1. Public Health & Hospital Health Care System Rural Cessation Collaboration to Improve Health

2. Problem People Policy Program 4P’s

3. ACCORDING TO THE U.S. SURGEON GENERAL, NO MATTER HOW YOU USE IT, TOBACCO IS ADDICTIVE … AND DEADLY!

4. Smoking kills more people than AIDS, 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.

5. Burden of Tobacco Tobacco major cause of: COPD CVD Bronchitis Stroke Cancer of lung-larynx-pharynx-esophagus Contributing Factor: Cancer of bladder-pancreas-cervix and kidney

6. Impact on Children Increase rates of: SIDS Asthma Bronchitis Pneumonia Middle ear infection Chronic respiratory symptoms

7. Impact of Asthma on 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

8. Women and Smoking Surgeon General’s Report 2001 Lung cancer more deaths than breast cancer Leading cause of female cancer deaths Smoking increase among teenage girls Family Member-Peers Cigar-Pipes-Smokeless increase

9. Women and Smoking Lung cancer mortality rates among U.S women increased 600% since 1950 Risk 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

10. Women and Smoking More facial wrinkling Girls influenced by idea of weight control Girls Tobacco use-”Rebellion”

11. WE ALL PAY FOR THE BURDEN OF TOBACCO!

12. SECONDHAND SMOKE ! The 3 rd leading cause of preventable death in U.S.

13. What is secondhand smoke? Smoke from a burning cigarette Smoke exhaled from a person’s mouth

14. 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

15. Secondhand smoke is classified as a Group A carcinogen Group 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

16. 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

17. SMOKELESS TOBACCO IS NOT A SAFE ALTERNATIVE!

18. 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

19. Rural Community Tobacco Growing Community Few Resources

20. PEOPLE Coffee 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

21. PEOPLE 2004 CRMC leadership decided that CRMC would become a smoke free, tobacco free campus by January 2005. Strategy for implementation Educate staff Provide opportunity for input Initiation Smoking Cessation Program for Community and staff Provide free NRT for those seeking it Remove smoking gazebo

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

29. Program Availability Facilitator Participation Stages of Change Resources Organizational Commitment

30. Problem People Policy Program Public Health & Hospital Health Care System