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LAAMPP Policy Webinar presentation by Jeannette Noltenius, National Director of the National Latino Tobacco Control Network, on Monday, April 12, 2010.
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Tobacco Control Polices
Webinar for LAAMP Fellows, April 12, 2010
Jeannette Noltenius, MA, PhD
National Director
National Latino Tobacco Control Network
Objectives of this Webinar
• Provide an Overview of the NLTCN
Network: mission, goals and services
• Global vision on Tobacco Policies
• MPOWER = Comprehensive
• Private Tobacco Control Policies
• MN, Implementation of the FDA and other
Opportunities for Action
• Indiana Latino Institute, Inc.* (Lead Agency) • Campaign for Tobacco Free Kids
• ClearWay Minnesota
• ETR Associates
• Hispanic/Latino Partnership Unidos por la Salud UNIDOS* University of Southern California
• HMA Associates
• Indiana Tobacco Prevention Cessation (ITPC)
• Latino Commission on AIDS
• Midwest Latino Health Research, Training & Policy Center* University of Illinois, at Chicago
• National Association of Chronic Disease Directors
• Tobacco Control Network
• Tobacco Technical Assistance Consortium
• La Fe Policy, Research and Education Center
Mission: To build leadership, inform, support and energize a National Network of tobacco control experts and activists to work with Latino communities, states and coalitions to address the health burdens created by tobacco consumption by promoting policies and programs to prevent youth initiation, increase quit rates and assure smoke-free environments.
Goals:• Provide leadership to build diverse, sustainable, and
active Networks and communication mechanisms for information sharing and knowledge exchange.
• Become an effective catalyst for building relationships and commitments which can complement national and state tobacco control efforts, maximize the use of cessation methods, support effective policies, and through collaborations, TA and trainings empower Latino communities to obtain necessary services and funding.
• Empower Latinos to engage in tobacco control and build capacity to achieve health equity.
Directory (+ 460 Latinos and experts)
Website: www.latinotobaccocontrol.org
Listserv, Newsletter, alerts, media alerts,
Consultant Database
Partnerships: LGBT/APPEALin MN) LGBT,
APPEAL, TAPP INTO, CFTFK, ITPC, DC
Smoke Free Coalition, Parity Task Force,
Legacy Foundation, ITPC, Puerto Rico,
Menthol Conference
Technical Assistance: needs assessment, share experiences from other states, suggest consultants, share promising and best practices, arrange for training in state and/or with other states, leadership development, etc.
Training: provide trainers, assist in training strategy and curriculums, review materials, provide materials, etc.
Question # 1
Do you understand what the National Networks are about, and how you can use them?
www.tobaccopreventionnetworks.org
Comprehensive Tobacco Control
Policies
• MPOWER Monitor tobacco use and prevention
policies
Protect people from tobacco smoke
Offer Help to Quit tobacco use
Warn about the Dangers of Tobacco
Enforce Bans on tobacco advertising,
promotion and sponsorship
Raise Taxes on Tobacco
Source: WHO MPower 2008
Monitor tobacco use and
prevention policies
• Disaggregated data by race, ethnicity, primary
language – OMB Standards at minimum, more is
desired (immigrants)
• Ask the LGBT question
• Menthol & other ethnic products
• Enforce Youth Access Laws=Restrict Access*
• Eliminate vending machines*
• Put cigarettes behind the counter- Power Walls*
• Eliminate candy cigarettes (St. Paul) Great!
Monitor tobacco use and
prevention policies
• Assure that schools have tobacco
prevention programs
• Assure that marginalized communities
have educational programs to get them
engaged in tobacco
• Assure that schools, day care, recreational
settings have tobacco prevention
programs
• YOU CAN DO THIS!!! NOW
Equity/Parity in Funding for:
• Community Based Programs
• Statewide programs
• Specific Population Educational Programs
• Funding from MSA funds for tobacco control (MN negotiations with industry)
• Funding at CDC Best Practices levels
• No group left behind! Monitor the $
• BCBS MN/Clearway FUNDS from MSA
Question # 3
• Is MN spending the needed resources to
stop the tobacco epidemic in all
communities?
