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Campus Tobacco-free Initiative Public Forum University of Mary Heskett Hall Thursday, November 15 2:00 pm Sponsored by Health PRO Agenda Health benefits of tobacco free policies 10 min. History/background of policies 10 min Tobacco cessation services 10 min Discussion 25 min Toll of Tobacco in North Dakota 870 residents die every year from smoking. 80 – 140 residents lose their life from someone else’s tobacco smoke. 2,800 kids try their first cigarette each year North Dakota kids smoked 1.8 million packs last year. Annual health care costs: $228 million CDC Data Highlights 2006 Tobacco Use in North Dakota Tobacco use is highest in the 18 to 24 year old age group. Adult smoking 18 to 24 yrs. old 20% 29% ND Behavioral Risk Factor Surveillance System 2004 Historically, college students have had lower smoking rates than people the same age who are not in college, but the gap is narrowing. Halperin, 2002, Smoking on US College Campuses Secondhand Smoke 85% of SHS is sidestream smoke- smoke from the burning end of the cigarette Irritants Poisonous gases Carcinogens (cancer causing) Cardiotoxic Compounds (affect the heart) Secondhand Smoke c. 3400 lung cancer deaths and 46000 heart disease deaths in adult nonsmokers in the US per year 150-300000 lower resp tract infections in infants and children < 18 months old, causing 7500-15000 hospitalizations/year, and 430 SIDS deaths/year in the US Aggravate otitis media and asthma 2006 Surgeon General Report 1. Millions are still exposed to SHS in their homes 2. SHS causes disease and premature death in children and adults who do not smoke. 3. Children who are exposed to SHS have increased risk of SIDS, respiratory diseases, ear infections, severe asthma. 4. Causes lung cancer 2006 Surgeon General Report 5. Exposure of adults to SHS has immediate adverse effects on the cardiovascular system. There is no risk-free level of exposure to secondhand smoke. 2006 Surgeon General Report 6. Separating smokers from nonsmokers, cleaning the air, and ventilation cannot eliminate exposures to SHS; Only eliminating smoking in indoor spaces fully protects from exposure. Smokeless Tobacco Holding one pinch in your mouth for 30 minutes delivers as much nicotine as 34 cigarettes (high rate of addiction—830 young people per day in US) Contains 28 known human cancercausing agents—higher rate of oral cancer than cigarette smoking Smokeless Tobacco ND adult rate 4.7% ND grades 9-12 - 11.2% Smokeless Tobacco Dental cavities and gingivitis Leukoplakia—pre-cancerous oral sores Cancer of the mouth, throat, cheek, gums, lips, and tongue, which if treatable requires surgery that typically leaves your face quite disfigured Oral cancer is 50 x more likely, and is often deadly—5 yr mortality 30-50% Smokeless Tobacco Significantly greater prevalence of multiple cardiovascular risk factors compared to nontobacco users. Obesity Hypertension Resting tachycardia Cholesterol EKG changes Bottom Line Secondhand smoke exposure causes multiple respiratory problems, cancers, and heart disease in nonsmokers. Smokeless tobacco is NOT a safe alternative and causes dental problems, oral cancers, and a similar cardiovascular risks as smoking. American College Health Association Position Statement The American College Health Association acknowledges and supports the findings of the Surgeon General that tobacco use in any form, active and/or passive, is a significant health hazard. American College Health Association (con’t) In light of these health risks, ACHA has adopted a NO TOBACCO USE policy and encourages colleges and universities to be diligent in their efforts to achieve a campus wide tobacco-free environment Prepared by the ACHA Alcohol, Tobacco, and Other Drug Committee, February 2005 Campus wide Tobacco Policy Removes immediate health threat Prevents some students and children from smoking and using tobacco (avoids “normalization” of smoking) Reduces the amount of tobacco used Encourages tobacco cessation University of Mary Tobacco Free Initiative Campus Tobacco Environmental Scan – developed to assist colleges and universities with tobacco prevention programming efforts. Completed 2005/06 by University of Mary’s Emerging Leaders in Health Care Results of the Environmental Scan Interest exists for revisiting a tobacco free policy for buildings and campus. Signage is needed for policy awareness and enforcement. Concerns about chewing tobacco and the need for education. Support is present for the tobacco free policies. University of Mary Survey Measured tobacco use, and beliefs, opinions about tobacco use and future tobacco free policy. College students surveyed. Survey conducted by the University of Mary Senior Respiratory Therapy Students in 2006. Survey of University of Mary 14% of University of Mary students surveyed use tobacco. 71% of University of Mary students surveyed believe smoking is a health problem on campus. University of Mary Survey, Fall 2006 (481 students surveyed) Support for Tobacco-Free Campus Initiative Smoking prohibited campus-wide 59% (including outdoors) All tobacco products prohibited campuswide 54% Tobacco-Free and Smoke-Free ND Colleges and Universities Trinity Bible College – 1972 Medcenter One College of Nursing- 2006 Bismarck State College – January 2006 Minot State University – January 2006 Jamestown College – August 2007 University of North Dakota– October 2007 Valley City State University – January 2008 Colleges/Universities Discussing Campus-wide Policy Dickinson State University North Dakota State School of Science, Wahpeton North Dakota State University, Fargo Mayville State University Cessation Opportunities for Students and Faculty University of Mary -Student Health Clinic Services at no cost Tobacco cessation medications Tobacco cessation support and peer mentoring. Freedom From Smoking Group Classes St. Alexius Medical Center -group classes – no cost Bismarck Burleigh Public Health – group classes and individual counseling – no cost Free Medications to help quit tobacco use Telephone and Online North Dakota Tobacco Quitline 1-866-388-7848 Online services www.Tobaccofreeu.org www.smokefree.gov www.lungusa.org Next Steps Draft a Tobacco Free Campus policy Student Senate Student Development Council University Senate President of the University Campus Partners Student Health Clinic University of Mary Health PRO University of Mary Emerging Leaders in Health Care Mid-Dakota Clinic University of North Dakota School of Medicine Bismarck Burleigh Public Health