Best Practices for Tobacco Control

1
Best Practices for Tobacco Control
2
Background
3
(No Transcript)
4
Economic Cost

• In 1998/1999, Texas Smoking-Attributable Costs
  10.09 billion
• Direct Medical expenditures - 4.55 billion
• Lost Productivity costs - 5.54 billion
• In 1998, about 15 (1,265,000,000 or 543.87 per
  recipient) of all Texas Medicaid expenditures
  were spent on smoking-related illnesses and
  diseases. (includes state and federal
  contributions to Medicaid)

5
Tobacco Industry Expenditures

• In 2005 the tobacco industry spent 13.36 billion
  on advertising and promotion in the U.S. (more
  than 36.6 million per day)
• Approximately 884.7 million was spent in Texas
  in 2005 (over 2.4 million every single day)

6
Texas Tobacco Settlement

• 1998 - Texas became the 3rd state to settle with
  the tobacco industry
• Settlement represented compensation for the
  states cost of tobacco-related disease
• Texas to receive 17.3 billion over 25 years

7
FY 00 -01

• 1.8 billion available from the settlement in FY
  00-01
• Texas Department of Health appropriated the
  interest from a 200 million endowment (9
  million) per year to implement programs to reduce
  the use of tobacco products
• Special attention to populations targeted by the
  tobacco industry

8
Texas Tobacco Task Force ReportProgram Elements
and Best Practices

• Community School Programs
• Media Campaigns
• Cessation
• Enforcement
• Efforts Targeted to Diverse/Special Populations
• Surveillance Evaluation Research

9

10
Recommended Tobacco Interventions

• Funding for Comprehensive Tobacco Prevention and
  Cessation Programs (media, provider reminder
  systems, telephone quitline)
• Tobacco Excise Tax Increases
• Restrictions on Secondhand Smoke
• Coverage for Smoking Cessation
• Healthcare Provider Reminder Systems

11
Latest Results

• From 2000 to 2006, current use of any tobacco
  products in the comprehensive program area showed
  a 42 reduction among middle school students
  (from 24.8 to 14.3) and a 36 reduction among
  high school students (from 40.7 to 26.2)
• The prevalence of adult smoking in the
  comprehensive program area decreased 26.4 (from
  21.6 in 2000 to 15.9 in 2004)

12
Smoking Rates for Harris Jefferson Counties
2000-2005
Reducing tobacco use requires a comprehensive
sustained approach. Gains in Harris County
regressed as resources/efforts were reduced.
13
Heart Attack Deaths Decline 3 Times Faster in
County with Anti-Tobacco Campaign
14
ROI Results from the Comprehensive Pilot
Initiative (Cont.)

• In 2003, single year program costs of 11.3
  million (2.71 per capita) implementing
  comprehensive tobacco programming in Houston and
  Beaumont/Port Arthur resulted in
• over 29,800 fewer adult smokers in 2003
• savings of over 252 million in medical care and
  productivity costs over 5 years.

15
Projected Financial Returns from Statewide
Investment in Tobacco Control

• 3 per capita spending of 68.3 million for
  statewide program in 1 year would yield
• 164,000 fewer smokers statewide
• After 5 years, the single year investment of
  68.3 million would achieve a cost savings of
  over 1.4 billion in medical care and
  productivity costs

Center for Health Research, Kaiser Permanente
Northwest, June 2006
16
Tobacco Excise Tax Increases
17
Tobacco Price Increase Findings (Community Guide)

• Results in decreases in both the number of people
  who use tobacco and the quantity they consume.
• A 10 increase in the price of tobacco products
  will result in a 3.7 decrease in the number of
  adolescents who use tobacco and 4.1 decrease in
  the amount of tobacco used by the general
  population.
• Increases in the price of tobacco products also
  reduce tobacco use in older adults

18
Restrictions on Secondhand Smoke
19
Second-Hand Smoke (SHS)

• Public Health Issue
• Contains over 4,000 chemicals including 43 known
  carcinogens
• Group A Carcinogen (like asbestos and benzene)
• Health Effects Adults
• Lung cancer
• Coronary heart disease
• Health Effects Children
• Lower respiratory tract infections in children 18 months old each year
• Middle ear infections
• Asthma
• SIDS

20
Smoking Ban Findings (Community Guide)

• Smoking bans in workplaces observed average of
  72 reduction in exposure to components of ETS.
• Effective in a wide variety of public and private
  workplaces and healthcare settings.
• Studies evaluating smoking bans also observed
  reductions in the amount smoked.

21
(No Transcript)
22
Smokefreee Laws Reduced Profits for Big Tobacco

• Financial impact of smoking bans will be
  tremendous three to five fewer cigarettes per
  day per smoker will reduce annual manufacturer
  profits a billion dollars plus per year.
• Philip Morris internal document. A Smokers
  Alliance draft. Bates Nos. 2025771934- 2025771
  937