The Role of Tobacco Cessation and Prevention to Combat COVID 19

Running Head: COVID-19 1

COVID-19 7

The Role of Tobacco Cessation and Prevention to Combat COVID 19

Literature review: Role of Tobacco Cessation and Prevention to Combat COVID-19

Tobacco smoking has been known to be a risk factor for various respiratory infections, and it has been argued that it has the impact of increasing their severity. This means that tobacco smokers are at a high risk of contracting COVID-19 and that their immune system is not strong enough to protect them from the severity of the disease. The WHO has published reports that tobacco smokers consist of the population that is most likely to progress severe ailment with COVID-19 when paralleled to non-smokers. It has been proven that severe diseases like cancer, diabetes, and heart diseases affect smokers most (Zhang and Schwartz, 2020). These diseases increase the risk of the patients succumbing to the disease as their health condition worsens when they get infections to their lungs. With the available research about tobacco smoking and COVID-19 disease, it is quite clear that smokers are at a greater risk of mounting severe virus and demise.

Gawin & Grace, 2020. Researchers explored that people living in US rural areas are more addicted to tobacco and are at high risk of Covid-19 morbidity and mortality. The intake of Tobacco effect a lot on the lungs of human beings which incraesesincreases the danger of Covid- 19 as the effect of Coronavirus is highest at lungs There are several factors determined such as lack of healthcare facilities, lack of education, low income, and lack of tobacco control policies due to which the individuals living in rural areas have a high rate of tobacco use as compared to individuals staying in urban areas. It has been observed that rural people possess a higher rate of diseases such as cancer, obesity, and diabetes, and risk health behaviourbehavior like smoking and physical inactivity. They are more habituated to use smokeless tobacco that impacts their health heavily. Additionally, they lack to have access to programs that may help them quit tobacco. Therefore, the harmful effects of tobacco directly relate to the symptoms of Covid-19 such as breathing difficulty, shortness of breath, and chest pain because of which the people addicted to tobacco consumption have high rates of Covid-19 morbidity and mortality. Comment by Microsoft Office User: References come at the end of the sentence. Comment by Microsoft Office User: Very good information, but as I mentioned earlier on, there needs to be references to support this information.

Few immediate and long-term health benefits of tobacco cessation that can help to combat Covid-19 morbidity and mortality in rural areas are discussed below:

The heart rate and blood pressure will drop within duration of 20 minutes.
The amount of carbon monoxide in the blood will come to its normal level within 12 hours.
It starts improving circulation and lung function in 2 to 12 weeks.
Breathing problem and coughing decreasing in a span of 1 to 9 months
The risks associated with coronary heart disease gets reduced within a year
Stroke risks also get reduced within a span of 5 years
Risks of lung cancer and other risks related to cancer of the pancreas, mouth, throat, bladder, cervix, and esophagus also fall to half within 10 years.
Within 15 years, risks related to heart diseases are that of a non-smoker (WHO, 2020).
Quitting tobacco also helps to combat the risks of many diseases that are related to second-hand smoke in children of rural areas such as infections, asthma, and other respiratory problems.

The COVID-19 disease has proven to be more severe to the people who have respiratory diseases, and statistics have proven that there are many individuals in the rural areas who have succumbed to the infections. For example, the rural areas in New York have witnessed massive deaths and a rise in infection rates. Tobacco smoking has effects on the lungs as it reduces the capacity of the lungs to function appropriately. Smoking tobacco impairs the lung function that leads the body to have an inability to fight off the virus. This means that a high morbidity and mortality rates for tobacco smokers are expected for COVID-19 disease.

Tobacco cessation and prevention will reduce the chances of the impairment of the lungs. The lungs will function in their full capacity when smokers quit the behavior, and it would lead to getting further immune for the lungs to fight the infection. When the lungs are not impaired by tobacco, it is easier for the body to fight infections and reduce their severity. The COVID-19 is likely not going to develop to a severe state when the lungs are not incapacitated as they are likely to put up a fight against the infection and ensure that people recover faster.

