HOW MUCH??

Are You Serious?

Four Key Points

• We’ve come a long way

• Recommendations in Context

• Key Messages

• Next Steps

BP-2007 Reaffirms What We Know

• Scientific evidence

• Real-world experience

• Conclusions from National experts

If every state funded TP at CDC

minimum, states would prevent nearly

two million kids alive today from

becoming smokers, save more than

600,000 of them from

premature, smoking-caused

deaths, and save $23.4 B in smoking-

related HC costs.

States with best funded

and most sustained

tobacco prevention

programs during the

1990s – AZ, CA, MA and

OR, reduced cigarette

sales more than twice as

much as the country as a

whole

State-sponsored anti-tobacco

media campaigns are

working to change youth

attitudes about tobacco and

to reduce youth smoking.

Reductions in

tobacco smoking are

major factor in the

decrease in cancer

mortality rates

Sustained progress in tobacco control is essential if we are to continue to make progress against cancer.

Although Washington made

progress in implementing

tobacco control policies

between 1990 and

2000, smoking prevalence did

not decline significantly until

after substantial investment

was made in the state’s

comprehensive tobacco

control program.

Comprehensive Programs Help

Adult Smokers Quit

Massachusetts:

Cut adult

smoking by 21%

between

1993 and

2000

Arizona: Cut

adult smoking

by 21% between

‘96 and ‘99

California: Cut

adult smoking by

32.5% between

1988 and 2004

Maine: Cut

adult

smoking by

12.5% b/t

2001 and

2004

WA: Cut adult

smoking by

20% between

1999 and 2005

New York:

cut adult

smoking by

15%

between

2000 and

2006

Comprehensive Programs

Reduce Youth Smoking

Maine: Cut

high school

smoking by

59% b/w

1997 and 2005

Oregon: Cut

smoking by

63% among

eighth graders

between ‘96

and 2004

Mississippi: Cut

smoking among

public middle school

students by

48% in 5 years

Florida: Cut

middle school

smoking by

47% & high school

smoking by

30% b/w

1998 and 2001

Ohio: Cut high

school

smoking by

45% b/w 1999

and 2003

WA: Cut

youth

smoking by

50% b/w

2000 and

2006

Comprehensive Programs Work

Saves Lives

California:

Studies show program

prevented tens of thousands

of deaths from heart

disease and lung

cancer due to smoking

Ending the Tobacco Problem:

A Blueprint for the NationInstitute of Medicine, May 2007

“To be effective, however, TC

programs must be

consistent, and budget cuts in

TC programs are threatening

that consistency …the

committee recommends that all

states maintain funding for their

TC activities at the level

suggested by the CDC – about

$15-$20 per capita, depending

on the state’s

population, demography and

smoking rate. ”

President’s Cancer Panel ReportAugust 2007

The leadership of this

nation must summon

the political will to fund

comprehensive tobacco

prevention and

cessation programs at

levels recommended by

the CDC

Putting the

Recommendations

in Context

Domestic Cigarette Advertising and

Promotional Expenditures 1998 - 2005

(Billions of dollars)

