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Tobacco Free Montana
Montana Tobacco Use Prevention Program
Saving Lives and Money
Tobaccofree.mt.gov
Presented by Linda Lee December, 2010
TOBACCO’S ANNUAL TOLL
Claims lives…– 1,400 Montanans die
each year– More deaths than
most other preventable causes combined
…and Causes– Numerous cancers,
heart attacks, strokes
COMPREHENSIVE PROGRAMMING Includes
– Statewide, county, and reservation programs– Youth prevention– Protection from secondhand smoke exposure– Montana Tobacco Quit Line– College-level initiatives– Tobacco-free and smokefree policy efforts– Surveillance, data collection, and evaluation
MTUPP Comprehensive Programming in Montana
$9.4 Million Budget– $963,000 (CDC)– $8.4 Million (MSA)
Voters Approved 32% of MSA
Adequately Funded Programs Are Effective
– Large investment yields large declines in tobacco use
– State programs are cost-effective
– If funding is lost, tobacco use rises
SMOKEFREE AIR SAVES LIVESAchieves Public Health Benefits
– Immediate and lasting decline in heart attacks– Fewer cases of lung cancer, heart disease, and other
illnessesStrongly Supported by Montanans
– 88% support law for restaurants– 76% support law for bars– More than 95% of businesses comply with
the law
COMMUNITY PROGRAMS
Serving 90% of Montanans in 47 of the state’s 56 counties, on 7 Indian reservations, and at 2 urban Indian programs
PROTECTING MONTANA KIDSBig Tobacco Markets to Youth
– Replacement users– Most start before age 18– With current smoking
prevalence, 18,000 youth alive today will die prematurely
Our Strategy– Effective school policies– reACT youth empowerment
program– Counter-marketing – Media literacy
POLICY
Tobacco Prevention Policy Works
– High tobacco prices – Smokefree and
tobacco-free places – Funded
comprehensive program
Current Policy Efforts
Tobacco Free Medical Facilities- More than 50% of Montana hospitals
Smokefree Public Housing- ARRA grant: Low SES population
Tobacco Free Recreation-Tobacco Free High School Rodeo campaign
Education for tribal smokefree policies- Rocky Boy and Blackfeet policy
REDUCING CHRONIC DISEASE
– Montana Asthma Control Program
• Clean Indoor Air Act• Montana Tobacco Quit
Line• Tobacco-free Schools
of Excellence Initiative– Comprehensive
Cancer Control Program
• Clean Indoor Air Act
Cross-Program Collaboration – Montana Diabetes
Project• Helping people with
diabetes quit• Montana Tobacco
Quit Line– Montana Nutrition
and Physical Activity Program• Encouraging
activity and healthy eating
Specific Populations
Pregnant Women 16%– WIC, Home Health
Low Income 37%– Medicaid Project
American Indians 55% (approximately)– Culturally specific media
Media Campaign– Promotes the Quit Line
Targeted Outreach– WIC, healthcare
providers – Medicaid Project
• Survey pre & post• Media• Mailings to providers
& participants
PREGNANT WOMEN
16% smoke at some time while pregnant
AMERICAN INDIANS
Targeted, Specific Media
– Tribal design– Tribal language
American Indian Prevention Specialists
– 7 reservations, 2 urban Indian programs
Tobacco use and resulting disease and death is high
COLLEGIATE INITIATIVEMore than 25% of Montana young adults smoke (21% of Montana young adult men chew)
Montana’s Collegiate Tobacco Prevention Initiative is led by students who:
– Form coalitions, educate & assist with new policy implementation
– Promote tobacco-free campuses
10 Montana campuses participate:– UM, Montana Tech, UM-Western, MSU (Bozeman, Billings, and
Northern), Fort Peck Community College, Flathead Community College, Carroll College, & Helena COT
SENDING THE RIGHT MESSAGETobacco Industry Spends More Than $90,000 a Day
– Addicting our youth– Promoting new products
“Counter-Marketing” Includes:
– Paid advertising– Earned media– Media literacy &
community education
MONTANA QUIT LINE
Nicotine is AddictiveMost Want to QuitQuit Line is FREE
– Telephone counseling, quit plans, NRT, reduced cost meds
More than 46,000 Montanans have called•Proven Effective•30% Success Rate
SAVING HEALTH CARE DOLLARSTobacco Addiction Destroys Lives: It’s Costing Us a Fortune.
Montana’s Annual Cost is in Excess of Half a Billion Dollars.
– $277 million per year in excess health care costs due to smoking
– $305 million annually in lost productivity– Montana households pay $557 state and federal taxes each
year to cover smoking-caused government expenditures
SAVING LIVES EVERY DAY
Adult Smoking Down to 16% from 19% in 2000
Youth Smoking Dropped to 16% from 27%
For Each 1% Drop:– 7,400 fewer adult smokers– 530 fewer high school
smokers– 2,200 fewer kids becoming
tobacco-addicted adults
SURGEON GENERAL REPORT
Tobacco Smoke InhaledImmediate damage to arteries–Vessels thicken & narrow–Blood platelet get sticky –Secondhand smoke triggers heart attacksConfirms benefits of quitting ASAP–DNA damage leading to lung cancer & birth defects–Recommends immediate cessation and protection from ANY exposure to secondhand smoke
New Products
MTUPP Progress Report – FY10