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Tobacco 101

Tobacco 101. Reducing the Problem of Tobacco Use. Our Learning Environment. Training Topics. Learning Objectives. Credible Tobacco Control Resources. Find resources and data to help with planning and communication. Understand the benefits of using credible resources. Learning Objectives.

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Tobacco 101

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  1. Tobacco 101 Reducing the Problem of Tobacco Use

  2. Our Learning Environment

  3. Training Topics

  4. Learning Objectives • Credible Tobacco Control Resources • Find resources and data to help with planning and communication. • Understand the benefits of using credible resources.

  5. Learning Objectives • Public Health Approach • Understand the public health approach to tobacco prevention and control. • Know of effective policy interventions to reduce tobacco use.

  6. Learning Objectives • Comprehensive Programs • Define the components of a comprehensive tobacco prevention and control program. • Understand the elements of science-based tobacco control programs.

  7. Learning Objectives • Strategies for Success • Understand how to implement strategies to reduce tobacco use in your community. • Understand how to sustain your tobacco control programs long term.

  8. Credible Tobacco Control Resources

  9. 1998 Master Settlement Agreement (MSA) Credible Resources Tobacco Control and Prevention • Attorneys general of 46 states and the four largest U.S. tobacco companies settled lawsuits against the tobacco industry for recovery of their tobacco-related healthcare costs. • Tobacco companies agreed to cease certain marketing practices.

  10. Credible Resources Tobacco Control and Prevention • Provides information on the history of tobacco control. • Discusses prevention and treatment interventions. • Contains a set of tobacco control policies for federal and state governments.

  11. Credible Resources • Explains — • Which laws are effective in reducing tobacco use. • Which interventions work or do not work. • Cost of interventions. • How to find funds, set priorities, build community support, influence legislators, and more. Source: The Task Force on Community Preventive Services

  12. Credible Resources Tobacco Control and Prevention • Evidence-based guide developed to help states plan and establish effective tobacco control programs. • October, 2007 CDC, Office on Smoking and Health

  13. Credible Resources Tobacco Control and Prevention State Tobacco Activities Tracking and Evaluation (STATE) System CDC, Office on Smoking and Health

  14. Credible Resources: Activity

  15. Partners in Tobacco Control

  16. Partners in Tobacco Control Tobacco Control and Prevention • Organizations representing populations with higher than average rates of tobacco use • Not-for-profit organizations • State and local governments • Federal agencies

  17. Partners in Tobacco Control Tobacco Control and Prevention National Networks • National African American Tobacco Prevention Network • The National Latino Tobacco Control Network • Asian Pacific Partners for Empowerment, Advocacy and Leadership • The National LGBT Tobacco Control Network • Break Free Alliance Ending the cycle of tobacco and poverty • National Native Commercial Tobacco Abuse Prevention Network Source: National Networks for Tobacco Control and Prevention

  18. Selecting Partners: Activity

  19. Taking a Public Health Approach to Tobacco Control

  20. The Public Health Approach • Global tobacco control models: what works in the U.S. and around the world • CDC recommendations for comprehensive programs • Policy interventions • Strategies for success

  21. Comprehensive Programs • Public health approach to tobacco control uses environmental approaches to increase the wellbeing of individuals within a community and decrease the rate of mortality and morbidity related to tobacco use.

  22. Global Tobacco Control Model

  23. MPOWER Six effective policies that reduce tobacco use and foster social change WHO Framework Convention

  24. MPOWER MMonitor tobacco use and prevention policies. PProtect people from tobacco smoke. OOffer help to quit tobacco use. WWarn about the dangers of tobacco. EEnforce bans on tobacco advertising, promotion, and sponsorship. RRaise taxes on tobacco.

