Healthy Living in the North

Only in history

Ten year old Miranda Googles the word ‘tobacco’. When the page opens on her tablet, she sees that there are a lot of references there. Old images show people with small, round, tubular objects between their lips called cigarettes. The pictures also show smoke coming from these objects. She wonders how people lived with tobacco in the past.

Delhi Tobacco Museum & Heritage Centre

Imagine if our future generations learn about tobacco only from history books and museums!

Imagine if this scenario could be true. If our future generations learn about tobacco* only from history books and archives on Google!

The number of lives saved from tobacco-related deaths would be upwards of 7 million a year worldwide. Chronic diseases related to tobacco use would be non-existent. Imagine!

Join us this World No Tobacco Day in helping to make commercial tobacco use a thing of the past.

Here’s what you can do:

  • Tell one person you know who uses commercial tobacco that quitting is the best thing they can do for their health.
  • Support them to reach out to QuitNow.ca and the BC Lung Association for education and support on quitting tobacco use. The person can also go to any pharmacy and enroll for 12 weeks free nicotine replacement therapy (NRT).
  • Tell one person you don’t know that smoking in outdoor spaces closer than 6 metres to doors and windows is affecting the health of others. That within minutes of a few people smoking outdoors, the second-hand smoke concentration equals that of indoors.
  • Provide education and support about outdoor smoke- and vape-free spaces.
  • Check to see if your community has a bylaw that supports smoke- and vape-free outdoor spaces.

Currently, commercial tobacco use rates are about 20% in the north. We have a lot of work to do to help make commercial tobacco use history!

Let’s all work together to make Miranda’s experience a reality.


*In this story, as in most public health messages, “tobacco use” refers to the use of commercial tobacco products like cigarettes and chewing tobacco as opposed to traditional uses of tobacco. Northern Health supports the cultural and ceremonial uses of tobacco and recognizes that the benefits of traditional uses can outweigh the potential harms.

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The end game: What are your bold new ideas to reduce the harmful and costly effects of tobacco use?

Mascot with smoke-free spaces sign

The 2015 Canada Winter Games in Prince George were smoke-free! What are your bold ideas to contribute to tobacco-free communities?

You probably have a friend or family member who has experienced one or more of the debilitating diseases caused by smoking or chewing tobacco.

Tobacco use* remains the leading cause of premature death in Canada and kills over 37,000 Canadians every year. Tobacco kills half the people who use it and is also harmful to the people breathing second-hand smoke.

Although there has been a significant reduction in tobacco use over the last several decades, 15 per cent of Canadians still smoke. In our northern communities, the rate is over 20 per cent. Even though everyone knows that smoking or chewing tobacco hurts our bodies, over 100,000 Canadians start smoking daily every year. Most of these are youth.

We need a bold, new approach to reduce the use of this deadly product!

In partnership with all Canadians, the Government of Canada has set a goal to reduce the rate of tobacco use to five per cent by 2035. You can help make this happen! Is there something that you can do in your community to help youth stay tobacco-free or to help current tobacco users reduce or quit? Let the government know!

The Federal Tobacco Control Strategy ends March 2018. The Government of Canada is seeking input from interested Canadians to plan a new approach to radically reduce the use of tobacco in our country. Provide your feedback on the future of tobacco control in Canada. You can provide feedback by email or mail. Feedback must be received by April 13, 2017.

Contribute to helping Canadians to lead healthier, tobacco-free lives! Take part in the consultations on the future of tobacco control in Canada.


*In this story, as in most public health messages, “tobacco use” refers to the use of commercial tobacco products like cigarettes and chewing tobacco as opposed to traditional uses of tobacco. Northern Health supports the cultural and ceremonial uses of tobacco and recognizes that the benefits of traditional uses can outweigh the potential harms.

Nancy Viney

About Nancy Viney

Nancy is a registered nurse working in Northern Health’s population health team. She often imagines a day when no one in northern British Columbia suffers from the harmful effects of tobacco. In her time off, she enjoys spending time with her family and friends, especially her two little grandchildren! Nancy also enjoys quilting, knitting, crocheting and many other home spun crafts.

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10 tips for talking to kids about tobacco

Family walking in woods.

Talk to your kids about tobacco!

You can make a difference!

1. Don’t assume kids will learn all they need to know to be tobacco free at school and that you don’t need to get involved. Parents can help their kids to avoid the use of tobacco.

2. Let them know how you feel about tobacco use and help them develop the skills to say no to tobacco.

3. Kids do listen. They may feel a need to rebel at first but they will value the message, especially coming from you.

4. Make an emotional appeal – telling them how hurt or disappointed you would be by their smoking or chewing will have more impact than reasoning with them about the health dangers.

