7Tobacco Use During Pregnancy In Tennessee 22% of pregnantwomen age smokeRates of smoking during pregnancy are at least 12 times higher among women with 9 to 11 years of education (25%) than among women who hold a college degree (2%).
8Nashville Clean Air For All How the Smoke-Free Homes/Cars Challenge Works Metro Public Health Department (MPHD) received a grant from the American Legacy FoundationThru this grant, the MPHD is partnering with daycares, car seat providers, local hospitals and other agencies that work with parents and children to address children’s exposure to secondhand smoke in the home and car.
9Answer: “At some point, they begin to crawl.” Question: How do infants protect themselves from exposure to secondhand smoke?Answer: “At some point, they begin to crawl.”-Tobacco Industry Executive,1996 RJ Reynolds/NabiscoAnnual Meeting
12Why Focus on Children?Children are particularly susceptible to health risks from secondhand smokeChildren's exposure is involuntaryMost children of smokers are exposed in the home or car
13Why Focus on Children?Almost 60% of U.S. children aged 3-11 years—or almost 22 million children—are exposed to secondhand smoke.About 25% of children aged 3-11 years live with at least one smoker, as compared to only about 7% of nonsmoking adults.
16Third-hand Smoke January issue of Pediatrics MassGeneral Hospital for Children (MGHfC)Tobacco smoke contamination lingers even after a cigarette is extinguished – a phenomenon they define as "third-hand" smoke.
17“the toxic brew of gases and particles clinging to smokers’ hair and clothing, not to mention cushions and carpeting, that lingers long after secondhand smoke has cleared from a room.”
18Third-hand Smoke Conclusions More research needed on the issueIncreasing awareness of how third-hand smoke harms the health of children may encourage home smoking bans.
20Secondhand Smoke & Children Not covered in Tennessee Nonsmoker Protection ActChildren are frequently exposed to secondhand smoke (primarily in homes and cars)Estimates range from 1/3 to 1/2 of all childrenETS exposure rates increased in:Children who live in povertyHouseholds with low educational levels
22Nashville Clean Air For All How the Smoke-Free Homes/Cars Challenge Works MPHD will train partners on the dangers of tobacco and secondhand smoke.MPHD will provide a “packaged program” and technical assistance that can be easily implemented by partners.
23Nashville Clean Air For All How the Smoke-Free Homes/Cars Challenge Works Once trained, partners will:Ask clients about their tobacco useProvide information about secondhand smokeEncourage them to take the “Smoke-Free Home and Car Challenge” (ie-sign smoke-free home/car policy cards).Identify tobacco users and provide information about quitting.Refer to the Tennessee Tobacco Quitline via the Fax Referral System.
25Nashville Clean Air For All Media CampaignMetro Transit Authority (buses)WebsiteEarned media opportunitiesRadioTelevisionNewspaperYouTubeFacebookWorld No Tobacco Day (May 31, 2009)Clean Air Day (July 2009)
26Goals & Objectives Secondhand Smoke Goal 1: Reduce exposure to secondhand smoke in typically economically disadvantaged families (families at or below 185% of the U.S. Poverty Income Guidelines.) residing within Nashville, TN.Objective 1: By November 30, 2009, receive 500 completed smoke-free policy cards from Nashville residents pledging they will not allow smoking in their cars or homes.Objective 2: By November 30, 2009, provide education regarding the harmful effects of secondhand smoke to 2500 Nashville residents participating in the car seat safety program along with other MPHD programs.
27Strategies Secondhand Smoke PartnershipsDaycaresMetro Action Commission Head Start programTennessee Comprehensive Cancer Coalition “Daycares of Excellence” programCar seat programsMeharry Medical CollegeMetro Public Health DepartmentTennessee State UniversitySafe Kids CoalitionHospitalsSmoke-Free Nashville (coalition)
28Key Messages: Secondhand Smoke Secondhand smoke contains over 4,000 chemicalsChildren are frequently (involuntarily) exposed to secondhand smokeExposure to secondhand smoke is especially dangerous to childrenThe Surgeon General stated there is no risk-free level of exposure to secondhand smoke.Bans on smoking in public and private places (such as restaurants, homes and cars) are effective ways to reduce exposure to secondhand smoke
29“Quitting smoking is easy. I’ve done it a thousand times” Mark Twain
30Goals & Objectives Cessation Goal 2: Promote cessation among smokers who interact with daycare providers and smokers who participate in the partner car seat safety programs.Objective 1: By November 30, 2009, refer 100 smokers to cessation services with at least a six month quit rate of 20%.
31Strategies CessationTobacco users will be identified through a brief smoking survey (part of policy card)Once identified, quit packs and information about the Tennessee Tobacco Quitline and Legacy’s will be given to tobacco users indicating a desire to quitFax referral to the quitlineFollow-up at 6 months
33Keys Messages: Quitting Tobacco Quitting smoking often requires multiple attempts.Using counseling or medication alone increases the chance of a quit attempt being successful.THE COMBINATION OF BOTH IS THE MOST EFFECTIVE METHOD OF QUITTING
34Becomeanex.orgEX is an interactive website by the American Legacy Foundation to help smokers quitEx is a nationwide campaign that provides FREE resources designed to help smokers create their own plan to quit smoking3 steps to re-learn life without cigarettesRe-learn habitRe-learn addictionRe-learn support
35Lessons Learned/Barriers Be flexible with training schedulesBe aware of internal policies and proceduresCollaborate, but always keep moving forward
36Sustainability Possible Year 2 Legacy funding Program is easily sustainableSeveral “untapped” potential partnersMinimal cost for continuation (with partner buy-in)Strong departmental support
37Take Home Messages for All Choose not to allow anyone, including yourself, to smoke in your home or car.Choose not to smoke if children are present, particularly infants & toddlers.If you must smoke, choose to smoke outside.Quitting is the best way to prevent your child from being exposed to secondhand smoke.
38Thank you for your time and attention. Jason Stamm, MSPRobert Taylor, MPAMetro Public Health Department311 23rd Ave North, Suite 313Nashville, TN 37203Work:Fax: