The incidence of cryptogenic ischemic stroke (CIS) in younger adults is on the rise, and smoking and stroke have long been linked. Unlike older age groups, CIS is increasing in younger patients. A recent study published in Neurology found the strongest association with CIS was in high-intensity smokers—those with more than 20 pack-years—especially in men and in those aged 45 to 49.

“Our findings suggest that continued public health efforts around preventing smoking, especially heavy smoking, may be an important way to help reduce the number of strokes happening to young people,” said lead author Phillip Ferdinand, MBChB, MRCP, of University Hospitals of North Midlands NHS Trust, Stroke-on-Trent, England.

Bottom line, smoking kills. We’ve known the risks for years, have banned smoking in most public places, and many of our communities are “smoke free.” That said, take a walk around the outside of your community. Look at the exit doors where staff congregate. Trust me—you’ll find remnants of smoking activity.

So, do you discipline staff? Or do you educate them on the risks? Maybe it’s time we take a more proactive approach and provide support for staff members who smoke. It takes a little work but bring in your medical director and maybe your health insurance agent—they could help offer resources, education, and even cessation support.

Think about it: if you prevent even one stroke, it’s well worth the effort.

Stay well and stay informed!