PERINATAL TOBACCO USE

Size: px
Start display at page:

Download "PERINATAL TOBACCO USE"

Transcription

1 PERINATAL TOBACCO USE Child Fatality Task Force Perinatal Health Committee Meeting November 4, 2015 Erin McClain, MA, MPH You Quit, Two Quit, UNC Center for Maternal & Infant Health

2 Percentage Women & Tobacco Use in NC BRFSS survey found that 16.5% of women in NC report current tobacco use Proportion is higher among low-income women, women with less than a college education, and rural women NC State Center for Health Statistics. Available from:

3 Tobacco Use During Pregnancy in NC 3 1 in 10 babies in NC are born to women reporting tobacco use during pregnancy In some counties over 30% of babies are born to women who smoked

4 Tobacco Use Causes Poor Birth & Infant Outcomes 4 Maternal/Fetal Harm From Tobacco Infant/Child Harm From Tobacco Infertility Miscarriage Ectopic Pregnancy Premature Birth Low Birth Weight Stillbirth SIDS SIDS Ear infections Respiratory Infections Asthma Links with childhood obesity, cancer, & attention disorders, and cardiovascular disease & diabetes in adulthood Tobacco use during pregnancy is directly associated with the top 4 causes of infant mortality in NC

5 5 Prenatal Tobacco Use & Neonatal Abstinence Syndrome (NAS) NAS increased 511% between in NC From to per 100,000 live births 70-90% of pregnant women in substance abuse treatment also use tobacco Heavier smoking among opioid-maintained women is associated with lower birth weight and smaller birth length Dose-response between the daily number of cigarettes smoked and the severity of NAS, including: total amount of morphine needed to treat NAS, number of days medicated for NAS, neonatal length of hospital stay in days, and is negatively associated with 1- and 5-min Apgar scores N.C. State Center for Health Statistics. Injury and Epidemiology and Surveillance Unit. Neonatal Abstinence Syndrome Haug NA, Stitzer ML, Svikis DS. Smoking during pregnancy and intention to quit: a profile of methadone-maintained women. Nicotine & Tobacco Research. November 1, ;3(4): Jones H, Heil S, O'Grady K, et al. Smoking in pregnant women screened for an opioid agonist medication study compared to related pregnant and non-pregnant patient samples. The American journal of drug and alcohol abuse. 2009;35(5): Winklbaur B, Baewert A, Jagsch R, Rohrmeister K, Metz V, Aeschbach Jachmann C, Thau K, Fischer G. Association between prenatal tobacco exposure and outcome of neonates born to opioid-maintained mothers. Implications for treatment. Eur Addict Res. 2009; 15(3): Jones HE, Heil SH, Tuten M, Chisolm MS, Foster JM, O'Grady KE, Kaltenbach K. Cigarette smoking in opioid-dependent pregnant women: neonatal and maternal outcomes. Drug Alcohol Depend. 2013; 131(3):271-7.

6 Tobacco Use Affects NC Economically 6 Annual health care costs in North Carolina directly caused by smoking $3.81 billion Portion covered by the NC Medicaid program $931.4 million Residents' state & federal tax burden from smoking-caused government expenditures $889 per household Smoking-caused productivity losses in North Carolina $4.24 billion These amounts do not include health costs caused by exposure to secondhand smoke, smoking-caused fires, smokeless tobacco use, or cigar and pipe smoking. Tobacco use also imposes additional costs, such as damage to property. Campaign for Tobacco-Free Kids. The Toll of Tobacco in NC. Updated 9//25/15. Available from:

7 Intervention Makes A Difference 7 Brief counseling works better than simple advice to quit Pregnancy is a particularly good time to intervene Brief counseling with self-help materials offered by a trained clinician can double a smoker s chances of quitting for good. Brief counseling works best for moderate smokers (<20 cigarettes/day) Heavy smokers may need more intensive assistance and/or pharmacotherapy to quit

8 Tobacco Cessation is Cost Effective 8 Quitting smoking can lower total health care costs within 2 years Cessation treatment in the outpatient setting lowers health care costs within 18 months of quitting. Within 3 years, a former smoker s health care costs will be at least 10% less than if they continued smoking. Tobacco screening is estimated to result in lifetime savings of $9,800 per person Compared to other preventive health interventions, tobacco cessation has one of the lowest costs per life-year-saved Hockenberry, J, et. al. Healthcare Costs Around the Time of Smoking Cessation. Am J Prev Med 2012;42(6): Making the Business Case for Smoking Cessation Programs: 2012 Update A report by Leif Associates. Solberg, LI, et al, Repeated Tobacco-Use Screening and Intervention in Clinical Practice. Am J Prev Med. 2006;31(1): Cromwell J, et al1997). Cost-effectiveness of the clinical practice recommendations in the AHCPR guideline for smoking cessation. Agency for Healthcare Policy and Research. JAMA, 278:

9 ROI of Tobacco Cessation During Pregnancy 9 For every $1 invested in tobacco cessation for pregnant women, at least $3 are saved in healthcare costs. Ruger JP, Emmons KM. Economic evaluations of smoking cessation and relapse prevention programs for pregnant women: a systematic review. Value Health Mar-Apr;11(2):

10 10 Electronic Nicotine Delivery Systems

11 11 ENDS & Reproductive Age Women Not currently regulated and have not been shown to be a safe or effective cessation aid The health effects of using e-cigarettes & other ENDS before or during pregnancy have not been adequately studied Nicotine is a known reproductive toxicant and has adverse effects on fetal development, including lung and brain development The use of smokeless tobacco products, such as snus, during pregnancy has been associated with preterm delivery, stillbirth, and infant apnea Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health. Information for Health Care Providers and Public Health Professionals: Preventing Tobacco Use During Pregnancy. Available from:

12 ENDS and Children & Youth 12 Youth use of e-cigarettes (13.4%) now surpasses use of traditional cigarettes (9.2%) Exposures to e-cigarettes & liquid nicotine reported to Poison Control jumped 156% from 2013 to 2014, and 14-fold since ,452 through 9/30/15

