Health Districts and Tribal Partners
Project Filter is Idaho's tobacco prevention and cessation program, working closely with local public health districts and tribal partners to promote and deliver free commercial tobacco cessation resources and classes to all Idahoans. Project Filter utilizes a 5-year strategic plan to guide the development and implementation of commercial tobacco prevention and control efforts across the state. A new 5-year strategic plan 2021 – 2026 is available here, which builds on the previous 2016 -2020 strategic plan available here. To support CDC grant deliverables and subgrants awarded to local health districts and tribal partners, the following tools and information have been gathered to support all four CDC tobacco prevention and control priority areas. For additional assistance with implementation of the FY21 Tobacco Control and Prevention grant activities please email projectfilter@dhw.idaho.gov.
Preventing tobacco product use among youth is critical to ending the tobacco epidemic in the United States. The following resources are aimed at educating and supporting risk prevention to reduce youth tobacco use in Idaho.
Tools to support health care professionals, clinics and health systems
- Quitlogix Education - continuing education credit modules about how to work with patients to quit tobacco
- Youth Cessation Resources (Centers for Disease Control and Prevention)
- Quick Facts about E-cigarettes (American Academy of Pediatrics)
- JUULing: What Pediatricians and Families Need to Know (American Academy of Pediatrics)
- Supporting youth who are addicted to nicotine: Advice for pediatricians. (American Academy of Pediatrics. October 2019)
- Nicotine Replacement Therapy and Adolescent Patients: Information for Pediatricians (American Academy of Pediatrics. November 2019)
- Talking to Teens About Tobacco use (Centers for Disease Control and Prevention)
- Talking to Teens About Tobacco Cessation Using the 5As (American Academy of Pediatrics. October 2019)
- American Academy of Pediatrics Expert Video: How to begin conversations with patients and families about quitting tobacco (Colorado CoPrevent. May 2013)
- Tobacco/E-Cigarettes Use/Exposure Coding Fact Sheet for Primary Care Pediatrics (American Academy of Pediatrics. 2020).
- Tobacco and Nicotine Cessation Guideline (Kaiser Permanente Clinical Guide. July 2020)
- Modified Version of the Fagerstrom Tolerance Questionnaire (mFTQ) (National Cancer Institute. September 2020)
- Solving the Puzzle: A Guide to Pediatric Tobacco Control (American Academy of Pediatrics)
- A Prescription for Health: Tobacco Free Pharmacies (ChangeLab Solutions. July 2013)
- Addressing Tobacco in Dental Settings A Resource for Dental Professionals (American Academy of Pediatrics. September 2018)
- Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: A Systematic Review for the U.S. Preventive Services Task Force (Selph S, Patnode CD, Bailey SR, Pappas M, Stoner R, Hart E, Chou R. Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: A Systematic Review for the U.S. Preventive Services Task Force. Evidence Synthesis No. 185. AHRQ Publication No. 19-05254-EF-1. Rockville, MD: Agency for Healthcare Research and Quality; 2020)
- Vaping Booklet: Cloud Chasing | A Closer Look at the E-Cigarette Epidemic
- Youth Tobacco Cessation: Consideration for Clinicians from the American Academy of Pediatrics
Tools to support schools and community organizations that work with youth
- This is Our Watch: Tobacco Retailer Resources (U.S. Food and Drug Administration)
- Model Tobacco-free Policy for Kansas Schools (Public Health Law Center)
- Know the Risks: A Youth Guide to E-cigarettes (Centers for Disease Control and Prevention)
- JUULing: What Pediatricians and Families Need to Know (American Academy of Pediatrics)
- The Real Cost of Vaping – An Educator’s Toolkit for Grades 6 – 12 (Scholastic)
- Taking Down Tobacco (Campaign for Tobacco Free Kids)
- Taking Down Tobacco: Lesson Plans (Young Minds Inspired)
- INDEPTH: An alternative to help schools and communities address teen vaping (American Lung Association)
- CATCH: My Breath™ (University of Texas Health Science Center at Houston)
- The Tobacco Prevention Toolkit (Stanford)
- Vaping: Know the Truth (Truth Initiative)
- The Real Cost Campaign (U.S. Food and Drug Administration)
- E-Cigarettes and Youth: What Educators and Coaches Need to Know (Center for Disease Control and Prevention)
