Disadvantages of outdoor learning

1Midland Smokefree ProgrammeOur vision is for a Smokefree, Tobacco Free Midland by 2025. Our children and rangatahi deserve a future where smoking is history.IntroductionSmoking is the leadingcauseof preventable illnessand long term conditions such as respiratory disease, heart disease and stroke The Midland DHB ChairsandCE’s and the Chair of the Iwi Relationship Board havemadeasignificant commitmentto reducethe impact and harm caused by tobaccoand smokingby adoptingtheMidland SmokefreeTobacco Free2025 vision. Itis astrongregional leadership statement that empowers DHB employees and staffto proactively create opportunities for smokers to successfully quit andmake smokingless attractive for young people to ever start.Cancer is the leading cause of death in the Midland region (28%)Lung canceris the fourth, primarycause of cancer in the Midland regionyetit is the leading cause of cancer for Māori. Themortality rates for lung cancer in Māori arealmostfour times higher than non-Māori1.More overMāori have higher mortality rates than non-Māori from cardiovascular disease, stroke, heart failure and rheumatic heart disease2. Smoking during pregnancy causesharm for the mother and child. It oftenresults inlow birth weights, preterm delivery, sudden infant death syndrome, pneumonia and asthma for the baby.As a result tobacco use and smoking is a significant cause and stark reminder of the unequal outcomes in healthexperienced by Māori of the Midland region.12 year successful quit rates to achieve the Midland smokefree 2025 visionThe smokingprevalencein the New Zealand adult population is15.5%3. The Midland population is 845,700. Approximately 566,619(67%4)is estimated to beaged between 15-64years. Henceapproximately 84,992Midland adultssmoke. The 2025 targetof <5% prevalence is28,330.In total 56,660 Midland adult smokers must successfully quit. Or 4,722 successful quits over the next 12 years to December 2025. Of the 845,700 Midland population 211,425 (25%) isestimated to be Māori.The Māori population aged between 15 and 64(60.6%)yearsis 128,123.The New Zealand Māori smoking prevalence is36%5.As a resultit is estimated that46,1246Māoriin Midland smoke. This represents more than half the regional smoking populationof 84,992. The equity target of <5% to 2025 for Midland Māori 1Midland Cancer Network 2009 An assessment of cancer health needs in the Midland Cancer Network region 2009: Available: http://www.midlandcancernetwork.org.nz/file/fileid/189592Midland Health Network, 2012. Maori Health Profile 2012. Available: https://www.midlandshn.health.nz/uploads/maori-health-profile-2012-v3.pdf3Ministry of Health. 2013. New Zealand Health Survey: Annual update of key findings 2012/13.Wellington: Ministry of Health.4Statistics NZ: National Population estimates: Available:http://www.stats.govt.nz/browse_for_stats/population/estimates_and_projections/NationalPopulationEstimates_HOTPAt30Jun13.aspx5Ministry of Health. 2013. New Zealand Health Survey: Annual update of key findings 2012/13.Wellington: Ministry of Health.6Statistics NZ.Maori Population estimates: Available: http://www.stats.govt.nz/browse_for_stats/population/estimates_and_projections/maori-population-estimates.aspx
2is 6,406.Consequently atotal of 39,718Māori smokers must successfully quit over the next 12 years to December2025.Or 3,309successful Māori quitseach year. The Pacific population ofthe Midland region is 3% or 25,371. Using a similar age range for15 to 64 year old (60.6%) as Māori it is estimated that the Midland Pacific adult population is 15,374. Pacific smoking prevalence has dropped from 30.3% in 2006 to 23.2% in 2013. So the number of Pacific adult smokersin Midland is 3566. The 2025, <5% target,is 768 and the annual successful quit rate for the next 12 years is 233.Midland DHBPopulationAdult 15-64PrevalenceSmokersAnnual quits <5% 2025Midland845,700566,61915%84,9924,72228,330Māori211,425128,12336%46,1243,3096,406Pacific25,37115,37423.2%3,566233768Minister’s interim target –18% Māori prevalence by 2018In May 2013 the Associate Minister of Healthannounced aninterim target tohalvethe current prevalence for Māori smokers to <18% by 2018. The information above describes theactions required to achieve that target. Midland smokefree prioritiesThe Midland Smokefree Leadership Group has extracted a set regional priority from a schedule of 22 regional smokefree actions. The priorities areas focus on strengthening smokefree action with Māori. 1.Improve the referral process and pathway for hospitalised Māori smokers to cessation services2.Establish a referral pathway to ensure that Māori pregnant women who smoke are identified early and supported to take up cessation advice and services 3.Support Kohanga Reo, early childcare centre and Kura to adopt the Tupeka Kore (tobacco free) philosophy as tikanga (best practice).4.Confirm acomprehensiveannual calendar of rangatahi (youth) events and dedicate smokefree / tobacco free promotions and awareness activity to support the event