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

TOBACCO CONTROL HISTORICAL BACKGROUND A “RICHES TO RAGS” TALE • 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

 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 o 2011 2016 2015 u 23% 20% Atlantic 19% 15% 14% Bergen 12% 18% 15% Burlington 14% 20% 19% Camden 15% 22% 21% Cape May 17% 25% 24% Cumberland 19% % of NJ adult smokers 17% 15% 17% Essex by county ‐ county health rankings 21% 19% Gloucester 15% 2011, 2015, 2016 20% 16% Hudson 15% 15% 13% Hunterdon 12% 15% 13% Mercer 16% 15% 12% Middlesex 12% 17% 16% Monmouth 14% 14% 13% Morris 13% 20% 17% Ocean 17% 17% 17% Passaic 16% 24% 25% 19% Salem 9% Somerset 11% 12% 20% 18% Sussex 15% 17% 15% Union 15% 22% 19% Warren 15%

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!