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Clearing the Air

Volume 10, Issue 4                                      November 1, 2009

From the Tobacco Program Unit Director

The winter edition of our Tobacco newsletter is now ready for your reading enjoyment. It contains a ton of new information, from a recap of tobacco day at the Joint Health Conference, to reports tying health risks to grades and secondhand smoke to heart disease.

Progress continues on many anti-tobacco fronts, from parks in Tacoma to playgrounds in Chehalis, to multi-unit housing complexes all over the state, and to implementation of the new FDA regulations. Plus: GASO is upon us; TRUTH ads are running nationwide; the new EX ads are on the air; and our own Dear Me ads are running in Utah, Arizona, and soon in other states including Ohio.

But the most exciting news from me is my upcoming trip later this month to Africa, to the city of Tunis in Tunisia. I’ll be representing the United States (and Washington State) at a World Health Organization Summit on the formation of tobacco control programs. You can find all of the details in the On the Frontlines story below. I promise to write an extensive recap story for the January issue of this newsletter.

Happy reading.

Terry Reid

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In this issue

On the Frontlines

Terry to Travel to Tunisia

"Healthy Communities" Integrated Project Underway

Tobacco Networks Contractors Begin Work

Report Ties Health Risks to Grades


Need to know – information for Tobacco Program contractors

Yakima “Call to Action” Recap

Update on Federal Drug Administration (FDA) Regulations

Institute of Medicine Report on Secondhand Smoke laws

County Quit line Updates Completed

Tobacco Cessation Resource Center and WA DOH’s two online cessation trainings

 


Hot Topics

Great American Smoke-out 2009

Editorial on State Tobacco Program

Tacoma Bans Smoking in Parks

Puyallup Tobacco-Free Run

12-Year Nationwide Drop in Tobacco Sales to Minors

Play Fair, Clean the Air

WA Leader in Change for Adult Smoking Rates

truth® Goes Country - with Great Success

Tribal Tobacco Policy Summit

Newest Legacy EX® Campaign Hits the Airwaves

Multi-unit housing update

Quit Line Visits Remain Steady

“Dear Me” true story

Secondhand Smoke Web Visits Keep Climbing

Tobacco Cessation Ads Cross State Borders

Youth Tobacco Prevention Web Visits Drop


Resources

Ending the Tobacco Problem – Institute of Medicine

Within Reach Web site link

“Dear Me” Goes to NE Tri-County’s new Web site!

Promising Practices Conference

Legacy Release on sports fans

Tobacco Free Kids Letter to Food and Drug Administration


Terry Invited to Travel to Tunisia
"WHO" wants Reid

Tobacco Prevention and Control Program Director Terry Reid has been nominated to represent the United States at a worldwide tobacco meeting – here’s the scoop:

“In recognition of your experience and expertise coordinating tobacco control in Washington State, you have been nominated by the World Health Organization to participate in a 2-day global meeting, to be held in Tunis, Tunisia (Africa) from 13-14 November 2009, focusing on the development of a coordinated approach to implementing national level tobacco control strategies.”

The aim of the meeting is to outline a coordinated framework for building national capacity in each country of every region to implement the provisions of the World Health Organization. The global meeting will aim to produce a strategic approach to tobacco control which will be reflected in a national tobacco control program development handbook.

Terry promises a follow-up story in the next tobacco newsletter.

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Tobacco Networks Contractors Begin Work

The state's six tobacco prevention and control networks have contracts in hand and have begun work to address tobacco-related disparities in their "communities." The six networks are:

  • African American - Center for Multicultural Health - Priority counties: King, Pierce

  • Asian American Native Pacific Islander - Washington Asian Pacific Islander Community Services/Asian Pacific Islander Coalition Against Tobacco (APICAT) - Priority counties: King, Pierce, Snohomish

  • LGBT - Gay City - Priority counties: King and Pierce

  • Latino - Washington Association of Community and Migrant Health Centers - Priority counties: Franklin, Grant, King, Pierce, Snohomish, Whatcom, Yakima

  • Urban Indian - King, Pierce, Spokane

  • Low income (public housing) - Comprehensive Health Education Foundation - Priority housing authorities: Grant, Seattle, Renton, Tacoma, Kitsap, Snohomish, Walla Walla, Whatcom

The goal for these networks is to bring people and resources together (including county and ESD contractors) to address tobacco-related disparities in these underserved "communities." Key projects include building and sustaining the networks, monitoring and advocating for policy change or compliance with existing laws, monitoring tobacco industry marketing and building community resistance to these tactics, building capacity in community organizations to address tobacco issues, and evaluate the effectiveness of some of their efforts.

