1. Citizens of Harvestland Against Tobacco (CHAT) Coalition Harvestland, Missouri Teaming Up To End Tobacco Use

2. Objectives In this presentation we will: 1.Illustrate the problem of tobacco use in our state and nationwide 2.Identify past successes in reducing deaths from tobacco use 3.Offer effective strategies to further reduce the level of current tobacco use in our county 4.Ask for your support in this effort

3. Past and Present Impact of Tobacco Use

4. State and National Comparison

5. Youth Trends

6. Reports on Tobacco Use Surgeon General’s Reports 1964 - 2004 : Tobacco and Health Reducing Tobacco Use The Health Consequences of Smoking

7. Tobacco Industry Influence

8. Successful Movements Non-smoker’s rights movement emerged in 1970’s to fight against Environmental Tobacco Smoke Master Settlement Agreement –Prohibiting youth targeting in advertising, marketing and promotions –National Foundation ($250 million over next 10 years) and a Public Education Fund ($1.45 billion between 2000-2003)

9. Proven Effective Strategies Increased funding Restricted access Increase taxes

10. Strategies for Harvestland Health programs and physician based interventions that communicate with people regularly, delivering support through multiple methods Treating psychiatric disorders

11. Strategies for Harvestland Free nicotine patches and Wellbutrin Work restriction efforts Smoker cessation programs for containing costs for employers

12. Additional Strategies Preventing initiation by increasing the price of tobacco products and developing a strong media campaign Increase cessation with provider education and development of quit lines Decrease exposure to ETS with smoking bans and restrictions

13. Additional Strategies School board policies Monitor tobacco industry tactics that encourage smoking Enhance programs geared toward youth and minorities Offer cessation services Reducing disparities among populations

14. Involving Youth In the Effort Programs Media campaigns Policies

15. Conclusion We di scussed: Problem of tobacco use Identified past successes Offered effective strategies to reduce tobacco use We need to take action now and you can help