Sacred Life Promoting Smoke- Lifestyles in Indian Country

Volume 4, Issue 4 August 2014

Special Points of I n t e r e s t : A TIP About Second-Hand Smoke: Nathan’s Story  Real Stories from the TIPS Campaign —From the CDC’s TIPS which he did for 14 years.  Study Finds Youth Who Campaign 2014. "I can't do any of those Have Used E- are things anymore," he said. Almost Twice as Likely to Nathan decided it was Intend to Smoke Conven- Nathan, a Native Ameri- tional Cigarettes can and member of the important to share his Oglala Sioux tribe, had per- story, with the hope that  National Retailer Re- manent lung damage. He others would not suffer as moves Products never smoked cigarettes, he did. He spoke at from Stores but for 11 years he worked schools, Pow-Wows, and at a casino that allowed conferences as much as his  Smoke-Free Laws Were . After breathing health allowed. He wanted Followed by Fewer Hospi- to make everyone aware of talizations for Respiratory people's smoke Diseases, Among Other daily, Nathan began to have the dangers of smoking and Conditions, According to a frequent asthma attacks exposure to secondhand New Study. triggered by the secondhand s m o k e . smoke. "You could see the Young people were a  Smoking Bans Cut Health smoke hovering inside the special passion for Nathan. Care Costs and Protect He urged teens not to start Non-smokers casino," he recalled. As he worked at the ca- called bronchiectasis. Lung smoking and if they did, to sino, Nathan noticed more damage from bronchiectasis quit. He encouraged every- Inside this issue: changes to his health. Along is permanent. His lung prob- one to protect children from with asthma attacks, he lems were so serious that secondhand smoke. started having frequent prob- Nathan finally had to leave his "Some people tell me they TIPS on SHS 1 lems with eye irritation, head- job to avoid the smoke. Just smoke, and I ask them if they aches, allergies, ear and sinus walking a short distance, he have grandchildren. 'If you Youth & E-Cigarettes 2 infections, and bronchitis. would get out of breath and smoke, you may be taking Over the years, the symp- had to use oxygen daily. that smoke home to the toms got worse. "A common Nathan and his wife en- grandchildren and their small Canli Coalition Float 3 cold escalated into pneumo- joyed a long marriage with lungs,' I tell them. I never nia, sending me to the emer- five adult children and three smoked; what happened grandchildren. Nathan prided to me. I want to make people 4 gency room," he said. "During CVS Stops Cigarette himself on being a very active aware of the damage that Sales one of the visits, a doctor was looking at x-rays of my person. As a young man, he exposure to secondhand served in the Second Battal- Smoking Bans 5 lungs and commented that I smoke can do to you." had the lungs of a heavy ion, Fifth Marines reconnais- smoker. I told him, 'I never sance division, where he re- The secondhand smoke UTTC Smoke-Free 6 ceived sniper training. He also Campus smoked a day in my life!'" Nathan was exposed to per- In 2009, doctors deter- raced motorcycles and re- manently damaged his lungs ceived sponsorship from a Traditional Tobacco 7 mined that Nathan's airways and led to his early death. He Benefits were seriously damaged by major motorcycle company. died on October 17, 2013. repeated infections from ex- Nathan participated in He was 54. Meet the New 8 posure to secondhand tribal dance competitions and NPTTTAC Manager smoke, which led to scarring loved to referee at high and widening of his airways school basketball games, http://www.cdc.gov/tobacco/campaign/tips/ groups/american-indian-alaska-native.html Volume 4, Issue 4 P a g e 2

More Than a Quarter-million Youth Who Had Never Smoked a Cigarette Used E-cigarettes in 2013

