2013 – 2015

TOBACCO PREVENTION

& EDUCATIONExpanding Our Reach

for a Healthier Oregon

PROGRAM REPORT 2013-2015

STATE ANDCOMMUNITY

INTERVENTIONS61%

ADMINISTRATION & MANAGEMENT

3%

DATA ANDACCOUNTABILITY

9%

CESSATIONPROGRAMS

12%

HEALTHCOMMUNICATIONS

15%

FUNDING TPEP delivers comprehensive,

evidence-based tobacco prevention

and education programs to all

Oregonians. More than two-thirds

of TPEP’s $15 million biennial

budget supports public and

private organizations’ programs

and services. Funds support local

public health authorities, tribes,

community-based and not-for-profit

organizations. More than $8 million

goes to communities across the state

through TPEP.

COMMUNITY PROGRAMSTPEP provides funding to all 34

of Oregon’s local public health

authorities; all nine federally

recognized tribes; and five coalitions

of community-based organizations

that represent people who are

traditionally underserved and

experience health disparities.

Communities use these funds to

reduce tobacco use where people

live, work, play and learn.

PUBLIC AWARENESS AND EDUCATIONTPEP’s statewide education

campaigns include advertising on

television, radio and in newspapers

across Oregon. TPEP also promotes

news stories and editorials to raise

Oregonians’ awareness of the

dangers of secondhand smoke and

the benefits of quitting tobacco.

OREGON TOBACCO QUIT LINEThe Oregon Tobacco Quit Line gives

free assistance and coaching to

all Oregonians who want to quit

using tobacco, and is available to

their friends, family and health care

providers.

DATA AND ACCOUNTABILITY TPEP tracks, measures and analyzes

tobacco-related data on adults,

youth and traditionally underserved

populations in Oregon to ensure

programs are appropriate and

effective. Effectiveness is measured

by comparing national data and

trends to Oregon data and trends

during the same period.

PUBLIC HEALTH DIVISION TOBACCO PREVENTION AND EDUCATION PROGRAM (TPEP)800 NE Oregon St., Suite 730 Portland, Oregon 97232 Telephone: 971-673-0984 Fax: 971-673-0994 public.health.oregon.gov/PreventionWellness/TobaccoPrevention

This document can be provided upon request in an alternate format for individuals with disabilities or in a language other than English for people with limited English skills. To request this publication in another format or language, contact the Public Health Division at 971-673-1222, 971-673-0372 for TTY.

BUDGET

Baker City, a historic community on the Oregon Trail, rightly promotes itself as a beautiful “base camp” for exploring Eastern Oregon’s pristine mountains, rivers and hiking trails. Unfortunately, tobacco has undermined this healthy image.

The county health department’s TPEP has worked for years to reduce tobacco use by increasing community awareness of the dangers of tobacco. Yet Baker County has one of the state’s highest rates of tobacco use: About 1 in 4 adults and 1 in 10 young people report currently using tobacco.

Wanting to create a more vital future for their town, several Baker City residents asked their leaders to make all city parks smokefree. Local TPEP staff supported and amplified their efforts, and in January 2014 the City Council passed a smokefree parks ordinance that already is making an impact.

Baker County’s TPEP increased the knowledge and engagement of the community, providing residents with the tools to create healthier, cleaner public spaces for themselves and their children.

New funding from the Tobacco Master Settlement Agreement is helping TPEP empower more communities and create similar

success stories across Oregon, from Forest Grove in Washington County to the Warm Springs reservation in north central Oregon. Counties receiving new funds include Benton, Linn, Lincoln, Douglas, Coos, Klamath, Yamhill, Multnomah and Lane.

Six months after Baker City’s policy took effect, TPEP staff documented only four people smoking out of hundreds who attended the annual Miner’s Festival at the city’s busiest park.

“It’s very powerful when citizens come up with their own initiatives,” said Kim Moiser, a Baker City Councilor. “This is our community. If we can get a majority to agree, then we get to decide what our public spaces look like.”