  25. MPOWER Monitor tobacco use and prevention policies Monitoring — • Measures the extent of tobacco use. • Ensures the success of the other five policies. • Helps when allocating tobacco control resources. • Shows the effectiveness of tobacco control policies. WHO Framework Convention

  26. MPOWER Protect people from tobacco smoke • Protect everyone from secondhand smoke. • Prompt more smokers to quit. • Increase the number of successful quit attempts. • Reduce the number of cigarettes smoked. • Discourage kids from starting to smoke. WHO Framework Convention

  27. Smoke-Free Environments are Popular WHO Framework Convention

  28. MPOWER Offer help to quit tobacco use • Incorporate stop-smoking programs into primary care • Set up quit lines • Provide pharmacological treatment • Look for government support for treatment of tobacco dependence WHO Framework Convention

  29. MPOWER Warn about the dangers of tobacco • Educate everyone about the risks of tobacco use. • Change the image of tobacco use (not “cool”). • Print warnings with graphic pictures of the results of tobacco use on cigarette packs. WHO Framework Convention

  30. Graphic Warnings on Cigarette Packs WHO Framework Convention

  31. MPOWER Enforce bans on tobacco advertising, promotion, and sponsorship • Regulate tobacco industry (no advertising, marketing, promoting, or sponsoring). • Enforce bans on marketing tobacco. • Enforce bans on tobacco companies’ sponsoring events. WHO Framework Convention

  32. MPOWER Raise taxes on tobacco • Taxation is the best way to cut tobacco use. • Higher taxes increase government revenue. • Higher taxes help the young and the poor. • Excise taxes are most effective at reducing tobacco use. WHO Framework Convention

  33. Global Tobacco Control • Tobacco prevention and control is a health priority worldwide. • MPOWER , when implemented and enforced, will • Prevent young people from smoking. • Help current smokers quit. • Protect nonsmokers from secondhand smoke WHO Framework Convention

  34. CDC Recommendations for Comprehensive Programs

  35. Comprehensive Programs A comprehensive approach is one that optimizes synergy from applying a mix of educational, clinical, regulatory, economic, and social strategies. Best Practices, 2007 CDC, Office on Smoking and Health

  36. Comprehensive Programs CDC Best Practices CDC, Office on Smoking and Health

  37. Comprehensive Programs CDC Best Practices: Four Goals • Prevent the initiation of tobacco use among young people. • Promote quitting among young people and adults. • Eliminate nonsmokers’ exposure to secondhand smoke. • Identify and eliminate the disparities related to tobacco use and its effects among different population groups.

  38. Comprehensive Programs CDC Best Practices • State and community interventions • Interventions through health communications • Cessation programs • Surveillance and evaluation • Administration and management CDC, Office on Smoking and Health

  39. Comprehensive Programs CDC Best Practices CDC Recommended Annual Investment 13.9 million Deaths in Delaware Caused by Smoking Annual average smoking attributable deaths 1,200 Youth ages 0-17 projected to die from smoking 18,000 Annual Costs incurred in Delaware from Smoking Total medical $284 million Medicaid medical $79 million Lost productivity from premature death $304 million State revenue from Tobacco Excise Taxes and Settlement FY 2006 tobacco tax revenue $86.1 million FY 2006 tobacco settlement payment $23.1 million Total state revenue from tobacco excise taxes and Settlement $109.2 million Percent revenue to fund at CDC recommended level 13%

  40. Comprehensive Programs Massachusetts- Percentage Current Adult Smokers Percentages Year CDC: National Center for Chronic Disease Prevention & Health Promotion, BRFSS

  41. Comprehensive Programs Missouri - Percentage Current Adult Smokers Percentages Year CDC: National Center for Chronic Disease Prevention & Health Promotion, BRFSS.

  42. Funding of State Tobacco Control Programs (2008) A Decade of Broken Promises: The 1998 State Tobacco Settlement Ten Years Later

  43. Tobacco is now the world’s leading killer. We have the proven means to reduce tobacco use, but policy-makers are not yet applying these interventions. Michael R. Bloomberg, Mayor of New York City

  44. Effective Policy Interventions • Increase excise taxes. • Enact smoke-free laws. • Offer quit services.

  45. Increase Excise Taxes

  46. Trends in sale of cigarettes and price of cigarettes (U.S. 1970-2005) Source: Robert Wood Johnson ImpactTeen Tobacco Chart Book

  47. Trends in Smoking by Young People and Price of Cigarettes (U.S. 1991-2007) Source: Robert Wood Johnson ImpactTeen Tobacco Chart Book

  48. Effect of Federal Tobacco Tax Increase Source: Free and Clear, Inc.

  49. Source: Robert Wood Johnson ImpactTeen Tobacco Chart Book

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