-August 25th, 2014. Press Release from youth e-cigarette users were nearly million Americans every year. More twice as likely to have intentions to the CDC. than 16 million Americans live with a smoke conventional cigarettes com- smoking-related disease. Smoking- More than a quarter of a million youth pared with youth who had never tried related diseases cost Americans who had never smoked a cigarette e-cigarettes.” said Rebecca Bunnell, used electronic cigarettes in 2013, ac- Sc.D., M.Ed., Associate Director for $132 billion a year in direct health cording to a CDC study published in Science in CDC’s Office on Smoking care expenses, much of which the journal Nicotine and Tobacco Re- and Health and the lead author of the comes in taxpayer-supported pay- search. This number reflects a three- study. ments. Each day, more than 3,200 fold increase, from about 79,000 in American youth smoke their first 2011, to more than 263,000 in 2013. The analysis also looked at the asso- cigarette. The Surgeon General has ciation between tobacco advertise- The data, which comes from the 2011, ments and smoking intentions among concluded that unless the smoking 2012, and 2013 National Youth To- middle and high school students. Stu- rate is rapidly reduced, 5.6 million bacco surveys of middle and high dents were asked about whether they American children alive today – school students, show that youth who had seen tobacco ads on the internet, about one in every 13—will die pre- had never smoked conventional ciga- in magazines and newspapers, in retail maturely from a smoking-related rettes but who used e-cigarettes were stores, and in television programs and almost twice as likely to intend to movies. Consistent with previous disease. smoke conventional cigarettes as those studies, this study found that youth who had never used e-cigarettes. who reported exposure to to- Among non-smoking youth who had bacco ads had higher rates of ever used e-cigarettes, 43.9 percent intention to smoke than those said they intended to smoke conven- who weren’t exposed to such tional cigarettes within the next year, ads. compared with 21.5 percent of those who had never used e-cigarettes. The researchers also found the greater the number of advertis- “We are very concerned about nico- ing sources to which young tine use among our youth, regardless people were exposed, the of whether it comes from conventional greater their rate of intention cigarettes, e-cigarettes or other to- to smoke cigarettes. Thirteen bacco products. Not only is nicotine percent of students who said highly addictive, it can harm adolescent they had no exposures to such brain development.” said Tim McAfee, ads had intentions to smoke, M.D., M.P.H., Director of CDC’s Office compared to 20.4 percent on Smoking and Health. among those who reported exposures from one to two ad There is evidence that nicotine’s ad- sources and 25.6 percent verse effects on adolescent brain devel- among those who reported opment could result in lasting deficits exposures from three to four of in cognitive function. Nicotine is highly the sources. addictive. About three out of every four teen smokers become adult smok- More than 50 years since the ers, even if they intend to quit in a few landmark Surgeon General’s years. Report linking cigarette smoking “The increasing number of young peo- to lung cancer, smoking remains ple who use e-cigarettes should be a the leading cause of preventable concern for parents and the public death and disease in the United health community, especially since States. Smoking kills nearly half a http://www.cdc.gov/media/releases/2014/p0825-e-cigarettes.html Volume 4, Issue 4 P a g e 3

The Canli Coalition’s Float Draws Attention to the Impact of Secondhand Smoke on Tribal Youth

The Cheyenne River Sioux parade spectators witnessed a The Canli Coalition also shares Tribe’s Canli (Chun-lee: Lakota moving sight, as the coalition’s educational material and updates word for tobacco) Coalition is a float drove by with powerful about program activities on social recognizable force in the battle to smoke-free messages both writ- media sights such as Twitter and control tobacco and create ten and visual. Six chairs, 5 with Facebook. They can be found at smoke-free tribal environments. school books and shoes and one ( https://twitter.com/ Research shows that smoke-free lone chair draped in a starquilt, CanliCoalition) & (https:// public spaces protect children signified the alarming statistic www.facebook.com/ and non-smokers from the harm- found on a float sign that read, CanliCoalitionOfCRST) ful effects of second-hand smoke. “1 in 6 kids on CRST will die Creating safe and healthier envi- from tobacco, if we don’t make a ronments will improve the over- change.” The Canli Coalition has all health of tribal members and a mission to protect children and future generations of American non-smokers by making all public Indian people. spaces of the Cheyenne River Reservation, smoke-free . The Canli Coalition advocates for policy change and works hard to provide tobacco prevention

education, resources, and to maintain a noticeable presence at community events. At the An-

nual 2014 CRST Fair & Rodeo,

Image: The Canli

Coalition’s Parade

Float warns the

community about

smoking rates and

the impact of

tobacco on CRST

youth, as young

onlookers enjoy the

parade, at the 2014

CRST Tribal Fair.

