1. Indiana Tobacco Control Strategic Plan A Joint Effort Of: Indiana Tobacco Prevention and Cessation Indiana State Partners Network for Tobacco Control Hoosier Faith & Health Coalition ITPC-Affiliated Local Coalitions ITPC Funded Grantees Putting Together A Tobacco Free Indiana Piece X Piece

2. 6 Priority Areas Youth Secondhand Smoke Exposure Adults
Knowledge, Attitudes, and Beliefs
Tax
Infrastructure

3. PIECE… by PIECE OUR 6-MONTH PLAN Pass a tobacco tax
Fund tobacco control at or above CDC minimum
Use all tobacco tax $$ for public health

4. PIECE… by PIECE FAITH BASED MOBILIZATION HEALTH CARE MOBILIZATION
BUSINESS COMMITMENT
MEDIA OUTREACH
LEGISLATOR EDUCATION MEETINGS

5. PIECE… by PIECE FAITH BASED MOBILIZATION
Hoosier Faith & Health Coalition Resolutions- Goal 500
HFHC Event January 24
HFHC Advisory Board Outreach

6. PIECE… by PIECE FAITH BASED MOBILIZATION: LOCAL ACTION
Re-contact faith based organizations that signed on two years ago to recommit
Get 3 new commitments
Bring faith-based team to January Event
Identify a faith leader spokesperson to support tobacco tax/funding effort

7. PIECE… by PIECE HEALTH CARE MOBILIZATION
IN Health & Hospital Association
ITPC Executive Board
IN State Medical Association
IN Academy of Family Physicians

8. PIECE… by PIECE HEALTH CARE MOBILIZATION: LOCAL ACTION
Meet with Hospital CEO’s for joint action
Ask other community organizations to pass similar resolutions
Present resolutions to your state legislative delegations
Identify a health care executive and physician spokesperson to support tobacco tax/funding effort

9. PIECE… by PIECE BUSINESS COMMITMENT:
Accelerating Growth: Indiana's Strategic Economic Development Plan: Objective 2 Initiative 4
Explore Incentives for Hoosier Businesses and Workers to Adopt Healthier Lifestyles
Eliminate provisions of the “smokers bill of rights”
Allow employers to offer discounts to employees who meet health goals
Encourage communities to adopt smokefree policies
Promote/expand INShape Indiana

10. PIECE… by PIECE BUSINESS COMMITMENT: LOCAL ACTION
Host Dr. Pat Barkey, Ball State University economist, at a local business meeting
Meet with key businesses for joint action focusing on top 10 employers in local grant workplan
Identify a business spokesperson to support tobacco tax/funding effort

11. PIECE… by PIECE MEDIA OUTREACH Jan 2006 July 2006
648 news items (~300/mo avg)
103 editorials; 129 letters to editor
346 articles focused on tax (54%)
July 2006
Editorials in major media markets

12. PIECE… by PIECE MEDIA OUTREACH: LOCAL ACTION
Get at least one story telling in local print promoting the success of your program
Make a person visit with the editor of your local newspaper
Secure letter to editor from 50% of your coalition membership
Some may be called upon to hold media events

13. PIECE… by PIECE LEGISLATOR EDUCATION Spending plan lacking in 06
Re-education on the role tobacco tax increase plays in reducing tobacco use
Continual education on role of comprehensive tobacco control (sticker shock)
Specific education on role of public education campaign

14. PIECE… by PIECE LEGISLATOR EDUCATION VISITS
LOCAL ACTION
Meet face-to-face with your legislators to:
Provide facts about tobacco taxes impact on health
Share success stories and challenges from your local coalition
Provide facts about why IN needs a comprehensive tobacco control program

15. PIECE… by PIECE
So….
What
Happened?

16. Governor Daniel’s State of the State Address, January 2006 (8)
“Our InShape Indiana initiative is off to a reasonable start, with thousands of citizens signing up to pay more attention to basic principles of wellness. But no single step we could take would matter more than reducing the percentage of Hoosiers, particularly young Hoosiers, who smoke cigarettes. All the evidence shows that the most effective way to deter young smokers is at the cash register. I ask this Assembly to raise Indiana’s lowest-in-the-Midwest cigarette tax by at least 25 cents a pack.”

