Tobacco Control Polices

Webinar for LAAMP Fellows, April 12, 2010

Jeannette Noltenius, MA, PhD

National Director

National Latino Tobacco Control Network

jnoltenius@sswdc.com

Objectives of this Webinar

• Provide an Overview of the NLTCN

Network: mission, goals and services

• Global vision on Tobacco Policies

• MPOWER = Comprehensive

• Private Tobacco Control Policies

• MN, Implementation of the FDA and other

Opportunities for Action

www.tobaccopreventionnetworks.org

• Indiana Latino Institute, Inc.* (Lead Agency) • Campaign for Tobacco Free Kids

• ClearWay Minnesota

• ETR Associates

• Hispanic/Latino Partnership Unidos por la Salud UNIDOS* University of Southern California

• HMA Associates

• Indiana Tobacco Prevention Cessation (ITPC)

• Latino Commission on AIDS

• Midwest Latino Health Research, Training & Policy Center* University of Illinois, at Chicago

• National Association of Chronic Disease Directors

• Tobacco Control Network

• Tobacco Technical Assistance Consortium

• La Fe Policy, Research and Education Center

Mission: To build leadership, inform, support and energize a National Network of tobacco control experts and activists to work with Latino communities, states and coalitions to address the health burdens created by tobacco consumption by promoting policies and programs to prevent youth initiation, increase quit rates and assure smoke-free environments.

Goals:• Provide leadership to build diverse, sustainable, and

active Networks and communication mechanisms for information sharing and knowledge exchange.

• Become an effective catalyst for building relationships and commitments which can complement national and state tobacco control efforts, maximize the use of cessation methods, support effective policies, and through collaborations, TA and trainings empower Latino communities to obtain necessary services and funding.

• Empower Latinos to engage in tobacco control and build capacity to achieve health equity.

Directory (+ 460 Latinos and experts)

Website: www.latinotobaccocontrol.org

Listserv, Newsletter, alerts, media alerts,

Consultant Database

Partnerships: LGBT/APPEALin MN) LGBT,

APPEAL, TAPP INTO, CFTFK, ITPC, DC

Smoke Free Coalition, Parity Task Force,

Legacy Foundation, ITPC, Puerto Rico,

Menthol Conference

Technical Assistance: needs assessment, share experiences from other states, suggest consultants, share promising and best practices, arrange for training in state and/or with other states, leadership development, etc.

Training: provide trainers, assist in training strategy and curriculums, review materials, provide materials, etc.

Question # 1

Do you understand what the National Networks are about, and how you can use them?

www.tobaccopreventionnetworks.org

Comprehensive Tobacco Control

Policies

• MPOWER Monitor tobacco use and prevention

policies

Protect people from tobacco smoke

Offer Help to Quit tobacco use

Warn about the Dangers of Tobacco

Enforce Bans on tobacco advertising,

promotion and sponsorship

Raise Taxes on Tobacco

Source: WHO MPower 2008

Monitor tobacco use and

prevention policies

• Disaggregated data by race, ethnicity, primary

language – OMB Standards at minimum, more is

desired (immigrants)

• Ask the LGBT question

• Menthol & other ethnic products

• Enforce Youth Access Laws=Restrict Access*

• Eliminate vending machines*

• Put cigarettes behind the counter- Power Walls*

• Eliminate candy cigarettes (St. Paul) Great!

Monitor tobacco use and

prevention policies

• Assure that schools have tobacco

prevention programs

• Assure that marginalized communities

have educational programs to get them

engaged in tobacco

• Assure that schools, day care, recreational

settings have tobacco prevention

programs

• YOU CAN DO THIS!!! NOW

Equity/Parity in Funding for:

• Community Based Programs

• Statewide programs

• Specific Population Educational Programs

• Funding from MSA funds for tobacco control (MN negotiations with industry)

• Funding at CDC Best Practices levels

• No group left behind! Monitor the $

• BCBS MN/Clearway FUNDS from MSA

Question # 3

• Is MN spending the needed resources to

stop the tobacco epidemic in all

communities?

