Counter Tools NonprofitKurt M. Ribisl, PhD

Contributors

Funding:

Competing interests: KM Ribisl, AE Myers and J Bailey receive pay as employees of Counter Tools, a nonprofit organization with a mission to distribute a store audit center and mapping tool, also possible inventor royalties from licensing fees paid to UNC Chapel Hill. Funded in part by grants #CA154281 and #CA154254 from the National Cancer Institute at the National Institutes of HealthFunded in part by administrative supplement to core grant U48-DP001944State of North Carolina: Alcohol Law Enforcement and Department of Health and Human Services

Site usage continues to grow> 30,000 page views> 8,100 unique visits> 4,400 unique visitors4.25 minutes avg.

Cumulative Visits to CounterTobacco.org:August 1, 2011 to September 25, 2012

Social media275 Twitter followers, some of whom are from countries at right

Reaching >7,500 people/month on Facebook

Photo Contest73 entries in Sept. 2012, from all over the U.S. as well as Japan, India and the NetherlandsCategories: Best #Map or #InfographicStores near #Schools Greatest #Youth appeal#Funniest/most ironic#Cheapest flavored little cigar/cigarilloBest product or advertisement near #Candy

Grand Prize Winner

Selected Category Winners

Counter Tools helps prevent kids from ever getting hooked on tobacco.Help us with your guidance and network.Data collection, mapping, policy-testingRoadmap & roadside assistanceTo health departments & nonprofitsPass local and state-level policiesPrevent tobacco use initiationPromote healthTobacco control expertsUS leaders in retail environment researchPublish nationally on the issue

Specialized nonprofits address core tobacco control areas.Counter Tools is the one-stop-shop for retail.1. Price/Excise Taxes2. Clean Indoor Air3. Quit Services5. Retail Environment

Retail marketing causes kids to smoke.Removing this threat is our mission.Henriksen et al (2010); Lovato et al (2011); Slater et al (2007); Wakefield et al (2008); Surgeon General (2012)Prompts initiationPromotes daily consumptionDiscourages quitting

Retail marketing spend is increasing and makes up bulk of budget.Since 2009: Power to create retail policy.Source:

Chart1

0.92

0.08

Marketing & Promotional Spend

Sheet1

Marketing & Promotional Spend

Retail92%

All Other8%

To update the chart, enter data into this table. The data is automatically saved in the chart.

Source: www.CounterTobacco.Org

FLAVORED CIGARS77.2% of stores in our NCI study sell flavored regular or little cigars

Source: www.CounterTobacco.Org

Source: www.CounterTobacco.Org

Traditional policy change process is complicated, confusing, expensive.Need for streamlined process & guidance.HOW?Rogers, 1995; Wallack, et al, 1993; Interviews: Keithly, L; Chaffee, J.; Marvin, V.; Hagaman, T.

Operation StorefrontOriginal, 1st generation formCreated in California in 1994 (CTCP)Focus on in-store advertising placement and exterior signage

Beirut photo?

Counter Tools offers web-based tools and technical assistance to guide the process.Value is retail results and resource savings. Interviews: Keithly, L; Chaffee, J.; Marvin, V.; Hagaman, T.; Eischen, M; Zellers, L; Fedor, C.; Spegman, J.

Team experience and research to date inform view of feasibilityResearch validates our value proposition. ExperiencePreparation1 Research*Lee, JGL, et al, under review; Funding from NC DHHS & ALE; Customer is ALA-MN; 1 Research in Appendix.

Goal today is to give you a quick overview of the site, whats available.

Counter Tobacco is an online warehouse of tools and information for tobacco control advocates who are working on point of sale issues.We offer comprehensive A to Z resources to enact 6 policy solutions as well as other feature stories, news and updates and an image gallery.

The War in the Store page provides a thorough description of the POS problem, introducing practitioners to the longstanding relationship between the tobacco industry and retailers. The retail environment is the lead channel for tobacco industry marketing, advertising and promotional efforts, accounting for the 85.3% of total cigarette marketing and promotional expenditures ($8.6 Billion) in 2008, according to theFederal Trade Commission (FTC) Cigarette Report for 2007 and 2008. CounterTobacco.org provides links to FTC reports and gives a breakdown of POS expenditures in table format.