• Minnesotans can do more!
Protect People from
Tobacco Smoke
• State Clean Indoor Air Ordinances
• Local Clean Indoor Air Ordinances
• Include Casinos, Bowling Alleys, shops
Community Driven in American Indian
Reservations
• Smoke Free Parks, rodeos, Treatment
facilities, prisons, detention centers,
Beaches, Bus Stops, Entries, Cars, etc.
www.rwjf.org/publichealthproducts.jsp
Protect People from
Tobacco Smoke
Private Policies
• Smoke Free Business/Non-profit policy
(malls, state/ethnic fairs, )
• Smoke Free Community Events, Rodeos,
Parades, Weddings, churches, soccer
games,
• Smoke Free Multi-Unit Housing, rentals,
smoke free homes,
Unintended Consequences
• NYC study on cotinine levels + more
young men and Asians STILL exposed
• CA, Latinas and Asians working in Bars &
Restaurants = continued to be exposed
• Casino workers continue exposure
• Occupations not protected with high
immigrant pops: construction, landscaping,
agriculture, small businesses, etc.
• Possible increased disparities
Smoke Free Housing
Private Policies Websites
• EPA CA http://www.arb.ca.gov/toxics/ets/multiunits_ets.htm
• ANSR http://www.no-smoke.org/
• www.lungca.org
• http://www.njgasp.org/housing.htm
• MI Smoke Free Apartments: http://www.mismokefreeapartment.org/
• Smoke Free Environment Law Project: http://www.tcsg.org/sfelp/home.htm
Minnesota’s ANRSMN
• “Approximately 30% of renters are exposed to secondhand smoke that comes into their unit from somewhere else in the building.
• Of renters who are exposed to secondhand smoke, 34% are so bothered by the smoke that they are thinking of moving in order to avoid exposure.
• A majority of renters (75%) would be likely to choose a smoke-free building over a building that allows smoking if the buildings were the same in every other way.
• Renters are also interested in buildings that provide outdoor smoke-free areas such as balconies, entryways, and entirely smoke-free properties.
• In order to live in a smoke-free building, many renters are willing to live in a building that does not have a pool or playground, drive farther to work, and pay more rent. “
www.ansrmn.org Live smoke-free housing
Private and Public Policies
• www.ttac.org Resources & Links (Advocacy)
• www.healthpolicyguide.org
• www.thepraxisproject.org
• www.rwjf.org
• http://enhp.hartford.edu/ctphp/pdf/SmokeandMirrors1.19.2010.pdf
• http://www.rwjf.org/publichealth/product.jsp?id=56548
Question # 4
• What can you do to protect ALL
Minnesotans from Second Hand Smoke?
Implement current laws and advocate for
more policies, including Smoke Free
Apartments!
Offer help to Quit • Institutionalize Cessation in Community
Health Clinics, provider offices, hospitals
• ASK, ADVISE and REFER.. At all Pediatric visits/pregnant women
• Engage Dentists
• Fund Quitlines AND Community based culturally/linguistically appropriate services
• Pay for Cessation treatment-Insurance/ Medicaid/Medicare
• Multimedia Campaigns reaching ALL pops
Warn about the Dangers
• FDA Law nine new warning labels
• The warnings top 50 % of the front and
rear panels of the package and at least
20% of the related advertisements.
