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<p class="MsoNormal">Here are some great tobacco cessation resources from CDC’s Office on Smoking and Health for National Cancer Control Month. Please share with your networks.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal"><img width="599" height="235" style="width:6.2395in;height:2.4479in" id="Picture_x0020_13" src="cid:image001.jpg@01D4EFBE.DB2C8660" alt="CDC's Office on Smoking and Health - Reducing deaths and preventing chronic diseases caused by tobacco use"><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<p style="line-height:15.0pt;text-size-adjust: 100%"><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">Dear Partners:<o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">CDC’s Office on Smoking and Health (OSH) has designated 2019 as its</span><em><span style="font-size:13.0pt;font-family:"Calibri",sans-serif;color:#121212"> </span></em><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cdc.gov_tobacco_quit-5Fsmoking_cessation_2019-2Dyear-2Dof-2Dcessation_index.html-3Fs-5Fcid-3DOSH-5Femail-5FE147&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=f1CyvVd5sPztd-FI0JvR4St_FY-Cuvd1ifaOtVXTKpY&e="><i><span style="font-size:13.0pt">Year
of Cessation</span></i></a></span><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">, and </span><strong><span style="font-size:13.0pt;font-family:"Calibri",sans-serif;color:#0073C3">National Cancer Control Month in April offers
a great opportunity to support and highlight the importance of smoking cessation efforts for people living with cancer and cancer survivors.</span></strong><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212"><o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">The nation has made great progress in reducing the overall cancer death rate in the past 20 years, and the number of cancer
survivors has grown. </span><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cancer.gov_about-2Dcancer_understanding_statistics&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=uPel1OR66Q6H87j-0y1b4bgNvYXPMT0yY-4sFJTvFj4&e="><span style="font-size:13.0pt">According
to our colleagues at the National Cancer Institute (NCI)</span></a></span><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">, in 2016 there were an estimated 15.5 million cancer survivors in the U.S., and that number is expected
to increase.<o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><strong><span style="font-size:13.0pt;font-family:"Calibri",sans-serif;color:#0073C3">Smoking is not only a major cause of cancer, it affects cancer treatment.</span></strong><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#0073C3"><o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><em><span style="font-size:11.5pt;font-family:"Calibri",sans-serif;color:#333333">“Continued smoking after a cancer diagnosis increases post-treatment mortality, the risk of a new primary cancer, the risk
of cancer recurrence and rates of adverse side effects from cancer treatment. But quitting improves the prognosis of cancer patients who use tobacco products. For cancer patients who smoke at the time of diagnosis, smoking-cessation treatment should be an
integral part of their cancer care.”</span></em><span style="font-size:11.5pt;font-family:"Times New Roman",serif;color:#333333"><o:p></o:p></span></p>
<p align="right" style="text-align:right;line-height:15.0pt;text-size-adjust: 100%">
<span style="font-size:10.0pt;font-family:"Times New Roman",serif;color:#333333">Robert T. Croyle, PhD, Director,<br>
NCI Division of Cancer Control and Population Science<o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">While quitting smoking can improve health outcomes for cancer patients, a </span><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.ncbi.nlm.nih.gov_pubmed_30612253&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=919xkQ2QHEM0qJSHmZVx132ImUZMr0EToHaX287Qer8&e="><span style="font-size:13.0pt">recent
CDC study</span></a></span><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212"> found that only about half of cancer survivors who smoked reported making a quit attempt in the past year. One in three had received no advice to quit
from a health care professional in the past year, and fewer than one in ten used both counseling and medication – a combination that further increases smokers’ likelihood of quitting.<o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">These missed opportunities matter. Brief advice from a health care provider significantly increases the chances that a patient