13 What is NC Doing to Protect Moms & Babies? 13 Cessation Support QuitlineNC Telephonic, web-based, and text-based cessation support Specific pregnancy & postpartum protocol Care management for Medicaid-insured pregnant women through the Pregnancy Medical Home Initiative includes tobacco screening & cessation treatment as a key component

14 What is NC Doing to Protect Moms & Babies? 14 System Supports Medicaid & private insurers reimburse for cessation counseling Provider training and technical assistance through You Quit, Two Quit (currently funded by the Duke Endowment through 6/2016) Title V Performance Measure Evidence-based cessation counseling part of the administrative agreements between NCDHHS DPH and local health departments Women and Tobacco Coalition for Health (WATCH) Nationally-recognized Guide for Counseling Women Who Smoke E-cigarettes & other ENDS NC one of 16 states requiring child-proof liquid nicotine packaging E-cigarettes classified as a tobacco product and not for sale <18 yrs.

15 What Else Would Help Protect Moms & Babies? 15 Support the perinatal tobacco cessation quality improvement efforts of You Quit, Two Quit Nationally-recognized initiative that goes beyond training to support implementation in outpatient settings Current funding ends in June What is needed? $250,000/year for 3 years How would these funds be spent? Support the YQ2Q Program Manager & a cadre of regional professionals to provide state-wide training & technical assistance Continue to produce up-to-date provider tools, such as YQ2Q Clinical Practice Bulletin Convene regional summits Evaluation

16 What Else Would Help Protect Moms & Babies? 16 Institutions & local ordinances include ENDS in tobacco-free policies Many of the policies were created before e-cigarettes and other ENDS were widespread Raise minimum legal sales age to 21 Hawaii & 90 localities in 8 states have raised MLSA to 21 4 additional states at 19 yrs Delay initiation Among daily smoking adults 90% report 1 st use before 19, and 100% before 26 Reduce initiation among yr olds by 25% and <15 & yr olds by 15% 21 year olds less likely to be in the social networks of year olds Reduce prevalence & decrease disease If enacted today would result in: 12% decrease in prevalence of tobacco use 223,000 fewer premature deaths Institute of Medicine Public health implications of raising the minimum age of legal access to tobacco products. Washington, DC: The National Academies Press.

17 Percentage Reductions in Poor Birth Outcomes with MLSA of 21 years 17 If the MLSA were raised to 21 today, there would be 438,000 LBW cases, 286,000 preterm birth cases, and 4,000 SIDS deaths averted between % % -4.0% -6.0% -8.0% -10.0% -12.0% -14.0% -16.0% -18.0% -20.0% Low Birth Weight cases Preterm Birth cases SIDS cases Institute of Medicine Public health implications of raising the minimum age of legal access to tobacco products. Washington, DC: The National Academies Press.

18 What Else Would Help Protect Moms & Babies? 18 Fund NC tobacco prevention efforts at least at CDC minimum recommended level FY2014 NC revenue from MSA & tobacco tax = $409.6 mil FY2014 NC tobacco prevention/cessation spending = $1.2 mil 0.3% of annual tobacco revenue CDC minimum = $69.3 mil (17%); CDC recommended = $99.3 mil (24%) Increase the NC tax on tobacco products Current NC tax is $0.45/pack 47 th in the US Average state tax is $1.60/pack Federal tax is $1.01/pack Every 10% increase in cigarette prices = 7% less prenatal smoking, 7% less youth smoking, & 4% less total cigarette consumption Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs Available from: Ringel, J & Evans, W, Cigarette Taxes and Smoking During Pregnancy, American Journal of Public Health 91(11):1851-6, 2001 Chaloupka, FJ, Macro-Social Influences: The Effects of Prices and Tobacco Control Policies on the Demand for Tobacco Products, Nicotine and Tobacco Research 1(Suppl 1):S105-9, 1999

19 19 Questions? Erin McClain

PERINATAL TOBACCO USE

PERINATAL TOBACCO USE PERINATAL TOBACCO USE Child Fatality Task Force Meeting December 7, 2015 Erin McClain, MA, MPH You Quit, Two Quit, UNC Center for Maternal & Infant Health Percentage Women & Tobacco Use in NC 2 50 45 40

More information

Tobacco Cessation for Women of Reproductive Age. Erin McClain, MA, MPH

Tobacco Cessation for Women of Reproductive Age. Erin McClain, MA, MPH Tobacco Cessation for Women of Reproductive Age Erin McClain, MA, MPH Tobacco Use During Pregnancy in NC 2 1 in 10 babies in NC are born to women reporting tobacco use during pregnancy In some counties

More information

The Science and Practice of Perinatal Tobacco Use Cessation

The Science and Practice of Perinatal Tobacco Use Cessation 1 The Science and Practice of Perinatal Tobacco Use Cessation Erin McClain, MA, MPH Catherine Rohweder, DrPH Cathy Melvin, PhD, MPH erin_mcclain@unc.edu Prevention of Tobacco Use and Secondhand Smoke Exposure

More information

The Burden of Tobacco, Tobacco Control, and Advocacy: Policy Strategies for Oral Health. Robert McMillen, PhD

The Burden of Tobacco, Tobacco Control, and Advocacy: Policy Strategies for Oral Health. Robert McMillen, PhD The Burden of Tobacco, Tobacco Control, and Advocacy: Policy Strategies for Oral Health Robert McMillen, PhD Tobacco Products Smokeless Tobacco and Health Cancer Oral Disease Reproductive and Developmental

More information

Tobacco Data, Prevention Spending, and the Toll of Tobacco Use in North Carolina

Tobacco Data, Prevention Spending, and the Toll of Tobacco Use in North Carolina Tobacco Data, Prevention Spending, and the Toll of Tobacco Use in North Carolina North Carolina Alliance for Health 2017 0 Table of Contents Highlights from the Surgeon General s Report on E-Cigarette

