INCORPORATING ADVOCACY INTO PUBLIC HEALTH PROGRAMMING THE NO - - PowerPoint PPT Presentation

INCORPORATING ADVOCACY INTO PUBLIC HEALTH PROGRAMMING

THE NO SMOKING - NO VAPING - IT’S THE LAW! CAMPAIGN IN NJ

Public Health Associations’ Collaborative Effort PHACE May 19, 2016

• Early adoption (2006) of the Smoke Free Air Act, prohibiting smoking in enclosed

indoor spaces

• Hugh victory for NJ
• Comprehensive Tobacco Control Program – Prevention, Treatment (Quit Centers, Quitnet,

Quitline, REBEL)

• NJ Breathes- advocacy group - diverse statewide stakeholders
• Advocacy training of program educational, outreach and service delivery
• 2010 - amendment banning the use of electronic smoking devices - "e-cigarettes"

in indoor public places and workplaces and the sale to people 19 years and younger

• NJ also early adopter of increase in tobacco tax

TOBACCO CONTROL HISTORICAL BACKGROUND A “RICHES TO RAGS” TALE

• HISTORICAL BACKGROUND
• Early adoption of clean indoor air law -false sense of problem solved?
• Funding has been steadily declining –
• 30 million

0 last in the nation

• Tobacco control program eliminated
• NJ Breathes membership dwindled
• Smoking declines leveled off – currently 17.3
• Funding currently from CDC –
• training of health care professionals (ASK, ADVISE and REFER)
• clean outdoor air policy

smoke free multi unit housing

• point of sale

tobacco free worksites

• NJ Quitline promotion

FUNDING CHANGES = PROGRAMMATIC CHANGES

• With the transition to primarily CDC supported funding, and the need to do

more with less came a shift in focus:

• Primary prevention
• Environmental policy change
• Population health
• The three Cs- collaboration/collective impact/coalitions
• Disparate populations

NEW FUNDING FOCUS

• Public health programs required to look beyond the one on one client

relationship

• Promote policy change
• Municipality level policy change
• Impact systems on a broader scale
• Understand cultural differences
• Work smarter – collaboration and partnerships – including legislative

arena

ESTABLISHING PRIORITIES

• Funding reductions required prioritizing dollars – counties with highest prevalence
• Southern Counties
• Higher rate of unemployment
• Higher rate of poverty
• Decreased access to health care information, screening and services
• Higher rate of morbidity due to chronic disease
• Funding -cessation in health care settings
• ASK, ADVISE and REFER
• Promotion of the NJ Quitline using multi media
• Youth campaign
• ENDS campaign

C

• u

2011 2015 2016

Atlantic

23% 20% 19%

Bergen

15% 14% 12%

Burlington

18% 15% 14%

Camden

20% 19% 15%

Cape May

22% 21% 17%

Cumberland

25% 24% 19% Essex

17% 15% 17%

Gloucester

21% 19% 15%

Hudson 20% 16% 15% Hunterdon 15% 13% 12% Mercer 15% 13% 16% Middlesex 15% 12% 12% Monmouth 17% 16% 14% Morris 14% 13% 13%

Ocean

20% 17% 17%

Passaic 17% 17% 16%

Salem

24% 25% 19%

Somerset 12% 9% 11%

Sussex

20% 18% 15%

Union

17% 15% 15%

Warren

22% 19% 15%

% of NJ adult smokers by county‐ county health rankings 2011, 2015, 2016

ENDS- NEW GENERATION OF TOBACCO ADDICTION

• Cigarette smoking among teens has declined, ENDS use has tripled from

2013-2014

• ENDS – electronic nicotine deliver systems “e-cigarettes”
• battery-operated devices
• generally contain cartridges filled with nicotine, flavorings, chemicals
• Nicotine and other chemicals heated into a vapor
• In 2012/13
• 76.8% of adults who were past 30 day e-cigarettes users were also current

cigarette smokers (dual users)

• Opportunity for public health and legislative advocates to join forces and

revitalize tobacco control in NJ

THE EVOLUTION OF ENDS

It’s not just a habit…it’s a phenomena

Medium Sized E-Cigs, Vape Pens (VP), Personal Vaporizers (PV)

Mods

VAPING – WHAT’S ALL THE FUSS?

