Tobacco Documents Online

Supplement 3: American Academ~ of Oral Medicine report AMERICAN ACADEMY OF ORAL MEDICINE POSITION STATEMENT ON TOBACCO USE AND ORAL HEALTH The American Academy of Oral Medicine has the opinion that there is no safe form of tobacco ( 1 ). The use of any tobacco product has an associated increased risk of oral disease, systemic health problems,affecting oral health, and oral cancer ( 2 ). Smokeless ( spit ) tobacco use places the user at increased risk for oral cancer and a number of other non-cancer oral conditions ( 3 ). Cigar use has been linked with cancer ofthe upper aero-digestive tract ( 4 ). All forms of tobacco can adversely effect the periodontium and result in premature tooth loss ( 5 ). All health care providers are urged to ask patients regarding their tobacco use, advise cessation when appropriate, and arrange for follow up as necessary ( 6 ). ( 1. ) Bartecchi CE, Mackenzie TD, Schrier RW. The human costs of tobacco use. (First Of Two Parts). N Engl J of Med March 31,1994; 330 (13): 907-912 ( 2. ) Mandel I. Smoke signals: an alert for oral disease. J Am Dent Assoc 1994; 125: 872- 878 ( 3. ) U.S. Department of Health and Human Services. The health consequences of using smokeless tobacco. A report of the advisory committee to the Surgeon General. Bethesda, Maryland: Public Health Service, National Institutes of Health, 1986 (NIH Publication No 86-2874) ( 4. ) U.S. Department of Health and Human Services. Cigars: Health Effects and Trends. Bethesda, Maryland: U.S. Department of Health and Human Services, National Cancer Institute, Smoking and Tobacco Control Program; 1998. DHHS publication 98-4302 ( 5. ) Burgan S. The role of tobacco use in periodontal diseases: a literature review. Gen Dent 1997; 45 (5): 449-460 ( 6. ) Tomar SL, Husten CG, Manley MW. Do dentists and physicians advise tobacco users to quit? J Am Dent Assoc 1996; 127:259-265

Supplement 3: • American Academy of Oral Medicine report SMOKELESS ( SPIT ) TOBACCO REFERENCES AND BIBLIOGRAPHY Burgan S. The role of tobacco use in periodontal diseases: a literature review. General Dentistry 1997; 45 (5): 449-460 Cormolly GN, Wirm DM, Hecht SS, Henningfield JE, Walker B, Hoffman B. The.reemergence of smokeless tobacco. New England J of Medicine 1986; 314: 1020-1027 Djordjevic MV, Hoffmann D, Glynn T, Cormolly GN. US commercial brands of moist snuff, 1994. I. Assessment ofnicotine, moisture, and pH. Tobacco Control 1995; 4:62-66 Hermingfield JE, Fant R¥, Tomar SL. Smokeless tobacco: an addictive drug. Advances Dental Research September 1997; 11(3): 330-335 Henningfield JE, Radzins A, Cone EJ. Estimation of available nicotine content of six smokeless tobacco products. Tobacco Control 1995; 4:57-61 Hoffman D, Djordjevic MV. Chemical composition and carcin0genicity Of smokeless tobacco. Advances Dental Research September 1997; 11(3):322-329 Mandel I. Smoke signals: an alert for oral disease. JADA 1994; 125:872-878 Tomar SL, Husten CG, Manley MW. Do dentists and physicians advise tobacco users to quit? JADA 1996; 127:259-265 U S Department of Health and Human Services. The health consequences of using smokeless tobacco. A report of the advisory committee to the Surgeon General. Bethesda, Maryland: Public Health Service, National Institutes of Health, 1986 (NIH Publication No. 86-2874) ' Winn DM. Epidemiology of cancer and other systemic effects associated with the use of smokeless tobacco. Adv Dental Research September 1997; (3): 313-321 Wray A, McGuirt W F. Smokeless tobacco usage associated with oral carcinoma. Arch Otolaryngol Head Neck Surg 1993; 119:929-933 9

Supplement 4: American Association forDental Research report Report to the National Denta[ Tobacco-Free Steering Committee By John C. Greene American Association for Dental Research The American Association for Dental Research continues to emphasize its role of communicating the results of scientific research as well as facilitating and promoting the pursuit of new knowledge by its members. In the June, 1998 issue of the Journal of Dental Research, 20 papers were listed as dealing with tobacco and were presented at the AADR meeting held in Minneapolis, Minnesota. At our last meeting I called attention to two of those abstracts. They dealt with the emergence of cigar usage among professional baseball players. According to that abstract, the use of cigars has increased eighteen fold in this population and the bulk has