Other resources: Impact of Coronavirus COVID-19 on Global Trade

Tobacco cessation and prevention are likely to reduce the impacts of the disease on the health of the people in rural areas. Tobacco smoking affects both smokers and non-smokers. It has been proven that tobacco smoke is harmful to the lungs of smokers and non-smokers, and it is harmful to non-smokers who have exposure to second-hand smoke. The effect of tobacco smoking could be reduced by tobacco cessation and prevention as the number of people affected by this smoke would reduce significantly (Mahabee-Gittens et al., 2020). This would mean that the immunity of the body to fight infections would have a boost by reducing the effects of tobacco on our lungs.

Kelvin, 2019 . Researchers found that taking initiatives for tobacco cessation would help tobacco users to quit smoking. Stopping tobacco consumption is very necessary as the study reveals that smokers have a high rate of severe outcomes from Covid-19. It is very important to spread awareness among people to stop using of tobac The government can take initiatives that can be helpful to provide people with free access to nicotine replacement therapy. Moreover, digital health workers can use AI to spread awareness related to Covid-19 and tobacco consumption to people staying in rural areas that may allow them to develop a thought related to quitting tobacco. WHO has also said that there’s existed a strong link between Covid-19 and tobacco consumption. Therefore, it is necessary for the government to pass tobacco control laws, especially in rural areas in order to protect the health of people during the Covid-19 pandemic and beyond. Taking initiatives for rural would help to deliver tobacco cessation services that may help them to combat mental and physical addiction to tobacco. Comment by Microsoft Office User: Needs to be at the end of the sentence.

Researchers also noted that rural hospitals lack time, experiences, clinical agencies and don’t know the proper ways to spread awareness related to tobacco cessation, so they can adapt online.

education and tobacco educational programs that will help the nurses and doctors to perceive more knowledge. These means will help them to speard awareness for stopping the use of tobacco. This will build up confidence and help them to educate rural people regarding tobacco cessation through organizing campaigns and anti-smoking programs (WHO, 2013).

Jean, 2019 . The research also concluded few barriers to tobacco cessation in rural hospitals such as lack of mental and primary healthcare resources, lack of staff training, community distress, low morals of healthcare staff, and limited health services. The researchers also found a few possibilities that would help rural clinics to overcome the above-discussed challenges. Boosting up staff morale, appointing tobacco-dedicated staff, providing quick access and flexibility to healthcare services, and improving health service would be beneficial. These measures will also help to improve the attitudes of rural healthcare staff. The finding of the research also states that quit lines to tobacco are very low in rural areas due to lack of desire to quit, lack of knowledge related to the impact of tobacco, lack of tobacco cessation programs, and lack of telephone access. Few barriers related to tobacco programs that can be faced by poor people involve a shortage of money to access the telephone, transportation, accommodation, and insurance coverage. If the educational programs will provide tobacco addicted patients with integrated treatment plans, proper education then it would help providers to conduct webcam facilities to give home assistance as well. If the insurance will cover the program fees, it would play a huge role in tobacco cessation in rural areas. Online programs can even help people to reduce cessation costs, and barriers related to transportation. Comment by Microsoft Office User: See above comment

The article related to Improving healthcare in rural communities talks about the people who reside in rural communities of America who have very little access to healthcare services. The rural facilities are not enough to provide transitional care or follow-up care to COVID patients and tobacco addicted patients. US Department of Health & Human Services states that almost one-quarter of America’s population belongs to rural areas and lack proper access to health care. Therefore, it has been observed that rural hospitals are slowly shifting to outpatient services because of a lack of staff and funds. Still, Mayo Clinic and Select Medical are the two organizations that are trying to strengthen care options in rural areas of the US. they have developed Allevant solutions to provide people with intensive care programs and ventilator weaning. Through this initiative, Allevant can guide the doctors and nurses with updated information and new healthcare techniques. It will also provide cost-saving advice and developing management strategies that would be essential for local hospitals to offer quality care to patients. Therefore, these initiatives would help to educate and support tobacco addicted people in rural areas and take prevention to combat Covid-19 morbidity and mortality.

