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North American Quitline Consortium
December 2016

For quick navigation, please click on the titles below of the topics featured in this month's issue of Connections
  Time-Sensitive News
Job and Conference Announcements


NAQC News

Thank you to NAQC Members and Happy Holidays to All!
Thank you to all organizations and individuals who renewed their NAQC membership or joined as new members this year! Your support allows us to provide resources, address important timely environmental changes and be more flexible as an organization in meeting changing member needs and requests. We hope NAQC’s work in the past year has contributed to your success and we look forward to launching great new products in the coming year! Later this month we will be distributing a communication that compiles resources released in 2016 from the NAQC's main program areas: Best Practices for Quality Improvement, Medicaid, eReferral with Certified Electronic Health Records (EHRs), Public-Private Partnerships,  Annual Survey & MDS, and Member  Resources.

Our very best wishes to all for a wonderful holiday season and a successful 2017! 

Orientation/Refresher Sessions for NAQC Members - Standing Webinar Dates Announced!
NAQC now offers orientation/refresher webinars (75 minutes in length) to familiarize members with new and existing NAQC resources, answer questions and discuss how to get the most out of your membership benefits. We have scheduled webinars in 2017 and urge you to contact us at membership@naquitline.org if you have an interest in participating.  

January 10 at 12 pm PT/3 pm ET
March 14 at 12 pm PT/3 pm ET
May 9 at 12 pm PT/3 pm ET
July 11 at 12 pm PT/3 pm ET


eReferral Implementation – A Status Update for the U.S.!
The current status on eReferral implementation by state quitlines is shown in this  table (updated in November 2016).  To date, 16 states are conducting eReferral, 6 have projects that are in-progress, and 30 are not engaged in eReferral. This table will be updated periodically to reflect progress made. Thanks to the quitline service providers and states for making this information available to us!
» learn more

 Find more NAQC News in our Newsroom or go back to top.



Time-Sensitive News

NAQC Conference 2017: March 6 Deadline!
NAQC Conference titled, Advancing Quitline Practice through Innovations and Research, will  take place at the Hilton Austin located at 500 East 4th Street, Austin, Texas 78701. Please note that space is limited and that rooms are likely to sell out. Reservation details are under the URL below.  

Registration is open and allows you to attend all workshops and sessions at the conference and includes refreshments and lunches on both days as well as a ticket to the reception on Monday evening, March 20. The registration fee for NAQC members will be $365 (non-members, $525). The last day to register is March 6.

Outline of the Conference agenda is located here and a full agenda, including presentation titles,  will be available in February.
» learn more

State Quitline Support Critical for Successful Implementation of Final HUD Rule!
U.S. Housing and Urban Development (HUD) Secretary Julián Castro announced that public housing developments in the U.S. will be required to provide a smoke-free environment for their residents. The final rule includes input from more than 1,000 comments received from the public, including Public Housing Agencies (PHAs), housing and public health organizations (including NAQC), and tenants.

PHAs must implement the rule within 18 months. However, NAQC recommends that state quitlines and tobacco control programs with the capacity to do so, should use this 18-month period to take actions that will help reduce the prevalence of smoking among PHA residents. For example, you may:

  •         Reach out to large PHAs to assess the needs of their residents for information and services about cessation and the harms of tobacco.
  •        Convene the state quitline and other organizations that provide cessation treatment to discuss coordination and delivery of cessation services (by phone, online and as part of healthcare services).
  •         Invest quitline media funds in targeting PHA residents, who tend to be low-income, Medicaid beneficiaries, and members of priority populations.

» learn more

Find more Time-Sensitive News in our Newsroom or go back to top.