5. Know that peer pressure is often used as an excuse for tobacco use – it may provide an opportunity to start, but kids continue to smoke or chew for individual reasons.

6. Be a good role model – if you do smoke or chew, explain that you know it’s wrong and ask them to help you quit. If you aren’t ready to quit, share the reasons why you started, how hard it’s been to quit, and how you don’t want them to struggle with the same addiction you have.

7. Encourage your children to never try tobacco. It may only take a few cigarettes to become addicted. Instead, encourage them to develop healthy lifestyles and avoid the use of tobacco.

8. Have extended family support to keep kids tobacco free – often older siblings or other relatives introduce them to smoking or chewing.

9. Don’t believe that smoking or chewing is safer than “something else” – most kids are at real and greater risk from tobacco use than from other dangers. Research shows smoking is a gateway to other drug use.

10. It’s never too late to intervene. Kids are flexible and they can change for the right reasons.


In this article, as in most public health messaging, “tobacco” is short for commercial tobacco products like cigarettes and chewing tobacco. Using these is highly addictive and is a leading cause of disease and premature death. However, Northern Health recognizes that natural tobacco has been an integral part of many Indigenous cultures in B.C. for thousands of years. Traditional uses of tobacco in ritual, ceremony, and prayer is entirely different from smoking or chewing commercial tobacco. Northern Health supports the cultural and ceremonial uses of tobacco and recognizes that the benefits of traditional uses can outweigh the potential harms.

Nancy Viney

About Nancy Viney

Nancy is a registered nurse working in Northern Health’s population health team. She often imagines a day when no one in northern British Columbia suffers from the harmful effects of tobacco. In her time off, she enjoys spending time with her family and friends, especially her two little grandchildren! Nancy also enjoys quilting, knitting, crocheting and many other home spun crafts.

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What are your reasons to quit?

Do you smoke cigarettes or chew tobacco? Everyone knows that smoking cigarettes or chewing tobacco is bad for your health. Are you wishing that you never started? Do you hope that your kids never start?

You are probably planning to quit someday. Why not make it today!

Do you like top 10 lists? Write your own reasons to quit or, if you need to be inspired, here are 10 reasons to quit smoking now:

  1. My health will improve within eight hours of my last cigarette.
  2. I can stop worrying about how smoking is hurting my health. I will lower my chances of getting cancer, heart disease, lung disease and other disabling diseases. I will also look younger.
  3. It’s cold outside. I won’t have to go outside in nasty weather to smoke or buy cigarettes.
  4. I will save money!
  5. My clothes, house and car won’t smell like smoke.
  6. I won’t have to live with the constant cravings to smoke or chew once I have quit.
  7. I will feel more in control of my life.

    There are many resources available for you to quit smoking today!

  8. Smoking isn’t cool anymore.
  9. I will no longer expose my friends and family to the harmful effects of second hand smoke.
  10. I will help prevent my kids from getting addicted to cigarettes or chewing tobacco.

Want more information about quitting smoking?

Visit quitnow.ca or call HealthLink 8-1-1 for free self-directed programs and many helpful tools and resources. Get free counselling by phone, text or email.

You can access free nicotine patches, gum, lozenges or inhalers through the BC Smoking Cessation Program by visiting your pharmacist. You may be eligible for prescription smoking cessation drugs at reduced cost.

Quitting smoking or chewing tobacco is the best thing you can do for your health.

Nancy Viney

About Nancy Viney

Nancy is a registered nurse working in Northern Health’s population health team. She often imagines a day when no one in northern British Columbia suffers from the harmful effects of tobacco. In her time off, she enjoys spending time with her family and friends, especially her two little grandchildren! Nancy also enjoys quilting, knitting, crocheting and many other home spun crafts.

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It’s always a good choice to stop smoking, no matter how old you are

Are you a senior who smokes? Do you know or love a senior who smokes?

grandfather walking with grandchild

Quitting helps reduce your family’s exposure to second hand smoke

Smoking is hard to give up at any age, but it can seem even more challenging for those who have smoked for decades. Seniors may think that there is no point in quitting since they have smoked for so long that it won’t make any difference. They may also believe that if they haven’t had any negative health effects yet, they never will. Many seniors grew up in an era when there was no research to support the ill effects of smoking. That has changed!

The fact is smoking is directly responsible for the majority of chronic obstructive pulmonary disease cases. Smoking also plays a huge role in lung cancer, coronary heart disease, stroke and lower respiratory tract infections.

