SECNAVINST 5100.13ESECNAVINST 5100.13ENAVY & MARINE CORPS NAVY & MARINE CORPS

TOBACCO POLICYTOBACCO POLICY

DON’s Purpose for DON’s Purpose for InstructionInstruction

To control and reduce tobacco use within the To control and reduce tobacco use within the Department of the Navy (DON).Department of the Navy (DON).

DON’s Definition of Tobacco Products:DON’s Definition of Tobacco Products:

Cigarettes, Cigars, PipesCigarettes, Cigars, Pipes

Smokeless tobacco include spit, plug, leaf, Smokeless tobacco include spit, plug, leaf, snuff, dip & chew.snuff, dip & chew.

KEY DEFINITIONSKEY DEFINITIONS

• Environmental Tobacco Environmental Tobacco Smoke (ETS)Smoke (ETS)

• ResidueResidue

““Second Hand Smoke” orSecond Hand Smoke” or “ “Passive” Smoke.”Passive” Smoke.”Categorized as Class “A” Categorized as Class “A” carcinogen by cause carcinogen by cause respiratory illness & heart respiratory illness & heart diseasediseaseBy products of tobaccoBy products of tobaccoUse (e.g. butts, ashes,Use (e.g. butts, ashes,matches, product matches, product wrappings, spit, spit cups.wrappings, spit, spit cups.

Tobacco-BackgroundTobacco-Background

• Cigarette smoking is the most important source of preventable morbidity Cigarette smoking is the most important source of preventable morbidity and premature mortality (death) worldwide. and premature mortality (death) worldwide.

• Smoking-related claims an estimated 438,000 American lives each year, Smoking-related claims an estimated 438,000 American lives each year, including indirectly such as babies born prematurely due to prenatal including indirectly such as babies born prematurely due to prenatal maternal smoking and victims of "secondhand" exposure to tobacco's maternal smoking and victims of "secondhand" exposure to tobacco's carcinogens.carcinogens.

• Smoking cost the United States over $193 billion in 2004, including $97 Smoking cost the United States over $193 billion in 2004, including $97 billion in lost productivity and $96 billion in direct health care billion in lost productivity and $96 billion in direct health care expenditures, or an average of $4,260 per adult smoker.expenditures, or an average of $4,260 per adult smoker.

• It causes DON nearly $1,000,000,000 in related health care and It causes DON nearly $1,000,000,000 in related health care and productivity loss cost a year. productivity loss cost a year.

Smoking in the MilitarySmoking in the Military• Tobacco use in DoD has dropped significantly in the last two decades, generally Tobacco use in DoD has dropped significantly in the last two decades, generally

mirroring civilian rates. 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 DoD hopes to meet the U.S. Department of Health and Human Services' Healthy People 2010 goal of a 12 percent smoker rate.2010 goal of a 12 percent smoker rate.

• DoD spends $930 million per year on healthcare for smoking- related illnesses and lost DoD spends $930 million per year on healthcare for smoking- related illnesses and lost productivity in DoD beneficiaries, productivity in DoD beneficiaries,

• A recent study of just active duty Air Force members below age 36 shows that service 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 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.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 "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.”3,537 people for a year, about the number on an average-sized Air Force base.”

Smoking EffectsSmoking Effects

• Heart Disease.Heart Disease.

• Several Type of Cancers: Lung, larynx, esophagus, pharynx, Several Type of Cancers: Lung, larynx, esophagus, pharynx, mouth & bladder (to name a few).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 4,800Currently cigarette smoke contains over 4,800 chemicals, 69 of which are known to cause cancer.chemicals, 69 of which are known to cause cancer.

Smoke Effects Smoke Effects We can closely relate to We can closely relate to

1.1. Diminishes motor & perceptual skills & causes poor Diminishes motor & perceptual skills & causes poor endurance.endurance.

2.2. It adversely effects low-light and night vision, respiratory It adversely effects low-light and night vision, respiratory capacity & wound-healing rates.capacity & wound-healing rates.

3.3. Over time, will cause serious oral health conditions, Over time, will cause serious oral health conditions, including cancer of mouth and gums, periodonitis, tooth including cancer of mouth and gums, periodonitis, tooth loss, resulting in the loss medical readiness, which will loss, resulting in the loss medical readiness, which will affect your chances to possibly stay in the service. affect your chances to possibly stay in the service.

Stats on Tobacco-UseStats 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 men90% of lung cancer deaths among men– 80% lung cancer deaths among women attributed to smoking.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 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. 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 23% of high school students and 8 percent of middle school students in this country are current

cigarette smokers. cigarette smokers.

• In the United States, approximately 38,000 deaths each year are caused by exposure to second In the United States, approximately 38,000 deaths each year are caused by exposure to second hand smoke.hand smoke.

• Among current smokers, chronic lung disease accounts for 73 percent of smoking-related 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 conditions. Even among smokers who have quit chronic lung disease accounts for 50 percent of smoking-related conditions. smoking-related conditions.

