Transcript The Impact of Tobacco on Business

Louisiana and Tobacco
Jennifer Burris
Director of Health and Wellness Programs
Southwest Louisiana Area Health Education
Center
Tobacco
 438,000 deaths – the number of American deaths-per-year caused by
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smoking.
In Louisiana, an estimated 6,400 adults die each year from smoking.
Another 650-1,150 people die each year from the effects of exposure to
secondhand smoke.
Tobacco use is the single most preventable cause of death in Louisiana
and the United States. *
Secondhand smoke is the third leading cause of preventable death in
the U.S. *
 * Centers for Disease Control and Prevention MMWR — Annual Smoking–
Attributable Mortality, Years of Potential Life Lost, and Productivity Losses — United
States, 1995–1999. 2002 / Vol. 51
Health Care Cost In Louisiana
 Smoking costs more than $1.15 billion each year in
direct medical costs.
 Louisiana spends $518 million each year in Medicaid
funds to treat tobacco related illnesses.
 An additional $1.66 billion in lost productivity
 For a total of $2.8 billion in direct and indirect medical
costs annually
Louisiana Laws
 Act 815 – Smoking is no longer allowed in
Restaurants, school campuses, work places and
other public buildings. Gave local control back to
the local government.
 Act 838 – No smoking in a car if a child 13 and
under is present, even if the window is down
 FDA Regulation - A piece of legislation that
would give the U.S. Food and Drug Administration
(FDA) authority over manufactured tobacco
products.
What does the New FDA regulation
include
 The Family Smoking Prevention Tobacco Control Act
 No health Claims (low tar, light, reduced)
 Outlaws most tobacco flavoring
 Ingredients made public
 Advertising and marketing strictly regulated(1000ft)
 Black and White warning labels
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50%of cigarette packs
30% of smokeless tobacco cans
Black and white print
Components of a Comprehensive
Tobacco Approach
 According to the Centers for Disease Control Best
Practices
1. Enact meaningful legislation and policy
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Limit access, availability
Clear stance on health concerns
Clean indoor air
Components of a Comprehensive
Tobacco Approach
2. Taxation
Associated with prevention, cessation, and reduction in use
3. Prevention and Counter Advertising
Minimize the replacement of tobacco users who die with new
users
Accurate portrayal of tobacco and its health-damaging and
other effects
4. Cessation Programs
Intensity of the treatment
Delivery systems
Why is all of this
necessary?
Who The Tobacco Industry Target?
 Heavily Targeted Louisianans
 African Americans & Asian Americans
 Hispanics and Latinos & Native Americans
 Low Socio-economic status
 Lesbian, Gay, Bisexual and Transgender community
 Disabled/Mentally Ill and Veterans
 Youth 11-17
 Blue Collar Workers and Rural Citizens
 Young Adults 18 – 24 (straight to work and college)
Marketing
 $13 billion – the amount Big Tobacco spends on
promotions and advertising.
 The tobacco industry spends 285 million dollars
annually in Louisiana to attract new smokers and
ensure that current smokers keep smoking.
RJ Reynolds
 At R.J. Reynolds Tobacco Company we operate our
business in a responsible manner that best balances
the desires of our many stakeholders. Our Guiding
Principles and Beliefs seek to reflect the interests of
shareholders, consumers, employees, and other
stakeholders. In particular, R.J. Reynolds is committed
to addressing the issues regarding the use of and harm
associated with tobacco products in an open and
objective manner.
 ….we are principled, creative, dynamic and passionate
Other Industry Quotes
 We don’t smoke the Sh**, we just sell it. We reserve
that for the young, the black, the poor and the stupid.”
-RJ Reynolds Executive
 “We are more interested to learn how you plan to
target the emerging young adult female smokers rather
than the older female smokers”
- Phillip Morris 1989
 According to the Campaign for Tobacco-Free Kids , in
the last two years, the industry has launched its most
aggressive marketing campaigns aimed at women and
girls in over a decade.
Where Do we go from
here?
What Works?
PHS (2008) Recommendations
1. Tobacco Dependence is a chronic condition
 Often requires repeated interventions, multiple attempts to quit
2. Consistency is Key
3. Treatments are effective across populations
4. Brief tobacco dependence treatment is effective
5. Individual, group, and telephone counseling are effective
 Effectiveness increase with treatment intensity
 2 components are particularly effective: practical counseling (problem
solving/skills training); social support delivered as part of the treatment
 U.S.Department of Health and Human Services, Public Health Service
What Works?
