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Reducing Tobacco Use and Secondhand Smoke Exposure in NYC Sheelah Feinberg Executive Director NYC Coalition For A Smoke-Free City September 21st, 2012 Overview • Burden of Tobacco Use in New York City • Past 10 Years of Tobacco Control in NYC • Who is Still Smoking? • How We Change Social Norms to Bring Down Smoking Rates Burden of Tobacco – NYC • Smoking is the leading cause of preventable death in New York City • Smoking kills more New Yorkers than AIDS, drugs, homicide and suicide – combined • Almost 1 in 7 deaths overall and 1 in 3 preventable deaths are smoking-related • Almost 7,000 New Yorkers die from a smokingrelated illness every year • One-third of current New York City’s smokers will die from a smoking-related illness Tobacco Control in NYC Since 2002 • Between 1993 and 2002 prevalence was constant at 21.5% • Mayor Bloomberg and Health Dept. made tobacco control No. 1 priority (2002) • Implemented comprehensive tobacco control program (per 1999 CDC Best Practices) As a result… • Prevalence has decreased by 35% (2002-2010) • Today 455,000 fewer NYC smokers (2002-2010) Who works on Tobacco Control? • City & State Agencies – NYC Department of Health and Mental Hygiene – NYC Department of Finance – NYC Department of Consumer Affairs – NYS Department of Health • Community-Based Organizations – NYC Coalition for a Smoke-Free City – American Cancer Society – American Lung Association of the Northeast – Many more local partners Working Together to Promote a Smoke-Free City Taxation • Raising the price of tobacco products is the single most effective strategy for reducing consumption • Increased the price of cigarettes in NYC to more than $11.00 per pack, the highest pack price in the country Legal Action: Smoke-Free Air • 2003: Implemented comprehensive indoor air laws prohibiting smoking in almost all workplaces, including restaurant and bars – Smoke-Free Air Act of 2002 (NYC, March 2003) – Clean Indoor Air Act (NYS, July 2003) • 2009: Smoke-Free Air Act expanded to prohibit smoking on or around grounds and entrances of health care facilities • 2011: Smoking prohibited in parks, beaches, and pedestrian plazas Institutional Policy • September 4, 2012: City University of New York’s (CUNY) 23 campuses became tobacco-free impacting 500,000 students, faculty and staff Motivating Smokers to Quit through Public Education Campaigns • NYC Department of Health has developed and aired a series of hard-hitting campaigns • The campaigns aim to: – Shift social norms regarding tobacco use – Increase awareness of the dangers of smoking and exposure to secondhand smoke – Promote the benefits of quitting – Increase awareness of cessation resources Recent Hard-Hitting Media Campaigns Promoting Cessation Resources Counseling and medication doubles a smoker’s chances of quitting successfully • Promotion of the NYS Smokers’ Quitline which offers free medication and counseling to all NYS residents • NYC Department of Health’s Annual Nicotine Patch and Gum Program provides free medication to NYC residents each spring via 311 and the web • Promotion of community cessation resources and programs Significant Progress Has Been Made! Adult Smoking in NYC Down Almost 35% Since 2002 % of adults NYC and NYS tax increases 3-yr average 3-yr average 3-yr average Smoke-free workplaces Free patch programs Hard-hitting start media campaigns NYS Federal tax tax increase increase NYS tax increas Youth Smoking Rate Has Also Declined Source: Youth Risk Behavior Surveillance System Who’s Still Smoking in NYC? • Current Status – Over 850,000 adult smokers (14%, 2010 CHS) – 18,000 public high school smokers (7.2%, 2010 YRBS) • Adult current smoking prevalence in NYC is higher among… – – – – Males Adults under age 65 Lower education Lower income • Smokers (76%) are more likely to be light smokers (<10 Cigarettes per Day) Percentage of Current Smokers by Neighborhood, NYC Community Health Survey 2010 Fordham-Bronx Park South Bronx Central Harlem Long Island City, Astoria Lower Manhattan Bed Stuy-Crown Heights WillamsburgBushwick Coney Island Staten Island Bensonhurst More than 1/3rd are Nondaily Smokers (mean 2.8 days) Nondaily 