While not all counties will be directly engaged with these Networks, the lessons learned and materials developed by each Network will be available to all.

For more information contact Dave Harrelson at 360-236-3685.

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Healthy Communities Integrated Project Underway

The Tobacco Program has teamed up with other programs (Physical Activity and Nutrition, Diabetes, Heart Disease and Stroke, Cancer Prevention Unit, and the Office of Health Promotion) within DOH to work on an integrated project to address chronic disease prevention. This project is the Healthy Communities Washington Project, and it is intended to prevent chronic disease by addressing the primary risk factors of tobacco use and obesity in local communities. Instead of focusing on individuals, agencies using this approach will influence behaviors by changing the policies, environments, and systems where people live, work and play.

Five counties - Adams, Asotin, Garfield, Grays Harbor and Pacific - were selected to participate in this project. The work will happen in two phases, with the first focus on building internal capacity at the local health department through training, assessments and action planning. The second year is geared towards implementing strategies to create healthy communities. DOH will support this work by providing a “package” of resources, training, and professional support. Other LHJs and community organizations not funded by the Department of Health are welcome and encouraged to use the materials and attend the workshops as appropriate and when space is available.

For more information contact Carla Huyck at 360-236-3678

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Report Ties Health Risks to Grades

10-28 News Release from Office of Superintendent of Public Instruction

OLYMPIA — Smoking. Drinking more than two cans of soda a day. Not eating enough fruits and vegetables. All of these pose health risks.

A new report links those risks to lower grades for students. “Research Review: School-based Health Interventions and Academic Achievement,” released this month, is a joint report by the Office of Superintendent of Public Instruction, the Washington State Department of Health and the Washington State Board of Health.

“This report contains both bad and good news,” said Randy Dorn, state superintendent of public instruction. “It’s discouraging that so many kids live unhealthy lives. But it gives us a link to student success. It means if we can help them live healthier lives, they will be more successful students.”

The report is based on data from the 2006 Healthy Youth Survey. Students who participated in the survey were asked to give their average grades, which were compared with the number of risk factors students admitted to.

Results from the research were stark: the more health risks a student has, the more likely he or she will be at “academic risk” (reporting an average grade of C, D or F). Specifically, about 10 percent of those with a single risk factor were at academic risk. But about 50 percent of students with six health risk factors were at academic risk, and more than 67 percent of students with at least nine risk factors were at academic risk.

“We’re learning that health and education are closely connected. This new report shows that,” said Secretary of Health Mary Selecky. “When kids get enough sleep, eat a balanced diet, and have limited stress, they’re healthier and do better in school.”

Researchers also found that a few single risk factors dramatically affected student success. More than 50 percent of students who reported using either cigarettes or marijuana also reported academic risk, while about 40 percent who reported either alcohol use or consuming two or more cans of soda per day also reported academic risk.

Research into academic achievement has shown that students often do not have equal chances at success. Poverty, racial and ethnic discrimination, and varied access to information and services all affect student success. The report shows that the same factors affect student health. The report also concludes that health interventions may be one strategy to close the disparities. It examines a number of research-based interventions that have shown positive results in affecting both health and learning outcomes.

“This report reveals a similar pattern between health disparities and the achievement gap based on race and poverty,” said Frankie Manning, member of the Washington State Board of Health. “Addressing the needs of the whole child is key in narrowing that gap.” The report analyzed 13 risk factors:

  • Cigarette smoking

  • Alcohol use

  • Marijuana use

  • Obesity

  • Severe asthma

  • Not eating breakfast

  • Insufficient fruits and vegetables

  • Two or more soda pops a day

  • Insufficient exercise

  • Three or more hours of TV per day

  • Feeling unsafe at school

  • Depression

  • Less than eight hours of sleep per night

The Healthy Youth Survey is given in even years to students in grades 6, 8, 10 and 12 in public schools. In 2006, about 200,000 students participated.

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Yakima “Call to Action” Recap

2009 Joint Conference on Health-Tobacco Prevention and Control

It was standing room only as about 140 people gathered in the Yakima Convention Center’s conference hall on the third day of the 2009 Joint Conference on Health, called Healthy People in Healthy Places: A Call to Action for Tobacco Prevention 2009. Featured during this year’s conference were several public health luminaries and national leaders in tobacco prevention and control. Terry Reid, Department of Health Tobacco Prevention and Control (TPC) Unit Manager, in his introductory remarks, set the tone for presentations urging the audience of community, ESD, and tribal contractors to action around continued program efforts statewide.