Cessation and Tobacco Control News

Reflections on the New SGR on E-cigarette Use Among Youth and Young Adults!
One can only hope that today’s release of the Surgeon General’s Report (SGR) on e-cigarette use among youth and young adults is the first in a series of reports addressing  e-cigarettes, and that it increases rather than quells interest in exploring the potential benefits of e-cigarettes as a cessation tool for the 37 million Americans who smoke. As you know, the great majority of smokers – over 70% -- want to quit smoking and each year over 50% of them attempt to quit.  As you also know, quitlines report that there is a great interest among smokers in using e-cigarettes as part of their quit attempts. As health professionals, our mission is to make effective treatments accessible to this population.  I would suggest, that as professionals we have the added responsibility of advocating for the development of effective new cessation tools that are attractive to smokers.
 
What does the new SGR do?

  • The new SGR clearly states that youth should not be exposed to nicotine, an indisputable conclusion that no organization has questioned.
  • The new SGR synthesizes and draws conclusions from the nascent research literature on potential harms of the “non-nicotine” contents of e-cigarettes. Some of these conclusions remain controversial within the research community (see attached materials).
  • Perhaps most relevant to cessation, the new SGR omits any meaningful discussion on potential benefits, stating that although e-cigarettes are less harmful than combustible cigarettes, research has not shown that e-cigarettes are an effective cessation tool.

Let’s explore this last point a bit…One question you may ask is “Why hasn’t research clearly shown whether e-cigarettes are an effective or ineffective tool for cessation?”  Well, a big part of the problem is that FDA has failed to move forward with regulating the product. If the contents of e-cigarettes, especially the amount of nicotine, are not known and are not reliably stated on the label, we cannot effectively use them as a cessation tool. To use e-cigarettes as part of a quit attempt, we need to know the level of nicotine in these products. We also need to know the other contents and to understand the biological impact and risk of the contents. A second question you may ask is “What has been done to encourage and support research on e-cigarettes as a potential cessation tool?” Unfortunately, the answer is “not enough.”
 
So, in this holiday season, the Surgeon General has published a report that helps protect youth. This is an important action; we should all do whatever we can to protect youth and to encourage their development of positive health behaviors and other life skills.  Similarly, we should also do whatever we can to protect smokers and to encourage their development of positive health behaviors. We call on the Surgeon General, HHS, and our colleagues at CDC, NIH and especially FDA to get even more engaged and serious on the topic of e-cigarettes. We need regulation and we need an intensive research effort to explore and translate the potential benefits and harms of these emerging new products. There are 37 million smokers and a community of cessation professionals who need you to take action and who will support you in moving forward on this agenda.
» learn more

Government of Canada Introduces New Tobacco and Vaping Products Legislation!
The Government of Canada is committed to protecting Canadians from nicotine addiction and tobacco use. Regulating vaping products to make them less accessible to youth will help achieve this goal.

As part of this commitment, the Government introduced on November 22 new legislation -- the proposed Tobacco and Vaping Products Act. The proposed Act amends the Tobacco Act to regulate vaping products as a separate class of products. As such, the Tobacco Act would be renamed the Tobacco and Vaping Products Act and would include provisions to protect youth from nicotine addiction and tobacco use; allow adults to access vaping products as likely less harmful alternatives to tobacco use; and protect the health and safety of Canadians through a variety of means.
» learn more

CDC Foundation Provides Tobacco Resources for Smoke-Free Businesses!
The Oct. 26 edition of the CDC Foundation’s quarterly online publication Business Pulse makes the case for businesses to go smoke-free in order to reduce costs and act in the best interests of employees’ health and productivity. The publication includes business-specific statistics, an infographic, and an interview with CDC Office on Smoking and Health Director Corinne Graffunder.
» learn more

New Lung Cancer Screening Publication!
The National Academies of Science, Engineering, and Medicine released a new publication that captures presentations and discussions about implementation of lung cancer screening that took place at a National Cancer Policy Forum workshop in June 2016. At the workshop, experts described the current evidence base for lung cancer screening, the current challenges of implementation, and opportunities to overcome them. Workshop participants also explored capacity and access issues; best practices for screening programs; assessment of patient outcomes, quality, and value in lung cancer screening; and research needs that could improve implementation efforts.
» learn more

