environmental co capture influences smoke free homes a case study
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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

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

smoking family home no environmental co reading available
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?

secondhand smoke
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

initial assessment
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

first follow up visit
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

second follow up visit
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!

behaviour change
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

ncsct
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

discussion
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!

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