occurred within the last three years. I also mentioned an abstract by Severson and co-workers that concluded that smokeless tobacco ~cessation advise when delivered by dental professionals in the context of a dental hygiene visit can be quite successful. I would like to call your attention to a few other abstracts of presentations made at that same meeting: Barr and co-workers at the University of Connecticut reported that, from their study, immunosuppressed individuals who smoke apparently have an increased risk of developing oral candidiasis. Payne and co-workers at the Universities of Nebraska and Iowa, reported finding deleterious histologic and clinical changes at the site of smokeless tobacco placement in as few as two to seven days, underscoring the potential hazards of even short term use of snuff. Liso and co-workers at the Tri- service General Hospital in Taiwan reported data showing an increase in dental caries in smokers compared to non-smokers. Tomar and Winn from UCSF and NIDCR found an increase of coronal and root caries in persons who used chewing tobacco. At the International Association for Dental Research in Nice, France last July their were 31 presentations that dealt with tobacco. Their are a few that I would like to bring to your attention: A study by Jones and Co-workers at the University of Texas, San Antonio reported that in their study, dental implant losses for smokers were found to be significantly higher than for non-smokers. Squire and co-workers at the University of Iowa reported finding evidence that carcinogens in tobacco penetrate the oral muco.4a more rapidly following a brief exposure to alcohol. Tomar and Marcus at UCSF reported that data from the third National Health and Nutrition Survey indicate that cigarette smoking appears to be a major risk factor for periodontitis in the United States. Researchers at the Boston University Goldman School of Dental Medicine reported finding that alveolar bone loss and tooth loss increased among cigar and pipe smokers and that the risk of tooth loss is similar to that of cigarette smokers. Biondi and co-workers from Argentina reported finding a close relation between the amount of tobacco consumed and the presence of precancerous lesions and oral cancer. Chen and Wolff at the University of Minnesota conducted a ten year study of Chinese smokers and non-smokers and found no differences in plaque, calculus or probing depth and attachment scores between the two groups but did find an increase in tooth loss among smokers. At the last meeting I also reported that the president of the IADR was planning to appoint an ad hoe committee to explore possible ways the dental research community might join forces with other international dental and related organizations to help reduce the use of tobacco in all forms in countries around the world. The IADR, following its meeting in June, asked me to form such a committee and to investigate this issue. I am still in the process of getting this task underway. I believe the international dental community could provide a very useful service, particularly if it were to link up with other international bodies with similar interests. John C. Greene, DMD, MPH 1/25/99 It

Supplement 5: American Academy of Community Dental Programs report American Association of Community Dental Programs " CDP Report to the National Dental Tobacco Free Steering Committee January 26, 1999 The Amedcan Association of Community Dental Programs (AACDP) continues to support the goal of a tobacco free society and the work of the National Dental Tobacco Free Steering Committee (NDTFSC). As the dental pmfession's representatives for public health issues at the local public health level it is essential that community dental programs accept the responsibility to press forward with and help shape the oral health communities tobacco control activities at the grass roots level. Our pos'~doning within the local public health infrastructure not only creates this responsibility but presents us with unparalleled opportunities for linkages with other paris of the public health community, private community health organizations, other powerful local organizations and local advocacy groups which are essential to tobacco control activities. In addition, the patient populations that community dental programs are responsible for and .that we have unequaled access to, are those that are most likely to have