The first plenary session was presented by Dr. Stanton Glantz, Professor of Medicine and Director of the Center for Tobacco Control Research and Education, UC San Francisco, who presented evidence from multiple studies indicating that second hand smoke (SHS) exposure can produce rapid and substantial effects on the heart, blood, and vascular systems. Dr. Glantz mentioned a new Institute of Medicine (IOM) report stating that even small amounts of SHS can cause heart damage and potentially a heart attack. Further, exposure to SHS is about 80% as harmful as being a smoker. Dr. Glantz went on to describe studies demonstrating how critical smoking bans in public places have been in helping to reduce the number of hospital admissions for heart attacks.

Dr. Jeannette Noltenius, Director of the National Latino Tobacco Control Health Network and Indiana Latino Institute discussed effective advocacy for policy and systems change. Dr. Noltenius gave a strong and impassioned presentation about the need to engage policymakers at all levels in an effort to educate them about the importance of tobacco control in their communities. She noted that in order to establish tobacco-free public policies, broad-based coalitions must be organized to adequately educate elected officials and other policy makers. Without support from legislators and other policymakers, she said, state and local tobacco prevention programs may be challenged by further funding cuts. She focused on what each person could do to help local communities take action and to educate local and state policymakers about the importance of continuing this important work.

Following Dr. Noltenius was a moderated plenary panel consisting of state and local partners and stakeholders including Karen Rutherford of the Wenatchee City Council and Chelan-Douglas Board of Health; Erin Dziedzic of the American Cancer Society Action Network; Christopher Zilar of the Spokane Regional Health District Tobacco Prevention and Control Program and Dr. Jeanette Noltenius. Moderated by Terry Reid, each panel member discussed their policy successes and lessons learned. They provided valuable information about effective policy maker outreach, and how to engage policymakers.

During lunch, Dr. Stanton Glantz discussed smoking in the movies. He noted the scientific evidence showing that smoking in the movies affects tobacco use initiation rates among youth, and simply smoking in the movies causes smoking among youth and young adults. Dr. Glantz advocated for the assignment of stronger ratings for those movies that portray actors smoking. He also insisted that any movies marketed to children not have any depictions of smoking. He stressed the need to reduce the value of American movies as a promotional medium for tobacco worldwide.

Three concurrent workshops were offered during the afternoon.

  • Workshop 1 focused on strategies to close the gap in tobacco-related health disparities with Sandy Ciske, regional health officer with Seattle and King County and Matias Valenzuela, Equity and Social Justice Initiative lead staff also with Public Health-Seattle and King County.

  • Workshop 2 featured the FDA Family Smoking Prevention and Tobacco Control Act of 2009 with Paul Davis of the Washington State Department of Health.

  • Workshop 3 allowed Dr. Noltenius to further expand on her morning plenary addressing working with policymakers.

All conference PowerPoint presentations and distributed materials are available at the Washington Healthy Communities Resource Center Web site at www.whcrc.org.

For more information contact Frances Limtiaco at 360-236-3771

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Institute of Medicine Report on SHS laws

Notice from Department of Health, Tobacco Prevention and Control Program
On October 15th, the Institute of Medicine issued a report that explored the link of secondhand smoke and heart attacks – with a special focus on the association of smoking bans and heart attacks. This was the first such report that collected all published studies to date and synthesized the results into a collective, definitive set of conclusions.

 The conclusions of the report were as follows: 1) Secondhand smoke exposure increases the risk of coronary heart disease, even at low levels of exposure among nonsmokers 2) Secondhand smoke exposure is associated specifically with heart attacks among nonsmokers. 3) Smoking bans are associated with a subsequent decrease in the incidence of heart attacks among nonsmokers.

 The report was not able to conclude the specific size of the effect however.

Notice from Tobacco Free Kids
The Institute of Medicine has released its long-awaited report concluding that secondhand smoke causes heart attacks, while smoke-free laws prevent heart attacks and save lives. The report also finds compelling evidence that even relatively brief exposure to secondhand smoke can cause heart attacks.