0

2

4

6

8

10

12

14

16

18

1998 1999 2000 2001 2002 2003 2004 2005

Source: Federal Trade Commission Cigarette Report for 2004 and 2005

$6.73

$8.24

$9.59

$11.22

$12.47

$15.15$14.15

$13.11

0

20

40

60

80

100

120

Tobacco-Caused Health Care Costs CDC Tobacco Prevention Spending

Recommendation

Billio

n

$3.7 Billion

$ 96.7 Billion

$30 Billion in

Medicaid Costs

Tobacco Use Costs the Nation

0

5

10

15

20

25

30

Total State Tobacco Revenues CDC Tobacco Prevention Spending

Recommendation

Billio

n

$3.7 Billion

$ 24.9 Billion

$16.8 Billion

Tobacco Tax

Revenues

$8.1 Billion

Tobacco

Settlement

Revenues

Tobacco Money for Tobacco Prevention

New Opportunities

Bonus payments of

$900+ million

annually beginning in

FY 2008

CALIFORNIA

NEVADA

80

OREGON

118

WASHINGTON

202.5

ARIZONA

200NEW MEXICO

91

TEXAS

141

OKLAHOMA

103

UTAH

69.5 COLORADO

84KANSAS

79

NEBRASKA

64

IDAHO

57

MONTANA

170NORTH DAKOTA

44

SOUTH DAKOTA

153

MINNESOTA

149.3

IOWA

136

MISSOURI

17

ARKANSAS

59

36

LOUISIANA

MS

18

ALABAMA

42.5

GEORGIA

37

FLORIDA

33.9

SOUTH CAROLINA

7

NORTH CAROLINA35TENNESSEE

62

KENTUCKY

30

ILLINOIS

98

WISCONSIN

177MICHIGAN

200

IN

99.5

OHIO

125WV

5530

VIRGINIA

PENNSYLVANIA

135

NEW YORK

150

MAINE

200

VTNH: 108

MA

CT:200RI:246

NJ:258

DELAWARE:115

MARYLAND:200

DC:100

HAWAII

180

ALASKA

200

States that have recently passed or

implemented a cigarette tax increase (since 1999)

WYOMING

60

November 2007

Cigarette Tax Rates(cents per pack)

CT

MA:151

87

VT:179

WI increase to 177¢ per pack and MD increase to 200¢ per pack effective 1/1/2008.

States that have not passed tax

increases since 1999

NH

Just 20 cents from each pack

sold…

• Tobacco is the leading preventable cause of

death, killing more than 400,000 each year

• 4,000 kids try their first cigarette every day;

another 1,000 kids become regular smokers

every day and 1/3 will die prematurely as a

result

• Nearly 90% of lung cancer cases, 1/3 of total

cancer deaths, and 1 in 5 deaths from heart

disease are tobacco-related

• Costs the nation almost $100 Billion in health

care costs annually

Tobacco’s Devastating Toll

Get Over the Sticker Shock

But why so high? – Think about where we’ve

come in 10 years

– Think about the elements

• Media campaign - legislators

understand the necessity of

being on air

• Cost of doing business

• Cessation efforts – very

tangible piece of program

– Think about the TOLL

Pull Team Together

• Program staff, advocates and vendors accomplish more by

working together!

• Talk about where you are and where you’d like to go

• Develop a multi-year plan to increase your funding

• Sustainability is IMPORTANT – ongoing commitment to

program makes a difference

Work on Sustainability

• What would your program look like at higher

funding levels – be prepared if asked

• Make it REAL!

– Document unmet need – how many smokers not

reached through quitline, # kids who don’t receive anti-

tobacco messages, where infrastructure is lacking so

services are not available

– Use stories to sell program – kids protected, smokers

who’ve quit, jobs/services brought to

community, people positively impacted by program

Bread and Butter Activities

• Media advocacy/Community Education

• Communication with elected representatives

• Continuous communication and coordination

with partners

Key Messages• Develop clear, concise and compelling messages

1.New BP affirms that we know what to do to eliminate tobacco use as a serious public health problem – need political will to do so

2.New BP reflect the fact that we have more experience and evidence than ever before

3.CDC’s funding recommendations pale in comparison to tobacco industry spending on marketing, tobacco revenue states collect each year, and the health care costs caused by tobacco

4.Spending levels are appropriate when you consider magnitude of tobacco problem

5.Failing to invest what CDC recommends means more people will become addicted, more people will get sick and more people will die prematurely

• Disseminate key messages – local partners talking off the same page

You Are the Key

• Continue your efforts – they are working – need to

do more of them!

• Do not shy away – this enormous problem

demands a response – a response that has been

proven to work!

• You can prevent more kids from starting to

smoke, help more smokers quit and accelerate

declines in heart attack deaths and chronic lung

disease