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Why states should fund comprehensive tc programs
1. Comprehensive Tobacco
Prevention and Cessation Programs
Work!
They Save Lives, Save Money
State-specific data needed to customize this presentation can be
found at http://www.tobaccofreekids.org/ or by sending an email to
info@tobaccofreekids.org
2. • Tobacco use is the leading preventable cause of health
problems and health care costs in [STATE]
• The Tobacco Industry continues to aggressively market
and promote their products and oppose real policy
change
• Comprehensive tobacco prevention and cessation
programs are evidence-based and work when
adequately funded
• States have not addressed the problem adequately
despite the opportunity provided by the MSA
Four Key Points
3. TOBACCO’S TOLL
IN [STATE NAME]
• X,XXX tobacco-related deaths annually
• XX,XXX additional kids become regular
daily smokers every year
• XXX,XXX kids alive today will die from
tobacco use
• XX% of [STATE] high school students are
current smokers
• XX% of [STATE] adults are current
smokers
4. TOBACCO’S TOLL
IN [STATE NAME]
• $XX million in annual health care costs
related to tobacco use
• $XX million in Medicaid costs alone
• [STATE] taxpayers pay $XXX per
household to treat tobacco related
disease
6. … BUT
Big Tobacco is
• Still Marketing to Kids &
Targeting Young Adults
• Still Lying About Their
Products and Introducing New
Ones
• Still Opposing Real Policy
Change
• Still Attacking Real Prevention
Programs and Promoting
Phony Ones
8. “From the 1950s to the
Present, Different
Defendants, at Different
Times and Using
Different Methods, Have
Intentionally Marketed
to Young People Under
the Age of Twenty-One
in Order to Recruit
“Replacement
Smokers” to Ensure the
Economic Future of the
Tobacco Industry”
9. “The trial record amply
demonstrates that
Defendants have made
false, deceptive, and
misleading public
statements about
cigarettes and smoking
from at least January
1954, when the Frank
Statement was published
up until the present.”
“Defendants continue to
make affirmative
statements on smoking
and health issues that
are fraudulent.”
10. Increased Nicotine Levels in Cigarettes
Average Nicotine Yields Per Cigarette 1998-2004
MA Tobacco Control Program analysis, 2006
1.71
1.81
1.83
1.89
1.841.85
1.72
1.6
1.65
1.7
1.75
1.8
1.85
1.9
1.95
1998 1999 2000 2001 2002 2003 2004
Year
Milligramspercigarette
9.9% increase from 1998 to 2004
11. WE HAVE THE SOLUTION
COMPREHENSIVE
PREVENTION & CESSATION
PROGRAMS
12. Comprehensive Programs
Essential Elements
• Community-Based Programs
• Public Education (Media)
• Helping Smokers Quit
• School-Based Programs
• Enforcement
• Evaluation
Must be well-funded and sustained
13. Insert slides that describe what
programs and counter-marketing
campaigns YOUR PROGRAM funds
in your community and schools
20. Here’s How [STATE] Would Spend
Additional Money:
• Expansion of cessation services?
• Additional community-based programs?
• Comprehensive public education
campaign?
Be sure to know how you would spend any
additional dollars – you WILL get asked
this question
22. Study Conclusions:
If every state had spent the CDC
minimum recommendation,
youth smoking rates nationally
would have been between three
and fourteen percent lower
If every state funded at CDC
level, states would prevent
nearly two million kids alive
today from becoming smokers,
save more than 600,000 of them
from premature, smoking-
caused deaths, and save $23.4
billion in long-term, smoking-
related health care costs
23. Reductions in
tobacco smoking are
major factor in the
decrease in cancer
mortality rates
Sustained progress in tobacco
control is essential if we are to
continue to make progress
against cancer.
24. Comprehensive Programs Help
Adult Smokers Quit
Massachusetts:
Cut adult
smoking by 21%
between
1993 and
2000
California: Cut
adult smoking by
35% between
1988 and 2007
Maine: Cut
adult
smoking by
12.5% b/t
2001 and
2004
WA: Cut adult
smoking by
30% between
1999 and 2008
New York:
cut adult
smoking by
22.6%
between
2000 and
2008
25. Comprehensive Programs
Reduce Youth Smoking
Maine: Cut
high school
smoking by
64% b/w
1997 and 2007
Mississippi: Cut
smoking among
public middle school
students by
48% in 5 years
Ohio: Cut high
school
smoking by
45% b/w 1999
and 2003
WA: Cut
youth
smoking by
50% b/w
2000 and
2006
IN: Cut high
school
smoking by
42% b/w
2000 and
2008
26. Comprehensive Programs Work
Saves Money for Taxpayers
California:
Saving more than $3 in
direct health costs
for every dollar
spent on tobacco prevention
Massachusetts:
Saved $2 in direct
health costs for
every dollar
spent on tobacco
prevention
27. Comprehensive Programs Work
Saves Lives
California:
Studies show program
prevented tens of thousands
of deaths from heart
disease and lung
cancer due to smoking
28. What Have We Achieved in
[State]?