• The vapor NOT just water - aerosols can contain heavy metals, ultrafine

particulate and cancer causing agents

• Nicotine is highly addictive
• Toxic to developing fetuses
• Impairs fetal brain and lung development
• Flavoring -GRAS (generally recognized as safe) for use in foods NOT

inhalation

• effects of many of these inhaled flavorings largely unknown
• lung inflammation and disease (ie: popcorn lung)

CDC Office of Smoking and Health: July 2015

VAPING…

• Adolescent brain -still developing
• nicotine can disrupt the formation of brain circuits that control

attention, learning and susceptibility to addiction

• The flavorings appeal and are very dangerous to children
• Poisoning through ingestion of liquid nicotine, absorption through the skin

and inhalation

• Calls to poison control centers have increased from 1 per month in 2010

to 215 in 2014

• More than half of children 5 and under

NEW TOYS…OLD TACTICS

• ENDS traditionally been an unregulated industry
• Nicotine concentration, other contents
• Often made overseas
• Falsely marketed as nicotine free
• ENDS marketing tactics similar to tobacco(tripling from 2011-2013)
• Full of false claims
• Promote ENDS use places that prohibit cigarette smoking
• proven to have increased use by youth

including candy flavored products themes of rebellion, glamour sex celebrity endorsements sports and music sponsorships

E-CIGARETTE ADVERTISING

• Not subject to traditional tobacco advertising bans
• 69% of high school students exposed to ads

THEN THERE’S THE FACT THAT YOUR E-CIGARETTE MIGHT BLOW UP!!!!

ENDS ON THE RISE IN ADULTS

ENDS ESPECIALLY ON THE RISE AMONGST TEENS

A WORD ABOUT HOOKAH

• Water pipe used to smoke tobacco through cooled water
• Water does not filter cancer-causing toxins from the smoke
• Hookah smoke contains higher levels of arsenic, lead,

nickel, tar and carbon monoxide than a cigarette

• A 45-60 minute session can equal nearly 100 cigarettes
• Hookah is as addictive as smoking traditional cigarettes
• 1 in 5 boys and 1 in 6 girls in high school have used hookah.
• By college age, nearly 40% of students have smoked hookah
• NJ’s smoke-free air act also bans indoor smoking indoor

workplaces, including restaurants and food stores, Including hookah

ADVOCACY HAPPENING AT LOCAL LEVELS

• Most are unaware of the 2010 ban on electronic smoking devices in

indoor public places and workplaces

• Some NJ municipalities have begun advocacy efforts to address the

growing concern about ENDS, by:

• Banning the use of e-cigarettes in city owned parks, playgrounds, and outdoor

recreation areas

• Increasing the age of sale of ENDS from 19-21
• Increasing the license fee for vape shops

STATEWIDE ADVOCACY PARTNERSHIP ESSENTIAL

• ENDS has the potential to re-establish tobacco control funding in NJ
• Public health professionals can help legislators to better understand- and put a

“face” on the issue – work together to educate youth, the public, the decision makers

• Statewide youth campaign – present the facts – educate and advocate

tobaccofreenj.com/ENDS to order signs, posters, and table top tents (all local health departments)

• Targets public places, worksites and youth
• Social media campaign- DontGetVapedIn working on 4NJTeens website
• Ad series Blogger

, Jimmy Fallon

• Buzzfeed
• Community Outreach program

SMOKEFREE TEEN

DontGetVapedIn – NJ specific URL

SMOKEFREETXT

• Free texting smoking cessation
• Program for young adults to try and quit smoking
• Text QUIT to 47848
• Smokefree.Gov/smokefreetx

• Telephone based counseling for any NJ resident 16 years or older
• No parental consent needed to register for program
• 18 years or older qualify for free nicotine patches
• 1-866-657-8677 (NJ STOPS)
• Other NJ tobacco control resources:
• www.njquitline.org
• www.tobaccofreenj.com
• www.facebook.com/njquitline
• www.momsquit.com
• www.njpn.org

CONTACT INFORMATION

Merle J. Weitz, MSW Director of Public Health Programs Southern NJ Perinatal Cooperative/Family Health Initiatives 856.675.5322 mweitz@snjpc.org

Thank you! Thank you!