1. Environmental CO Capture Influences Smoke Free Homes A case study Presenters: Tracy Rowland, Health Programme Advisor, Public Health Dorset Martin Marsh, Managing Director, MD Diagnostics Ltd, Kent

2. Smoking family home (No environmental CO reading available) Pregnant smoker - four young children Husband - smoker Friend and neighbour - three young children CO reading 16ppm/2.56%COHb 5.00% FCOHb - High risk zone CO reading (not present) CO reading 20ppm/3.20%COHb - Heavy smoker zone Potential for distractions in a home environment - are key health messages really heard?

3. Secondhand smoke 9,500 children are admitted to hospital each year as a direct result of exposure to secondhand smoke (passive smoking) Royal College of Physicians (2010) Passive smoking and young children: A report by the Tobacco Advisory Group. London: RCP

4. Initial assessment Smoking behaviour/level of addiction Support - advisor, family and friends Secondhand smoke/smokefree homes Use of medication Stop smoking buddy Protecting children from the dangers of SHS appeals to most parents

5. First follow up visit Client 1 (pregnant) – CO reading 4ppm Client 2 (neighbour) – CO reading 7ppm Reduction in cigarette consumption Some smokefree days Husband not present Children from lower income households are more likely to have been exposed to secondhand smoke http://www.lho.org.uk/LHO_Topics/National_Lead_Areas/NationalSmoking.aspx#11

6. Second follow up visit Client 1 – CO reading 4ppm (smokefree) Client 2 – CO reading 5ppm (smokefree) Husband – CO 24ppm Environmental CO reading taken: Lounge 7ppm Kitchen 9ppm Smokefree homes discussion – action needed!

7. Behaviour change Client 1 – CO reading 3ppm Client 2 – CO reading 2ppm Husband – CO reading 2ppm Environmental reading 1ppm Follow on support Non smoking behaviour continued throughout the rest of the pregnancy and post-delivery

8. NCSCT Giving VBA Smokefree homes On-line training Can be used opportunistically, in a home setting, when people are open to change and listen to health messages Non-confrontational approach There is no risk-free level of exposure to secondhand smoke US Surgeon General (2006) National Centre for Smoking Cessation and Training www.ncsct.co.uk

9. Discussion Potential areas of use Stimulate ideas/innovation Further evidence/studies required Smokefree cars Making the home smokefree is often the first step to quitting!

10. CO Check Baby Monitor

11. Thank you Any questions? Poster display t.rowland@dorsetcc.gov.uk martin@mdd.org.uk