1. HOW MUCH??
Are You Serious?

2. Four Key Points We’ve come a long way Recommendations in Context
Key Messages
Next Steps

3. BP-2007 Reaffirms What We Know
Scientific evidence
Real-world experience
Conclusions from National experts

4. If every state funded TP at CDC minimum, states would prevent nearly two million kids alive today from becoming smokers, save more than 600,000 of them from premature, smoking-caused deaths, and save $23.4 B in smoking-related HC costs.

5. States with best funded and most sustained tobacco prevention programs during the 1990s – AZ, CA, MA and OR, reduced cigarette sales more than twice as much as the country as a whole

6. State-sponsored anti-tobacco media campaigns are working to change youth attitudes about tobacco and to reduce youth smoking.

7. Reductions in tobacco smoking are major factor in the decrease in cancer mortality rates
Sustained progress in tobacco control is essential if we are to continue to make progress against cancer.

8. Although Washington made progress in implementing tobacco control policies between 1990 and 2000, smoking prevalence did not decline significantly until after substantial investment was made in the state’s comprehensive tobacco control program.

9. Comprehensive Programs Help Adult Smokers Quit
Maine: Cut adult smoking by 12.5% b/t 2001 and 2004
WA: Cut adult smoking by 20% between 1999 and 2005
Massachusetts:
Cut adult
smoking by 21%
between
1993 and
2000
California: Cut
adult smoking by
32.5% between
1988 and 2004
New York: cut adult smoking by 15% between 2000 and 2006
Arizona: Cut
adult smoking
by 21% between
‘96 and ‘99

10. Comprehensive Programs Reduce Youth Smoking
WA: Cut youth smoking by 50% b/w 2000 and 2006
Maine: Cut
high school
smoking by
59% b/w
1997 and 2005
Ohio: Cut high school smoking by 45% b/w 1999 and 2003
Oregon: Cut
smoking by
63% among
eighth graders
between ‘96
and 2004
Florida: Cut
middle school
smoking by
47% & high school
30% b/w
1998 and 2001
Mississippi: Cut
smoking among
public middle school
students by
48% in 5 years

11. Comprehensive Programs Work
Saves Lives
California:
Studies show program prevented tens of thousands of deaths from heart disease and lung cancer due to smoking

12. Ending the Tobacco Problem: A Blueprint for the Nation Institute of Medicine, May 2007
“To be effective, however, TC programs must be consistent, and budget cuts in TC programs are threatening that consistency …the committee recommends that all states maintain funding for their TC activities at the level suggested by the CDC – about $15-$20 per capita, depending on the state’s population, demography and smoking rate. ”

13. President’s Cancer Panel Report August 2007
The leadership of this nation must summon the political will to fund comprehensive tobacco prevention and cessation programs at levels recommended by the CDC

14. Putting the Recommendations in Context

15. Domestic Cigarette Advertising and Promotional Expenditures 1998 - 2005 (Billions of dollars)
$15.15
$14.15
$13.11
$12.47
$11.22
$9.59
$8.24
$6.73
Source: Federal Trade Commission Cigarette Report for 2004 and 2005

16. Tobacco Use Costs the Nation
$ 96.7 Billion
$30 Billion in
Medicaid Costs
$3.7 Billion

17. Tobacco Money for Tobacco Prevention
$ 24.9 Billion
$8.1 Billion
Tobacco Settlement Revenues
$16.8 Billion
Tobacco Tax Revenues
$3.7 Billion

18. New Opportunities
Bonus payments of $900+ million annually beginning in FY 2008

19. Cigarette Tax Rates (cents per pack)
WASHINGTON
202.5
MONTANA
170
MAINE
200
NORTH DAKOTA 44
VT:179
MINNESOTA
149.3
OREGON
118 VT
IDAHO 57 NH
NH: 108
WISCONSIN
177
SOUTH DAKOTA
153
NEW YORK
150 MA
MA:151
WYOMING 60
MICHIGAN
200 CT
RI:246
IOWA
136
CT:200
PENNSYLVANIA
135
NEBRASKA 64
NJ:258
NEVADA 80
OHIO
125
DELAWARE:115
UTAH
69.5 IN
99.5
ILLINOIS 98 WV 55 30
VIRGINIA
MARYLAND:200
COLORADO 84
KANSAS 79
MISSOURI 17 87
DC:100
KENTUCKY 30
CALIFORNIA
NORTH CAROLINA 35
TENNESSEE 62
OKLAHOMA
103
ARIZONA
200
ARKANSAS 59
NEW MEXICO 91
SOUTH CAROLINA 7 MS 18
ALABAMA
42.5
GEORGIA 37
ALASKA
200
TEXAS
141 36
LOUISIANA
HAWAII
180
FLORIDA
33.9
States that have not passed tax increases since 1999
States that have recently passed or implemented a cigarette tax increase (since 1999)
November 2007
WI increase to 177¢ per pack and MD increase to 200¢ per pack effective 1/1/2008.

20. Just 20 cents from each pack sold…

21. Tobacco’s Devastating Toll
Tobacco is the leading preventable cause of death, killing more than 400,000 each year
4,000 kids try their first cigarette every day; another 1,000 kids become regular smokers every day and 1/3 will die prematurely as a result
Nearly 90% of lung cancer cases, 1/3 of total cancer deaths, and 1 in 5 deaths from heart disease are tobacco-related
Costs the nation almost $100 Billion in health care costs annually

23. Get Over the Sticker Shock
But why so high?
Think about where we’ve come in 10 years
Think about the elements
Media campaign - legislators understand the necessity of being on air
Cost of doing business
Cessation efforts – very tangible piece of program
Think about the TOLL

24. Pull Team Together
Program staff, advocates and vendors accomplish more by working together!
Talk about where you are and where you’d like to go
Develop a multi-year plan to increase your funding
Sustainability is IMPORTANT – ongoing commitment to program makes a difference

25. Work on Sustainability
What would your program look like at higher funding levels – be prepared if asked
Make it REAL!
Document unmet need – how many smokers not reached through quitline, # kids who don’t receive anti-tobacco messages, where infrastructure is lacking so services are not available
Use stories to sell program – kids protected, smokers who’ve quit, jobs/services brought to community, people positively impacted by program

26. Bread and Butter Activities
Media advocacy/Community Education
Communication with elected representatives
Continuous communication and coordination with partners

27. Key Messages Develop clear, concise and compelling messages
New BP affirms that we know what to do to eliminate tobacco use as a serious public health problem – need political will to do so
New BP reflect the fact that we have more experience and evidence than ever before
CDC’s funding recommendations pale in comparison to tobacco industry spending on marketing, tobacco revenue states collect each year, and the health care costs caused by tobacco
Spending levels are appropriate when you consider magnitude of tobacco problem
Failing to invest what CDC recommends means more people will become addicted, more people will get sick and more people will die prematurely
Disseminate key messages – local partners talking off the same page

28. You Are the Key
Continue your efforts – they are working – need to do more of them!
Do not shy away – this enormous problem demands a response – a response that has been proven to work!
You can prevent more kids from starting to smoke, help more smokers quit and accelerate declines in heart attack deaths and chronic lung disease