Why states should fund comprehensive tc programs

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PUBLICATION OF THE CAMPAIGN FOR TOBACCO FREE KIDS, 2010

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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.
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  • Why states should fund comprehensive tc programs

    1. 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. 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. 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. 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
    5. 5. Now The Tobacco Industry Claims It Has Changed...
    6. 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
    7. 7. 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
    8. 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. 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. 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. 11. WE HAVE THE SOLUTION COMPREHENSIVE PREVENTION & CESSATION PROGRAMS
    12. 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. 13. Insert slides that describe what programs and counter-marketing campaigns YOUR PROGRAM funds in your community and schools
    14. 14. Comprehensive State Programs 1. Community Based Programs
    15. 15. Comprehensive State Programs 2. Public Education -- Counter Marketing
    16. 16. Comprehensive State Programs 3. Programs to Help Smokers Quit
    17. 17. Comprehensive State Programs 4. School Based Programs
    18. 18. Comprehensive State Programs 5. Enforcing Laws Against Sales to Minors
    19. 19. EVALUATION Rigorous evaluation is crucial for: • Accountability • Continuous program improvement • Demonstration of program success
    20. 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
    21. 21. Comprehensive Programs WORK!
    22. 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. 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. 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. 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. 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. 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. 28. What Have We Achieved in [State]? Insert Your STATE’s declines in youth and adult smoking
    29. 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. 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
    31. 31. We Are NOT Addressing the Problem
    32. 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. 33. And the tobacco industry spends $XXX per YEAR, marketing its products in [STATE]
    34. 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. 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

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