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Pacific Partners for Tobacco Free Islands American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia,
Republic of the Marshall Islands, Republic of Palau and Territory of Guahan
20th ANNUAL APPEAL CONFERENCE
“Pathways Of Change”
George J. Cruz San Francisco, California
Co-Chairman September 24, 2014
Pacific Partners for Tobacco Free Islands
USAPI – UNITED STATES AFFILIATED PACIFIC ISLANDS
US Flag Islands Non-US Flag Islands
American Samoa (AS) Federates States of Micronesia
Commonwealth of the Northern Mariana Islands (FSM – Pohnpei, Kosrae, Chuuk & Yap)
(CNMI – Saipan, Tinian, Rota & Northern Islands) Republic of the Marshall Islands (RMI)
Territory of Guam (Guam) Republic of Palau (RoP)
Pacific Partners for Tobacco Free Islands
Pacific Islanders: Who we are?
• Polynesians
• Hawaiians, Samoans, Tongans, Maori, Tahitians, Cook Islanders, etc.
• Micronesians
• Chamorros, Carolinians, Chuukese, Pohnpeians, Yapese, Marshallese, Palauans, Kosraeans, etc.
• Melanesians
• Papuans, Solomon Islanders, Fijians, Vanuatu Islanders, etc.
Pacific Partners for Tobacco Free Islands
MISSION STATEMENT
Our mission is to weave together our resources, appropriate practices and experiences, and drawing strength from our
cultures and relationships for a Tobacco-Free Pacific.
VISION
We envision a Tobacco-Free Pacific and its people
Pacific Partners for Tobacco Free Islands
“Before you know where you are going, You must be aware of where you came from.”
- Lino Taitano
Elder & Chief Carolinian Community, Saipan
Pacific Partners for Tobacco Free Islands
Early 1800’s Carolinians on the Island of Tinian
Source: Micronesian Seminar
Pacific Partners for Tobacco Free Islands
• 1940’s U.S Navy health survey • Found: intestinal parasites, yaws,
tuberculosis and skin diseases
• Complete absence of malnutrition or obesity
• No indication of diabetes
• Almost no hypertension
Pacific Partners for Tobacco Free Islands
Pacific Partners for Tobacco Free Islands
Marshall Islands Kwajalein Atoll
1944
Source: MicSem
Pacific Partners for Tobacco Free Islands
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
Guam* Federated States of
Micronesia+
Republic of the Marshall Islands+
Republic of Palau+
U.S. National*
[VALUE] [VALUE]
[VALUE] [VALUE]
[VALUE]
2009 Tobacco Prevalence Rates Among Men
* BRFSS +STePS
Pacific Partners for Tobacco Free Islands
* World Health Organization, USAPI NCD Core Surveillance Indicators, 2013
Pacific Partners for Tobacco Free Islands
Cost of Goods Avg. Cost / Various within each PJ
Spam $2.62 /can Cabbage $2.29/lb.
Corn Beef $3.75 /can Tomatoes $1.69/lb.
Gas/Petro $5.26/gal Apples $2.25/lb.
Rice (50lbs) $35.00/sack Grapes $2.79/lb.
Pacific Partners for Tobacco Free Islands
Average Minimum Wage per Hour
Guam $7.25 (increases to $10.10 over 3 years)
American Samoa $5.59 (next increase 9/2015)
CNMI $5.55 (next increase 10/2014)
Palau $3.50 (last increase was 16 years ago)
RMI $2.00
FSM $1.56 (Average – varies in each state)
Pacific Partners for Tobacco Free Islands
$0
$2,000
$4,000
$6,000
$8,000
$10,000
Federated States of Micronesia
Republic of the Marshall Islands
Republic of Palau United States
[VALUE] [VALUE] [VALUE]
[VALUE]
2011 Per Capita Health Expenditures
CIA World Factbook
Pacific Partners for Tobacco Free Islands
Our Role
Policy:
• Promote Smoke Free Air & other Tobacco Control Legislation (i.e. betel nut, Clean Indoor Air Laws, etc.)
Education:
• Provide publication opportunities for PJ programs (i.e. Pacific Tobacco Control & Prevention Monograph)
Training:
• Provide Basic Tobacco Intervention (BTI) & Advance Tobacco Training for adults/providers
Direct Service:
• Provide & Certify Advanced Tobacco Cessation Counselors
Pacific Partners for Tobacco Free Islands
Our Contribution
Education:
• Developed youth & adult forums within schools & community to provide education & awareness
Policy:
• At least three USAPI have tobacco tax rates of at least $2.75 – only 7 U.S. states have higher taxes. Palau will go from $3.00 to $4.00 as of January 1, 2015.
Training:
• Collaborated with local chiefs of most PJ’s such as Council of Chiefs in Palau, Chiefs in American Samoa & Faith Based Leaders (Catholic, Protestants, etc.)
Pacific Partners for Tobacco Free Islands
Our Regional-Collaborative Needs
a. FUNDING – For Our Jurisdictions
1. Data Collection – Support for Collection & Analysis
2. Quarterly Conference Calls
3. Annual Regional Conference & Face-To-Face Meeting
b. TECHNICAL ASSISTANCE/TRAINING
1. Program Evaluations, Development & Expertise (Tools, Maintenance, Sustainability)
2. On-island Coalition Support for grass-root NGO’s & CBO’s
c. REGIONALLY
1. Increase BTI & Advanced Tobacco Cessation Trainings
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