the highest risk for tobacco use. They are also most likely to experience the greatest long-term adverse health, economic and societal consequences of our nations deadliest addison, tobacco use. AACDP recognizes therefore that these factors converge to present a serious obligation, as well as a remarkable opportunity for us to move our profession's tobacco control agenda fonNard, by educating our members, by coordinating with professional organiZations atthe national, state and local levels and by serving as a critical link between the oral health community and other grass roots community groups in order to decrease our nations greatest cause of preventable death, tobacco use. In order to be effeclive in these roles AACDP must continue to develop its ability to transfer information to and from the grass roots community program members as well as to improve collaboration with appropriate state and national level organizations. A breakthrough in this regard has finally materialized in the form of an information transfer partnership grantthat will link AACDP, ASTDD and NNOHA. For the flint lime we should see a regular newsletter for AACDP and NNOHA which would also be in partnership with ASTDD along with a conjoint staff person linking the three organizations. AACDP will strive to assure that tobacco information transfer is a regular focus of the conjoint newsletter and strengthens the dental public health communities ongoing efforts in tobacco control. Since our last meeting AACDP has promoted tobacco components dudng the planning process of the upcoming National Oral Health Conference, promoted tobacco control as a part of the ADA's policy council on access and prevention (CAPIR), had a tobacco segment dudng our annual meeting associated with the last NOHC and National Sealant Conference, has a tobacco component planned for our upcoming annual conference in conjunction with the March NOHC and parlnered on a regional conference =Tobacco and Dentistnj: Who Wins and Who Loses?~ this past fall. This conference was of interest because it not only offered a wodd class set of speakers including Hal Slavkin, Sol Silverman, InNin Mandel, Greg Connolly and our own Robert Mecklenburg among others with wodd class presentations of interest to clinicians but it also developed and exciting partnering outcome. The closing panels consisted of an encouraging spectrum of the major state level dental professional organizations agreeing to place tobacco control at an enhanced level within their respective organizations and to work coilaboratively wflh both the other dental organizations present as well as with other state and community organizations involved in tobacco control. AACDP partnered with a state level component and that components linkages to market the conference and to exploit the conference marketing process to convey tailored tobacco educational messages to all of the local dental programs in the multi-state area and to component dental societies, to state dental directors in the region, to dental school faculty in the state and to the leadership of selected community level organizations. The rational of this strategy was that despite the caliber of the conference most of the leaders and decision makers within the regions dental professional organizations would not feel able to attend. However, by including a clear concise statement on why involvement in tobacco control is appropriate and important to our patients, our practices and the profession we could achieve a much greater outcome than through the conference alone. We also employed the strategy of placing the educational message on the conjoint letterhead of two organizations that the recipient audience might respect in order to increase attention to the content_ 11

