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gain political points. boiling over in the u.k. . by taxpayer money billions in bonuses despite. the rest of the country. almost half of russia's population. dying of a smoke related disease every single minute our spotlight. going off now talks. about what can be done to stay with us. hungry for the full story we've got it for. the biggest issues get a human voice face to face with the news makers.

bringing you the latest in science and technology from around the clock. we've got the future covered. power again and welcome to the spotlight the interview show an r.c. pilot and today my guest is jeff nessa. every year new viruses appear which can terminate thousands even then mutated flu can become a legal weapon but a lot of people make it even worse by smoking cigarettes contain acid poison and even radio active elements no wonder cigarettes are called the cough and nails but how can we resist infections if we can't resist bad habits my guess is a surgeon who knows all about the long disease professor.

in recent years a number of infections caused panic in many countries the most recent condemning disease was the h one n one virus or swine flu which killed nearly fifteen thousand people but many people weaken their immune system by smoking instead of caring about their health professor zubair massara is one of those promoting healthy lifestyle he's an advocate of quitting smoking and he'll be explaining how small groups can kick the habit. in the south thank you very much for coming welcome welcome to spotlight well first of all according to the w h statistics in the near future the number of little heart attacks will be decreasing well today heart attacks is called the number one killer in the world while the number of people with chronic lung disease is on the

rise is it true and if so what's what's the reason why is it such a trend well first of all we noticed since a couple of years that targeted by cardiovascular diseases is decreasing whereas maternity by cancer or by lung disease this is interesting because it's so different definitely true and predictions for the year two thousand and twenty predict that for instance a chronic respiratory failure owing to. smoking emphysema such diseases would be killer number three so. after heart disease in automobiles or after heart this isn't cancer unfortunately heart disease and cancer still. will have a high ranking of but you should consider that heart disease for instance is better control because physicians all over the world better control risk factors and the second point is that cardiologists. have improved treatment at the early

stage promoting early canio underground and invasive procedures such as standing you mentioned risk factors well for a long disease what are the main risk factors for the disease for a long disease i would say that risk factor number one above all is smoking of course there are secondary factors such as professional exposure there is a lot of progress which has been done over the years to improve working conditions . pollution of course is also of a concern but we shouldn't forget that smoking is fact the number one and it is the pollution that you choose yourself but how can we prevent disease for people living in such big and contaminated cities as moscow in new york city i

mean that the big big mega pounces i mean that it i think in mid may doctors say specialist at least say that it's it's no better than smoking living in one in the center of a city big city is it true i think that is a little bit exaggerated i would say that smoking is by far the most dreadful factor because if we compare incidence of lung cancer on the countryside or in a large city it isn't that that. much different because it is in france by smoking and not by air we pollution of course other diseases such as just my chronic bronchitis also depend on where we're on air pollution and that is not the problem for doctors that's a problem for politicians to work on the cause of gee how to improve ecology. you mentioned smoking in the lung cancer well nobody argues that that smokers suffer from lung cancer more are from the nonsmokers but i heard it from doctors

myself and is it true that there is no proof that that smoking causes lung cancer the mechanism of how smoking causes lung cancer is yet unknown so it is unproven well first that the precise mechanisms of genesis of lung cancer are on study and the more we find in molecular biology the more we open questions of them along the other hand those doctors who say that lung cancer does not depend on smoking are probably smokers themselves and try to find some other reasons definitely there are serious epidemiological studies which have been published in the early sixty's already which demonstrated a very clear relationship between smoking and lung cancer and most interestingly the first minute rick survey on that question was made on english doctors.

many doctors also at least in russia are smokers and heavy smokers themselves and there i think that doctors don't play an active enough role in anti-smoking campaigns do you have the do you share the same feeling don't you think that doctors should should be more active in these campaigns more aggressive i would even say. i entirely agree with you that doctors are people which are regarded in some way by the population and they should proceed with a good example. then of course it depends on which specialty. of the doctor he's working in i mean that. especially cardiologists and. physicians are aware of their impact on to fight against smoking and

if you look at scientific societies like for instance the russian association for medicine you have the european respiratory society which had rates all upon a physicians of the european space they are very active in making campaigns such as that those societies have antismoking committees who are actively working and. trying to influence the ministry of health because you know. there is there masking i quit smoking myself exactly one year ago and the doctors helped me a lot because i i made this several times i couldn't do it without doctors without medicine without special things but there is no advertisement and i am amazed like we're living in the twenty first century we cure near cards drug addicts heroin addicts you see advertising everywhere come to our glibc we'll help you fight

