Tag Archives: tobacco

Lancaster County Goes Tobacco Free

DHEC’s Division of Tobacco Control and Prevention and the Midlands Community Systems team recently celebrated with community partners for Lancaster County going tobacco free. Congratulations and a big thank you to our community partners in Lancaster County, especially the Lancaster County Health and Wellness commission, for all they have done to protect residents from the harmful effects of secondhand smoke.  

In 2013, Lancaster became the first county in the state to ban indoor smoking at its public facilities and municipal government. Many other public agencies also adopted tobacco-free policies at that time. In 2019, three remaining public entities needed to adopt tobacco-free policies for the county to be considered fully tobacco-free – the first such county in South Carolina. 

The Division of Tobacco Control and Prevention and the Midlands Community Systems team were able to offer support and resources to help Lancaster County achieve this incredible milestone. By July 2020, the three remaining entities passed tobacco free polices.  

To celebrate and show our appreciation for all the hard work achieved by our partners, we provided tobacco free signs to all seven entities. A billboard on I-77 also recognized this accomplishment.  

Plan a Tobacco-Free Lifestyle during the Great American Smokeout

Let today be the day to stop smoking or using tobacco products of any kind. Today is the Great American Smokeout, an opportunity for people who use tobacco to commit to a healthy tobacco-free life. Nicotine is one of the most addictive drugs. Whether it is in cigarettes, cigars, chewing tobacco, or Electronic Nicotine Delivery System (ENDS) products such as electronic cigarettes (e-cigarettes) and vapes, the effects of nicotine are detrimental to your health.

Tobacco use is linked to the leading causes of death and hospitalization in South Carolina, which are cancer, heart disease, circulatory system disease and births/pregnancy complications, respectively.  Nearly 90% of all trachea, lung, and bronchus cancer deaths in South Carolina are smoking related.  According to the 2018 South Carolina Health Assessment, cigarette has been shown to increase South Carolina annual health care spending by $1.9 billion per year.

Cigarette Smoking in Adults_SC Health assessment

While South Carolina is making progress toward the CDC Healthy People 2020 goal of a 12% adult smoking rate – the current rate is 20.6% (2016).  Data from the most recent Adult Tobacco Survey (2014) shows that 6.2% of adults in South Carolina use e-cigarettes and 4.6% report using both combustible tobacco products like cigars and cigarettes, as well as using e-cigarettes or vapes.  ENDS products make tobacco prevention and cessation efforts more difficult due to the high concentration of nicotine found in the products (increasing nicotine addiction) and since many smoke-free policies have not been updated to include these products.

Cigarette Smoking in Teens_SC Health Assessment

While South Carolina has achieved the Healthy People 2020 goal of 16% or fewer high school students who are current smokers, the popularity of ENDS products again complicates this achievement. The 2017 Youth Tobacco Survey data show that the use of e-cigarettes or vapes (13%) surpassed the use of cigarettes (12%) for the first time. This new threat is expected to increase with the findings from the 2019 Youth Tobacco Survey slated to be available later this year. Nicotine in any form increases the risk of heart disease and addiction and is not safe for any age, especially adolescents.

Research shows that people who use tobacco are most successful in their efforts to quit when they have support. In fact, tobacco users are three times more likely to quit successfully with individualized counseling in combination with nicotine replacement therapies (over the counter or prescription) – all of which are available free of charge 24/7 through the DHEC administered SC Tobacco Quitline (1-800-QUIT-NOW).  The SC Tobacco Quitline has resources to help you quit and stay quit. Information includes: Nicotine Anonymous meetings, self-help books and materials, and smoking counselors or coaches. The Quitline also has a Youth Support Program for teen tobacco users and a Spanish language Quitline available by calling 1-855-DEJELO-YA.

Here are some additional cessation resources:

GASO ad - Option 4 - 4.625 x 4.875 English

For more tobacco information, visit the Centers for Disease Control and Prevention (CDC)’s Office on Smoking and Health.  For more information about electronic cigarettes, visit DHEC’s e-cigarettes and vapes webpage.  You can quit for keeps. Start today.

