Post on 20-Nov-2014
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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
• 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
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
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
Now The Tobacco Industry Claims It Has Changed...
… 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
Domestic Cigarette Advertising and Promotional Expenditures 1998 - 2005
(Billions of dollars)
0
2
4
6
8
10
12
14
16
18
1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: Federal Trade Commission Cigarette Report for 2006
$6.73
$8.24$9.59
$11.22$12.47
$15.15$14.15
$13.11$12.49
“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”
“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.”
Increased Nicotine Levels in CigarettesAverage Nicotine Yields Per Cigarette 1998-2004
MA Tobacco Control Program analysis, 2006
1.71
1.811.83
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
Mill
igra
ms
per
cig
aret
te
9.9% increase from 1998 to 2004
WE HAVE THE SOLUTION
COMPREHENSIVE PREVENTION & CESSATION
PROGRAMS
Comprehensive ProgramsEssential Elements
• Community-Based Programs• Public Education (Media)• Helping Smokers Quit• School-Based Programs• Enforcement• Evaluation
Must be well-funded and sustained
Insert slides that describe what programs and counter-marketing
campaigns YOUR PROGRAM funds in your community and schools
Comprehensive State Programs
1. Community Based Programs
Comprehensive State Programs
2. Public Education -- Counter Marketing
Comprehensive State Programs
3. Programs to Help Smokers Quit
Comprehensive State Programs
4. School Based Programs
Comprehensive State Programs
5. Enforcing Laws Against Sales to Minors
EVALUATION
Rigorous evaluation is crucial for:
• Accountability
• Continuous program improvement
• Demonstration of program success
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
Comprehensive Programs WORK!
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
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.
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
Comprehensive ProgramsReduce 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
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
Comprehensive Programs WorkSaves Lives
California:Studies show program
prevented tens of thousands of deaths from heart
disease and lung cancer due to smoking
What Have We Achieved in [State]?
Insert Your STATE’s declines in youth and adult smoking
Adult Smoking Declines in [STATE]: Insert your state’s data
1012141618202224262830
2002 2004
Sm
oki
ng
pre
vale
nce
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
Youth Smoking Declines in [STATE]: Insert your state’s data
1012141618202224262830
2000 2002
Sm
oki
ng
pre
vale
nce 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
We Are NOT Addressing the Problem
FY2009 Tobacco Money for Tobacco Prevention
in [INSERT YOUR STATE]
0
200
400
600
800
1000
1200
1400
1600
Total State TobaccoRevenues
CDC MinimumPreventionSpending
Actual StateTobacco Prevention
Spending
Mill
ion
$65.6 Million $32.9 Million
$ 1.38 Billion
$1.03 Billion
Tobacco Tax Revenues
$351 Million
Tobacco Settlement Revenues
And the tobacco industry spends $XXX per YEAR, marketing its products
in [STATE]
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
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