MiraOLungHealth
Welcome to MiraOLungHealth
Services
Smoking & Vaping Cessation
Virtual introduction consultation
History of smoking and vaping
Motivational interview
Practical guidance
Individual plan
4 weeks of review and client support
Vaping in adolescents educational talk
School assembly talk about the facts of e-cigarettes
Vaping damaging effects on adolescent health
What is in your vape
Practical advice on vaping cessation
Vaping in adolescents parent evening
The facts about vaping
How to talk to your teen about vaping
How to spot addiction to vape
Practical guidance in vaping cessation
Further reading and help
Smoking/Vaping cessation:
3x separate consultations:
1. 30 min virtual introduction consultation, free from commitment to engage
2. 60 min consultation: history of smoking/vaping, physical and health history, individual plan via motivational interview, advise on Nicotine Replacement Therapy and practical guidance
3. 45 min consultation: review progress or/and obstacles, implement another strategy, unlimited text, whatsapp,email support for 4 weeks
Vaping in Adolescents Educational talk:
Pupils: 40 min in person or virtual talk about dangers in adolescent vaping, reflection question for students to discuss post talk as part of PSHE. This talk is to help adolescents make a decision about vaping based on current facts and not the latest advertising campaign by vaping industry or social media.
Parents/carers: 60-90 min in person in the school or virtual talk about adolescent vaping, facts about e-cigarettes , up to date information about research and government legislation, practical advise on how to talk to your child about vaping and how to manage a teen that is already addicted to vape.
Academia and professional
RGN/RSCN NMC registered
Senior Paediatric Respiratory Specialist Nurse
Paediatric Respiratory Smoking Cessation Lead
Member
King's Air Quality Action Group
British Paediatric Respiratory Society
National Paediatric Respiratory and Allergy Group
Paediatric Pan London Oxygen Group
Publications
Poster 8th King's John Price Paediatric conference June 2022
co-author 'Post lockdown passive tobacco smoke exposure in children and young people'
European Journal of Pediatrics April 2022
'Promoting smoking cessation in the Paediatric respiratory clinic'
Archives of Disease in Childhood 2022
co-author 'Standardising care for children admitted with Acute Wheeze'
Lancet Respiratory Medicine July 2021
Passive tobacco smoke in children and young people during the COVID-19 pandemic
Speaker/Conferences
King's John Price Paediatric Respiratory Conference UK
Smoking Cessation and Health UK
Royal College of Paediatrics and Child Health UK
European Respiratory Symposium Milan
The Best of King's in Jordan
START OF 2024
Roedean School, Eltham College, Queens Gate College Kensington, John Price conference...
Pupil's ideas on vaping crisis
We need to listen to our adolescents and ask what they would suggest to their school to help to tackle vaping in adolescents and this is what Eltham College pupils said...
1
Educate further about vapes
2
Vape reduction clubs
3
Anonymous service to ask for help
4
Making vapes look as bad as tobacco
5
High sanctions
6
Personal sessions with pastoral staff
European Respiratory Symposium
2023 Milan
Nurse Led Education on e-cigarette use in adolescents
Adolescent vaping talks in secondary schools, abstract and poster presentation
Press
The Guardian
14/06/2023
'The Child vaping crisis 'From what my daughter says, 90% of her year do it'
by Emine Saner
'Young people are getting mixed messages, says Mira Osinibi, a paediatric respiratory specialist nurse who also runs a company, MiraOLungHealth, that goes into schools to talk about vaping. 'They hear it's 95% safer (than smoking tobacco)' says Osinibi, but she questions whether this is accurate for young people. 'We know that children's lungs are not the same as adult's lungs. There has to be more research about how damaging it is. But we already know that nicotine is not good for the adolescent brain'. She also thinks the official data on the number of young vapers is lower than reality. She finds that most young people don't understand the level of nicotine (not all vapes contain it), or the potential effect of vaping on their lungs. 'They're getting mixed messages when they go to a shop and the vape looks like a chocolate bar. It's colourful and small.' vapes are not sold behind a counter, in plain packaging, like cigarettes are.' So they are confused. They go: Whats the big deal?'.......
The Sun fabulousmag.co.uk 10/09/2023
Smoking:
Smoking behaviour gives a positive reinforcement to the brain and the consequence is an addiction. Nicotine is a powerful reinforcer because of its physiological effect of dopamine reward system. Both addiction to the nicotine and the habit of smoking in certain situations leads to addiction that all smokers need help with. There is no shame in trying several times with quitting as it is often not a sprint but with the right tools it is indeed a marathon.
Vaping:
Vaping is considered as safer than smoking but it is not safe. It is probably a useful tool for some smokers that are trying to quit. E-cigarettes do not produce tar and carbon monoxide that is a major toxin the body of a smoker.
However, vaping is not completely safe and recent studies show that prolonged use of e-cigarettes in adults and young adolescents can cause a hyper airway responsiveness caused by added flavours and a high concentration of the e- cigarette salt base nicotine may cause cardiovascular changes, increased heart rate and later blood pressure due to arterial stiffness.
Vaping in adolescents have a very undesirable effects despite being safer than smoking as high nicotine concentration causes addiction that adolescents are sensitive to due to their evolving neurodevelopmental pathways.
'Mira spoke to our entire Year 7 pupils in an engaging and professional way. The student's felt confident to ask questions.'
Alleyn's
'Mira delivered a JAGS Parent Talk online and assembly to the whole school, she has a friendly, open and good-humoured delivery style without holding back.'
JAGS
'Mira has a vast amount of experience in smoking/vaping cessation subject and she helped me in my journey to quit vaping. Would highly recommend!'
Callum
'Our presenter Mira covered a lot of ground in a short period and as a community dental team, we gained useful information about vaping habits particularly in adolescents and the early effects on their health. '
King's College Hospital Community Dentistry
'Dear Mira, thank you very much for this weekend session, my son found it very useful as he wasn't aware of some of the dangers associated with his actions. We are most grateful for your time!'
Parent of a 15 year old
Ongoing research
'Vaping causes an increase in cardiovascular disease'
The Times 2024
'Researches from King's College London (KCL) found that standardising vape packaging, by removing brand imagery, was associated with a decrease in interest for teenagers without lessening the appeal of vaping to adults who smoke.'
The Evening Standard 2023
'Vaping and insufficient sleep can lead to cardiovascular disease'
Cardiovascular Medicine Liu X, Yuan Z and Ji Y (2022)
'Children are 'targeted' by Vape companies as figure shows a huge increase.'
The Independent, September 2022
'Decreased parental monitoring is associated with increased odds for adolescents 'current-use' of e-cigarettes. The odds were significantly increased in young people who say that their parents usually don't know their whereabouts on a Saturday night.'
TobaccoFree Research Institute Ireland 2021
CLIENTS
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