Supplement 5: American Academy of Community Dental Programs report -2- As a part of t~e follow-up addvities with the dental organizations that were a part of the conference another interesting phenomenon seems to have become obvious. The older more senior leademhip of dental associations seem to be less inclined to commit their organizations and their personal efforts to'tobacco control and are more committed to regulatory, insurance/managed care, professional turf issues and what may be viewed as tradi~onal business issues of dentistry, where as younger, emerging leaders and the general membership may be more receptive to tobacco control and what they see as their professional obligations to the public's health. Consequently we will focus efforts on educa'dng and involving upcoming leaders and the rank and file memberships as an important evolutionary process in improving dental organizafion policies and commitments to tobacco control. t AACDP also sees thevalue of developing grass rools collaborate relationships between dental organizations, other health organizations and other community groups that may have a health related focus. This process can bdng comparatively enormous resources and clout to dentistry's efforts to improve govemment policy, priority, program, funding and regulatory development, Tobacco control offers an unparalleled opportunity for community dental programs to collaborate with a wide vadety of such organizations on tobacco related issues and through these rela~nshipsto develop broad based support for oral health issues. AACDP members have taken leadership roles in tobacco coal~ons.- ,We have attending vigils, been part of anti-tobacco demonstrations, wdtten to legislators, testified and arranged.testim0ny-on legislation, partnered with tobacco control groups on newsletters ~ and conferenbes and worked within other organizations to promote tobacco control. As a result of the cross fe~lizafion in these tobacco related partnerships, community dental programs have developed support for oral health issues from Such non-dental groups as Hea~y Schools C0al[ons, Academy of Pediatrics, Area Health Education Centers, Advocates for Children & Youth, nursing:0rganizations; community actionagendes, Health Coal~ons, influential program areas Within Our local health depariments, Heart Associations, CancerSocieties and the like; In one state this broadersupport helped pass • awatemhed piece oforal health legislation that requires the state health department to increase Utilizations of Medicaid dental-se!vices from 14% of children, each-year to70%, created a high profile dental policy panel by law to guide state government dental programs~ assured thatthe states CHIP program would include dental~ established the state dental ; directors.position in law, provided substantial dental program funding and in essence created one the most significant pieces of dental legislalJon to come out 0f a state since water flUoridation per a recentchief of staffto the U.S: Surgeon General. ~ -~ln addition to partnering and ,developing linkages that support tobacco and oral health interests AACDP facilitated de~velopment of a tobacco project at the National Museum of Dentistry in Baltimore which has been independently reviewed as the best museum in Baltimore, and is partnering on aninitiative to develop an Ask, Advise, ~ Assist, Arrange model that encourages health care providers to carry out the Ask and Advise Componentand then .automatically links the-patient to professional tobacco control counselors who provide thefollow-up Assistance and Arrangements for set~ng stop dates, addi~onal counseling and follow-up. We believe that this model should increase professional involve~ent~ in tobacco control in the clinioal seffing. . AACDP sees key ongoing issues that we need to focus on as including continued development of the information transfer infrastructure with ASTDD and NNOHA, and assurance that tobacco settlements as well as local tobacco tax dollars are appropriately used in tobacco prevention/cessation. We see funding-of the CDT Code for tobacco counseling in the.dental settingand training of oral health professionals as important issues in this regard. AACDP looks forward to playing an increasingly effective role in redudng our nations deadliest addison., tobacco use. Respectfully Submitted Robert D, Jones, DDS AACDP . • 205 Fey Road Chestedown, MD 21620 1-800-978-2904

