Page 69 - TAIWAN TOBACCO CONTROL ANNUAL REPORT 2019

have been developed. The leaflet mainly derived from 2A+R (Ask, Advise and Refer). Despite the fact that the nursing staffs have not received any tobacco control training program, he or she could still perform onsite assessment and simple referral to medical institutions or personnel with such leaflet. It could be widely used in hospitals, communities and other health care fields to fully promote smoking screening and enhance the participation of nursing staff in smoking cessation services and tobacco control. Table 1-8 Number of smoking cessation instructors trained across the years Year Nursing Staff Medical technician Nutritionist Radiation technician Social worker Psychologist Pharmacists Physician Respiratory therapist Physioth erapist Occupational therapist Teacher Others Total 2012 259 0 4 0 2 2 0 0 1 0 1 0 20 289 2013 368 6 6 1 1 2 5 2 0 0 0 13 12 416 2014 2,069 28 15 14 8 6 5 6 4 4 3 0 2 2,164 2015 1,257 29 9 8 4 2 0 13 8 3 1 0 0 1,334 2016 632 13 7 3 2 2 0 2 5 1 3 0 7 677 2017 430 7 4 4 1 1 1 2 2 0 1 0 1 454 2018 446 7 4 5 3 5 0 3 4 2 2 0 0 481 Total 5,461 90 49 35 21 20 11 28 24 10 11 13 42 5,815 Note: 1. Nursing staff includes registered nurses and nurses. 2. Others include research assistants and administrative staff in hospitals as well as administrative staff and accounting staff in private enterprises. 3. The number of trainees shown in this Table refers to those who have completed all 3 course levels, and does not include trainees who have not completed the practical courses. Training program for dentists participating in smoking cessation services The Tobacco or Oral Health - An advocacy guide for oral health professionals report published by the WHO pointed out that dentists have a prominent role to play in tobacco control. Pentists can easily detect the oral symptoms resulting from tobacco use. Hence, dentists would have an excellent position for offering cessation advices or health education for smokers to quit smoking successfully and providing more comprehensive and effective smoking cessation services. Smoking not only causes cancer but also has adverse effects on oral and periodontal health and leads to tooth loss and implant failure. Research shows that the therapeutic effect of non-surgical periodontal treatment for smokers only reaches 50-75% of that for non-smokers. The therapeutic effect of surgical treatment for smokers only reaches 50-70% of that for non-smokers. Research reports also indicate that failure rates of dental implants are two times higher for smokers. According to "Tobacco or Oral Health - An advocacy guide for oral health professionals", (A joint publication by the FDI, world Dental Federation and World Health Organization), dentists play a pivotal role in preventing harmful effects of tobacco. Dentists have freguently contacts with always portion of population, so adverse oral effects are readily detected.Based on promoting public health in tobacco control and complying with health regulations to maintain patient safety and healthcare quality, dentists could undergo professional training program about tobacco control to provide cessation advice, health education, referral, and continued treatment after referral or prescription.Dentists have the obligation to provide care using common methods when providing cessation services. There are currently 14,000 practicing dentists and over 6,000 dental clinics in Taiwan. About 300 new dentists involved in dental care market every year. The HPA thus has commissioned the Taiwan Dental Association to implement the "Training Program for Dentists 67 Reducing the Demand for Tobacco