impact of tobacco use. effects of tobacco use at various life stages
TRANSCRIPT
Impact of Tobacco Use
Effects of Tobacco Use at Various Life Stages
Impact of Tobacco Use
Tobacco Users’ Health
Secondhand Smoke
Economy
Tobacco Industry
Impact 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 General’s Report: Reducing Tobacco Use
Source: Office on Smoking and Health and The American Lung Association
Impact of Tobacco UseTobacco Users’ Health
Impact of Tobacco Use Body systems affected by
tobacco: Reproductive system
Immune system
Nervous system
Cardiovascular system
Respiratory system
Muscular skeletal system
Organs affected by tobacco: Stomach Liver Pancreas Bladder Larynx Pharynx Oral cavity Lungs Eyes
Impact of Tobacco Use Other conditions associated with tobacco use:
Oral/Laryngeal/Esophageal diseases Dermatologic conditions
Tobacco use has been linked to Cataracts Macular degeneration Gum disease Osteoporosis Peptic ulcers
Maternal tobacco use affects the health of the unborn baby.
Tobacco use increases the risk for miscarriage, stillbirth, and premature births.
Impact of Tobacco Use
Each year in the United States:
443,000 people in U.S. die of a smoking-attributable illness
Source: Centers for Disease Control and Prevention
Q: How many people will die prematurely from a tobacco-related disease by 2030, if this level of
tobacco use continues?
Impact of Tobacco UseTobacco Users’ Health
Lung cancer128,900
Heart disease126,000
Chronic lung disease92,900
Otherdiagnosis
44,000Stroke15,900
Other cancers35,300
Source: CDC, Office on Smoking and Health
Impact of Tobacco Use443,000 Deaths Each Year Attributable to Smoking 2000-2004
Impact of Tobacco UseSecondhand Smoke
Mainstream smoke Sidestream smoke Passive and involuntary smoking Environmental tobacco smoke
Secondhand smoke affects both nonusers and users
Impact of Tobacco UseSecondhand Smoke
Impact of Tobacco UseSecondhand Smoke
♦ SHS contains 250 toxic chemicals Over 50 carcinogens
♦ Each year it causes 3,400 deaths from lung cancer Between 22,700 and 69,600 deaths from coronary
heart disease 8,000–26,000 new cases of asthma in children
Source: CDC, Office on Smoking and Health and Campaign fro Tobacco-Free Kids
There is no risk-free level of exposure to secondhand smoke.
Even brief exposure is dangerous.
2006 Surgeon Generals Report, Health Effects of Secondhand Smoke Exposure
Impact of Tobacco UseSecondhand Smoke
Over 1 million illnesses in children
300 injuries from fires started by cigarettes
1,900 SIDS deaths
280 children die each year
Source: Campaign for Tobacco-Free Kids
Impact of Tobacco UseSecondhand Smoke – Children
Cotinine is a biomarker of secondhand smoke exposure.
With the increase in smoke-free air laws and the decrease in tobacco use, cotinine levels in nonsmokers have halved.
Levels of cotinine fell by 70% from 1988-1991 to 2001-2002.
Source: CDC, Office on Smoking and Health
Impact of Tobacco UseSecondhand Smoke
Nonsmokers are still suffering from the effects of secondhand smoke.
Industries whose employees are disproportionally affected by secondhand smoke:
Restaurant/bar industry
Casino/gaming industry
Other service industries
CDC, Office on Smoking and Health
Impact of Tobacco UseSecondhand Smoke
Waitresses have the highest death rate among women in any occupation.
How many times higher?
Source: DR Shopland, KK Gerlach, DM Burns, AM Hartman, Journal of Occupational & Environmental Medicine.
Impact of Tobacco UseSecondhand Smoke
Impact of Tobacco UseSecondhand Smoke
Levels of secondhand smoke in casinos can be 2.4 to 18.5
times higher than in offices and 1.5 to 11.7 times higher
than in restaurants.
NIOSH Report, 2009
Impact of Tobacco Use
Economics
$96 billion (healthcare) $97 billion (lost productivity) ~$193 billion
Source: Centers for Disease Control and Prevention: MMWR, November 2008
Annual Tobacco-Related Monetary Costs in the USA
Impact of Tobacco UseEconomic
$4.98 billion is spent annually on healthcare solely because of the effects on children of exposure to
secondhand smoke.
Tobacco-Related Monetary Costs in the U.S.
Campaign for Tobacco-Free Kids, 2009
Impact of Tobacco UseEconomic
Annual tax burden from government spending caused by smoking:
$70 .7 billion/ $630 per household
Q: What is the total economic costs associated with cigarettes/per pack sold in the U.S.?
$10.47 per pack
Source: Campaign for Tobacco Free Kids - Toll of Tobacco in the United States of America (2009)
Impact of Tobacco UseEconomic
Average retail price of a pack of cigarettes in the U.S.
1970: $0.382000: $3.162008: $4.352009: $5.12
Cigarette Excise Taxes
CDC, Office on Smoking and Health
Impact of Tobacco UseEconomic
Impact of Tobacco Use
RI:346
CALIFORNIA
NEVADA
80
OREGON
118
WASHINGTON
202.5
ARIZONA
200NEW MEXICO
91
TEXAS
141
OKLAHOMA
103
UTAH
69.5 COLORADO
84KANSAS
79
NEBRASKA64
IDAHO
57
MONTANA
170NORTH DAKOTA
44
SOUTH DAKOTA
153
MINNESOTA
156
IOWA136
MISSOURI
17
ARKANSAS
115
36LOUISIANA
MS
68
ALABAMA
42.5GEORGIA
37
FLORIDA
133.9
SOUTH CAROLINA
7
NORTH CAROLINA45TENNESSEE
62
KENTUCKY60
ILLINOIS
98
WISCONSIN
252MICHIGAN
200
IN99.5
OHIO
125WV55
30VIRGINIA
PENNSYLVANIA
135
NEW YORK275
MAINE200
VTNH: 178
MA
CT:200NJ:270
DELAWARE:160
MARYLAND:200
DC:250
HAWAII
260
ALASKA
200
States that have recently passed or implemented a cigarette tax increase (since 1999)
WYOMING
60
August 2009
Cigarette Tax Rates (cents per pack)State Average is $1.34 Per Pack
CT
MA:251
87
VT:224
States that have not passed tax increases since 1999
NH
Impact of Tobacco UseTobacco Industry
Benson & Hedges Fax
Assessing users of mild and light cigarettes
andIndicating a “need for
‘lights’ variant to attract health- conscious
smokers.”
Source: University of California, San Francisco Legacy Tobacco Documents Library
Source: Campaign for Tobacco Free Kids Ad Gallery
Impact of Tobacco UseTobacco Industry
Impact of Tobacco UseTobacco Industry
“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 nonsmokers in the
cigarette market by offering them a viable alternative.”
- 1978 Imperial Tobacco document
Bottled water with added nicotine
Smokeless, spitless mint and cinnamon
flavored tobacco sachet
Lozenge containing Star-cure™ tobacco, nicotine, and other substances that comes in Mint and Java flavors
Impact of Tobacco UseTobacco Industry
Impact of Tobacco UseTobacco Industry
Impact of Tobacco UseTobacco Industry
Impact of Tobacco Use