1. Attacking the #1 Cause of Preventable Death and Disease: Using CDCs Best Practices for Comprehensive Tobacco Control Programs Best Practices for Comprehensive Tobacco Control Programs Deborah Houston McCall, Program Consultant, Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention Local Use of the Best Practices for Comprehensive Tobacco Control Programs Dawn Dunn, Tobacco Prevention Settlement Program, Santa Barbara County (CA) Public Health Department Involving Local Public Health Departments and Boards of Health in Community Tobacco Prevention Efforts Judy Martin, Program Manager, Tobacco Free Nebraska, Nebraska Department of Health and Human Services Meg Riordan, Director, Policy Research, Campaign for Tobacco Free Kids

2. LHDs are interested in advocating for local smokefree policies and collaborating with community partners. Challenges include lack of funding and need for increased communication between local agencies and state counterparts. State health departments are most routinely used resource by LHD Tobacco Control and Prevention programs. Less than half of LHDs in survey engaged in activities to restore or sustain state tobacco funding.

3. Results of self-selected survey of LHD Tobacco Control and Prevention (TCP) Programs in April 2006 Source of program budget State government (30%) State and local funds (18%) State and federal funds (16%)

4. Results of self-selected survey of LHD Tobacco Control and Prevention Programs in April 2006 Community and School Activities Development of smoke-free air policies (84%) Local counter-marketing campaigns (65%) Development of educational materials to increase excise taxes on tobacco products (20%) Evidence-based curricula in schools (67%) Developing tobacco free policies (62%) Parental involvement and teacher training (43%)

5. Results of self-selected survey of LHD Tobacco Control and Prevention Programs in April 2006 Cessation Promoting state quitline (92%) Offer cessation for adults (79%) Offer cessation for youth (65%) Counter-marketing Health promotion activities (81%) Press releases and public service announcements (79%) Paid TV, radio, billboard and print advertising (64%)

6. Results of self-selected survey of LHD Tobacco Control and Prevention Programs in April 2006 Enforcement Education about smoke-free air policies (82%) Education about youth possession (59%) Compliance checks (61%) Enforcement of youth possession (39%)