Tobacco-Free Colleges and Universities Webinar Available on ASTHO Website!
This webinar cohosted by ASTHO and NACCHO featured speakers from the American Cancer Society, the University of Florida, and the Florida Department of Health in Leon County, and explored how health departments and colleges can leverage their own resources and national events such as the upcoming 2016 Great American Smokeout to work towards smoke-free colleges and universities.
» learn more

The Washington State Tobacco and Vapor Product Prevention and Control Program - 2017-2021 Strategic Plan!
You will find cessation efforts in Goal 3. This is a statewide plan that was developed in collaboration with partners and stakeholders. Please learn more by visiting the URLs below:
http://www.doh.wa.gov/YouandYourFamily/Tobacco
http://www.doh.wa.gov/Portals/1/Documents/Pubs/340-131-2017TobaccoStrategicPlan.pdf

Recent Tobacco Tax Increases!
On November 8, 2016, voters in California passed a tobacco tax increase. This includes a $2.00 cigarette tax increase and parallel taxes on other tobacco products including e-cigarettes (the California Board of Equalization has yet to set specific amounts). These taxes go into effect on April 1, 2017.
To learn more about the current tobacco tax rates, please visit the NAQC Map at the URL below.
» learn more

Find more Cessation and Tobacco Control News in our Newsroom or go back to top.



Research

LaTisha L. Marshall, Lei Zhang, Ann M. Malarcher, Nathan H. Mann, Brian A. King, Robert L. Alexander
Race/Ethnic Variations in Quitline Use Among US Adult Tobacco Users in 45 States, 2011–2013.
Nicotine Tob Res (2016)doi: 10.1093/ntr/ntw281First published online: November 15, 2016 

State quitlines provide free telephone-based cessation services and are available in all states. However, quitlines presently reach 1% of US cigarette smokers. We assessed variations in quitline reach by race/ethnicity across 45 US states included in the National Quitline Data Warehouse, a repository on non-identifiable data reported by state quitlines. During 2011 to 2013, we analyzed 1 220 171 records from the National Quitline Data Warehouse. Annual quitline reach was defined as the proportion of cigarette smokers and smokeless tobacco users who utilized quitline services during each year, and was calculated by dividing the number of state-specific quitline registrants in each year by the number of adult cigarette smokers and smokeless tobacco users in the state. Average annual reach ranged from: 0.08% (Tennessee) to 3.42% (Hawaii) among non-Hispanic whites; 0.17% (Tennessee) to 3.85% (Delaware) among non-Hispanic blacks; 0.27% (Nevada) to 9.98% (Delaware) among non-Hispanic American Indians/Alaska Native; 0.03% (Alabama) to 2.43% (Hawaii) among non-Hispanic Asian/Pacific Islanders; and from 0.08% (Tennessee) to 3.18% (Maine) among Hispanics. Average annual reach was highest among non-Hispanic American Indians/Alaska Native in 27 states, non-Hispanic blacks in 14 states, and non-Hispanic whites in four states. Quitlines appear to be reaching minority populations; however, overall reach remains low and variations in quitline reach exist by race/ethnicity. Opportunities exist to increase the utilization of quitlines and other effective cessation treatments among racial/ethnic minority populations. Some studies have assessed quitline reach across demographic groups in individual states; however, no studies have provided multistate data about quitline reach across race/ethnic groups. Ongoing monitoring of the use of state quitlines can help guide targeted outreach to particular race/ethnic groups with the goal of increasing the overall proportion and number of tobacco users that use quitlines. These efforts should be complemented by comprehensive tobacco control initiatives that increase cessation including mass media campaigns, smoke-free policies, increased tobacco prices, expansion of health insurance coverage, and health systems change.
 
