Nazareth's policy defines tobacco/vapes to include:

• any lighted or unlighted cigarette (e.g., clove, bidis, kreteks, etc.)
• e-cigarettes
• cigars and cigarillos
• pipes
• vaping and vapor devices
• hookah products
• any other smoking product
• any smokeless, spit or spitless, dissolvable, or inhaled tobacco products, including but not limited to dip, chew, snuff or snus, in any form (e.g., orbs, sticks, strips, pellet, etc.)

The policy defines smoking as inhaling, exhaling, burning, or carrying any lighted or heated cigar, cigarette, or pipe, or any other lighted or heated tobacco or vape product intended for inhalation, whether natural or synthetic, in any manner or any form.

As of January 2, 2017, there were 1,757 smoke-free campuses, of which 1,468 — about two-thirds — were fully tobacco-free.

From the Centers for Disease Control:

• Smoking leads to disease and disability and harms nearly every organ of the body.
• Smoking is the leading cause of preventable death.
• Thousands of young people start smoking cigarettes every day.
• Smoking costs the United States billions of dollars each year.
• Many adult cigarette smokers want to quit smoking.

E-cigarettes — also called e-cigs, e-hookahs, or vapes — are devices that typically deliver nicotine, flavorings, and other additives to users via an inhaled aerosol, according to the 2016 Surgeon General's Report: E-Cigarette Use Among Youth and Young Adults. The effects include addiction, priming for use of other addictive substances, reduced impulse control, deficits in attention and cognition, and mood disorders.

E-cigarette use among U.S. youth and young adults is now a major public health concern. E-cigarette use by high school students skyrocketed from 1.5% in 2011 to 16% in 2015. These products are now the most commonly used form of tobacco among youth in the United States, surpassing conventional tobacco products, including cigarettes, cigars, chewing tobacco, and use of hookahs (water pipes).

Research shows that these policies both prevent and decrease tobacco use because:

• The college years are a time of increased risk for smoking initiation and transition from experimental to regular tobacco use, and 99% of regular smokers start by age 26.
• A 100% smoke-free policy effectively reduces tobacco use by reducing initiation and making it easier for smokers to quit.
• Smoke- and tobacco-free college campus policies decrease smoking rates and decrease positive attitudes toward tobacco use.

There is no safe level of exposure to secondhand smoke, according to the U.S. surgeon general. People with asthma and other health problems can be sensitive to even small amounts of secondhand smoke and should not be required to walk through a cloud of smoke as part of their learning experience.

These tips are intended to help Nazareth community members become more comfortable discussing the tobacco- and vape-free policy with other students, faculty, staff, and visitors in a respectful and supportive manner.

• Remember that the encounter should be supportive, not punitive.
• Share information about the campus policy in a non-judgmental way.
• Be empathetic. The three to five minutes you spend with a person struggling with their need for tobacco or vape products could help their craving dissipate.
• Use common sense.

A respectful/helpful response:

"Hello, my name is ______, and I am an [employee, student, faculty member] here. I want to make you aware that we are now a smoke-, tobacco-, and vape-free campus, meaning that smoking and all tobacco and vaping products are prohibited on our grounds. Nazareth implemented this policy because we are committed to providing a healthy, safe, and productive work and learning environment for the entire campus community. We would appreciate it if you would not smoke or use tobacco or vape products while visiting our campus."

Response: "Smoking and the use of other tobacco and vape products are not allowed on Nazareth property. If you wish to smoke, you will need to leave campus property. "

Response: "We ask that you respect our policy and not smoke or use tobacco or vape products while your vehicle is on Nazareth property."

"As a reminder, Nazareth is Smoke-, Tobacco-, and Vape-Free as of August 1, 2017. Smoking or use of tobacco products will not be permitted on the grounds or in the parking areas. Thank you for respecting our new policy."