Tobacco – March 29, 2013

Resources

Big Tobacco Models Disinformation, Distraction Strategy — YouTube Video

TCN spotlight on tobacco and the military
Background: Sally Herndon (TCN Chair, NC) and TCN staff recently participated on a call with Steve Babb (CDC/OSH), Col. John Oh (Director, Health Promotion, Air Force), and Department of Defense officials in which we learned what different branches of military are doing and exchanged ideas about how state/local health departments can link efforts with military bases. We hope to continue this dialogue and share additional information with our network, so please submit any other resources or suggestions based on your experiences to tcn@sph.emory.edu.

The resources listed below may be useful as you build relationships in your state to address tobacco use among military personnel and families.

  • California – Project UNIFORM website – Funded through the California Tobacco Control Program, Project UNIFORM creates military-civilian partnerships to address tobacco use in military communities by providing culturally appropriate tobacco control information and trainings to existing military cessation programs on installations; collaborating with military support networks to promote cessation services;  and educating tobacco control professionals to the culture and existing services within the Armed Forces of the United States.
  • Indiana – Fight for Freedom from Tobacco – State tobacco control staff created this resource to help local partners work with military and veteran’s organizations.  This was in a response to overcoming the obstacle of these membership clubs being in opposition to smoke free air policy.  Indiana’s June 2012 statewide meeting was planned around this theme and featured a keynote presentation by Capt. Lee Mandel, Chief Medical Officer in the U.S. Navy.
  • TCN – 2012 Policy Platform and related materials – Executive Summary, Full Report, Fact Sheet, and Infographic provide information about evidence-based tobacco control policies and programs and where your state stands on smoke-free air, tobacco pricing, and comprehensive tobacco program funding.

An Introduction to State Public Health for Tribal Leaders 
Association of State and Territorial Health Official (ASTHO) – This guide for tribal leaders explores the state health governance system, the tribal health leader’s role in establishing partnerships with state health agencies, and tips on how to create successful partnerships between state health agencies, tribes, and tribal organizations.

Overview of U.S. Smoke-free Foster Care Regulations (2013)
The Public Health Law Center reports that a growing number of states are adopting regulations to protect children in foster care from the health hazards of secondhand smoke by prohibiting smoking in foster homes and motor vehicles transporting foster children. The Center developed a fact sheet that summarizes twenty-five state smoke-free foster care regulations in effect as of December 2012, with links to policies:

More information about smoke-free foster care policy options is available in the Public Health Law Center’s 2013 policy brief, Smoke-free Foster Care:  Policy Options and the Duty to Protect

This Week in CTP – Updates from the Center for Tobacco Products
FDA is working to protect the public’s health and ultimately reduce the burden of illness and death caused by tobacco use. View and download CTP’s infographic to learn about milestones in FDA’s work on tobacco product regulation, protecting kids from buying tobacco, and our national longitudinal study to assess the behavioral and health impact of tobacco regulation. For more information about CTP and our efforts, take a look at our other fact sheets!

Reports and Articles

cigarettepackagingUsing color-coded packaging, tobacco industry appears to have evaded FDA’s ban on ‘light’ cigarette descriptors
HSPH News: March, 2013
New research from Harvard School of Public Health (HSPH) shows that one year after the federal government passed a law banning word descriptors such as “light,” “mild,” and “low” on cigarette packages, smokers can still easily identify their brands because of color-coding that tobacco companies added to “light” packs after the ban. These findings suggest that the companies have, in effect, been able to evade the ban on misleading wording—thus still conveying the false and deceptive message that lights are safer than “regular” cigarettes.

Florida Ruling Could Force Tobacco Sector’s Hand in Engle Cases
Reuters, Anna Louie Sussman, 03/22/2013
A new Florida Supreme Court ruling rejects tobacco company arguments that their due process rights were violated by a 2006 decision allowing Florida smokers to use prior jury findings against the cigarette industry in order to file individual lawsuits.

Summary of tobacco control efforts at the DoD – reported by Col. John Oh (Director, Health Promotion, Air Force) – Tobacco use in the Department of Defense (DoD) has significant adverse health effects; detracts from mission readiness; and unnecessarily drains the Military Health System health care budget. The status quo of tobacco use in DoD is unacceptable. Tobacco use is the leading preventable cause of death in the United States, resulting in an estimated 443,000 deaths annually, and costs $96 billion in medical care and $97 billion in lost productivity in the U.S. annually.  For DoD, tobacco use costs $1.6 billion in medical costs and lost work time annually.

