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Slide1

U.S. Department of Health and Human Services

Tobacco Control:A Winnable Battle

U.S. Department of Health and Human Services

Centers for Disease Control and PreventionSlide2

The 50th Anniversary Surgeon General’s Report (SGR) has added new health consequences of smoking

Source: The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General, 2014Slide3

The list grows for health consequences of

secondhand smoke exposureSource: The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General, 2014Slide4

Tobacco use is still the leading preventable cause of disease and death in the U.S.

42.1 million U.S. adults smoke Tobacco causes nearly 1 in 5 deaths in U.S.

>480,000 deaths/year, >1,300/day

For each death, it is estimated that 30 more suffer tobacco-related illnesses

Annual costs: $133 billion in medical expenses plus $156 billion in lost productivity

Many Americans left unprotected, especially service industry workers

24 states still lack comprehensive smoke-free lawsSlide5

Tobacco Deaths Compared to other Causes

Source: World Health OrganizationSlide6

Source: The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General,

2014Tobacco Use and Chronic DiseaseSlide7

Sources:

Adapted from Warner 1985 with permission from Massachusetts Medical Society, ©1985; U.S. Department of Health and Human Services 1989; Creek et al. 1994; U.S. Department of Agriculture 2000; U.S. Census Bureau 2013; U.S. Department of the Treasury 2013. *Adults ≥18 years of age as reported annually by the Census Bureau.

Adult Per Capita

Cigarette

Consumption and Major Smoking-and-Health Events—United States,

1900-2013Slide8

Note: Estimates since 1992 include some-day smoking.

Current cigarette smoking among adults ages ≥ 18 years by gender – U.S., 1955 - 2012

Sources: 1955 data from Current Population Survey (CPS); 1965-2012 data from National Health Interview Survey (NHIS)

Current Adult Cigarette Smoking by Gender

Let’s accelerate this

declineSlide9

Cigarette Smoking Among Adults aged ≥18, by Race/Ethnicity – United States, 2002-2012

Source:

National

Survey on Drug Use and Health, 2002-2012. Slide10

Current cigarette smoking* among adults aged

≥ 18 years, by state—U.S., 2012

* Persons who have smoked at least 100 cigarettes in lifetime and currently report smoking every day or some days.

Source: Behavioral Risk Factor Surveillance System (BRFSS

)Slide11

Heart disease deaths are closely aligned with smoking

Source: Vital Records; National Center for Health Statistics, CDC, 2008 - 2010Division for Heart Disease and Stroke Prevention: Data Trends & Maps Web site. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA, 2010. Available at http://www.cdc.gov/dhdsp/.Slide12

Adult Smoking in NYC Down Over 30% Since

2002

Source: New York City Department of Health and Mental Hygiene, Community Health Survey (CHS) 2002-2011. *In 2011, the weighting methodology of the CHS was changed to incorporate Census 2010 data and additional demographic characteristics. Slide13

Long-term impact of a comprehensive approach:

Lung and bronchus cancer incidence rates in CARates are per 100,000 and age-adjusted to the 2000 U.S. standard (19 age groups).

* The annual percent change is significantly different from zero (p<0.05).

Source: Cancer Surveillance Section. Prepared by: California Department of Public Health, California Tobacco Control Program, 1988-2005. 2010.Slide14

MPOWER

Source: WHO Report on the Global Tobacco Epidemic, 2008 - The MPOWER package.

Slide15

We know what works

Sustained funding of comprehensive programs

Excise tax increases

100% smoke-free policies

Aggressive media campaigns

Cessation services access

Comprehensive advertising restrictionsSlide16

Tobacco Industry is Outspending

Prevention Efforts 18:1

Campaign for Tobacco Free Kids, Federal Trade Commission, 2012 Tax Burden on Tobacco Report, CDC's Best Practices for Comprehensive Tobacco Control Programs.Slide17

Best Practices

2014http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htmSlide18

National

Recommended Funding Levels, by Program Component

National

Recommended

Investment

Total

State and Community Interventions

Mass-Reach Health Communication Interventions

Cessation Interventions

Surveillance and Evaluation

Infrastructure,

Administration, and Management

Total

Level

($ millions)

$3,306.3

$1,071.0

$532.0

$1,271.9

$287.7

$143.7

Per Person

$10.53

$3.41

$1.69

$4.05

$0.92

$0.46

Centers for Disease Control and Prevention.