South Carolina Health at a Glance: Chronic Disease and Risk Factors (Part 2)

Our next installment of the 2018 Live Healthy State Health Assessment summaries covers chronic disease and risk factors.  Because this section lists many chronic diseases that affect South Carolina, we will summarize in three sections. In our first section we summarized South Carolina findings on obesity, prediabetes, diabetes, hypertension, arthritis, heart disease, and stroke. Our next section will cover nutrition, physical activity, and cigarette smoking. Check out our previous posts:  overview of the reportSouth Carolina demographicsleading causes of death and hospitalizationcross-cutting, access to healthcare, and maternal and infant health.

Nutrition

A healthy diet is essential to reducing the risk of chronic diseases and other health conditions, including obesity, malnutrition, iron-deficiency anemia, and some cancers.

  • The percent of adults who consumed vegetables less than one time per day was higher in those with an annual household income of less than $15,000 (37.8%) compared to those with an annual household income of $50,000 or higher (16.1%).
  • Men (52.3%) in South Carolina had a higher prevalence of not eating fruits than women (42.5%) in 2015.
  • The prevalence of adults who consumed vegetables less than one time per day did not statistically change from 2011 to 2015.

Physical Activity

  • The rate of adults who met physical activity guidelines for both aerobic and muscle training increased from 18.9% in 2011 to 23.0% in 2016, and surpassed the Healthy People 2020 objective of 20.1%.
  • In 2015, 23.6% of South Carolina high school students met the federal physical activity guidelines for aerobic physical activity.
  • The prevalence among non-Hispanic White students who met the federal physical activity guidelines for aerobic physical activity was higher than non-Hispanic Black students.

SC Adult Cigarette Smoking_Assessment

  • Adult cigarette smoking decreased from 23.7% in 2011 to 20.6% in 2016 in South Carolina.
  • In 2015, 9.6% of high school students (grades 9-12) reported cigarette use on at least one day during the past 30 days.
  • The prevalence of adult women (50%) attempting to quit cigarette smoking within the past year was higher than adult men (41.0%).

SC Second handsmoke_assessment

  • In South Carolina in 2015, 22.4% of adults reported being exposed to secondhand smoke while at the workplace.
  • The five counties in South Carolina with the highest prevalence of secondhand smoke exposure while a work were: Colleton, Hampton, Bamberg, Clarendon, and Marlboro.
  • In 2015, the prevalence of adolescents who reported being exposed to secondhand smoke in homes or vehicles was 40.8%.

In our last section about South Carolina’s chronic diseases and risk factors, we will summarize information about all cancers. For more detailed information about chronic diseases and risk factors that affect our state, visit https://www.livehealthysc.com/uploads/1/2/2/3/122303641/chronic_disease_and_risk_factors_sc_sha.pdf.

Leading Health Experts Emphasize Five Effective Ways To Prevent Birth Defects

Every 4 ½ minutes a baby is born with a birth defect in the United States. It doesn’t have to be that common. That’s why DHEC is joining with leading prenatal health experts from the National Birth Defects Prevention Network (NBDPN), Centers for Disease Control and Prevention, American Academy of Pediatrics, the March of Dimes, Teratology Society and MotherToBaby this month to increase awareness of five critical tips to reduce the chances of having a baby with a birth defect.

The National Birth Defects Prevention Month campaign theme, Best for You. Best for Baby,” aims to raise awareness about the infants born with birth defects in South Carolina each year. In 2017, 1,142 infants were identified by the SC Birth Defects Program as having a birth defect. While we can’t prevent all birth defects, the following steps increase a woman’s chance of having a healthy baby.

  1. Be sure to take 400 micrograms (mcg) of folic acid every day.
  • Folic acid is very important because it can help prevent some major birth defects of the baby’s brain and spine.
  1. Book a visit with your healthcare provider before stopping or starting any medicine.
  • There are often benefits to continuing treatment throughout pregnancy. Discussing a treatment plan before a pregnancy allows a woman and her health care provider to weigh the pros and cons of all options to keep mom and baby as healthy as possible.
  1. Become up-to-date with all vaccines, including the flu shot.
  • Having the right vaccinations, like the flu and Tdap vaccines, at the right time during pregnancy can help keep a woman and her baby healthy.
  1. Before you get pregnant, try to reach a healthy weight.
  • Obesity increases the risk for several serious birth defects and other pregnancy complications.
  1. Boost your health by avoiding harmful substances during pregnancy, such as alcohol, tobacco and other drugs.
  • There is no known safe amount of alcohol that can be consumed during pregnancy and exposure to it can cause major birth defects.
  • Smoking during pregnancy can cause dangerous chemicals to damage the placenta and/or reach the baby’s bloodstream.
  • The opioid addiction epidemic has led to a sharp increase in Neonatal Abstinence Syndrome (NAS), premature birth and drug withdrawal in developing babies.

