environmental co capture influences smoke free homes a case study

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

Thank you

• Any questions?• Poster display

t.rowland@dorsetcc.gov.ukmartin@mdd.org.uk