- Vaping: Know the Facts. A toolkit for Schools, Parents and Teens (Addiction Policy Forum. April 2020)
- Student Commercial Tobacco Use in Schools: Alternative Measures (Public Health Law Center. 2019)
- How schools can help students stay tobacco-free (Campaign for Tobacco Free Kids)
- Guidelines for School Health Programs to Prevent Tobacco Use and Addiction (Centers for Disease Control and Prevention. 1994)
- Healthy Schools: Tobacco Product Use Behaviors and Academic Grades (Centers for Disease Control and Prevention)
- Additional resources may be available on this topic. Please email Project Filter for more information: projectfilter@dhw.idaho.gov
Resources for parents
- Basic Information: Electronic Cigarettes (Centers for Disease Control and Prevention)
- E-cigarette Products: Visual Dictionary (Centers for Disease Control and Prevention)
- Know the Risks: E-cigarettes and Young People (U.S. Surgeon General)
- JUULing: What Pediatricians and Families Need to Know (American Academy of Pediatrics)
- Identify which products teens are vaping (Tobacco Free California)
- Talk with Your Teen About E-cigarettes: A Tip Sheet for Parents (Centers for Disease Control and Prevention)
- Tips for Talking to Kids About Smoking (American Lung Association)
- Talk. They Hear You (Substance Abuse and Mental Health Administration)
- Quick Facts about E-cigarettes (American Academy of Pediatrics)
- Parents Against Vaping: Advocacy and Support Group (PAVE)
- Helping Teens Quit: Teen cessation and education resources (American Lung Association)
Information on e-cigarettes and vaping
- E-cigarette Learning Video (Centers for Disease Control & Tobacco Control Network)
- E-cigarette Products: Visual Dictionary (Centers for Disease Control and Prevention)
- Quick Facts about E-cigarettes (American Academy of Pediatrics)
- JUULing: What Pediatricians and Families Need to Know (American Academy of Pediatrics)
- Electronic nicotine delivery systems (ENDS) What physicians should know about ENDS (American Academic of Pediatrics. May 2017)
- E-Cigarettes and Vaping: What Clinicians Need to Know (American Academy of Pediatrics. January 2020)
- Basic Information: Electronic Cigarettes (Centers for Disease Control and Prevention)
- E-Cigarette Resources for Parents (Campaign for Tobacco-free Kids)
- My Life, My Quit™ (National Jewish Health)
Other Resources
- Idaho: Benefits & Savings from Smoking Decline (Idaho Project Filter)
- Benefits & Saving from Each One Percentage Point Decline in Idaho Smoking Rate (Campaign for Tobacco Free Kids)
- Tobacco’s Toll in Idaho (Campaign for Tobacco Free Kids)
- Vaping Social Media Campaign Toolkit (AD Council)
- Best Practices User Guide: Youth Engagement in Tobacco Prevention and Control (Centers for Disease Control and Prevention. 2019)
- What Works – Tobacco Use: Evidence-based Interventions for Your Community (The Community Guide)
- Preventing Tobacco Use Among Youth and Young Adults (U.S. Surgeon General)
- Youth Tobacco Use: Results from the National Youth Tobacco Survey (U.S. Food and Drug Administration)
- General information on youth smoking and vaping (Campaign for Tobacco Free Kids) https://www.tobaccofreekids.org/
- JUUL and Youth: Rising E-Cigarette Popularity (Campaign for Tobacco Free Kids)
- National Helpline for Mental and/or Substance Use Disorders (Substance Abuse and Mental Health Services Administration)
The Centers for Disease Control and Prevention (CDC) estimates that secondhand smoke exposure contributes to approximately 41,000 deaths among nonsmoking adults and 400 deaths in infants each year. Secondhand smoke exposure causes disease and illness such as stroke, lung cancer, and coronary heart disease among adults. It also increases the risk for sudden infant death syndrome (SIDS), acute respiratory infections, middle ear disease, and asthma among children. [1]
Idaho’s Clean Indoor Air statute provides protection from secondhand smoke exposure in public places, publicly owned workplaces, bowling centers and restaurants, including those with attached bars. However, Idaho’s Clean Indoor Air statute does not apply to outdoor spaces of these entities. While individual establishments and buildings can post smoke-free signage requesting that smoking does not take place within a certain amount distance from any public or private entrances, enforcement is the responsibility of the establishment.