There are additional health and financial issues for seniors who smoke:

  • Bone fractures occur in more seniors who smoke than those who do not.
  • Women who smoke may have an overall reduced bone density after menopause. This can lead to developing osteoporosis or l bone breaks and fractures.
  • Smoking in old age has been linked to macular degeneration, diabetes, colorectal cancer, rheumatoid arthritis and many other health disorders.
  • Quitting smoking will save money. Seniors will also save on home and life insurance, as well as health plans.

There is help available and the benefits of quitting smoking are dramatic and immediate for seniors, too!
Contact your pharmacist for 12 weeks of free smoking cessation products. You can obtain patches, gum, lozenges and inhalers.

For more information visit quitnow.ca

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“My whole life changed the day I started to smoke”

no smoking symbol

For many smokers addiction starts at a young age

“Hey, when did you start?” Bryan looks up. “When I was 13-I’m 20 now and I’m hooked.”

As we acknowledge National Non Smoking Week this week, our attention turns to youth. Nearly all tobacco use* begins during youth and progresses during young adulthood, according to the 2014 US Surgeon General Report.

What does Bryan want to say to kids who are smoking or thinking about trying it?

“Hey, that’s easy. Don’t do it. Just don’t. I’ve spent a ton of money on cigarettes. They stink. I can’t get apartments because I smoke, can’t get jobs, heck, I can’t get a girlfriend! I thought when I started I could stop whenever I wanted. I didn’t get the fact that nicotine is addictive. It controls me, I can’t control it. I was cut from the hockey team my senior year because smoking affected my ability to play the game. When I stopped playing hockey, I also was cut out from a lot of my friends. My whole life changed the day I started to smoke. I wish I knew how addictive smoking was.”

Help teens choose to say no to tobacco use. Help them be tobacco free for life. Choose now!

If you know a teen who uses tobacco, help them: tell them about QuitNow services and the BC Smoking Cessation Program. They can access free counselling by phone, text or email and free nicotine patches, gum, lozenges or inhalers.


*In this blog post and in most public health messaging, ‘tobacco’ is short for commercial tobacco products like cigarettes and chewing tobacco. Using these is highly addictive and a leading cause of disease and premature death. However, Northern Health recognizes that natural tobacco has been an integral part of many Indigenous cultures in BC for thousands of years. Traditional uses of tobacco in ritual, ceremony, and prayer is entirely different from smoking or chewing commercial tobacco. Northern Health supports the cultural and ceremonial uses of tobacco and recognizes that the benefits of traditional uses can outweigh the potential harms.

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It’s all about the big picture

This article was co-written by Reg Wulff and Doreen Bond. Learn more about all of our contributors.


20160630-RWulff-470x394Did you read our last blog post about the rollout of Northern Health’s new and improved Smoke Free Grounds policy? Now that you’ve had a bit of time to think about it, it might seem like it’s all about telling people where they can’t smoke or use vapour products. However, the Smoke Free Grounds policy isn’t only about telling people that they can’t smoke on Northern Health property; it’s actually part of a bigger picture when it comes to Northern Health’s efforts to reduce tobacco use.

Northern Health is committed to addressing tobacco use as a standard of care. In addition to the Smoke Free Grounds policy, we’ve implemented three new clinical practice standards to give our nursing staff some tools to help tobacco users manage withdrawal symptoms and get support when it comes to quitting smoking. These standards are: Brief Intervention Training for nurses, the Nicotine Withdrawal Protocol, and the Registered Nurses Initiated Action.

What does this mean for you?

Using Brief Intervention, nurses can quickly identify patients who use tobacco. It helps nurses figure out who might need nicotine replacement therapy products such as the nicotine patch while in Northern Health facilities. Brief Intervention is very simple and it only takes a couple of minutes.

Then there’s the Nicotine Withdrawal Protocol and the Registered Nurses Initiated Action. I know they sound like fancy terms, but their purpose is quite simple: these two standards give nurses an opportunity to provide tobacco users with nicotine replacement therapy products for a short period until a doctor’s order can be obtained.

Going through nicotine withdrawal can be extremely uncomfortable for a tobacco user. Providing a nicotine patch can help ease withdrawal symptoms for patients who use tobacco. The three clinical practice standards are about enabling nursing staff to take action and help tobacco users manage their withdrawal symptoms.

The Nicotine Withdrawal Protocol and the Registered Nurses Initiated Action also contribute to patient safety. They provide another option for patients who might put themselves at risk by leaving Northern Health grounds to have a smoke. After all, though they seem like distant memories now, winter conditions in the north can be dangerous for anyone, let alone patients who use wheelchairs or have IV poles to deal with.