• Minnesotans can do more!

Protect People from

Tobacco Smoke

• State Clean Indoor Air Ordinances

• Local Clean Indoor Air Ordinances

• Include Casinos, Bowling Alleys, shops

Community Driven in American Indian

Reservations

• Smoke Free Parks, rodeos, Treatment

facilities, prisons, detention centers,

Beaches, Bus Stops, Entries, Cars, etc.

www.rwjf.org/publichealthproducts.jsp

Protect People from

Tobacco Smoke

Private Policies

• Smoke Free Business/Non-profit policy

(malls, state/ethnic fairs, )

• Smoke Free Community Events, Rodeos,

Parades, Weddings, churches, soccer

games,

• Smoke Free Multi-Unit Housing, rentals,

smoke free homes,

Unintended Consequences

• NYC study on cotinine levels + more

young men and Asians STILL exposed

• CA, Latinas and Asians working in Bars &

Restaurants = continued to be exposed

• Casino workers continue exposure

• Occupations not protected with high

immigrant pops: construction, landscaping,

agriculture, small businesses, etc.

• Possible increased disparities

Smoke Free Housing

Private Policies Websites

• EPA CA http://www.arb.ca.gov/toxics/ets/multiunits_ets.htm

• ANSR http://www.no-smoke.org/

• www.lungca.org

• http://www.njgasp.org/housing.htm

• MI Smoke Free Apartments: http://www.mismokefreeapartment.org/

• Smoke Free Environment Law Project: http://www.tcsg.org/sfelp/home.htm

Minnesota’s ANRSMN

• “Approximately 30% of renters are exposed to secondhand smoke that comes into their unit from somewhere else in the building.

• Of renters who are exposed to secondhand smoke, 34% are so bothered by the smoke that they are thinking of moving in order to avoid exposure.

• A majority of renters (75%) would be likely to choose a smoke-free building over a building that allows smoking if the buildings were the same in every other way.

• Renters are also interested in buildings that provide outdoor smoke-free areas such as balconies, entryways, and entirely smoke-free properties.

• In order to live in a smoke-free building, many renters are willing to live in a building that does not have a pool or playground, drive farther to work, and pay more rent. “

www.ansrmn.org Live smoke-free housing

Private and Public Policies

• www.ttac.org Resources & Links (Advocacy)

• www.healthpolicyguide.org

• www.thepraxisproject.org

• www.rwjf.org

• http://enhp.hartford.edu/ctphp/pdf/SmokeandMirrors1.19.2010.pdf

• http://www.rwjf.org/publichealth/product.jsp?id=56548

Question # 4

• What can you do to protect ALL

Minnesotans from Second Hand Smoke?

Implement current laws and advocate for

more policies, including Smoke Free

Apartments!

Offer help to Quit • Institutionalize Cessation in Community

Health Clinics, provider offices, hospitals

• ASK, ADVISE and REFER.. At all Pediatric visits/pregnant women

• Engage Dentists

• Fund Quitlines AND Community based culturally/linguistically appropriate services

• Pay for Cessation treatment-Insurance/ Medicaid/Medicare

• Multimedia Campaigns reaching ALL pops

Warn about the Dangers

• FDA Law nine new warning labels

• The warnings top 50 % of the front and

rear panels of the package and at least

20% of the related advertisements.

• Color graphics depicting the negative

health effects of smoking

Cigarette pack nowCigarette pack under

FDA Regulation

Front

Back

Front

Back

WARNING

LABEL

WARNING

LABEL

Signing of the FDA authority

June 22, 2009 gave the FDA

Authority to Regulate

Tobacco Products

Content of the products

Marketing of the products

Sale of the products

Enforce Bans on tobacco advertising,

promotion and sponsorship

FDA Sec 906 and 102

• Imposes limits marketing, sales, and

promotions, to young people + others

• Regulations Black & White Ads only

• Expands power of States: Permits States

to Restrict Time, Place and Manner of

tobacco marketing

Product and Sale to Youtho Flavorings (Banned)

