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Employees are an organization’s BIGGEST Asset! KNOW TOBACCO “Tobacco use is the single most preventable cause of disease, disability, and death.” - World Health Organization (World Health Organization, 2013) KNOW TOBACCO Tobacco is a plant that can be manufactured into different products and contains an addictive substance known as nicotine. (The Lung Association, 2012) KNOW TOBACCO Understanding that smoking is an addiction and not a habit is the first step in supporting employees who smoke. (The Lung Association, 2012) KNOW TOBACCO What is addiction? • The word “addiction” is often used to refer to any behaviour that is out of control in some way. • It is also used to explain the experience of withdrawal when a substance or behaviour is stopped. (Centre for Addiction and Mental Health, 2012) KNOW TOBACCO One simple way of describing addiction is the presence of the 4 Cs: 1. Craving 2. Loss of Control of amount or frequency of use 3. Compulsion to use 4. Use despite Consequences. (Centre for Addiction and Mental Health, 2012) KNOW TOBACCO • Nicotine is the addictive substance in tobacco • When inhaled, it only takes seconds to reach the brain. Let’s Compare: Alcohol Intravenous drugs Nicotine 20-31 seconds 15-20 seconds 7-10 seconds (The Lung Association, 2012) KNOW TOBACCO • 70% of people who smoke want to quit! • A healthy, supportive workplace encourages employees who smoke to cut down and quit, as well as support those who do not smoke to remain tobacco-free. (British Columbia Stats, 2009) SECOND-HAND SMOKE Second-hand smoke (SHS) (also referred to as ETS: environmental tobacco smoke) • The smoke from the burning end of a tobacco product and the smoke that is blown into the air by the person smoking these products. • SHS is a concern for all of us. It harmful to not only the person smoking, but to those around them. • SHS can lead to disease. (British Columbia Stats, 2009) THIRD-HAND SMOKE Third-hand smoke • The toxic chemicals in smoke that stick around even after the person has put out the tobacco product. • Third-hand smoke gets trapped in hair, skin, fabric, carpet, furniture and toys. It builds up over time. • The chemicals from the trapped smoke pollute the air causing harm to our health. (British Columbia Stats, 2009) WHY INVEST TIME AND MONEY? Reasons to Invest in Smoking Cessation! REDUCED COSTS TO YOUR ORGANIZATION absenteeism productivity costs in maintaining commercial ashtrays and the surrounding area Supporting employees to quit smoking will provide a positive return on investment! (The Conference Board of Canada, 2012) On an annual basis, what is the average cost to organizations for each employee who smokes? A. B. C. D. $1,000 $575 $3,396 $4,256 (Conference Board of Canada, 2012) Annual Costs to An Organization Per Employee Who Smokes $4,256 Smoking area Maintenance $56 Decreased productivity $3800 Increased absenteeism $400 Absenteeism $400 (Conference Board of Canada, 2012) REDUCED ABSENTEEISM OF EMPLOYEES • Employees who smoke take ~two more sick leave days per year than employees who do not smoke. • Employees who quit smoking recover from colds, flus and infections faster. • Their risk of disability and disease is also reduced when they quit. (Conference Board of Canada, 2012) INCREASED PRODUCTIVITY Tobacco use is one of the greatest causes of decreased productivity, greater than alcohol consumption, family emergencies, age or education; and lost productivity time increases in relation to the amount smoked. (Halpern MT, Dirani R, Schmier JK., 2007) INCREASED PRODUCTIVITY Employees who don’t smoke take fewer sick days from work and have fewer unsanctioned breaks such as “smoke breaks.” (Conference Board of Canada, 2012) On an average, what is the total time spent on unscheduled “smoke breaks” per day? On an average, what is the total time spent on unscheduled “smoke breaks”? (Conference Board of Canada, 2012) IMPROVED EMPLOYEE RELATIONSHIPS A study of nurses found that employees who did not smoke perceived that their colleagues who did smoke took more breaks, spent less time with their patients, and were less committed to patient care because of their need to smoke, thereby causing conflict in the work environment. (Sarna