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Did you know that tobacco use is the single largest preventable cause of disease and premature death in the United States? Are you aware that each year smoking accounts for 438,000 premature deaths and that 38,000 nonsmokers die as a result of exposure to secondhand smoke (American Cancer Society Cancer Facts and Figures 2007)?

Your organization can contribute to lowering the number of tobacco deaths by promoting the American Cancer Society Great American Smokeout with a long-term plan to implement a smoke-free workplace policy. Research shows that when the workplace implements a smoke-free policy, smokers are more likely to quit smoking. In addition, a smoke-free policy within your organization will send a clear message to employees and the community that you care about your employees’ health and safety.

Healthy employees live longer, feel better, are more content and productive, require less sick days, and help keep health care costs down. Help your employees take another step toward good health – encourage your employees to participate in the American Cancer Society Great American Smokeout.

Defining the Great American Smokeout

It’s a fact: all cancers caused by cigarette smoking could be prevented completely.

On Thursday, November 15, 2007, the American Cancer Society will urge all Americans using tobacco to stop using for the day and become aware of the many support methods available to help stay quit for good.

Urge your employees to take the single most important health step of their lives: quit using tobacco today.

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The American Cancer Society Great American Smokeout

Promoting the Great American Smokeout

Promote the Great American Smokeout within your organization:

BrochuresBrochures are available from your American Cancer Society. Contact your Division or local staff-Society liaison to place an order for Great American Smokeout brochures.

Direct Mail PostcardsIf you provide the American Cancer Society Quitline® program to your employers, consider mailing out direct mail postcards from the Society’s print on demand Service.

Electronic BannersYour organization can post the Great American Smokeout banner on your company intranet. This banner will link employees to the Great American Smokeout Web page.

Email BlastsBegin promoting the Great American Smokeout at least four weeks prior to the event.

Email Blast #1: Quit Tip #1 – Understanding Why and When You Smoke

• Send emails to all employees with email access four weeks prior to the Great American Smokeout.

• If employees do not have email access, print and distribute the email to employees. Consider the following distribution methods:

– If a meeting is held before or after shift change, pass out printed distribution to all employees.

– Post the email blast on a bulletin board, refrigerator, or vending machine in employee break rooms.

Email Blast #2: Quit Tip #2 – Preparing for Withdrawal Symptoms

• Send emails to all employees who have email access three weeks prior to the Great American Smokeout.

• If employees do not have email access, print and distribute the email to employees. Consider the following methods of distribution:

– If a meeting is held before or after a shift change, pass out printed distribution to all employees.


Email Blast #3: Quit Tip #3 - Mastering Additional Obstacles to Staying Quit

• Send emails to all employees who have email access two weeks prior to the Great American Smokeout.

• If employees do not have email access, print and distribute the email to employees. Consider the following methods of distribution:



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Email Blast #4: Quit Tip #4 – Staying Quit Forever• Send emails to all employees who have email access during the week of the Great American Smokeout.• If employees do not have email access, print and distribute the email to employees. Consider the following

methods of distribution:



FightCancer.org users:On November 1, 2007, FightCancer.org will link directly to the Great American Smokeout. A Great American Smokeout icon will be located on the left hand side of the main page of FightCancer.org. Clicking on the icon will link you and your employees directly to the main page of the Great American Smokeout.

Non FightCancer.org users:On November 1, 2007, you can log onto www.cancer.org/greatamericans.

Newsletter Inserts• Double Your Chances of Quitting Tobacco• Don’t be a Victim of Withdrawal Symptoms• The Accidental Smoker(Note: These newsletter inserts can also be used as email blasts.)

Personal TestimonialsPersonal Testimonial: “I Did It!”There could be an advocate of the Great American Smokeout within your organization.

Many people have quit using tobacco products and have been successful with their quit. Consider featuring these individuals in the company newsletter, via an email blast, on your company intranet, or on a sign posted on an easel outside designated smoking areas.

Collect the following information:

• Name

• Numbers of years using tobacco products

• Number of years without using tobacco products

• Reasons for deciding to quit

• Quit method

• Challenges of quitting

• Encouragements/coping strategies for getting through difficulties

• Life after tobacco

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PostersPersonalize and print Great American Smokeout posters for your organization.