More information

Save Lives and Save Money

Save Lives and Save Money Tobacco Control Policies & Programs Save Lives and Save Money Matthew L. Myers President, Campaign for Tobacco Free Kids Alliance for Health Reform Luncheon Briefing July 13, 2012 1 We Know How to Reduce

More information

New Jersey s Comprehensive Tobacco Control Program: Importance of Sustained Funding

New Jersey s Comprehensive Tobacco Control Program: Importance of Sustained Funding New Jersey s Comprehensive Tobacco Control Program: Importance of Sustained Funding History of Tobacco Control Funding Tobacco use is the leading preventable cause of death in the U.S., killing more than

More information

Management of Perinatal Tobacco Use

Management of Perinatal Tobacco Use Management of Perinatal Tobacco Use David Stamilio, MD, MSCE Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, UNC School of Medicine Funding for this project is provided in

More information

RADM Patrick O Carroll, MD, MPH Senior Advisor, Assistant Secretary for Health, US DHSS

RADM Patrick O Carroll, MD, MPH Senior Advisor, Assistant Secretary for Health, US DHSS Ending the Tobacco Epidemic RADM Patrick O Carroll, MD, MPH Senior Advisor, Assistant Secretary for Health, US DHSS Tim McAfee, MD, MPH Senior Medical Officer, Office on Smoking and Health, CDC www.nwcphp.org/hot-topics

More information

Science = Solutions For Substance Use Disorders and Infant Outcomes. Wilson M. Compton, M.D., M.P.E. Deputy Director National Institute on Drug Abuse

Science = Solutions For Substance Use Disorders and Infant Outcomes. Wilson M. Compton, M.D., M.P.E. Deputy Director National Institute on Drug Abuse Science = Solutions For Substance Use Disorders and Infant Outcomes Wilson M. Compton, M.D., M.P.E. Deputy Director National Institute on Drug Abuse Science = Solutions Increased Opioid Mortality: Greater

More information

Where We Are: State of Tobacco Control and Prevention

Where We Are: State of Tobacco Control and Prevention Where We Are: State of Tobacco Control and Prevention Corinne Husten, MD, MPH Acting Director CDC Office on Smoking and Health Nova Scotia, Canada October 2006 Tobacco Impact Background Tobacco is leading

More information

Smoking Cessation in Pregnancy. Jessica Reader, MD, MPH Family Medicine Obstetrics Fellow June 1st, 2018

Smoking Cessation in Pregnancy. Jessica Reader, MD, MPH Family Medicine Obstetrics Fellow June 1st, 2018 Smoking Cessation in Pregnancy Jessica Reader, MD, MPH Family Medicine Obstetrics Fellow June 1st, 2018 Tobacco Cessation in Pregnancy: Objective 1. Overview of the negative effects of tobacco abuse in

More information

Project TEACH Addressing Tobacco Treatment for Pregnant Women Jan Blalock, Ph.D.

Project TEACH Addressing Tobacco Treatment for Pregnant Women Jan Blalock, Ph.D. Project TEACH Addressing Tobacco Treatment for Pregnant Women Jan Blalock, Ph.D. Prevalence of Smoking and Cessation During Pregnancy In 2014, 14% in women with Medicaid coverage versus 3.6% of women with

More information

Local Laws to Raise the Minimum Legal Sale Age for all Tobacco Products 21 Years of Age in the North Country Frequently Asked Questions

Local Laws to Raise the Minimum Legal Sale Age for all Tobacco Products 21 Years of Age in the North Country Frequently Asked Questions Local Laws to Raise the Minimum Legal Sale Age for all Tobacco Products 21 Years of Age in the North Country Frequently Asked Questions It s Time to Clear the Air in the North Country Tobacco use remains

More information

Reducing Tobacco Smoke Exposure: The Role of Quitlines

Reducing Tobacco Smoke Exposure: The Role of Quitlines Reducing Tobacco Smoke Exposure: The Role of Quitlines Robert McMillen, PhD AAP Julius B. Richmond Center of Excellence & Mississippi State University dedicated to eliminating children s exposure to tobacco

More information

7/29/2010. Sharon Moffatt RN BSN MSN Chief of Health Promotion Association of State and Territorial Health July 25, 2010.

7/29/2010. Sharon Moffatt RN BSN MSN Chief of Health Promotion Association of State and Territorial Health July 25, 2010. Sharon Moffatt RN BSN MSN Chief of Health Promotion Association of State and Territorial Health July 25, 2010 Increase Access Improve Quality Contain Costs 1 State Local National Patient Protection and

More information

How Price Increases Reduce Tobacco Use

How Price Increases Reduce Tobacco Use How Price Increases Reduce Tobacco Use Frank J. Chaloupka Director, ImpacTeen, University of Illinois at Chicago www.uic.edu/~fjc www.impacteen.org www.tobaccoevidence.net TUPTI, Kansas City, July 8 2002

More information

TRENDS IN TOBACCO UNDERSTAND 5/26/2017 LEARNING OBJECTIVES. Understand the types of tobacco products trending in today s market & associated risks

TRENDS IN TOBACCO UNDERSTAND 5/26/2017 LEARNING OBJECTIVES. Understand the types of tobacco products trending in today s market & associated risks TRENDS IN TOBACCO And What Employers Can Do to Support Cessation Katy Tombaugh, Certified Tobacco Treatment Specialist Founder & CEO, Wellness Collective LEARNING OBJECTIVES Understand the types of tobacco

More information

E-Cigarettes & Vaping. Information for Women & Their Families

E-Cigarettes & Vaping. Information for Women & Their Families E-Cigarettes & Vaping Information for Women & Their Families Quick Facts Here are some quick facts to help you make the best decision about e-cigarettes and other electronic tobacco products. What are

More information

Centers for Disease Control and Prevention s Office on Smoking and Health

Centers for Disease Control and Prevention s Office on Smoking and Health Centers for Disease Control and Prevention s Office on Smoking and Health Tobacco use remains the leading cause of preventable death in the United States, killing more than 480,000 Americans every year,