The cessation and prevention play the role of elimination of the harmful smoke in the lungs and in the air to improve the lung capacity to fight infections. The structure of the rural areas is one vested with an aging population, which indicates the prevalence of existing comorbid diseases. The structure indicates that the people are at higher risks of contracting the disease and succumb to it (Propper, 2020). The elimination of tobacco smoke in the air is going to protect them from getting severe illnesses.

The people in the rural areas are disadvantaged compared to those in the urban areas on the grounds of receiving the relevant and needed information on the pandemic. Most rural areas do not have the power to connect them to the inventions made on ways to protect and prevent the spread of the disease. This means that people have no knowledge to practice safe practices that are emerging daily. The smokers in rural areas often smoke in the chain in that a cigarette could be smoked by two to three people. This means that the particles of COVID-19 can be transferred faster among smokers.

The cessation of tobacco could help reduce the risk of smokers to COVID-19 infections and severity in rural areas. The smokers would not have to share cigarettes or come together to smoke, which could consequently lead to the reduction of the spread of the disease in rural areas (Upton & Thompson, nd). The prevention of tobacco use would ensure that there are no individuals flouting the rule of the World Health Organization (WHO) of keeping social distance to combat the disease. The keeping of social distance rule is quite effective in making sure that contact with infected people is reduced. This will indeed reduce community transmission and reduce the fatalities due to COVID-19 infections.

Undoubtedly, this research focuses on investigating the effects of smoking against the novel of corona virus in the United States. From the start of the outbreak, many pieces of research reveal that smoking is among the risk factors that can lead to the spreading of corona virus . (Nájera, A. (2020). Later, it was examined that, the prevalence of people who smoke and are hospitalized with the corona virus was significantly lower compared to the smoking rate in the whole sample.

However, the symptoms and signs of COVID-19 can appear from two to fourteen days after one has conducted the Virus. The period between exposure and having symptoms is referred to as the period of incubation. Common symptoms and signs may include fever, cough, and tiredness. Early symptoms of this disease are loss of smell or taste, and other symptoms may be sore throat, breath shortness, chills, muscle aches, pink eye, and chest pain. However, other symptoms have been reported like diarrhea, vomiting, nausea, and rash. The symptoms found on children for this disease are similar to those found on adults. (Orlandi, A., 2020) The severity of corona virus symptoms ranges from mild to severe. Some individuals may experience symptoms that are worse, like severe breath shortness and pneumonia, about seven days after the symptoms start to show. Some people may experience a lot of symptoms while others will not experience any symptoms at all. Also, aged people are at higher risk of conducting COVID 19 compared to young people. Comment by Microsoft Office User: Same as above comment. I will not go through every one of those, but make sure to go through the paper and correct them. Also, you can find a few more articles to support these points.

However, this virus has affected many countries including the United States with high numbers of new cases and new deaths resulting from the virus being reported each day. The United States is among the countries which have been affected by the virus to high levels. A total of 7,118,713 cases have been reported in the United States, which are the highest numbers received by a single country in the world. . (Hefler, M., & Gartner, C. E. (2020). There have been 206,067 death cases in the United States that have resulted in the virus. However, the US has also experienced a good number of recoveries, which amounts to 4,373,627 in number. COVID-19 is believed to have no cure, and researchers are working hard to develop the cure and vaccines.

Further readings: Causes of Coronavirus Pandemic

However, tobacco is one of the plants which are believed to have caused the spread of corona virus mostly in rural areas; its leaves are the main ingredient and are mostly rolled up with a paper and smoked. Tobacco possesses stimulants that are addictive called nicotine. Its leaves are dried are commonly used for smoking in cigarettes. The use of tobacco is a risk factor or cause for many diseases, mostly the ones which affect the lungs, liver, and heart.

Smoking of tobacco is very dangerous such that it can lead to disability and paralyze body parts. AlsoAlso, in the United States, 16 million individuals are living with diseases that are caused by smoking tobacco. For each individual who loses life because of smoking, at least 30 other individuals live with an illness that is related to smoking. Smoking tobacco leads to cancer, diabetes, lung diseases, stroke, and heart diseases. Smoking tobacco may increase the risk of conducting tuberculosis and eye diseases. Researchers have argued that tobacco has contributed to the spread of the corona virus.

