Early years Nonsmokers rights movement Propositions 5 and 10 in 1978 and 1980 Local ordinance strategy Proposition 99 1988 25 cent tobacco tax 5 cents for tobacco control 2 cents for research ID: 1014818
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1. UC Tobacco fellowsStanton A. Glantz, PhD
2. Early yearsNonsmokers’ rights movementPropositions 5 and 10 in 1978 and 1980Local ordinance strategy
3. Proposition 99 (1988)25 cent tobacco tax5 cents for tobacco control2 cents for researchTobacco control programFocuses on social norm changeDirectly confronts industry
4. Per capita cigarette consumptionProp 99Tax increase
5. Age Adjusted Heart Disease MortalityProp 99Tax increase
6. Effect on Mortality59,000 fewer deaths (9%)1,500 unnecessary deaths
7. Effect on Industry Sales2.9 billion packs not smoked ($4 billion)1 billion extra packs ($1.4 billion)
8. Lung cancer incidence in SFO CaliforniaAnti-tobaccoprogram14% reductionIn the first 10 years in SFO: 6% cases (2036 cases in SFO)Statewide: 11,000 cases in 10 years
9. Annual Health Care Savings Attributable to Historical CA Tobacco Control Expenditures
10. But it was fadingInflationIndustry dominates legislatureTwo failed initiativesProp 29 in 2006Prop 86 in 2012
11. Litigation against industryMississippi, Florida, TexasMinnesotaTobacco documentsThen other statesWashington and MSA$246 billionLittle for tobacco controlMore documentsAmerican Legacy Foundation
12. RICO caseSame law used to prosecute organized crimeNo moneyBroke up industryRestricted denialsBanned “light and mild”Even more documentsThey are “racketeers”
13. FCTC 2003Global health treaty180 partiesFollowed by moreSmokefree lawsHealth warning labelsTaxesBut fading
14. FSPTCA/FDA 2009Granted FDA authority over cigarettes and smokeless tobaccoBanned “characterizing flavors”Except mentholBanned “light and mild”Allowed “deeming” other tobacco productsFinally happened in May 2016
15. FDA actionsNot muchWarning labels thrown outUnderestimated effectConsumer surplus (“lost pleasure”)Report but no action on mentholFunding researchStrong educational campaignsNo meaningful product regulationNow: “Comprehensive nicotine strategyEmbraces industry’s “harm reduction” frame
16. Smokefree MoviesMovies are biggest reason kids smokeHalfway to fixing the problem
17. Important 2016 California LegislationE-cigarettes in clean indoor air lawClose loopholes in clean indoor air lawTobacco 21Increase tobacco license fee to cover costsLocal legislation on menthol and flavored tobacco productsBecause of failure of national FDA
18. Back to the FutureProposition 56 in 2016$2 tax increaseIncludes e-cigs and other productsA smokefree society is within reachPrice increaseReinvigorate tobacco control program