More than 85 percent of funding for Oregon’s Tobacco Education and Prevention Program (TPEP) flows directly into communities working to reduce tobacco-related illness and death across the state. Since TPEP launched in 1997, these locally-driven efforts have helped reduce tobacco consumption and youth smoking in Oregon by more than 50 percent —saving lives and saving money.TPEP supports local public health authorities that serve all 36 counties and nine federally recognized tribes. TPEP works with public, private and non-profit partners to engage communities in promoting smokefree environments and reducing the influence of tobacco marketing, especially on kids and teens. TPEP also provides support and resources to the three-quarters of Oregon smokers who want to quit. Despite declines in tobacco use, it remains the No. 1 preventable cause of death and disease in Oregon, killing 7,000 people each year. Tobacco use is a major risk factor for developing asthma, arthritis, diabetes, cardiovascular disease, stroke, tuberculosis, erectile dysfunction, and ectopic pregnancy—as well as lung, liver, colorectal and other forms of cancer. It also worsens symptoms for people already battling chronic diseases. This burden falls hardest on lower-income Oregonians and certain racial and ethnic communities, who use tobacco at higher rates and suffer the harshest consequences. Yet whether or not we use tobacco, all Oregonians pay its price. Medical expenses and lost wages that result from tobacco-related disease and premature death cost Oregon $2.5 billion each year, or $1,600 for every household in our state. The majority of TPEP funding comes from state taxes on tobacco products. However, in 2013, the Legislature for the first time set aside a portion of funds from the Tobacco Master Settlement Agreement to support tobacco prevention efforts. This report provides a current snapshot of TPEP accomplishments, and also looks ahead to show how this additional state support will further reduce the burden of tobacco-related disease in Oregon and make our communities healthier and safer.

1. ELIMINATE EXPOSURE TO SECONDHAND SMOKE

2. PREVENT YOUTH FROM INITIATING TOBACCO USE

3. IDENTIFY AND ELIMINATE TOBACCO-RELATED DISPARITIES IN ALL POPULATIONS

4. HELP SMOKERS QUIT

BAKER CITY

TPEP’S FOUR GOALS FOR MAKING OREGON COMMUNITIES SAFER AND HEALTHIER

REVEALING AND REDUCING THE REAL COST OF TOBACCO IN OREGON

PERCENTAGE OF ADULT OREGONIANS WHO SMOKE, AMONG SELECTED GROUPS; AND TEEN SMOKING RATES

100

90

80

70

60

50

40

30

FY93

PACK

S PE

R CA

PITA

FISCAL YEAR

FY94 FY95 FY96 FY97

OREGON’S PROGRAMBEGAN IN 1997

FY98 FY99 FY00 FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13

90.688.3 88.4

86.5 86.0

84.2

80.6

75.972.8 71.1

66.7 64.8 63.160.7

58.655.1

52.3

47.5 46.144.7 42.7

93.191.1 92.2 92.1

88.4

82.278.1

71.3

67.665.8

59.6

55.159.8

54.2 55.1

50.148.2

44.6 46.5 44.4 43.0

OREGONUS

PROGRAM FUNDING WASCUT IN 2003 PROGRAM FUNDING WAS

RESTORED IN 2007

ANNUAL PER CAPITA CIGARETTE CONSUMPTION, OREGON VS. U.S., FISCAL YEARS 1993-2013

TPEP REDUCES TOBACCO’S EFFECT ON OREGONIANS

A COMMUNITY CREATES SMOKEFREE CHANGE

GOALS OREGON’S TPEP

11THGRADERS

9.8%

8THGRADERS

4.3%

40

35

30

25

20

15

10

5

0

STATEWIDEAVERAGE

17%

AMERICAN**INDIAN/

ALASKA NATIVE

35.3%

LOW* SOCIO-

ECONOMIC STATUS

33.7%

AFRICAN**AMERICAN

33.3%

WHITE**

21.4%

LATINO

20.8%

ASIAN/PACIFIC**ISLANDER

14.1%

*Household income less than $15,000/year. **Non-Latino Oregon Behavioral Risk Factors Surveillance System (BRFSS) Oregon Healthy Teens Survey

*Household income less than $15,000/year. **Non-Latino Oregon Behavioral Risk Factor Surveillance System (BRFSS) Oregon Healthy Teens Survey

Baker City, a historic community on the Oregon Trail, rightly promotes itself as a beautiful “base camp” for exploring Eastern Oregon’s pristine mountains, rivers and hiking trails. Unfortunately, tobacco has undermined this healthy image.

