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Healthy Chicago:
  Focus on Tobacco Use

     Chicago Board of Health
          May 16, 2012


Chicago Department of Public Health
        @ChiPublicHealth on
Communities Putting Prevention to
             Work
   •   2010 ARRA opportunity
   •   Focused on obesity and tobacco
   •   Systems, environment and policies
   •   Use of Bona Fide Agents for efficiencies
   •   $11.6M, 2=years
Partnership with Respiratory Health
           Association
   •   Immunizations
   •   School health collaborations
   •   Emergency response
   •   Tobacco delegate agency
Tobacco Use in Healthy Chicago
Goal
•Reduce morbidity and mortality related to tobacco
use and exposure to second hand smoke

Targets
Tobacco Strategies

• CPPW strategies
• Other
  – Ban tobacco vending machines
  – Undercover sting of sales to minors
  – Retailer education about new FDA regulations
  – Cessation support
• Leverage resources
  – Media
  – NRT
Shift in CDPH Program Efforts

focus on direct interventions
focus on capacity building
focus on policy development
Selected Achievements

• Training youth service agencies
• Screening for 2nd hand smoke exposure
• Sunset tobacco vending machines
• Increased fines for sales of unstamped
  cigarettes
• Increased effectiveness of investigations
• Strengthened foundation for collaboration
Chicago Board of Health
     May 16, 2012
GOAL: Implement environment and systems
  changes with positive long-term effects

•   Chicago’s adult smoking rate by 10%
•   Chicago’s youth smoking rate by 25%
•   Exposure to secondhand smoke
•   Chicago’s tobacco-related deaths
Smoke-free multi-unit housing:
 Chicago Housing Authority
Smoke-free multi-unit housing:
 Chicago Housing Authority
IMPACT:
3,363+ units of smoke-free multi-unit housing
created

Two-year trend of increasing public support
for smoke-free rules among Chicago renters.
Tobacco-free hospitals

• Roseland Community Hospital
• Mercy Hospital & Medical
  Center
• Thorek Memorial Hospital
• Weiss Memorial Hospital
• Norwegian American Hospital
• UIC
Smoke-free mental health / substance
             abuse facilities
• Beacon Therapeutic
  Diagnostic &
  Treatment Center
• The Women’s
  Treatment Center
• Caritas
• Healthcare
                        IMPACT:
  Alternative Systems   15,000 clients, 500 staff
• Trilogy
Tobacco-free higher education
              campuses
 • City Colleges of
   Chicago
 • Roosevelt University
 • Robert Morris
   University

IMPACT:
128,000 students
  7,300 faculty and staff
Social support and services



               IMPACT:
               132,000 people reached!
IMPACT: More than 1,700 people reached
CTPP generated increased calls to the
      Illinois Tobacco Quitline




 IMPACT: Calls to the Quitline increased approx. 70%
Nicotine Replacement Therapy (NRT)


IMPACT:
Nearly 5,000 individuals
received NRT through the
Quitline or from community
partners targeting vulnerable
populations.
Ask, Advise, Refer
• Implemented at:
  – 33 clinics
     • Alliance (6), Access Community Health Network
       (19), American Medical Association (5), and others
  – 7 social service agencies
  – 25+ clinical Electronic Health Care Records
    systems

     IMPACT: More than 104,000 clients screened
IMPACT:
More than 1,030 youth,
representing half of the
city’s wards, have
participated in the program.
Media highlights

• > 330,000,000 radio and TV impressions
• > 20 million print and digital impressions

• Added value: $1 million+
Familiarity with CTPP efforts increased over
       time, particularly among smokers.




IMPACT: 34% of adult smokers were familiar with the campaign.
A growing number of youth express no interest in
         smoking, or are trying to quit.
The number of days per week adults reported
   exposure to secondhand smoke decreased.




