Abstract: Abstract: Objective To study the implementation of smoke-free policy in Jiamusi medical institutions. Methods The multi-stage sampling method was used to choose 14 medical institutions in Jiamusi. The methods of personal interview, site observation and intercept survey were used to collect related information of tobacco control activities, the smoke-free regulations and secondhand smoke exposure in Jiamusi medical institutions. Results Although there is no municipal level smoke-free regulation in Jiamusi, the health institutions launched a series of tobacco control activities. Most leaders in medical institutions expressed supports for tobacco control publicly and developed a comprehensive smoke-free policy. In 204 specific observation points, the percentage of people smoking was 9.80%, the percentage of finding cigarette butts was 23.04%, the percentage of finding non-smoking signs in the institutions was 28.43%. According to the intercept survey, the percentage of smokers smoking indoor reached 28.30%, the percentage of seeing other people smoking indoor reached 15.23%, the percentage of knowing the comprehensive smoke-free policy was 63.79%. Conclusions Jiamusi medical institutions launched a series of tobacco control activities for the enforcement of smoke-free medical institutions by the end of 2011 and had active effects, but they did not meet the requirements of comprehensive smoke-free environment, we should advocate legislation in municipal level and mobilize people in the institution in the future.

Key words: public health, medical institutions, smoke-free environment, smoke-free policy