Left. Lung CancerLeft. Lung CancerMiddle: EmphysemaMiddle: EmphysemaRight: Health Lung Right: Health Lung

Non-Smoker vs. SmokerNon-Smoker vs. Smoker

DON’S Objectives & PolicyDON’S Objectives & Policy

1.1. Reduce tobacco use – by promoting quitting and Reduce tobacco use – by promoting quitting and establishing tobacco-free facilities.establishing tobacco-free facilities.

2.2. Provide users with encouragement and professional Provide users with encouragement and professional assistance needed to quit.assistance needed to quit.

3.3. Improve personnel health & maintain a high state of Improve personnel health & maintain a high state of military readiness.military readiness.

4.4. Ensure a safe, healthy & unpolluted working living Ensure a safe, healthy & unpolluted working living & tobacco-free environment.& tobacco-free environment.

5.5. DON’s vision is to be tobacco-free. DON’s vision is to be tobacco-free.

DON’S Policy on Tobacco DON’S Policy on Tobacco UseUse• Tobacco use is only permitted in designated tobacco use areas – Tobacco use is only permitted in designated tobacco use areas –

must be away from common points, air intake ducts & must be at must be away from common points, air intake ducts & must be at least 50 feet from any building entrance.least 50 feet from any building entrance.

• Time spent for tobacco use shall occur based on staffing and per Time spent for tobacco use shall occur based on staffing and per Federal law, personnel policy & union contracts.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-Should a conflict arise between the rights of tobacco users & non-tobacco users, the right to a tobacco-free space shall prevail.tobacco users, the right to a tobacco-free space shall prevail.

DON’S POLICY-LIVING QUARTERS DON’S POLICY-LIVING QUARTERS ASHORE/HOUSING UNITSASHORE/HOUSING UNITS

• Designated areas may be permitted in BQ and lodging provided said units Designated areas may be permitted in BQ and lodging provided said units are served by common Heating, Ventilation, Air Conditioning system.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 Designated tobacco use may be permitted in multiple housing units provided that the tobacco use areas are provided that the tobacco use areas are separately ventilatedseparately ventilated and exhaust and exhaust directly to the outdoors directly to the outdoors away from common pointsaway from common points of facility of facility entry/egress, and not in front of air intake ducts.entry/egress, and not in front of air intake ducts.

• Non-tobacco using travelers can be issued a certificate of non-availability Non-tobacco using travelers can be issued a certificate of non-availability when non-tobacco designated rooms are not available.when non-tobacco designated rooms are not available.

Tobacco use onboard shipsTobacco use onboard ships

• Cos Cos maymay designate one or more weather deck spaces designate one or more weather deck spaces as tobacco use areas.as tobacco use areas.

• If weather decks are unavailable, the CO If weather decks are unavailable, the CO maymay designate a normally unmanned space within the skin designate a normally unmanned space within the skin of the ship, provided that the space is designed to of the ship, provided that the space is designed to vent directly to the outside.vent directly to the outside.

• Provided that all ventilation requirements are met. Provided that all ventilation requirements are met.

Tobacco onboard SubmarinesTobacco onboard Submarines

• Tobacco-use areas may be designated aboard Tobacco-use areas may be designated aboard submarines.submarines.

• These spaces must be well ventilated and not in the These spaces must be well ventilated and not in the vicinity of stationary watch stations.vicinity of stationary watch stations.

• Berthing spaces, messes, lounges and exercise areas Berthing spaces, messes, lounges and exercise areas shall not be designated as tobacco use areas.shall not be designated as tobacco use areas.

• The number of users authorized shall be limited by The number of users authorized shall be limited by the clearance capacity of the ventilation system. the clearance capacity of the ventilation system.

DON’S POLICY ON THE SALE OF DON’S POLICY ON THE SALE OF TOBACCOTOBACCO

• Solicitation or acceptance of free tobacco products is Solicitation or acceptance of free tobacco products is prohibited while in an official capacity.prohibited while in an official capacity.

• DON shall not allow the advertising of tobacco DON shall not allow the advertising of tobacco products.products.

• DON components shall not participate with DON components shall not participate with manufacturers or distributors of tobacco products in manufacturers or distributors of tobacco products in promotional activities, activities, or contests aimed at promotional activities, activities, or contests aimed at service members. service members.

• Tobacco shall not be sold to minors.Tobacco shall not be sold to minors.

Tobacco CessationTobacco Cessation• The CNO and the CMC are responsible for implementing policy and The CNO and the CMC are responsible for implementing policy and

program guidance.program guidance.

• Cos and Unit Commanders shall:Cos and Unit Commanders shall:

1.1. Ensure the use is not part of our culture and encourage tobacco-free Ensure the use is not part of our culture and encourage tobacco-free lifestyle.lifestyle.

2.2. Provide tobacco cessation at the command level, shall include Provide tobacco cessation at the command level, shall include prevention as well as quitting.prevention as well as quitting.

3.3. Create, by personal example and command climate, a tobacco cessation Create, by personal example and command climate, a tobacco cessation program which supports abstinence and discourages use.program which supports abstinence and discourages use.

4.4. Tobacco Cessation programs shall be included at all command Tobacco Cessation programs shall be included at all command indoctrinations, general military training, in an ongoing effort to indoctrinations, general military training, in an ongoing effort to promote health and wellness program.promote health and wellness program.