kendre israel, msw coalition coordinator tobacco free missouri
TRANSCRIPT
Kendre Israel, MSWCoalition Coordinator
Tobacco Free Missouri
OverviewBurden of Tobacco
What Works
What’s Being Done
Implications & Next Steps
Missouri by the Numbers 23.1 percentage of adult smokers (nat’l average
20.6%)
18.9 percentage of high school students (nat’l average 19.5%)
9,500 deaths of adult smokers each year
1,180 deaths of non-smokers exposed to SHS
8,600 kids who become smokers each year
14.8M cigarette packs bought or smoked by kids per year
$2.13B annual health care costs caused by smoking
Burden on citizens, communities,and state
State of Tobacco Control in MO
Source: Center for Tobacco Policy Research, 2007 County Level Study
Source: Center for Tobacco Policy Research, 2007 County Level Study
Top 5 Smoking Prevalences: 2007
Source: Center for Tobacco Policy Research, 2007 County Level Study
However, youth other tobacco products use increased during same time period
Decrease in Youth Cigarette Smoking
Source: Missouri Youth Tobacco Survey 2003-2009, Missouri DHSS, May 2010
What the CDC RecommendsCDC recommends $73.2 million for Missouri
When you have less than CDC recommended funding:Be aware of the resources available
Know your priorities
Trust the evidence-base
Plan with reach in mind
What is Reach?Reach is a program’s ability to provide
outreach to the population targeted by the Best Practice components.
With limited resources, priorities need to be placed on activities which:Achieve greater efficiency in reaching the
targeted populations.
Place emphasis on interventions that influence social norms, systems, and networks.
TFM’s FocusWork statewide to reduce tobacco use and eliminate
secondhand smoke for all Missourians through education and policy change.
Policy Goals:
Sustained funding for a comprehensive tobacco control program
Comprehensive statewide smokefree workplace law
Youth Engagement: What worksPolicy Advocacy: letters to legislators, attending school board
meetings to promote campus policies, engaging social networks, etc.
Media advocacy: advertising in school publications, designing counter-marking campaigns, attracting news coverage at events, etc.
Community engagement: promoting tobacco-free community events, recruiting advocates, coordinating efforts with local organizations, etc.
Fighting pro-tobacco influences: monitoring industry tactics, exposing industry efforts (e.g., Cancer No. 9), etc.
We don’t smoke that s***. We just sell it. We reserve the right to smoke for the young, the poor, the black and stupid. - R.J. Reynolds Tobacco
Company Executive
ResourceUser Guide: Youth Engagement
Focuses on role youth play in advancing policy and best practices to use as adults and youth work together in partnership.
Current FundingFY 11 – funding for cessation but youth
prevention zeroed out$3.2 million for evidenced-based services for
MO Medicaid clients Leverages $5.3 million in federal funds
Won’t see much change in fiscal year 2012
Our Funding OptionsMaster Settlement Agreement
Zero dollars MSA allocated
Increase the tobacco taxLowest tax in the nationSingle most effective intervention
High Cigarette Tax Leads to Low Adult Smoking Prevalence
Source: Campaign for Tobacco Free Kids and BRFSS
Funding Needs Tobacco Tax?Opportunities
Economic climate, budget deficit projectionsIncreased interest in tax
MO now lowest in nation
ChallengesTax increase too low if done legislatively
Hancock amendmentNo public health benefit
Viability
TFM Position on Tobacco Tax
Support ballot measure to go before voters that:
Substantially raises tobacco tax
Allocates a portion of the generated revenue to tobacco control and prevention.
MO Smokefree Map: 2004
MO Smokefree Map: 2006
MO Smokefree Map: 2008
MO Smokefree Map: Today
O’Fallon: Comprehensive ordinance passed (73% supportive).
Springfield: Strengthened current ordinance (53% supportive).
Cape Girardeau: Failed by about 300 votes.
Webb City: Yes vote on non-binding poll encouraging Council to enact ordinance.
2011 Election Recap
What percentage of Missouri citizens are now protected by comprehensive smokefree laws?
O’Fallon advocates
Trivia Timeout
Missouri Is Not Last – YAY!
2nd in number of new local smokefree laws passed in 2010
Maryville advocates
Smokefree Legislation: State-level
2nd year in a row that a comprehensive smokefree workplaces bill introducedHB 438 (Schupp, D-82)
Other smokefree bills:Smokefree prisons: SB 289 (Lembke, R-
1) & HB 445 (Molendorp, R-123)
Tobacco-free schools: HB 314 (Wells R-147)
On average, takes 3-5 years to pass strong law after first bill introduced
What’s the Smokefree Timeline?
Opportunities, but also challenges ahead
Education curve for legislators
Reality of time
Need stronger grassroots network
Opposition tactics!
Implications
Next StepsContinue to support
passage of local policies
Expand, ramp up grassroots network
Continue to educate legislators, cultivate potential champions
Ensure any new legislation introduced is (and stays) comprehensive
Be apart of local and statewide policy efforts
Educate, educate, educateOne voice, one message
Focus on what works! Policy & media advocacy,
community engagement, fighting pro-tobacco
What You Can Do?
“Too much money can make you lazy. It takes the focus off of the partnerships and networks. People are the key.”
Terry F. Pechacek, PhD Associate Director for Science
CDC Office on Smoking and Health
Kendre Israel, MSWCoalition Coordinator
Tobacco Free Missouri – Statewide CoalitionPhone: 314.935.3746
Thank you & Questions