TOBACCO AND SMOKING PROGRESS AND CHALLENGE IN DISEASE PREVENTION - - PowerPoint PPT Presentation

TOBACCO AND SMOKING

PROGRESS AND CHALLENGE IN DISEASE PREVENTION

DAVID DOBBINS COO JULY 16, 2015

• Still leading cause of preventable death
• 480,000 premature deaths a year
• Over 16 million suffer from tobacco-related

diseases

• Emphysema, Asthma, COPD, etc.
• Surgeon General estimates 5.6 million kids alive

today will ultimately die from a smoking-related disease unless smoking rates decrease

TOBACCO EPIDEMIC IS NOT “SOLVED”

• Annual public & private health costs attributable to

smoking – $170 billion

• $39.6 billion in Medicaid expenses
• Lost productivity due to smoking – $156 billion

ECONOMIC COSTS

Good news: There has been progress …

Monitoring the Future Youth Smoking Rates

20th Century Per Capita Smoking

100 200 300 400 500 Cigarette Smoking Alcohol-induced Drug-induced Motor vehicle Firearms

Thousands

Actual Causes of Death in the United States in 2010

2 4 3 4

87,798 40,393 31,672 35,498 480,000

1. U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. Printed with corrections, January 2014. 2. Stahre M, Roeber J, Kanny D, Brewer RD, Zhang X. Contribution of Excessive Alcohol Consumption to Deaths and Years of Potential Life Lost in the United States. Prev Chronic Dis 2014; 11:130293. DOI: http://dx.doi.org/10.5888/pcd11.130292 . 3. Centers for Disease Control and Prevention (CDC). Wide-ranging Online Data for Epidemiologic Research (WONDER) online database, extracted November 14, 2013. Available at http://wonder.cdc.gov/. 4. Centers for Disease Control and Prevention (CDC). Web-based Injury Statistics Query and Reporting System (WISQARS) online database, extracted November 14, 2013. Available at http://webappa.cdc.gov/sasweb/ncipc/dataRestriction_inj.html.

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• The Campaign for Tobacco Free Kids estimates:
• A 1% drop in the youth and adult smoking rate

would result in:

 2,425,000 fewer smokers  569,900 adults saved from premature death

 260,100 kids saved from premature death

 Over $40 billion in health care cost savings

A REAL HEALTH IMPACT

Lung Cancer & Cigarettes Sold

Research and Education The 1964 Surgeon General’s Report Led to a 3.5% drop in consumption from 1963. Continuing work on understanding the health consequences of smoking drives real change.

SO, WHAT IS DRIVING THIS PROGRESS?

Tax Policy Kids are particularly sensitive to price 10% real price increase

• f cigarettes

reduces the number of kids who smoke 6-7% Also raises revenue! But, implementation is spotty.

SO, WHAT IS DRIVING THIS PROGRESS?

Clean Indoor Air Policy

• Motivates quitting
• Reduces consumption
• Reduces exposure to toxins

and resulting health consequences

10-15% drop in acute myocardial infarctions and other cardiovascular and respiratory disease

• Cheap and no impact on

business

SO, WHAT IS DRIVING THIS PROGRESS?

SMOKE-FREE BUILDING NO SMOKING ON PREMISES

• truth – during first 4 years kept 450,000

kids from smoking.

• Saved b/w $1.9-5.4 billion in first 2 years alone
• Tips from a Former Smoker – 100,000

smokers quit and saved 17,000 from premature death.

• Tremendous return on investment
• FDA Real Cost – Substantial

investment; robust evaluation.

• Likely to have remarkable impact

PUBLIC EDUCATION CAMPAIGNS

Despite gains, and some sign of progress, investment still woefully inadequate.

SO NOW WHAT?

ALA STATE OF TOBACCO CONTROL 2015

Pace of regulatory effort within FDA not sufficient to deal with new products in

• market. Unsurprisingly, gains in reduction in smoking being offset by unregulated

products such as e-cigarettes, little cigar and hookah.

Estimated percentage of high school students who used tobacco in the preceding 30 days, by tobacco product — National Youth Tobacco Survey, United States, 2011–2014

SO NOW WHAT?

THANK YOU

T O G E T H E R , W E C A N H E L P C R E AT E T H E F I R S T T O B A C C O - F R E E G E N E R AT I O N .