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

• 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

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

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

Now The Tobacco Industry Claims It Has Changed...

… 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

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

“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”

“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.”

Increased Nicotine Levels in CigarettesAverage Nicotine Yields Per Cigarette 1998-2004

MA Tobacco Control Program analysis, 2006

1.71

1.811.83

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

Mill

igra

ms

per

cig

aret

te

9.9% increase from 1998 to 2004

WE HAVE THE SOLUTION

COMPREHENSIVE PREVENTION & CESSATION

PROGRAMS

Comprehensive ProgramsEssential Elements

• Community-Based Programs• Public Education (Media)• Helping Smokers Quit• School-Based Programs• Enforcement• Evaluation

Must be well-funded and sustained

Insert slides that describe what programs and counter-marketing

campaigns YOUR PROGRAM funds in your community and schools

Comprehensive State Programs

1. Community Based Programs

Comprehensive State Programs

2. Public Education -- Counter Marketing

Comprehensive State Programs

3. Programs to Help Smokers Quit

Comprehensive State Programs

4. School Based Programs

Comprehensive State Programs

5. Enforcing Laws Against Sales to Minors

EVALUATION

Rigorous evaluation is crucial for:

• Accountability

• Continuous program improvement

• Demonstration of program success

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

Comprehensive Programs WORK!

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

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.

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

Comprehensive ProgramsReduce 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

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

Comprehensive Programs WorkSaves Lives

California:Studies show program

prevented tens of thousands of deaths from heart

disease and lung cancer due to smoking

What Have We Achieved in [State]?

Insert Your STATE’s declines in youth and adult smoking

Adult Smoking Declines in [STATE]: Insert your state’s data

1012141618202224262830

2002 2004

Sm

oki

ng

pre

vale

nce

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

Youth Smoking Declines in [STATE]: Insert your state’s data

1012141618202224262830

2000 2002

Sm

oki

ng

pre

vale

nce 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

We Are NOT Addressing the Problem

FY2009 Tobacco Money for Tobacco Prevention

in [INSERT YOUR STATE]

0

200

400

600

800

1000

1200

1400

1600

Total State TobaccoRevenues

CDC MinimumPreventionSpending

Actual StateTobacco Prevention

Spending

Mill

ion

$65.6 Million $32.9 Million

$ 1.38 Billion

$1.03 Billion

Tobacco Tax Revenues

$351 Million

Tobacco Settlement Revenues

And the tobacco industry spends $XXX per YEAR, marketing its products

in [STATE]

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

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