Supplement 6: American Academy of Dental Schools report AMERICAN ASSOCIATION OF DENTAL SCHOOLS' REPORT TO THE NATIONAL DENTAL TOBACCO FREE STEERING COMMITTEE JANUARY 25 & 26, 1999 The American Association of Dental Schools (AADS) continues to support tobacco use prevention and cessation through a variety of activities. AADS ACITClTIES: Since the April 1998 meeting of the NDTFSC, AADS: Published an article in the Bulletin of Dental Education concerning the recent Surgeon General's Executive Summary.'.. Tobacco Use Among U.S. Racial and Minority Groups. Continues their membership and support for the Campaign for Tobacco Free-Kids. Continues their membership in the Coalition on Smoking or Health. Continues to monitor tobacco legislation at the federal level and to assist its member institutions on state and local legislative activity related to tobacco issues. Invites all interested members to attend the Special Interest Group Meeting on Tobacco- Free Initiatives. The SIGwill meet during 1999 AADS Annual Meeting. The TFI will meet on Tuesday; March 4, 1999 at 4:00 PM. The section is co-chair by Drs. Joan McGowan, University of Michigan, and Nancy Williams, University of Tennessee. This year's theme is, "The Impact of Tobacco Settlements on Dental Education," and will also include an update on tobacco issues. Speakers include: Dr. RhysJones (Cigars) ~ ~ Dr. Arden Chfisten.(Cigarettes)' Dr. Joan McGowan (Spit Tobacco) Dr. Eric Stafne (The Minnesota Tobacco Settlement) Dr. Robert Mecklenburg (Public ,Issues Update) Dr. Nancy Williams (Moderator for the TFI) Member activity: Drs. Arden Christen (Indiana University) and Nancy Williams and Marjode Woods (University of Tennessee) continue to work with Glaxo to gain funding to improve tobacco free programs at their respective dental schools. Dr. Karen Crews (University of Mississippi) has reported that she is awaiting formal notice of funding from the State of Mississippi tobacco settlement to enhance tobacco free programs at her dental school. Respectfully s~.mi_ttefl by Nancy J. Williams, RDH, EdD Professor, University of Tennessee, Memphis College of Allied Health Sciences Department of Dental Hygiene and Associate Director, UT Memphis Cancer Center University of Tennessee, Memphis 3 N. Dunlap, Room 334 Memphis, TN 38163 Substituting for Dr. Karen Crews, Liaison to NDTFSC 13

Supplement 7: American Association of Public Health Dentistry report AMERICAN ASSOCIATION OF PUBLIC HEALTH DENTISTRY AAPHD National Office 3760 SW Lyle Court Portland, Oregon 97221-3363 Phone: (503) 242-0712 Fax: (503) 242-0721 E-marl: natoff@aol.com REBECCA S. KING. DDS. MPH HEAD OF ORAL EPIDEMIOLtY~Y DENTAL HEALTH SE~ION DHHS ~ ~X RALEIGH. NC 27626.0S~s ~: {919} 715~72 E-~uh rdmxc.t_k m~ldhl;mil.+h~+.,t at c.s;c .t + KIM McFA~ND. D[~S. MHSA DENTAL H~LTH DIRECTOR DE~. OF H~LTH & HUMAN SERVICES t01 CE~NIAL MALL ~M I. LINCOLN. NE PATRICIA A. MAIN, DI~, DDPH. REGION Of: ~IRHAM IIEALTH DEPT. 116 (.X'~MMERCIAL AVEN( AJAX ONTARIO L IS 211S CANADA K A~X WH~E. D[~. t+Pl I ~1~ PERMANENTE CE~R ~R HEALTH RES~RCH ~ N. I~R~ATE AVENUE ~R~AND, OR 97227.11 I0 • ~THRYN ATCHISON. DI~. MPH TERRA I~N, DI~, MPH CANDA~ JONES. RI~, MPH GEORGE W. TAYLOR, I~D, ~PH ~OMAR, DMI~ I~PH RO~T WE~NT, DMD. ~PH JOSEPH DC~HEW[T, I'IDS, MPH E-mad: Report to the National Dental Tobacco-Free Steering Committee National Cancer Institute January 25-26, 1999 Bethesda, MD Presented by: Rhys B. Jones, DDS,2vlS Representative of the American Association of Public Health Dentistry The American Association of Public Healtli Dentistry (AAPHD) continues to support the goal of the National Dental Tobacco-Free Steering Committee CNDTFSC) to ensure that the oral health team and dental organizations are directly, appropriately, and routinely involved in influencing patients andthepublie to avoid and discontinue the use of tobacco. NDTFSC meets under the auspices of the National Cancer Institute to: 1. Assess recent developments in tobacco use intervention strategies and activities. Define opportunities for dental involvement in tobacco use intervention activities. 3. Promote cooperation and collaboration between dental organizations and other professional and public interest organizations at the community, state, national, and global levels. Since the April 1998 NDTFSC meeting, AAPHD has promoted the goal and strategies of tobacco intervention in the following manner~ -" Publication of scientific journal articles on tobacco and oral cancer in the Journal of Public.Health Dentistry. Included in 1998 was the publication of the AAPHD Resolution on Tobacco Cessation, Prevention, and Control Relative to Cigars. (J Public Health Dent 1998; 58:169). The presentation of contributed papers and posters on tobacco interventions and oral health outcomes at the AAPHD Annual Meeting, October 21-23, 1998, San Francisco, CA. Publication of tobacco related news items in the AAPHD newsletter, Communique. These items include an update on Oral Health Objectives for Healthy People Year 201 O, an update on cigars and oral health outcomes, an announcement and highlights