1. The Nightingales Project: Engaging Nurses as Tobacco Control Activists Gina Intinarelli RN, MS UCSF School of Nursing www.nightingalesnurses.org

2. The Nightingales: Nurses Bearing Witness Reframing the issue: Big Tobacco’s choice to promote addictive and dangerous products Honor those who suffer from tobacco Use nursing’s image and credibility to challenge industry legitimacy Speak the contradictions and silences

3. Goals Help nurses and the public see tobacco as more than an individual problem Expose the tobacco industry’s deceptions and highlight the industry’s contributions to suffering and disease Engage nurses in the global tobacco control battle at all levels

5. Nursing’s Political Capital The Top Five professions and occupations considered most honest by the American public: Nurses (73 percent) Pharmacists (69 percent) Veterinarians (63 percent) Medical Doctors (58 percent) K-12 Teachers (57 percent)

7. Nightingales Actions Attended 2004, 2005 and 2006, 2007 Altria/Philip Morris shareholders’ meetings Attended 2006 RJ Reynolds/Reynolds American shareholders' meeting Attended the 2007 General Electric shareholders meeting Read letters Called for end to cigarette promotion Moment of silence Health related shareholder resolutions Challenged Philip Morris’s ‘extreme makeover’ PR in public forums

9. The Tobacco Industry Industrial vector of disease Decades of deceit Manipulation of science Engineering products for addiction Undermining governments and public health Targeting youth and marginalized groups Environmentally destructive Now moving into developing countries

10. The Tobacco Industry Documents: Public Letters 7 million documents: memos, budgets, advertising plans, science, public relations Legacy Tobacco Documents Library: http://legacy.library.ucsf.edu http://legacy.library.ucsf.edu Letters from smokers; families Stories of suffering and grief Kept in industry files

12. From New Jersey: To the Makers of Marlboro: Because of Marlboro cigarettes we have lost our beloved brother, son and father at 41 years of age. He suffered for 11 months with head and neck cancer. He smoked more because of your promotions... He started smoking when he was about 18 years old. He left behind 2 children…he will never see his son graduate from high school or go to college…Because of your tobacco company we no longer have our Dan and the children no longer have a father. Lung cancer is not all the cigarettes cause. His sister, Katherine

13. The product that you and your associates are promoting through this sweepstakes has caused irreparable damage to my family…Never contact this household again.

14. Wisconsin: Donald died Sept 24 th of emphysema… that is the most scary thing… to see a loved one on a machine and still crying for help just to try to keep breathing. You kept them coupons coming which made it even harder for him to stop smoking…Please stop sending the literature for these killers.

15. New York: This is to let you know that you can never get to know my father any better—he died from emphysema because of smoking most of his life. My mother, who passed away four months prior to my Dad, and never smoked, had the lungs of a smoker because of living with him all her life. Don’t ever send literature like this to me again…You have my permission to use this in your advertising program.

16. Tobacco industry responses: No-Mail and send ‘we’ll take your comments seriously’ form letter

20. Message A socially responsible company would not continue to promote the most deadly consumer product ever made

21. An Emerging Strategy Attack the Allies

22. GE Shareholder Meeting 2007 Two Nightingales sent to address the CEO and shareholders of General Electric regarding their subsidiary NBC/Universal studios and smoking in movies

23. UNIVERSAL’S 8-YEAR RECORD 1999-2006 MOVIES PRODUCED AND/OR DISTRIBUTED: 151 YOUTH-RATED (G/PG/PG-13): 84 (56%) MOVIES WITH SMOKING: 121 (80%) R-RATED WITH SMOKING: 91% (61 of 67) YOUTH-RATED WITH SMOKING: 71% (60 of 84) PG-13 WITH SMOKING: 75% (54 of 72) PG WITH SMOKING: 50% (6 of 12) [No G-rated live-action releases in survey period.] OF UNIVERSAL’S SMOKING MOVIES, 50% WERE YOUTH-RATED

24. Smoke Free Movies Films are a powerful promotional channel Seeing lots of tobacco on screen can triple the chance a teen will start smoking — and that the less they see, the less likely they are to smoke HALF OF NEW YOUNG SMOKERS in the U.S. are recruited by their exposure to smoking in movies

25. Smoke Free Movies Campaign 4 Policy Solutions Rate new smoking movies “R” Certify no payoffs Require strong anti-smoking ads Stop identifying tobacco brands

26. Nightingales Attack the Allies Publishing companies –Women’s magazines Glamour Cosmopolitan Convenience stores –7-11 –Quick mart Gas stations More Film Studios Goals –Alert shareholders to the allied company’s dealings with the tobacco industry –Present research based facts –Stress the message of the Nightingales –Offer a solution

27. What You Can Do Join us at the shareholders’ meetings! Conduct a public reading of the letters Letters to the editor Give a talk/arrange an invitation Endorsements from nursing organizations Smokefree cities policies for conferences

28. www.nightingalesnurses.org Thanks for your attention!