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Categories Global Development, Insights, Tobacco Tags Behavioral Health, Global Development, Global Health, Health, National Cancer Institute (NCI), National Institutes of Health (NIH), The World Health Organization (WHO), Thought Leadership

World No Tobacco Day

World No Tobacco Day

Every year on May 31st, The World Health Organization (WHO) and partners mark World No Tobacco Day (WNTD).  World No Tobacco Day (WNTD) highlights the health and other risks associated with tobacco use and advocate for effective policies to reduce tobacco consumption. WNTD focuses on the impact tobacco use has on the cardiovascular health and how tobacco use is an important risk factor for the development of coronary heart disease, stroke, and peripheral vascular disease.

Although Tobacco is considered a legal drug, the effects and complications related to tobacco use kill many of its users when used as intended by manufacturers. WHO has estimated that the use of tobacco is responsible for the death of about six million people across the world yearly. WHO’s new Global Report on Trends in Prevalence of Tobacco Smoking 2000-2025 report shows that 27% of people worldwide smoked in 2000, compared to 20% in 2016.

For tobacco users that are interested in quitting and living a healthier lifestyle, there are many resources available to help develop a solid “quit plan” that provides ways to stay focused, confident, and motivated throughout the journey. Smokefree.gov has 5 steps that can help smokers handle quit day, which is a smoker’s first day without cigarettes.

1. Make a Quit Plan

Having a quit plan can make quitting much easier. You can build your plan or find a program that works for you. Visit Create My Quit Plan for assistance.

2. Stay Busy

Staying busy is a great way to stay smoke-free. Being busy will help keep your mind off smoking and distract you from cravings. Here is a list of activity ideas that could help distract you:

  • Exercise
  • Chew gum or hard candy
  • Drink lots of water
  • Go to a movie
  • Spend time with non-smoking friends and family
  • Go to dinner with non-smoking friends and family

3. Avoid Smoking Triggers

Triggers are people, places, things, and situations that set off your urge to smoke. Here are some ways to avoid common smoking triggers:

  • Throw away your cigarettes, lighters, and ashtrays
  • Avoid caffeine and replace with water instead
  • Change your routine to avoid the things you might associate with smoking

4. Stay Positive

Try not to put too much pressure on yourself about quitting. Take things one day at a time and reward yourself for small milestones.

5. Ask for Help

You don’t have to do this alone. Ask for support from your family, friends, or a professional. They can help you get through the rough spots.

Categories Insights, Mental Health Tags Autism Spectrum Disorder (ASD), Behavioral Health, Centers for Disease Control and Prevention (CDC), Health, Mental Health, Special Populations, Thought Leadership

National Autism Awareness Month

National Autism Awareness Month

For over 50 years the Autism Society has provided services and programming to support individuals living with autism. National Autism Awareness Month, observed every April, has been an occasion to promote awareness of autism and work to ensure that each person with autism spectrum disorder (ASD) can achieve the highest possible quality of life.  

Autism spectrum disorder is a complex developmental disability that affects a person’s ability to communicate and interact with others. Signs of autism, which usually appear early in childhood, are: delayed learning of language; little or no eye contact with other people; lack of interest in peer relationships; lack of spontaneous or make-believe play; fixation on particular objects; difficulty with executive functioning (which relates to reasoning and planning); narrow, intense interests; poor motor skills; repetitive use of language; repetitive movements (such as hand-flapping); and sensory issues. ASD is a “spectrum condition” that affects individuals to varying degrees. A diagnosis of autism spectrum disorders reflects the number and severity of these behaviors a person shows. 

In 2016, the Centers for Disease Control and Prevention reported that the prevalence of autism in the United States was 1 in every 68 births, and 1 in every 54 boys. The overall prevalence in 2016 was twice the rate in 2004, which was 1 in every 125 births. Autism services cost U.S. citizens $236 to $262 billion annually. Most of this amount is for adult services—$175–$196 billion, compared to $61–$66 billion for children. Cost of lifelong care can be reduced by two-thirds with early diagnosis and intervention.  

Autism is treatable. Studies show that early diagnosis and intervention can change lives. Intervention plans must be unique to the individual, but they usually involve behavioral treatment, medicines, or both. Early behavioral treatment requires intensive collaboration between a child’s family and a team of professionals and may consist of parent training and individual therapy in a special center or classroom. Many people with ASD have other associated medical conditions, such as sleep disturbance or seizures, and improving these conditions can improve attention, learning, and behavior. Different interventions are needed as a child develops and acquires social and learning skills—for example, specialized social skills training may be help children with autism when they enter school. Adolescents with autism can benefit from supportive services that help them transition to employment and independence as adults.  