alcohol will help you find heroin cocaine whatever there's no advertising come we'll help you we'll help you quit smoking why because is it because of the of the cigarette companies lobby they they won't allow these clinics to advertise i want. that's a political issue indeed and the exact role of the. tobacco producers is not quite clear. what happened so far as for instance in european countries. our descriptions on the packages that smoking and dangerous have such you can die from smoking but i agree entirely with you that for the population does not quite clear where to go when you want to quit smoking although. most commonly doctors for instance have done some special teaching. for quitting of smoking habits because smoking is an addiction in the same way as alcohol or herein

and even worse to some people and with me they said my diction was was worse then than with heroin addicts because because it's not it's not such just so destructive but it's very addictive let's see what russians think about smoking in about quitting spotlight's cutter you know anyone who has tried to find that. they are well according to the world health organization there's forty one real adult smokers in russia which is the highest number in the world well let's try to find out if this people even tried to quit smoking. yes i would because i spend lots of money on cigarettes i also want to try and live a bit longer if i could. yes i do because i'm tired of smoking and i don't want to waste my time on it but i'm scared of yes i did because it affects my health no one on why should a crystal clear i like smoking hi i'm so sorry for every minute last nights ago. i already tried a few times but it's really nice small. i enjoy my cigarettes every secret

but what about your health i already care too hard to protect so i'm not really expecting to live forever with. yes well i did but not anymore because it is hard to do that i've been smoking now for about ten years and i will probably keep on doing it the rest of my life the rest of saw out i've got lucky just got a question for our guest. smuggler the can i. without any help from doctors smoking cold turkey and not. well what we say i couldn't i couldn't quit until i got professional help from doctors what would you say is it is it possible for other people to quit without medical help well i take my only example i have been able to quit smoking. by motivation but my advantage was that i smoked only actively five or six years for those people who smoked more

than ten fifteen years the body is so much. addicted to nicotine that without specialist medical help. the failure rate is very high so i recommend first to have a high motivation and second to find a good doctor who helps with adequate medications for you call high in motivation many be a did you hear that that guy saying that i like smoking i mean i will be a usually harmatz evasion when you when you visit a cancer clinic and said hey guy a year a year i have problems this is what people call motivation that's unfortunately when people have cancer have had their first heart attack it is a little bit later ready and it would have been preventable if they had quit smoking earlier says rebel and well known lung surgeon spotlight will be

back shortly we will continue this interview after a break so stay with us don't go. and. her. her. mother. telling her. this history still keeps its secrets but now it's time to reveal the hidden in the

soviet files house on the embankment and on t.v. . welcome back to spotlight and al green of in just a reminder got my guest in the studio today is dark to. our well known long surgeon transplant tara just. now we both as we found out minute ago have been smokers and we both quit so we both know a lot lots of legends steerage sabse about smoking not smoking well i'll mention some of them and you come and well you know of course you heard these things about

my grandfather living somewhere in georgia in the highland smoked and drank red wine and lived lived up to one hundred twelve years so which means smoking is good but in the serious thing is that many people including me when i quit at least for six or eight months i felt awful is it true that for a person who has been smoking for twenty thirty years it may be harmful to to quit nicotine which becomes part of the of the functioning of these organisms. i don't think so of course you have a lot of diverse affects when you quit smoking that is all the. addictive effects your body's missing something and this leads to several symptoms but all these symptoms are functional symptoms not organic symptoms so was appropriate treatment this can be healed quite easily the big problem is that if you get disappointed

because these symptoms come and you start smoking again this would be much more dreadful for your body in one of the legend which i call the legend about passive smoking. are you sure that passive smirky i mean sniffing smoke when somebody else is smoking nearby is it as harmful as some say passive smoking is maybe not as harmful as active smoking but it should be regarded as a factor of increased risk very serious epidemiologic studies which have demonstrated that the incidence of lung diseases such as chronic bronchitis or cancer is increased in passive smokers like you where i live on the first floor of . a building in. one of my neighbors sets on a bench near the house and smokes a cigarette all the time and the other one has his driver outside outside the

door with his engine on waiting for him all the time and keeping the engine warm and the car warm which is worse for me the guy than smoking a cigarette in the garden or the guy that's keeping his car running if the person is sitting outside in the yard i would say the car is more than real car as it were but if you are really working if you're working and wrong and if you have a leisure and you're on month where you're sitting in an unventilated room with many people smoking that becomes very dangerous that explains why in several european countries we have forwarded on to smoking laws so that this forbidden to smoke at the working place to smoke in restaurants or cafes. the statistics show that you can't quit a cigarette but cigarette will never quit year what they mean is that you can