Best Practices for Comprehensive Tobacco Control Programs — 2014

. Atlanta: U.S.

Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease

Prevention and Health Promotion, Office on Smoking and Health, 2014.Slide19

When tobacco control funding increases, high school smoking decreases

Source: Project ImpacTEEN; University of Illinois at Chicago; State University of New York at Buffalo; Youth Risk Behavior Survey, 1993-2009.* Adjusted to 2009 CPI.

† High school students (grades 9-12) who smoked on 1 or more of the 30 days preceding the survey. Slide20

When cigarette prices increase,

cigarette sales decreaseSource: ImpacTeen Chartbook: Cigarette Smoking Prevalence and Policies in the 50 States.Slide21

Increased tobacco excise taxes

increase price10% increase in cigarette prices 

4% drop in adult cigarette consumption*Youth much less likely to start smoking when prices are high

Adjust taxes to offset inflation and tobacco industry attempts to control retail prices

E.g., promotional discounts for retailers who reduce cigarette prices

Tobacco taxes are the single most effective component of a comprehensive tobacco control program

*Chaloupka FJ, Straif K, Leon ME. Effectiveness of tax and price policies in tobacco control.

Tobacco Control

2011;20(3):235–8.

U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the

Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention,

National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014

.Slide22

Smoke-free policies save lives

Prevent heart attacks

Up to 17% average reduction in heart attack hospitalizations in places that enact comprehensive smoke-free lawsHelp motivate smokers to quit

Worker safety issue – not “personal nuisance”

All workers deserve equal protection

Only way to protect non-smokers from secondhand smoke

Smoke-free workplace laws don’t hurt business

No trade-off between health and economicsSlide23

State Smoke-Free Air Laws – Effective

June 30,

2014

Centers for Disease Control and Prevention’s State Tobacco Activities Tracking and Evaluation (STATE) System. Available at:

http://apps.nccd.cdc.gov/statesystem/Default/Default.aspx

. Washington, DC is included in states. California’s law includes exemptions that preclude it from being considered smoke-free.Slide24

Source: CDC STATE

System

Comprehensive Smoke-Free Laws

United States

2000-2014

How far we have comeSlide25

Aggressive media campaigns work

Media campaigns work to:Reduce youth initiation

Encourage cessation

Increase negative attitudes toward tobacco use

Increase support for policy changeSlide26

The impact of cessation services

Currently: 42.1 million U.S. smokers70% of adult cigarette smokers want to quit

More than 50% try to quit each year, 4 – 6% succeed.

Only 2% call state or national quitlines

Medicaid coverage for cessation varies widely among

states

Tobacco cessation can be achieved through:

Significant tax and price increases

Comprehensive smoke-free policies

Aggressive counter-advertisingSlide27

State and federal policy activities

(2009 – 2013)Excise Tax Increases

25 cigarette tax increases Smoke-Free Policies

26 states and DC have achieved comprehensive status

Federal Legislation

Federal excise tax increase

Family Smoking Prevention and Tobacco Control Act

Prevent All Cigarette Trafficking (PACT) Act

Affordable Care ActSlide28

This is a Winnable Battle

U.S. Department of Health and Human Services Centers for Disease Control and Prevention

For more information please contact Centers for Disease Control and Prevention

1600 Clifton Road NE, Atlanta, GA 30333

Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348

E-mail: cdcinfo@cdc.gov Web: www.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.

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Tobacco Control A Winnable Battle US Department of Health and Human Services Centers for Disease Control and Prevention The 50th Anniversary Surgeon Generals Report SGR has added new health consequences of smoking ID: 156420 Download Presentation

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