Quick TipsIf you decide to send your email blast at the beginning of each week, consider following up with one of our five Great American Smokeout quick tips. If you send out a quick tip via email, be certain to include a call to action so that employees are reminded to access the Great American Smokeout Web site.

RecipesMost smokers are concerned about weight gain when quitting tobacco. These healthy recipes will give employees trying to quit something to do with their hands. The end result will be a healthy meal and a smoke-free day.

Workplace Activities

Adopt a smokerEncourage nonsmoking employees to “adopt a smoker.” The nonsmoking employee will commit to being available for the smoker trying to quit tobacco. Hold an informal sign-up breakfast for smokers and nonsmokers who have “adopted” a fellow employee. Hand out Great American Smokeout materials and treat the participating employees to a “healthy start” breakfast.

Department CompetitionCreate a competition between departments or regional offices to collect the most “kept” pledges to quit smoking.

Cold TurkeyFeature a “Cold Turkey” special on the company cafeteria menu and give cold turkey sandwiches to those who have pledged to quit for the day.Raffle a “cold turkey” for Thanksgiving to Great American Smokeout participants or hold a company drawing.

Great American Smokeout StationsSet up Great American Smokeout stations where smokers can trade cigarettes or smokeless tobacco products for nicotine replacement therapies (e.g., gum, lozenges, or patches), chewing gum, carrot sticks, or lollipops.

Incentives There’s nothing like an incentive to help strengthen the motivation to quit. Offer a cash prize or gift card for smokers who quit on or before the Great American Smokeout and remain smoke-free for six months or one year. If your budget is tight, enter all names into a drawing for a single prize.

Interactive Quizzes/Free Nicotine Replacement Therapies (NRT’s)Lead up to the Great American Smokeout (November 15, 2007) by hosting a trivia competition prior to the event. Use the questions from the interactive quizzes. Any employee who participates in the game should be awarded free NRT products (e.g., gum, lozenges, or patches).

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Empathy PledgeAsk nonsmokers to give up something to empathize with smokers. Design pledge cards for the nonsmokers so they can indicate what they will give up, such as coffee, chocolate, or soft drinks.

Onsite Health ActivitiesMake Great American Smokeout part of an employee health promotion or wellness program. Arrange for blood pressure screenings, fitness activities, and healthy diet counseling for smokers trying to quit and for nonsmokers.

Smoke-free WorkplaceMake the workplace 100 percent smoke-free throughout the week leading up to the Great American Smokeout.

Additional Resources

The American Cancer Society Quitline® Program

The American Cancer Society’s Quitline program is a telephone-based counseling program that helps employees who smoke double their chances of successfully kicking the habit. This clinically proven program provides support and helps participants stay focused on their personal reasons for quitting. The Society’s Quitline program includes:

• Counseling sessions tailored to participants, focusing on preparing for their quit attempt and long-term success

• Three self-help booklets designed to keep participants motivated and prepared for life without tobacco

• Advice on support programs available in their community

• Nicotine replacement therapy, depending on coverage and screening

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> For more information on The American Cancer Society Quitline Program, please email [email protected].


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American Cancer Society Freshstart Program

Freshstart is the American Cancer Society’s smoking cessation program. This program is designed to help participants stop smoking by providing them with the essential information and strategies needed to direct their own efforts at stopping. The program focuses on an active, pragmatic approach to quitting smoking through active participation and group support. Participants are encouraged to apply what they learn in Freshstart to other aspects of their lives.

Freshstart is a facilitator-based program. To implement the Freshstart program within your organization, a company representative needs to complete a Freshstart facilitator training program. Upon completion of the training process, the company representative is responsible for promoting and leading employees within their organization through each group Freshstart training. The American Cancer Society does not come to your organization to implement the Freshstart program.

> For more information on The American Cancer Society Freshstart Program, please email [email protected].


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Newsletter Insert #1:

Double Your Chances of Quitting Tobacco

Quitting smoking isn’t easy but it is a fight you can win. By using at least one of the ways listed below for your quit attempt, you can double your chances of being successful. By using more than one of the ideas listed below, you double your chances of staying quit for good!

• Self help materials are available to help you quit smoking, no matter where you are in the process. These materials can help you learn how to prepare for your quit attempt, develop strategies to help with cravings, and prevent relapse once you have quit. The self-help materials offer proven methods that are easy to follow and can keep your motivation high.