The article ‘Systematic review of clinical insights into novel coronavirus (CoVID-19) pandemic’ by Lakhani et al. (2020) focuses on the persisting challenges of COVID-19 in the U.S. rural population. There is cumulative evidence of epidemiology inconsistency in disease burden between the rural regions and the urban centers. It accesses the prevailing challenges of COVID-19 in rural regions based on the prior pandemic cases and weights it has on rural inhabitants. Rural areas have minimal resources, preparedness, and other health challenges to handle the challenges brought by the pandemic effectively. COVID-19 is a respiratory disease, and persons with smoking antiquity have greater odds of adverse virus infection. These cases could be severe and may require ventilators. The rural areas tend to have a higher proportion of the smoking population. Besides preventing the transmission dynamics and spread of the virus in rural areas has received limited attention, which poses a significant challenge. Lack of preparedness in rural areas may negatively impact the rural population to greater heights. Comment by Microsoft Office User: You need to be consistant with how you write these throughout the paper.

Brake et al. (2020), through the article ‘Smoking up-regulates angiotensin-converting enzyme-2 receptor’ dwells on how the smokers are more prone to respiratory ailments. They are more prone to COVID -19 as they show dual influenza frequency and amplified bacterial illnesses rates. Smoking damages the user’s lungs making them more vulnerable to pulmonary infections. It places the rural smoking population at a higher risk as they are less protected and prepared to handle the virus’s spread and containment from spreading. If the illness spreads, the population would be exposed to danger as they have minimal resources and facilities to help them handle the cases. Complications may arise as the patients have infected lungs, which may create a high demand for ventilators, which are scarce even in the modern-urban hospitals. As a result, smokers in rural areas can be a vulnerable group, especially smokers with pre-existing respiratory health issues.

World Health Organization (2020), ‘the impact of the COVID-19 pandemic on noncommunicable disease resources and services, ‘ discusses the impact of COVID-19 on noncommunicable illnesses. Tobacco use is a risk factor common among NCDs-cardiovascular illnesses, cancer, chronic lung disease, and diabetes. Tobacco already poses a significant risk to the world’s population, especially the rural areas. Tobacco use is a major risk factor among other illnesses, and the pandemic worsens the situation as the smokers are more prone to the illness. COVID-19 affects the patient’s respiratory systems and significantly damages the lungs in extreme scenarios. On the other hand, tobacco consumption is known for causing chronic lung diseases that are severely fatal as they increase the patient’s death risk. The rural hospitals and healthcare facilities are not equipped to handle chronic lung diseases without help from urban centers. The spread of COVID-19 can cause a significant challenge in the rural areas as smoked tobacco and COVID-19 can cause fatal challenges on the patients and the healthcare facilities.

The article Bragazz et al. (2020) ‘the role of hospital and community pharmacists in the management of COVID-19’ illustrates the measures that the healthcare givers are taking in the management of COVID-19. Among the mentioned measures include the roles, responsibilities, and duties that they play in ensuring the challenges posed on by tobacco smoking is reduced as it poses a significant challenge on COVID-19 smoker patient. The articles realize the relationship and the challenges of Smoking to COVID-19 patients. The rural areas have a significant challenge, as they are not well equipped to manage COVID-19 patients. As a result, they have stood up to minimize probable risks in a worst-case scenario where the virus spreads to the rural regions. Smoking alone poses a health risk to the users, and COVID-19 makes the situation fatal and unmanageable. The article tackles the situation through preventative measures and processes to minimize the possible risk.

Sood & Sood, (2020), ‘Being African American and rural: a double jeopardy from Covid‐19’ is an article that discusses how the African Americans are at a greater risk of COVID-19 than other ethnic groups. However, this article is based on previous studies conducted on the effect of other Corona-viruses. Based on the research, African Americans living in rural areas are more prone to illness. Another challenge is that African Americans, especially in the rural southwest is suspicious of the health system. The major reasons why the ethnic community is believed to be more prone to the virus are based on the social determinants of health, co-exposures, and genetic differences. Besides, the community is also tied to drug abuse, especially smoking. Smoking is one of the aspects that make the situation of COVID-19 more sensitive. However, the fact remains that the smokers in the American rural areas are prone to more serious challenges resulting from COVID-19. It is also tied to low social, economic status, congestion, scarce access to healthcare, and the absence of healthy living standards.