will try to quit and do so successfully. And smokers cite health care professional advice to quit as an important motivator for attempting to stop smoking.<o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><em><span style="font-size:11.5pt;font-family:"Calibri",sans-serif;color:#333333">“We’ve come a long way in raising public awareness about the connection between tobacco and cancer. But we’re far from being
done. We have to double down on messages that even if you have had cancer, tobacco cessation is still the best decision you can make to live a long healthy life.”</span></em><span style="font-size:11.5pt;font-family:"Times New Roman",serif;color:#333333"><o:p></o:p></span></p>
<p align="right" style="text-align:right;line-height:15.0pt;text-size-adjust: 100%">
<span style="font-size:10.0pt;font-family:"Times New Roman",serif;color:#333333">Lisa C. Richardson, MD, MPH,<br>
Director, CDC Division of Cancer Prevention and Control<o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">To help reach health care providers treating cancer patients and survivors with important messages and free resources to support
smoking cessation, I am pleased to share the following materials that you can use in your communications efforts during Cancer Control Month.<o:p></o:p></span></p>
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<p style="line-height:15.0pt;text-size-adjust: 100%"><strong><span style="font-size:13.0pt;font-family:"Calibri",sans-serif;color:#121212">Sample Social Media Posts</span></strong><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212"><o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><span style="font-size:9.0pt;font-family:"Times New Roman",serif;color:#565656">These social media images and more can be found in the zip file attached to this email.<o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><img border="0" width="171" height="171" style="width:1.7812in;height:1.7812in" id="Picture_x0020_12" src="cid:image002.jpg@01D4EFBE.DB2C8660" alt="Doctor comforts a patient."><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<p class="MsoNormal" style="line-height:15.0pt"><span style="color:#555555">Most cancer patients and survivors who smoke want to quit. Help them succeed! Use this pocket card to help talk to your patients about cessation and provide free resources to help them
quit. </span><a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__bit.ly_2TJgb4L&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=4X3Sms0b0vSC6hUBrh99xbjgdzg6Jujv_7v-28LYCY0&e=">bit.ly/2TJgb4L</a><span style="color:#555555">
#CancerControlMonth<o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><img border="0" width="285" height="160" style="width:2.9687in;height:1.6666in" id="Picture_x0020_11" src="cid:image003.jpg@01D4EFBE.DB2C8660" alt="Smiling nurse goes over results with patient."><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<p class="MsoNormal" style="line-height:15.0pt"><span style="color:#555555">Smoking may make cancer treatment less effective. Talk with your patients about the risks of smoking after a cancer diagnosis. Display posters in exam rooms to help start the conversation
about how to quit! </span><a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__bit.ly_2YIkK30&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=QgxBcSx34m90Fx2BZMs7n2TFbhIywq0INLaqYG0tUOM&e=">bit.ly/2YIkK30</a><span style="color:#555555">
#CancerControlMonth<o:p></o:p></span></p>
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<p class="MsoNormal" style="line-height:15.0pt"><span style="color:#555555">Cancer patients and survivors who smoke need help quitting. As a health care provider, know the health risks of smoking for cancer patients and survivors, and get ideas to help your
patients quit smoking </span><a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__bit.ly_2JPHwCE&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=9QlGfPz4JI7YX3lrLCR4ytY6g_KPQ3K5nzpUQqlIDvQ&e=">bit.ly/2JPHwCE</a><span style="color:#555555">
#CancerControlMonth<o:p></o:p></span></p>
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<p style="line-height:15.0pt;text-size-adjust: 100%"><strong><span style="font-size:13.0pt;font-family:"Calibri",sans-serif;color:#121212">Resources to Share with Health Care Providers</span></strong><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212"><o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">Please share the information in this e-blast with your networks and partners, particularly with anyone who can help get the
word out to health care providers who treat cancer patients and survivors. Below are free, evidence-based resources.<o:p></o:p></span></p>
<ul type="disc">