This report presents a terrific opportunity to make the case for smoke-free laws to the media, policy makers and other audiences. It demonstrates why states and localities that have yet to enact comprehensive laws should do so quickly; why those that still have loopholes in their laws should close them; why those currently implementing laws should make sure they are effectively implemented and strongly enforced; and why states and localities that have passed and effectively implemented comprehensive laws have done the right thing to protect health and save lives.

The IOM's materials can be found at: http://www.iom.edu/en/Reports/2009/Secondhand-Smoke-Exposure-and-Cardiovascular-Effects-Making-Sense-of-the-Evidence.aspx

Centers for Disease Control and Prevention (CDC) materials can be found at: http://www.cdc.gov/Features/Smoke-FreeAir/

Notice from CDC
A new report called Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence, provides a comprehensive review of the science on the relationship between secondhand smoke exposure and acute coronary events. The report was requested by CDC, but the review was conducted independently by the Institute of Medicine. Major conclusions of the report include:

  • The evidence is consistent with a causal relationship between secondhand smoke exposure and acute coronary events, including acute myocardial infarctions.

  • It is biologically plausible for a relatively brief exposure to secondhand smoke to precipitate an acute coronary event.

  • There is a causal relationship between smoke-free laws and decreases in acute coronary events.

Resources:
The report is available for purchase on the National Academies' website at http://www.nap.edu/. On the site, the report can be read and printed, page-by-page, but is not available to print or download in full. A Report in Brief is also available on the Academies' site.

At CDC.gov you will find a web feature on the cardiovascular effects of secondhand smoke exposure. The feature also includes a link to CDC's media statement on the IOM Report and a link to CDC's cessation E-cards. www.cdc.gov

CDC's Smoking and Tobacco Use page as well as CDC's Heart Disease and Stroke Prevention page have additional information and links to IOM. www.cdc.gov/tobacco or www.cdc.gov/heartdisease

The Smoking and Tobacco Use page contains an animation that describes the cardiovascular effects of secondhand smoke exposure. http://www.cdc.gov/tobacco/basic_information/health_effects/heart_disease/iom_report/index.htm

Host a web button on your web site or social network profile. Details are posted at CDC's buttons and badges gallery at www.cdc.gov/socialmedia/tools/buttonsgallery.html

For more information contact Mike Boysun and 360-236-36711

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TCRC and WA DOH’s two online tobacco cessation trainings

 Last year, the Tobacco Prevention and Control Program and the Tobacco Cessation Resource Center launched two innovative online trainings for providers in Washington State. The 2A and R Brief Intervention training gives providers the skills and tools needed to effectively talk to patients about tobacco use. The Fax Referral training focuses on a quick and easy way to refer patients to the Washington State Tobacco Quit Line.

We are pleased to announce that both of these trainings have been accredited for 1.0 Prescribed CME by the American Academy of Family Physicians. The CME’s are free to all providers in Washington State.  Go to:

2A and R Brief Tobacco Intervention – www.2AandR.org

Fax Referral Program – www.faxreferral.org

For more information contact Juliet Thompson at 360-236-3722.

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Update on Federal Drug Administration (FDA) Regulations

Cigarettes containing any flavorings other than tobacco or menthol are now banned from being sold. The FDA has a web site page where complaints of violations to this rule can be submitted. Report violations at http://www.accessdata.fda.gov/scripts/email/TobaccoProducts/flavoredCigarettes.cfm

The deadline for submitting comments on the rules that FDA will be writing to implement the Family Smoking Prevention and Tobacco Control Act has been extended to December 28. Instructions on how to submit comments are at http://www.fda.gov/TobaccoProducts/GuidanceComplianceRegulatoryInformation/ucm173455.htm

In the meantime, Tobacco-Free Kids has updated the FDA implementation timeline:

For more information contact Paul Davis at 360-236-3642.

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County Quit line Updates Completed

The local resource pages on www.quitline.com have been updated from the list provided annually by Free and Clear. Thank you for your patience! We know this took longer than in the past because we had a new contractor working on this assignment for the first time. But now all is well on the western front.

For more information contact Juliet Thompson at 360-236-3722.

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Great American Smokeout 2009

The American Cancer Society holds the Great American Smokeout® every year on the third Thursday in November. This year the Great American Smokeout® will take place on November 19, 2009. The purpose of the event is to set aside a day to help smokers quit smoking and quit using tobacco products for at least one day, with the hope that they will quit completely.

Not only does the event challenge people to stop using tobacco, it helps to raise awareness about the dangers of smoking and the many effective ways available to quit smoking permanently.