Feature stories on the site add context and an action-orientation, with focus on disparities in advertising, stores near schools, minimum price compliance, and public opinion surveys to measure support for POS issues. Policy Solutions include: (1) Licensing, Zoning and Retailer Density, (2) POS Marketing, Advertising and Promotions, (3) POS Health Warnings, (4) Raising Tobacco Prices through Non-Tax Approaches, (5) Restricting Product Placement, (6) FDA Tobacco Control Act.

*I hope I have not excluded anyone!After funders, thank UNC team. Also these organizations. Lots of individuals who have submitted their photos of POS activity and maps to our image gallery.

*Disclosures for Allison E Myers here.

Additional disclosures for Kurt M. Ribisl include honoraria/consulting: American Cancer Society; University of Toronto; ChangeLab Solutions; CDC Office on Smoking and Health; FDA Center for Tobacco Products

No disclosures for Amber Anderson.*Site users are tobacco control advocates who work on, or are interested in, point of sale issues. As of March 8, 2012, site analytics (powered by Google Analytics) indicate that CounterTobacco.org has received 3,106 visits from 1,392 unique visitors, amounting to 14,729 page views. Average time on the site is 5.5 minutes with an average of 4.74 pages viewed per visit.

With facebook, twitter, email and RSS feeds: Immediate connection to approx. 200 users.

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With facebook, twitter, email and RSS feeds: Immediate connection to approx. 200 users.

*Grand Prize Winner, Sue Casanova from New York, for her images of a teddy bear display in two seasons in front of Marlboro cigarettes.*Stores Near Schools: Masako Shigeta (Japan), photo of schoolgirls in front of tobacco vending machineFunniest/Most Ironic: Nicole Suttons image of a cigarette advertisement next to one for soft drinksInfographic: Ruth Greenslade for an infographic of tobacco industry marketing and youth smoking in Dodge County, MinnesotaBest Near Candy: Tammy Kreisers capture of a candy and tobacco mixed vending machineYouth appeal: Lisa Weston-Bialy for a cigarette advertisement next to one for ice cream (and grand prize winner)

*Five big core strategies: this is the 5th, brand new in part due to new federal policies in the past 3 years. An emerging market.There is a nonprofit, a guiding force, with each.Monica: You are the ANR from 30 years ago for clean indoor air.Appendix: Slide for each of these screen shot from Guidestar nonprofit database. Show 1 5 M annual revenue/feasible., age, etc.

*In other words: The heavy presence of tobacco branding and price discounts in stores causes kids to start smoking, keeps them smoking into adulthood, and makes it nearly impossible to quit.

*http://www.ftc.gov/reports/index.shtm

From pre-MSA to 10 years after, spending on POS marketing nearly doubledPrice discounts #1 spend (~7B)Includes, for cigarettes and smokeless:Advertising and price discountsPromotional allowancesCouponsRetail valued added (bonus and non-bonus)

*Exterior signage creates positive brand impression.These photos come from CounterTobacco.Org which is a free/open to the public website we manage; funded by the CDC.*Powerwall display keeps tobacco front and center.The tobacco industry calls this interior display a powerwall and pays retailers $3000/year on average to keep tobacco front and center at the register.

*This special offer is harmful in two ways.Its placement at kids eye level builds positive brand impressions during childhood, And the price discount gives smokers or potential quitters a reason to buy now.

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*Original, most widely-used store audit form*First collect neighborhood level data on what is happening now, using the store audit center.*Now, map the data and use the policy tester to understand your next steps. *Counter Tools offers the roadmap and the roadside assistance. We automate the process with software tools and offer training and technical assistance.*Know the problem, know the solution, see what we offer. Got that.

How did we get here? Lets talk through the homework weve done as a team. Talk about the venture: the possibilities for the venture.*