of the release of the MMWR Recommendations and Reports on the~Nationai Strategic Planning Conference on Preventing and Controlling Oral and Pharyngeal Cancer, and a summary of the 1998 NDTFSC meeting. AAPHD, in the official comments on the draft Healthy People Year 2010 objectives, recommended specific mention of tobacco use as a major risk factor for oral disease in the text for the chapter on oral health, and the inclusion of an objective on tobacco cessation activity by oral health professionals. Specific activities discussed for the coming year by the AAPHD oral health committee include the potential development of a tobacco and oral health brochure from AAPHD aimed at the dental professional, the development of an overview paper on model tobacco interventions for the adult and pediatric dental patients, and the presentation of an invited tobacco intervention session at the 1999 AAPHD Annual Meeting in Honolulu, HI. 14

Supplement 8: American Association of Women Dentists report Ameficaaa Association of romen Dentists 645 North Miclfig~m Avenue Suite 800 Chicago, IL 60611 January25,1999 TO:. FROM: National Dental Tobacco-Free Steering Committee Wendy S. Hupp, DMD SUB J: Association Report 1. The Board &Trustees of the AAWD met in Asheville, North Carolina in May, 1998. They voted unanimously to adopt a Tobacco Position Statement. (see reverse) This information was published in the AAWD newsletter, The Chronicle, July-August 1998 issue. 2. The "Four A's" were described in the September-December 1998 issue (see below). 3. The AAWD is constructing a website that will also have this information available: w~x~v.womendenlists.org or ~v.aawo.org. 4. The Association is planning a greater scientific and eon.tinuing educational focus to its future meetings, with Tobacco Intervention to be included. How to Help Your Patients Quit Tobacco b11 Dr. Wcnd~l Hupp, AA WD s Nm~ rcprescntan~ e and AA WD's representative to the National Dental Tobacco-Free Steering Committee The scientific journals are full of studies linking tobacco use to all types of dis- eases, from periodontitis to cancer, emphysema, heart problems and even male impo- tence! As health care providers, it is important for us to reinforce the fact that there is no safe form of tobac- co. Because more than half of current smokers seek dental treatment at least once a year, we have the opportunity to interact with our patients about tobacco on different lev- els. From the oral examina- tion, restorative, or surgical treatment by the dentist, pro- phylaxis by the dental hygien- ist, to a concerned front office staff memher, even a 30-see- ond discussion lets the patient bear the anti-tobacco message. Perhaps yours will be the motivation for him or her to finally quit! The National Cancer Institute (NCI) and the National Dental Tobacco-Free Steering Comn~ittee (NDTF- SC) have been working to dis- seminate a simple, brief method for tobacco interven- tion in the dental office. This technique is called the "Four As" and is described below. 1. ASK your patient about tobacco use. Include. ciga- rettes, cigars, pipes and spit tobacco. 2. ADVISE tobacco users to stop. You can also mention the stains on their teeth and fillings, and the gener- al/systemic effects. 3. ASSIST by setting a quit date, by providing written literature and educational materials, and by recom- mending nicotine replace- ment therapy and tobacco cessation classes. ~. ARRANGE follow-up ser- vices: a phone call of encouragement from a staff member or another prophy to remove stains. This can help prevent a relapse. It is important to tailor your approach to each individ- ual: if you sense a lack of interest, move on. You don't want to tose their attention about dental health issues. Revisit the anti-tobacco rues- sage, gently, at their nex~ visit. For more information, con- tact the following: NC1800/422-6237 How to Help Your Patie~tts Stop Usi~(q Tobacco: a matlual for the oral health team. Agency for Health Care Policy and Kesearch 800/358-9295 AHCPR Clinical Practice Guideline #I 8: Smokiuyl Cessation Centers for Disease Control and Prevention, Office of Smoking and Health $00/232-1311 or www.edc.gov/tobacco/ American Cancer Society. 's The Great American Smoke- Out 800/227-2345 15