Inoue-Choi M, Liao LM, Reyes-Guzman C, Hartge P, Caporaso N, Freedman ND
Association of Long-term, Low-Intensity Smoking With All-Cause and Cause-Specific Mortality in the National Institutes of Health-AARP Diet and Health Study.
JAMA Intern Med. 2016 Dec 5. doi: 10.1001/jamainternmed.2016.7511. [Epub ahead of print]

A growing proportion of US smokers now smoke fewer than 10 cigarettes per day (CPD), and that proportion will likely rise in the future. The health effects of smoking only a few CPD over one's lifetime are less understood than are the effects of heavier smoking, although many smokers believe that their level is modest. To evaluate the associations of long-term smoking of fewer than 1 or 1 to 10 CPD (low intensity) with all-cause and cause-specific mortality compared with never smoking cigarettes. Prospective cohort study of 290 215 adults in the National Institutes of Health-AARP (formerly known as the American Association of Retired Persons) Diet and Health Study who were aged 59 to 82 years in calendar years 2004-2005 (baseline). Data were gathered with a questionnaire assessing lifetime cigarette smoking history. Hazard ratios (HRs) and 95% CIs were determined for all-cause mortality and cause-specific mortality through the end of 2011. Hazard ratios and 95% CIs were estimated using Cox proportional hazards regression models using age as the underlying time metric and adjusted for sex, race/ethnicity, educational level, physical activity, and alcohol intake. Data analysis was conducted from December 15, 2015, to September 30, 2016. Current and historical smoking intensity during 9 previous age periods (from <15 years to ≥70 years) over the lifetime assessed on the 2004-2005 questionnaire. All-cause and cause-specific mortality among current, former, and never smokers. Of the 290 215 cohort participants who completed the 2004-2005 questionnaire, 168 140 were men (57.9%); the mean (SD) age was 71 (5.3) years (range, 59-82 years). Most people who smoked fewer than 1 or 1 to 10 CPD at baseline reported smoking substantially higher numbers of CPD earlier in their lives. Nevertheless, 159 (9.1%) and 1493 (22.5%) of these individuals reported consistently smoking fewer than 1 or 1 to 10 CPD in each age period that they smoked, respectively. Relative to never smokers, consistent smokers of fewer than 1 CPD (HR, 1.64; 95% CI, 1.07-2.51) and 1 to 10 CPD (HR, 1.87; 95% CI, 1.64-2.13) had a higher all-cause mortality risk. Associations were similar in women and men for all-cause mortality and were observed across a range of smoking-related causes of death, with an especially strong association with lung cancer (HR, 9.12; 95% CI, 2.92-28.47, and HR, 11.61; 95% CI, 8.25-16.35 for <1 and 1-10 CPD, respectively). Former smokers who had consistently smoked fewer than 1 or 1 to 10 CPD had progressively lower risks with younger age at cessation. For example, the HRs for consistent smokers of fewer than 1 and 1 to 10 CPD who quit at 50 years or older were 1.44 (95% CI, 1.12-1.85) and 1.42 (95% CI, 1.27-1.59), respectively. This study provides evidence that individuals who smoke fewer than 1 or 1 to 10 CPD over their lifetime have higher mortality risks than never smokers and would benefit from cessation.
 
Heather Cole-Lewis, Erik Augustson,  Amy Sanders, Mary Schwarz, Yisong Geng, Kisha Coa, Yvonne Hunt
Analyzing User-reported Data for Enhancement of SmokefreeTXT: A National Text Message Smoking Cessation Intervention.
Tob Control doi:10.1136/tobaccocontrol-2016-052945
 