Local & Organizational Policy Language Examples
- Smoke-free Tribal Housing Policies (Public Health Law Center)
- Implementing HUD’s Smoke-free Policy (HUD. 2017)
- Model Smoke-Free House Rules Policy (Public Health Law Center. 2016)
- National Smoke-free Housing Program Resources (Association for Nonsmokers Rights Minnesota)
- Behavioral Health and Wellness – DIMENSIONS: Tobacco-free Policy Toolkit (University of Colorado Anschutz School of Medicine)
Smoke-free/Vape Free Signage
- For free smoke and vape free signage please email projectfilter@dhw.idaho.gov
Secondhand and Thirdhand Smoke Policy Trainings
- Going Smoke-free Matters: Multiunit Housing (Centers for Disease Control and Prevention. July 2019)
- Implementing HUD’s Smoke-free Policy (HUD. 2017)
- Smoke-free & Tobacco-free Places: Housing (Public Health Law Center)
- HUD’S Smokefree Public Housing Rule: An Overview (Public Health Law Center)
- National Smoke-free Housing Program Resources (Association for Nonsmokers Rights Minnesota)
- Secondhand Smoke (SHS) Facts | Smoking & Tobacco Use | CDC
- Consequences of Smoking consumer guide (HHS)
- The Health Consequences of Involuntary Exposure to Tobacco Smoke (Surgeon General report)
- Secondhand Smoke Exposure and Cardiovascular Effects (National Center for Biotechnology Information)
- Thirdhand smoke FAQ (Mayo Clinic)
- Five things you should know about the risks of thirdhand smoke (Cleveland Clinic)
- Does the Smoke Ever Really Clear? Thirdhand Smoke Exposure Raises New Concerns (National Institutes of Health)
- What are Second and Third-hand Smoke and Vaping Aerosols? (patient education, American Thoracic Society)
- What are the effects of secondhand and thirdhand tobacco smoke? (National Institute on Drug Abuse)
- Archived webinar: Tobacco-Free Policy Optimization and Enforcement: Tobacco & Behavioral Health Masterclass
- Readiness Assessment: Pennsylvania Statewide Tobacco-Free Recovery Initiative
- U.S. State Laws Requiring Tobacco-Free Grounds for Mental Health and Substance Use Facilities
- How to Create Affordable Smokefree Housing by the Public Health Law Center (webinar)
Commercial tobacco use is the leading cause of preventable disease and death in the United States. One of the most important things a person can do to protect their health is to stop using tobacco products of any kind (cigarettes, cigars, chew). In fact, nearly 70% of adult’s who smoke want to quit smoking.[2]
Evidence-based policy and system changes implemented by health systems/clinics and community-based services/programs are proven to support cessation and more effectively connect commercial tobacco users with support in their community.