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Tacoma Bans Smoking in Parks

Information from Tobacco Advisory board of Pierce County

The vision of Metro Parks Tacoma is to “build a healthy community.” Their mission is to “create healthy opportunities to play, learn and grow.” Together this vision and mission served as the foundation for implementation of City of Tacoma Ordinance No. 27841, prohibiting smoking in all Metro and City of Tacoma parks, effective November 2, 2009.

The Tacoma-Pierce County Health Department and the Tobacco Advisory Board of Pierce County have been supporting this policy change since 2004, working with Metro Parks to help create smoke free venues at Northwest Trek and the Pt. Defiance Zoo. These were voluntary bans, but they helped set an example that was accepted positively by the public. In 2007, 71% of residents of Pierce County supported implementing a smoking ban in parks (BRFSS 2007).

In 2008 new discussions began between Health Department and Metro Parks staff on issues such as secondhand smoke in parks, litter and denormalization of smoking. During these discussions Metro Parks Board Commissioner Ryan Mellow became convinced that a smoke free policy would bring Metro Parks Tacoma in line with their own mission and vision, improve the value of their facilities and more importantly the quality of the park experience for the general public. Commissioner Ryan presented the issue of smoking in parks to the other Metro Parks Board Commissioners at their annual retreat. He introduced the idea of a comprehensive smoking ban and why it should be established. The Board agreed and supported their colleague on moving ahead to propose a policy change before the appropriate Tacoma City Council standing committees.

While the policy was being reviewed and considered there was a healthy public dialogue and discussion. The local news media helped to create a buzz with point -counterpoint articles and interviews. Commissioner Ryan Mello in championing this effort received the fatuous “Schrammy” award from KOMO 4 political commentator Ken Schram. Ryan was very gracious but not deterred. In the end the final vote tally by the Tacoma City Council was 6 to 3 approving a comprehensive smoking ban for all Tacoma parks. The Metro Parks Board of Commissioners and the City Council of Tacoma are to be applauded for their wisdom and courage in making Tacoma a more smoke free, healthier and livable community.

This whole process has been a lesson in perseverance. The revival of this issue in 2008 by the Metro Parks Board, Health Department and the Tobacco Advisory Board of Pierce County completed the process that was started in 2004. The Tobacco Advisory Board is a community-based coalition open to anyone or any organization interested in promoting policies and issues creating more tobacco-free and smoke-free environments. Contact Bruce Rytkonen at (253) 798-3492 for additional information.

Read all about it at: http://blogs.seattleweekly.com/dailyweekly/2009/10/the_nightmare_is_over_tacoma_b.php 

For more information contact Frances Limtiaco at 360-236-3771.

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12-Year Nationwide Drop in Tobacco Sales to Minors

Check out the SAMHSA news release at: http://www.samhsa.gov/newsroom/advisories/0908112615.aspx

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WA Leader in Change for Adult Smoking Rates

There was a nice interactive chart attached to a story on cigarette manufacturer’s profits. Shows WA as leading the nation in change for adult smoking rates.

http://hosted.ap.org/dynamic/stories/U/US_EARNS_TOBACCO?SITE=KING&TEMPLATE=BIZEARNINGS.html&SECTION=HOME#

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Tribal Tobacco Policy Summit

Washington’s Native People for Cancer Control is hosting the Native Tobacco Policy Summit on February 18-19, 2010 at the Fred Hutchinson Cancer Research Center in Seattle. The summit is for American Indian leaders, tribal health directors and clinic staff, tribal tobacco program coordinators, advocates and policymakers, and others interested in working on tobacco policy within American Indian communities. The summit will provide an overview of the history of tobacco policy change in Native communities, and offer step by step guidance on how to adopt policies and address key community priorities and concerns. DOH, the Chehalis and Yakama Tribes, and the American Cancer Society are key sponsors for this event.

For more information contact Dave Harrelson at 360-236-3685

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Multi-unit housing update

There has been a surge of interest from condominium owners in being smoke-free. Legal Options for Condo Owners” was downloaded 1,326 times from the www.smokefreewashington.com web site in September.