Insert Your STATE’s declines in
youth and adult smoking
29. Adult Smoking Declines in
[STATE]: Insert your state’s data
10
12
14
16
18
20
22
24
26
28
30
2002 2004
Smokingprevalence
25.0%
22.7%
These declines mean:
• More than xxx,xxx adults have stopped smoking
• $xxx million in tobacco-related healthcare costs have been saved
9% decline
Data are from the BRFSS
30. Youth Smoking Declines in
[STATE]: Insert your state’s data
10
12
14
16
18
20
22
24
26
28
30
2000 2002
Smokingprevalence
27.6%
23.1%
These declines mean the program has prevented:
• XXX,XXX fewer youth from ever beginning to smoke
• XX,XXX fewer youth from dying from tobacco-related disease
16% decline
Data are from the Youth Tobacco Survey
32. FY2009 Tobacco Money
for Tobacco Prevention
in [INSERT YOUR STATE]
0
200
400
600
800
1000
1200
1400
1600
Total State Tobacco
Revenues
CDC Minimum
Prevention
Spending
Actual State
Tobacco Prevention
Spending
Million
$65.6 Million $32.9 Million
$ 1.38 Billion
$1.03 Billion
Tobacco Tax
Revenues
$351 Million
Tobacco
Settlement
Revenues
33. And the tobacco industry
spends $XXX per YEAR,
marketing its products
in [STATE]
34. WE KNOW WE HAVE A PROBLEM
• Not an evidence problem – we have
evidence-based solution
• Not really a revenue problem – we
have the revenue to fund program
• It’s a political problem – we need
the POLITICAL WILL to fund
programs
35. THE TIME TO ACT IS NOW!!!
• Tobacco remains by far the number one
preventable cause of death and disease
• The tobacco industry HAS NOT CHANGED AND
IS NOT GOING AWAY – they continue to find
ways to reach kids and keep adult smokers
hooked
• Comprehensive, well-funded prevention and
cessation programs will protect our kids, Save
Lives and Save Money
Notas do Editor
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In August, 2006 the tobacco industry was found guilty of lying to the American people and marketing their deadly and addictive products to children. These quotes come from the Judge’s Final Order.
A new report from the Massachusetts Department of Health finds that tobacco companies secretly and significantly increased the levels of nicotine in cigarette smoke between 1998 and 2004.
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Comprehensive tobacco prevention and cessation programs prevent kids from starting to smoking, help adult smokers quit, educate the public, the media and policymakers about policies that reduce tobacco use, address disparities, and serve as a counter to the ever-present tobacco industry.
The CDC recommends that states establish tobacco control programs that are comprehensive, sustainable, and accountable and include the following programmatic elements: public education efforts, community and school based programs, cessation programs, enforcement efforts, and monitoring and evaluation
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First is community programs to reach people where they live, play, work and worship with prevention and cessation programs.
Community programs include grants to community organizations, faith groups, schools, local businesses, and other local partners
Have strict criteria for eligibility, accountability, and conflict of interest
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The second of these components is public education to fight the $15 billion the tobacco industry spends to market cigarettes and make them so appealing.
Elements of public education – include multiple media (radio, print, TV), as well as public relations and special events
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Third is to have programs to help smokers quit. Most smokers want to stop, but because cigarettes are so addictive, without help in quitting many won’t be able to do so.
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The fourth component involves school based programs. School based programs develop and enforce school tobacco policy, address consequences, social influences and peer norms, and teach refusal skills and media literacy.
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Finally, enforcement of laws against sales to minors is critical in keeping cigarettes out of the hands of kids. States should perform frequent compliance checks, with goal of 95% compliance. Enforcement should include meaningful fines and ultimately license suspension for repeat offenders.
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Highlight your state’s accomplishments with charts like these.
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Although the toll from tobacco is enormously high, we have not addressed the problem adequately.
This slide shows the amount of tobacco revenue our state receives annually from the tobacco settlement and tax revenue. You can see that we receive an enormous amount of money, but only spend a pittance of it on our state tobacco control program. We still have a ways to go to reach CDC’s recommended minimum level.