• Support programs can be in a variety of forms – group smoking cessation programs, telephone counseling programs, or support groups. To learn about the options available in your community, contact the American Cancer Society at 1-800-ACS-2345 or www.cancer.org.

• Telephone counseling is a proven, confidential, counseling program completed by telephone that will support and help you stay focused on your reasons for quitting.

• Nicotine replacement therapy (NRT) can relieve many of the nicotine withdrawal symptoms that occur when a person stops smoking. NRT can double a person’s chance of successfully quitting. Talk to your doctor about a strategy that might work for you.

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> For more information on kicking your habit, call 1-800-ACS-2345 or log onto www.cancer.org/greatamericans.


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Newsletter Insert #2

Don’t Be a Victim to Withdrawal Symptoms!

What do cravings, irritability, tension, and lack of concentration all have in common? They are all withdrawal symptoms associated with quitting tobacco. And the good news is that these symptoms are most common in the first two weeks after quitting and are typically gone within one month.

Fight your withdrawal symptoms with one or more of the following recommendations:

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• Go public. For the first few days after you quit smoking, spend as much free time as possible in public places where smoking is not allowed, such as libraries, malls, museums, theaters, and churches.

• Drink a healthy drink. Don’t drink alcohol, coffee, and other drinks you associate with smoking. Try drinking a lot of water and fruit juice instead.

• Need something to do with your hands? If you miss the feeling of having a cigarette in your hand, put a substitute in your hand – a pencil, a paper clip, a coin, or a marble, for example.

• Eat healthy snacks. If you miss the feeling of having something in your mouth, try toothpicks, cinnamon sticks, or celery.

• Avoid temptation. Stay away from situations you associate with pleasurable smoking.

• What might the future bring? Anticipate future situations or crises that might make you want to smoke again, and remind yourself of all the important reasons you have decided to quit.

• Think about your goals. Remember your goal and the fact that the urges to smoke will eventually pass.

• Be positive. Think positive thoughts and try to avoid negative ones.

• Get Active! Do brief bursts of exercise. Alternate tensing and relaxing muscles, do pushups, deep knee bends, walk up a flight of stairs, or touch your toes.

• Reach out for support. Call a supportive friend, family member, or telephone counseling counselor.

• Try mini-meals. Eat several small meals during the day instead of one or two large ones. This maintains constant blood sugar levels and helps prevent the urge to smoke. Avoid sugary or spicy foods that may trigger a desire for cigarettes.

• Congratulate yourself. Reward yourself. Plan to do something fun for doing your best.

> For additional resources to help you with your quit attempt, call 1-800-ACS-2345 or log onto www.cancer.org/greatamericans.


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Newsletter Insert #3

The Accidental Smoker

Convinced you’re free from the cancer-causing chemicals in smoke because you don’t smoke yourself and choose nonsmoking sections in restaurants and other public places? Unfortunately, unless the place you’re visiting is 100 percent smoke-free, there’s a good chance that you will become an accidental smoker during your stay.

A study done at the University of California, Berkeley, explored the amount of smoke a nonsmoker inhales in a variety of situations. The results are astonishing:

• Sitting in the nonsmoking section of a restaurant for two hours is essentially equivalent to smoking one and three-fourths cigarettes.

• Riding in a car with the windows closed for one hour while someone is smoking is equivalent to smoking four cigarettes.

• Sitting behind a smoker in an open-air stadium for three hours is like smoking one cigarette.

• Sitting next to a smoker in a smoky bar for two hours is equivalent to smoking four cigarettes.

• Working for eight hours in an office that allows smoking is like smoking six cigarettes.

• Spending 24 hours in the home of a pack-a-day smoker is equivalent to smoking three cigarettes.

> For more information on smoke-free initiatives in your community with the support of the

American Cancer Society, call 1-800-ACS-2345 or log onto www.cancer.org/greatamericans.


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Quick Tips:

• Looking to boost your odds of successfully quitting tobacco? Smokers can boost the odds of a successful attempt at quitting tobacco when they have the right support. Counseling, nicotine replacement products, prescription medicine to lessen cravings, guide books, access to telephone-based tobacco cessation counseling like the American Cancer Society Quitline® Program, and encouragement from friends and family members are support methods that have proven to be successful.