36% Three-fourths are light smokers (>10 CPD) What Are Our Areas of Focus • Expand smoke-free air by reducing exposure to secondhand smoke • Reduce youth exposure to tobacco marketing and at the Point of Sale • Encourage voluntary adoption of smoke-free building policies About the NYC Coalition for a Smoke-Free City • Health advocacy group • Promote a tobacco-free NYC • Provide the community with a Big Voice against Big Tobacco • Funded through state and federal grants • Award grants to community based organizations How the Coalition Changes Social Norms • Policy Advocacy Strategy: Smoking Disclosure Policies Smoke-Free Parks and Beaches • Environmental Change Strategy: Voluntary Smoke-Free Housing Voluntary Outdoor Air policies Components of a Successful Advocacy Campaign Community Support + Research & Data + Outreach & Support to Elected Officials + Earned Media = Successful Advocacy Campaign Community Support • National Partners American Cancer Society American Lung Association of the Northeast American Heart Association Campaign for Tobacco-Free Kids • Citywide Partners Asian Americans for Equality Chinese Planning Council Community Service Society of NY The LGBT Center North Shore LIJ Health Systems United Activities Unlimited Chinese-American Planning Council Community Action of Staten Island Global Kids NY Public Interest Research Group South Bronx Overall Dev. Corp. Community Partners Bay Terrace Community Alliance Bedford Stuyvesant Restoration Corporation Bronx Breathes Bronx Health REACH Common Ground Community Children’s Aid Society Citizens Committee for NYC City University of NY Gay Men’s Health Crisis Harlem Asthma Center NYC Parks Advocate NY Comm. Org. Fund NY Restoration Project NY Pharmacist Society NY Institute of Technology New Yorkers for Parks YM & YWHA of Washington Heights & Inwood Research and Data: NYC Department of Health • Policy research and development including feasibility and impact analysis • Data collection and surveillance to understand tobacco use and behaviors, and tobacco marketing practices over time • Evaluation of tobacco control strategies and practices • Liaise with other city agencies on tobaccorelated issues Outreach & Support to Key Stakeholders • Meet with elected officials • Present at community board meetings (rotary clubs, Lions, etc.) • Media outreach, including providing interviews, organizing press conferences, and writing LTEs and op-eds • Organize citywide and borough specific community events • Share resources and data to develop education and advocacy materials Key Strategies • Develop educational materials – Visuals: Factsheets & Presentations, – Talking points and messaging • Educate community members and policy makers – Meet with elected officials, community boards, and community based organizations in partners’ networks – Organize borough-specific and citywide events – Submit written and oral testimony at City Council hearings • Generate earned media – Develop relationships with reporters – Utilize Social media (Facebook, Twitter, NYC Coalition Website) – Ask funded and non-funded partners to write LTEs and op-eds and participate in interviews • Build support among elected officials – Ask non-funded partners to make the legislative “ask” to elected officials to support legislation The Partnership for a Healthier New York City • Tobacco is one of four focus areas; others are healthy eating, active living and alcohol • Borough Lead Organizations work closely with the Smoke-Free Partnership in their respective borough to ensure coordination • Areas of focus for BLOs include smoke-free housing and worksite/campus policies How Your Organization Can Get Involved • Support the efforts of the NYC Coalition for a Smoke-Free City, your Borough Lead Organization and your Borough Smoke-Free Partnership • Create and maintain a tobacco-free workplace – Ensure that employees have access to tobacco cessation resources – Promote cessation resources among clients and members – Adopt voluntary outdoor air policy Questions? Thank you! SHEELAH FEINBERG NYC Coalition for a Smoke-Free City [email protected] (646) 619-6689 For more information: www.NYCSmokeFree.org facebook.com/NYCSmokeFree twitter.com/@NYCSmokeFree