College students can establish healthy lifestyle practices that can have lifelong implications. Many students, however, continue to engage in risky behaviors such as active and passive smoking. The purpose of this study was to test an explanatory model of variables which can influence health promotion behaviors in smoking and nonsmoking college students. Pender's Health Promotion Model provided the framework for the study. Health promotion behaviors were found to be most effective when students: had an increased self‐efficacy, avoided environmental tobacco smoke (ETS), perceived themselves as healthy, were female, and had a powerful external and internal health locus of control. College students may benefit from health promotion interventions designed to influence the avoidance of ETS and alter perceptions of self‐efficacy, control of health, and health status. Such interventions may result in a decrease in both active and passive smoking.

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The global eradication of smallpox in the late 1970s was a major achievement of the 20th century and brought out the best in science and public health. Prior to eradication, smallpox was a devastating disease with an overall mortality rate of approximately 5% to 30% for the most common form of the disease depending on vaccination status and the clinical presentation. The more severe forms of smallpox (i.e., flat and hemorrhagic type) had case fatality rates of approximately 96% to 100%. Currently, there is heightened international concern regarding the potential use of the smallpox virus as an agent for bioterrorism. Therefore, it is imperative that health care workers become familiar with clinical aspects of this disease as part of the national efforts to ensure homeland security. This article reviews the history, disease progression, and adverse events of smallpox; immunization practices; and nursing considerations.