2. What is the main area of concern for a smoke-free community? Health

3. What are the two other supporting aspects of a smoke- free community? Budget Politics

4. Secondhand smoke has been proven to be dangerous! Secondhand smoke is a Class A Carcinogen and kills 49,000 people a year. A smoke-free community protects its workers, customers, and citizens. Becoming smoke-free can help workers quit smoking and/or reduce the amount that employees smoke each day. Smoke-free communities help prevent youth from starting to smoke; and statistics show that teens in smoke-free communities are less likely to use tobacco.

5. Everyone knows that smoking is bad for their health, but how many think about what they are doing to those around them? Secondhand smoking can: Increase the risk of heart disease Increase the risk of cancer Trigger heart attacks Trigger attacks in asthmatics Irritate eyes, nose, and throat Cause respiratory infections Many smokers want to quit, but don’t have the willpower. Smoke-free communities will offer them a clean environment in which to help them beat the temptation.

6. “It is important to know as much as possible about teenage smoking patterns and attitudes. Today's teenager is tomorrow's potential regular customer, and the overwhelming majority of smokers first begin to smoke while in their teens…” –Big Tobacco www.tobaccofreekids.orgwww.tobaccofreekids.org [Special Report, “Young Smokers: Prevalence, Trends, Implications, and Related Demographic Trends,” PM Document #1000390803/55, March 31, 1981]

7. "We ask you to judge us not by looking at the past, but rather by looking at what we have committed to do in the future." [Brown & Williamson Tobacco Corporation Chairman and CEO, Nicholas Brookes, before the House Committee on Commerce, January 29, 1998.] “[Marketing to minors] certainly doesn't happen today. We shouldn't be discussing 14-year-olds in any way, shape or form.” [Andrew J. Schindler, president and CEO of R.J. Reynolds Tobacco Co., testifying in Minnesota's Medicaid suit, March 5, 1998.] A survey released in March 2010 showed that kids were significantly more likely than adults to recall tobacco advertising. While only 25% of all adults recalled seeing a tobacco ad in the two weeks prior to the survey, 43% of kids aged 12 to 17 reported seeing tobacco ads. [National telephone survey of 500 teens aged 12-17 conducted March 4-8, 2010 and 1,000 adults conducted March 4-7, 2010 by International Communications Research]

8. Tobacco use costs Missouri $2.13 billion annually in health care costs and $2.41 billion in lost productivity. Smokers work ONE MONTH per year less than non- smokers! Smokers, on average, miss about 60% more days of work per year than non-smokers.

9. The costs of extra cleaning and maintenance made necessary by tobacco smoke and tobacco-related litter is over $4 billion/year for commercial establishments alone. Each smoking employee costs their employer an estimated $1,000-$4,600/year in excess medical costs. This raises cost for businesses, raising prices for everyone else. Each Missouri household spends almost $600/year in taxes that go directly to tobacco-related Medicaid costs.

10. In the 2000 election, Big Tobacco gave $7.3 million to federal candidates and political parties. Tobacco companies are doing everything they can to delay and weaken the public statements [of truth] a federal judge has ordered them to make to correct their past lies and prevent future deceptions. In Feb. 2011, U.S. District Court Judge Gladys Kessler rejected [tobacco] companies' latest delaying tactics.

11. 1 orb = 20 cigarettes 1 cigarette = 1.8 mg of nicotine 1 Snus pouch = 8 mg of nicotine

12. Camel has begun to market their product in bright new, fun colors to attract teenage girls. They were also a sponsor for the New York Fashion Show.

13. 9,362 Missourians die every year because of tobacco. Roughly 53,000 NON-SMOKERS in the United States die each year because of tobacco.

15. What can you do? 1. Political process? (when does your city council meet, what class are they, etc.) 2. Join a local community coalition- need more then just students involved in this process 3. Connect with experts in the field, Kendra Isreal e-mail Kisrael@gwbmail.wustl.edu at Tobacco Free Missouri is a great start.Kisrael@gwbmail.wustl.edu

16. What can you do? Other professionals in the field include: Department of Health and Senior Services: Victoria Warren e-mail Victoria.Warren@health.mo.gov CASE staff: Tiffany Bowman e-mail bowmanTS@missouri.edu and Dean Anderson e-mail andersendc@health.missouri.edu andersendc@health.missouri.edu

18. Questions and Answers for foot activity 1.Secondhand smoke kills how many people per year? A: 49,000 2. Secondhand smoking can do what to the body: A: Increase the risk of heart disease and cancer 3.Big Tobacco no longer markets to youth? A: False 4.What company changed their name in order to promote a better image to the public? A: Philip Morris 5.How much does Missouri spend on health care costs due to tobacco use each year? A: $2.13 billion 6.How much is spent per year on cleaning up tobacco smoke and litter? A: $4 billion

19. 7. How many cigarettes does one Orb equal? A: 20 8. How many milligrams of nicotine is in one packet of Snus? A: 8 9. The bright colorful packaging is made to catch the attention of whom? A: Youth 10. How many Missouri cities have strong smoke-free laws? A: 20 11. How many tobacco related deaths are there in Missouri every year? A: Over 9,000 12. Big Tobacco companies have still not faced up to the truth about the harmful effects of tobacco? A: True