This observational study highlights key insights related to participant engagement and cessation among adults who voluntarily subscribed to the nationwide US-based SmokefreeTXT program, a 42-day mobile phone text message smoking cessation program. Point prevalence abstinence rates were calculated for subscribers who initiated treatment in the program (n=18 080). The primary outcomes for this study were treatment completion and point prevalence abstinence rate at the end of the 42-day treatment. Secondary outcomes were point prevalence abstinence rates at 7 days postquit, 3 months post-treatment and 6 months post-treatment, as well as response rates to point prevalence abstinence assessments.  Over half the sample completed the 42-day treatment (n=9686). The end-of-treatment point prevalence abstinence for subscribers who initiated treatment was 7.2%. Among those who completed the entire 42 days of treatment, the end-of-treatment point prevalence abstinence was 12.9%. For subscribers who completed treatment, point prevalence abstinence results varied: 7 days postquit (23.7%), 3 months post-treatment (7.3%) and 6 months post-treatment (3.7%). Response rates for abstinence assessment messages ranged from 4.36% to 34.48%. Findings from this study illuminate the need to more deeply understand reasons for subscriber non-response and opt out and, in turn, improve program engagement and our ability to increase the likelihood for participants to stop smoking and measure long-term outcomes. Patterns of opt out for the program mirror the relapse curve generally observed for smoking cessation, thus highlighting time points at which to increase efforts to retain participants and provide additional support or incentives.
 
Hicks TA, Thomas SP, Wilson SM, Calhoun PS, Kuhn ER, Beckham JC
A Preliminary Investigation of a Relapse Prevention Mobile Application to Maintain Smoking Abstinence among Individuals with Posttraumatic Stress Disorder.
J Dual Diagn. 2016 Dec 5:0. [Epub ahead of print]
 
Smokers with posttraumatic stress disorder (PTSD) have increased difficulty achieving and maintaining abstinence. Contingency management approaches to smoking cessation interventions have demonstrated short-term efficacy, but are limited by high rates of relapse. The goal of this pilot study was to evaluate the usability and feasibility of a smartphone-based smoking cessation application (Stay Quit Coach) designed to prevent relapse among individuals with PTSD. Smokers (N = 11) were randomized to 1) QUIT4EVER, an intervention combining mobile contingency management smoking cessation counseling and medications, and Stay Quit Coach or 2) a contact control condition that was identical to QUIT4EVER except Stay Quit Coach was not included. The primary outcome was prolonged smoking abstinence. Among those queried during the follow-up periods, average Stay Quit Coach helpfulness ratings were high and ranged from 7.25-10 on a 10-point Likert scale (with higher scores corresponding to greater helpfulness). The Stay Quit Coach was rated by participants as being most effective at helping to quit smoking, helping to remain quit, and providing support and relevant information about quitting. Among the 3 quitters in the QUIT4EVER group, all reported abstinence at 3 and 6 months; however, abstinence was only bioverified for one quitter at 6 months. Among the 4 quitters in the contact control condition group, 3 reported abstinence at 3 and 6 months, but abstinence was not confirmed by bioverification. Smokers with PTSD express interest in and helpfulness of Stay Quit Coach for remaining abstinent after a quit attempt. Combined use of mobile contingency management and Stay Quit Coach is a feasible and acceptable adjunctive smoking cessation treatment for reducing smoking among smokers with PTSD. Adequately powered clinical trials are needed to demonstrate the long-term efficacy of this combined approach to smoking cessation. This study [Use of Technological Advances to Prevent Smoking Relapse among Smokers with PTSD (QUIT4EVER)] was registered on www.clinicaltrials.gov . clinicaltrials.gov identifier: NCT01990079.

Bethany C. Bray, Rachel A. Smith, Megan E. Piper, Linda J. Roberts, Timothy B. Baker
Transitions in Smokers’ Social Networks After Quit Attempts: A Latent Transition Analysis.
Nicotine Tob Res (2016) 18 (12):2243-2251.doi: 10.1093/ntr/ntw173First published online: July 13, 2016
 
