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Environmental CO Capture Influences Smoke Free Homes A case study

Environmental CO Capture Influences Smoke Free Homes A case study. Presenters: Tracy Rowland, Health Programme Advisor, Public Health Dorset Martin Marsh, Managing Director, MD Diagnostics Ltd, Kent. Smoking family home (No environmental CO reading available).

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Environmental CO Capture Influences Smoke Free Homes A case study

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  1. Environmental CO Capture Influences Smoke Free HomesA case study Presenters: Tracy Rowland, Health Programme Advisor, Public Health Dorset Martin Marsh, Managing Director, MD Diagnostics Ltd, Kent

  2. Smoking family home(No environmental CO reading available) • Pregnant smoker -four young children • Husband - smoker • Friend and neighbour - three young children • CO reading 16ppm/2.56%COHb 5.00% FCOHb - High risk zone • CO reading (not present) • CO reading 20ppm/3.20%COHb - Heavy smoker zone Potential for distractions in a home environment - are key health messages really heard?

  3. Secondhand smoke 9,500 children are admitted to hospital each year as a direct result of exposure to secondhand smoke (passive smoking) Royal College of Physicians (2010) Passive smoking and young children: A report by the Tobacco Advisory Group. London: RCP

  4. Initial assessment • Smoking behaviour/level of addiction • Support - advisor, family and friends • Secondhand smoke/smokefree homes • Use of medication • Stop smoking buddy Protecting children from the dangers of SHS appeals to most parents

  5. First follow up visit • Client 1 (pregnant) – CO reading 4ppm • Client 2 (neighbour) – CO reading 7ppm • Reduction in cigarette consumption • Some smokefree days • Husband not present Children from lower income households are more likely to have been exposed to secondhand smoke http://www.lho.org.uk/LHO_Topics/National_Lead_Areas/NationalSmoking.aspx#11

  6. Second follow up visit • Client 1 – CO reading 4ppm (smokefree) • Client 2 – CO reading 5ppm (smokefree) • Husband – CO 24ppm Environmental CO reading taken: Lounge 7ppm Kitchen 9ppm Smokefree homes discussion – action needed!

  7. Behaviour change • Client 1 – CO reading 3ppm • Client 2 – CO reading 2ppm • Husband – CO reading 2ppm • Environmental reading 1ppm • Follow on support Non smoking behaviour continued throughout the rest of the pregnancy and post-delivery

  8. NCSCT • Giving VBA • Smokefree homes • On-line training • Can be used opportunistically, in a home setting, when people are open to change and listen to health messages • Non-confrontational approach There is no risk-free level of exposure to secondhand smoke US Surgeon General (2006) National Centre for Smoking Cessation and Training www.ncsct.co.uk

  9. Discussion • Potential areas of use • Stimulate ideas/innovation • Further evidence/studies required • Smokefree cars Making the home smokefree is often the first step to quitting!

  10. CO Check Baby Monitor

  11. Thank you Any questions? Poster display t.rowland@dorsetcc.gov.uk martin@mdd.org.uk

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