17. Why Make Cigarettes More Expensive?
Indiana cannot be healthy with a high rate of smoking
We cannot have a low rate of smoking with some of the cheapest cigarettes in America
NOT to raise state revenue
The Governor’s Plan for a Healthier Indiana

18. Governor Daniel’s 2007 State of the State Address
Healthy Indiana Plan
Increase tobacco tax
Fund tobacco prevention and cessation at CDC recommended level
Fund low cost health insurance
Fund immunizations

19. Smoking by Insurance Status 2005

21. Rally photos

25. Camel No. 9 Parties

27. 1930’s
• Although women were seen as a new target audience, most brands showed women being offered a cigarette, not as the primary consumers. Lucky Strike changed this with the introduction of the “Reach for a Lucky instead of a sweet” campaign, launched by the American Tobacco Co. in 1928, appealing to women’s desires to be fashionable. Lucky Strike sales soon skyrocketed 215% and the brand became the nation’s best-selling cigarette in just two years.1,2
• Attitudes about women and smoking were changing. This was reflected in the entertainment industry of the day. Many women in the movies were now smoking. And they weren’t always the villains. Ads featured well-known movie stars, socialites, and other personalities extolling the virtues of Luckies as appetite suppressants. The ad at the upper left of this slide features Billy Burke, best know as Glinda, the Good Witch in “The Wizard of Oz.” A 1935 survey revealed that 30% of movie heroines smoked on screen, while only 2.5% of the female villains smoked.3
1950’s
1 STAT (Stop Teenage Addiction to Tobacco) Speakers’ Guide & Slide Collection, Supplement II.
2 Brandt AM. Recruiting women smokers: the engineering of consent. JAMWA. 1996;51(1&2):63-66.
3 Women and Girls Against Tobacco
Slide A3

31. Business of Health, Indiana Tobacco Prevention and Cessation
Indiana First Lady Cheri Daniels has details on the INFluence Women’s Health Forum rally.

33. Indianapolis Star 9/2/2007

38. Indiana news clips, total vs tax, Jan-Jun 2007

39. Cigarette Tax, Indiana vs. All States

40. ITPC Comprehensive Tobacco Control
Community Based Programs
Cessation
Statewide Public Education
Enforcement of Youth Access
Evaluation
Administration and Management

41. ITPC Partnership-2007

42. Time 2 Quit June 07 News Conference Launch
Featured Governor Daniels & Dr. Judy Monroe
3 Messages
Ask your health care provider for help
Call Quit Now
Use local ITPC resources

43. Time 2 Quit- Phase 1

44. Phase 2- Launch of Quit 2 Win
Launched at Indiana Black Expo Summer Celebration
Indiana’s first statewide cessation “contest”
Capitalized on cigarette tax increase

45. Phase 3- Take it to the “streets”

46. Phase 4- Increase the Capacity of the Indiana Tobacco Quitline

47. RESULTS Increased resources to help smokers quit
Over 5,000 individuals participated in Quit 2 Win
Jan 1-Jan 9 , 580 Hoosier smokers enrolled in the Indiana Tobacco Quitline
Awarded 21 supplemental cessation grants
Releasing RFP for additional statewide cessation grants

48. PIECE… by PIECE OUR 6-MONTH PLAN
Pass a tobacco tax (from 55.5 to 99.5 cents)
Fund tobacco control at or above CDC minimum (50% increase)
Use all tobacco tax $$ for public health
(The overwhelming majority of tax went for health care, $1.2 M for tobacco cessation)

49. For more information contact:
PIECE… by PIECE
For more information contact:
Karla S. Sneegas, MPH
Executive Director
ITPC