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AF's updated policy further promotes tobacco-free environments

WASHINGTON (AFNS) -- The Air Force has led the military in advancing innovative tobacco control policies, such as the tobacco-free medical campus and prohibiting tobacco use outside "designated tobacco areas." Now, an updated Air Force instruction, published in March, seeks to further reduce health impacts from smoking, the nation's leading cause of death.

"The Air Force is committed to promoting Comprehensive Airman Fitness (CAF), and tobacco free living is a critical component of CAF," said Col. (Dr.) John Oh, the chief of health promotion for the Air Force Medical Support Agency.

The updated AFI 40-102, “Tobacco Free Living,” further clarifies tobacco-free environments by prohibiting tobacco use in "installation recreation facilities, including but not limited to athletic fields, running tracks, basketball courts, golf courses, beaches, marinas, and parks." It prohibits smoking in vehicles with children, and reinforces that medical campuses are 100 percent tobacco free. The instruction also prohibits special events in services' facilities that promote tobacco use, such as "Cigar Night,” which run counter to CAF and an Air Force culture of health.

Oh cited recent progress in reducing smoking in the Air Force, with credit being shared widely among Airmen, supervisors, senior leaders, and medical staff.

"Since 2008, our Web Health Assessment data has shown smoking has declined 39 percent among active-duty Airmen," Oh said. "Our smoking prevalence among active-duty Airmen is actually lower than the Healthy People 2020 national objective of 12 percent.”

Smokeless tobacco use, however, remains a significant problem in the Air Force, impacting 7.4 percent of Airmen.
"If the Air Force was a state, we would have the second lowest smoking prevalence in the nation - that's the good news. But we would also have the fourth highest smokeless tobacco use," Oh said.

Oh clarified that electronic cigarettes, or e-cigarettes, fall under the same restrictions as conventional cigarettes.
"We define e-cigarettes as a tobacco product because that is how they are defined under the Federal Food, Drug and Cosmetic Act," he said.

While acknowledging that some contend that e-cigarettes are not as harmful, Oh said the long-term safety of e-cigarettes is currently unknown. "AFI 40-102 treats e-cigarettes like any other tobacco product. We will consider changes to this policy based on scientific evidence and in consultation with subject matter experts in DOD, Food and Drug Administration, and Centers for Disease Control and Prevention," he said.

Tobacco users ready to quit are encouraged to visit DOD's Quit Tobacco website and consult with their healthcare provider or installation health promotion program. The best way to quit is through combining tobacco cessation medications and counseling.

Oh said tobacco users should not be too discouraged if they relapse after quitting, since it may take multiple attempts to quit before success.

"The average smoker loses 10 years of life compared with nonsmokers, but you can gain back all, or nearly all of these 10 years, if you quit now. We want all our wingmen to live long, healthy, productive lives, and tobacco-free living is the cornerstone," he said.