1. SECNAVINST 5100.13E NAVY & MARINE CORPS TOBACCO POLICY

2. DON’s Purpose for Instruction To control and reduce tobacco use within the Department of the Navy (DON). To control and reduce tobacco use within the Department of the Navy (DON). DON’s Definition of Tobacco Products: DON’s Definition of Tobacco Products: Cigarettes, Cigars, Pipes Cigarettes, Cigars, Pipes Smokeless tobacco include spit, plug, leaf, snuff, dip & chew. Smokeless tobacco include spit, plug, leaf, snuff, dip & chew.

3. KEY DEFINITIONS Environmental Tobacco Smoke (ETS) Environmental Tobacco Smoke (ETS) Residue Residue “Second Hand Smoke” or “Passive” Smoke.” “Passive” Smoke.” Categorized as Class “A” carcinogen by cause respiratory illness & heart disease By products of tobacco Use (e.g. butts, ashes, matches, product wrappings, spit, spit cups.

4. Tobacco-Background Cigarette smoking is the most important source of preventable morbidity and premature mortality (death) worldwide. Cigarette smoking is the most important source of preventable morbidity and premature mortality (death) worldwide. Smoking-related claims an estimated 438,000 American lives each year, including indirectly such as babies born prematurely due to prenatal maternal smoking and victims of "secondhand" exposure to tobacco's carcinogens. Smoking-related claims an estimated 438,000 American lives each year, including indirectly such as babies born prematurely due to prenatal maternal smoking and victims of "secondhand" exposure to tobacco's carcinogens. Smoking cost the United States over $193 billion in 2004, including $97 billion in lost productivity and $96 billion in direct health care expenditures, or an average of $4,260 per adult smoker. Smoking cost the United States over $193 billion in 2004, including $97 billion in lost productivity and $96 billion in direct health care expenditures, or an average of $4,260 per adult smoker. It causes DON nearly $1,000,000,000 in related health care and productivity loss cost a year. It causes DON nearly $1,000,000,000 in related health care and productivity loss cost a year.

5. Smoking in the Military Tobacco use in DoD has dropped significantly in the last two decades, generally mirroring civilian rates. Tobacco use in DoD has dropped significantly in the last two decades, generally mirroring civilian rates. But 30 percent of the active duty force still smokes. But 30 percent of the active duty force still smokes. DoD hopes to meet the U.S. Department of Health and Human Services' Healthy People 2010 goal of a 12 percent smoker rate. DoD hopes to meet the U.S. Department of Health and Human Services' Healthy People 2010 goal of a 12 percent smoker rate. DoD spends $930 million per year on healthcare for smoking- related illnesses and lost productivity in DoD beneficiaries, DoD spends $930 million per year on healthcare for smoking- related illnesses and lost productivity in DoD beneficiaries, A recent study of just active duty Air Force members below age 36 shows that service spends $107 million a year to treat smokers and for lost time due to smoke breaks. The study assumed "a conservative estimate" of three 10-minute smoke breaks a day. "If you look at that in man-hour equivalents, that's how much it would cost to employ 3,537 people for a year, about the number on an average-sized Air Force base.” A recent study of just active duty Air Force members below age 36 shows that service spends $107 million a year to treat smokers and for lost time due to smoke breaks. The study assumed "a conservative estimate" of three 10-minute smoke breaks a day. "If you look at that in man-hour equivalents, that's how much it would cost to employ 3,537 people for a year, about the number on an average-sized Air Force base.”

6. Smoking Effects Heart Disease. Heart Disease. Several Type of Cancers: Lung, larynx, esophagus, pharynx, mouth & bladder (to name a few). Several Type of Cancers: Lung, larynx, esophagus, pharynx, mouth & bladder (to name a few). Chronic Lung Disease. Chronic Lung Disease. Contributes to cancer in pancreas, kidney and cervix. Contributes to cancer in pancreas, kidney and cervix. Currently cigarette smoke contains over 4,800 Currently cigarette smoke contains over 4,800 chemicals, 69 of which are known to cause cancer. chemicals, 69 of which are known to cause cancer.

7. Smoke Effects We can closely relate to 1.Diminishes motor & perceptual skills & causes poor endurance. 2.It adversely effects low-light and night vision, respiratory capacity & wound-healing rates. 3.Over time, will cause serious oral health conditions, including cancer of mouth and gums, periodonitis, tooth loss, resulting in the loss medical readiness, which will affect your chances to possibly stay in the service.

8. Stats on Tobacco-Use Lung cancer is the leading cause of cancer death among both men and women in the US: Lung cancer is the leading cause of cancer death among both men and women in the US: – 90% of lung cancer deaths among men – 80% lung cancer deaths among women attributed to smoking. People who smoke are up to six times more likely to suffer a heart attack than nonsmokers, and the risk increases with the number of cigarettes smoked. People who smoke are up to six times more likely to suffer a heart attack than nonsmokers, and the risk increases with the number of cigarettes smoked. In 2007, approximately 19.8 percent of U.S. adults were cigarette smokers. In 2007, approximately 19.8 percent of U.S. adults were cigarette smokers. 23% of high school students and 8 percent of middle school students in this country are current cigarette smokers. 23% of high school students and 8 percent of middle school students in this country are current cigarette smokers. In the United States, approximately 38,000 deaths each year are caused by exposure to second hand smoke. In the United States, approximately 38,000 deaths each year are caused by exposure to second hand smoke. Among current smokers, chronic lung disease accounts for 73 percent of smoking- related conditions. Even among smokers who have quit chronic lung disease accounts for 50 percent of smoking-related conditions. Among current smokers, chronic lung disease accounts for 73 percent of smoking- related conditions. Even among smokers who have quit chronic lung disease accounts for 50 percent of smoking-related conditions.