• Within 20 minutes after a smoker quits smoking, his or her heart rate drops.

• Former smokers live longer than continuing smokers: people who quit smoking before age 50 have one-half the risk of dying in the next 15 years compared with continuing smokers.

• It is common for people who continue to smoke to gain weight. Therefore, weight gain should not be a deterrent of quitting smoking. The health benefits of quitting smoking far exceed any risks from the average five pound weight gain.

• About 87 percent of lung cancer deaths are caused by smoking. Lung cancer is the leading cause of cancer death among both men and women, and is one of the most difficult cancers to treat.


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Interactive Quizzes

1. What is the single largest preventable cause of disease and premature death in the United States? a. Obesity b. Tobacco use c. Physical inactivity d. All of the above

Answer: b – Tobacco use

2. What percentage of lung cancer deaths are caused by smoking? a. About 57 percent b. About 67 percent c. About 77 percent d. About 87 percent

Answer: d – 87 percent.

3. Cigarettes, cigars, and smokeless and pipe tobacco consist of dried tobacco leaves, as well as ingredients added for flavor and other properties. More than 4,000 individual compounds have been identified in tobacco and tobacco smoke. Among these 4,000 individual ingredients, more than _____ compounds are known carcinogens (cancer-causing agents).

a. 60 b. 90 c. 120 d. 400

Answer: a – 60

4. This is the leading cause of death among both men and women, and is one of the most difficult cancers to treat.

a. stomach b. lung c. pancreatic d. throat

Answer: b – lung

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5. According to the Centers for Disease Control and Prevention (CDC), approximately ____ million adults currently smoke in the United States.

a. 45 million b. 46 million c. 48 million d. 51 million

Answer: a – 45 million

6. As of 2006, how many states have implemented statewide smoking bans that prohibit smoking in workplaces and/or restaurants and/or bars?

a. 12 b. 13 c. 14 d. 15

Answer: d – 15 states

7. What percentage of the US population is covered by a 100 percent smoke-free provision in the workplace and/or restaurants and/or bars?

a. 14.4 percent b. 29.4 percent c. 39.4 percent d. 44.9 percent

Answer: b – 29.4 percent

8. Smokers who quit can expect to live approximately ____ years longer than those who continue to smoke.

a. 5 b. 10 c. 15 d. 20

Answer: b – 10 years

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9. The risk of coronary heart disease (i.e., heart attack, blood pressure) is that of a nonsmoker’s after _____ years of quitting tobacco.

a. 5 b. 10 c. 15 d. 20

Answer: c – 15 years

10. The lung cancer death rate is about half that of a continuing smoker’s after ____ years of quitting tobacco and the risk of cancer of the mouth, throat, esophagus, bladder, cervix, and pancreas decrease.

a. 5 b. 10 c. 15 d. 20

Answer : b – 10 years


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Email #1

Quit Tip #1: Understand Why and When You Smoke

A smoker can fine tune a personal plan to quit using tobacco by learning why and when he or she smokes.

A smoker uses tobacco for three reasons: 1. Nicotine addiction 2. Physiological dependence3. Habit

Answer the following questions: Do you smoke within the first 15 minutes after you wake up every day? Do you smoke if you are depressed or angry? Would you still smoke if you were sick in bed most of the day? If you have quit or tried to quit in the past, did you feel withdrawal symptoms or cravings?

If you answered “yes” to these questions, then you smoke out of habit, because you have a strong physical need for nicotine in cigarettes and other tobacco products, and because you are dependent on nicotine. In addition, you might also smoke as a result of the following situations:

• While driving a car

• Talking on the phone

• Drinking a cup of coffee

• To help stimulate your mind

• To relieve stress or ease tension

• With friends

• Because you are having a good time

Tips to consider when making the quit:

• If you smoke out of habit, be aware of every cigarette you smoke and consider changing your daily routine to break up the habits and patterns of your usual activities.

• If you smoke because you are addicted to nicotine, avoid situations and people who make you smoke and spend more time in places where smoking is prohibited.

• If you have a physical need for nicotine, learn ways of coping with stress. Learn relaxation techniques to help calm you down or get involved with new hobbies and activities.