From the Canli

Coalition of CRST

Facebook Page. http://www.cdc.gov/media/releases/2014/p0825-e-cigarettes.html Volume 4, Issue 4 P a g e 4

CVS Stops Selling Tobacco, Offers Quit-smoking Programs

Jayne O'Donnell and Laura Ungar, USA business of selling tobacco," said Mat- CVS has every right to change TODAY 12:59 a.m. EDT September 3, thew Myers, president of the Wash- what it sells, but she believes the 2014 ington-based Campaign for Tobacco- company is falling for the anti- Free Kids. "This is truly an example of smoking "crusade." a corporation leading and setting a new standard." Pharmacies no longer sell just medicines, she said, "they have CVS is also launching a smoking- turned into grocery stores. They cessation campaign that will include an sell candy. They sell beer. CVS assessment of the smoker's "readiness Health? It's a perception war. ... to quit," education, medication sup- Tobacco is legal. They're engaging port to help curb the desire to use in public coercion by not selling tobacco and coaching to help people cigarettes." stay motivated and avoid relapses. CVS says its tobacco sales total about $2 billion a year. CVS says research shows its decision —CVS Caremark plans to stop selling will have a big impact. A study the The U.S. Centers for Disease tobacco products in all of its stores company is releasing Wednesday in Control and Prevention calls to- starting Wednesday —a move health the journal Health Affairs shows bans bacco "the single most prevent- experts hope will be followed by other at pharmacies in Boston and San Fran- able cause of disease, disability major drugstore chains. cisco led to more than 13% fewer and death in the United States," purchasers. Smokers didn't just switch saying 443,000 people die from CVS announced in February that it where they bought cigarettes and smoking or exposure to second- planned to drop tobacco by Oct. 1 as other tobacco products, some hand smoke each year. the sales conflicted with its health care stopped buying them altogether. mission. To bolster its image as a health About 900 households in the two Tobacco deaths are very personal care company, CVS will announce a cities recorded everything they to two top CVS executives. CEO corporate name change to CVS Health. bought after the bans went into effect. Larry Merlo's father died of to- Retail stores will still be called CVS/ Troyen Brennan, CVS' chief medical bacco-related cancer at age 57 Pharmacy. officer, says if the results were ex- and the mother of CVS/Pharmacy trapolated for pharmacies across the President Helene Foulkes died CVS, which has 7,700 retail locations, is USA, it would lead to 65,000 fewer five years ago of lung cancer from the second-largest drugstore chain in deaths a year. smoking. the USA, behind Walgreens. It manages the pharmacy benefits for 65 million Ellen Hahn of the Tobacco Policy Re- After its announcement in Febru- members and has 900 walk-in medical search Program at the University of ary, Foulkes says CVS was del- clinics. Kentucky says one chain not selling uged with personal stories from tobacco will have a limited effect, and customers who had quit smoking. The American Pharmacists Association other strategies, such Many said it was the "hardest called on drugstores to stop selling to- as price and tax increases and smok- thing they had ever done," she bacco in March 2010 and several small, ing bans, have been shown to be says. The company is determined independent chains have done so, APA more effective. Still, she said, "every to make it easier for them, she spokeswoman Michelle Spinnler says. little bit helps because they are such a says, because it simply makes CVS is the first large chain to stop to- large chain. If every pharmacy would sense. "The contradiction of sell- bacco sales. follow suit, that would be best. But ing tobacco was becoming a this sends a clear message that phar- growing obstacle to playing a big- "CVS' announcement to stop selling macies should not be selling tobacco." ger role in health care delivery," tobacco products fully a month early Audrey Silk, founder of Citizens Lob- Merlo says. sends a resounding message to the en- bying Against Smoker Harassment, or tire retail industry and to its customers CLASH, a national smokers' rights http://www.usatoday.com/story/news/ that pharmacies should not be in the group based in New York City, says nation/2014/09/03/cvs-steps-selling-tobacco- changes-name/14967821/ Volume 4, Issue 4 P a g e 5

