Tobacco wv smokelessconf opening 11-29-12 - bruce adkins
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Presented by Bruce W. Adkins, Director Division of Tobacco Prevention, WV Bureau for Public Health Tobacco Prevention and Control Remains Important in West Virginia: Let’s NOT forget about SPIT!!! Thursday, November 16, 2012 Opening Remarks 9:05 am – 9:30 am West Virginia Smokeless Tobacco Conference November 29th, 2012 Stonewall Resort in Roanoke, West Virginia
Transcript of Tobacco wv smokelessconf opening 11-29-12 - bruce adkins
Presented by Bruce W. Adkins, Director Division of Tobacco Prevention,
WV Bureau for Public Health
9
Tobacco Prevention and Control Remains Important
in West Virginia:
Let’s NOT forget about SPIT!!!
Thursday, November 16, 2012
Opening Remarks
9:05 am – 9:30 am
West Virginia Smokeless Tobacco Conference November 29th, 2012
Stonewall Resort in Roanoke, West Virginia
© 2005 WV DHHR/DTP
Full Moon Over Yeager Airport, Charleston, WV 11-28-12
Photo by
Charleston Gazette
Photographer
Tim Hindman
Tobacco Use Affects
EVERYONE’S Game…
© 2009 WV DHHR/DTP
Tobacco use is the single most preventable cause of
death in the United States, causing heart and lung
diseases, cancers, and strokes.
© 2009 WV DHHR/DTP
Secondhand Tobacco
Smoke is not Safe at
ANY Exposure Level!
This is especially true
for infants and young
children who are more
adversely affected by
Secondhand Smoke.
© 2012 WV DHHR/DTP © 2012 WV DHHR/DTP
Nicotine is as addictive as heroin and cocaine.
Young people who use tobacco are more likely to use
alcohol and other drugs.
© 2009 WV DHHR/DTP
Tobacco
Hurts Your
Heart
• A tobacco users
heart rate is a few
beats faster per
minute than a
non-users heart
beat. © 2009 WV DHHR/DTP
Tobacco Use Hurts Endurance
Spit Tobacco is not a
Safe Alternative!
Use of smokeless
tobacco causes
increased illness, tooth
decay, gum
disease, and pre-
cancerous lesions in the
mouth.
© 2009 WV DHHR/DTP
The Tobacco Industry
Isn’t Going Anywhere…
Never Trust the Industry
They’re Big and Strong and
ALWAYS Lurking Out There
Somewhere!
Data tells us…
• The 2012 WV adult smoking
rate is 23.9 percent. (from 2012 WV Adult Tobacco Survey or WVATS)
• Males = 25.6 percent
• Females = 23.1 percent
• 434,000 WV residents
Data tells us…
• The 2010 WV adult smoking rate
for those impoverished* is 40.9%. *Low SES = Annual household income < $25K and <= HS diploma
**from 2010 WV Behavioral Risk Factor Surveillance Survey (BRFSS)
• Males = 45.9 percent
• Females = 36.5 percent
• 109,000 WV residents
Data tells us…
• The 2010 WV adult smoking rate
for those impoverished* is 40.9%. *Low SES = Annual household income < $25K and <= HS diploma
**from 2010 WV Behavioral Risk Factor Surveillance Survey (BRFSS)
• This prevalence continues to increase!
(34.5% in 2001).
Data tells us…
• The 2010 WV adult smoking rate
for those aged 18 – 34 is 35.8%. *from 2010 WV Behavioral Risk Factor Surveillance Survey (BRFSS)
• Males = 35 percent
• *Females = 36.7 percent
• 138,000 WV residents
Research and Program Evaluation tells us:
• The prevalence of current cigarette smoking
has significantly declined among WV high
school students (38.5% in 2000 to 22.4% in 2011)
• And current cigarette smoking has decreased
among WV middle school students (18.1% in
2000 to 8.3% in 2011). *from 2011 WV Youth Tobacco Survey
Research and Program Evaluation tells us:
• The prevalence of “never having smoked a
cigarette, not even 1-2 puffs” has significantly
increased among both high school students
(25.7% in 2000 to *50.5% in 2011)
• And middle school students (53.1% in 2000 to
75.1% in 2011). *from 2011 WV Youth Tobacco Survey
ST Research tells us:
• Smokeless tobacco is mostly used among
men, young adults, and those with a high
school education or less, also in some states
(like WV) with higher smoking rates.
