Title: Tobacco Control 101
1Impact of Tobacco Use
2Impact of Tobacco Use
- the history of tobacco use can be thought of as
the conflict between tobacco as an agent of
economic gain and tobacco as an agent of human
harm. - ---2000 Surgeon Generals Report Reducing
Tobacco Use
3Healthy Lung
Impact of Tobacco Use
Emphysema
Lung Cancer
Source The American Lung Association
4Impact of Tobacco Use
- Each year in the United States
- 435,000 people in US die of a smoking-attributable
illness - 3,000 nonsmokers die from lung cancer from
secondhand smoke - 6.4 million people currently under 18 will die
prematurely from a tobacco-related disease, if
current smoking patterns persist.
Source Centers for Disease Control and Prevention
5Impact of Tobacco Use
442,398 Deaths Each Year Attributable to
Smoking 1995-1999
Other cancers 30,976
Stroke 17,445
Lung cancer 124,813
Other diagnosis 104,757
Coronary heart disease 81,976
Chronic lung disease 82,431
Source Center for Disease Control and Prevention
- MMWR 200251(14)300-3
6Impact of Tobacco Use
Health Impact
- Causes
- Oral/Laryngeal/Esophageal Diseases
- Dermatologic Conditions
- Affects
- Bladder
- Reproductive Abilities Fetal Developmental
- Blood Sugar
7Secondhand Smoke
Impact of Tobacco Use
8Impact of Tobacco Use
Secondhand Smoke
-
- For every
- eight smokers
- the tobacco industry kills,
- it takes one nonsmoker with them.
Source Centers for Disease Control and
Prevention Fact sheet (2004)
9Impact of Tobacco Use
Secondhand Smoke
- Mainstream smoke
- Sidestream smoke
- Passive, involuntary, secondhand smoking
- Environmental tobacco smoke
Secondhand smoke affects both nonusers and users
10Impact of Tobacco Use
Secondhand Smoke
- Contains
- 4,000 chemicals
- over 50 known or probable human carcinogens
- Each year it causes
- 3,000 lung cancer deaths
- more than 35,000 coronary heart disease deaths
- 8,000 26,000 new cases of asthma in children
Source US Centers for Disease Control and
Prevention, Office on Smoking and Health, Fact
Sheet, February 2004
11Impact of Tobacco Use
Secondhand Smoke
- Listed as a known human carcinogen in 2000 by the
National Institutes of Health
- 1991 90 of US had measurable cotinine levels
- 2001 60 of non-smokers had measurable cotinine
levels - 75 decrease in the median cotinine level
Source Centers for Disease Control and
Prevention Fact sheet (2004)
12Impact of Tobacco Use
Secondhand Smoke
children die each year
280
SIDS deaths
1,900
injuries fires started by cigarette smoke
300
illnesses in children
Over 1 million
Source Campaign for Tobacco-Free Kids
13Impact of Tobacco Use
Secondhand Smoke
- Dana Reeve mother, singer, actress, activist,
nonsmoker, victim of lung cancer. - Lung Cancer in nonsmokers
- 11,000 deaths in women each year
- 5,500 deaths in men
Dana Reeve
Only 39 of Americans are covered by smokefree
workplace policies.
Sources American Cancer Society, Atlanta Journal
Constitution Photo Jennifer Graylock,
Associated Press
14Impact of Tobacco Use
Secondhand Smoke
- Restaurant and bar workers have 3 to 6 times more
exposure to secondhand smoke than other workers - Waitresses have the highest death rate of any
female occupational group. - How many times higher?
Source DR Shopland, KK Gerlach, DM Burns, AM
Hartman, J. Journal of Occupational
Environmental Medicine.
15- My name is Heather Crowe and
Im a waitress. - I am dying of lung cancer caused by second-hand
smoke.
16Impact of Tobacco Use
Economics
17Impact of Tobacco Use
Economics
- 94 billion (healthcare)
- 93 billion (lost productivity)
- 187 billion
Cost to the nation each year for smoking and
smoking-related illness
Source Campaign for Tobacco Free Kids - Toll of
Tobacco in the United States of America (2005)
18Impact of Tobacco Use
Economics
- Tax burden for government spending caused by
smoking - 64.6 million or 596 per household
- Smoking caused costs
- (health care lost productivity)
- per pack of cigarettes sold in the US 9.42
Source Campaign for Tobacco Free Kids - Toll of
Tobacco in the United States of America (2005)
19Impact of Tobacco Use
Tell Us About It
20Impact of Tobacco Use
The Tobacco Industry
21- Benson Hedges Fax
- Assessing users of mild and light cigarettes
-
- Indicating a need for lights variant to
attract health conscious smokers.
Source University of California San Francisco
Library
22Impact of Tobacco Use
Tobacco Industry Response
Source Campaign for Tobacco Free Kids Ad Gallery
23Impact of Tobacco Use
Tobacco Industry Response
- We have evidence of virtually no quitting
- among smokers of these brands, and there are
- indications that the advent of ultra low tar
cigarettes - has actually retained some potential smokers in
the - cigarette market by offering them a viable
- alternative.
- 1978 Imperial Tobacco document
24Impact of Tobacco Use
Tobacco Industry Response
Mint-flavored lozenge containing Star-cure
tobacco, nicotine, and other substances
Smokeless, spitless mint flavored tobacco
sachet.
Bottled water with added nicotine.
25Impact of Tobacco Use
Tobacco Industry Response
- Total prohibition of smoking in the workplace
strongly affects industry volume. Smokers facing
these restrictions consume 11 -15 less than
average and quit at a rate that is 84 higher
than average. - three to five fewer cigarettes per day per
smoker will reduce annual manufacturer
profits a billion dollars plus
per year
-Philip Morris document
-Philip Morris document