Smoking Bans Cut Number of Heart Attacks, Strokes

—Liz Szabo, USA TODAY 10:07 a.m. Glantz says state lawmakers should protect non-smokers, says cardiologist EST November 14, 2012 consider these findings when voting to Raymond Gibbons, past president of exempt certain facilities, such as bars the American Heart Association, who Smoking bans quickly and dramatically or casinos, from smoke-free laws. was not involved in either study. Ciga- cut the number of people hospitalized "The politicians who put those exemp- rette smoke can trigger heart attacks for heart attacks, strokes and respira- tions in are condemning people to be in non-smokers with underlying heart tory diseases such as asthma and em- put into the emergency room," Glantz disease, he says. physema, an analysis out Monday says. shows. Secondhand smoke affects a non- David Sutton, a spokesman for Philip smoker's blood vessels in as little as Heart attack hospitalizations fell an av- Morris USA, the country's leading five minutes, causing changes that in- erage of 15% after communities passed cigarette maker, says his company crease the risk of heart attack, accord- laws banning smoking in areas such as agrees that secondhand smoke is dan- ing to the Mayo Clinic study. About restaurants, bars and workplaces, ac- gerous, but he says smoking bans 46,000 non-smoking Americans die cording to the largest analysis of smoke- aren't always necessary, and that busi- from secondhand smoke exposure free legislation to date. The analysis nesses such as restaurants can accom- each year, according to the National included 45 studies covering 33 laws in modate non-smokers through sepa- Cancer Institute. American cities and states, as well as rate rooms or ventilation. countries such as New Zealand and Smoking bans also reduce health care Germany. "Reasonable ways exist to respect the costs -- for individuals, health plans comfort and choices of both non- and government payers, Glantz says. Stroke hospitalizations fell 16%, while smoking and smoking adults," Sutton Total savings ranged from $302,000 in hospitalizations for respiratory disease says. "Business owners -- particularly all health care costs in Starkville, Miss., fell 24%, according to the study, pub- owners of restaurants and bars -- are to nearly $7 million just in heart attack lished Monday in Circulation. most familiar with how to accommo- -related hospitalizations in Germany, date the needs of their patrons and according to the Circulation study. The more comprehensive the law, the should have the opportunity and flexi- "If politicians are serious about cutting greater the impact, says senior author bility to determine their own smoking medical costs, they need to look at Stanton Glantz, director of the Center policy. The public can then choose this," Glantz says. "The best way to for Tobacco Control Research and Edu- whether or not to frequent places cation at the University of California- where smoking is permitted." keep health care costs down is to not San Francisco. get sick. ... There is nothing else you Neither report provides information can do to have these big an effect on For example, a 2002 law banning smok- about why smoking bans reduce heart hospital admissions." ing only in restaurants in Olmsted attacks. But Glantz says smoke-free County, Minn., had no effect on heart laws tend to lead people attacks, according to a study also pub- to smoke less or quit lished Monday in the Archives of Internal altogether. Medicine. However, hearts attacks fell by 33% after a 2007 law that expanded Fewer people smoked at the smoking ban to all workplaces, in- home, as well. The per- cluding bars, according to the report, centage of smoke-free from Minnesota's Mayo Clinic. That homes in the state grew drop is especially impressive, given that from 64.5% in 1999 to people in Minnesota got less healthy in 87.2% in 2010, a period in the same time, with higher rates of dia- which state and federal betes and obesity. Rates of high blood taxes also rose signifi- pressure and unhealthy cholesterol lev- cantly, the Mayo study els stayed the same. shows. Smoking bans also http://www.usatoday.com/story/news/nation/2012/10/29/smoking-bans-heart-attacks-strokes/1664193/ Volume 4, Issue 4 P a g e 6

