Public Health &

Hospital Health Care System

Rural CessationCollaboration

to Improve Health

•Problem•People•Policy•Program

4P’s

ACCORDING TO THE U.S. SURGEON GENERAL, NO

MATTER HOW YOU USE IT, TOBACCO IS ADDICTIVE … AND

DEADLY!

Smoking kills more people thanAIDS, alcohol, drug abuse, car crashes, murders, suicides, and fires – combined!

In Georgia, tobacco use drains $1.2 billion from economy in health care expenditures.

$840 million comes directly from residents’ tax dollars.

Burden of TobaccoTobacco major cause of:

COPDCVDBronchitisStrokeCancer of lung-larynx-pharynx-esophagus

Contributing Factor:Cancer of bladder-pancreas-cervix and kidney

Impact on ChildrenIncrease rates of:SIDSAsthmaBronchitisPneumoniaMiddle ear infectionChronic respiratory symptoms

Impact of Asthmaon Children

Ages 5-17- 10 million loss school days annually

Asthma leading cause of school absenteeism

Between 5- 6 million youth suffer from asthma

Most prevalent chronic disorder

Women and Smoking Surgeon General’s Report 2001Lung cancer more deaths than breast cancer

Leading cause of female cancer deaths

Smoking increase among teenage girls Family Member-Peers

Cigar-Pipes-Smokeless increase

Women and SmokingLung cancer mortality rates among U.S women increased 600% since 1950Risk for lung cancer increase with quantity

20 times greater with two or more packs

Women who stop smoking greatly reduce their risk of dying prematurely

Women and SmokingMore facial wrinkling Girls influenced by idea of weight

control Girls Tobacco use-”Rebellion”

WE ALL PAY FOR THE BURDEN OF

TOBACCO!

SECONDHAND SMOKE!

The 3rd leading cause of preventable death in

U.S.

What is secondhand

smoke?

•Smoke from a burning cigarette

•Smoke exhaled from a person’s mouth

Tobacco Smoke

•More than 4,000 chemicals

•At least 43 carcinogens•Partial list of chemicals

Ammonia, arsenic, cyanide, methane, tar, acetone, carbon monoxide, formaldehyde, nicotine, toluene

Secondhand smoke is classified as a Group A carcinogenGroup A – no safe level of exposure 88% of nonsmokers have significant daily exposure to secondhand smoke

It causes an estimated 53,000 premature deaths annually in nonsmokers

Burden of Secondhand Smoke

8 to 1 Deaths Smoker to Non-smoker

No safe level of tobacco exposure

Third leading preventable cause of death

53,000 death each year

Causes over 300,000 childhood illness

SMOKELESS TOBACCO

IS NOT A SAFE ALTERNATIVE!

FACTS ABOUT SPIT TOBACCO

At least 28 cancer-causing chemicals

Spit tobacco users have 9 times greater risk of developing gum disease than nonusers

Increased risk of cancer in the mouth

•Rural Community

•Tobacco Growing Community

•Few Resources

PEOPLECoffee Regional Medical Center is a healthcare leader in the community

Mission: To Promote Health and Wellness

Recognized tobacco products and second hand smoke as major public health issues

Belief that CRMC must set the example in the community

PEOPLE

2004 CRMC leadership decided that CRMC would become a smoke free, tobacco free campus by January 2005.

Strategy for implementationEducate staffProvide opportunity for inputInitiation Smoking Cessation Program for Community and staffProvide free NRT for those seeking itRemove smoking gazebo

POLICYSMOKING and USE OF ANY TOBACCO PRODUCTS PROHIBITED ON ANY HOSPITAL PROPERTY, INCLUDING THE PARKING LOTS, PHYSICIAN BUILDINGS and HOSPITAL VEHICLES.

Program•Availability

•Facilitator •Participation

•Stages of Change

•Resources•Organizational Commitment

•Problem•People•Policy •Program

Public Health &

Hospital Health Care System