• Smokeless tobacco is now being marketed
by tobacco companies as a substitute for
smoking tobacco users. *Especially when
at a place that doesn’t allow smoking.
Data tells us…
• The 2012 WV adult male
smokeless tobacco use rate is
15.5 percent. (from 2012 WVATS)
• Females = 2+ percent
Dual Tobacco Use in West Virginia
There are many
tobacco users in
West Virginia hooked
on TWO very
different types of
tobacco products…
Data tells us…
• The 2012 WV adult dual*
tobacco use rate is 11.4 percent. (from 2012 WV Adult Tobacco Survey)
• Dual Use = “smokers who also report frequent
smokeless tobacco product use.”
First Warning Sign of Cancer?
SNUS
• Originated in Sweden
• No need to spit
• Easy to conceal
• Nicotine rush, no tar
• Refrigerated to help
freshness
Data tells us…
• The 2012 WV rate of smokers
who also use snus is 9.7 percent. (from 2012 WVATS)
• Males = 17 percent
• Females = 2.7 percent !
Point of Purchase
© 2010 WV DHHR/DTP
• It is undeniable that ANY and ALL
tobacco use is habituating,
addictive, and causes disease and
even death!
© 2008 WV DHHR/DTP
Some things never change…
The Washington Post -1994 Tobacco executives
swear to tell the
truth at a 1994
congressional
hearing…
ALL denied any
knowledge that
nicotine was
addictive nor that
their products
were harmful!
© 2006 WV DHHR/DTP
Social Injustice… ??
When access to certain basic rights,
such as good health, education, and
fair and equal treatment, has been
distributed unevenly or denied to
certain groups, the problem
becomes an issue of social justice.
“The tobacco industry has succeeded in addicting those who
have the least information about the health risks of smoking,
the fewest resources, the fewest social supports, and the least
access to cessation services. The link between smoking and low
income and lower levels of education cannot be over
emphasized. Tobacco is not an equal-opportunity killer.”
- Dr. Cheryl Healton, American Legacy Foundation President; 2010.
Appalachia
Hancock West Virginia Adult Smoking Prevalence
Barbour
Berkeley
Boone
Brooke
Clay
Fayette
Gilmer
Grant
Greenbrier
Hampshire Harrison
Jackson
Lincoln
Marion
Mason
Mineral
Mingo
Monongalia
Monroe
Morgan
Nicholas
Ohio
Pendleton
Pocahontas
Preston
Putnam
Randolph Roane
Taylor
Tucker
Upshur
Wayne
Webster
Wirt
Wood
Wyoming
Pleasants
Dodd-
ridge
Cal-
houn
Marshall
Sum-
mers
Braxton
Hardy Lewis
Logan
McDowell Mercer
Raleigh
Kanawha
Ritchie
Tyler
Wetzel
Cabell
By County, 2008 - 2010
Jeff-
erson
15 – 19.9%
20 – 24.9%
25 – 29.9%
30 – 34.9%
35 – 39.9%
40%+
2 counties
15
23
12
2
1
© 2010 WV DHHR/DTP
“Tobacco-related illnesses are not only significant public
health and social justice issues in our State, but tobacco use
also must be interpreted as a heavily-impacting cost factor
to West Virginia’s businesses. There are substantial tobacco-
related business climate problems and costs to every
employer in the State.”
Bruce W. Adkins, Director WVBPH Division of Tobacco Prevention
Smoking-related worker
productivity losses total
$1.1 billion annually in
WV.
