The Tobacco-Free College Campus Initiative Making the Case for Your Campus Going Tobacco-Free

1. The Tobacco-Free College Campus Initiative Making the Case for Your Campus Going Tobacco-Free Dalton Paxman, PhD, FCPP Regional Health Administrator Office of the Assistant Secretary for Health August 29, 2013

2. The tobacco epidemic Commitment of the U.S. Department of Health and Human Services Acceleration of campus policies nationwide Why go tobacco-free? Effectiveness of campus policies Economic costs and benefits Topics

3. The Tobacco Epidemic

4. Smoking Kills More Americans thanAll of these Combined AIDS Alcohol Fires Car crashes Cocaine Heroin Suicide Homicide

5. 90% of all smokers start before age 18 • 99% of all smokers start before age 26

6. College Students & Smoking • 24.8% of full-time college students aged 18-22 years old were current smokers in 2010 (almost 1/3 aged 18-26) • The number of smokers who initiated smoking after age 18 increased from 600,000 in 2002 to 1 million in 2010 • Progression from occasional to daily smoking almost always occurs by age 26 Tobacco companies have carefully studied the attitudes and behaviors of young people, particularly as they go through life transitions, such as attending college.

7. If We Don’t Accelerate Our Progress Based on current rates, more than 1 million current college students are projected to die prematurely from tobacco use “If young people don’t start using tobacco by age 26, they almost certainly will never start.” - Surgeon General Regina Benjamin

8. Historic New Commitment of the U.S. Department of Health and Human Services

9. Secretary Kathleen Sebelius Asked Dr. Howard Koh to Develop the First-Ever HHS Strategic Plan to Combat Tobacco Vision: A society free of tobacco-related death and disease First Charge: Base the new HHS strategic action plan on the tobacco control goals set forth in Healthy People 2020 www.hhs.gov/ash/initiatives/tobacco/tobaccostrategicplan2010.pdf

10. Reduce tobacco use by adults and adolescents Reduce the initiation of tobacco use by children, adolescents, and young adults Increase successful cessation attempts by tobacco users; and Reduce the proportion of non-smokers exposed to secondhand smoke Healthy People 2020’s Tobacco Prevention Objectives

11. A Key Pillar of HHS’s Plan is Leading by Example (“Walking the Talk”) • In July 2011, HHS established a comprehensivetobacco-free campus policy covering all indoor and outdoor properties • The announcement stated: “Taking this action will protect the health and safety of all HHS employees, contractors and visitors and will serve as a role model for workplaces everywhere … Educational and promotional efforts will be provided in support of the policy’s implementation. We know that quitting tobacco can be difficult for even the most motivated people, and we want to help employees succeed.”

12. The Tobacco-Free College CampusInitiative: Vision and Goals Vision: Widespread expansion of tobacco-free policies to institutions of higher learning across the U.S. Goals: • Foster a collaborative, cooperative effort among academic institutions and partners in the public health community • Expand awareness in academia and among the public of the need for and benefits of such policies • Facilitate information flow and access to technical assistance

13. TFCCI = Collaboration • Lead Partners • U.S. Department of Health and Human Services • American College Health Association • University of Michigan • Sponsors • American Legacy Foundation • Americans for Nonsmokers’ Rights • Campaign for Tobacco-Free Kids • National Center for Tobacco Policy • Other Partners • American Lung Association • The BACCHUS Network • California Youth Advocacy Network (CYAN) • Center for Social Gerontology (Smoke-Free Environments Law Project) • Global Advisors on Smokefree Policy (GASP) • Montana State University • Partnership for Prevention • State University of New York Upstate Medical University • Tobacco Control Legal Consortium

14. Acceleration of Campus Policies Nationwide

15. Progress! • As of April 2013 • 1,159 campuses in U.S. are 100% smoke-free with no exemptions, including residential housing facilities (where applicable) • Of those, 783 – almost 68% – have a 100% tobacco-free policy • Examples of large campuses that already are or are becoming tobacco-free: • University of California (all 10 campuses) • City University of New York (all 24 campuses) • Arizona State University • University of Oregon • University of Oklahoma • University of Kentucky • Montana State University • University of Florida (“Gators don’t chew. They chomp!”) • Emory University • Ohio State University (pending) Source: Americans for Nonsmokers’ Rights Foundation, http://www.no-smoke.org/pdf/smokefreecollegesuniversities.pdf

16. Exponential Growth

17. Region III’s smoke-free & tobacco-free Campuses Region III has 36100% smoke-free & 100% tobacco-free colleges or universities* • Delaware (2) • Delaware Technical & Community College • Widener University (Wilmington campus) • District of Columbia (2) • American University • Georgetown University Medical Center • Maryland (14) • University of Maryland • Pennsylvania (10) • Widener University (Chester, Harrisburg, & Exton campuses) • Virginia (3) • Eastern Virginia Medical School • Jefferson College of Health Sciences • Regent University • West Virginia (5) • Marshall University Health Sciences Campus • West Liberty University • West Virginia School of Osteopathic Medicine • West Virginia University Health Sciences Campus *100% smoke-free & 100% tobacco-free as defined by The American Nonsmokers' Rights Foundation (ANRF)

18. There are 4,583 colleges, universities and other institutions of higher learning in the U.S., according to the U.S. Department of Education Opportunity

19. Why Go Tobacco-Free?

20. Tobacco-Free College Campus Initiative Statement • “There is no safe tobacco product, and the Initiative encourages adoption of comprehensive tobacco-free policies. It is also recognized that each institution must make its own decisions when it comes to promoting health and preventing disease in its students, faculty, employees and visitors.” • “Tobacco-free policies go further in promoting a culture of health and wellness while reducing exposure to the variety of non-smoked forms of tobacco that cause cancer, heart disease and other serious illnesses.”

21. Effectiveness of Campus Policies

22. University of Michigan16 Months After Implementation • 89% of faculty/staff and 83% of students supported policy • 72% of faculty/staff and 65% students noticed decrease of smoking on campus • Smoking by faculty and staff dropped from 6% to 4% • Among continued smokers, 29% reduced consumption • 13% of faculty/staff reported policy influenced them to quit or attempt to quit smoking • 16% of students reported policy influenced them to quit or attempt to quit smoking • Source: University of Michigan, “Smoking Declines After U-M Campus Ban, May 9, 2013

23. Indiana University vs. Purdue University • Study compared undergraduates’ smoking behaviors and attitudes at two Big Ten campuses with similar demographics … Purdue University (no policy) and Indiana University (tobacco-free policy implemented in 2008) • Indiana University smoking rate: 16.5% in 2007; 12.8% in 2009 (-3.7) • Purdue University smoking rate: 9.5% in 2007; 10.1% in 2009 (+0.6) • Indiana University consumption rate: 6.6 cigs/day in 2007; 5.9 cigs/day in 2009 (-0.7) • Purdue University consumption rate: 5.2 cigs/day in 2007; 6.8 cigs/day in 2009 (+1.6) • Study showed significant favorable change in attitudes among Indiana University students regarding elimination of smoking in public places and university property • Source: Dong-ChulSeo et al., The Effect of a Smoke-free Campus Policy on College Students’ Smoking Behavior and Attitudes, Preventive Medicine 2011;53:347-352.

24. Economic Costs and Benefits

25. Reduced employee health care costs Reduced absenteeism Increased employee productivity Cost savings in grounds and building maintenance Reduced risk of fires Economic Benefits of Tobacco-Free Campus Policies

26. Please Visit TFCCI’s Website: TobaccoFreeCampus.org