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Tobacco Use Reduction as a National and Regional PriorityTobacco Use Reduction as a
National and Regional Priority
Tobacco-free College Campuses: Promoting a Culture of Health
Patrick O’Carroll, MD, MPHAssistant Surgeon General and Regional Health Administrator
Region X , U.S. Department of Health & Human Services Tacoma, Washington, Dec 7, 2012
Public Health Approach
Problem Response
Surveillance:What is
the problem?
Risk FactorIdentification:
What is the cause?
Implementation:How do you
do it?
InterventionEvaluation:
What works?
ImpactEvaluation
What is the problem?• Tobacco is the leading cause of preventable death
in the United States• Tobacco kills ~443,000 Americans each year—
about 1 of every five deaths• Lung cancer is the leading cause of cancer death
among both men and women in U.S.• Late 1800’s: Lung cancer was rare
• Cigarette smoking causes $96B in medical costs and $97B in lost productivity each year
What is the problem?• Each day, over 3,800 young people under 18 years
of age smoke their first cigarette, and over 1,000 youth become daily smokers.
• The vast majority of Americans who begin daily smoking during adolescence are addicted to nicotine by young adulthood.
• Despite progress, nearly one in four U.S. high school seniors and one in three young adults under age 26 smoke.
What is the problem?• Nearly all tobacco use begins in childhood and
adolescence• 88% of adult cigarette smokers who smoke daily
started smoking by the age of 18• 99% of first use by 26 years of age!
Public Health Approach
Problem Response
Surveillance:What is
the problem?
Risk FactorIdentification:
What is the cause?
Implementation:How do you
do it?
InterventionEvaluation:
What works?
ImpactEvaluation
Public Health Approach
Problem Response
Surveillance:What is
the problem?
Risk FactorIdentification:
What is the cause?
Implementation:How do you
do it?
InterventionEvaluation:
What works?
ImpactEvaluation
What works?• Four foundational documents:
• Best Practices for Comprehensive Tobacco Control Programs (2007)
• Guide to Community Preventive Services • Treating Tobacco Use and Dependence: 2008 Update• Report on the Global Tobacco Epidemic, 2008: The
MPOWER Package
• Tobacco control programs must be comprehensive sustained, and accountable
Public Health Approach
Problem Response
Surveillance:What is
the problem?
Risk FactorIdentification:
What is the cause?
Implementation:How do you
do it?
InterventionEvaluation:
What works?
ImpactEvaluation
How do you do it?• The Family Smoking Prevention and Tobacco
Control Act, giving the FDA authority to regulate the manufacturing, marketing and sale of tobacco products (2009)
• Ending the Tobacco Epidemic: A Tobacco Control Strategic Action Plan for the US Department of Health and Human Services (2010)
• Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General (2012)
Public Health Approach
Problem Response
Surveillance:What is
the problem?
Risk FactorIdentification:
What is the cause?
Implementation:How do you
do it?
InterventionEvaluation:
What works?
ImpactEvaluation
YOUTH and TOBACCO Town Hall Meeting
YOUTH and TOBACCO Town Hall Meeting
Region X , U.S. Department of Health & Human Services (Alaska, Idaho, Oregon, and Washington)
University of Washington Seattle, Washington, June 14, 2012
A Challenge for Region X:
Tobacco-free College Campuses across the
Entire Pacific Northwest
A Challenge for Region X:
Tobacco-free College Campuses across the
Entire Pacific Northwest
Tobacco Use Reduction as a National and Regional PriorityTobacco Use Reduction as a
National and Regional Priority
Tobacco-free College Campuses: Promoting a Culture of Health
Patrick O’Carroll, MD, MPHAssistant Surgeon General and Regional Health Administrator
Region X , U.S. Department of Health & Human Services Tacoma, Washington, Dec 7, 2012