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TUP UPAC w wor orks to re o reduce the the har harm and and bur urden of of t toba obacco i in n New M Mexico Benjamn Jcquez TUPAC Program Manager Toba bacco use se is is th the sin single most t pre preventable caus


  1. TUP UPAC w wor orks to re o reduce the the har harm and and bur urden of of t toba obacco i in n New M Mexico Benjamín Jácquez TUPAC Program Manager

  2. Toba bacco use se is is th the sin single most t pre preventable caus ause e of of dise disease, disa disability ty, and d de death in in th the U. U.S. 2 Source: CDC, Best Practices for Comprehensive Tobacco Control Programs—2014

  3. 39, 39,00 000 New Mexico high school youth use some form of tobacco, including cigarettes, cigars, hookah, chew, or e-cigarettes (1 in n 3 yout outh) h) 3 Source: 2015 NM YRRS

  4. 402, 402,700 00 New Mexico adults use some form of tobacco, including cigarettes, cigars, hookah, chew, or e- cigarettes (1 (1 in in 4 adu dult lts) 4 Source: 2014 NM Tobacco Evaluation Survey

  5. Smok Smoking ad adds to o the he cos cost of of New w Mexico xico’s Medica caid Pr Prog ogram 5

  6. Medi dicaid d Cos Costs $222,800,000 $222, 2,800, 00,000 000 Annual New Mexico Medica caid costs caused by smoking 6 Source: CTFK— The Toll of Tobacco in NM fact sheet, 6/20/16

  7. Tob obac acco is is an an econo nomic b mic burden n on N on New M ew Mexi exico 7

  8. $1 $1.4+ 4+ Bill Billion $ Total annual economic bu burde den of smoking in New Mexico 8 Source: CTFK— The Toll of Tobacco in NM fact sheet, 6/20/16

  9. $9 $945 p 45 per er hous household New Mexico residents’ state and federal tax ax $ bur urden from smoking- caused government expenditures 9 Source: CTFK— The Toll of Tobacco in NM fact sheet, 6/20/16

  10. New M ew Mexic exico inv invests in t in tob obac acco preve vent ntion a ion and cessat ation ion 10

  11. State in e investment ents in in t tobac bacco p o prevent ention on and d ce cessa ssati tion i in NM NM $22.8 Tob obac acco MSA Fund unding to o TUPAC C Prog ogram (millions) $9.1 $9.1 $9.1 $7.2 $6.1 $5.7 $5.7 $5.7 $5.7 $5.7 $5.4 FY07 FY09 FY11 FY13 FY15 FY17 CDC Recommendation 11 Source: NM TUPAC; CDC, Best Practices for Comprehensive Tobacco Control Programs—2014

  12. Total al s spendi nding o ng on t tobac bacco p o prevent ention on a and c d cessation n in NM NM, FY1 Y17 NM’s investment is 29% 29% of CDC recommendation for comprehensive programs 12 Source: NM TUPAC; CDC, Best Practices for Comprehensive Tobacco Control Programs—2014

  13. Wher ere T e TUPAC’s state MSA f A fundi unding g goe oes Administration 4% 4% Data & Evaluation Prevention & Secondhand 11% Smoke Allocation is based on 31 31% CDC gui uidelines for comprehensive programs Media & Marketing 26% 26% Tobacco Cessation Services 28% 28% 13 Source: NM TUPAC; CDC, Best Practices for Comprehensive Tobacco Control Programs—2014

  14. Reducing ng deat ath and and dis iseas ase from om tob obac acco o us use is is a a winna winnable pub ublic c he healt alth battl tle 14

  15. Prove ven I n Interve vent ntions ions • 100% smoke-free policies • Access to tobacco cessation services • Hard-hitting media campaigns • Tobacco price increases 15 Source: CDC, Best Practices for Comprehensive Tobacco Control Programs—2014

  16. Tobac acco o prog ogram m efforts s produc uce posi ositiv ive outc outcomes for or New w Mexic xico 16

  17. TUP UPAC’s wor work stop ops k kid ids f s from om star arting ing to smok o smoke 17

  18. Pr Proven i n int ntervent ntions for or pr prevent nting y yout outh f h from om s star arting to o us use tobac obacco FY 2015 partners FY 2016 partners FY 2017 partners pending FY 2017 partners Source: NM TUPAC, FY15-FY17

  19. 62% decl 62% cline in in youth th sm smoking 20,600 fewer high school Smoking among New Mexico youth youth smoke in 2015 versus 2003 30.2% 11 11.4% 2003 2015 19 Source: NM YRRS, 2003 and 2015