Tools to support health systems change for tobacco use screening and counseling
- Quitlogix Education - continuing education credit modules about how to work with patients to quit tobacco
- Best Practices User Guide: Cessation in Tobacco Prevention and Control (Centers for Disease Control and Prevention. 2020)
- Tobacco Cessation Change Packet: A Million Hearts Action Guide (Centers for Disease Control and Prevention. 2020)
- Identifying and Treating Patients Who Use Tobacco (Million Hearts)
- Protocol for Identifying and Treating Patients Who Use Tobacco (Million Hearts)
- Tobacco Health Systems Change Starter Toolkit for Clinics (Institute for Clinical Systems Improvement and Clearway Minnesota. June 2018)
- Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings (Substance Abuse and Mental Health Services Administration)
- Implementing Tobacco Cessation Treatment for Individuals with Serious Mental Illness (Substance Abuse and Mental Health Services Administration)
- Military and Veterans: Cessation Support Information (Centers for Disease Control and Prevention)
- Veterans Affairs: Mental Health – Tobacco and Health (U.S. Department of Veterans Affairs)
- Treating tobacco dependence practice manual a systems-change approach (American Academy of Family Physicians. 2017)
- Protocol for Identifying and Treating Patients Who Use Tobacco (Million Hearts)
- American Academy of Pediatrics Expert Video: How to begin conversations with patients and families about quitting tobacco (Colorado CoPrevent. May 2013)
- Rx for Change: Clinician-Assisted Tobacco Cessation (UCSF Medical Center)
- Videos for Healthcare Providers (University of Wisconsin Center for Tobacco Research and Innovation)
- A Prescription for Health: Tobacco Free Pharmacies (ChangeLab Solutions. July 2013)
- Addressing Tobacco in Dental Settings A Resource for Dental Professionals (American Academy of Pediatrics. September 2018)
- Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: A Systematic Review for the U.S. Preventive Services Task Force (Selph S, Patnode CD, Bailey SR, Pappas M, Stoner R, Hart E, Chou R. Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: A Systematic Review for the U.S. Preventive Services Task Force. Evidence Synthesis No. 185. AHRQ Publication No. 19-05254-EF-1. Rockville, MD: Agency for Healthcare Research and Quality; 2020)
- Billing Guide for Tobacco Screening and Cessation (American Lung Association. June 2018)
- Tobacco/E-Cigarettes Use/Exposure Coding Fact Sheet for Primary Care Pediatrics (American Academy of Pediatrics. 2020)
- Vaping/E-Cigarette Use Documentation in the Electronic Health Record (University of Wisconsin Center for Tobacco Research and Innovation)
- Integrating Tobacco Cessation Into Electronic Health Records (American Academy of Family Physicians. 2015)
- CDC Tips From Former Smokers campaign
- Surgeon General reports on tobacco
- COVID-19 and Smoking Infographic in English
- COVID-19 and Smoking Infographic in Spanish
- Smoking in pregnancy brief (National Center for Education in Maternal and Child Health
Georgetown University) - I COVID Quit Campaign by the National Partnership on Behavioral Health and Tobacco Use
- Blog post: As we reflect on COVID-19’s toll, the US must also act on the tobacco pandemic
- U.S. Healthcare Spending Attributable to Cigarette Smoking in 2014
- Billing Guide Addendum for Behavioral Health (lung.org)
- Tobacco Treatment Integration Assessment Tool from ALA: Tobacco Treatment: Integration Assessment Tool (alchemer.com)
Tools to support community-based programs and services
- Idaho: Benefits & Savings from Smoking Decline (Idaho Project Filter)
- Benefits & Saving from Each One Percentage Point Decline in Idaho Smoking Rate (Campaign for Tobacco Free Kids)
- Tobacco’s Toll in Idaho (Campaign for Tobacco Free Kids)