Tobacco-Free Campus

Pat Aune, UTTC, Nov 2013 izational health insurance issues.

—BISMARCK (UTN) - United Tribes Tech- The policy was developed by the United nical College has become the first tribal col- Tribes Wellness Circle, in cooperation with lege in North Dakota to adopt a "Tobacco Bismarck Burleigh Public Health, the North Free" campus policy. College President Dakota Center for Tobacco Prevention and David M. Gipp signed the policy November Control and Policy, and was adopted by the 21 on the anniversary of the 38th annual college's administrative council. Great American Smoke Out. According to Jeanne Prom, executive direc- "United Tribes is committed to the health tor of the Center, tobacco-free policies and wellbeing of the children, students, fac- shape how the younger generation perceives ulty and staff of our campus, and to visitors tobacco use. who come here," said Gipp. "Our goal is to "We're incredibly grateful that United Tribes help protect our campus community from has taken this important step," said Prom. the harmful effects of tobacco use while "It's a clear statement that your campus maintaining our respect for Native tradi- values health. It demonstrates that a tobacco tions." -free life is encouraged and supported." The new policy takes effect January 1, 2014. According to Prom, the It prohibits the use of tobacco on campus attempts to take advantage of college age properties, in campus-owned vehicles, and at youth, understanding this is when many long- institution sponsored off-campus functions. It term lifestyle choices are made. includes any product containing tobacco or David M. Gipp signing UTTC's Tobacco Free Pol- Witnessing the signing were members of the icy. Looking on is Pat Aune, UTTC Wellness Circle manufactured from it, or containing nicotine. United Tribes staff and faculty, and young- coordinator. It also prohibits the use of e-cigarettes. sters who attend Theodore Jamerson Ele- Exempted is the traditional or sacred use of mentary School on the college campus. The UTTC's new policy places more impor- tobacco. United Tribes will continue to be a K - 8 students are children of those attend- tance on quitting smoking. The college's "tobacco honoring" campus for Native ing college. Wellness Center will host a series of American spiritual and cultural ceremonies, Also present was a group of human services programs beginning in when requests are made and approved in professionals from Russia, participating in the advance. the new year. UTTC's Family Nurse Prac- Dacotah Territory International Visitor Pro- titioner, Ian Grey Bull, will be available to Currently 13 college campuses in North gram's Open World Leadership Program. provide individual attention during his Dakota have tobacco-free policies. Several According to the Centers for Disease Con- regular hours in the wellness center. As- others are smoke-free. United Tribes is the trol, tobacco use is the leading cause of pre- sistance from additional, off campus third tribal college nationwide to take the ventable disease. Last year, tobacco use sources will also be provided. more comprehensive step to become to- killed 800 North Dakotans prematurely and bacco-free, joining Fort Peck Community To see a complete list of North Dakota's cost the state over $247 million in health- College, Poplar, MT, and Oglala Lakota Col- t o b a c c o - free schools, go to care. lege, Kyle, SD. www.breathend.com . The United Tribes policy outgrowth of a campus wellness initiative started 12 years ago. The effort to curb smoking parallels state and national programs aimed at im- proving learning and productivity, lowering http://www.uttc.edu/tfree/ rates of absenteeism, and addressing organ- Volume 4, Issue 4 P a g e 7

Benefits of Traditional Tobacco According to the National Native Network

 When tobacco is offered to the earth and fire, it is held in the hand and not smoked. Some sacred pipes are smoked but not all pipes con- tain tobacco.

