1. Comprehensive Tobacco Action Group Summary December 16, 2005

2. 2 Background Support comprehensive tobacco use prevention and control program based on CDC’s Best Practices guidelines – Key action step identified by two HK2010 Work Groups  System Interventions to Address Social Determinants of Health  Early Disease Prevention, Risk Identification and Intervention for Women, Children and Adolescents

3. 3 Members who signed up to participate with this action step at the last meeting included… Blue Cross Blue Shield of Kansas Kansas City Chronic Disease Coalition Kansas Department of Social and Rehabilitation Services Kansas Health Foundation Kansas Health Institute  Kansas Hospital Association  Kansas State Department of Education  Kansas State Nurses Association  Sunflower Foundation  Tobacco Free Kansas Coalition  UAW Ford – Community Health Care Initiative

4. 4 Background Tobacco Free Kansas Coalition Strategic Goals  Elimination of exposure to environmental tobacco smoke  Promotion of tobacco cessation among adults and youth  Prevention of initiation of tobacco use among youth  Identification and elimination of disparities among different populations

5. 5 Tobacco HP2010 Leading Health Indicator Objectives - Tobacco Reduce cigarette smoking by adolescents in grades 9-12 who smoked who smoked one or more cigarettes in the past 30 days to 16%

6. 6 Tobacco HP2010 Leading Health Indicator Objectives - Tobacco Reduce cigarette smoking by adults 18 years and older who smoked more than 100 cigarettes in their lifetime and smoked some or all days in the past month to 12%

7. 7 Action Group Recommendations 1. Advocate no-compromise, statewide clean indoor air law along with achievable initiatives at the local level. 2. Increase funding for comprehensive tobacco control to the CDC-identified level for best practices, $18.1 million. 3. Encourage implementation of organizational-level tobacco control policies by Steering Committee members and others. 4. Develop state-wide, comprehensive list of smoke- free communities, facilities and organizations. See Action Group Summary handout for suggested steps under each recommendation.

8. 8 Nine Components of Comprehensive Tobacco Control Plan 1. Community Programs 2. Chronic Disease Programs 3. School Programs 4. Enforcement 5. Statewide Programs 6. Counter- Marketing 7. Cessation 8. Surveillance and Evaluation 9. Administration and Management

9. 9 Impact of Action Group Recommendations Statewide Clean Indoor Air Law  Currently it is estimated that 348-596 Adult Kansans die each year from exposure to ETS  Marked decrease in both mortality and morbidity almost immediately following passage of CIA Law  Example: Helena, Montana. State-wide comprehensive list of smoke-free communities  Identify and reduce disparities related to exposure to ETS in Kansas  Encourage communities to exhibit local control

10. 10 Impact of Action Group Recommendations Comprehensive Tobacco Control Funding  For each dollar ($1.00) invested, the State will save three dollars ($3.00)  Within 5 to 10 years, youth prevalence of smoking will decrease by 25-50%  Within 2 to 5 years, per capita cigarette consumption will decrease by 10-20%  Assuming excise tax increases with Comprehensive Tobacco Control Program  Within 10 years, adult prevalence of smoking will decrease by 25%  Within 10 years, decrease in number of lung cancer deaths

11. 11 Impact of Action Group Recommendations

12. 12 Impact of Comprehensive Tobacco Control on 10 Leading Health Indicators One of 10 Leading Health Indicators Impacts several other leading health indicators  See matrix handout for complete details Closely related to 19 out of 28 Healthy People 2010 focus areas

13. 13 Impact on 10 Leading Health Indicators - Examples Physical Activity and Obesity  Whole health approach to Chronic Disease Prevention  CDRR grantees address Physical Activity, Nutrition, and Tobacco Use Prevention  Increased funding for tobacco prevention will also provide increased funding for Chronic Disease prevention programs

14. 14 Impact on 10 Leading Health Indicators - Examples Substance Abuse and Mental Health  Among individuals who report 14+ days mental health not good, 35% are current smokers  Among individuals diagnosed with depression, 29% are current smokers

15. 15 Impact on 10 Leading Health Indicators - Examples Injury and Violence

16. 16 Impact on 10 Leading Health Indicators - Examples Environmental Quality  The US EPA recognized ETS as a major health hazard and major contributor to decreased indoor air quality  Recommends Policies (Home, Workplace, and School) to decrease youth exposure to ETS

17. 17 Impact on 10 Leading Health Indicators - Examples Access to Health Care  Quitline available to all Kansans at no cost  Emphasis on special populations. E.g. Pregnant Smokers  Increased number of Chronic Disease Programs Statewide and at Community Level as part of a Comprehensive Tobacco Prevention Program

18. Questions