In 2011, 24.5% of DoD Service members reported smoking in the past 30 days, higher than the civilian rate of 20.6% and well above the Healthy People 2020 health objective of 12.0%. For smokeless tobacco, 12.8% of DoD Service members reported use in the past 30 days, compared with 2.3% in the civilian population and the Healthy People 2020 objective of 0.3%. Disparities in tobacco use exist within DoD. Tobacco prevalence disproportionately impacts enlisted Service members, particularly junior enlisted, compared to officers (E1-E4: 30.3%; E5-E6: 28.0%; E7-E9: 19.7%; WO1-WO5: 12.7%; O1-O3: 5.3%; O4-O10: 3.7%).

The good news is that reducing tobacco use is a “Winnable Battle.” We know how to end the tobacco epidemic; the Centers for Disease Control and Prevention (CDC) has compiled Best Practices for Comprehensive Tobacco Control.  The challenge will be to adopt and implement multi-component interventions that integrate game-changing policy and programmatic interventions that de-normalize tobacco use throughout DoD.

Building military-civilian partnerships: Air Force tobacco control is advanced by health promotion staff, including the base health educator.  The health educator is responsible for promoting Tobacco Free Living and running the base tobacco cessation program, which is comprised of in-person classes, quit line, and Internet. The DoD tobacco control program is “Quit Tobacco – Make Everyone Proud”, which is found at www.ucanquit2.org. Click here for a state-by-state contact list of Air Force health educators. We encourage you to reach out to the health educator(s) in your state.

Smoking in Movies and Adolescent Smoking Initiation: Longitudinal Study in Six European CountriesAmerican Journal of Preventive Medicine (AJPM) – Key message: seeing smoking in movies is a predictor of smoking onset in various cultural contexts and limiting young people’s exposure to movie smoking might be an effective way to decrease adolescent smoking onset.

Exposure to Smoking in Movies and Smoking Initiation Among Black YouthAJPM – Key message: a prospective relationship between exposure to smoking in movies and smoking initiation among black adolescents in the U.S.

Flavored Tobacco Product Use Among U.S. Young AdultsAJPM – Key message: differences in use may be due to the continued targeted advertising of flavored products to young adults and minorities and those most likely to use flavored products are also those most at risk of developing established tobacco-use patterns that persist through their lifetime.

Adults with Mental Illness or Substance Use Disorder Account for 40 Percent of All Cigarettes SmokedSubstance Abuse and Mental Health Services Administration (SAMHSA) – Key message: Adults experiencing any mental illness or a substance use disorder in the past year represent 24.8% of the adult population, but that same group used 39.6% of all cigarettes smoked by adults.

County Health Rankings & RoadmapsRobert Wood Johnson Foundation / University of Wisconsin Population Health Institute – Provides county-level rankings based on a variety of determinants of health. Can be used to plan and build support for local public health initiatives.

Bloomberg Seeks End to Cheap Cigarettes
New York Times, Vivian Yee, 03/26/2013
Mayor Michael R. Bloomberg opened a new front in his antismoking campaign last week when he proposed new legislation that would require stores to keep tobacco products out of sight, making New York the first city in the nation to do so.

ecigarettesE-Cigs and Minors: Kid Taste, Adult Problem?
The Network for Public Health Law: 3.19.13
Java Jolt, Cherry Crush, Smooth Chocolate — could these be ice cream flavors? Candy? Nope — these are the latest flavors of nicotine, delivered in a high-tech way. Meet the electronic cigarette: a battery-powered, tobacco-less, nicotine-filled, vapor-producing “cigarette” that tastes great, too.

US Won’t Appeal Ruling Blocking Graphic Cigarette Warnings, FDA to Revise Labels
March 20, 2013  The U.S. government is abandoning a legal battle to require that cigarette packs carry a set of large and often macabre warning labels depicting the dangers of smoking and encouraging smokers to quit. Read More.

Big Tobacco Loses in Florida High Court
March 20, 2013 A Florida Supreme Court decision Thursday is being hailed as a complete victory for smokers who have been litigating against tobacco companies for decades. Read More.

Cigarette Relighting Tied to Tough Economy
March 19, 2013  In what is believed to be a first of its kind study, a research member at The Cancer Institute of New Jersey and colleagues have found that a trend of smokers relighting cigarettes is related to economic factors, and the practice has implications for tobacco dependence treatment and policy. Read More.

Helping The Mentally Ill Quit Smoking
March 18, 2013   The first time she tried to stop smoking, April Vargas pulled off the nicotine patch she had been wearing for less than an hour and lit a cigarette. Read More.

Tobacco Smoke Sensor Provides Real Time Data
March 21, 2013 Dartmouth College researchers have developed the first ever second-hand tobacco smoke sensor that is claimed to record data in real time. Read More.

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