Creating a healthy environment is essential for the wellness of patients, residents, visitors, and staff who access or work in Northern Health facilities. Northern Health wants to lead by example and provide a healthy environment for everyone where they live, work, and play. The refreshed Smoke Free Grounds policy and the three clinical practice standards are important pieces of creating that healthy environment.

So remember, if you’re a tobacco user who is about to enter a Northern Health facility, the Smoke Free Grounds policy is about everyone’s health! If you need help managing nicotine withdrawal symptoms while in facility, talk to your nurse. There is help available.

Quitting smoking can greatly improve your health and help you live longer. For more information and support, contact HealthLink BC by dialing 8-1-1 or visit QuitNow.

If you’re interested in getting 12 weeks of free nicotine replacement therapy products, talk to your local pharmacist.

Reg Wulff

About Reg Wulff

Reg is a licensing officer with Northern Health and has his BA in Health Science. Previously, he worked as a Recreation Therapist with Mental Health and Addictions Services in Terrace as well as a Regional Tobacco Reduction Coordinator. Originally from Revelstoke, Reg enjoys the outdoor activities that Terrace offers, like mountain biking and fishing. Reg also likes playing hockey, working out, and creative writing. He is married and has two sons and believes strongly in a work/life balance as family time is important to him.

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Quitting is hard, what’s your story? Wrap-up and Fitbit winner!

20160614-QuitStoriesWrapUpSince World No Tobacco Day (May 30) Northerners have been sharing their ‘Quit Stories’. I’d like to share a few more of the stories that came in, but first, many congratulations out to Melanie in Fort St. John whose name was drawn in the story entry contest to win a Fitbit Activity Tracker. Congratulations Melanie!

You may remember reading Melanie’s positive quit story. She shared that after several attempts using a variety of methods she is currently 6 months smoke-free! Her parting words:

If you really want something you will achieve it!

We know quitting is hard, and for some, the quit comes when it absolutely has to. As in this story shared by Erica in Prince George:

My brother has smoked for 36 years. Recently he had pneumonia and a collapsed lung. It was only then that he quit. He always wanted to, but said that he would go through such bad withdrawals that he would just start smoking again. A doctor he saw, told him that his lung capacity was only about 38%, and that he needed to quit right away. This scared him so badly, that he quit. The truth was that he was so sick, that he could not smoke, he could hardly breathe. Now he tells me it was the best thing he ever did for himself. It was just too bad that it took such an extreme situation for him to quit.

Nicole, in Terrace, found health a strong motivator too – but realized quickly how much money she saved as well!:

I moved to Terrace in 2008. After 10 years of smoking, and being an asthmatic, I had been hospitalized hundreds of times. Each time becoming more and more serious. When we moved I felt this would be a great time to quit, new town new me. It was incredibly hard. I never thought about the stress of a new town along with the cravings to smoke and at the time my partner was still smoking. I continued and was successful and then was able to encourage my partner who then quit in Dec of the same year. It’s been 8 years now and we are both healthier and happier. The monies we saved from smoking we now use to go on holidays. We continued to move the money we were spending on cigarettes into an account we opened and labelled “holiday” it’s amazing how much money we were spending without realizing it. This gave us a twofold benefit. We are healthier and we have holiday money which we were not previously making a priority.

Many more stories came in and I wish I could list them all, but space will allow me only to thank everyone who shared their quit story and entered the contest. We are all touched by tobacco use and it takes a lot of hard work and determination to quit –but it helps everyone around you when you do.

Do you want to quit? Speak with your health care provider and for information and free support to help you, visit QuitNow or call 1-877-455-2233. You can also ask your pharmacist how to access information and FREE nicotine patches, gum, lozenges or inhalers through the BC Smoking Cessation Program.

Andrea Palmer

About Andrea Palmer

Andrea Palmer is a Communications Advisor with the Health Promotions Team at Northern Health. Born and raised in southern B.C., Andrea now embraces the North in large part for all the fun, healthy activities and opportunities uniquely accessible in our region including snowboarding, cross-country skiing, outdoor skating, wild berry picking, hiking, canoeing/kayaking, fishing and the bracing experience of jogging in the snow!

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The challenge of quitting smoking during pregnancy and staying quit after delivery

Woman smoking beside a field.

Avoiding tobacco use will improve the health of your whole family before, during and after pregnancy.

Want to improve your own health and protect your developing baby from the harmful effects of tobacco and tobacco smoke? Women and their partners who use tobacco during pregnancy are encouraged to quit!

Why quit?

