1

Initiated Act 1 Fall

Initiated Act Allocation of MSA Funds 3

A healthier and better- informed Arkansas. 4

Arkansas Aging Initiative The Arkansas Tobacco Settlement Commission

Arkansas Biosciences Institute Has provided information through the combined strength of major research institutions. 7 College of Public Health

Delta Area Health Education Center Increased access to: Health Care Health Education Clinical Services 8 Medicaid Expansion

TOBACCO PREVENTION AND CESSATION PROGRAM 9 Arkansas Minority Health Commission

State and Community Interventions Health Communications Interventions Cessation Interventions Administration and Management Surveillance and Evaluation 10

And the numbers are evidence of our success 11

Current Cigarette Smoking among High School Students* Arkansas 2000, 2005, &

21,500 Fewer High School Smokers

Percentage of adults who were current cigarette smokers, AR ATS 2002, 2004, 2006, &

92,400 Fewer Adult Smokers 15

Percentage of adult males who were current users of smokeless tobacco, by race/ethnicity AR ATS 2002, 2004, 2006, &

Current Smokeless Tobacco Use among High School Boys* By Race/Ethnicity Arkansas 2000, 2005, &

Percentage of adults who reported exposure to secondhand smoke in the home, AR ATS 2002, 2004, 2006, &

Percentage of adults who reported exposure to secondhand smoke in the vehicle, AR ATS 2002, 2004, 2006, &

Clean Indoor Air Act Act Tobacco Excise Tax – 2003 and 2009 Arkansas Clean Air on Campus Act RIP Cigarettes

The Numbers – Dollars and Sense 21

Arkansas Trends in Hospital Admissions for Selected Diseases for Patients 35 Years and Older, Heart Disease 19.7% Decrease Stroke 32.3% Decrease Emphysema and 12.3% Decrease Chronic Bronchitis All Other Admissions2.2% Decrease ( only) Excluding: Heart Disease, Stroke, Emphysema and Chronic Bronchitis 22

Major Questions What Does the Reduction in Hospital Admission Rates Mean in Terms of: Hospital-related Cost Savings? Value of Deaths Averted? 23

Hospital-Related Cost Savings Heart Disease Stroke Emphysema, Chronic Bronchitis Smoking Attributable Hospital Admissions Averted Hospital Costs and Hospital-related Professional Costs Totals All costs are adjusted for inflation to 2008 constant dollars 4,2492,3952,930 $119.4 M$33.8 M$28.3 M 9,574 $181.5 M 24

Value of Deaths Averted Heart Disease Stroke Emphysema, Chronic Bronchitis Smoking Attributable Deaths Averted Value of Smoking Attributable Deaths Averted* Totals 51 $103.9 M$159.8 M$52.2 M 289 $315.9 M *Dollar values were calculated using standard Health Economic methods of the value of a year-of-life saved. All costs are adjusted for inflation to 2008 constant dollars 25

26 Arkansas Tobacco Quitline

Adult Tobacco Quitline Arkansas Tobacco Users By County 27

28

Helping to save money. Helping to save lives. Helping to maintain a healthy Arkansas. MSA FUNDING 29