The county health department’s TPEP has worked for years to reduce tobacco use by increasing community awareness of the dangers of tobacco. Yet Baker County has one of the state’s highest rates of tobacco use: About 1 in 4 adults and 1 in 10 young people report currently using tobacco.

Wanting to create a more vital future for their town, several Baker City residents asked their leaders to make all city parks smokefree. Local TPEP staff supported and amplified their efforts, and in January 2014 the City Council passed a smokefree parks ordinance that already is making an impact.

Baker County’s TPEP increased the knowledge and engagement of the community, providing residents with the tools to create healthier, cleaner public spaces for themselves and their children.

New funding from the Tobacco Master Settlement Agreement is helping TPEP empower more communities and create similar

success stories across Oregon, from Forest Grove in Washington County to the Warm Springs reservation in north central Oregon. Counties receiving new funds include Benton, Linn, Lincoln, Douglas, Coos, Klamath, Yamhill, Multnomah and Lane.

Six months after Baker City’s policy took effect, TPEP staff documented only four people smoking out of hundreds who attended the annual Miner’s Festival at the city’s busiest park.

“It’s very powerful when citizens come up with their own initiatives,” said Kim Moiser, a Baker City Councilor. “This is our community. If we can get a majority to agree, then we get to decide what our public spaces look like.”

More than 85 percent of funding for Oregon’s Tobacco Education and Prevention Program (TPEP) flows directly into communities working to reduce tobacco-related illness and death across the state. Since TPEPlaunched in 1997, these locally-driven efforts have helped reduce tobacco consumption and youth smoking in Oregon by more than 50 percent —saving lives and saving money.TPEP supports local public health authorities that serve all 36 countiesand nine federally recognized tribes. TPEP works with public, private and non-profit partners to engage communities in promoting smokefree environments and reducing the influence of tobacco marketing, especially on kids and teens. TPEP also provides support and resources to the three-quarters of Oregon smokers who want to quit.Despite declines in tobacco use, it remains the No. 1 preventable cause of death and disease in Oregon, killing 7,000 people each year. Tobacco use is a major risk factor for developing asthma, arthritis, diabetes,cardiovascular disease, stroke, tuberculosis, erectile dysfunction, and ectopic pregnancy—as well as lung, liver, colorectal and other forms ofcancer. It also worsens symptoms for people already battling chronic diseases. This burden falls hardest on lower-income Oregonians and certainracial and ethnic communities, who use tobacco at higher rates and sufferthe harshest consequences. Yet whether or not we use tobacco, all Oregonians pay its price. Medicalexpenses and lost wages that result from tobacco-related disease andpremature death cost Oregon $2.5 billion each year, or $1,600 for every household in our state. The majority of TPEP funding comes from state taxes on tobacco products.However, in 2013, the Legislature for the first time set aside a portionof funds from the Tobacco Master Settlement Agreement to support tobacco prevention efforts. This report provides a current snapshot of TPEP accomplishments, and also looks ahead to show how this additional state support will further reduce the burden of tobacco-related disease in Oregon and make our communities healthier and safer.

