1

2

Initiated Act 1Fall 2000

Initiated Act Allocation of MSA Funds

3

Tobacco Pre-vention and

Cessation32%

COPH5%

Arkansas Bio-scienes Institute

23%DAHEC

4%

Center on Aging 3%

Minority Initiative4%

Medicaid Ex-pansion

30%

4

A healthier and better-informed Arkansas.

Arkansas Aging Initiative

The Arkansas Tobacco Settlement Commission

7

Arkansas Biosciences Institute

Has provided information through the combined strength of major research institutions.

College of Public Health

8

Delta Area Health Education Center

Increased access to:• Health Care• Health Education • Clinical Services

Medicaid Expansion

9

TOBACCO PREVENTION AND CESSATION PROGRAM

Arkansas Minority Health Commission

10

State and Community Interventions

Health Communications Interventions

Cessation Interventions

Administration and Management

Surveillance and Evaluation

11

And the numbers are evidence of our success

12

Current Cigarette Smoking among High School Students* Arkansas 2000, 2005, & 2007

21,500Fewer High School Smokers

14

Percentage of adults who were current cigarette smokers,AR ATS 2002, 2004, 2006, & 2008

15

92,400Fewer Adult Smokers

16

Percentage of adult males who were currentusers of smokeless tobacco, by race/ethnicity

AR ATS 2002, 2004, 2006, & 2008

17

Current Smokeless Tobacco Use among High School Boys*By Race/Ethnicity

Arkansas 2000, 2005, & 2007

18

Percentage of adults who reported exposure to secondhand smoke in the home,

AR ATS 2002, 2004, 2006, & 2008

19

Percentage of adults who reported exposure to secondhand smoke in the vehicle,

AR ATS 2002, 2004, 2006, & 2008

20

Clean Indoor Air Act - 2006

Act 13 - 2006

Tobacco Excise Tax – 2003 and 2009

Arkansas Clean Air on Campus Act - 2009RIP Cigarettes - 2009

21

The Numbers – Dollars and Sense

22

Arkansas Trends in Hospital Admissions for Selected Diseases for Patients 35 Years and Older,

2001-2008

• Heart Disease 19.7% Decrease

• Stroke 32.3% Decrease

• Emphysema and 12.3% Decrease Chronic Bronchitis

• All Other Admissions 2.2% Decrease (2001-2007 only)

Excluding: Heart Disease, Stroke, Emphysema and Chronic Bronchitis

23

Major Questions

What Does the Reduction in Hospital Admission

Rates Mean in Terms of:

• Hospital-related Cost Savings?

• Value of Deaths Averted?

24

Hospital-Related Cost Savings

Heart Disease Stroke

Emphysema, Chronic

Bronchitis

Smoking Attributable Hospital Admissions Averted

Hospital Costs and Hospital-related Professional Costs

Totals All costs are adjusted for inflation to 2008 constant dollars

4,249 2,395 2,930

$119.4 M $33.8 M $28.3 M

9,574

$181.5 M

Value of Deaths Averted

Heart Disease Stroke

Emphysema, Chronic

Bronchitis

Smoking Attributable Deaths Averted

Value of Smoking Attributable Deaths Averted*

95 143

Totals

51

$103.9 M $159.8 M $52.2 M

289

$315.9 M

*Dollar values were calculated using standard Health Economic methods of the value of a year-of-life saved.

All costs are adjusted for inflation to 2008 constant dollars25

26

Arkansas Tobacco Quitline

27

Adult Tobacco QuitlineArkansas Tobacco Users

By County

28

0

1000

2000

3000

4000

5000

6000

7000

8000

Num

ber

of T

obac

co U

sers

Arkansas Tobacco Quitline Fiscal Year 2009 Arkansas Tobacco-Users by Month

29

Helping to

save

money.

Helping to

save lives.

Helping to

maintain a

healthy Arkansas.

MSA FUNDING