Smokers’ social networks vary in size, composition, and amount of exposure to smoking. The extent to which smokers’ social networks change after a quit attempt is unknown, as is the relation between quitting success and later network changes. Unique types of social networks for 691 smokers enrolled in a smoking-cessation trial were identified based on network size, new network members, members’ smoking habits, within network smoking, smoking buddies, and romantic partners’ smoking. Latent transition analysis was used to identify the network classes and to predict transitions in class membership across 3 years from biochemically assessed smoking abstinence. Five network classes were identified: Immersed (large network, extensive smoking exposure including smoking buddies), Low Smoking Exposure (large network, minimal smoking exposure), Smoking Partner (small network, smoking exposure primarily from partner), Isolated (small network, minimal smoking exposure), and Distant Smoking Exposure (small network, considerable nonpartner smoking exposure). Abstinence at years 1 and 2 was associated with shifts in participants’ social networks to less contact with smokers and larger networks in years 2 and 3. In the years following a smoking-cessation attempt, smokers’ social networks changed, and abstinence status predicted these changes. Networks defined by high levels of exposure to smokers were especially associated with continued smoking. Abstinence, however, predicted transitions to larger social networks comprising less smoking exposure. These results support treatments that aim to reduce exposure to smoking cues and smokers, including partners who smoke. Prior research has shown that social network features predict the likelihood of subsequent smoking cessation. The current research illustrates how successful quitting predicts social network change over 3 years following a quit attempt. Specifically, abstinence predicts transitions to networks that are larger and afford less exposure to smokers. This suggests that quitting smoking may expand a person’s social milieu rather than narrow it. This effect, plus reduced exposure to smokers, may help sustain abstinence.
 
Joseph Guydish, Barbara Tajima, Thao Le, Catherine Henderson, Deborah Yip, Valerie Gruber, Wayne Garcia, Kevin L Delucchi
Do Cigarette Graphic Warnings Encourage Smokers to Attend a Smoking Cessation Programme: A Quasi-experimental Study.
Tob Control doi:10.1136/tobaccocontrol-2016-053207
 
This study assessed whether exposure to cigarette graphic warning labels (GWLs) increased attendance to a smoking cessation programme. From 2014 to 2016, alternating cohorts of smokers in 3 residential drug treatment programmes received either GWLs (experimental) or transparent (control) labels placed on their cigarette packs for 30 days. The primary outcome was the proportion of participants who chose to attend a smoking cessation group after the labelling period. The sample (N=601) was 72.6% male, with a mean age of 41.9 (SD=11.16) and included African-American (37%), White (29.4%) and Hispanic (19.6%) participants. While similar on most measures, controls were more likely to be married, had been in the treatment programme longer and registered higher on expired carbon monoxide (CO). After labelling, the proportion attending at least one cessation group was 26% in the experimental condition and 18.8% among controls. In an intent-to-treat analysis adjusting for group differences at baseline, and for 2 levels of nesting, those who received GWLs were more likely than controls to attend the smoking cessation group (OR=1.58, 95% CI 1.02 to 2.44). Smokers who received GWLs on their cigarette packs were more likely to attend a cessation programme. Thus, this study is one of the first to document a change in a directly observed behavioural outcome as a function of month-long exposure to cigarette pack GWLs.
 
Adam M. Leventhal, Matthew D. Stone, Nafeesa Andrabi, Jessica Barrington-Trimis, David R. Strong, Steve Sussman, Janet Audrain-McGovern
Association of e-Cigarette Vaping and Progression to Heavier Patterns of Cigarette Smoking.
JAMA. 2016;316(18):1918-1920. doi:10.1001/jama.2016.14649
 
E-cigarette vaping is reported by 37% of US 10th-grade adolescents and is associated with subsequent initiation of combustible cigarette smoking. Whether individuals who vape and transition to combustible cigarettes are experimenting or progress to more frequent and heavy smoking is unknown. In addition, because some adolescents use e-cigarettes as a smoking cessation aid, adolescent smokers who vape could be more likely to reduce their smoking levels over time. Therefore, associations of vaping with subsequent smoking frequency and heaviness pattern among adolescents were examined.
 