1. ELIMINATE EXPOSURE TO SECONDHAND SMOKE

2. PREVENT YOUTH FROM INITIATING TOBACCO USE

3. IDENTIFY AND ELIMINATE TOBACCO-RELATED DISPARITIES IN ALL POPULATIONS

4. HELP SMOKERS QUIT

BAKER CITY

TPEP’S FOUR GOALS FOR MAKING OREGON COMMUNITIES SAFER AND HEALTHIER

REVEALING AND REDUCING THE REAL COST OF TOBACCO IN OREGON

PERCENTAGE OF ADULT OREGONIANS WHO SMOKE, AMONG SELECTED GROUPS; AND TEEN SMOKING RATES

100

90

80

70

60

50

40

30

FY93

PACK

S PE

R CA

PITA

FISCAL YEAR

FY94 FY95 FY96 FY97

OREGON’S PROGRAMBEGAN IN 1997

FY98 FY99 FY00 FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13

90.688.3 88.4

86.5 86.0

84.2

80.6

75.972.8 71.1

66.7 64.8 63.160.7

58.655.1

52.3

47.5 46.144.7 42.7

93.191.1 92.2 92.1

88.4

82.278.1

71.3

67.665.8

59.6

55.152.9

54.2 55.1

50.148.2

44.6 46.5 44.4 43.0

OREGONUS

PROGRAM FUNDING WASCUT IN 2003 PROGRAM FUNDING WAS

RESTORED IN 2007

ANNUAL PER CAPITA CIGARETTE CONSUMPTION, OREGON VS. U.S., FISCAL YEARS 1993-2013

TPEP REDUCES TOBACCO’S EFFECT ON OREGONIANS

A COMMUNITY CREATES SMOKEFREE CHANGE

GOALS OREGON’S TPEP

11THGRADERS

9.8%

8THGRADERS

4.3%

40

35

30

25

20

15

10

5

0

STATEWIDEAVERAGE

17%

AMERICAN**INDIAN/

ALASKA NATIVE

35.3%

LOW* SOCIO-

ECONOMIC STATUS

33.7%

AFRICAN**AMERICAN

33.3%

WHITE**

21.4%

LATINO

20.8%

ASIAN/PACIFIC**ISLANDER

14.1%

*Household income less than $15,000/year. **Non-Latino Oregon Behavioral Risk Factors Surveillance System (BRFSS) Oregon Healthy Teens Survey

*Household income less than $15,000/year. **Non-Latino Oregon Behavioral Risk Factor Surveillance System (BRFSS)Oregon Healthy Teens Survey

2013 – 2015

TOBACCO PREVENTION

& EDUCATIONExpanding Our Reach

for a Healthier Oregon

PROGRAM REPORT 2013-2015

STATE ANDCOMMUNITY

INTERVENTIONS61%

ADMINISTRATION & MANAGEMENT

3%

DATA ANDACCOUNTABILITY

9%

CESSATIONPROGRAMS

12%

HEALTHCOMMUNICATIONS

15%

FUNDING TPEP delivers comprehensive,

evidence-based tobacco prevention

and education programs to all

Oregonians. More than two-thirds

of TPEP’s $15 million biennial

budget supports public and

private organizations’ programs

and services. Funds support local

public health authorities, tribes,

community-based and not-for-profit

organizations. More than $8 million

goes to communities across the state

through TPEP.

COMMUNITY PROGRAMSTPEP provides funding to all 34

of Oregon’s local public health

authorities; all nine federally

recognized tribes; and five coalitions

of community-based organizations

that represent people who are

traditionally underserved and

experience health disparities.

Communities use these funds to

reduce tobacco use where people

live, work, play and learn.

PUBLIC AWARENESS AND EDUCATIONTPEP’s statewide education

campaigns include advertising on

television, radio and in newspapers

across Oregon. TPEP also promotes

news stories and editorials to raise

Oregonians’ awareness of the

dangers of secondhand smoke and

the benefits of quitting tobacco.

OREGON TOBACCO QUIT LINEThe Oregon Tobacco Quit Line gives

free assistance and coaching to

all Oregonians who want to quit

using tobacco, and is available to

their friends, family and health care

providers.

DATA AND ACCOUNTABILITY TPEP tracks, measures and analyzes

tobacco-related data on adults,

youth and traditionally underserved

populations in Oregon to ensure

programs are appropriate and

effective. Effectiveness is measured

by comparing national data and

trends to Oregon data and trends

during the same period.

PUBLIC HEALTH DIVISION TOBACCO PREVENTION AND EDUCATION PROGRAM (TPEP)800 NE Oregon St., Suite 730 Portland, Oregon 97232 Telephone: 971-673-0984 Fax: 971-673-0994 public.health.oregon.gov/PreventionWellness/TobaccoPrevention

This document can be provided upon request in an alternate format for individuals with disabilities or in a language other than English for people with limited English skills. To request this publication in another format or language, contact the Public Health Division at 971-673-1222, 971-673-0372 for TTY.

BUDGET