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Louisiana and Tobacco
Jennifer BurrisDirector of Health and Wellness
ProgramsSouthwest Louisiana Area Health
Education Center
Tobacco438,000 deaths – the number of American deaths-per-year
caused by smoking. In Louisiana, an estimated 6,400 adults die each year from
smoking.Another 650-1,150 people die each year from the effects of
exposure to secondhand smoke. Tobacco use is the single most preventable cause of death
in Louisiana and the United States. *Secondhand smoke is the third leading cause of
preventable death in the U.S. * * Centers for Disease Control and Prevention MMWR — Annual
Smoking–Attributable Mortality, Years of Potential Life Lost, and Productivity Losses — United States, 1995–1999. 2002 / Vol. 51
Health Care Cost In Louisiana
Smoking costs more than $1.15 billion each year in direct medical costs.
Louisiana spends $518 million each year in Medicaid funds to treat tobacco related illnesses.
An additional $1.66 billion in lost productivityFor a total of $2.8 billion in direct and
indirect medical costs annually
Louisiana Laws
Act 815 – Smoking is no longer allowed in Restaurants, school campuses, work places and other public buildings. Gave local control back to the local government.
Act 838 – No smoking in a car if a child 13 and under is present, even if the window is down
FDA Regulation - A piece of legislation that would give the U.S. Food and Drug Administration (FDA) authority over manufactured tobacco products.
What does the New FDA regulation include
The Family Smoking Prevention Tobacco Control ActNo health Claims (low tar, light, reduced)Outlaws most tobacco flavoringIngredients made publicAdvertising and marketing strictly regulated(1000ft)Black and White warning labels
50%of cigarette packs 30% of smokeless tobacco cans Black and white print
Components of a Comprehensive Tobacco Approach
According to the Centers for Disease Control Best Practices
1. Enact meaningful legislation and policy Limit access, availability Clear stance on health concerns Clean indoor air
Components of a Comprehensive Tobacco Approach2. Taxation
Associated with prevention, cessation, and reduction in use
3. Prevention and Counter AdvertisingMinimize the replacement of tobacco users who die with
new usersAccurate portrayal of tobacco and its health-damaging
and other effects
4. Cessation ProgramsIntensity of the treatment
Delivery systems
Why is all of this necessary?
Who The Tobacco Industry Target? Heavily Targeted Louisianans
African Americans & Asian AmericansHispanics and Latinos & Native AmericansLow Socio-economic statusLesbian, Gay, Bisexual and Transgender
communityDisabled/Mentally Ill and Veterans Youth 11-17 Blue Collar Workers and Rural CitizensYoung Adults 18 – 24 (straight to work and
college)
Marketing $13 billion – the amount Big Tobacco spends
on promotions and advertising.
The tobacco industry spends 285 million dollars annually in Louisiana to attract new smokers and ensure that current smokers keep smoking.
RJ ReynoldsAt R.J. Reynolds Tobacco Company we operate our
business in a responsible manner that best balances the desires of our many stakeholders. Our Guiding Principles and Beliefs seek to reflect the interests of shareholders, consumers, employees, and other stakeholders. In particular, R.J. Reynolds is committed to addressing the issues regarding the use of and harm associated with tobacco products in an open and objective manner.
….we are principled, creative, dynamic and passionate
Other Industry Quotes We don’t smoke the Sh**, we just sell it. We
reserve that for the young, the black, the poor and the stupid.”
-RJ Reynolds Executive
“We are more interested to learn how you plan to target the emerging young adult female smokers rather than the older female smokers”
- Phillip Morris 1989
According to the Campaign for Tobacco-Free Kids , in the last two years, the industry has launched its most aggressive marketing campaigns aimed at women and girls in over a decade.
Where Do we go from here?