Annual
preventable
costs total
$4,600 for
each
smoker in
WV!
in direct health care costs
in future worker productivity losses $2,767 *only includes those losses related to mortality
Estimated Annual
Added Costs
for each WV
cigarette smoker
equals:
The Tobacco Industry
Isn’t Going Anywhere…
Coming to a school or town near you…
Emerging Tobacco Products
Where does tobacco ‘ethically’ fit into public health?
Tobacco and Business*
• Tobacco products are unlike any
other traded product: they are
uniquely harmful and therefore
require special rules to ensure
that business practices do not
stimulate tobacco use.
*Campaign for Tobacco Free Kids
Dealing with Tobacco as a
Business Issue
• Only commercial product that, when used as directed, kills;
• Taxation, retailer regulations, and public smoking restrictions do help, but most often fall far short in adequately addressing public health concerns and health and occupational costs to society.
Cigarette & OTP Tax Increases
are a Recommended Best Practice
“Federal, state, and local taxes that raise prices on
tobacco products improve public health by reducing
initiation, prevalence, and intensity of tobacco use
among young people.”
“For every 10 percent increase in cigarette prices, it is
estimated there is a 3 – 5 percent reduction in overall
cigarettes consumed, especially in youth and young adults.”
Source: 2012 Surgeon General’s Report
On Tobacco Use in the U.S. (pg. 809-810)
Cigarette Taxes in Appalachia *National Average Tax is $1.50 per pack
55c
60c
57c 43c
45c
68c
30c*
37c
$1.60
$1.25 $2.00
$4.65
Chas, WV - 11-26-12
Chas, WV - 11-26-12
Chas, WV - 11-26-12
The Tobacco Industry:
Why A ‘Public Health Bad Guy’?
• Defective product produced for five decades after Surgeon General’s Reports on health effects;
• Continue to manipulate nicotine and product contents;
• Basic principles of business ethics violated;
• Shifted advertising resources to take advantage of loopholes in legal settlements;
• Commissioned economic research to show the benefit to society of dying early;
• Attempted to distort science and risk (IARC Report on Passive Smoking);
• Supported smuggling as a marketing tool.
Who are
the
top two
PACs in
the U.S.
Congress
? ? ? ? ?
Industry manipulation??
‘Future funding for tobacco prevention programs, &
any other tobacco-related legislation or regulation,
remain highly influenced by corporate practices of the
tobacco industry, which include vast marketing
campaigns, political contributions, and lobbying
efforts against public health regulations. These tobacco
industry practices actually promote chronic disease.’
Source: American Journal of Public Health, How the Tobacco Industry
Defeated the Clinton Health Plan and Why it Matters Now. Tesler and Malone.
2010 July; 100(7): 1174 - 1188.
Tobacco Marketing, Spending as a
Social Justice Issue in West Virginia
It is estimated by the Federal Trade
Commission that the tobacco industry
spends about $133 million annually to
promote tobacco products in West Virginia.
In contrast, our Division of Tobacco Prevention
is allocated $7 million annually to counter the
industry and prevent tobacco use.
One Truth about TODAY’S Politics
• In SFY12, West Virginia's State
spending for tobacco prevention
($5.65M) amounted to 4.7% of the
estimated $124 million in tobacco-
generated revenue the State collected.
CDC recommends that WV’s spending on tobacco prevention and cessation be at $28 million per year…
"The incestuous relationship between government and big business thrives in the dark.“ – Jack Anderson
Charleston Marriott
Charleston, WV
http://www.bebetternetworks.net/wvquitline_home.html
Contact Information:
Bruce W. Adkins, Director
Division of Tobacco Prevention
West Virginia Bureau for Public Health
350 Capitol Street, Room 514
Charleston, WV 25301-3715
304-356-4203
Our division’s website:
www.wvdtp.org
© 2006 WV DHHR / DTP
??? QUESTIONS ???
COMMENTS…
*Credit to Betsy McKay (Atlanta Bureau Chief of the Wall Street Journal)