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NOTE: If a company has a contract with the American Cancer Society Quitline program, consider inserting the following sentence at the end of this email blast: Make your quit date November 15, 2007. For more information on Quit Tip #1, call the American Cancer Society Quitline® at 1-800-ACS-2345.

If a company does not have a contract with the American Cancer Society Quitline, consider inserting the following sentence at the end of this email blast: Make your quit date November 15, 2007. For more information on Quit Tip #1, call 1-800-ACS-2345 to locate a telephone counseling service in your area.

Great American Smokeout



Take the single most important health step of your life: quit using tobacco today.


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Email 2: Quit Tip #2: Be Prepared for Withdrawal Symptoms

As frustrating as withdrawal symptoms may be, they are a positive sign! Withdrawal symptoms are an indication that the body is beginning to repair itself and returning to good health. Not every smoker will experience withdrawal symptoms, but if you do, know that they won’t last long.

Common withdrawal symptoms include:

• Dizziness (may only last one to two days in the beginning)

• Depression

• Feelings of frustration and anger

• Irritability

• Trouble sleeping

• Trouble concentrating

• Restlessness

• Headaches

• Fatigue

• Increased appetite

Consider the following tips to help you overcome withdrawal symptoms:

1. Fight the urge to smoke. Be aware of all rationalizations as they come up (e.g., “I’ll just have one cigarette to get me through the day” or “I’ll quit tomorrow; today just isn’t a good day”).

2. Avoid situations, people, and places where you are tempted to smoke.

3. Change your routine. Do you smoke when you drink coffee or drive to work? Switch to juices or water instead of coffee or take a different route to work.

4. Find alternatives. Consider oral substitutes such as sugarless gum, hard candy, or raw vegetables.

5. Be active. Get involved with new hobbies or activities; exercise.

6. Deep breathing. When you were smoking, you breathed deeply as you inhaled the smoke. When the urge strikes now, breathe deeply and picture your lungs filling with fresh, clean air. Remind yourself of your reasons for quitting and the benefits you’ll gain as an ex-smoker.

7. Delay. If you feel that you are about to light up, delay. Tell yourself you must wait at least 10 minutes. Often this simple trick will allow you to move beyond the strong urge to smoke.

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NOTE: If a company has a contract with the American Cancer Society Quitline program, consider inserting the following sentence at the end of this email blast: Make your quit date November 15, 2007. For more information on Quit Tip #2, call the American Cancer Society’s Quitline® program at 1-800-ACS-2345.

If a company does not have a contract with the American Cancer Society Quitline, consider inserting the following sentence at the end of this email blast: Make your quit date November 15, 2007. For more information on Quit Tip #2, call 1-800-ACS-2345 to locate a telephone counseling service in your area.



On Thursday, November 15, 2007, the American Cancer Society will urge all Americans using tobacco to stop using for the day and become aware of the many support methods available to stay quit for good.



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Email 3: Quit Tip #3: Mastering Additional Obstacles to Staying Quit

Concerned with weight gain now that you are without cigarettes?

On average, people who stop smoking gain about five pounds. However, because the benefits of quitting smoking far exceed any risks from the average weight gain, this should not be a deterrent.

Consider the following to avoid unwanted weight gain:

• Watch portion sizes.

• Keep healthy foods, such as raw vegetables, readily available.

• Be more active.

• Schedule an appointment with a dietitian to discuss developing a plan that can help minimize weight gain.

• Be aware that while eating well and exercising are important, the primary goal is to quit smoking for good.

Are you tempted to smoke when drinking alcohol? There is usually a very strong bond between having a drink and having a cigarette. Some smokers find it helpful to avoid alcohol during the first few days after stopping until they feel stronger about resisting the temptation to smoke. If you would like to continue drinking alcoholic beverages in moderation when you first quit, consider changing the drink of choice along with the manner of drinking. This will lessen the association between the drink and smoking, and will also serve as a cue to remind you that you are an ex-smoker now.

Do you have the support of family and friends during this quit attempt? Supportive family and friends are extremely important while quitting smoking. They can provide encouragement, distraction, humor, and warmth when you need it most. Many people find it very helpful to have one or more close friends or family members involved in their quit attempt.

• Ask them to listen when you are expressing feelings or concerns.

• Ask them to help you stay away from tempting, high-calorie foods by suggesting, for example, fruits and vegetables instead of cookies for an afternoon snack.