• Color graphics depicting the negative
health effects of smoking
Cigarette pack nowCigarette pack under
FDA Regulation
Front
Back
Front
Back
WARNING
LABEL
WARNING
LABEL
Signing of the FDA authority
June 22, 2009 gave the FDA
Authority to Regulate
Tobacco Products
Content of the products
Marketing of the products
Sale of the products
Enforce Bans on tobacco advertising,
promotion and sponsorship
FDA Sec 906 and 102
• Imposes limits marketing, sales, and
promotions, to young people + others
• Regulations Black & White Ads only
• Expands power of States: Permits States
to Restrict Time, Place and Manner of
tobacco marketing
Product and Sale to Youtho Flavorings (Banned)
o Control levels of nicotine
o Sophisticated marketing
o Image of the smoker
Source: CDC PHGR Tobacco Nov 18/09
Advertising Restrictions Previously
Adopted by FDA
• Ban brand sponsorships of sports and
entertainment events
• Ban free giveaways in exchange for
coupons
• Ban free samples of cigarettes and the
sale of cigarettes in packages that contain
fewer than 20 cigarettes
• Ban outdoor tobacco advertising near
schools and playgrounds
Sponsorship of
Sporting events
and/or well
known athetes
that are followed
by kids.
Fuente: Juan Carlos Vega, El Tabaquismo a Nivel Global, las Estrategias Tabacaleras, los Medios de
Comunicación, y el Rol del Apoyo Nacional al Trabajo Local , Primera Conferencia Internacional sobre la
promoción de la Salud, Caguas 2010
Sponsorship of Cultural Events
Fuente: Juan Carlos Vega, El Tabaquismo a Nivel Global, las Estrategias Tabacaleras, los Medios de
Comunicación, y el Rol del Apoyo Nacional al Trabajo Local , Primera Conferencia Internacional sobre la
promoción de la Salud, Caguas 2010
“Giveaways” are now banned
www.trinketsandtrash.org
FDA Bans giveaways
Which products are not covered by
the FDA Law?
Metholated cigarrettes
Cigars
Cigarrillos-small cigars
Fuente: www.trinketsandtrash.org
What can you do?
• Observe, organize and Report to the FDA
of violations: Sale of Candy Flavors
• Look out for Sponsorship of Events
• Demand that MN add Cigars, Cigarillos to
regulated products: menthol ban
• Assure that all sales are behind counter
and eliminate POWER walls
• Assure Ads DON’T cover all outdoor ads
Question # 5
• Do you know what steps you can take to
implement the FDA Law?
Assure that flavored cigarettes have been
removed from the stores and report to:
www.fda.gov/tobaccoproducts/default.html
Raise Taxes on Tobacco
• Taxes go up = consumption goes down
Source: Walbeek C. 2003. Tobacco excise taxation in South Africa. (left graph)
Source: Aloui O. 2003. Analysis of the economics of tobacco in Morocco. (right graph)
Higher Taxes = Lower
Consumption
• 10% increase decreases consumption by
4% in high-income countries and 8% in
low-middle income countries
• 70% increase in taxes would prevent ¼
deaths worldwide
• Young/Poor more sensitive to price
increases
• Revenue for Government
What can be done?
• Tax all tobacco products equally
• Assure that taxes are passed to consumer
• Allocate tax revenue to tobacco control
and other health issues.
• Raise tobacco taxes in MN for tobacco
control efforts
Do Minnesotans’ support Tax
Increases? YES get involved!• A March 2009 survey founds that an overwhelming
majority (72 percent) of Minnesotans support increasing state tobacco taxes.
• At least two thirds of every demographic (political, ideological, age, race, gender, geographic) support tobacco tax increases
• 78 percent of Republicans, 69 percent of Democrats and 66 percent of independents support increases
• Those surveyed cited the health care costs of smoking, helping smokers quit and preventing tobacco use by kids are reasons for increasing taxes
www.clearwaymn.org
Conclusion: Comprehensive
MPOWER+ EMPOWER
• Monitor use/prevent
• Protect SHS
• Offer Cessation
• Warn about dangers
• Enforce Bans Ads
• Raise Taxes
Source: CDC, PHGR Tobacco, Nov 18, 2009
Disclaimer
• This publication was supported by CDC
Cooperative Agreement Number
U58/DP001515. Its contents are solely
the responsibility of the authors and do not
necessarily represent the official views of
the CDC.
Questions?
Thank You
Jeannette Noltenius, MA, PhD
National Director
National Latino Tobacco Control Network
www.latinotobaccocontrol.org