What Works?PHS (2008) Recommendations 1. Tobacco Dependence is a chronic conditionOften requires repeated interventions, multiple attempts to quit
2. Consistency is Key3. Treatments are effective across populations4. Brief tobacco dependence treatment is effective5. Individual, group, and telephone counseling are
effectiveEffectiveness increase with treatment intensity2 components are particularly effective: practical counseling
(problem solving/skills training); social support delivered as part of the treatment
U.S.Department of Health and Human Services, Public Health Service
What Works?Continued6.Medications work, and their use should be
encouraged
7. Counseling and medications are effective, but the combination is more effective than either alone
8.Quitline counseling is effective and has broad reach
Symptoms of Withdrawl
Know what to expect
Primary Symptoms of Nicotine Withdrawo Insomnia
o Evident 1st day of quittingo Primarily sleep fragmento Some report decrease in sleep latencyo Peaks within 1-3 dayso Lasts 3-4 weeks
o Irritability/ frustration/angero can last> 1 montho 80% of quitters endorse thiso Anxietyo Often evident prior to quit attempto Peaks within days o Lasts 3-4 weeks
Primary symptoms of Nicotine WithdrawDysphoric/depressed mood
Can last > 1 month
Difficulty ConcentratingEvident 1st day of quittingPeaks within 1-3 daysLasts 3-4 weeksGenerally mild
RestlessnessLasts < 1 monthPerceived as highly aversive
Primary Symptoms of Nicotine Withdraw
Increased Appetite/Weight gainAppetite change lasts 10 weeksExpect 5-7 pounds of weight gainWill loose when metabolism stabilizes
Decreased Heart Rate Average decrease is 10 bpm
Nicotine Replacement TherapiesNRT
Therapeutic effectPrimarily reduces withdrawal symptomsMay provide some positive effects
reduce negative moodreturns concentration to normalsuppression of weight gain associated
with cessationMay replace oral and handling aspects of the
habit(gum, inhaler, lozenge)
Nicotine Replacement Therapies
Nicotine Transdermal Patch (nicoderm,nicotrol,habitrol)
Nicotine Polacrilex Gum (Nicorette)Nicotine Inhaler (nicotrol) px onlyNicotine Nasal Spray (nicotrol NS) px onlyNicotine Lozenge (commit)
Pharmacologic OptionsNon-nicotine products (FDA approved)
zyban/wellbutrin (Bupropion)
Chantix (varenicline)
Please ask you health care provider what works best for you
Resources To Quit www.quitwithusla.orgwww.BecomeAnEx.org
www.ffsonline.com1.800.Quit Now M.D. Anderson
www.latobaccocontrol.comwww.tobaccofreeliving.org
www.tobaccofreekids.orgwww.cdc.gov/tobacco/osh
Additional Tobacco Resources
More ResourcesHow to quit smoking: QuitNet Committed Quitters Online The Quit Smoking Company Try to Stop You Can Quit Smoking Smokefree.gov (U.S. Government) No Smoke (anti-smoking software)
More ResourcesProducts to help smokers quit: NicoDerm CQ (nicotine patch) Nicorette (nicotine chewing gum) Nicotrol (nicotine inhaler, spray, and patch) Zyban (a nicotine-free prescription pill) Chantix ( a nicotine-free prescription pill)
More ResourcesBooks on smoking cessation:
Seven Steps to a Smoke-Free Life Quit Smoking for Good The Stop Smoking Workbook Dying to Quit You Can Stop Smoking Freshstart: 21 Days to Stop Smoking Keep Quit! A Motivational Guide Out of the Ashes: Help for People Who Have Stopp
ed Smoking
More ResourcesResearch organizations:
American Cancer Society American Lung Association Centers for Disease Control National Cancer Institute Society for Research on Nicotine and Tobacco
More Resources Research reports: U.S. Surgeon General Reports U.S. Centers for Disease Control Reports World Health Organization Reports Morbidity and Mortality Weekly Reports Social Climate of Tobacco Control Cigarettes: What the Warning Label Doesn't Tell You Research teams: Center for Tobacco Control Research Tobacco-Related Disease Research Program Center for Tobacco Research and Intervention Michigan Nicotine Research Laboratory Ontario Tobacco Research Unit Tobacco Use Behavior Research Research for International Tobacco Control Research Network on the Etiology of Tobacco Dependence
Jennifer BurrisDirector of Health and Wellness
Programs SWLA AHEC
103 Independence Blvd. Lafayette, LA 70506337.989.0001 –office337.989.1401 – fax
