LAAMPP Policy Webinar - Jeannette Noltenius


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LAAMPP Policy Webinar presentation by Jeannette Noltenius, National Director of the National Latino Tobacco Control Network, on Monday, April 12, 2010.

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LAAMPP Policy Webinar - Jeannette Noltenius

  1. 1. Tobacco Control Polices Webinar for LAAMP Fellows, April 12, 2010 Jeannette Noltenius, MA, PhD National Director National Latino Tobacco Control Network
  2. 2. Objectives of this Webinar • Provide an Overview of the NLTCN Network: mission, goals and services • Global vision on Tobacco Policies • MPOWER = Comprehensive • Private Tobacco Control Policies • MN, Implementation of the FDA and other Opportunities for Action
  3. 3.
  4. 4. • Indiana Latino Institute, Inc.* (Lead Agency) • Campaign for Tobacco Free Kids • ClearWay Minnesota • ETR Associates • Hispanic/Latino Partnership Unidos por la Salud UNIDOS* University of Southern California • HMA Associates • Indiana Tobacco Prevention Cessation (ITPC) • Latino Commission on AIDS • Midwest Latino Health Research, Training & Policy Center* University of Illinois, at Chicago • National Association of Chronic Disease Directors • Tobacco Control Network • Tobacco Technical Assistance Consortium • La Fe Policy, Research and Education Center
  5. 5. Mission: To build leadership, inform, support and energize a National Network of tobacco control experts and activists to work with Latino communities, states and coalitions to address the health burdens created by tobacco consumption by promoting policies and programs to prevent youth initiation, increase quit rates and assure smoke-free environments.
  6. 6. Goals: • Provide leadership to build diverse, sustainable, and active Networks and communication mechanisms for information sharing and knowledge exchange. • Become an effective catalyst for building relationships and commitments which can complement national and state tobacco control efforts, maximize the use of cessation methods, support effective policies, and through collaborations, TA and trainings empower Latino communities to obtain necessary services and funding. • Empower Latinos to engage in tobacco control and build capacity to achieve health equity.
  7. 7. Directory (+ 460 Latinos and experts) Website: Listserv, Newsletter, alerts, media alerts, Consultant Database Partnerships: LGBT/APPEALin MN) LGBT, APPEAL, TAPP INTO, CFTFK, ITPC, DC Smoke Free Coalition, Parity Task Force, Legacy Foundation, ITPC, Puerto Rico, Menthol Conference
  8. 8. Technical Assistance: needs assessment, share experiences from other states, suggest consultants, share promising and best practices, arrange for training in state and/or with other states, leadership development, etc. Training: provide trainers, assist in training strategy and curriculums, review materials, provide materials, etc.
  9. 9. Question # 1 Do you understand what the National Networks are about, and how you can use them?
  10. 10. Comprehensive Tobacco Control Policies • MPOWER Monitor tobacco use and prevention policies Protect people from tobacco smoke Offer Help to Quit tobacco use Warn about the Dangers of Tobacco Enforce Bans on tobacco advertising, promotion and sponsorship Raise Taxes on Tobacco Source: WHO MPower 2008
  11. 11. Monitor tobacco use and prevention policies • Disaggregated data by race, ethnicity, primary language – OMB Standards at minimum, more is desired (immigrants) • Ask the LGBT question • Menthol & other ethnic products • Enforce Youth Access Laws=Restrict Access* • Eliminate vending machines* • Put cigarettes behind the counter- Power Walls* • Eliminate candy cigarettes (St. Paul) Great!
  12. 12. Monitor tobacco use and prevention policies • Assure that schools have tobacco prevention programs • Assure that marginalized communities have educational programs to get them engaged in tobacco • Assure that schools, day care, recreational settings have tobacco prevention programs • YOU CAN DO THIS!!! NOW
  13. 13. Equity/Parity in Funding for: • Community Based Programs • Statewide programs • Specific Population Educational Programs • Funding from MSA funds for tobacco control (MN negotiations with industry) • Funding at CDC Best Practices levels • No group left behind! Monitor the $ • BCBS MN/Clearway FUNDS from MSA
  14. 14. Question # 3 • Is MN spending the needed resources to stop the tobacco epidemic in all communities? • Minnesotans can do more!
  15. 15. Protect People from Tobacco Smoke • State Clean Indoor Air Ordinances • Local Clean Indoor Air Ordinances • Include Casinos, Bowling Alleys, shops Community Driven in American Indian Reservations • Smoke Free Parks, rodeos, Treatment facilities, prisons, detention centers, Beaches, Bus Stops, Entries, Cars, etc.
  16. 16.
  17. 17. Protect People from Tobacco Smoke Private Policies • Smoke Free Business/Non-profit policy (malls, state/ethnic fairs, ) • Smoke Free Community Events, Rodeos, Parades, Weddings, churches, soccer games, • Smoke Free Multi-Unit Housing, rentals, smoke free homes,
  18. 18. Unintended Consequences • NYC study on cotinine levels + more young men and Asians STILL exposed • CA, Latinas and Asians working in Bars & Restaurants = continued to be exposed • Casino workers continue exposure • Occupations not protected with high immigrant pops: construction, landscaping, agriculture, small businesses, etc. • Possible increased disparities
  19. 19. Smoke Free Housing Private Policies Websites • EPA CA s.htm • ANSR • • • MI Smoke Free Apartments: • Smoke Free Environment Law Project:
