2.  Smoking is the primary cause of avoidable death  Thousand of teens try cigarettes daily.  Smoking contributes to an astonishing number of diseases.

3.  Chronic Obstructive Pulmonary Disease (COPD), is the most common form of lung disease.  COPD develops through years of smoking.  Fourth leading cause of death in the United States.  Can cause long term disability. http://www.ozonebank.com/COPD.jpg

5.  Smoking  Air pollution  Environmental tobacco smoke (ETS)  Lack of knowledge

6.  Education  Medication  Long-term oxygen therapy (LTOT)  Methods to stop smoking

7.  What To Do  Quit Smoking  Avoid Outside Pollution When High  Avoid Second-Hand Smoke When Possible

8.  What To Do  Eat Plenty Of Fruits And Vegetables  Wear Protective Gear When Working  Reduce Indoor Air Pollutants

9.  One-third of pupils said they are exposed to passive smoke on campus every day.  One in five students said they have experienced some instant health effect from secondhand smoke exposure. American Lung Association

10.  From 1993 to 1997, the occurrence of current (30-day) cigarette smoking rose by 27.8%  28.5% of college students are present smokers.  28% of college smokers began to smoke frequently at or after age 19.  Half of the current college smokers had tried ineffectively to quit in the previous year.

11. Less than 1% of current (past 30-day) cigar users smoked them daily. Currently, 8.5% of college smokers smoke cigars. Still, cigar smoking is more general among students who consider groups, unions, and attending sports events significant

12.  Severe degrees of COPD need major care  COPD leads to hospitalizations  Long term treatment

13.  Oxygen tanks  Symbicort  Advair  Inhalers  Nebulizers  Bronchodilators

14.  A web site with patient and physician information has been launched: www.learnaboutcopd.orgwww.learnaboutcopd.org  Local communities have a key role in assuring placement of these materials.  Campaign materials include radio and print, fact sheets for those at risk and those diagnosed with COPD, as well as a guide for health care professionals.

15.  There are recent FDA approval of inhaled medications for COPD.  This has helped general health care practitioners to better understand how to diagnose and manage COPD.  People should read the Journal of COPD  Collaborate with other health care practitioners like physicians, nurses, and respiratory therapists, people with COPD, and other organizations including hospitals, professional societies, and voluntary health care organizations.  Distribute campaign materials locally.

16.  Smoking for as little as 10 years can cause:  Death at younger age  Disease  Disability  COPD can continue to plague an ex-smoker for years.  Although there is no cure for COPD, one should certainly stop any behavior that can make it worse.  specifically smoking.

17. American Lung Association. (2009). Tobacco Free Oregon; Received by http://smokefreeoregon.com/college/policymakers/demand.php Cigarette Smoking. (2009). Retrieved -------------, from Tuberose.com: http://tuberose.com/Cigarette_Smoking.html http://tuberose.com/Cigarette_Smoking.html COPD (Emphysema and Chronic Bronchitis image, July 2007. From The National Heart, Blood, and Lung Institute. Retrieved from- fromyourdoctor.com. http://fromyourdoctor.com/ext/COPD.jpghttp://fromyourdoctor.com/ext/COPD.jpg Division of Air Quality. (2009). Air Quality, Particle Pollution, and Ozone: Frequently Asked. Retrieved on -------------, from http://daq.state.nc.us/airaware/aqfaq.shtml http://daq.state.nc.us/airaware/aqfaq.shtml Drugs used to treat COPD. Health.com, 2010. Retrieved from http://www.health.com/health/condition- article/0,,20267050,00.html http://www.health.com/health/condition- article/0,,20267050,00.html

18. Emmerson. (2010). Prevent Indoor Air Pollution. Retrieved on ---------- - http://www.associatedcontent.com/article/34483/prevent_indoor _air_pollution_pg2.html?cat=5 HowStuffWorks. (1998-2010). How Secondhand Smoke Works. Retrieved on ----------, from http://health.howstuffworks.com/understanding-secondhand- smoke-ga3.htm http://health.howstuffworks.com/understanding-secondhand- smoke-ga3.htm Make, Barry, Criner, Gerard, & Martinez, Fernando (2007). Raising Awareness of COPD: A Call to Action by the Readers of COPD. COPD: Journal of Chronic Obstructive Pulmonary Disease, 4(1), 1-2. doi:10.1080/15412550601169570. Retrieved on ---------from the UOP library.

19. Negro, Roberto Dal. Optimizing economic outcomes in the management of COPD. Dovepress, 2008. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528207/ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528207/ Net Resources International. (2010). The Causes and Costs of COPD. Retrieved on ----------, from http://www.hospitalmanagement.net/features/feature636 / http://www.hospitalmanagement.net/features/feature636 / Petty T. L. (2001). Early diagnosis of COPD: National Lung Health Program in the United States. Program and abstracts of CHEST 2001: 67th Annual Scientific Assembly of the American College of Chest Petty, T. L. (2006). The History of COPD. Retrieved ----, from University of Colorado Medical Center: http://www.nlhep.org/pdfs/history_of_copd.pdf http://www.nlhep.org/pdfs/history_of_copd.pdf

20.  Rigotti NA, Lee JE, Wechsler H. US College Students’ Use of Tobacco Products: Results of a National Survey. Journal of the American Medical Association. 2000; 284:699-705. Physicians; November 4-8, 2001; Philadelphia, Pennsylvania.  Wechsler H, Rigotti NA, Gledhill-Hoyt J, Lee H. Increased Levels of Cigarette Use Among College Students a Cause for National Concern. Journal of the American Medical Association. 1998; 280:1673-1678.