The article Liu et al. (2020) ‘Containing COVID-19 in rural and remote areas’ bases its arguments on China’s previous experiences. Based on the Chinese government’s measures to combat COVID-19, Americans can come up with measures that can help prevent the spread of the illness as the rural areas are known to have high consumers of tobacco, which adds a significant challenge to managing the illness. Among the measures, there is a transition in people’s lifestyles. This includes visiting of relatives and friends in the rural areas. The travels can pose a significant risk to the rural community as they could upsurge the virus’s spread. The spread could lead to unmanageable incidences as the rural health facilities are not well equipped to handle COVID-19 cases. Smokers that could contact the virus would be at a higher risk as their conditions would require the use of ventilators, which are not widely available. After all, most rural facilities are not well equipped with intensive care units to handle a large number of cases simultaneously. Lang & Yakhkind, (2020) ‘COVID-19 and Smoking’ start’s by discussing the effects of smoking primarily of tobacco in the United States. Smoking is related to one among five deaths in the United States. There is an increase in multimodality tobacco treatment by at least 20%. Many patients travel from rural areas to receive their treatment from urban health facilities. However, COVID-19 put a halt to most inpatient and out-patient medical visits, which were deemed non-essential. The tobacco treatment was one of the medical treatments that were deemed non-essential. When COVID-19 and Tobacco products are missed, the point near the augmented risk of mobility and death is highly associated with the Corona Virus. As a result, smoking is left as a rare, voluntarily amendable factor in a setting that is not set up to select disruption. However, the facilities can adapt tobacco treatment programs to diminish the patient’s risk, even in the rural sectors. The treatment can be learned from a military care center on fort Eustis in Virginia, which has successfully helped through the tobacco treatment programs that are highly effective through the pandemic times.

Mallet et al. (2020) ‘Addictions in the COVID-19 era’ focus on large scale disasters such as COVID-19, accompanied by health consequences such as additions. Tobacco is associated with chronic lung diseases, making the physician presume more tobacco users in severe COVID-19 cases. Based on the author, tobacco has proven to be a significant influencing aspect for COVID-19 linked severities and mortality. However, Tobacco use has been linked to the severity of respiratory illnesses, and it is also tied to adverse headway and negative outcomes of COVID-19. The rural areas are not well equipped to handle respiratory health complications, and the patients are forced to seek treatment in urban centers. If the virus massively spread across the rural population, tobacco smokers are likely to be more affected as it encourages the severity of COVID-19 on the patients.

Wang et al. (2020) ‘COVID-19 risk and outcomes in patients with substance use disorders’ analyses COVID-19 risk on tobacco users by analyzing data from electronic health records in the U.S. The patients of tobacco disorder are ranked second on the increased risk for COVID-19. A strong use or addition of tobacco is linked to cardiovascular illnesses, which puts the tobacco patients at a higher risk of the advance outcome of COVID-19. Smoking affects the lungs, and the patients are forced to seek support in intensive care units in adverse situations. The urban hospitals in the United States have low capabilities of handling intensive care patients due to the increased number of COVID-19 patients. The rural areas are not well equipped with resources to manage the illness under severe circumstances, forcing them to travel to urban hospitals to receive better care. The spread of the virus in the rural sector can lead to adverse consequences such as fatalities unless the entities are well educated on preventative measures to reduce its spread.

The article Khera et al. (2020) ‘Continuity of care and out-patient management for patients with and at high risk for cardiovascular disease during the COVID-19 pandemic’ discusses care managing for patients with cardiovascular disease through the COVID-19 epidemic. The pandemic has massively consumed the healthcare systems with minimal resource focus on critically ill patients. Tobacco disorder patients are among the patients that need to apply preventive measures to ensure that they are safeguarded from contacting the illness due to the severity that it would have on them. Disruption of access and preventative interventions for higher-risk individuals delays the visits that can have significant consequences. The measures can protect the patients from near-term and long-term risks. However, unless the government comes up with comprehensive measures, the rural communities and the poorer socio-economic status are likely to be disproportionately affected. Comment by Microsoft Office User: This article by Khera et al. 2020 suggest…..