More information

Amendment 72 Increase Cigarette and Tobacco Taxes

Amendment 72 Increase Cigarette and Tobacco Taxes Amendment 72 Increase Cigarette and Tobacco Taxes ANALYSIS Amendment 72 proposes amending the Colorado Constitution to: increase the state tax on a pack of cigarettes from $0.84 to $2.59; increase the

More information

Healthy People, Healthy Communities

Healthy People, Healthy Communities Healthy People, Healthy Communities Public Health Policy Statements on Public Health Issues The provincial government plays an important role in shaping policies that impact both individual and community

More information

TOBACCO USE AMONG AFRICAN AMERICANS

TOBACCO USE AMONG AFRICAN AMERICANS TOBACCO USE AMONG AFRICAN AMERICANS Each year, approximately 45,000 African Americans die from smoking-related disease. 1 Smoking-related illnesses are the number one cause of death in the African-American

More information

The Devastating Toll of Tobacco

The Devastating Toll of Tobacco The Devastating Toll of Tobacco Claire Fiddian-Green President & CEO, Richard M. Fairbanks Foundation JUNE 29, 2017 What do we know about tobacco use in Indiana? 2 Tobacco use in Indiana is higher than

More information

Executive Summary. Overall conclusions of this report include:

Executive Summary. Overall conclusions of this report include: Executive Summary On November 23, 1998, 46 states settled their lawsuits against the nation s major tobacco companies to recover tobacco-related health care costs, joining four states Mississippi, Texas,

More information

TOBACCO AND SMOKING PROGRESS AND CHALLENGE IN DISEASE PREVENTION DAVID DOBBINS COO

TOBACCO AND SMOKING PROGRESS AND CHALLENGE IN DISEASE PREVENTION DAVID DOBBINS COO TOBACCO AND SMOKING PROGRESS AND CHALLENGE IN DISEASE PREVENTION DAVID DOBBINS COO JULY 16, 2015 TOBACCO EPIDEMIC IS NOT SOLVED Still leading cause of preventable death 480,000 premature deaths a year

More information

OTPC executive committee is comprised of volunteers representing various community sectors within Oklahoma. The Oklahoma Turning Point Council

OTPC executive committee is comprised of volunteers representing various community sectors within Oklahoma. The Oklahoma Turning Point Council 1 OTPC executive committee is comprised of volunteers representing various community sectors within Oklahoma. The Oklahoma Turning Point Council champions the Turning Point philosophy by supporting community

More information

Annual Tobacco Report 2000

Annual Tobacco Report 2000 Louisiana Tobacco Control Program Annual Tobacco Report 2000 This report summarizes indicators of tobacco use among adults, pregnant women, and youth in the state of Louisiana, and is set to serve as a

More information

Oklahoma Turning Point Council (OTPC)

Oklahoma Turning Point Council (OTPC) The Cigarette Tax Oklahoma Turning Point Council (OTPC) OTPC is an independent statewide council focused on education and advocacy efforts aimed at improving Oklahoma s health status The Turning Point

More information

Preconception Health in North Carolina. February 13, 2012 Perinatal Health Committee Child Fatality Task Force

Preconception Health in North Carolina. February 13, 2012 Perinatal Health Committee Child Fatality Task Force Preconception Health in North Carolina February 13, 2012 Perinatal Health Committee Child Fatality Task Force What is Preconception Care? Identification of modifiable and non modifiable risk factors for

More information

Pregnancy and Secondhand Smoke Cathy L. Melvin, PhD, MPH

Pregnancy and Secondhand Smoke Cathy L. Melvin, PhD, MPH Pregnancy and Secondhand Smoke Cathy L. Melvin, PhD, MPH Chair, The National Partnership for Smoke-Free Families Objectives To summarize the relationship of secondhand smoke exposure to fetal and infant

More information

TUPAC Five-Year Action Plan

TUPAC Five-Year Action Plan TUPAC Five-Year Action Plan 2015-2020 New Mexico Department of Health Tobacco Use Prevention and Control Program 5301 Central Avenue NE, Suite 800, Albuquerque, NM 87108 505.841.5845 nmtupac.com TUPAC

More information

A systems approach to treating tobacco use and dependence

A systems approach to treating tobacco use and dependence A systems approach to treating tobacco use and dependence Ann Wendland, MSL Policy Analyst & Cessation Programs Manager NYSDOH Bureau of Tobacco Control ann.wendland@health.ny.gov A systems approach to

More information

The Cost of Tobacco in Nova Scotia: An Update

The Cost of Tobacco in Nova Scotia: An Update Genuine Progress Index for Atlantic Canada Indice de progrès véritable - Atlantique The Cost of Tobacco in Nova Scotia: An Update Tobacco Control Summit, Halifax, NS 20 October, 2006 The larger context

More information

Slide 1. Slide 2. Slide 3. Reducing Tobacco Use and Nicotine Dependence in Clinical Settings. Goals for Today

Slide 1. Slide 2. Slide 3. Reducing Tobacco Use and Nicotine Dependence in Clinical Settings. Goals for Today Slide 1 UNIVERSITY OF HAWAI I CANCER CENTER Reducing Tobacco Use and Nicotine Dependence in Clinical Settings Pebbles Fagan, Ph.D., M.P.H. Associate Professor and Program Director Cancer Prevention and

More information

TOBACCO TAXATION, TOBACCO CONTROL POLICY, AND TOBACCO USE

TOBACCO TAXATION, TOBACCO CONTROL POLICY, AND TOBACCO USE TOBACCO TAXATION, TOBACCO CONTROL POLICY, AND TOBACCO USE Frank J. Chaloupka Director, ImpacTeen, University of Illinois at Chicago www.uic.edu/~fjc www.impacteen.org The Fact is, Raising Tobacco Prices

More information

Secondhand smoke, also known as environmental tobacco smoke (ETS) or passive smoke, is a mixture of 2 forms of smoke from burning tobacco products:

Secondhand smoke, also known as environmental tobacco smoke (ETS) or passive smoke, is a mixture of 2 forms of smoke from burning tobacco products: Secondhand Smoke What Is Secondhand Smoke? Secondhand smoke, also known as environmental tobacco smoke (ETS) or passive smoke, is a mixture of 2 forms of smoke from burning tobacco products: * Sidestream

More information

The short version. WHO recommendations on prevention and management INTRODUCTION. of tobacco use and second-hand smoke exposure in pregnancy

The short version. WHO recommendations on prevention and management INTRODUCTION. of tobacco use and second-hand smoke exposure in pregnancy WHO recommendations on prevention and management of tobacco use and second-hand smoke exposure in pregnancy The short version In 2013, the World Health Organization (WHO) published a set of Recommendations

More information

YOUR SMOKE = THEIR SMOKE. Smoking is the number one cause of fire deaths in the United States.

