GASO 11.20.2014 - The Tobacco Epidemic in the 21st Century
-
Upload
school-of-public-health-at-georgia-state-university -
Category
Education
-
view
67 -
download
0
Transcript of GASO 11.20.2014 - The Tobacco Epidemic in the 21st Century
The Tobacco Epidemic in the 21st Century
Terry F. Pechacek , Ph.D.Professor of Health Management & Policy
November 20, 2014
The Health Consequences of Smoking: 50 Years of ProgressA Report of the Surgeon General
1964 2014
ENOUGH IS ENOUGH!
Between 1964 and 2014:
Over 20 million Americans died because of smoking, including
2.5 million nonsmokers 6.58 million from cancers
108,000 babies 7.8 million from CVD & metabolic diseases
86,000 residential fires 3.8 million from pulmonary diseases
50 years of Death
Tobacco Smoke is Deadly
“The burden of death and disease from tobacco use in the United States is overwhelmingly caused by cigarettes and other combusted tobacco products; rapid elimination of their use will dramatically reduce this burden.”The health consequences of smoking – 50 years of progress: a report of the Surgeon General. – Atlanta, GA. : U.S. Department
of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014.
“The tobacco epidemic was initiated and has been sustained by the aggressive strategies of the tobacco industry, which has deliberately misled the public on the risks of smoking cigarettes.”
Industry’s Role
Hon. Gladys Kessler
MAJOR CONCLUSION #2
“A defective and unreasonably dangerous product”1
End Game scenarios for the U.S. include: FDA regulation to:
• Reduce nicotine content to make cigarettes non-addictive
• Make some or all tobacco products less appealing• Establish standards for toxicant levels in tobacco
products Sales restrictions
• including local and state product category bans
1Proctor RN. Why ban the sale of cigarettes? The case for abolition. Tobacco Control 2013;22:i27-i30
Electronic Nicotine Delivery Systems
(ENDS)
Could have negative and/or positive individual and population-based impact
“The impact of the noncombustible aerosolized forms of nicotine delivery on population health is much more likely to be beneficial in an environment where the appeal, accessibility, promotion, and use of cigarettes and other combusted tobacco products are being rapidly reduced, especially among youth and young adults.” 2014 SGR, Page 859
Complete long-term substitution by established smokers
Assist in rapid transition to a society with little or no use of burned products
ENDS Potential for Benefit
Short-term use if shown to produce successful and permanent cessation of burned products
ENDS Policy Approaches
Not tolerated: Marketing or sales that result in youth use
Prohibited: In all places where smoking is Eliminate: Use of combusted tobacco
FDA regulation is fundamental to minimizing harms
States and communities can also take action
2014 SGR Recommendations
Fully fund comprehensive statewide tobacco control programs at CDC-recommended levels
Sustain high-impact media campaigns such as CDC Tips for 12 months a year for 10+ years
Raise excise taxes -- at least $10 per pack most effective
Make proven tobacco use cessation treatment a standard of care in primary and specialty care settings
Do What Works Now!• In Fiscal Year 2014, states are spending less than
two cents of every dollar in tobacco revenue to fight tobacco use.
GEORGIA• Tobacco-Generated Revenue = $346.8 Million
• CDC Recommended Spending = $106 Million
• Spending on Tobacco Prevention = $2.2 Million
Thank You!
Questions?