Glasser AM, Collins L, Pearson JL, Abudayyeh H, Niaura RS, Abrams DB, Villanti AC.
Overview of Electronic Nicotine Delivery Systems: A Systematic Review.
Am J Prev Med. 2016 Nov 30. pii: S0749-3797(16)30573-6. doi: 10.1016/j.amepre.2016.10.036. [Epub ahead of print]
 
Rapid developments in e-cigarettes, or electronic nicotine delivery systems (ENDS), and the evolution of the overall tobacco product marketplace warrant frequent evaluation of the published literature. The purpose of this article is to report updated findings from a comprehensive review of the published scientific literature on ENDS. The authors conducted a systematic review of published empirical research literature on ENDS through May 31, 2016, using a detailed search strategy in the PubMed electronic database, expert review, and additional targeted searches. Included studies presented empirical findings and were coded to at least one of nine topics: (1) Product Features; (2) Health Effects; (3) Consumer Perceptions; (4) Patterns of Use; (5) Potential to Induce Dependence; (6) Smoking Cessation; (7) Marketing and Communication; (8) Sales; and (9) Policies; reviews and commentaries were excluded. Data from included studies were extracted by multiple coders (October 2015 to August 2016) into a standardized form and synthesized qualitatively by topic. There were 687 articles included in this systematic review. The majority of studies assessed patterns of ENDS use and consumer perceptions of ENDS, followed by studies examining health effects of vaping and product features. Studies indicate that ENDS are increasing in use, particularly among current smokers, pose substantially less harm to smokers than cigarettes, are being used to reduce/quit smoking, and are widely available. More longitudinal studies and controlled trials are needed to evaluate the impact of ENDS on population-level tobacco use and determine the health effects of longer-term vaping.
 
Find more Research in our Newsroom or go back to top.


Job and Conference Announcements

March 8-11, 2017: SRNT Annual Meeting!
The Annual Meeting will be held March 8-11, 2017, at the Firenze Fiera Congress & Exhibition Center in Florence, Italy. SRNT’s Annual Meeting provides an excellent opportunity for attendees of all experience levels to participate in the highest caliber of professional programming devoted to research and practice in the field of nicotine and tobacco research. The Annual Meeting includes an education-packed scientific program that allows more than 1,100 international attendees to stay current with the latest breaking research. Learn more here.

March 20-21, 2017: NAQC Conference 2017 - Save the Date!
NAQC Conference 2017 will be held on March 20-21, 2017 in Austin, Texas, two days before the the National Conference on Tobacco or Health (NCTOH). We hope you will SAVE THE DATE! The registration fee for NAQC members will be $365 (non-members, $525). The registration fee allows you to attend all workshops and sessions at the conference and includes refreshments and lunches on both days as well as a ticket to the NAQC reception on March 20. We hope to see you in Austin for NAQC Conference 2017! Learn more here.

March 22-24, 2017: National Conference on Tobacco or Health!
The conference is taking place in Austin, TX more details will be available in the coming weeks.
The National Conference on Tobacco or Health (NCTOH) is one of the largest, long-standing gatherings of the United States tobacco control movement. It attracts a diverse set of public health professionals to learn about best practices and policies to reduce tobacco use—the leading preventable cause of disease and death in the United States. Participants are encouraged to register early as space is limited. Learn more here.

April 3-5, 2017:
National Council for Behavioral Health National Conference 2017!
NatCon17 is taking place in Seattle in April 2017. More than 5,000 will be attending the conference which will feature speakers and educational sessions that explore the key mental health and addiction issues facing health care. Discounted registration rate expires on December 16. Learn more here.

July 11-13, 2017 - NACCHO Annual 2017 – Public Health Revolution: Bridging Clinical Medicine and Population Health!
The 2017 NACCHO Annual Conference, to be held July 11–13 in Pittsburgh, PA is the only national conference that speaks directly to the daily challenges and opportunities that local health officials and their staff face. The conference provides a venue for local public health department staff, partners, funders, and others who are interested and invested in local public health to share the latest research, ideas, strategies in local public health. Learn more here.

Find more Job and Conference Announcements in our Newsroom or go back to top.


Funding for Connections is provided solely through a cooperative agreement from the Centers for Disease Control and Prevention (1U58DP004967-01). We thank them for their support of this publication. Information and links are provided solely as a service to NAQC members and partners and do not constitute an endorsement of any organization by NAQC, nor should any be inferred.
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