TOBACCO AND SMOKING PROGRESS AND CHALLENGE IN DISEASE PREVENTION DAVID DOBBINS JULY 16, 2015 COO
TOBACCO EPIDEMIC IS NOT “SOLVED” • Still leading cause of preventable death • 480,000 premature deaths a year • Over 16 million suffer from tobacco-related diseases • Emphysema, Asthma, COPD, etc. • Surgeon General estimates 5.6 million kids alive today will ultimately die from a smoking-related disease unless smoking rates decrease
ECONOMIC COSTS • Annual public & private health costs attributable to smoking – $170 billion • $39.6 billion in Medicaid expenses • Lost productivity due to smoking – $156 billion
Good news: There has been progress … Monitoring the Future Youth Smoking Rates
20 th Century Per Capita Smoking
Actual Causes of Death in the United States in 2010 Thousands 0 100 200 300 400 500 1 Cigarette Smoking 480,000 2 Alcohol-induced 87,798 3 Drug-induced 40,393 4 Motor vehicle 35,498 4 Firearms 31,672 1. U.S. Department of Health and Human Services. The Health Consequences of Smoking — 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. Printed with corrections, January 2014. 2. Stahre M, Roeber J, Kanny D, Brewer RD, Zhang X. Contribution of Excessive Alcohol Consumption to Deaths and Years of Potential Life Lost in the United States. Prev Chronic Dis 2014; 11:130293. DOI: http://dx.doi.org/10.5888/pcd11.130292 . 3. Centers for Disease Control and Prevention (CDC). Wide-ranging Online Data for Epidemiologic Research (WONDER) online database, extracted November 14, 2013. Available at http://wonder.cdc.gov/. 4. Centers for Disease Control and Prevention (CDC). Web-based Injury Statistics Query and Reporting System (WISQARS) online database, extracted November 14, 2013. Available at http://webappa.cdc.gov/sasweb/ncipc/dataRestriction_inj.html.
A REAL HEALTH IMPACT • The Campaign for Tobacco Free Kids estimates: • A 1% drop in the youth and adult smoking rate would result in: 2,425,000 fewer smokers 569,900 adults saved from premature death 260,100 kids saved from premature death Over $40 billion in health care cost savings
Lung Cancer & Cigarettes Sold
SO, WHAT IS DRIVING THIS PROGRESS? Research and Education The 1964 Surgeon General’s Report Led to a 3.5% drop in consumption from 1963. Continuing work on understanding the health consequences of smoking drives real change.
SO, WHAT IS DRIVING THIS PROGRESS? Tax Policy Kids are particularly sensitive to price 10% real price increase of cigarettes reduces the number of kids who smoke 6-7% Also raises revenue! But, implementation is spotty.
SO, WHAT IS DRIVING THIS PROGRESS? Clean Indoor Air Policy • Motivates quitting • Reduces consumption • Reduces exposure to toxins and resulting health consequences 10-15% drop in acute myocardial SMOKE-FREE BUILDING infarctions and other cardiovascular and respiratory disease NO SMOKING ON • Cheap and no impact on PREMISES business
PUBLIC EDUCATION CAMPAIGNS • truth – during first 4 years kept 450,000 kids from smoking. • Saved b/w $1.9-5.4 billion in first 2 years alone • Tips from a Former Smoker – 100,000 smokers quit and saved 17,000 from premature death. • Tremendous return on investment FDA Real Cost – Substantial • investment; robust evaluation. • Likely to have remarkable impact
SO NOW WHAT? ALA STATE OF TOBACCO CONTROL 2015 Despite gains, and some sign of progress, investment still woefully inadequate.
SO NOW WHAT? Pace of regulatory effort within FDA not sufficient to deal with new products in market. Unsurprisingly, gains in reduction in smoking being offset by unregulated products such as e-cigarettes, little cigar and hookah. Estimated percentage of high school students who used tobacco in the preceding 30 days, by tobacco product — National Youth Tobacco Survey, United States, 2011 – 2014
THANK YOU T O G E T H E R , W E C A N H E L P C R E AT E T H E F I R S T T O B A C C O - F R E E G E N E R AT I O N .
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