Lance's Corner

CDC Highlights Quitting Smoking

May 23, 2024

Per the notice below, the Centers for Disease Control and Prevention (CDC) is highlighting quitting smoking.

Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People

Quit Smoking For Better Health

AT A GLANCE

  • A report by the U.S. Surgeon General provides the latest science on what helps people quit smoking for good—and why quitting is so important.
    • If you smoke, quitting is one of the best things you can do for your health.
      Female patient and male doctor

      A real story

      Tiffany R. learned early in life that cigarettes cause premature death and disease: her mother died of smoking-related lung cancer when Tiffany was just 16.

      Tiffany, a participant in CDC's Tips From Former Smokers® (Tips) ad campaign, said that she felt alone and afraid during her mother's illness.  "And I felt it could have been prevented," she said.  Even so, Tiffany herself wasn't able to quit smoking for good until her own daughter turned 16.

      "I didn't want my daughter to think, 'Wow, my mother loves cigarette smoking more than she cares about me,'" she said.

      new report by the U.S. Surgeon General provides the latest science on what helps people like Tiffany quit smoking for good—and why quitting is so important.  One of the most important actions people can take to improve their health is to quit smoking, no matter how old they are or how long they've been smoking.

      Tiffany R.
      Tiffany R. shares her emotional story about quitting smoking.

      Proven ways to quit

      Cigarette smoking is still the leading preventable cause of disease and death in the United States, killing almost half a million Americans every year.  Smoking-related disease costs the nation more than $300 billion every year, and as Tiffany knows, hurts families as well.  Luckily, the report highlights ways to quit that are backed up by science.

      Counseling and medication are each effective by themselves, but when used together, they can more than double your chance of successfully quitting.  There are many safe, proven medications—including five kinds of nicotine replacement therapy (NRT) and two non-NRT prescription medicines.  Evidence in the report shows that combining long-acting NRT such as nicotine patches with short-acting NRT such as nicotine gum or lozenges can also raise your chances of quitting.

      Nearly 70% of people who smoke cigarettes want to quit.  Tiffany had tried before, each time learning something new about herself.  However, when she finally succeeded in quitting, she did it by following the directions included with her nicotine patches, making sure to use them the right way.

      Female patient and male doctor
      Your doctor can offer counseling and prescription medicines that make quitting easier.

      Stronger science, same advice

      This report is the first Surgeon General's report since 1990 to focus solely on the health benefits of quitting smoking.

      Much more research is available about those benefits since the last Surgeon General's report on quitting.  The fact remains that if you smoke, quitting smoking entirely is still the best way to improve your current and future health:

      • It can increase your life expectancy up to 10 years and make it easier to enjoy life.
        • The risk for some smoking-related illnesses—including heart disease, stroke, and chronic obstructive pulmonary disease (COPD)—goes down after you quit.
          • Quitting also lowers risk of 12 types of cancer over time, including cancers of the lung, larynx (voice box), mouth and throat, esophagus, pancreas, bladder, stomach, colon and rectum, liver, cervix, and kidney, plus a type of blood cancer called acute myeloid leukemia.  The report also suggests that cancer survivors can reduce their risk of dying from cancer by quitting smoking.
            • If you already have coronary heart disease, quitting can lower your risk of dying from it, getting a new type of heart disease, or having the disease come back.
              • Quitting smoking can also lower or delay loss of lung function and slows down the progress of COPD.

                The report makes it clear that pregnant women who quit smoking not only improve their own health, but also their newborns'.  Cigarette smoking and secondhand smoke exposure make it more likely that women will have serious medical issues during pregnancy.  Babies born to mothers who smoke are more likely to have lower birth weight and to die in the first year of life.  If you are pregnant or planning to become pregnant, one of the best things you can do for yourself and your baby is to quit smoking.

                Read more: The Surgeon General's Report

                Fact sheets

                Everyone can help improve health

                Everyone, including employers and health care workers, can support people in quitting.  Some strategies that the report shows motivate people to quit include:

                • Employers offering insurance that covers quit-smoking treatment and putting in place smokefree workplace policies.
                  • Smokefree policies in restaurants and bars.
                    • Hard-hitting mass media campaigns.
                      • State or federal governments raising cigarette prices.
                        • Requiring visual warnings on cigarette packages showing smoking-related disease.
                          • Funding sustainable state tobacco control programs.

                            Counseling and treatment from health care professionals such as doctors, nurses, and pharmacists also can also help people quit.  Even though more doctors are talking to their patients about quitting smoking, only about 60% of adults who smoke get quitting advice from health care professionals.

                            Finally, if you have a friend or loved one who wants to quit, you can help, too.  Encourage them to talk to their doctor and direct them toward resources that can keep them on track in their quit journey.

                            Help spread the word!‎

                            Join the conversation and share content with your networks.

                            Follow @CDCTobaccoFree and @Surgeon_General on Twitter.

                            Get more information on the CDC Tobacco Free Facebook page and the Surgeon General's Facebook page.

                            More help than ever

                            Whether you want to quit smoking or want to help someone quit, you can find more resources today than ever before.  You can find counseling in person or by phone.  You can get most forms of NRT over the counter, though you might need a prescription to get insurance coverage.  Your doctor can prescribe other medications that help lower your desire to smoke and fight cravings.

                            You can also get help by calling a quitline.  Quitlines are a free, convenient, and confidential source of support and information.  There are smartphone apps and texting programs you can use to track your progress and carry support wherever you go.

                            Quitting smoking is not easy, but it is possible, especially with proven, safe treatments.

                            Tiffany found her reason to start her journey to better health right in her own family.  Wherever you find yours, let it guide you to all the available resources for quitting, and toward a healthier future.

                            Free quitting resources

                            Telephone

                            Smartphone apps and text

                            Web

                            USDOL Issues Comprehensive Employer Guidance on Long COVID

                            The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

                            Supporting Employees with Long COVID: A Guide for Employers

                            The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

                            Download the guide

                            Accommodation and Compliance: Long COVID

                            The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

                            Long COVID, Disability and Underserved Communities: Recommendations for Employers

                            The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

                            Read the brief

                            Long COVID and Disability Accommodations in the Workplace

                            The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

                            Download the policy brief

                            Understanding and Addressing the Workplace Challenges Related to Long COVID

                            The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

                            Download the report

                            Working with Long COVID

                            The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

                            Download the fact sheet

                            COVID-19: Long-Term Symptoms

                            This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

                            Watch the motion graphic

                            A Personal Story of Long COVID and Disability Disclosure

                            In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

                            Listen to the podcast

                            HHS OIG Issues Annual Report on State MFCUs

                            Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

                            Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

                            Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

                            Outcomes

                            • Investigations1 - 556
                            • Indicted/Charged - 9
                            • Convictions - 8
                            • Civil Settlements/Judgments - 28
                            • Recoveries2 - $73,204,518

                            Resources

                            • MFCU Expenditures3 - $55,964,293
                            • Staff on Board4 - 257

                            1Investigations are defined as the total number of open investigations at the end of the fiscal year.

                            2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

                            3MFCU and Medicaid Expenditures include both State and Federal expenditures.

                            4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

                            Read the Full Report

                            View the Statistical Chart

                            Engage with the Interactive Map

                            GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

                            The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
                            https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
                            https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

                            CMS Issues Latest Medicare Regulatory Activities Update

                            The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
                            https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc