Devrait-on interdire la cigarette électronique? (Should we ban electronic cigarettes?)

By Camille Laurin-Desjardins, Huffpost. With comments from Nicholas Chadi. Oct 3, 2019

Les mauvaises nouvelles s’accumulent depuis quelques semaines pour les adeptes de la cigarette électronique. Après des centaines de cas aux États-Unis, puis un en Ontario, il y a deux semaines, ce fut au tour du Québec, la semaine dernière, de déclarer un premier cas de maladie pulmonaire sévère liée au vapotage. […]

Ces premiers cas au Canada ne sont que la pointe de l’iceberg, selon le Dr Nicholas Chadi, pédiatre au CHU Sainte-Justine et clinicien-chercheur spécialisé en médecine de l’adolescence et toxicomanie. Il travaille d’ailleurs en ce moment à l’élaboration d’un sondage à ce sujet qui sera lancé la semaine prochaine, en collaboration avec Santé Canada et l’Agence de santé publique du Canada, qui visera à répertorier tous les cas de maladies et de blessures attribuables à la cigarette électronique. Article complet

A parents’ guide to vaping, JUULing and e-cigarettes

By Amanda Lee, with comments from Nicholas Chadi
Today’s Parent, Oct 3, 2019

[…] While vaping is a relatively new, Dr. Nicholas Chadi, a pediatrician specialized in adolescent and addiction medicine at Sainte-Justine University Hospital Centre in Montreal suggests using the same sort of strategies you’d use to help teens quit cigarettes.

He recommends one-on-one or group counselling or motivational interviewing, which helps teens resolve their insecurities and find the motivation they need to change their behaviour.

Parents can also look into a phone/text line that can help them quit. “Find out what teens do and don’t like about vaping,” he says, “And have them come up with their own goals to quit or reduce their use.” Read more

Canadian pediatricians to document vaping-related illnesses

Interview with Nicholas Chadi, CTV News Montreal
Wednesday, October 2, 2019

In search of new data, Canadian doctors will soon track vaping-related illnesses.

Last week, Quebec public health declared the first case of a patient with severe pulmonary disease related to vaping in the the province. 

In recent months, more than 800 similar cases have been reported in the United States. Of those, 16 per cent were young people under the age of 18.

Watch the full interview with Dr. Nicholas Chadi here.  

Les adolescents qui fument reçoivent moins d’offres d’aide pour arrêter (Teens who smoke don’t receive as much help to quit)

By Jean-Benoit Legault, The Canadian Press, September 23, 2019
With comments by Nicholas Chadi
Published in L’Actualité

Les professionnels de la santé proposent aux jeunes fumeurs moins de solutions pour abandonner le tabagisme qu’ils ne le font à leurs patients plus âgés, a constaté un chercheur du CHU Sainte-Justine.

«Je pense que c’est un manque de formation et d’éducation, et c’est une philosophie qui doit changer, a expliqué le docteur Nicholas Chadi, un pédiatre spécialisé en médecine de l’adolescence et toxicomanie. Je suis toujours surpris d’entendre les pédiatres me dire, ‘oh non, j’ai jamais essayé ça, je n’ai jamais prescrit pour des jeunes’. On ne pense pas nécessairement à un jeune avec une ‘patch’ pour le tabac, mais au contraire, ce sont des outils qui peuvent vraiment faire partie d’un plan efficace pour les aider à arrêter de fumer.»

Le docteur Chadi et ses collègues s’intéressent, dans le journal médical JAMA Pediatrics, aux taux de réception des traitements contre le tabagisme sous deux formes: la thérapie ou le counseling individuel, ou la médication (timbres, gommes et médicaments). Article complet

Doctors fail to help teens quit smoking, study finds

By Erin Schumaker with comments from Nicholas Chadi ABC News, September 23, 2019

With eight deaths in the United States, one in Canada and a spat of vaping-related lung illnesses linked to e-cigarettes in recent weeks, public health officials are increasing pressure on retailers and parents to keep teenagers away from electronic smoking devices.

Yet despite serious risks, doctors aren’t doing enough to help young people quit smoking, a new study published Monday in the journal JAMA Pediatrics found.

“Nicotine is an extremely addictive substance, and with skyrocketing rates of e-cigarette use, we can expect that more and more teens will develop nicotine addiction in the years to come,” said Dr. Nicholas Chadi, lead author of the study and a pediatrician at Boston Children’s Hospital. Read more

The science behind why vaping is becoming so popular in Canada

Adam Miller – CBC News, with comments from Nicholas Chadi September 20, 2019

Vaping is quickly becoming a lot more popular with Canadians, despite what little is known of its long-term health effects.

Experts say part of the reason for the surge in use in such a short time is the evolution of the devices themselves. […]

“What we’re seeing now is rapidly increasing rates of e-cigarette use in teens and young adults,” says Dr. Nicholas Chadi, a pediatrician at CHU Sainte-Justine in Montreal and addiction medicine specialist. 

“They’ve been very aggressively marketed in all sorts of forms — social media and big billboard ads — to target young people, even though companies will say the contrary. The marketing strategy has worked very well.”  Read more

Des milliers de jeunes hospitalisés en raison du cannabis (Thousands of youths hospitalized due to cannabis use)

Reportage TVA Nouvelles, 19 septembre 2019
Avec Harold Gagné et Nicholas Chadi

En pleine campagne électorale, une étude publiée par l’Institut canadien d’information sur la santé démontre que le cannabis accroît considérablement le nombre d’hospitalisations chez les jeunes de 10 à 24 ans au Canada.

Le Québec en subit lui aussi les contrecoups, ce qui inquiète les professionnels de la santé.

En 2017-2018 au Canada, il y a eu près de 24 000 hospitalisations chez les jeunes de 10 à 24 ans, dont 40% en raison de la consommation de cannabis et 26% d’alcool.

Visionner le reportage ici

Health-care system is struggling to manage cases of young Canadians hospitalized for drug-related causes, report says

By Erin Anderssen, The Globe and Mail, September 19, 2019
With comments by Nicholas Chadi

The vast majority of Canadian youth being hospitalized for drug-related injuries or overdoses also have a mental-health condition, according to new numbers that show the most common substance behind those hospital stays is cannabis, not alcohol. […]

Pediatric specialist Nicholas Chadi opened his substance-abuse clinic at Montreal’s Sainte-Justine University Hospital in August, and already has a crowded roster. This includes a 13-year-old hospitalized for an opioid overdose, but also three young people with chronic vomiting brought on by long-term marijuana use. Given the strength of new marijuana on the market, and the fact that many teens use it in edibles and oil concentrates, he said many such cases are likely happening across the country. Read more

Time for Canada to move forward with flavored e-cigarette ban

Interview with Aarti Pole and Nicholas Chadi

CBC News, September 15, 2019

In a letter sent to the Minister of Health of Canada earlier this week, the Canadian Paediatric Society advocates for a ban of flavored e-cigarette products nationwide, similar to what has been proposed this week in the US.

Join pediatrician Nicholas Chadi, clinician-scientist, addiction medicine specialist and nicotine and tobacco spokesperson for the Canadian Paeidiatric Society as he discusses the health risks associated with youth vaping. Watch the full interview here

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