  20. 20. Minnesota’s ANRSMN • “Approximately 30% of renters are exposed to secondhand smoke that comes into their unit from somewhere else in the building. • Of renters who are exposed to secondhand smoke, 34% are so bothered by the smoke that they are thinking of moving in order to avoid exposure. • A majority of renters (75%) would be likely to choose a smoke- free building over a building that allows smoking if the buildings were the same in every other way. • Renters are also interested in buildings that provide outdoor smoke-free areas such as balconies, entryways, and entirely smoke-free properties. • In order to live in a smoke-free building, many renters are willing to live in a building that does not have a pool or playground, drive farther to work, and pay more rent. “ Live smoke-free housing
  21. 21. Private and Public Policies • Resources & Links (Advocacy) • • • • ndMirrors1.19.2010.pdf • p?id=56548
  22. 22. Question # 4 • What can you do to protect ALL Minnesotans from Second Hand Smoke? Implement current laws and advocate for more policies, including Smoke Free Apartments!
  23. 23. Offer help to Quit • Institutionalize Cessation in Community Health Clinics, provider offices, hospitals • ASK, ADVISE and REFER.. At all Pediatric visits/pregnant women • Engage Dentists • Fund Quitlines AND Community based culturally/linguistically appropriate services • Pay for Cessation treatment-Insurance/ Medicaid/Medicare • Multimedia Campaigns reaching ALL pops
  24. 24. Warn about the Dangers • FDA Law nine new warning labels • The warnings top 50 % of the front and rear panels of the package and at least 20% of the related advertisements. • Color graphics depicting the negative health effects of smoking
  25. 25. Cigarette pack under Cigarette pack now FDA Regulation Front Front WARNING LABEL WARNING LABEL Back Back
  26. 26. Signing of the FDA authority June 22, 2009 gave the FDA Authority to Regulate Tobacco Products Content of the products Marketing of the products Sale of the products
  27. 27. Enforce Bans on tobacco advertising, promotion and sponsorship FDA Sec 906 and 102 • Imposes limits marketing, sales, and promotions, to young people + others • Regulations Black & White Ads only • Expands power of States: Permits States to Restrict Time, Place and Manner of tobacco marketing
  28. 28. Product and Sale to Youth o Flavorings (Banned) o Control levels of nicotine o Sophisticated marketing o Image of the smoker Source: CDC PHGR Tobacco Nov 18/09
  29. 29. Advertising Restrictions Previously Adopted by FDA • Ban brand sponsorships of sports and entertainment events • Ban free giveaways in exchange for coupons • Ban free samples of cigarettes and the sale of cigarettes in packages that contain fewer than 20 cigarettes • Ban outdoor tobacco advertising near schools and playgrounds
  30. 30. Sponsorship of Sporting events and/or well known athetes that are followed by kids. Fuente: Juan Carlos Vega, El Tabaquismo a Nivel Global, las Estrategias Tabacaleras, los Medios de Comunicación, y el Rol del Apoyo Nacional al Trabajo Local , Primera Conferencia Internacional sobre la promoción de la Salud, Caguas 2010
  31. 31. Sponsorship of Cultural Events Fuente: Juan Carlos Vega, El Tabaquismo a Nivel Global, las Estrategias Tabacaleras, los Medios de Comunicación, y el Rol del Apoyo Nacional al Trabajo Local , Primera Conferencia Internacional sobre la promoción de la Salud, Caguas 2010
  32. 32. “Giveaways” are now banned
  33. 33. FDA Bans giveaways
  34. 34. Which products are not covered by the FDA Law? Metholated cigarrettes Cigars Cigarrillos-small cigars
  35. 35. What can you do? • Observe, organize and Report to the FDA of violations: Sale of Candy Flavors • Look out for Sponsorship of Events • Demand that MN add Cigars, Cigarillos to regulated products: menthol ban • Assure that all sales are behind counter and eliminate POWER walls • Assure Ads DON’T cover all outdoor ads
  36. 36. Question # 5 • Do you know what steps you can take to implement the FDA Law? Assure that flavored cigarettes have been removed from the stores and report to:
  37. 37. Raise Taxes on Tobacco • Taxes go up = consumption goes down Source: Walbeek C. 2003. Tobacco excise taxation in South Africa. (left graph) Source: Aloui O. 2003. Analysis of the economics of tobacco in Morocco. (right graph)
  38. 38. Higher Taxes = Lower Consumption • 10% increase decreases consumption by 4% in high-income countries and 8% in low-middle income countries • 70% increase in taxes would prevent ¼ deaths worldwide • Young/Poor more sensitive to price increases • Revenue for Government
  39. 39. What can be done? • Tax all tobacco products equally • Assure that taxes are passed to consumer • Allocate tax revenue to tobacco control and other health issues. • Raise tobacco taxes in MN for tobacco control efforts
  40. 40. Do Minnesotans’ support Tax Increases? YES get involved! • A March 2009 survey founds that an overwhelming majority (72 percent) of Minnesotans support increasing state tobacco taxes. • At least two thirds of every demographic (political, ideological, age, race, gender, geographic) support tobacco tax increases • 78 percent of Republicans, 69 percent of Democrats and 66 percent of independents support increases • Those surveyed cited the health care costs of smoking, helping smokers quit and preventing tobacco use by kids are reasons for increasing taxes
  41. 41. Conclusion: Comprehensive MPOWER+ EMPOWER • Monitor use/prevent • Protect SHS • Offer Cessation • Warn about dangers • Enforce Bans Ads • Raise Taxes Source: CDC, PHGR Tobacco, Nov 18, 2009
  42. 42. Disclaimer • This publication was supported by CDC Cooperative Agreement Number U58/DP001515. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.
  43. 43. Questions? Thank You Jeannette Noltenius, MA, PhD National Director National Latino Tobacco Control Network