(IOM) to convene a committee to provide guidance on what policies should be modified or established to prevent and reduce tobacco use and how tobacco-control programs might be improved. In response to this request, the IOM established the Committee on Smoking Cessation in Military and Veteran Populations to prepare this report. The committee was impressed by the dedication of many people in VA and DoD who have been working to promote tobacco cessation in their departments. But the committee was also concerned that, given the adverse effects of tobacco use on military readiness and health, it does not have higher priority in either department and that senior leadership has not been more active in advocating a tobacco-free military and eventually a tobacco-free veteran population. The committee hopes that this report will demonstrate the need for Congress to support VA and DoD in their efforts to become tobacco-free.

The committee thanks the many people who generously responded to its requests for information and its invitations to make presentations: Kim Hamlett-Berry, Lawrence Deyton, W. Clint McSherry, Timothy Carmody, Michael Valentino, Jean Beckham, Sonya Duffy, Scott Sherman, James Schaefer, and Tammy Czarnecki of VA; David Arday and Priscilla Pazzano of DoD; Brad Taft and Cynthia Hawthorne of the US Army; Mark Long of the US Navy; Kathy Green and G. Wayne Talcott of the US Air Force; Cathy Ficadenti and Lynn Pahland of the US Marine Corps; Thomas Berger of Vietnam Veterans of America; C. Keith Haddock of the HOPE Health Research Institute; Ruth Malone and Elizabeth Smith of the University of California, San Francisco; and Ali Goldstein of Kaiser Permanente.

The committee appreciates the hard work of the IOM staff members who made its work possible, including Renee Wlodarczyk and Jennifer Saunders for literature searches and background research; Joe Goodman for meeting and travel arrangements; and Roberta Wedge, whose patience, tolerance, and diligence were models, whose insights and judgments were beacons, and whose initiatives were drivers of the work. Finally, the committee thanks the dedicated members of the US armed services and the veterans who have served this country. We hope that this report helps them to live long, healthy lives.

Stuart Bondurant, MD

University of North Carolina School of Medicine

Chair, Committee on Smoking Cessation in Military and Veteran Populations

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