By Elizabeth Fernandez | ucsf.edu | July 27, 2012
Suzanne Harris was a registered nurse when she smoked. She worked on a cancer unit when she smoked. And she was a mother to a young child when she smoked.
“I should have known better,’’ she says. “I did know better, but I couldn’t stop myself.’’
Harris was just 12 years old when she lit her first cigarette. By the time she was in college she was up to a pack a day. She smoked for nearly two decades, tried to quit scores of times before finally succeeding. More than many, she understands the complex dynamics rooted in smoking, understands the compulsion and the shame and the self-deception that shroud the lives of smokers.
Harris is the co-founder and director of the UCSF Fontana Tobacco Treatment Center, which offers comprehensive smoking cessation classes and relapse prevention support.
“I know what it’s like to be really afraid of what you might be doing to yourself — and doing it anyway,’’ says Harris, a certified tobacco treatment specialist. “I know what it’s like to not be proud of yourself — and doing nothing about it. But there is no more reason to be ashamed of smoking than having diabetes or being an alcoholic.’’
The Fontana center was named this year in memory of San Francisco resident Jeanne Fontana, who bestowed a $2.3 million gift. Fontana had unsuccessfully tried numerous other programs when she signed up for classes at UCSF in 2007. She was 61, and afflicted with smoking related-diseases requiring her to carry an oxygen tank. After her first set of classes, Fontana threw away her cigarettes, and in gratitude named the center as one of her beneficiaries. She had a brief relapse, but when Fontana died in 2009, she had been tobacco free for a year.
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“My desire is to have the program continue to provide the help that I received to as many people as possible,’’ Fontana wrote in her trust.
While tobacco use is the single largest preventable cause of disease and premature death in the United States, smoking has become far less prevalent in the country in recent years, in part because of anti-tobacco campaigns and a general push toward better health, says Stanton A. Glantz, PhD, director of the Center for Tobacco Control Research and Education. The center’s faculty members are affiliated with the UCSF Helen Diller Family Comprehensive Cancer Center.
“Currently, in California, about 12 percent of the population smokes,’’ Glantz says, “with two-thirds of them being light smokers.’’
For social smokers as well as heavy smokers, it can be a daunting challenge to halt an entrenched addiction. Some are afraid to stop — they’ve smoked so long. Some are ashamed to reach out for help until they’re sick. And some simply believe they can quit whenever they like.
At their disposal awaits a battery of possible remedies: nicotine replacement patches and gum, nicotine inhalers, antidepressants, breathing techniques, 12-step programs, inpatient treatment, even aversion therapy involving a self-administered mild electrical jolt when smokers light up.
Sometimes the tools work, but historically smoking cessation efforts have fairly low success rates, according to the American Cancer Society. “More than 70 percent of adult smokers say they want to quit, but without help, fewer than 5 percent succeed…it takes the average person 7 to 10 quit attempts to quit for good.’’
According to various studies in medical journals, “About 25 percent of smokers who use medicines can stay smoke-free for over six months,’’ reports the American Cancer Society. “Counseling and other types of emotional support can boost success rates higher than medicines alone. There is also early evidence that combining some medicines may work better than using a single drug. Behavioral and support therapies may increase success rates even further, and help the person stay smoke-free.’’
The Fontana center’s success rate: 43 percent to 47 percent of participants remain smoke-free after one year.
“That’s significantly higher than most other programs,’’ Harris notes.