Maternal smoking and exposure to second-hand smoke during pregnancy may increase the risk of miscarriage, preterm birth and early detachment of the placenta. Smoking is also linked to growth restriction during pregnancy and low birth weight. Although a smaller baby may mean an easier labour and delivery, low birth weight is a predictor of decreased newborn health and survival.

After a child is born, infants of women who smoke are three times more likely to die from sudden infant death syndrome. Children who are exposed to second-hand smoke have an increased risk of respiratory problems and increased severity of asthma.

When to quit?

Ideally, women and their partners should quit using tobacco prior to pregnancy but if not, then it is important to quit anytime during pregnancy. Every day is a good day to quit smoking!

Support to help you quit smoking and protect your family

Although tobacco dependence is a complex addiction with many factors that make it difficult to quit, many women have been able to quit during their pregnancy.

Women are aware that smoking is not good for their health or the health of their babies and so many are very motivated to quit. It’s sometimes difficult to quit during pregnancy because:

  • Pregnancy speeds up a woman’s metabolism and she may find that she is smoking even more to relieve her cravings.
  • Pregnancy is sometimes a stressful time.
  • A woman’s social network may use tobacco and she may feel left out.

Understanding these factors may help in the development of plan to quit smoking.

Many women wonder if they can use nicotine replacement therapy such as the nicotine patch, gum, lozenge or inhalers when they are pregnant. Opinions vary on the use of these products in pregnancy so women should discuss the use of these products with their physician or pharmacist. Intermittent dosing of nicotine replacement therapies such as lozenges, gum or inhaler are preferred over continuous dosing of the patch.

It is likely that nicotine replacement therapy is safer than cigarette smoking as the mother and baby are only exposed to nicotine and none of the other 8,000+ chemicals in cigarette smoke. If you use nicotine replacement therapy instead of smoking cigarettes, the mother and baby are not exposed to the carbon monoxide that reduces oxygen uptake and flow to the developing baby.

Many women are able to quit during their pregnancy and enjoy the positive health effects that come with quitting. It’s important to plan how to stay quit once the baby is delivered as relapse is common after the baby is born.

For information and free support to help you quit, visit QuitNow, call 1-877-455-2233, or ask your pharmacist about the BC Smoking Cessation Program. Do you or a loved one have a quit story? Share it for your chance to win a Fitbit!

Let’s raise children in tobacco free families!


This article was first published in the Summer 2016 issue of Healthier You magazine. Check out the full issue below!

 

Nancy Viney

About Nancy Viney

Nancy is a registered nurse working in Northern Health’s population health team. She often imagines a day when no one in northern British Columbia suffers from the harmful effects of tobacco. In her time off, she enjoys spending time with her family and friends, especially her two little grandchildren! Nancy also enjoys quilting, knitting, crocheting and many other home spun crafts.

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World No Tobacco Day – Quit story contest

Pile of cigarettes with red ban  crossing over top

Quitting is hard, what’s your story? Share for a chance to win.

Quitting smoking is hard, what’s your story? Share it for your chance to win a Fitbit!

Today we recognize World No Tobacco Day and we can all consider making some changes in our lives towards better health. Tobacco use touches most of us, even non-smokers, as we see people in our lives light up around us and breathe in second-hand smoke. The sad truth is that tobacco use is the leading cause of preventable death –more than alcohol, car crashes, illegal drugs, murders and suicides combined.

In recognition of the challenges in quitting, we’re launching a contest where you can share your quit story and be entered to win a Fitbit wireless activity wristband. This can be your personal story quitting (or trying to quit) smoking, or your experience with someone in your life doing so. Your story may encourage someone to quit!

Share your story for your chance to win!

Need some inspiration? Here’s a short quit story from Anthony of Gitwinksihlkw via QuitNow.ca:

I worked in camps at the time, on one of my times off, I got to thinking, why do I have to go so far just to have a smoke, hiding from my nephews and nieces, telling them what I do are bad for them? I got tired of being a hypocrite, so when I returned to camp before Christmas, I just did not bring any cigarettes with me. 4 weeks in camp was the hardest time in years. But I never looked back, over a year later and I feel great. 15 years I smoked, realized I was quitting for the wrong reasons in the past. I needed to quit for myself and not for others.

Nancy Viney

About Nancy Viney

Nancy is a registered nurse working in Northern Health’s population health team. She often imagines a day when no one in northern British Columbia suffers from the harmful effects of tobacco. In her time off, she enjoys spending time with her family and friends, especially her two little grandchildren! Nancy also enjoys quilting, knitting, crocheting and many other home spun crafts.

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