- Community Toolbox (Center for Community Health and Development at the University of Kansas)
- Community Health Assessment and Group Evaluation (CHANGE): An Action Guide (Centers for Disease Control and Prevention)
- What Works – Tobacco Use: Evidence-based Interventions for Your Community (The Community Guide)
Additional resources may be available on this topic. Please email Project Filter for more information: projectfilter@dhw.idaho.gov
Tools to support e-Referral
- Enhancing e-Referral Capacity (North American Quitline Consortium)
- Integrating Tobacco Cessation Into Electronic Health Records (American Academy of Family Physicians. 2015)
Idaho’s cessation resources
- Idaho Quitline: Brochure
- Idaho Quitline: Brochure Version 2
- Idaho Quitline: Poster
- Provider Frequently Asked Questions About Quitline (National Jewish Health)
- Tobacco-free pregnancy card
- Tobacco-free pregnancy flyer
- My Life, My Quit™ (National Jewish Health)
- Idaho Quitline: Flyer for the behavioral health program
Information on e-cigarettes and vaping
- E-cigarette Products: Visual Dictionary (Centers for Disease Control and Prevention)
- Electronic nicotine delivery systems (ENDS) What physicians should know about ENDS (American Academic of Pediatrics. May 2017)
- E-Cigarettes and Vaping: What Clinicians Need to Know (American Academy of Pediatrics. January 2020)
- Centers for Disease Control and Prevention: Electronic Cigarettes
- E-Cigarette Resources for Parents (Campaign for Tobacco-free Kids)
- Vaping/E-Cigarette Use Documentation in the Electronic Health Record (University of Wisconsin Center for Tobacco Research and Innovation)
American Indians/Alaska Natives; Hispanics/Latinos; African Americans; Asian Americans; lesbian, gay, bisexual, and transgender (LGBT) individuals; people with low socioeconomic status; geographically defined populations; and people with mental health disorders or substance abuse conditions continue to be disproportionately affected by tobacco use. In public health, health equity is the opportunity for everyone to reach their full health potential, regardless of any socially determined circumstance. Health equity can be achieved in tobacco prevention and control by eliminating differences in tobacco use and exposure to secondhand smoke between certain groups
Specialized Quitline and Cessation Services
- My Life My Quit. (National Jewish Health)
- American Indian Quitline services
- Behavioral Health Quitline services
- Implementing Tobacco Cessation Treatment for Individuals with Serious Mental Illness (Substance Abuse and Mental Health Services Administration)
- Military and Veterans: Cessation Support Information (Centers for Disease Control and Prevention)
- Veterans Affairs: Mental Health – Tobacco and Health (U.S. Department of Veterans Affairs)
- Ads to Reach Military Audiences (Media Campaign Resource Center)
- Pregnancy and Postpartum Quitline services
- Baby & Me: Tobacco Free Program™ (Association of Maternal and Child Health Programs)
- Project Filter Diapers and Wipes Program: Pregnancy Card
- Project Filter Diapers and Wipes Program: Pregnancy Flyer
- Project Filter Diapers and Wipes Program: Pregnancy Flyer version 2
- Project Filter Diapers and Wipes Program: Smokefree Pregnancy Handout
- Project Filter Diapers and Wipes Program: Rules and Resource Information
- Project Filter Diapers and Wipes Program: Participant Log
- COVID-19 and Tobacco Use fact sheet
Health Disparities TA and Planning Information
- Networking2Save: CDC’s National Network Approach to Preventing and Controlling Tobacco-related Cancers in Special Populations (Centers for Disease Control and Prevention)
- Best Practices User Guide: Health Equity in Tobacco Prevention and Control (Centers for Disease Control and Prevention. 2015)