L., et al., 2005) IMPROVED EMPLOYEE RELATIONSHIPS A supportive tobaccofree workplace policy would foster a more collaborative workplace environment and improve employee morale. IMPROVED JOB SATISFACTION Employers who invest in workplace health, gain employees who have an increased sense of personal well-being, improved morale and quality of work. (Health Canada, 2005) IMPROVED JOB SATISFACTION Many employees: • Are attracted to organizations beyond financial reasons • Prefer smoke-free environments • Want to work at a safe and fair worksite (Health Canada, 2007.) COST SAVINGS Cost-savings from implementing smoking cessation programs will be realized by employers within four years of implementation of cessation benefits. (Health Canada,2005) HEALTHY COORPORATE IMAGE Supporting initiatives towards healthy living: • Shows commitment to employees’ health and wellbeing • Shows commitment to a safe and healthy workplace • Establishes a positive corporate image • Makes your organization an employer of choice! (Braun S, Morton S., 2008, Health Canada, 2005) IMPROVED EMPLOYEE HEALTH Employees who smoke: • Half will eventually die of a smoking related disease. Employees exposed to second-hand smoke at work or home: • Increase their risk of heart disease by 25-30% • Increase their risk of lung cancer by 20-30% (CDCP, 2012, WHO, 2013) IMPROVED EMPLOYEE HEALTH A healthy employee is an employer’s biggest asset! • An employee’s risk of developing chronic illnesses such as lung disease, cancer, and heart disease are dramatically decreased when they quit smoking. (CDCP, 2012) COMPLIANCE WITH SK REGULATIONS According to Saskatchewan’s OH&S Regulations; • Smoking is prohibited in all enclosed places of employment, including buildings, vehicles and many areas in underground mines. • Smoking is also prohibited within three metres of all doorways, windows and air intakes of enclosed public places. (Government of Saskatchewan, 2012) BE LEADERS IN WORKPLACE HEALTH! WHAT CAN YOUR ORGANIZATION DO? WHAT CAN YOUR OGANIZATION DO? Healthy Workplace • Provide a smoke-free workplace: • In compliance with provincial OHS regulations • For the benefit of employees’ health • To create a healthier workplace which will improve employees’ morale (Government of Saskatchewan,2012). WHAT CAN YOUR ORGANIZATION DO? Education: Awareness & Communication • Communicating your policy with employees and visitors is important! • Consult with employees, management and union (if applicable) on policy development/changes/additions • Communicate the policy details and additional cessation supports and the benefits of being tobacco-free by: – – – – – email alerts newsletters pay stub inserts other internal media posters and signage WHAT CAN YOUR ORGANIZATION DO? Education: Awareness & Communication To increase awareness an organization could: • Host a staff development day • Invite a trained health care professionals or addiction specialist to your workplace. WHAT CAN YOUR ORGANIZATION DO? Health Benefit Plan • Support employees through your health benefit plan • Medication options include: • Nicotine Replacement Therapy (NRT) such as the patch, gum, lozenge, inhaler, and mouth spray. • Prescription medications such as Zyban (Buproprion) and Champix (Varenicline) • Extending smoking cessation benefits to family members can be even more beneficial WHAT CAN YOUR ORGANIZATION DO? Smoking Cessation Support • Invest in professional smoking cessation services for your employees on your premises. Offering cessation programs within the workplace increases accessibility. • Other options include: online (self-help) phone-in for individuals or groups Self-help resource materials Smokers’ HelpLine WHAT CAN YOUR ORGANIZATION DO? Smoking Cessation Support For more information contact: • The Lung Association www.sk.lung.ca www.gotlungs.ca 1-888-566-LUNG • The Smokers’ Helpline www.smokershelpline.ca 1-877-513-5333 • PACT (Partnership to Assist with Cessation of Tobacco) www.makeapact.ca WHAT CAN YOUR ORGANIZATION DO? Incentives Have discussions with employees about what would be effective incentives for your organization. • Support healthy living initiatives such as: • Quitting smoking • Being physically active • Eating nutritious foods • Maintaining a