  20. TU TUPAC C he help lps peop ople quit uit us using ing tob obac acco co 20

  21. Prov oven interventio ntions ns for r pr promoting qu quitting # of QUIT NOW/DEJELO YA enrollees per county: 1 to 49 50 to 99 100 to 249 250 to 999 > / = 1000 Location of health systems change clinics 21 Source: NM TUPAC Program, FY16

  22. 19% 9% decl cline in in adu dult sm smokin ing 63,50 500 fewer NM adult Smoking among New Mexico and US adults smokers in 2015 versus NM 21.5% US 21. 1.2% 2% 2011 17.5% 17.0% 2011 2015 22 Source: NM BRFSS, 2011 and 2015

  23. Man any y smok okers us use tob obacc cco ce cessation n servi vice ces—bu but we could ld reach more Based on current funding levels, TUPAC serves 2.7% of adult 24 24,000 smokers in the state New Mexicans Served by NMDOH Tobacco Cessation Services CDC recommends that states reach 8.0% of smokers (assuming full 8,31 318 8,1 ,195 8,011 funding) FY14 FY15 FY16 CDC Target Reach 23 Source: NM TUPAC Program and CDC

  24. DE DEJE JELO YA A campaign: A Su Succe ccess Story 24 Source: NM TUPAC Program and CDC

  25. TUPAC C wor works ks to o red educe e second ndhand hand smok smoke exposu osure re 25

  26. Proven interventio ions for elim liminating expo posure to secondh dhand smoke Multi Unit Housing (MUH) Tribes Universities 26 Source: NM TUPAC Program, FY16

  27. 42% 42% decl cline in in youth th SHS expo posure 29,300 fewer high school Youth exposed to secondhand smoke youth exposed to 61.4% 61 secondhand smoke indoors 35.8% 2003 2015 27 Source: 2014 NM Tobacco Evaluation Survey

  28. TUPA PAC wor works with th Tri ribes s ar aroun ound t the he Stat ate Kere Ke res s Consu sulti ting Inc. – TUPAC Cont ntract actor or Smoke Free Signals is a resource center for Tribes interested in learning more about the harms of secondhand smoke (SHS) and engaging in SHS protection programs. Because tobacco is the leading preventable cause of death and disease among American Indians in the U.S., resources focus on six key areas: 1. Tribal Schools Educate 2. Tribal Policies •Baseline Assessment •Self-Determination 3. Tribal Enterprise •“Cold Calls” •Policy Reviews and •Presentations 4. Community Health Updates •Tribal Leader Letter •“The Toolkit” •Program/Dept. •Community Events 5. Homes and Cars •Booth Training 6. Multi-Unit Housing •Special Meetings Outreach Engage 28

  29. Programs have a posi siti tive e impact t in TUPAC Pr in New ew Mexi Mexico Sin ince 2011… 1… 9,400 fewe wer yout outh smok mokers 29 Source: CTFK— Benefits and Savings from Smoking Declines in New Mexico, June 2016

  30. Programs have a posi siti tive e impact t in TUPAC Pr in New ew Mexi Mexico Sin ince 2011… 1… 63,500 fewe wer ad adul ult smok mokers 30 Source: CTFK— Benefits and Savings from Smoking Declines in New Mexico, 8-2016

  31. Programs have a posi siti tive e impact t in TUPAC Pr in New ew Mexi Mexico Sin ince 2011… 1… 25,200 fewe wer resid idents will will die ie prema maturely y from om smok moking ng 31 Source: CTFK— Benefits and Savings from Smoking Declines in New Mexico, 8-2016

  32. Programs have a posi siti tive e impact t in TUPAC Pr in New ew Mexi Mexico Sin ince 2011… 1… $1.3 bi billion in in estimat imated fut utur ure he healt alth h cos cost saving avings 32 Source: CTFK— Benefits and Savings from Smoking Declines in New Mexico, 8-2016

  33. Despit pite successe sses, we we stil till ha have wo work to do do! 1 1 in in 4 youth th use se e-cig igare rett ttes es Hig igh smok oking r rat ates am amon ong low ow-in income, e, Medicaid id, LGB GBT, peo eople with ith disa isabiliti ities SHS expos osure ure protec ecti tions on trib tribal l la lands, coll lleg ege e campuses, mu multi lti-uni unit hous using ng 2 2 in 3 3 NM youth th tobacco user sers are re usin sing g fla lavore red products (min mint, t, cand andy, fr frui uit, choc hocolate) 33 Sources: 2015 YRRS and 2015 BRFSS

  34. Than hank you ou for or inve investing in in tob obacco co preve vent ntion and and ce cessat atio ion in in New w Mexico xico! 34

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