completely you can't completely undo the damage that smoke has already done to your lungs you have seen many lungs from the inside yeah is it true that i've quit smoking like smoking for a year and even in five in ten years if anybody sees well once the invaders are on this guy that's awful is it true we can't do anything about it. absolutely right. the immediate effect of smoking is that you have a clearance of some of the towers has stayed inside the bunker but they never clean completely and. it seems that after ten years the risk for cancer for instance is a little bit decreasing but remains higher than in the non relational that there are smokers here that sound sad. there. movement in russia people are starting to quit smoking there is at least efforts to launch an

anti-smoking campaign but it still as we heard it still isn't effective when do you think. we will see the first effects of an anti-smoking campaign well if we say it started like a couple of years ago it will take a couple of decades or less all depends generationally i think it can move forward quicker to say eight to ten years and all depends how the minister of health is. helping in this campaign if for instance there is a law that there will be no more any advertisement for cigarettes if there is a law that you forbid smoking in public spaces on working places this will help a lot if you have just a complain where doctors are seeing smoking is dangerous please stop and nobody will follow of course it never see your lung diseases tuberculosis and when i was a kid we heard that brew close is done away with there is no war to

a close is maybe somewhere in africa or i don't know now it's coming back including russia including developed countries what's the reason is the truth what's the reason for that well the reason for the comeback of tuberculosis is probably an increase to the migration so that people coming from areas where tuberculosis is still a frequent problem coming to other countries where there is a low level of tuberculosis this may rise the level because in those countries where there is a low prevalence of the disease we are less. careful about it and we have lost the structures for early diagnosis so we get up to more advanced disease and the second problem is with ongoing. treatments you have a rise of resistant bacteria so. this old explains the phenomena. long disease are

a trigger not only by smoking or air pollution but also by viruses like swine flu which was the clear head at pandemic in two thousand and nine doctors have recently discovered its mutated version spotlights the me the has more. millions of people across the world were affected by swine flu the first than demick in forty years the much feared virus caused worldwide hysteria but eventually turned out to be much less dangerous than expected its death rate was hardly higher than common flu not that the pandemics declared over this chance that its mutated version might strike back so far only two cases of when you were discovered strain have been registered in the u.s. but that's enough for the world health organization to send out an international alarm the new virus strain is called a h three n two and is expected to be more dangerous than swine flu as it's actually

a combination of three different viruses including one with a death rate of up to eighty percent doctors hope to skate open demick this year and hysteria over swine flu that simple as it is a fact on people it's made them more conscious and how to prevent it spread twenty five million russians have received their regular flu vaccinations this year. seven years ago the sars virus or which originated in china came to europe came to other parts of the thirty seven countries were affected and thousands of people suffered it really cost panic around the world can we avoid such that things in the future were as you said because of the openness migration these things are unavoidable well i think if you look back to history you have had a. pandemic. flu infections all over the last ten. very. these are monitored back to the twenty's so that

a pandemic status comes up to my sense cannot be avoided it will be enhanced of course by the intense migration we notice nowadays. therefore the only thing we can recommend of south professionals is to follow the advice to go to vaccination when it is advertised. last time there was this pandemic called the swine flu i was among those who strongly suspected that this new prime damaging swine flu because well they told me that that's why they're there they're pigs they suffer from any flu i mean any flu goes to pigs because pigs are genetically close to people yet so so i have i have a strong suspicion that it was all this pandemic that this this this bad it was a result of the cynical campaign by pharmaceutical companies which wanted to sell sell more and more drugs in and make people cautious do you believe this may be

a case like sort of pharmaceutical mafia trying to cause panic and then make people buy more and more drugs when of course. many people talk like that i cannot imagine the pharmaceutical company completely quit normal ethics and behave the. world his way normal that examine his business ethics are different from our in the south. but i would say that maybe. the effect of this panic came from different principles there was also a kind of over estimation of the risk by the different national institutes of. but when we are talking about our health is it better to be too much cautious or not cautious enough or. has question i started quitting when i quit so i. he started by doing this computer tomography which is very expensive i mean i

mean it costs this cost nearly a thousand euro to make to make a total scan and you should find this find this machine i think only two or three of them in moscow when will that become cheaper and available to all of the people . when it will become available and when it will become cheaper i'm not the right person to say that the only thing i can say is that i. have been many. prospective studies on screening for lung cancer for instance with computer tomography and the results are quite controversial because some studies say yes it is useful and others say no it's not that useful because you find many nodules which are not cancer and you increase stress for patients. the cost of health care because some people go to an operation for instance which they don't really need so it's like always it's not very clear cut. thank you thank you you haven't made me

more optimistic but i assure you made your audience more informed which is good thank you for just a reminder that my guest today was chill back in the south doctor's bama south is a well known long surgeon and that's it for now from all of us here if you want to have your sense spotlight drop me a line we'll be back with more first hand comments on what's going in and around this country until then state party and take care.

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