Tobacco 21: National, State, and Local Perspectives 2016-2017 TCN Podcast Series Luci Longoria, Oregon Health Authority Beverly May, Campaign for Tobacco-Free Kids Scott Hall, Kansas City Chamber of Commerce Lila Johnson, Hawaii State Department of Health
» Youth and teen smoking is 14.9% in MO (U.S. average 9.2%--range 5.9 to 17.8%) » Missouri earned an F for tobacco prevention efforts (American Lung Association State of Tobacco Control 2016)
» Youth and teen smoking is 10.2% in KS (U.S. average 9.2%--range 5.9 to 17.8%) » Kansas earned an F for tobacco prevention efforts (American Lung Association State of Tobacco Control 2015)
» Needham, MA: 2006-2010: Teen smoking reduced from 13% to 7% (a 46% decrease) » 2006-2010: 16 surrounding communities - Teen smoking reduced 15% to 12% (a 20% decrease)
» The smoking rate for adults in Needham is 8%. This rate is 56% lower than the state wide average » The rate of smoking during pregnancy in Needham is 90% lower than for the state wide average » Lung cancer is 24% lower among males and 33% lower among females in Needham compared to the state wide average
» March 2015, Institute of Medicine study estimated that Tobacco 21 would reduce smoking among 15-17 year old by 25% and among 18-20 year olds by 15% » American Journal of Public Health: “ Retail Impact of Tobacco Sales Age to 21 Years ” Only estimated a 2% decrease in annual total tobacco sales due to Tobacco 21
Total Annual Excess Cost of a Smoker to a Private Employer Estimate Excess Absenteeism $517 Presenteeism $462 Smoke Breaks $3,077 Excess Health Care Costs $2,056 Pension Benefit (if provided) ($296) Total Costs $5,816 Berman M, et al., Estimating the cost of a smoking employee, Tob Control 2014;23:5 428-433 Published Online First: 3 June 2013 doi:10.1136/tobaccocontrol-2012-050888
» 211 Cities in 13 states have enacted Tobacco 21 policies. » 61,559,126 people live in Tobacco 21 communities.
» 21 Cities in 2 states have enacted Tobacco 21 policies. » 1,420,598 people live in Tobacco 21 communities. » 165+ organizational endorsements
More than 165 Endorsing Organizations - Including:
Resources Lessons Learned Impact Estimator Toolkit
Questions? » Scott Hall, Vice President for Strategic Initiatives, Greater Kansas City Chamber of Commerce, hall@kcchamber.com
How Hawaii Passed th the Legis isla lation 1. Started at the local county level 2. Collecting relevant data (national & local) 3. Evidence-based and policy research 4. Legal research 5. Community involvement/public support 6. Youth involvement 7. Legislative champions 8. Media support 17
Their ir voic ices were heard 18
Imple Im lementatio ion 19
Public support • From testimony: • An independent poll conducted by SMS in 2014 for the Coalition found that 77% of Hawaii residents support a law raising the age of sale of tobacco to 21. • Raising the age of sale of tobacco is a growing trend nationally where young people are now protected in over 58 cities/counties in 7 states in the United States. Hawaii has the opportunity to be the first state to raise the age of sale of tobacco products to 21. 20
SB 1030, What happened? • SB 1030 passed the Senate and the House • The House amended the bill • The Senate originally disagreed the House version • Senate reconsidered and agreed to the House version • Senate passed the House version and sent the bill to the Governor 21
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IM IMPLEMENTATIO ION & Evalu luatio ion • RETAILER/MERCHANT COMMUNITY • ENFORCEMENT/COMPLIANCE • PUBLIC INFORMATION • EDUCATIONAL SYSTEM • TOURISM • MILITARY • ECONOMIC IMPACT
TOURISM
Military 27
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Is Issues to Consider Current tobacco control laws/preparedness Political Climate Merchant Preparedness Public Sentiment Military Argument Enforcement and Compliance Checks Data Collection/Evaluation Economic Impact 29
Lessons Learned Grandfathering Clause Preemption Arguments that worked: 18 is not a magical age with the age of entry to kindergarten being delayed, more 18 year olds on high school campuses 30
Mahalo
tcn@astho.org THANK YOU! 32
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