 Some tribes don’t use tobacco at all and some will use a blend of tobacco and other herbs.

 Traditional tobacco teaches you discipline.

 You learn respect for the creator and all crea- tion.

 You have a better understanding for your In- dian culture.

 Traditional tobacco is free of chemicals and poisons.

 You gain spiritual development towards being a good person.

 You use it to pray with and is considered a Medicine for one’s health and http://www.keepitsacred.org/network/index.php?option=com_content&view=article&id=32&Itemid=24 well being.

QuitLine Resources

If you are ready to quit, thinking about quitting, or know someone who wants to quit…these quit lines offer services designed to help smokers kick the habit for good. Call or visit these sites for more information:  The South Dakota QuitLine: 1-866-SD-QUITS http://sdquitline.com/

 The North Dakota QuitLine: 1-800-QUITNOW http://www.ndhealth.gov/ndquits/?id=55

 The Nebraska QuitLine: 1-800-QUITNOW http://quitnow.ne.gov

 The Iowa QuitLine: 1-800-QUITNOW http://quitnow.net/iowa Volume 4, Issue 4 P a g e 8

Meet the New NPTTTAC Program Manager

Sadie Jo In The Woods is the daughter of Marla Herman and Byron In The Woods and granddaughter of Wilma (Whirlwind Horse) and Rex Herman and Ellen (Condon) and Jobe In The Woods. She has one 4-year-old daughter named Jade Mahpiya Hill. Sadie is an enrolled member of the Cheyenne River Sioux Tribe. Her grandmother Wilma Herman delivered her in Wagmiza Wakpa (Allen, South Dakota) on the Pine Ridge Indian Reservation where Sadie grew up. She graduated from Little Wound High School as a Gates Millennium Scholar in 2006 and went on to receive her Bachelors in Psychology with a minor in Political Science from Duke University in North Carolina. Sadie later moved to Miami, Florida where she graduated with her Masters in Public Health, specializing in Environmental and Occupa- tional Health from Florida International University in April of 2014.

Sadie loves to play basketball. She was a Junior Nationals 1st-Team All-American and was a manager for the Duke Women’s Basketball team. She is the founder of the non- profit Lakota Initiative for Future Empowerment (LIFE) which is a suicide prevention and youth empowerment focused organization. She has taught at SD GEAR UP as a College Re- search and Exploration instructor for American Indian high school students.

Ms. In The Woods began her work as the Policy, Systems, and Environmental Change Intern at GPTCHB, focusing on cancer prevention efforts to honor the memory of her beloved sister Elita In The Woods who passed away from Leukemia at the age of 10. She began her professional career as the National Native Network Coordinator and has recently been promoted as the Northern Plains Tribal Tobacco Technical Assistance Center Program NPTTTAC Program Manager Manager and plans to focus on community assessment and outreach, tobacco control policy Sadie In The Woods, MPH creation and enforcement, and honoring traditional tobacco use. Growing up on a Great 1770 Rand Road Plains reservation, Sadie has experienced the many issues that American Indian youth deal Rapid City, SD 57702 Cell: 605-863-1503 with when it comes to commercial tobacco: usage, second-hand smoke, peer-pressure, the PH: 605-721-1922 ext. 121 need for increased traditional use education, and the loss of loved ones due to tobacco re- Fax: 605-721-1932 lated deaths. She hopes to use her energy to help tribal members and to honor her grand- [email protected] mother Wilma who passed from smoking-related health issues. Become a Coalition Member

The Northern Plains Tribal Tobacco Technical Assis- tance Center’s Coalition is committed to enhancing and increasing awareness for tobacco control and prevention for American Indians in the Northern Plains by providing a forum for input, advocacy, education, collaboration, planning and action along the tobacco prevention contin- uum. To become a member, please call 605.721.1922, ext. 121, or email [email protected]