TOBACCO CESSATION Comment by Microsoft Office User: So going through this section, you need to have references for the important information. I like the way you set up this section, however I do not know where the information came from. Without references I can only assume you got the information from a reputable sources.

This refers to a process of stopping someone from smoking cigarettes, tobacco smoking is addictive and can cause severe damage to one’s health if it’s not discontinued. COVID -19 disease has hit all corners of the world and the most affected victims are those that smoke cigarettes. Below is a detailed discussion on how cessation of tobacco can help in combatting Covid-19

The importance of Tobacco Cessation

1.) It reduces the risk of developing smoking-related diseases. Continuouses smoking can lead to diseases like diabetes, lung diseases and even cancer (). With Covid-19 looming around, someone who has this kind of diseases will be at a very high risk of contracting the disease since the immune system for such a person will be very weak. Having hundreds of people smoking then means more covid-19 cases likely to rise, for this reason the cessation has to be done to improve the health of the entire nation () Comment by Microsoft Office User: reference Comment by Microsoft Office User: reference

2.) It helps to reduce air pollution. Smokers smoke releasing the poisonous gas into the atmosphere, other people who do not smoke end up inhaling the same gas, exposing them to smoke-related diseases. This will affect the entire system of the economy, creating a highway for Covid-19 to multiply in infection as they will become vulnerable to the virus.

3.) It helps promote good relationships amongst members of the family. Having a smoking father in a homestead will distract the peace of the home, for instance if the father feels the urge to smoke and he does not have the means of getting it, he will be forced to used unlawful means to get it, ending up joining groups of other smokers who may be they use force to get it. All this movements will lead the father to contract the diseases since all smokers are careless with what they do. The father will then bring the disease home infecting everyone who will in turn be in a crisis of seeking medical attention. Cessation will be of good help as the peace will be restored. Comment by Microsoft Office User: reference

The Education factors

Tobacco smokers need to be educated on the content of the cigarettes and effect of the same in their body system. The contents of the cigarettes should be written in a place where it is easily seen, read and understood. The effects of the contents should also be written in a place where it’s seen by all smokers (). The Covid-19 information also need to be shared. This includes things like how it is transmitted, infected to one-person, possible causes of the virus. A smoker should be in a position to know that if he continues to smoke and the virus is all over the surrounding, then he will end up getting the diseases and may be die if the condition become severe. This information will help reduce the number of smokers which will as a result improve the entire health of the society at large ().

The Economic Factor

A nation with a healthy citizen will have a healthy economy thus reducing the chances of contracting Covid-19 (). The smokers are the laziest people since their business is just to smoke cigarettes. These group of people need to be taught the importance of having a good and booming economy. They should be taken to rehabilitation facilities where they will be taught how to manage their conditions, they should be assigned jobs to keep them busy and this will in turn have a positive effect to the economy. Having hundreds of smokers quitting smoking will have a very production nation which will boost the economy. These people will be healthy enough to be able to prevent themselves from contacting diseases such as Covid-19, helping the nation in combatting the spread of the virus ().

Disease Factor

Smoking tobacco can lead to some one getting very serious diseases. The smoke normally affect the breathing system of a human body. It could lead to diseases such as Cancer, heart diseases, diabetes, and stroke (). Smokers need to be taken to seminars where they will be taught about the diseases, they should be taken to hospitals and see for themselves how tobacco has negatively affected people lives, they should introduced to surviving tobacco victims who will share their painful experiences with tobacco. The government should have special programmesprograms specifically for them to help them cease the act by providing all the necessary support. Once all this is done, smokers will be willing to change since they will be having all the necessary information regarding the diseases that they may contract while smoking (). They will be sacred of their lives and cease the act of smoking. COVID-19 will not be able to prevail in an environment where there is total prevention. This will also reduce the number of diseases that may attack people ().