IMPACT: Exposure to secondhand smoke has decreased 50%.
What’s next?
24/7 tobacco free campus policies
Smoke-free parks
The future: a tobacco-free generation

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Tobacco Prevention Progress Report

  • 1. Healthy Chicago: Focus on Tobacco Use Chicago Board of Health May 16, 2012 Chicago Department of Public Health @ChiPublicHealth on
  • 2. Communities Putting Prevention to Work • 2010 ARRA opportunity • Focused on obesity and tobacco • Systems, environment and policies • Use of Bona Fide Agents for efficiencies • $11.6M, 2=years
  • 3. Partnership with Respiratory Health Association • Immunizations • School health collaborations • Emergency response • Tobacco delegate agency
  • 4. Tobacco Use in Healthy Chicago Goal •Reduce morbidity and mortality related to tobacco use and exposure to second hand smoke Targets
  • 5. Tobacco Strategies • CPPW strategies • Other – Ban tobacco vending machines – Undercover sting of sales to minors – Retailer education about new FDA regulations – Cessation support • Leverage resources – Media – NRT
  • 6. Shift in CDPH Program Efforts focus on direct interventions focus on capacity building focus on policy development
  • 7. Selected Achievements • Training youth service agencies • Screening for 2nd hand smoke exposure • Sunset tobacco vending machines • Increased fines for sales of unstamped cigarettes • Increased effectiveness of investigations • Strengthened foundation for collaboration
  • 8. Chicago Board of Health May 16, 2012
  • 9. GOAL: Implement environment and systems changes with positive long-term effects • Chicago’s adult smoking rate by 10% • Chicago’s youth smoking rate by 25% • Exposure to secondhand smoke • Chicago’s tobacco-related deaths
  • 10. Smoke-free multi-unit housing: Chicago Housing Authority
  • 11. Smoke-free multi-unit housing: Chicago Housing Authority
  • 12. IMPACT: 3,363+ units of smoke-free multi-unit housing created Two-year trend of increasing public support for smoke-free rules among Chicago renters.
  • 13. Tobacco-free hospitals • Roseland Community Hospital • Mercy Hospital & Medical Center • Thorek Memorial Hospital • Weiss Memorial Hospital • Norwegian American Hospital • UIC
  • 14. Smoke-free mental health / substance abuse facilities • Beacon Therapeutic Diagnostic & Treatment Center • The Women’s Treatment Center • Caritas • Healthcare IMPACT: Alternative Systems 15,000 clients, 500 staff • Trilogy
  • 15. Tobacco-free higher education campuses • City Colleges of Chicago • Roosevelt University • Robert Morris University IMPACT: 128,000 students 7,300 faculty and staff
  • 16. Social support and services IMPACT: 132,000 people reached!
  • 17. IMPACT: More than 1,700 people reached
  • 18. CTPP generated increased calls to the Illinois Tobacco Quitline IMPACT: Calls to the Quitline increased approx. 70%
  • 19. Nicotine Replacement Therapy (NRT) IMPACT: Nearly 5,000 individuals received NRT through the Quitline or from community partners targeting vulnerable populations.
  • 20. Ask, Advise, Refer • Implemented at: – 33 clinics • Alliance (6), Access Community Health Network (19), American Medical Association (5), and others – 7 social service agencies – 25+ clinical Electronic Health Care Records systems IMPACT: More than 104,000 clients screened
  • 21. IMPACT: More than 1,030 youth, representing half of the city’s wards, have participated in the program.
  • 22. Media highlights • > 330,000,000 radio and TV impressions • > 20 million print and digital impressions • Added value: $1 million+
  • 23. Familiarity with CTPP efforts increased over time, particularly among smokers. IMPACT: 34% of adult smokers were familiar with the campaign.
  • 24. A growing number of youth express no interest in smoking, or are trying to quit.
  • 25. The number of days per week adults reported exposure to secondhand smoke decreased. IMPACT: Exposure to secondhand smoke has decreased 50%.
  • 27. 24/7 tobacco free campus policies
  • 29. The future: a tobacco-free generation

Editor's Notes

  1. STACY: Our partnership with the Chicago Housing Authority included both technical assistance and programming to educate residents and help them quit smoking. We worked with property managers on policy language, provided smoke-free signage and assisted with issues such as enforcement. CTPP was also able to provide programming and education to CHA residents. We employed peer health educators, Victoria Parker and Jaz Vance, to provide workshops and cessation classes at CHA sites throughout the city. At some locations, health educators even went door-to-door to get out the message. I’m also happy to report that our work with CHA will not end with the project, as we were able to train service providers in the CHA network in tobacco prevention. They now have resources and intervention techniques to better serve the health needs of their clients.
  2. Project Closing Presentation 3-14-12
  3. Project Closing Presentation 3-14-12
  4. Project Closing Presentation 3-14-12
  5. Project Closing Presentation 3-14-12