Public Health Reports Webcast: The Surgeon General's Youth Tobacco Report supports the Tobacco-Free College Campus Initiative Regina M. Benjamin, MD, MBA U.S. Surgeon General Clifford Douglas, JD Director of the University of Michigan Tobacco Research Network David Smith, MD President, State University of New York [SUNY], Upstate Medical University

A Report of the Surgeon General

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SG Luther Terry Report 1964

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2 tobacco-related Surgeon General’s reports

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Spring 2012 Youth and Young Adults

One Cigarette Can Cause a Heart Attack

Tobacco Smoke damages almost every organ of the body

Heartbeat

Tobacco Smoke is Addicting

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Cigarettes are designed for addiction

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Nicotine is the key chemical compound that causes the powerful addicting effects

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Other ingredients and design features make them even more attractive and addictive than ever before

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Product design, flavoring agents,

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And added chemical ingredients

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Every day 1200 Americans die from smoking

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Each of those people are being replaced by 2 young smokers

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90% of all smokers start before age 18,

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99% of all smokers start before age 26

Scientists Show Evidence of Causality

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The more the youth is exposed to Marketing and Advertisement, the more likely they are to start and maintain smoking

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More than $1 million dollars an hour

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Over $27 million a day is spent on targeted messaging and images

We can make the next generation tobacco-free

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Destiny

The National Tobacco-Free College Campus Initiative

U.S. Department of Health and Human Services Clifford E. Douglas, J.D.

Consulting Tobacco Control Policy Advisor to the Assistant Secretary for Health U.S. Department of Health and Human Services

Ending the Tobacco Epidemic: Tobacco Control Strategic Action Plan for HHS

www.hhs.gov/ash/initiative s/tobacco/tobaccostrategic plan2010.pdf

Vision: A society free of tobacco-related death and disease Charges:

1. Develop and implement an HHS-wide strategic action plan framed around four Healthy 2.

People 2020 tobacco control goals Support the FDA’s newly acquired role to regulate the manufacture, marketing and distribution of tobacco products

Four Pillars of the HHS Tobacco Control Strategic Action Plan Lead by Example:

Implement model tobacco control policies within HHS

Improve the Public’s Health:

Accelerate State and community tobacco control efforts

Engage the Public:

Change social norms with national media and communications

Advance Knowledge:

Expand the science base and monitor progress

Pillar #1 Includes HHS’s Own Tobacco-Free Campus Policy Lead by Example:

Implement model tobacco control policies within HHS

July 2011:

HHS established a comprehensive tobacco-free campus policy covering all of its facilities

The Tobacco-Free College Campus Initiative

Vision: Widespread expansion of tobacco free policies to institutions of higher learning across the U.S.

Goals:

1. Foster a collaborative, cooperative effort among academic institutions and partners in the public health community 2. Expand awareness in academia and among the public of the need for and benefits of such policies 3. Facilitate information flow and access to technical assistance

Key Activities of the Tobacco-Free College Campus Initiative

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Ongoing consultation, collaboration and information exchange with leaders from academia and the public health community

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Engage in educational events across the nation

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HHS webcast Town Hall with Surgeon General Regina Benjamin at University of Washington (June 2012)

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Surgeon General Benjamin’s national webinar (June 2012)

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National Conference on Tobacco or Health (Aug. 2012)

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University of Michigan national webcast event with Assistant Secretary for Health Howard Koh (Sept. 2012)

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College campus visits by Assistant Secretary for Health Koh and Surgeon General Benjamin

SUNY Upstate Medical University

Our Smoke-Free Journey

David R. Smith, MD President June 27, 2010

Our Smoke-Free Journey

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Making the Decision

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March 2004, campus planning began to go smoke free

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The decision aligned with the Upstate Mission Smoking on the campus contradicted our mission

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July 2004, President formally announced a year-long plan to make the campus Smoke Free

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Smoke Free Advisory Committee formed that reported directly to the President

Smoke-Free Advisory Committee

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Employee/Labor Relations

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Union issues

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Employee/Student Health

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Committee leadership

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Smoking cessation Human Resources

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Benefits Recruitment issues

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Respiratory Care

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Inpatient smoking cessation issues Assistance with smoking cessation programming

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Organizational Training and Development

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Development of educational materials

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Hospital Administration

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Program support

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Communication with upper levels

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Public Safety

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Compliance issues

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Healthcare Teleservices

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Preadmission notification Visitor interaction

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Public and Media Relations

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Press releases

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GASO speakers Library Services

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Historical perspective

Demographic Information SUNY Upstate Medical University is an Urban Campus

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Largest employer in Onondaga County

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Employs approximately 9500

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Three major labor unions representing over 6000

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University Hospital and University Hospital at CGH

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Colleges of Medicine, Health Professions, Nursing, and Graduate Studies.

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Combined student body of 1500+ First SUNY Campus to become smoke-free

Assessing Our Situation:

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Conducted a survey in partnership with the ACS

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Smoking statistics were extrapolated from the 2004 survey and compared to a 2002 survey.

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2002 - 17% campus population were smokers 2004 – 13% campus population were smokers 85% of those smokers had an interest in quitting

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Non-Compliance with Existing Policy

Union Considerations

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Upstate has 5 Unions Developed MOU for new policy Labor Union Meetings

Smoke-Free Communications

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The President continued to issue letters to the campus as we entered each new phase of the process.

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A Communication Plan was developed, to include:

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Slogan – “Let’s Clear the Air” Website Unique Signage Campus Maps (Defined Campus Boundaries) Staff Education Booklets

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Pamphlets for visitors Intervention cards Recruitment tool

Our Smoke-Free Journey

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New Policy Implemented

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Communication Responsibility and Compliance Support for smoking cessation.

Realizing great success, but one problem still haunted us:

The Public Sidewalk!

Our Journey for Public Support

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Finding leverage to influence local government Deflect the dissent Use your friends Use your muscle

Our Legacy

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A new generation of workers and patients and visitors has acclimated to the policy

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We are directing smoking cessation programs across the region

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We are consulting on implementation programs for health care facilities across the state

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We are now working on a SUNY Wide initiative for a “Tobacco-Free SUNY”

Thank You

We would now like to take your Questions.

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