Tobacco wv smokelessconf opening 11-29-12 - bruce adkins


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Tobacco wv smokelessconf opening 11-29-12 - bruce adkins

  1. 1. 9 Thursday, November 16, 2012 Tobacco Prevention and Opening Remarks 9:05 am – 9:30 amControl Remains Important Presented by Bruce W. Adkins, Director in West Virginia: Division of Tobacco Prevention, WV Bureau for Public HealthLet’s NOT forget about SPIT!!! West Virginia Smokeless Tobacco Conference November 29th, 2012 Stonewall Resort in Roanoke, West Virginia
  2. 2. © 2005 WV DHHR/DTP
  3. 3. Full Moon OverYeager Airport,Charleston, WV11-28-12Photo byCharleston GazettePhotographerTim Hindman
  4. 4. Tobacco Use AffectsEVERYONE’S Game… © 2009 WV DHHR/DTP
  5. 5. © 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.
  6. 6. Secondhand Tobacco Smoke is not Safe atANY Exposure Level!This is especially true for infants and youngchildren who are more adversely affected by Secondhand Smoke. © 2012 WV DHHR/DTP © 2012 WV DHHR/DTP
  7. 7. © 2009 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.
  8. 8. Tobacco Hurts Your Heart • A tobacco users heart rate is a few beats faster per minute than a non-users heart© 2009 WV DHHR/DTP beat.
  9. 9. Tobacco Use Hurts Endurance
  10. 10. Tobacco Use Is Against The Rules!© 2009 WV DHHR/DTP
  11. 11. Spit Tobacco is not a Safe Alternative! Use of smokeless tobacco causesincreased illness, tooth decay, gum disease, and pre-cancerous lesions in the mouth. © 2009 WV DHHR/DTP
  12. 12. The Tobacco Industry Isn’t Going Anywhere…
  13. 13. Never Trust the IndustryThey’re Big and Strong andALWAYS Lurking Out There Somewhere!
  14. 14. 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
  15. 15. 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
  16. 16. 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).
  17. 17. 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
  18. 18. 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
  19. 19. 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
  20. 20. 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.
  21. 21. Data tells us…• The 2012 WV adult male smokeless tobacco use rate is 15.5 percent. (from 2012 WVATS)• Females = 2+ percent
  22. 22. Dual Tobacco Use in West Virginia There are many tobacco users in West Virginia hooked on TWO very different types of tobacco products…
  23. 23. 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.”
  24. 24. First Warning Sign of Cancer?
  25. 25. Chewing/Spit Tobacco
  26. 26. SNUS• Originated in Sweden• No need to spit• Easy to conceal• Nicotine rush, no tar• Refrigerated to help freshness
  27. 27. Marlboro Snus
  28. 28. Skoal Snus
  29. 29. Camel SNUSNot a safe alternative to smoking!
  30. 30. 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 !
  31. 31. Social Networking Sites
  32. 32. Point of Purchase
  33. 33. © 2010 WV DHHR/DTP
  34. 34. • It is undeniable that ANY and ALL tobacco use is habituating, addictive, and causes disease and even death! © 2008 WV DHHR/DTP
  35. 35. 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
  36. 36. Social Injustice… ??When access to certain basic rights,such as good health, education, andfair and equal treatment, has beendistributed unevenly or denied tocertain groups, the problembecomes an issue of social justice.
  37. 37. “The tobacco industry has succeeded in addicting those whohave the least information about the health risks of smoking,the fewest resources, the fewest social supports, and the leastaccess to cessation services. The link between smoking and lowincome and lower levels of education cannot be overemphasized. Tobacco is not an equal-opportunity killer.” - Dr. Cheryl Healton, American Legacy Foundation President; 2010.
  38. 38. Appalachia
  39. 39. Hancock West Virginia Brooke Adult Smoking Prevalence Ohio By County, 2008 - 2010 Marshall Wetzel Monongalia Morgan Pleasants Tyler Marion Berkeley Preston Mineral Jeff- Taylor erson Dodd- Harrison Hampshire Wood Ritchie ridge Barbour Tucker Grant Wirt Hardy Lewis Cal- Gilmer Upshur houn Mason Jackson Randolph Roane Braxton Pendleton Putnam Webster Cabell Kanawha Clay Nicholas Pocahontas 15 – 19.9% LincolnWayne 2 counties 20 – 24.9% Boone Fayette Greenbrier 15 Mingo Logan 25 – 29.9% 23 Raleigh Wyoming Sum- 30 – 34.9% 12 mers Monroe 35 – 39.9% 2 Mercer McDowell 40%+ 1
  40. 40. © 2010 WV DHHR/DTP
  41. 41. “Tobacco-related illnesses are not only significant publichealth and social justice issues in our State, but tobacco usealso must be interpreted as a heavily-impacting cost factorto West Virginia’s businesses. There are substantial tobacco-related business climate problems and costs to everyemployer in the State.” Bruce W. Adkins, Director WVBPH Division of Tobacco Prevention
  42. 42. Smoking-related workerproductivity losses total $1.1 billion annually in WV.
  43. 43. Annualpreventablecosts total$4,600 for eachsmoker in WV!
  44. 44. Estimated AnnualAdded Costsfor each WVcigarette smokerequals: in direct health care costs $2,767 in future worker productivity losses *only includes those losses related to mortality
  45. 45. The Tobacco Industry Isn’t Going Anywhere…
  46. 46. Coming to a school or town near you… Emerging Tobacco Products
  47. 47. Where does tobacco ‘ethically’ fit into public health?
  48. 48. 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
  49. 49. 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.
  50. 50. Cigarette & OTP Tax Increases are a Recommended Best Practice“Federal, state, and local taxes that raise prices ontobacco products improve public health by reducinginitiation, prevalence, and intensity of tobacco useamong young people.”“For every 10 percent increase in cigarette prices, it isestimated there is a 3 – 5 percent reduction in overallcigarettes consumed, especially in youth and young adults.”Source: 2012 Surgeon General’s ReportOn Tobacco Use in the U.S. (pg. 809-810)
  51. 51. Cigarette Taxes in Appalachia *National Average Tax is $1.50 per pack $4.65 $1.60 $1.25 $2.00 55c 60c 30c* 45c 57c 68c 43c 37c
  52. 52. Chas, WV - 11-26-12
  53. 53. Chas, WV - 11-26-12
  54. 54. Chas, WV - 11-26-12
  55. 55. 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.
  56. 56. Who arethetop twoPACs inthe U.S.Congress?????
  57. 57. Industry manipulation??‘Future funding for tobacco prevention programs, &any other tobacco-related legislation or regulation,remain highly influenced by corporate practices of thetobacco industry, which include vast marketingcampaigns, political contributions, and lobbyingefforts against public health regulations. These tobaccoindustry 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.
  58. 58. Tobacco Marketing, Spending as aSocial 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.
  59. 59. One Truth about TODAY’S Politics• In SFY12, West Virginias 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…
  60. 60. Charleston MarriottCharleston, WV"The incestuous relationship betweengovernment and big business thrivesin the dark.“ – Jack Anderson
  61. 61.
  62. 62. Contact Information: Bruce W. Adkins, Director Division of Tobacco PreventionWest Virginia Bureau for Public Health 350 Capitol Street, Room 514 Charleston, WV 25301-3715 304-356-4203 Our division’s website: © 2006 WV DHHR / DTP
  63. 63. ??? QUESTIONS ??? COMMENTS…*Credit to Betsy McKay (Atlanta Bureau Chief of the Wall Street Journal)