YOUR SMOKE = THEIR SMOKE. Smoking is the number one cause of fire deaths in the United States. YOUR SMOKE = THEIR SMOKE Smoking is the number one cause of fire deaths in the United States. Smoke-free housing creates a cleaner, safer environment for your family and neighbors. Keep them safe. Support

More information

THREE BIG IMPACT ISSUES

THREE BIG IMPACT ISSUES THREE BIG IMPACT ISSUES Tim McAfee, MD, MPH Director CDC Office on Smoking and Health Presented at the National Cancer Policy Forum Workshop on Reducing Tobacco-Related Cancer Incidence and Mortality June

More information

Washington, D.C Washington, D.C

Washington, D.C Washington, D.C May 24, 2018 The Honorable Roy Blunt The Honorable Patty Murray Chairman Ranking Member United States Senate United States Senate Washington, D.C. 20510 Washington, D.C. 20510 Dear Chairman Blunt and Ranking

More information

Potential Costs and Benefits of Smoking Cessation for New Jersey

Potential Costs and Benefits of Smoking Cessation for New Jersey Potential Costs and Benefits of Smoking Cessation for New Jersey Jill S. Rumberger, PhD Assistant Professor Pennsylvania State University, Capital College, School of Public Affairs, Harrisburg, PA Christopher

More information

MAKE OREGON HEALTHIER: SAVING LIVES AND SAVING DOLLARS TOBACCO PREVENTION AND EDUCATION IN OREGON. Program Report

MAKE OREGON HEALTHIER: SAVING LIVES AND SAVING DOLLARS TOBACCO PREVENTION AND EDUCATION IN OREGON. Program Report MAKE OREGON HEALTHIER: SAVING LIVES AND SAVING DOLLARS TOBACCO PREVENTION AND EDUCATION IN OREGON Program Report 2001-2003 Department of Human Services Health Services Table of Contents Introduction 1

More information

The Economics of Smoking

The Economics of Smoking The Economics of Smoking One of the potential problems (from an economic perspective) with smoking is that there may be an externality in consumption, so there may be difference between the private and

More information

Progress toward quitting. The cessation environment in New York

Progress toward quitting. The cessation environment in New York Progress toward quitting The cessation environment in New York TCP Vision and Mission Vision: All New Yorkers live in a tobacco free society. Mission: Reduce morbidity and mortality and alleviate social

More information

Get the Facts: Minnesota s 2013 Tobacco Tax Increase is Improving Health

Get the Facts: Minnesota s 2013 Tobacco Tax Increase is Improving Health Get the Facts: Minnesota s 2013 Tobacco Tax Increase is Improving Health February 10, 2015 Lisa R. Mattson, MD Frank J. Chaloupka, PhD Raymond Boyle, PhD, MPH Overview The tobacco industry has a well-known

More information

Shocking Facts: Health Effects of Smoking on Women

Shocking Facts: Health Effects of Smoking on Women Shocking Facts: Health Effects of Smoking on Women By Arushi Bidhuri, Onlymyhealth editorial team Mar 12, 2018 QUICK BITES Today, India has 12.1 million women smokers Rural women consume tobacco in various

More information

INTRODUCTION. Baltimore, Maryland 6 School of Medicine West Virginia University, Morgantown, West Virginia

INTRODUCTION. Baltimore, Maryland 6 School of Medicine West Virginia University, Morgantown, West Virginia The American Journal on Addictions, 27: 92 96, 2018 Copyright 2018 American Academy of Addiction Psychiatry ISSN: 1055-0496 print / 1521-0391 online DOI: 10.1111/ajad.12687 Brief Report: Treating Women

More information

Tobacco & Poverty. Tobacco Use Makes the Poor Poorer; Tobacco Tax Increases Can Change That. Introduction. Impacts of Tobacco Use on the Poor

Tobacco & Poverty. Tobacco Use Makes the Poor Poorer; Tobacco Tax Increases Can Change That. Introduction. Impacts of Tobacco Use on the Poor Policy Brief February 2018 Tobacco & Poverty Tobacco Use Makes the Poor Poorer; Tobacco Tax Increases Can Change That Introduction Tobacco use is the world s leading cause of preventable diseases and premature

More information

Tobacco Control Policy at the State Level. Progress and Challenges. Danny McGoldrick Institute of Medicine Washington, DC June 11, 2012

Tobacco Control Policy at the State Level. Progress and Challenges. Danny McGoldrick Institute of Medicine Washington, DC June 11, 2012 Tobacco Control Policy at the State Level Progress and Challenges Danny McGoldrick Institute of Medicine Washington, DC June 11, 2012 The Tools of Tobacco Control Tobacco Taxes Smoke-free Laws Comprehensive

More information

Rebecca King, DDS, MPH NC State Dental Director Section Chief, Oral Health Section

Rebecca King, DDS, MPH NC State Dental Director Section Chief, Oral Health Section Rebecca King, DDS, MPH NC State Dental Director Section Chief, Oral Health Section Rebecca.King@dhhs.nc.gov 1 Most common chronic disease of childhood Almost entirely preventable 30% of all health care