<li class="MsoNormal" style="color:#121212;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;line-height:15.0pt;mso-list:l0 level1 lfo3;text-size-adjust: 100%">
<span style="font-size:13.0pt">CDC’s </span><a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cdc.gov_cancer_survivors_health-2Dcare-2Dproviders_tobacco-2Duse.htm-3Fs-5Fcid-3DOSH-5Femail-5FE148&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=sHHX_J29XCQUhvICXYoVCGHSPIinGPyAdiipldLivJo&e="><span style="font-size:13.0pt">Caring
for Cancer Survivors Who Use Tobacco</span></a><span style="font-size:13.0pt"> web-page explains the health risks for cancer survivors who use tobacco and offers ideas for how providers can help their patients quit. The web-page includes a downloadable fact
sheet.<o:p></o:p></span></li><li class="MsoNormal" style="color:#121212;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;line-height:15.0pt;mso-list:l0 level1 lfo3;text-size-adjust: 100%">
<span style="font-size:13.0pt">Clinical guidelines to help health care providers talk effectively with their patients about cessation. The short brochure </span><a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.ahrq.gov_sites_default_files_wysiwyg_professionals_clinicians-2Dproviders_guidelines-2Drecommendations_tobacco_clinicians_references_clinhlpsmkqt_clinhlpsmksqt.pdf&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=sWG6tkjJUu2RLKMjEga7iokBsiWdVsstOItizABJo4A&e="><span style="font-size:13.0pt">Helping
Smokers Quit: A Guide for Clinicians</span></a><span style="font-size:13.0pt"> [PDF - 186KB] summarizes the <em><span style="font-family:"Calibri",sans-serif">Public Health Service Clinical Practice Guideline: Treating Tobacco Use and Dependence: 2008 Update</span></em>,
including a medication chart. The even shorter pocket-sized </span><a href="https://urldefense.proofpoint.com/v2/url?u=http-3A__www.cdc.gov_tobacco_campaign_tips_partners_health_materials_twyd-2D5a-2D2a-2Dtobacco-2Dintervention-2Dpocket-2Dcard.pdf&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=7d8FMHNoU2nnN_aTVXmz-7wsFMo39zKKzt35DgBJfMk&e="><span style="font-size:13.0pt">Brief
Tobacco Intervention Card</span></a><span style="font-size:13.0pt"> [PDF - 72KB] is a handy cue-card that providers can refer to as they talk to their patients.<o:p></o:p></span></li><li class="MsoNormal" style="color:#121212;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;line-height:15.0pt;mso-list:l0 level1 lfo3;text-size-adjust: 100%">
<span style="font-size:13.0pt">Free notepads with the 1-800-QUIT-NOW quitline number on them, to write notes and instructions for patients who smoke. Order by entering “notepad” in the search bar on the CDC </span><a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__wwwn.cdc.gov_osh-5Fpub-5Fcatalog_Home.aspx&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=qjev75PJM2VCL1bg1Ovf4IzOKjnvWpWqrnaFQ8PvMx0&e="><span style="font-size:13.0pt">publication
catalog web-page.</span></a><span style="font-size:13.0pt"><o:p></o:p></span></li><li class="MsoNormal" style="color:#121212;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;line-height:15.0pt;mso-list:l0 level1 lfo3;text-size-adjust: 100%">
<span style="font-size:13.0pt">CDC’s <em><span style="font-family:"Calibri",sans-serif">Tips From Former Smokers</span></em><sup>®</sup> campaign can be a conversation starter for patients and health care providers. The </span><a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cdc.gov_tobacco_campaign_tips_partners_health_index.html-3Fs-5Fcid-3DOSH-5Femail-5FE149&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=hXOTJUAl2nsljAgmELfTyYpyS1eUGJSDiT3O3SAeUfE&m=KD_pMejUDCuKfBBtKnCSNQa9EZEH8gn0wNQR3QrrpdQ&s=lQanneH6wG8gpiCVuTEea09oi_YlzZyaTWRDbV73gDc&e="><span style="font-size:13.0pt">Health
Care Providers: Tools and Resources</span></a><span style="font-size:13.0pt"> web-page contains free materials and offers suggestions for how providers can use these materials to help their patients quit.<o:p></o:p></span></li></ul>
<p style="line-height:15.0pt;text-size-adjust: 100%"><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">Thank you for helping reach health care providers with important messages and free resources to support cessation among cancer
patients and survivors!<o:p></o:p></span></p>
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<p style="line-height:15.0pt"><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">Sincerely,<o:p></o:p></span></p>
<p style="line-height:15.0pt;text-size-adjust: 100%"><span style="font-size:13.0pt;font-family:"Times New Roman",serif;color:#121212">Corinne Graffunder, DrPH, MPH<br>
Director, CDC Office on Smoking and Health<o:p></o:p></span></p>
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