are encouraging a transition box complex. It coexist infectious problems together with the emergence of new problems and c hallenges for public health as the case of non-communicable diseases, where a ma jor risk factor is smoking. In this regard,€an important step taken by the Boli vian state, is the ratification of the Framework Convention Snuff Control under Republic Act No. 3029, same as that found in the regulatory process. Considering the need for information and learn about experiences that help the d ecision-making, we present below some relevant aspects that were promoted by Pan American Health Organization, and also information which we consider Smoking Since smoking represents a global epidemic and the most common cause of preventa

ble deaths in psychodynamics we have developed an effective treatment to eradica te it (to know more about smoking). Thanks to Hypnosis Clinic (learn more about Clinical Hypnosis), from the first session the patient can stop the compulsion t o smoke, because we promote serenity and eliminate episodes of anxiety inherent in this problem. Parallel to this, during our treatment breathed new habits to a chieve healthy living. Initially, treatment consists of frequent meetings (every two or three days) and then start spacing these meetings to the extent that the patient regain control over their habits.