References

Bragazzi, N. L., Mansour, M., Bonsignore, A., & Ciliberti, R. (2020). The role of hospital and community pharmacists in the management of COVID-19: Towards an expanded definition of the roles, responsibilities, and duties of the pharmacist. Pharmacy, 8(3), 140. https://www.mdpi.com/2226-4787/8/3/140

Brake, S. J., Barnsley, K., Lu, W., McAlinden, K. D., Eapen, M. S., & Sohal, S. S. (2020). Smoking upregulates angiotensin-converting enzyme-2 receptor: a potential adhesion site for novel coronavirus SARS-CoV-2 (Covid-19). https://www.mdpi.com/2077-0383/9/3/841/htm?fbclid=IwAR2PZAnJ1L7ss1kdZ1jcszXywczWpA72W4xzz-HqRVLa5GSSwt_-J47ueBE

Chido-Amajuoyi, O. G., Mantey, D., Cunningham, S., Yu, R., Kelder, S., Hawk, E., … & Shete,

(2020). Characteristics of us adults attempting tobacco use cessation using e-

cigarettes. Addictive behaviors, 100, 106123.

D’Angelo, H., Ramsey, A. T., Rolland, B., Chen, L. S., Bernstein, S. L., Fucito, L. M., … &

Cinciripini, P. M. (2020). Pragmatic application of the RE-AIM framework to evaluate

the implementation of tobacco cessation programs within NCI-designated cancer

centers. Frontiers in Public Health, 8, 221.

Garufi, G., Carbognin, L., Orlandi, A., Tortora, G., & Bria, E. (2020). Smoking habit and hospitalization for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-related pneumonia: The unsolved paradox behind the evidence. European journal of internal medicine, 77, 121–122. https://doi.org/10.1016/j.ejim.2020.04.042

Gawin, L., & Grace. (2020). Best Practices In Tobacco Cessation In Rural Populations Item Type text; Electronic Thesis. Retrieved from https://repository.arizona.edu/bitstream/handle/10150/632881/azu_etd_hr_2019_0080_sip1_m.pdf?sequence=1&isAllowed=y

Gonzalez-Rubio, J.; Navarro-Lopez, C.; Lopez-Najera, E.; Lopez-Najera, A.; Jiménez-Díaz, L.; Navarro-López, J..D.; Nájera, A. What is Happening with Smokers and COVID-19? A Systematic Review and a Meta-Analysis. Preprints 2020, 2020040540 (doi: 10.20944/preprints202004.0540.v1).

Greenhalgh, EM., Stillman, S., & Ford, C. ( 2016).7.3 Theories about smoking and quitting. In Scollo, MM and Winstanley, MH [editors]. Tobacco in Australia: Facts and issues. Melbourne: Cancer Council Victoria. Retrieved from https://www.tobaccoinaustralia.org.au/7-13-methods-services-and-products-for-quitting-co

Grundy, E. J., Suddek, T., Filippidis, F. T., Majeed, A., & Coronini-Cronberg, S. (2020). Smoking, SARS-CoV-2 and COVID-19: A review of reviews considering implications for public health policy and practice. Tobacco induced diseases, 18. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336902/

Japuntich, S. J., Hammett, P. J., Rogers, E. S., Fu, S., Burgess, D. J., El Shahawy, O., … &

Sherman, S. E. (2020). Effectiveness of Proactive Tobacco Cessation Treatment Outreach

among Smokers with Serious Mental Illness. Nicotine and Tobacco Research, 22(9),

1433-1438.