According to Jason Salemi, PhD, MPH and president of the NBDPN, “Birth defects are a common cause of death in the first year of a baby’s life, but change happens through awareness.”

 How You Can Help

 DHEC encourages health advocates as well as the public to be an active participant in National Birth Defects Prevention Month. Follow and share #Best4YouBest4Baby messages on social media platforms, such as Facebook, Twitter, Instagram and Linkedin. The complete 2019 NBDPN Birth Defects Prevention Month information packet, including this year’s primary tips for birth defects prevention, “Best for You. Best for Baby. 5 Tips for Preventing Birth Defects,” is available online at: www.nbdpn.org/bdpm.php.

Additional Resources to Support Healthy Pregnancies

 Centers for Disease Control and Prevention

The CDC’s National Center on Birth Defects and Developmental Disabilities (NCBDDD) strives to advance the health and well-being of our nation’s most vulnerable populations.

www.cdc.gov/birthdefects

 American Academy of Pediatrics

Dedicated to the health of all children, providing age-specific health information.

www.healthychildren.org

 MotherToBaby, a free service of the non-profit Organization of Teratology Information Specialists (OTIS)

Communicate directly with experts about exposures, like medications, vaccines and more during pregnancy and breastfeeding by calling toll free (866) 626-6847, texting questions to (855) 999-3525, live chatting or emailing at

www.MotherToBaby.org

The Teratology Society

An international and multidisciplinary group of scientists, including researchers, clinicians, epidemiologists and public health professionals from academia, government and industry who study birth defects, reproduction and disorders of developmental origin.

www.Teratology.org

March of Dimes

An organization aiming to make sure babies get the strongest start possible as well as reducing the rate of prematurity.

www.marchofdimes.org

The SC Birth Defects program is committed to improving birth defects prevention, research, and referrals in South Carolina. The program can be reached at scbdp@dhec.sc.gov.

Great American Smokeout: Commit To A Healthy, Smoke-free Life

Catherine Warner
Outreach Coordinator
Division of Tobacco Prevention and Control

Public health advocates will observe the 43rd annual Great American Smokeout (GASO) on Thursday, Nov. 15. GASO is an opportunity for everyone to commit to healthy, smoke-free lives — not just for a day — but year-round.

Quitting is difficult. It takes commitment and a plan; and it often takes more than one try.  This is why GASO shouldn’t necessarily be considered the day to quit smoking for good, but rather the day to start the journey toward a smoke-free life. Support from friends and family is helpful, as is getting advice from your healthcare provider.

Free support is also available from the certified quit coaches at the SC Tobacco Quitline (1-800-QUIT-NOW). Personalized for each registered caller, the tips and support offered through the SC Tobacco Quitline (1-800-QUIT-NOW) can help smokers succeed when they are ready to quit. Most callers are eligible to receive free over-the-counter nicotine replacement therapies, such as nicotine gum, patch, or lozenge — regardless of insurance coverage.

GASO gives us all a great opportunity to promote tobacco-free lifestyles to co-workers, clients, friends, and family. It’s important to our work at DHEC because tobacco prevention touches on nearly every public health program area. From flu prevention to family planning, diabetes to heart disease and stroke, tobacco users are more likely to experience negative health consequences impacting nearly every organ in the body.  Lower rates of tobacco use can decrease incidence of respiratory infections, infertility, pre-term births and low birth weight babies, Type II diabetes, periodontal disease, many cancers, heart attacks, sudden infant death syndrome (SIDS), and tobacco-related health disparities.

If you would like to encourage smokers to participate in GASO, materials from the American Cancer Society are also available on their website. Free posters, brochures, and other print items are also available through the DHEC Educational Materials Library. You can also call 898-2287 to place an order over the phone.  Getting the word out about GASO is not only a solid investment in public health, it could truly save the life of someone you love. Support, encourage, and promote smoke-free lives.  And if you smoke, call the SC Tobacco Quitline (1-800-QUIT-NOW) for free help. Para recibir ayuda de la línea estatal para dejar de fumar: 1-855-DÉJELO-YA (1-855-335-3569).