• Ask them to do something physically active with you: go for a walk, ride a bike, or play tennis.

• Ask them to offer to do other things with you: go to the movies, a nonsmoking restaurant, or a museum.

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NOTE: If a company has a contract with the American Cancer Society Quitline, consider inserting the following sentence at the end of this email blast: Make your quit date November 15, 2007. For more information on Quit Tip #3, call the American Cancer Society’s Quitline® program at 1-800-ACS-2345.

If a company does not have a contract with the American Cancer Society Quitline program, consider inserting the following sentence at the end of this email blast: Make your quit date November 15, 2007. For more information on Quit Tip #3, call 1-800-ACS-2345 to locate a telephone counseling service in your area.






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Email 4: Quit Tip #4: Staying Quit Forever

Quitting smoking is the single most important step you can take in your life. Quitting is hard work; the last thing you want to do is return to smoking. To prevent a relapse, make sure that you have a plan for times of crisis, boredom, or loneliness.

• Make a list of the reasons why you do not want to return to smoking.

• Make a list of possible times of crisis, boredom, or loneliness. Include how you will respond to each one of these situations without returning to cigarettes.

• Make a list of the physiological and physical benefits of staying quit.

• Spend time in places you cannot smoke.

• Make your quit date an anniversary date – celebrate being a nonsmoker!

• Share with others your sense of pride and well-being now that you are a nonsmoker.

NOTE: If a company has a contract with the American Cancer Society’s Quitline program, consider inserting the following sentence at the end of this email blast: Make your quit date November 15, 2007. For more information on Quit Tip #4, call the American Cancer Society Quitline® program at 1-800-ACS-2345.

If a company does not have a contract with the American Cancer Society Quitline program, consider inserting the following sentence at the end of this email blast: Make your quit date November 15, 2007. For more information on Quit Tip #4, call 1-800-ACS-2345 to locate a telephone counseling service in your area.






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Recipes

Need something to do with your hands? Why not cook one of the healthy recipes from your American Cancer Society cookbooks?

Heavenly Hummus

This recipe can be found in the Celebrate! Healthy Entertaining for Any Occasion.

3 garlic cloves1/4 cup plain low fat yogurt1 tablespoon fresh lemon juice1 teaspoon olive oil1/4 teaspoon salt 1/4 teaspoon paprika1/8 teaspoon pepper1 19-ounce can chickpeas drained

Turn on food processor and drop garlic in food chute. Process until minced finely.

Add yogurt and remaining ingredients while processor is still on. Process until smooth.

Servings: 8 / Calories per serving: 80 / Grams of fat per serving: 1.7

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Rosemary Beef with Shallot Sauce


Serve this skillet dish over rice, if you wish.

2 pounds lean round steak, thinly sliced and cut into bite-sized pieces1/2 teaspoon black pepper2 teaspoons fresh rosemary, chopped1/2 teaspoon garlic salt2 teaspoons olive oil4 shallots, finely chopped1 medium sweet red pepper, chopped1 pound mushrooms, sliced1/2 cup light sour cream1/2 cup light cream cheeseRosemary sprigs for garnish

Season steak pieces with pepper, rosemary, and garlic salt.Heat olive oil in a large skillet over medium-high heat. Add shallots and red pepper; sauté until tender, about two minutes.Add steak and sauté two to three minutes or until slightly browned. Add mushrooms and cook until tender. Remove from heat and mix in sour cream and cream cheese.Garnish with fresh rosemary sprigs, if desired.

Servings: 8 | Calories per serving: 210 | Grams of fat per serving: 7

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Chilled Fruit Salad


1 medium cantaloupe 1/2 medium honeydew melon1 papaya1 pound seedless grapes

Dressing: 1/2 cup plain low-fat yogurt 2 tablespoons apricot preserves2 tablespoons fresh orange juice

Peel and seed cantaloupe and honeydew, then cut into bite-sized pieces. Place melon pieces, papaya pieces, and grapes in a large bowl.

Dressing: combine yogurt, preserves, and orange juice in a small bowl and blend well. Add dressing, toss gently and chill until serving time.

Servings: 8 | Calories per serving: 111 | Grams of fat per serving: 0.8

© 2006, American Cancer Society, Inc.


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1.800.ACS.2345www.cancer.org

Hope.Progress.Answers.®

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