Supplement 9: American Dental Assistants Association report ASSo C 0 N I C L E Dr. Wendy Hupp Represents AAWD on Tobacco-Free Steering Committee at National Institute of Health The AAWD has a representatzve to the National Dental Tobacco-Free Steering Committee (NDTF- SC) in the person, of Dr. Wendy Hupp of Mystic, Connecticut and the U.S. Navy. Dr. Hupp atte,nded the April meeting of NDTFSC at the National Institute of Health in Bethesda, Maryland. The committee is comprised of about 20 representatives of other dental organizations such as the ADA~AGD, NDS, ' and the American Associa- tions o~Dental Examiners," Dental Schools, Dental Research, and Public Health Dentist~,. This pasf meetihg marked the recognition of the AAWD as a full voting mem- ber of the committee. The goal of the NDTFSC is to ensure that the oral health team and ddntal organimtiohs are directly, appropriately and routinely involved in influenc- ing patients and the public to avoid or discontinue the use of tobacco. It xv~ es~blished in 1989 a~d meets approximately ev~ nine mont~. The National Cancer In~t~ (NCI) provides hnding for ~me me~ers to-auend, although Dr. Hupp has volun- teered to represent the AAWD on her own. Her interest in this area stems from her spe- cial~gaining in Oral Medicine and ~al Diagnosis that was completed at the Naval Dental ~hool in 1997. ~e ~C ~ to a~s re~nt flevelopmen~ in tobacco ~ in~enfion s~ate~es and aefi~fi~, m defin~ op~rmni- fi~ for den~ involwmenL and to promote cooperation and collaboration between fl~e member organizations and other public interest groups. At the AAWD meeting in Asbeville, Dr. Hupp proposed the following Tobac .e:9 Position Statement, which was ao_proved by the board. 1.' The AAWD should contin- • ue to educate and inform its membership and the public about ti~e many healfl~ haz- ards dttrihuted to the use of tobacco products, particu- larly cigarettes, pipes, cig- ars, and spit tobacco. 2. The AAWD prohibits smoking at al! of its meet- ings and conferences. 3. The AAWD isopposed to the advertising.of ciga- rettes, pipes, cigars, and spit tobacco products in both electronic and print media; endorses the nmn- dating of warnihg labels on all tobacco products; and supports national legisla- tion to these ends. 4. The AAWD urges its indi- vidual members and con- stituent groups to adopt anti-tobacco policies for their offices and meetings. 5~ The AAWD urges its mem- bers to become fully in- formed about tobacco cessa- tion and intervention tech- niques to effectively educate those with whom we have • contact, especmlly children. 6. The AAWD urges contin- 'fled research into the ad- verse effects of tobacco use. In future issues of the Chronicle, Dr. Hppp will pre- sent some information for educating our patients as well as resources for literature from NIHand NCI. A contin- Uing educationsession about tobacco intervention is in the planning stages for a future AAWD meeting. SAN - ' x[CISCO Amedcan Dental Association 139th Annual Session ,~ 0ctober 24 -28. t998 Pte.se~zions. Ft~ October 23.1998. Tet~ O~y. Te~m Builoln9 Conference JULY-AUGUST 1998 VOLUME 19-NUMBER 4

Supplement 9: American Dental Ass tants A ociati0n report National Dental Tobacco Free Steezing Committee Report January 25 & 26, 1999 submitted by Judith A- Andre~s, CDA American Dental'Assistants Association ]~ubl~cations : AD~A has an article on the clinician's role in spit tobacco cessation which will be use4 in 1999. The length is about two pages an~ is an abstract f~rom the Texas Dental AssDciation's Journal • 'F. A - C .T. We will also feature a Pgge from Joe Garagi. ola o'F NSTEP. It will rum at the same time as the above article. • FACT is, a n~ew program,,in~o~uced throughout Iowa. It is ,sponsored through a ,.grant from 'the Robert Wood JOhDs,o~ Foun'dat~:on. lt,. is the only ome in existence.at this time. (Attaehment) Iowa .]~as begun Public Health. regular basis into the next on 0ral Health 2010 throg~h the Irowa D4par~ment o'F There a~.e a number o~ sub-committees who meet on a to set goals and make recommendations for oral health millennium. One sub-committee,is directed to tobacco; cessation, diagnosis of diseases related to tobacco use an~ action to 'be tahen to deter teenage participation in the use of tobacco products. ADAA continues to promote cessation ofall tobacco products. We strive to conduct all business and scienti~ic meetings in tobacco free environments.~ ADAA ~eleomes any participant on the NDTFSC to submit articles o9 interest to our editor ~or consideration in future publication o~ the "Dental Assistant" 17