Continued
6. Medications work, and their use should be encouraged
7. Counseling and medications are effective, but the
combination is more effective than either alone
8.Quitline counseling is effective and has broad reach
Symptoms of Withdrawl
Know what to expect
Primary Symptoms of Nicotine Withdraw
o Insomnia
o Evident 1st day of quitting
o Primarily sleep fragment
o Some report decrease in sleep latency
o Peaks within 1-3 days
o Lasts 3-4 weeks
o Irritability/ frustration/anger
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can last> 1 month
80% of quitters endorse this
Anxiety
Often evident prior to quit attempt
Peaks within days
Lasts 3-4 weeks
Primary symptoms of Nicotine Withdraw
 Dysphoric/depressed mood
 Can last > 1 month
 Difficulty Concentrating
 Evident 1st day of quitting
 Peaks within 1-3 days
 Lasts 3-4 weeks
 Generally mild
 Restlessness
 Lasts < 1 month
 Perceived as highly aversive
Primary Symptoms of Nicotine Withdraw
 Increased Appetite/Weight gain
 Appetite change lasts 10 weeks
 Expect 5-7 pounds of weight gain
 Will loose when metabolism stabilizes
 Decreased Heart Rate
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Average decrease is 10 bpm
Nicotine Replacement Therapies
 NRT
Therapeutic effect
Primarily reduces withdrawal symptoms
May provide some positive effects
reduce negative mood
returns concentration to normal
suppression of weight gain associated with
cessation
May replace oral and handling aspects of the habit
(gum, inhaler, lozenge)
Nicotine Replacement Therapies
 Nicotine Transdermal Patch (nicoderm,nicotrol,habitrol)
 Nicotine Polacrilex Gum (Nicorette)
 Nicotine Inhaler (nicotrol) px only
 Nicotine Nasal Spray (nicotrol NS) px only
 Nicotine Lozenge (commit)
Pharmacologic Options
Non-nicotine products (FDA approved)
 zyban/wellbutrin (Bupropion)
 Chantix (varenicline)
 Please ask you health care provider what works best
for you
Resources To Quit
www.quitwithusla.org
www.BecomeAnEx.org
www.ffsonline.com
1.800.Quit Now
M.D. Anderson
Additional Tobacco Resources
www.latobaccocontrol.com
www.tobaccofreeliving.org
www.tobaccofreekids.org
www.cdc.gov/tobacco/osh
More Resources
 How to quit smoking:
 QuitNet
 Committed Quitters Online
 The Quit Smoking Company
 Try to Stop
 You Can Quit Smoking
 Smokefree.gov (U.S. Government)
 No Smoke (anti-smoking software)
More Resources
 Products to help smokers quit:
 NicoDerm CQ (nicotine patch)
 Nicorette (nicotine chewing gum)
 Nicotrol (nicotine inhaler, spray, and patch)
 Zyban (a nicotine-free prescription pill)
 Chantix ( a nicotine-free prescription pill)
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More Resources
 Books on smoking cessation:
 Seven Steps to a Smoke-Free Life
 Quit Smoking for Good
 The Stop Smoking Workbook
 Dying to Quit
 You Can Stop Smoking
 Freshstart: 21 Days to Stop Smoking
 Keep Quit! A Motivational Guide
 Out of the Ashes: Help for People Who Have
Stopped Smoking
More Resources
 Research organizations:
 American Cancer Society
 American Lung Association
 Centers for Disease Control
 National Cancer Institute
 Society for Research on Nicotine and
Tobacco
More Resources
 Research reports:
 U.S. Surgeon General Reports
 U.S. Centers for Disease Control Reports
 World Health Organization Reports
 Morbidity and Mortality Weekly Reports
 Social Climate of Tobacco Control
 Cigarettes: What the Warning Label Doesn't Tell You
 Research teams:
 Center for Tobacco Control Research
 Tobacco-Related Disease Research Program
 Center for Tobacco Research and Intervention
 Michigan Nicotine Research Laboratory
 Ontario Tobacco Research Unit
 Tobacco Use Behavior Research
 Research for International Tobacco Control
 Research Network on the Etiology of Tobacco Dependence
Jennifer Burris
Director of Health and Wellness Programs
SWLA AHEC
103 Independence Blvd.
Lafayette, LA 70506
337.989.0001 –office
337.989.1401 – fax
[email protected]
www.swlahec.com