More information

What is it Worth? An Economic Evaluation of the MFH Tobacco Initiative

What is it Worth? An Economic Evaluation of the MFH Tobacco Initiative What is it Worth? An Economic Evaluation of the MFH Tobacco Initiative July 2012 Missouri Foundation for Health Tobacco Prevention and Cessation Initiative Acknowledgements This report was produced by

More information

Funding for TIPS provided by: The State of Tennessee Portions of this presentation 2002 The American College of Obstetricians and Gynecologists

Funding for TIPS provided by: The State of Tennessee Portions of this presentation 2002 The American College of Obstetricians and Gynecologists A training offered by Dr. Beth Bailey, Associate Professor of Family Medicine, East Tennessee State University; and by the Tennessee Intervention for Pregnant Smokers (TIPS) Program Funding for TIPS provided

More information

Fast Facts. Morbidity and Mortality (Related to Tobacco Use)

Fast Facts. Morbidity and Mortality (Related to Tobacco Use) Fast Facts Morbidity and Mortality (Related to Tobacco Use) Tobacco and Disease Tobacco use causes o Cancer o Heart disease o Lung diseases (including emphysema, bronchitis, and chronic airway obstruction)

More information

COMPREHENSIVE TOBACCO PREVENTION AND CESSATION PROGRAMS EFFECTIVELY REDUCE TOBACCO USE

COMPREHENSIVE TOBACCO PREVENTION AND CESSATION PROGRAMS EFFECTIVELY REDUCE TOBACCO USE COMPREHENSIVE TOBACCO PREVENTION AND CESSATION PROGRAMS EFFECTIVELY REDUCE TOBACCO USE Tobacco control programs play a crucial role in the prevention of many chronic conditions such as cancer, heart disease,

More information

CDC and Bridging the Gap: Introducing New State Appropriation, Grants, and Expenditure Data in the STATE System

CDC and Bridging the Gap: Introducing New State Appropriation, Grants, and Expenditure Data in the STATE System CDC and Bridging the Gap: Introducing New State Appropriation, Grants, and Expenditure Data in the STATE System Frank Chaloupka, PhD (University of Illinois-Chicago) Jidong Huang, PhD (University of Illinois-Chicago)

More information

COMPREHENSIVE TOBACCO PREVENTION AND CESSATION PROGRAMS EFFECTIVELY REDUCE TOBACCO USE

COMPREHENSIVE TOBACCO PREVENTION AND CESSATION PROGRAMS EFFECTIVELY REDUCE TOBACCO USE COMPREHENSIVE TOBACCO PREVENTION AND CESSATION PROGRAMS EFFECTIVELY REDUCE TOBACCO USE Tobacco control programs play a crucial role in the prevention of many chronic conditions such as cancer, heart disease,

More information

TAKE THE FIRST STEP FOR YOUR BABY

TAKE THE FIRST STEP FOR YOUR BABY TAKE THE FIRST STEP FOR YOUR BABY 1 TAKE THE FIRST STEP FOR YOUR BABY Making a plan to avoid secondhand smoke is an important step in helping your baby have a healthy start. This workbook was written by

More information

ADDRESSING THE OPIOID EPIDEMIC. Joint principles of the following organizations representing front-line physicians

ADDRESSING THE OPIOID EPIDEMIC. Joint principles of the following organizations representing front-line physicians ADDRESSING THE OPIOID EPIDEMIC Joint principles of the following organizations representing front-line physicians American Academy of Family Physicians American Academy of Pediatrics American College of

More information

Tobacco Use in Adolescents

Tobacco Use in Adolescents Tobacco Use in Adolescents Joycelyn Lawrence, MD Leonard Miller School of Medicine at the University of Miami Department of Family Medicine 1 Overview Description: This section will introduce you to the

More information

North Carolina Prevention Report Card 2005

North Carolina Prevention Report Card 2005 NC Prevention Partners www.ncpreventionpartners.org Report Card North Carolina Prevention Report Card 2005 Does North Carolina make the grade for prevention? Why Focus on Tobacco, Nutrition, and Physical

More information

A Guide to Help New Mothers Stay Smoke-Free

A Guide to Help New Mothers Stay Smoke-Free A Guide to Help New Mothers Stay Smoke-Free 1 Welcome to motherhood! You have just been through a life-changing experience pregnancy and child birth. Having a plan to stay smoke-free is an important step.

More information

Pregnancy Smoking Intervention in NE Tennessee: Effectiveness Data from the First Two Years of TIPS

Pregnancy Smoking Intervention in NE Tennessee: Effectiveness Data from the First Two Years of TIPS Pregnancy Smoking Intervention in NE Tennessee: Effectiveness Data from the First Two Years of TIPS Beth A. Bailey, PhD Associate Professor of Family Medicine Director, Tennessee Intervention for Pregnant

More information

Sharon Moffatt ASTHO Chief of Health Promotion and Disease Prevention

Sharon Moffatt ASTHO Chief of Health Promotion and Disease Prevention Sharon Moffatt ASTHO Chief of Health Promotion and Disease Prevention 1 Prevention and Public Health (PPH) Fund: establishes new mandatory spending for public health and community-based prevention, which

More information

March 26, The Honorable Richard Durbin United States Senate 332 Dirksen Senate Office Building Washington, DC Dear Senator Durbin:

March 26, The Honorable Richard Durbin United States Senate 332 Dirksen Senate Office Building Washington, DC Dear Senator Durbin: March 26, 2001 The Honorable Richard Durbin United States Senate 332 Dirksen Senate Office Building Washington, DC 20510 Dear Senator Durbin: ENACT, a coalition of more than 60 national organizations dedicated

More information

Tobacco Control Program Funding in Indiana: A Critical Assessment. Final Report to the Richard M. Fairbanks Foundation

Tobacco Control Program Funding in Indiana: A Critical Assessment. Final Report to the Richard M. Fairbanks Foundation Tobacco Control Program Funding in Indiana: A Critical Assessment Final Report to the Richard M. Fairbanks Foundation John A. Tauras, PhD Associate Professor, Department of Economics, UIC Faculty Scholar,

