State Tobacco Control Programs

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State Tobacco Control Programs National Cancer Policy Forum Workshop Reducing Tobacco-Related Cancer Incidence and Mortality Karla S. Sneegas, MPH Chief Program Services Branch CDC Office on Smoking and Health June 11, 2012 Washington, DC The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion Office on Smoking and Health

Overview q OSH Overview q PSB Overview q National Tobacco Control Program q What can you do?

CDC Office on Smoking and Health (OSH) q Lead federal agency for comprehensive tobacco prevention and control q Surgeon General Reports 2010: How Tobacco Smoke Causes Disease 2012: Preventing Tobacco Use Among Young People q National Public Education Campaign (TIPS) q National Tobacco Control Program Funding supports comprehensive programs that reduce tobacco use through evidence-based policies

OSH: Advance Science & Support Programs q Identify, synthesize, and disseminate the science Publications, letters of evidence & testimony SCR2000redtobcov q Funding, training & technical assistance to state programs q Earned and paid media support q Conduct and support national and international surveillance

2012: Exciting Year

Tips From Former Smokers

2012 Surgeon General s Report

PROGRAM SERVICES BRANCH: NATIONAL TOBACCO CONTROL PROGRAM

Mission To encourage coordinated, national efforts to reduce tobaccorelated diseases and deaths

Goals q Eliminate exposure q Promote quitting q Prevent initiation q Identify and eliminate disparities

Our Awardee Network q OSH FY10 Funding - $108 M q Support all 50 states, D.C. U.S. territories, tribes and six national networks q 5-year cooperative agreements q OSH Project consultant for each grantee q Funding supports comprehensive programs that reduce tobacco use through evidence-based interventions

Components q State and Community Population Based Interventions q Cessation Systems Change and Population Approach q Health Communication q Surveillance/Evaluation q Infrastructure through Administration/Management

q Policy-focused q Outcome driven Strong Tobacco Control Programs q Document progress q Change social norms q Build strong infrastructures q Reach deep into the community

Local Programs Partner Organizations Local education and visibility Advocacy Organizations State and local education, media advocacy, grassroots organizing, training Robust, Sustainable Tobacco Control Program in New York Local grassroots mobilization, education Groups, Individuals You Help Personal stories, education TCP / DOH Research, data, training Tobacco Advisory Board Accountability, leadership, key contacts, advocacy

Evidence-Based Interventions q Sustained funding of comprehensive programs q Price increases q 100% smoke-free policies q Aggressive media campaigns q Advertising restrictions q Access to cessation assistance (systems change) q Deep community outreach SCR2000redtobcov

So You Want To Get Involved! Help Tobacco Users Quit Never Give Up! 1-800-Quit-Now EMR s Office practices Raise the price of tobacco Help make your community s environment one where the default choice is not to smoke

So You Want To Get Involved! Prevent Kids from Starting Increase the price of tobacco Make school campuses T.F. Make your community S.F. Restrict promotion and sale Get involved in making movies free from smoking glamorization Mobilize kids to change policy Help the family quit!

So You Want To Get Involved! Protect Your Community Monitor tobacco industry promotion and marketing Write Letters-to-the-Editor Submit comments to the FDA Testify at hearings Pass resolutions Educate your boards, councils, commissions

Where Do I Get Help?

State Smoke-Free Indoor Air Laws for Private Worksites, Restaurants, and Bars CA OR WA Laws in effect as of July 2012 NV AK ID AZ UT MT WY NM CO HI ND SD NE KS TX OK MN IA MO AR LA MS IN TN MI AL KY OH GA FL PA WV VA N=51 Source: Centers for Disease Control and Prevention. State Tobacco Activities Tracking and Evaluation (STATE) System. Available at: http://www.cdc.gov/tobacco/statesystem. *Note Indiana is effective in July 2012 WI IL SC NC NY VT D.C. ME NJ DE MD NH MA RI CT Ban in worksites, restaurants, and bars (n=26) Ban in two of three Locations (n=5) No Ban in all these locations (n=20)

State Cigarette Excise Tax Rates July 2012 CA OR WA NV AK ID AZ Anchorage $4.20 UT MT WY CO NM HI ND SD NE KS OK TX MN IA MO AR LA WI IL MS IN TN MI AL KY Chicago $4.66 OH GA FL PA WV VA SC NC NY VT D.C. ME NJ DE MD NH MA RI CT NYC $5.85 $3.00 per pack $2.00-$2.99 per pack $1.50-$1.99 per pack $1.00-$1.49 per pack 50-99 cents per pack <50 cents per pack CDC, Office on Smoking and Health. State Tobacco Activities Tracking and Evaluation (STATE) System.

Tobacco Industry is Outspending Prevention Efforts 24:1 State Tobacco Revenue (taxes and settlement funds) $25.3 billion Tobacco Industry Marketing & Promotion Expenditures (2006) $12.5 billion Total CDC- Recommended Spending Level $3.7 billion State Tobacco Program Budgets $0.5 billion Campaign for Tobacco Free Kids, Federal Trade Commission, American Heart Association American Cancer Society, American Lung Association, SmokeLess States National Tobacco Policy Initiative

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For more information: http://www.cdc.gov/tobacco Karla Sneegas ksneegas@cdc.gov The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion Office on Smoking and Health