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By Institute of Medicine, Board on Population Health and Public Health Practice, Committee on Smoking Cessation in Military and Veteran Populations, Roberta Wedge, Stuart Bondurant

The wellbeing and fitness and monetary expenditures of tobacco use in army and veteran populations are excessive. In 2007, the dep. of Veterans Affairs (VA) and the dept of safety (DoD) asked that the Institute of drugs (IOM) make tips on the way to lessen tobacco initiation and inspire cessation in either army and veteran populations. In its 2009 document, scuffling with Tobacco in army and Veteran Populations, the authoring committee concludes that to avoid tobacco initiation and inspire cessation, either DoD and VA should still enforce complete tobacco-control courses.

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V. S. Blackman, and R. E. Malone. 2007. Death at a discount: How the tobacco industry thwarted tobacco control policies in US military commissaries. Tobacco Control 16(1):38-46. US Surgeon General. 2004. The Health Consequences of Smoking: A Report of the Surgeon General. Washington, DC: Department of Health and Human Services. US Surgeon General. 2006. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Washington, DC: Department of Health and Human Services.

Perino. 1998. Economic consequences of tobacco use for the Department of Defense, 1995. Military Medicine 163(4):217-221. IOM (Institute of Medicine). 2007. Ending the Tobacco Problem: A Blueprint for the Nation. Washington, DC: The National Academies Press. NCI (National Cancer Institute). 2005. ASSIST: Shaping the Future of Tobacco Prevention and Control. Monograph 16, NCI Tobacco Control Monograph Series. NIH Publication No. 05-5645. Bethesda, MD: NCI. NCI. 2006. Evaluating ASSIST: A Blueprint for Understanding Statelevel Tobacco Control.

Smoking has been linked to accidents in military workplaces. Recent disturbing examples of accidents linked to smoking include fires. In July 2008, a fire onboard a US nuclear-powered aircraft carrier was attributed to unauthorized smoking that ignited flammable liquids and other combustible material that was improperly stored in an adjacent space; the carrier required $70 million in repairs as a result of the accident, and several sailors were injured (Associated Press, 2008). In November 2008, 20 men were killed onboard a Russian nuclear submarine when Freon gas was released after a fire alarm was triggered; it has been suggested that the fire could have been ignited by a cigarette that was lighted near a safety gauge that switched on the fireextinguishing system (Isachenkov, 2008).

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