9. Left. Lung Cancer Middle: Emphysema Right: Health Lung

10. Non-Smoker vs. Smoker

11. DON’S Objectives & Policy 1. Reduce tobacco use – by promoting quitting and establishing tobacco-free facilities. 2. Provide users with encouragement and professional assistance needed to quit. 3. Improve personnel health & maintain a high state of military readiness. 4. Ensure a safe, healthy & unpolluted working living & tobacco-free environment. 5. DON’s vision is to be tobacco-free.

12. DON’S Policy on Tobacco Use Tobacco use is only permitted in designated tobacco use areas – must be away from common points, air intake ducts & must be at least 50 feet from any building entrance. Tobacco use is only permitted in designated tobacco use areas – must be away from common points, air intake ducts & must be at least 50 feet from any building entrance. Time spent for tobacco use shall occur based on staffing and per Federal law, personnel policy & union contracts. Time spent for tobacco use shall occur based on staffing and per Federal law, personnel policy & union contracts. Break periods for tobacco users will be the same for non-users. Break periods for tobacco users will be the same for non-users. Should a conflict arise between the rights of tobacco users & non-tobacco users, the right to a tobacco-free space shall prevail. Should a conflict arise between the rights of tobacco users & non-tobacco users, the right to a tobacco-free space shall prevail.

13. DON’S POLICY-LIVING QUARTERS ASHORE/HOUSING UNITS Designated areas may be permitted in BQ and lodging provided said units are served by common Heating, Ventilation, Air Conditioning system. Designated areas may be permitted in BQ and lodging provided said units are served by common Heating, Ventilation, Air Conditioning system. Tobacco use is prohibited in common spaces of individual living quarters. Tobacco use is prohibited in common spaces of individual living quarters. Designated tobacco use may be permitted in multiple housing units provided that the tobacco use areas are separately ventilated and exhaust directly to the outdoors away from common points of facility entry/egress, and not in front of air intake ducts. Designated tobacco use may be permitted in multiple housing units provided that the tobacco use areas are separately ventilated and exhaust directly to the outdoors away from common points of facility entry/egress, and not in front of air intake ducts. Non-tobacco using travelers can be issued a certificate of non-availability when non-tobacco designated rooms are not available. Non-tobacco using travelers can be issued a certificate of non-availability when non-tobacco designated rooms are not available.

14. Tobacco use onboard ships Cos may designate one or more weather deck spaces as tobacco use areas. Cos may designate one or more weather deck spaces as tobacco use areas. If weather decks are unavailable, the CO may designate a normally unmanned space within the skin of the ship, provided that the space is designed to vent directly to the outside. If weather decks are unavailable, the CO may designate a normally unmanned space within the skin of the ship, provided that the space is designed to vent directly to the outside. Provided that all ventilation requirements are met. Provided that all ventilation requirements are met.

15. Tobacco onboard Submarines Tobacco-use areas may be designated aboard submarines. Tobacco-use areas may be designated aboard submarines. These spaces must be well ventilated and not in the vicinity of stationary watch stations. These spaces must be well ventilated and not in the vicinity of stationary watch stations. Berthing spaces, messes, lounges and exercise areas shall not be designated as tobacco use areas. Berthing spaces, messes, lounges and exercise areas shall not be designated as tobacco use areas. The number of users authorized shall be limited by the clearance capacity of the ventilation system. The number of users authorized shall be limited by the clearance capacity of the ventilation system.

16. DON’S POLICY ON THE SALE OF TOBACCO Solicitation or acceptance of free tobacco products is prohibited while in an official capacity. Solicitation or acceptance of free tobacco products is prohibited while in an official capacity. DON shall not allow the advertising of tobacco products. DON shall not allow the advertising of tobacco products. DON components shall not participate with manufacturers or distributors of tobacco products in promotional activities, activities, or contests aimed at service members. DON components shall not participate with manufacturers or distributors of tobacco products in promotional activities, activities, or contests aimed at service members. Tobacco shall not be sold to minors. Tobacco shall not be sold to minors.

17. Tobacco Cessation The CNO and the CMC are responsible for implementing policy and program guidance. The CNO and the CMC are responsible for implementing policy and program guidance. Cos and Unit Commanders shall: Cos and Unit Commanders shall: 1. Ensure the use is not part of our culture and encourage tobacco-free lifestyle. 2. Provide tobacco cessation at the command level, shall include prevention as well as quitting. 3. Create, by personal example and command climate, a tobacco cessation program which supports abstinence and discourages use. 4. Tobacco Cessation programs shall be included at all command indoctrinations, general military training, in an ongoing effort to promote health and wellness program.