Tobacco Free Montana

Montana Tobacco Use Prevention Program

Saving Lives and Money

Tobaccofree.mt.gov

Presented by Linda Lee December, 2010

TOBACCO’S ANNUAL TOLL

Claims lives…– 1,400 Montanans die

each year– More deaths than

most other preventable causes combined

…and Causes– Numerous cancers,

heart attacks, strokes

COMPREHENSIVE PROGRAMMING Includes

– Statewide, county, and reservation programs– Youth prevention– Protection from secondhand smoke exposure– Montana Tobacco Quit Line– College-level initiatives– Tobacco-free and smokefree policy efforts– Surveillance, data collection, and evaluation

MTUPP Comprehensive Programming in Montana

$9.4 Million Budget– $963,000 (CDC)– $8.4 Million (MSA)

Voters Approved 32% of MSA

Adequately Funded Programs Are Effective

– Large investment yields large declines in tobacco use

– State programs are cost-effective

– If funding is lost, tobacco use rises

SMOKEFREE AIR SAVES LIVESAchieves Public Health Benefits

– Immediate and lasting decline in heart attacks– Fewer cases of lung cancer, heart disease, and other

illnessesStrongly Supported by Montanans

– 88% support law for restaurants– 76% support law for bars– More than 95% of businesses comply with

the law

COMMUNITY PROGRAMS

Serving 90% of Montanans in 47 of the state’s 56 counties, on 7 Indian reservations, and at 2 urban Indian programs

PROTECTING MONTANA KIDSBig Tobacco Markets to Youth

– Replacement users– Most start before age 18– With current smoking

prevalence, 18,000 youth alive today will die prematurely

Our Strategy– Effective school policies– reACT youth empowerment

program– Counter-marketing – Media literacy

POLICY

Tobacco Prevention Policy Works

– High tobacco prices – Smokefree and

tobacco-free places – Funded

comprehensive program

Current Policy Efforts

Tobacco Free Medical Facilities- More than 50% of Montana hospitals

Smokefree Public Housing- ARRA grant: Low SES population

Tobacco Free Recreation-Tobacco Free High School Rodeo campaign

Education for tribal smokefree policies- Rocky Boy and Blackfeet policy

REDUCING CHRONIC DISEASE

– Montana Asthma Control Program

• Clean Indoor Air Act• Montana Tobacco Quit

Line• Tobacco-free Schools

of Excellence Initiative– Comprehensive

Cancer Control Program

• Clean Indoor Air Act

Cross-Program Collaboration – Montana Diabetes

Project• Helping people with

diabetes quit• Montana Tobacco

Quit Line– Montana Nutrition

and Physical Activity Program• Encouraging

activity and healthy eating

Specific Populations

Pregnant Women 16%– WIC, Home Health

Low Income 37%– Medicaid Project

American Indians 55% (approximately)– Culturally specific media

Media Campaign– Promotes the Quit Line

Targeted Outreach– WIC, healthcare

providers – Medicaid Project

• Survey pre & post• Media• Mailings to providers

& participants

PREGNANT WOMEN

16% smoke at some time while pregnant

AMERICAN INDIANS

Targeted, Specific Media

– Tribal design– Tribal language

American Indian Prevention Specialists

– 7 reservations, 2 urban Indian programs

Tobacco use and resulting disease and death is high

COLLEGIATE INITIATIVEMore than 25% of Montana young adults smoke (21% of Montana young adult men chew)

Montana’s Collegiate Tobacco Prevention Initiative is led by students who:

– Form coalitions, educate & assist with new policy implementation

– Promote tobacco-free campuses

10 Montana campuses participate:– UM, Montana Tech, UM-Western, MSU (Bozeman, Billings, and

Northern), Fort Peck Community College, Flathead Community College, Carroll College, & Helena COT

SENDING THE RIGHT MESSAGETobacco Industry Spends More Than $90,000 a Day

– Addicting our youth– Promoting new products

“Counter-Marketing” Includes:

– Paid advertising– Earned media– Media literacy &

community education

MONTANA QUIT LINE

Nicotine is AddictiveMost Want to QuitQuit Line is FREE

– Telephone counseling, quit plans, NRT, reduced cost meds

More than 46,000 Montanans have called•Proven Effective•30% Success Rate

SAVING HEALTH CARE DOLLARSTobacco Addiction Destroys Lives: It’s Costing Us a Fortune.

Montana’s Annual Cost is in Excess of Half a Billion Dollars.

– $277 million per year in excess health care costs due to smoking

– $305 million annually in lost productivity– Montana households pay $557 state and federal taxes each

year to cover smoking-caused government expenditures

SAVING LIVES EVERY DAY

Adult Smoking Down to 16% from 19% in 2000

Youth Smoking Dropped to 16% from 27%

For Each 1% Drop:– 7,400 fewer adult smokers– 530 fewer high school

smokers– 2,200 fewer kids becoming

tobacco-addicted adults

SURGEON GENERAL REPORT

Tobacco Smoke InhaledImmediate damage to arteries–Vessels thicken & narrow–Blood platelet get sticky –Secondhand smoke triggers heart attacksConfirms benefits of quitting ASAP–DNA damage leading to lung cancer & birth defects–Recommends immediate cessation and protection from ANY exposure to secondhand smoke

New Products

MTUPP Progress Report – FY10