To protect the health of faculty, staff, and students from the harmful effects of smoking on campus, and to provide a fresh, smoke-free environment, NCUE has established a no-smoking policy through the collective anti-smoking awareness of school employees, students, parents, and the community. This policy aims to keep us away from the dangers of smoking, fulfill the mission of university social responsibility, and achieve the concept of shared health.

1. Smoke-Free Campus Health Promotion Activities in 2023

NCUE organized a series of tobacco control activities, including lectures covering the health hazards of smoking, methods for quitting smoking, and sharing of success stories. Through vivid stories and scientific data, we successfully raised students' awareness of the dangers of smoking and motivated them to actively participate in smoking cessation efforts. We actively promoted the installation of no-smoking signs, which not only remind students and staff to comply with the no-smoking policy but also symbolize the school's commitment to a healthy environment. These measures have effectively improved the campus atmosphere, making it fresher and healthier. The results are significant, with the proportion of students exposed to e-cigarettes decreasing from 7.6% to 2.4%. This not only helped improve students' overall health but also provided a safer and more beneficial learning environment. Smoke-free campus activities include:

(1) Expert Intervention and Professional Guidance - Smoking Cessation (Reduction) Consultation Room: Using new student health check lifestyle surveys, campus second-hand smoke exposure surveys, and electronic announcements, we inform about the health risks of smoking leading to cancer, cardiovascular diseases, and emphysema, and how second-hand smoke harms the health of others. We survey smoking cessation intentions, provide positive support and assistance channels for quitting smoking, and foster personal concepts, attitudes, and behaviors that value physical and mental health. Our school's smoking cessation (reduction) consultation room, staffed by school nurses and specially appointed family medicine doctors, provides personalized smoking cessation (reduction) assistance. During the academic year, 56 smokers were assisted, with one successfully quitting smoking.

(2) Tobacco Control Education Seed Training: 40 people participated in the tobacco control seed training held on July 18, 2023. This training enhanced understanding of the effects of smoking and provided effective teaching strategies and resources to convey important messages about smoking prevention. The enhanced teaching skills also inspired participants' passion for social responsibility, making them willing to become role models for peers and health promoters in the community, spreading the seeds of tobacco control education and sowing hope for health in schools and communities.

(3) Ministry of Education's "College Student Drug Abuse Prevention Service Learning Model Project" for 2024: Through drama performances showcasing eight ways to refuse drugs, interactive presentations, and quiz contests, we successfully conveyed important anti-smoking and anti-drug concepts to a total of 550 elementary and middle school students from various schools in Changhua City, Tian Wei Township, Fuxing Township, and Nantou City. In these activities, students not only deeply understood the necessity of refusing smoking and drugs through vivid theatrical performances but also further strengthened their understanding of healthy lifestyle choices through interactive bilingual presentations. Particularly, the visual demonstration of "smoking causes premature aging and ugliness" vividly showcased the negative impacts of smoking on health and appearance, deeply impacting the students.

(4) Recreating a Smoke-Free Environment - School Anniversary Fair Tobacco Control Advocacy "New Era of Tobacco Control": On October 28, 2023, during the school anniversary fair, NCUE introduced the seven key points of the "Tobacco Hazards Prevention Act" amendment to students and community residents through diverse methods. This included interactive games, advocacy activities, and educational materials to increase awareness of the health hazards of tobacco products and related regulations. Through game interactions, key content from legal provisions was presented, allowing students to learn about complying with the law and protecting their health while participating. Meanwhile, advocacy activities guided students to think about the impact of smoking behavior on individuals and society, promoting healthy lifestyles.

(5) Creative Update of No-Smoking Signs at School Gates: To highlight our school's smoke-free campus policy, art students professionally designed new no-smoking signs for the school. In October 2023, we creatively updated the no-smoking signs at school gates, ensuring that all people entering the campus can clearly and continuously see the no-smoking signs and understand that smoking is not allowed on campus.

(6) "Tobacco Hazards Prevention Awareness Week": World No Tobacco Day is an important health holiday aimed at raising public awareness about the dangers of smoking and encouraging people to quit. From May 31 to June 7, 2024, we held a week-long event themed "No More Smoke," with 40 students participating and supporting this global initiative. Through electronic posters and activity booths, various negative effects of smoking on the body, such as lung diseases and cardiovascular diseases, will be displayed. The event will also include various interactive games and prizes, encouraging participants to join the "No Smoking Challenge" and commit to quitting smoking or not starting to smoke. Through these activities, we hope to inspire more people to pursue healthy lifestyles and recognize the harms of smoking, with the aim of reducing the adverse effects of smoking on individuals and society.

2. Campus "Smoke-Free" Policy

(1) NCUE promptly declared itself a smoke-free campus in response to the government's comprehensive smoking ban policy, to protect the health of all faculty, staff, and students, and to create a smoke-free, healthy, and fresh campus environment.

(2) NCUE passed the "Student Tobacco Hazards Management Guidelines" of National Changhua Normal University, establishing a campus tobacco control work organization, and providing comprehensive smoking cessation education to help smokers successfully quit and stay away from the harms of smoking.

3. Special Features

(1) Anti-Smoking Promotion Vehicle Patrolling the Campus: Daily patrols by an anti-smoking promotion vehicle around the campus achieve the effect of promoting the campus-wide smoking ban.

(2) To create a smoke-free campus atmosphere, "Reject Tobacco Harm" signs have been installed to promote NCUE as a smoke-free campus, providing a fresh campus environment for all faculty, students, and community members, as shown in Figures 1-2.

Figure 1: Campus-wide No-Smoking Sign - Main Gate

Figure 2: Campus-wide No-Smoking Sign - West Side Gate

(3) Collaboration with the Community to Promote Smoke-Free Restaurants: 20 restaurants around the campus area support the no-smoking and anti-smoking policies and have passed smoke-free restaurant certification, providing more smoke-free dining venues and extending the smoke-free environment beyond the campus, as shown in Figures 3-4.

Figure 3: Smoke-Free Restaurant Certification

Figure 4: Campus No-Smoking Sign

4. Policy Review

(1) Established the "National Changhua Normal University Student Tobacco Hazards Management Guidelines" to regulate students' distance from tobacco products. Link:

https://stuaffweb.ncue.edu.tw/var/file/39/1039/img/592/624507397.pdf

(2) Applied for the Ministry of Education's 2022-2023 subsidy for colleges and universities to promote the implementation of health-promoting schools - "Fashion Health Guide" Smoke-Free Campus Plan. Link: https://healthweb.ncue.edu.tw/p/412-1041-1264.php

(3) National Changhua Normal University Student Dormitory Life Agreement and Violation Handling Guidelines (including e-cigarette prevention regulations). Link:

https://studentweb.ncue.edu.tw/var/file/3/1003/img/517/356514929.pdf