Jean, A. (2019). Advancing Tobacco Prevention and Control in Rural America. Retrieved from https://nnphi.org/wp-content/uploads/2019/02/AdvancingTobaccoPreventionControlRuralAmerica.pdf

Kelvin, D. (2019). Improving healthcare in rural communities. Retrieved from https://www.allevant.com/assets/documents/Improving-Health-Care-in-Rural-Communities.pdf

Khera, A., Baum, S. J., Gluckman, T. J., Gulati, M., Martin, S. S., Michos, E. D., … & Wong, N. D. (2020). Continuity of care and out-patient management for patients with and at high risk for cardiovascular disease during the COVID-19 pandemic: A scientific statement from the American Society for Preventive Cardiology. American Journal of Preventive Cardiology, 1, 100009. https://www.sciencedirect.com/science/article/pii/S266666772030009X

Krishnan, N., GU, J., & Abroms, L. C. (2020). Mobile phone-based messaging for tobacco cessation in low and middle-income countries: a systematic review. Addictive Behaviors, 106676.

Lakhani, H. V., Pillai, S. S., Zehra, M., Sharma, I., & Sodhi, K. (2020). Systematic review of clinical insights into novel coronavirus (CoVID-19) pandemic: persisting challenges in U.S. rural population. International journal of environmental research and public health, 17(12), 4279. https://www.mdpi.com/1660-4601/17/12/4279

Lang, A. E., & Yakhkind, A. (2020). COVID-19 and Smoking: How and Why We Implemented a Tobacco Treatment Campaign. Chest. https://www.sciencedirect.com/science/article/pii/S001236922031686X

Liu, X., Zhang, D., Sun, T., Li, X., & Zhang, H. (2020). Containing COVID-19 in rural and remote areas: experiences from China. Journal of Travel Medicine, 27(3), taaa060. https://academic.oup.com/jtm/article-abstract/27/3/taaa060/5822106

Mahabee-Gittens, E. M., Merianos, A. L., & Matt, G. E. (2020). Letter to the Editor Regarding:“An Imperative Need for Research on the Role of Environmental Factors in Transmission of Novel Coronavirus (COVID-19)”—Secondhand and Thirdhand Smoke As Potential Sources of COVID-19. Environmental science & technology, 54(9), 5309-5310. Retrieved from https://pubs.acs.org/doi/full/10.1021/acs.est.0c02041

Mallet, J., Dubertret, C., & Le Strat, Y. (2020). Addictions in the COVID-19 era: Current evidence, future perspectives a comprehensive review. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 110070. https://www.sciencedirect.com/science/article/pii/S0278584620303869

Propper, R. E. (2020). Does Cigarette Smoking Protect Against SARS-CoV-2 Infection?. Nicotine & Tobacco Research. Retrieved from https://academic.oup.com/ntr/advance-article-abstract/doi/10.1093/ntr/ntaa073/5827385

Sood, L., & Sood, V. (2020). Being African American and rural: a double jeopardy from Covid‐19. The Journal of Rural Health. https://www.rcorp-ta.org/sites/default/files/2020-06/jrh.12459.pdf

Upton, P., & Thompson, D. (nd). Making connections: a systems approach to Tackling Indigenous Smoking. Retrieved from http://www.ruralhealth.org.au/15nrhc/sites/default/files/C3-1_Upton%2C%20Thompson_0.pdf

Wang, Q. Q., Kaelber, D. C., Xu, R., & Volkow, N. D. (2020). COVID-19 risk and outcomes in patients with substance use disorders: analyses from electronic health records in the United States. Molecular Psychiatry, 1-10. https://www.nature.com/articles/s41380-020-00880-7

WHO. (2013). WHO | Fact sheet about health benefits of smoking cessation. Who.Int.

WHO. (2020). WHO and partners to help more than 1 billion people quit tobacco to reduce risk of COVID-19. Retrieved September 16, 2020, from www.who.int website: https://www.who.int/news-room/detail/10-07-2020-who-and-partners-to-help-more-than-1-billion-people-quit-tobacco-to-reduce-risk-of-covid-19

World Health Organization. (2020). The impact of the COVID-19 pandemic on noncommunicable disease resources and services: results of a rapid assessment. https://apps.who.int/iris/bitstream/handle/10665/334136/9789240010291-eng.pdf

Zhang, C. H., & Schwartz, G. G. (2020). Spatial disparities in coronavirus incidence and mortality in the United States: an ecological analysis as of May 2020. The Journal of Rural Health, 36(3), 433-445. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1111/jrh.12476

Last Updated on November 24, 2020