Public Health & Hospital Health Care System Rural Cessation Collaboration to Improve Health
Dec 29, 2015
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”
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
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
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