More information

Tobacco use is Wisconsin s

Tobacco use is Wisconsin s Focus on... Smoking Increasing tobacco taxes: An evidencebased measure to reduce tobacco use Marion Ceraso, MHS; David Ahrens, MS; Patrick Remington, MD Tobacco use is Wisconsin s single most important

More information

PREGNANCY SMOKING AND CHILD OUTCOMES FROM BIRTH TO 15 MONTHS: FINDINGS FROM NORTHEAST TENNESSEE. Beth Bailey, PhD

PREGNANCY SMOKING AND CHILD OUTCOMES FROM BIRTH TO 15 MONTHS: FINDINGS FROM NORTHEAST TENNESSEE. Beth Bailey, PhD PREGNANCY SMOKING AND CHILD OUTCOMES FROM BIRTH TO 15 MONTHS: FINDINGS FROM NORTHEAST TENNESSEE Beth Bailey, PhD Associate Professor of Family Medicine, East Tennessee State University Associate Director

More information

Cigarettes and Other Tobacco Products

Cigarettes and Other Tobacco Products Cigarettes and Other Tobacco Products Tobacco use is the leading preventable cause of disease, disability, and death in the United States. According to the Centers for Disease Control and Prevention (CDC),

More information

Population-level Strategies to Prevent and Reduce Tobacco Use Success and Challenge

Population-level Strategies to Prevent and Reduce Tobacco Use Success and Challenge Population-level Strategies to Prevent and Reduce Tobacco Use Success and Challenge Harlan R. Juster, Ph.D. Director, Bureau of Tobacco Control New York State Department of health November 6, 2013 Learning

More information

Jad Chaaban Assistant Professor Department of Agriculture. Nisreen Salti Assistant Professor Department of Economics

Jad Chaaban Assistant Professor Department of Agriculture. Nisreen Salti Assistant Professor Department of Economics Jad Chaaban Assistant Professor Department of Agriculture Nisreen Salti Assistant Professor Department of Economics Taxes as a measure of tobacco control What have we learned? Who benefits? Debunking the

More information

RAISING CIGARETTE TAXES REDUCES SMOKING, ESPECIALLY AMONG KIDS (AND THE CIGARETTE COMPANIES KNOW IT)

RAISING CIGARETTE TAXES REDUCES SMOKING, ESPECIALLY AMONG KIDS (AND THE CIGARETTE COMPANIES KNOW IT) RAISING CIGARETTE TAXES REDUCES SMOKING, ESPECIALLY AMONG KIDS (AND THE CIGARETTE COMPANIES KNOW IT) The cigarette companies have opposed tobacco tax increases by arguing that raising cigarette prices

More information

The Healthy Indiana Plan

The Healthy Indiana Plan The Healthy Indiana Plan House Enrolled Act 1678 A Pragmatic Approach Governor Mitch Daniels July 16, 2007 Indiana s Fiscal Health is Good First Back-to-Back Balanced Budget in Eight Years $1,000.0 Revenue

More information

BASIC SKILLS FOR WORKING WITH SMOKERS

BASIC SKILLS FOR WORKING WITH SMOKERS BASIC SKILLS FOR WORKING WITH SMOKERS Course Description Goals and Learning Objectives 55 Lave Ave No, Worcester, MA 01655 www.umassmed.edu/tobacco 2016 Basic Skills for Working with Smokers 1 Table of

More information

Submission to the World Health Organization on the Global Tobacco Control Committee

Submission to the World Health Organization on the Global Tobacco Control Committee Submission to the World Health Organization on the Global Tobacco Control Committee Massachusetts Coalition For a Healthy Future Gregory N. Connolly, D.M.D., M.P.H. 250 Washington Street, 4 th Floor Boston,

More information

Jackson Tobacco Reduction Coalition 1715 Lansing Avenue, Jackson, MI Phone (517) FAX (517)

Jackson Tobacco Reduction Coalition 1715 Lansing Avenue, Jackson, MI Phone (517) FAX (517) Jackson Tobacco Reduction Coalition 1715 Lansing Avenue, Jackson, MI 49202 Phone (517) 768-2131 FAX (517) 788-4373 Date: August 16, 2018 Contact: Rhonda Rudolph, Coordinator, Jackson Tobacco Reduction

More information

Smoking cessation in pregnancy guideline for practice (GL917)

Smoking cessation in pregnancy guideline for practice (GL917) Smoking cessation in pregnancy guideline for practice (GL917) Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee Chair, Maternity Clinical

More information

Health. Women and Tobacco usage. Director, Gynaecworld, Kwality house, Kemp's corner. Mumbai HEALTH & FITNESS

Health. Women and Tobacco usage. Director, Gynaecworld, Kwality house, Kemp's corner. Mumbai HEALTH & FITNESS Health Women and Tobacco usage BY : DR. DURU SHAH, MUMBAI, INDIA 14.3.2018 PHONE: 022 2380 2584 MAIL NOW Director, Gynaecworld, Kwality house, Kemp's corner. Mumbai 400 026 HEALTH & FITNESS WOMEN AND TOBACCO

More information

Progress Tracker. Photo - https://www.healthypeople.gov/

Progress Tracker. Photo - https://www.healthypeople.gov/ Progress Tracker Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive set of key disease prevention and health promotion objectives. The

More information

Adolescents and Tobacco Cessation

Adolescents and Tobacco Cessation Adolescents and Tobacco Cessation Jonathan D. Klein, MD, MPH American Academy of Pediatrics Julius B. Richmond Center and the University of Rochester Rochester, NY Goal To review current evidence and perspectives

More information

Community Health Needs Assessment Centra Southside Medical Center

Community Health Needs Assessment Centra Southside Medical Center Community Health Needs Assessment Centra Southside Medical Center 2017-2019 Healthy People 2020 Healthy People provides a framework for prevention for communities in the U.S. Healthy People 2020 is a comprehensive

