This document discusses the negative health impacts and costs of tobacco use and the effectiveness of comprehensive tobacco prevention and cessation programs. It notes that tobacco use is the leading preventable cause of health problems and costs in many states. While evidence-based prevention programs have been shown to significantly reduce youth and adult smoking rates, save lives and money, most states are still not adequately funding these programs compared to revenues from tobacco taxes and settlements. The tobacco industry also continues to heavily market their products and oppose policy changes. [/SUMMARY]

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. • 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. 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. 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. Now The Tobacco Industry
Claims It Has Changed...

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. 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. “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. “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. 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. WE HAVE THE SOLUTION
COMPREHENSIVE
PREVENTION & CESSATION
PROGRAMS

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. Insert slides that describe what
programs and counter-marketing
campaigns YOUR PROGRAM funds
in your community and schools

14. Comprehensive State Programs
1. Community Based Programs

15. Comprehensive State Programs
2. Public Education -- Counter Marketing

16. Comprehensive State Programs
3. Programs to Help Smokers Quit

17. Comprehensive State Programs
4. School Based Programs

18. Comprehensive State Programs
5. Enforcing Laws Against Sales to Minors

19. EVALUATION
Rigorous evaluation is crucial for:
• Accountability
• Continuous program improvement
• Demonstration of program success

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. Comprehensive Programs WORK!

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. 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. 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. 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. 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. 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. What Have We Achieved in
[State]?
Insert Your STATE’s declines in
youth and adult smoking

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. 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. We Are NOT Addressing
the Problem

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. And the tobacco industry
spends $XXX per YEAR,
marketing its products
in [STATE]

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. 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