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Contents and Lead Article

Contents:
- Cigarette smoking declining in fourth form girls but not in boys.
- Leptospirosis fatality
- Pertussis epidemic declining
- Surveillance and control notes
Lead Article:
Cigarette smoking declining in fourth form girls but not in boys.
Surveys of fourth form (Year 10) students reported a 37% increase in
daily smoking from 11.6% in 1992 to 15.5% in 1997. We report the
results of two further surveys carried out in 1998 and 1999 to
determine trends in smoking prevalence among fourth form students. Data
from students attending the 72 schools in all four surveys were
analysed. The proportion of girls smoking at least monthly declined
from a peak of 31.7% in 1997 to 30.0% in 1999, and the trend was
particularly marked among Maori girls. In contrast, the prevalence of
smoking in boys remained unchanged, at 23.1% in 1997 and 24.1% in 1999.
The decrease between 1997 and 1999 for both sexes combined is very
small, equal to two in 1000 fewer students each year having smoked in
the last month, despite current youth anti-smoking efforts. The role of
cigarette design and ingredients, in those brands still gaining in
popularity among adolescents, needs investigation and regulating.
Further national monitoring of fourth form smoking is required to
confirm sex- and ethnic-specific smoking trends. Medical practitioners
should opportunistically ask adolescents about smoking behaviour and
advise accordingly, and promote smokefree homes, schools and public
places.
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