More information

Setting the Stage: Tobacco s Impact on Smokers, Employers, and Florida

Setting the Stage: Tobacco s Impact on Smokers, Employers, and Florida Setting the Stage: Tobacco s Impact on Smokers, Employers, and Florida Thomas H. Brandon, Ph.D. H. Lee Moffitt Cancer Center & Research Institute Florida Tobacco Cessation Summit October 14, 2010 Moffitt

More information

If You Smoke And Are Pregnant

If You Smoke And Are Pregnant If You Smoke And Are Pregnant Or Thinking About Pregnancy, Use This Self-help Guide TAKE THE FIRST STEP FOR YOUR BABY If You Smoke And Are Pregnant PRINT.indd 1 TAKE THE FIRST STEP FOR YOUR BABY Having

More information

TOBACCO CONTROL IN SOUTHERN NEVADA

TOBACCO CONTROL IN SOUTHERN NEVADA TOBACCO CONTROL IN SOUTHERN NEVADA Deborah M. Williams, Manager Maria Azzarelli, Senior Health Educator Office of Chronic Disease Prevention and Health Promotion Southern Nevada Health District Tobacco

More information

CONSTITUTION Smoking Before, During and After Pregnancy: Colorado Trends

CONSTITUTION Smoking Before, During and After Pregnancy: Colorado Trends A N D health COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT watch April 21 No. 75 UNION CONSTITUTION Smoking Before, During and After Pregnancy: Colorado Trends Health Statistics Section Alyson Shupe,

More information

The facts are in: Minnesota's 2013 tobacco tax increase is improving health

The facts are in: Minnesota's 2013 tobacco tax increase is improving health https://www.minnpost.com/co... The facts are in: Minnesota's 20... Page 1 of 6 Community Voices features opinion pieces from a wide variety of authors and perspectives. (Submission Guidelines) The facts

More information

DISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.

DISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics. DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this

More information

HIP Year 2020 Health Objectives related to Perinatal Health:

HIP Year 2020 Health Objectives related to Perinatal Health: PERINATAL HEALTH Perinatal health is the health and wellbeing of mothers and babies before, during, and after child birth. As described by Healthy People 2020, Pregnancy can provide an opportunity to identify

More information

Reducing Tobacco Use and Secondhand Smoke Exposure: Smoke-Free Policies

Reducing Tobacco Use and Secondhand Smoke Exposure: Smoke-Free Policies Reducing Tobacco Use and Secondhand Smoke Exposure: Smoke-Free Policies Summary Evidence Table Evidence Location Costs Benefits American Cancer Society (ACS) 2011 United States 27 states without current

More information

5 Public Health Challenges

5 Public Health Challenges 5 Public Health Challenges The most recent Mecklenburg County Community Health Assessment (CHA) prioritized the prevention of premature death and disability from chronic disease as the number one public

More information

Economic Analysis of Interventions for Smoking Cessation Aimed at Pregnant Women

Economic Analysis of Interventions for Smoking Cessation Aimed at Pregnant Women Y O R K Health Economics C O N S O R T I U M NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Economic Analysis of Interventions for Smoking Cessation Aimed at Pregnant Women Supplementary Report

More information

Re: Docket No. FDA-2009-N-0294 Regulation of Tobacco Products; Request for Comments

Re: Docket No. FDA-2009-N-0294 Regulation of Tobacco Products; Request for Comments VIA Electronic Submission to http://www.regulations.gov September 29, 2009 Division of Dockets Management (HFA-305) Food and Drug Administration 5630 Fishers Lane, rm. 1061 Rockville, MD 20852 Re: Docket

More information

TAKE THE FIRST STEP FOR YOUR BABY

TAKE THE FIRST STEP FOR YOUR BABY TAKE THE FIRST STEP FOR YOUR BABY 1 TAKE THE FIRST STEP FOR YOUR BABY Making a plan to avoid secondhand smoke is an important step in helping your baby have a healthy start. This workbook was written by

More information

Tobacco Control Highlights Wisconsin

Tobacco Control Highlights Wisconsin Tobacco Control Highlights Wisconsin Health Consequences and Costs Smoking - Attributable Mortality (SAM), 2000-2004 Smoking - Attributable Productivity Losses, 2000-2004 Smoking - Attributable Expenditures

More information

Effective Strategies for Addressing the Needs of Substance Exposed Newborns & their Families Dixie L. Morgese, BA, CAP, ICADC.

Effective Strategies for Addressing the Needs of Substance Exposed Newborns & their Families Dixie L. Morgese, BA, CAP, ICADC. Effective Strategies for Addressing the Needs of Substance Exposed Newborns & their Families Dixie L. Morgese, BA, CAP, ICADC Key Issues Significant increase in number of pregnant women addicted to prescription

More information

GATS Highlights. GATS Objectives. GATS Methodology

GATS Highlights. GATS Objectives. GATS Methodology GATS Objectives GATS Highlights The Global Adult Tobacco Survey (GATS) is a global standard for systematically monitoring adult tobacco use (smoking and smokeless) and tracking key tobacco control indicators.

More information

Consolidated Project Information Project 4.b.ii Access to Chronic Disease Preventive Care Initiative

Consolidated Project Information Project 4.b.ii Access to Chronic Disease Preventive Care Initiative Consolidated Project Information Project 4.b.ii Access to Chronic Disease Preventive Care Initiative Contents 4.b.ii Increase Access to High Quality Chronic Disease Preventative Care and Management in

More information

Chronic Disease Prevention

Chronic Disease Prevention Increase the percentage of adults and children who are at a healthy weight Increase access to resources that promote healthy behaviors Reduce chronic disease morbidity and mortality Reduce illness, disability

More information

Tobacco Control Highlights Alaska

Tobacco Control Highlights Alaska Tobacco Control Highlights Alaska Health Consequences and Costs Smoking - Attributable Mortality (SAM), 2000-2004 Smoking - Attributable Productivity Losses, 2000-2004 Smoking - Attributable Expenditures

More information