- Tobacco Related Disparities (Centers for Disease Control and Prevention)
- Commercial Tobacco Cessation & Lung Cancer Prevention (American Indian Cancer Foundation)
- MPowered LGBT Tobacco Prevention Best Practices (LGBT HealthLink)
- Rural Tobacco Control and Prevention Toolkit (Rural Health Information Hub)
- Tobacco Control in Rural America (CDC)
- Cutting Tobacco's Rural Roots (American Lung Association)
- Rural Youth Engagement Toolkit
- Breath Easy with Smokefree Casinos (American Nonsmokers’ Rights Foundation)
- Additional resources may be available on this topic. Please email Project Filter for more information: projectfilter@dhw.idaho.gov
- Map of Idaho Public Health Districts
- Truth Tobacco Industry Documents (ucsf.edu)
- Identifying and Addressing Health Disparities Related to Tobacco Use Among Individuals with Mental Health and Substance Use Disorders: Implementation Toolkit for State Public Health and Tobacco Control Partners
- Improving Tobacco Cessation with Adult Inpatient Psychiatric Clients | Smoking Cessation Leadership Center (ucsf.edu)
- Public Health Roadmap for Tobacco Use Disorder Treatment Integration in Behavioral Health Settings from ALA: bhroadmap-2021.pdf (lung.org)
Tribal Partner Resources
- Project Filter: Keep it Sacred Poster – Environment
- Project Filter: Keep it Sacred Poster – Grow Money
- Project Filter: Keep it Sacred Poster - Teens
- Project Filter: Keep it Sacred Poster - Quitline
- Project Filter: Keep it Sacred Card - Pregnancy
- Project Filter: Keep it Sacred Poster - Pregnancy
- Project Filter: Keep it Sacred Tear Away Flyer - Pregnancy
- Additional Tribal Partner Resources
- Casino Resources Smokefree Gaming Facilities: Good for Business
- Going Smokefree Matters: Factsheet (Centers for Disease Control and Prevention)
- Smokefree Tribal Casinos (American Nonsmokers’ Rights Foundation)
- Kla-Mo-Ya: Casino Smokefree Flyer
- Attitudes Toward Smoke-Free Casino Policies Among US Adults, 2017 (Tynan MA, Wang TW, Marynak KL, Lemos P, Babb SD. Attitudes Toward Smoke-Free Casino Policies Among US Adults, 2017. Public Health Rep. 2019 May/Jun;134(3):234-240. doi: 10.1177/0033354919834581. Epub 2019 Mar 21. PMID: 30895873; PMCID: PMC6505333)
- Gambling with our health: smoke-free policy would not reduce tribal casino patronage (Brokenleg IS, Barber TK, Bennett NL, Peart Boyce S, Blue Bird Jernigan V. Gambling with our health: smoke-free policy would not reduce tribal casino patronage. Am J Prev Med. 2014 Sep;47(3):290-9. doi: 10.1016/j.amepre.2014.04.006. Epub 2014 Jun 18. PMID: 24951040; PMCID: PMC4699561)
Tobacco Data and Evaluation in Idaho
- BRFSS - https://www.gethealthy.dhw.idaho.gov/idaho-brfss
- YRBS - https://www.cdc.gov/healthyyouth/data/index.htm
- CHR - https://www.countyhealthrankings.org/app/idaho/2020/measure/factors/9/map
- PRATS - https://www.gethealthy.dhw.idaho.gov/idaho-prats
- Extinguishing the Tobacco Epidemic in Idaho | CDC
- Idaho 1998 State Tobacco Settlement - Campaign for Tobacco-Free Kids (tobaccofreekids.org)
- National Jewish Health Annual Outcomes 2018
- National Jewish Health Annual Outcomes 2019
- National Jewish Health Annual Outcomes 2020
- National Jewish Health Annual Outcomes 2021
- Idaho Smoker Segmentation Survey, Research America, 2020
- Idaho Vaping Survey, Research America, 2020
- Behind the Haze Youth Vaping Evaluation Report, 2021
[1] Centers for Disease Control and Prevention. Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion. Secondhand Smoke. Available at: https://www.cdc.gov/tobacco/basic_information/secondhand_smoke/index.htm. Accessed on: December 15, 2020.
[2] Babb S, Malarcher A, Schauer G, Asman K, Jamal A. Quitting Smoking Among Adults—United States, 2000–2015. Morbidity and Mortality Weekly Report 2017;65(52):1457-64.