healthy weight • Small incentives include: • Gift certificates • Gym passes • Reimbursement of program costs associated with quitting tobacco use RETURN ON INVESTMENT Is supporting cessation a good investment? Comparing the cost of cessation supports to your organizations’ savings on employees that quit: (costs based on 12 weeks of use) Product cost and potential investment of employer Zyban Champix Patches Inhaler $200 $353 $410 $492 A POSITIVE RETURN ON INVESTMENT! • Remember that this is a worthwhile investment for a savings of $4,256 per year for each employee that quits smoking! • Approximately $21,280 per employee can be saved in 5 years!!! Now that makes good business sense! A POSITIVE RETURN ON INVESTMENT! OPTIONS: A. 100% Employer paid B. 50% Employee-50% Employer paid - You can split the costs of the cessation supports with the employee. C. 100% employee paid (initially) - the employer can reimburse costs after a designated time of being tobacco-free THE GREATEST WEALTH IS HEALTH! Investing in smoking cessation will not only create a healthier workplace, but also a more profitable organization! BE LEADERS IN WORKPLACE HEALTH! Supporting employees to quit smoking will provide a positive return on investment! THANK YOU! [email protected] 1-888-566-LUNG (5864) www.gotlungs.ca REFERENCES Brawn S, Morton S. (2009). Butting out to raise the bottom line: The benefits of providing support for smoking cessation in the workplace. Toronto, ON: Rogers Publishing Ltd. British Columbia Stats. (2008). Tobacco Attitudes and Behaviours Survey Report. 2008 Final Report. Victoria, BC: Retrieved on April 10, 2014 from http://www.quitnow.ca/database/files/library/2008_Tobacco_Attitudes_and_Behaviours_Survey_Report_2008.pdf Centre for Addiction and Mental Health. (2012) Addiction. Retrieved on April 10, 2014 from: http://www.camh.ca/en/hospital/health_information/a_z_mental_health_and_addiction_information/drug-useaddiction/Pages/addiction.aspx Centers for Disease Control and Prevention. (2012). Smoking and Tobacco Use: Heart Disease and Stroke. Retrieved on April 15, 2014 from http://www.cdc.gov/tobacco/basic_information/health_effects/heart_disease/ Centers for Disease Control and Prevention. (2014) Smoking and Tobacco Use. Quitting Smoking. Retrieved on April 15, 2014 from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/cessation/quitting/index.htm?utm_source=feedburner&u tm_medium=feed&utm_campaign=Feed%3A+CdcSmokingAndTobaccoUseFactSheets+%28CDC++Smoking+and+To bacco+Use+-+Fact+Sheets%29 REFERENCES Government of Saskatchewan (2012). Occupational Health and Safety: New Workplace Smoking Ban. Frequently Asked Questions. Retrieved on April 16, 2014 from http://www.lrws.gov.sk.ca/new-workplace-smoking-ban-faq Government of Saskatchewan (2012). Provincial Tobacco Reductions Strategy. Retrieved on April 16, 2014 from http://www.health.gov.sk.ca/tobacco-reduction Government of Saskatchewan. (2012.) Tobacco and Your Health: Tobacco Legislation. Retrieved on April 16, 2014 from http://www.health.gov.sk.ca/tobacco-legislation Halpern MT, Dirani R, Schmier JK. (2007). Impacts of a smoking cessation benefit among employed populations. Journal of Occupational and Environmental Medicine,49(1) 11-21. Health Canada. (2007). Towards a healthier workplace: A guidebook on tobacco control policies. Ottawa, ON: Health Canada. Health Canada. (2005). Smoking Cessation in the workplace: A guide to helping your employees quit smoking. Ottawa, ON: Health Canada. The Lung Association of Saskatchewan. (2012). Know Tobacco. Tobacco. Retrieved on April 10 from http://www.sk.lung.ca/documents/know_tobacco/6-8/teacher/Tobacco.pdf REFERENCES Sarna L., Bialous SA, Wewers ME, Froelicher ES, Danoa L. (2005) Nurses, smoking and the workplace. Res Nurse Health,28(1) 79-90 The Conference Board of Canada. (2012). Smoking and the bottom line. Updating the costs of smoking in the workplace. ON: The Conference Board of Canada. Ottawa, World Health Organization. (2013). Tobacco. Retrieved on April 15, 2014 from http://www.who.int/mediacentre/factsheets/fs339/en/ World Health Organization. (2013). Tobacco-Free Initiative (TFI): Why tobacco is a public health priority. Retrieved on April http://www.who.int/tobacco/health_priority/en/ 10 from