o Control levels of nicotine

o Sophisticated marketing

o Image of the smoker

Source: CDC PHGR Tobacco Nov 18/09

Advertising Restrictions Previously

Adopted by FDA

• Ban brand sponsorships of sports and

entertainment events

• Ban free giveaways in exchange for

coupons

• Ban free samples of cigarettes and the

sale of cigarettes in packages that contain

fewer than 20 cigarettes

• Ban outdoor tobacco advertising near

schools and playgrounds

Sponsorship of

Sporting events

and/or well

known athetes

that are followed

by kids.

Fuente: Juan Carlos Vega, El Tabaquismo a Nivel Global, las Estrategias Tabacaleras, los Medios de

Comunicación, y el Rol del Apoyo Nacional al Trabajo Local , Primera Conferencia Internacional sobre la

promoción de la Salud, Caguas 2010

Sponsorship of Cultural Events

Fuente: Juan Carlos Vega, El Tabaquismo a Nivel Global, las Estrategias Tabacaleras, los Medios de

Comunicación, y el Rol del Apoyo Nacional al Trabajo Local , Primera Conferencia Internacional sobre la

promoción de la Salud, Caguas 2010

“Giveaways” are now banned

www.trinketsandtrash.org

FDA Bans giveaways

Which products are not covered by

the FDA Law?

Metholated cigarrettes

Cigars

Cigarrillos-small cigars

Fuente: www.trinketsandtrash.org

What can you do?

• Observe, organize and Report to the FDA

of violations: Sale of Candy Flavors

• Look out for Sponsorship of Events

• Demand that MN add Cigars, Cigarillos to

regulated products: menthol ban

• Assure that all sales are behind counter

and eliminate POWER walls

• Assure Ads DON’T cover all outdoor ads

Question # 5

• Do you know what steps you can take to

implement the FDA Law?

Assure that flavored cigarettes have been

removed from the stores and report to:

www.fda.gov/tobaccoproducts/default.html

Raise Taxes on Tobacco

• Taxes go up = consumption goes down

Source: Walbeek C. 2003. Tobacco excise taxation in South Africa. (left graph)

Source: Aloui O. 2003. Analysis of the economics of tobacco in Morocco. (right graph)

Higher Taxes = Lower

Consumption

• 10% increase decreases consumption by

4% in high-income countries and 8% in

low-middle income countries

• 70% increase in taxes would prevent ¼

deaths worldwide

• Young/Poor more sensitive to price

increases

• Revenue for Government

What can be done?

• Tax all tobacco products equally

• Assure that taxes are passed to consumer

• Allocate tax revenue to tobacco control

and other health issues.

• Raise tobacco taxes in MN for tobacco

control efforts

Do Minnesotans’ support Tax

Increases? YES get involved!• A March 2009 survey founds that an overwhelming

majority (72 percent) of Minnesotans support increasing state tobacco taxes.

• At least two thirds of every demographic (political, ideological, age, race, gender, geographic) support tobacco tax increases

• 78 percent of Republicans, 69 percent of Democrats and 66 percent of independents support increases

• Those surveyed cited the health care costs of smoking, helping smokers quit and preventing tobacco use by kids are reasons for increasing taxes

www.clearwaymn.org

Conclusion: Comprehensive

MPOWER+ EMPOWER

• Monitor use/prevent

• Protect SHS

• Offer Cessation

• Warn about dangers

• Enforce Bans Ads

• Raise Taxes

Source: CDC, PHGR Tobacco, Nov 18, 2009

Disclaimer

• This publication was supported by CDC

Cooperative Agreement Number

U58/DP001515. Its contents are solely

the responsibility of the authors and do not

necessarily represent the official views of

the CDC.

Questions?

Thank You

Jeannette Noltenius, MA, PhD

National Director

National Latino Tobacco Control Network

www.latinotobaccocontrol.org

jnoltenius@sswdc.com