environmental co capture influences smoke free homes a case study presenters: tracy rowland, health...
TRANSCRIPT
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)
• 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
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
• 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• 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
• 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
• 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
• 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• Potential areas of use• Stimulate ideas/innovation• Further evidence/studies required• Smokefree cars Making the home smokefree is often the first step
to quitting!
CO Check Baby Monitor
