Regina M. Benjamin, MD, MBAU.S. Surgeon General

Clifford Douglas, JDDirector of the University of Michigan Tobacco Research Network

David Smith, MDPresident, State University of New York [SUNY],

Upstate Medical University

Public Health Reports Webcast: The Surgeon General's

Youth Tobacco Report supports the Tobacco-Free College Campus Initiative

SG Luther Terry Report 1964

2 tobacco-related Surgeon General’s reports

Spring 2012 Youth and Young Adults

A Report of the Surgeon General

One Cigarette Can Cause a Heart Attack

Tobacco Smoke damages

almost every organ of the body

Heartbeat

Tobacco Smoke is Addicting Cigarettes are designed for addiction Nicotine is the key chemical compound that causes

the powerful addicting effects Other ingredients and design features make them

even more attractive and addictive than ever before Product design, flavoring agents, And added chemical ingredients

Every day 1200 Americans die from smoking

Each of those people are being replaced by 2 young smokers

90% of all smokers start before age 18,

99% of all smokers start before age 26

Scientists Show Evidence of Causality

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

More than $1 million dollars an hour

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

We can make the next generation tobacco-free

:

Destiny

Clifford E. Douglas, J.D.Consulting Tobacco Control Policy Advisorto the Assistant Secretary for HealthU.S. Department of Health and Human Services

The National Tobacco-FreeCollege Campus Initiative

U.S. Department of Health and Human Services

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

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 People 2020 tobacco control goals

2. Support the FDA’s newly acquired role to regulate the manufacture, marketing and distribution of tobacco products

www.hhs.gov/ash/initiatives/tobacco/tobaccostrategicplan2010.pdf

Advance Knowledge: Expand the science base

and monitor progress

Engage the Public: Change social norms with

national media and communications

Improve the Public’s Health:

Accelerate State and community tobacco

control efforts

Lead by Example: Implement model tobacco

control policies within HHS

Four Pillars of the HHS Tobacco ControlStrategic Action Plan

Lead by Example: Implement model tobacco

control policies within HHS

July 2011:HHS

established a comprehensive

tobacco-free campus policy

covering allof its facilities

Pillar #1 Includes HHS’s Own Tobacco-Free Campus Policy

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

• Ongoing consultation, collaboration and information exchange with

leaders from academia and the public health community

• Engage in educational events across the nation

• HHS webcast Town Hall with Surgeon General Regina Benjamin at

University of Washington (June 2012)

• Surgeon General Benjamin’s national webinar (June 2012)

• National Conference on Tobacco or Health (Aug. 2012)

• University of Michigan national webcast event with Assistant

Secretary for Health Howard Koh (Sept. 2012)

• College campus visits by Assistant Secretary for Health Koh and

Surgeon General Benjamin

Key Activities of the Tobacco-FreeCollege Campus Initiative

SUNY Upstate Medical University

Our Smoke-Free Journey

David R. Smith, MDPresident

June 27, 2010

Our Smoke-Free Journey• Making the Decision

• March 2004, campus planning began to go smoke free• The decision aligned with the Upstate Mission• Smoking on the campus contradicted our mission

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

• Smoke Free Advisory Committee formed that reported directly to the President

Smoke-Free Advisory Committee Employee/Student Health

Committee leadership Smoking cessation

Employee/Labor Relations Union issues

Human Resources Benefits Recruitment issues

Respiratory Care Inpatient smoking cessation

issues Assistance with smoking

cessation programming

Organizational Training and Development Development of educational

materials

Hospital Administration Program support Communication with upper

levels

Public and Media Relations Press releases GASO speakers

Public Safety Compliance issues

Healthcare Teleservices Preadmission notification Visitor interaction

Library Services Historical perspective

Demographic Information

SUNY Upstate Medical University is an Urban Campus

• Largest employer in Onondaga County

• Employs approximately 9500

• Three major labor unions representing over 6000

• University Hospital and University Hospital at CGH

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

• Combined student body of 1500+

First SUNY Campus to become smoke-free

Assessing Our Situation:• Conducted a survey in partnership with the ACS

• Smoking statistics were extrapolated from the 2004 survey and compared to a 2002 survey.– 2002 - 17% campus population were smokers– 2004 – 13% campus population were smokers

85% of those smokers had an interest in quitting

• Non-Compliance with Existing Policy

Union Considerations

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

Smoke-Free Communications• The President continued to issue letters to the campus as

we entered each new phase of the process.

• A Communication Plan was developed, to include:• Slogan – “Let’s Clear the Air”• Website• Unique Signage• Campus Maps (Defined Campus Boundaries)• Staff Education Booklets• Pamphlets for visitors• Intervention cards• Recruitment tool

Our Smoke-Free Journey

• New Policy Implemented– 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

• Finding leverage to influence local government

• Deflect the dissent

• Use your friends

• Use your muscle

Our Legacy A new generation of workers and patients and visitors has

acclimated to the policy

We are directing smoking cessation programs across the region

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

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

Thank You

We would now like to take your Questions.

Stay tuned for our next webcast!

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