Saturday, May 19, 2018

Missouri Statewide Comprehensive Tobacco Control Law


Missouri Statewide Comprehensive Tobacco Control Law
19 May 2018

The State of Missouri can now write a final comprehensive statewide tobacco control law. It needs to; or lose millions of dollars. Toxic tobacco smoke is no longer needed to manage nicotine levels. (See references below.)
Toxic tobacco smoke is the leading cause of preventable illness and early death. There is no safe level of tobacco smoke exposure. Nicotine addiction is of such a public health concern that smoking cessation is now free to every smoker.
Individuals at both ends of their life span (newborn, and the ill and infirm) are extra sensitive to toxic tobacco smoke to the extent that it can result in sudden death. Between these two extremes all individuals suffer from the aggravation of a large number of illnesses that can shorten a life by as much as 10 years.
The response time to tobacco smoke exposure is no longer 20-30 years (cancer). It is now known to be as short as 3 minutes (stroke and heart attack); 3 seconds to restrict blood flow and to irritate cell membranes (oxidative stress).
No one living in multi-unit housing (of any kind; memory care, assisted living, independent living, residential housing, condominium, nursing home, etc.) should be subjected to second hand tobacco smoke drifting into their living space; or third hand tobacco smoke carried into their living space on hair, cloths or bodies of caregivers and guests.
Any tobacco free property (combined with the use of nicotine replacements, when on duty), can satisfy the requirement of being free of all tobacco smoke exposure. Having no smokers guarantees clean air.
Low paying, high turnover rate, occupations need active smoking cessation programs in place when nicotine-addicted individuals (smokers who cannot resist adjusting their nicotine levels) are hired. Smokers who are that ill (addicted) must be restricted from working closely with patients, residents and customers.
Missouri needs a law that clears the air where uninformed addicted individuals and corporations fail to use free tools to promote smoking cessation. We need everyone to be aware of successful long term smoking cessation programs.
Educate everyone, restrict tobacco usage, and tax to reduce the known harm from tobacco smoke exposure. Vote YES. Half of any new tobacco tax money must be mandated to support prevention and cessation of smoking or vote NO.

Richard A. Hart, PhD.   www.residentialcarefortwo.blogspot.com     rahart1@outlook.com



Annotated References:
The Internet is loaded with exaggerated, dated, and intentionally misleading information. The same source may post opposing views at different times: consider the use of nicotine lozenges and vaping.
The strict separation of smoking and nicotine lozenges has evolved into using a lozenge to avoid smoking in restricted areas. Vaping has gone from ritualistic clouds of theater smoke (falsely labeled water vapor) to cloudless devices that resemble computer thumb drives leaving the CDC and FDA confused as to how to regulate the devices: smoking cessation and/or nicotine addicting.
Most of the information needed for tobacco smoke exposure control is provided by the best authorities, at the time, based on a review of numerous publications and a consensus with other authorities. They do no always agree: research, medical, marketing, and cult need to be identified and dated. 
           American Lung Association   www.lung.org   
This is a massive website with something for everyone. I have picked out what I found most useful and how to find it again.
Freedom From Smoking® Self-Help Guide  Self-guided workbook including key activities in an easy-to-follow format. Call 1-800-LUNGUSA to get a copy.
Facilitator Training   Become certified to lead a Freedom From Smoking group clinic and to conduct an in-house smoking cessation program as a part of new-hire training. Eight hours. $350. Clayton, MO, 7745 Carondelet Avenue, Suite 305    314-449-9145
Our Initiatives >Tobacco >Smokefree Environment includes (1) Smokefree Policies in Multi-Unit Housing, (2) Expanding Smokefree Communities, and (3) Workplace Wellness. These all apply to assisted living and memory care.

Our Initiatives > Support and Community > Corporate Wellness that includes an Improve Indoor Air Quality Tobacco-free policy that can be edited for Third Hand Smokefree in memory care.

State of Tobacco Control    www.lung.org/sotc   (January 24, 2018) An annual report on how the process of shutting down the marketing and sales of tobacco products is progressing without creating an extensive bootlegging operation.

SLATI (State Legislated Actions on Tobacco Issues) www.lungusa2.org  (2018) A detailed, annotated, easy to use, copy of state tobacco control laws.



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