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www.news-leader.comABCs of Secondhand Smoke program needs new funds to continue.
Time is running out on a program that got rural parents to stop smoking around their children, reducing the risk of exposure to dangerous secondhand smoke.
April 30 marks the end of a three-year, $300,000 grant from the Missouri Foundation for Health that funded the ABCs of Secondhand Smoke program.
It was free to Head Start families in Douglas, Wright, Howell, Shannon and Oregon counties. Community Partnership of the Ozarks manages the program, and it's implemented by Head Start.
Last school year alone, many of the 290 parents who participated reported they either stopped smoking altogether in their homes and cars, stopped others from smoking in their homes and cars, smoked fewer cigarettes or quit smoking altogether, said Sylvia Persky, program director and CPO's associate director.
Now CPO is looking for alternate grants to help the families that need it most. It would take about a $125,000 grant to extend the program a year, she said.
"This is a good cause," said Michael Carter, community policy specialist with the state's Bureau of Health Promotion.
"Rural counties tend not to have the same level of prevention resources we have in Greene County or in more urban areas," said Carter, who also serves on CPO's Ozarks Fighting Back advisory board.
There's less state money for it, too.
All of Missouri's portion of the 1998 tobacco Master Settlement Agreement was diverted from tobacco-prevention education to the general fund. Missouri gets some help from the federal Centers for Disease Control.
The lack of state funds makes the ABCs program even more important, Carter said.
"Particularly in the area of maternal-child health, they have a higher incidence of mothers who smoke around the kids and while they're pregnant, which the ABCs program does address," Carter said.
"We already know nationwide data show kids in an environment where one or two parents smoke in the house tend to be less healthy, they have a higher incidence of inner-ear infections, they tend to be more ill, particularly if they have a predisposition to asthma," and then often become smokers.
"When I used to see kids in cars with one or two parents smoking, I started calling them 'rolling gas chambers,' which is really what they are," Carter said.
Persky is confident the ABCs program helped change that in the homes of the 290 parents/guardians who participated in the 2005 to 2006 school year.
Surveys before and after the program showed the number of parents who said they smoked in the home dropped from 49 percent to 18 percent, and the percentage of parents who smoked in the car with their children present dropped from 61 percent to 30 percent.
"We've seen some people stop smoking, but we've also seen them take their cigarettes outside and away from the kids," said Howell County Head Start volunteer and nurse Letitia Lewandowski.
"My husband is a doctor and it's been eye-opening for him because people actually say, 'We didn't know that smoking causes my kid's asthma," she said. "He realized doctors are not telling patients about that ... So he has started educating the doctors to make patients aware of this."
She works with 180 children and 80 to 100 parents in the four Howell County Head Start centers.
Parents attend three free sessions, during which they learn about the dangers of secondhand smoke to children and ways to change their smoking behavior. Children attend three free sessions, where they learn about their lungs, secondhand smoke dangers and how to ask adults politely, "Please don't smoke around me." It works, Lewandowski said.
"They come back and tell us they do it, and the parents don't smoke around them...We had a huge number of people stop smoking in the car."
The successes in Howell and the other counties have attracted national attention, Persky said.
In 2006, The ABCs of Secondhand Smoke received the Exemplary Substance Abuse Prevention Program Award from the National Association of State Alcohol and Drug Abuse Directors and the National Prevention Network.
The award honors outstanding achievements in substance abuse prevention.
Continuing the program this year could help CPO generate more funds, too. CPO could then use $30,000 in federal funds to be evaluated by federal health officials and possibly certified as a "best practices" model program, Carter said.
If certified, the ABCs of Secondhand Smoke program would be publicized nationwide and other prevention agencies could "purchase" the program materials from CPO. Those funds could then be used to fund more projects for the Ozarks, he said.
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