According to Autism Speaks (www.autismspeaks.org), a small minority of people with ASD progress to the point that they no longer meet the diagnostic criteria for autism. These individuals may have been misdiagnosed, may have “matured out” of some symptoms, or may have responded especially well to treatment. Some individuals have the “best possible outcomes”; their test scores are within normal ranges for IQ, language, functioning, school placement and personality, but they still have mild symptoms on some personality and diagnostic tests.  

This April, the Autism Society also wants to encourage people and groups to become partners in a movement toward accepting and appreciating people with ASD and including them in our schools and communities in a way that reflects true appreciation of the unique qualities of all people. “We want to get one step closer to a society where those with ASDs are truly valued for their unique talents and gifts,” says the Society’s website. 

Categories Insights Tags Alcohol, Health, National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), Thought Leadership

National Alcohol Screening Day

National Alcohol Screening Day

National Alcohol Screening Day (NASD) is an initiative first launched in 1999 by the National Institutes of Health (NIH).  NASD is held annually on the first Thursday of the first full week of April. The purpose of this event is to increase public awareness that alcohol abuse and alcoholism are recognized disorders which can be treated. During this day, members of the public are encouraged to visit screening centers and asked to complete written self-assessments about their alcohol use.

According to The Community Guide, there are 2,000 alcohol poisoning deaths in the U.S. each year and alcohol abuse is higher in college students, who do tend to frequently drink in large volumes.  Excessive, fast consumption of alcohol is known as ‘binge drinking’, and this kind of alcohol abuse can lead to many recognized health problems such as anxiety, depression or sexual problems.  The long-term effects of alcohol abuse include an increased risk of developing certain cancers, liver cirrhosis, high blood pressure and heart problems.
National Alcohol Screening Day awareness continues to grow nationally, and the U.S. government is supporting programs and policies to reduce binge drinking and expand access through the Affordable Care Act to new health insurance plans to cover alcohol screening and brief counseling. The National Institute on Drug Abuse (NIDA) has launched two online screening tools that providers can use to assess for substance use disorder (SUD) risk among adolescents 12-17 years old.

Two Screening Options: Providers can select the tool that makes sense for their clinical practice.

CAGE Questionnaire  

The CAGE can identify alcohol problems over the lifetime. Two positive responses are considered a positive test and indicate further assessment is warranted.

The questionnaire takes less than one minute to administer and is often used in the primary care of other general settings as a quick screening tool rather than as an in-depth interview for those who have alcoholism.  The CAGE questionnaire does not have a specific intended population and is meant to find those who drink excessively and need treatment. The CAGE questionnaire is reliable and valid for assessment of alcohol abuse; however, it is not valid for diagnosis of other substance use disorders, although somewhat modified versions of the CAGE questionnaire have been frequently implemented for such a purpose.

AUDIT-C Overview 

The Alcohol Use Disorders Identification Test (AUDIT) can detect alcohol problems experienced in the last year. A score of 8+ on the AUDIT generally indicates harmful or hazardous drinking. Questions 1–8 = 0, 1, 2, 3, or 4 points. Questions 9 and 10 are scored 0, 2, or 4 only. The Audit-C is a 3-item alcohol screen that can help identify persons who are hazardous drinkers or have active alcohol use disorders (including alcohol abuse or dependence). The AUDIT-C is a modified version of the question AUDIT instrument.

Categories Global Development, Tobacco Tags Centers for Disease Control and Prevention (CDC), Communications & Outreach, Conference Services, Global, Global Development, Health, National Cancer Institute (NCI), Thought Leadership

17th World Conference on Tobacco or Health

17th World Conference on Tobacco or Health

Project Director Jenny Twesten traveled to Cape Town, South Africa to represent the National Cancer Institute’s Tobacco Control Research Branch at WCTOH held March 6-9, 2018. This international conference drew participants from around the world, with a particularly strong presence from those across Africa, an area where prevalence of cigarette smoking is on the rise and expected to continue to do so without strong tobacco control interventions. The Bizzell Group (Bizzell) supported meeting logistics for a pre-conference workshop entitled “Research to Inform the Development and Implementation of Tobacco Control Policies and Intervention” that was attended by at least 53 people from 23 different countries.

Bizzell also coordinated the NCI presence in the exhibit hall in collaboration with the Centers for Disease Control and Prevention, which nearly ran out of materials within 4 hours of the exhibit hall opening. In addition to attending sessions on electronic nicotine delivery systems (ENDS), economic and social costs of tobacco among women, tools for monitoring tobacco use, and ending the tobacco epidemic, Jenny presented on the Africa literature review that she and Katie Cleffi have been working on with NCI and met with various organizations and experts to discuss collaboration opportunities with NCI. The abstract presented has been published in a special supplement of Tobacco Induced Diseases. She will be presenting along with the other NCI delegates at an upcoming seminar on April 17 hosted by the NCI Center for Global Health to share insights from their WCTOH attendance.

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