Interest among apartment owners to create no-smoking policies also remains high. A new report shows that in the Portland-Vancouver metro area, there has been a 29% increase in the availability of smoke free apartments over the past three years. Projecting from metro-area figures provided by the U.S. Census, there has been an increase of approximately 13,000 rental units covered by a no-smoking policy since the original study. You can view the report at http://smokefreeoregon.com/housing/whats_new/index.php

For more information contact Paul Davis at 360-236-3642

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“Dear Me” true story

One of the “Dear Me” tobacco cessation ads features a mother, Shanin, reading a letter she wrote to herself. In it she very emotionally laments that she couldn’t go on her daughter’s school field trip to Mt. St. Helens because she wouldn’t be allowed to smoke.

Her daughter, Kelsey, tried for a long time to get her mother to stop smoking, and she encouraged her mom to be a part of the “Dear Me” campaign. And it was a smiling Kelsey who sent us a postcard - from the observation deck at Mt. St. Helens! It read:

“My mom and me at Mt. St. Helens. We had a great time! Thank you everybody!”

- from Kelsey

Later on we received a note from Shanin:

I'm so glad you all enjoyed the photo postcard. We thought you might - we had a great day at the mountain. By the way I had only two slips and one relapse but did not give up on stopping smoking - been doing well – try, try again - it seems to be working. Thanks again so much.

- Shanin

You can view all of the “Dear Me” ads at www.quitline.com.

For more information contact Scott Schoengarth at 360-236-3634.n

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Tobacco Cessation Ads Cross State Borders

The Utah tobacco prevention program is currently running Washington’s Dear Me tobacco cessation television ads in their state, and the ads will begin running in Arizona in December. And other states - including Maine, Alabama, New Mexico, Louisiana, Illinois and Missouri – have also inquired and are considering running the spots.

The seven ads have not been part of a paid media campaign in Washington because of budget cuts that hit the same time as the production of the ads was being completed. Some have run as PSAs on various local cable channels, government channels, and even military channels, and on newscasts after the recent adult smoking news release. The program has circulated many newsletter articles statewide to let people know the ads can be viewed at www.quitline.com.

The campaign objective is to increase the number of quit attempts, or thinking of quitting, among the target audience of 25-44 year old low income working poor. Low-income adults are twice as likely to smoke as the general population, with a current smoking rate of 31 percent compared to the overall rate of 15.3 percent.

For more information contact Scott Schoengarth at 360-236-3634.

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In Case You Missed It – From The Chronicle in Lewis County

Our Views: Give State Program Credit for Drop in Smoking

September 4, 2009 – The Chronicle

http://www.chronline.com/articles/2009/09/04/opinion/our_views/doc4aa1ed7ace2fc825781948.txt

Editorial

We either are, or know people who just can’t quit the addiction of smoking cigarettes.

It is a dastardly habit, costing about $7 for a 20-pack. Smokers stink of the cigs. Serious health problems are almost sure to come.

In rural areas and communities with lower standards of living and lower education levels, which describe many parts of Lewis County, the percentage of the population that smokes is higher than more urban areas. About 31 percent of people in the low income category across the state smoke, which is three times higher compared to those with higher incomes.

Lewis County has suffered as one of the top per-capita counties for smoking, including for pregnant women, when compared to the rest of the state. Disturbing smoking statistics include 2.3 percent of sixth graders in Lewis County smoke; rising to 8.6 percent for eighth graders; 16.3 percent for 10th graders; and 22 percent for 18 year olds. About 21.9 percent of pregnant women in Lewis County smoke, resulting in about 190 babies born each year to women who smoked during their pregnancy.

While Lewis County’s rates are above the state average, recent statistics are encouraging, as reported on the front page of The Chronicle yesterday. In 2004 a survey revealed 24 percent of the people of Lewis County smoke. That has dropped down to 16.3 percent for 2008. The state has also seen a dramatic drop, from 22.4 percent in 1999 down to its current rate of 15.3 percent. That is important for everybody, smokers and nonsmokers alike, as the decline in smoking should save almost $3 billion for the state in future health care costs. Much of the credit for the drop in smoking is being given to the state’s Tobacco Prevention and Control Program, which started in 2000. The program took a leap forward nine years ago when it received money out of a fund created from a lawsuit settlement with big tobacco companies.

The program is comprehensive, targeting youth before they smoke, helping smokers quit, reducing second-hand smoke and putting an emphasis on high-risk groups. The result: smoking has been cut in half among Washington state kids, and by 30 percent in adults. Not all can be credited to the program. Changing social norms, a ban on smoking in bars and restaurants, and rising costs per cig also contribute. But the declining numbers are large enough, and the timing coincides with the ramped up effort, to give causal credit to the state program.

We often criticize the rise in government spending and programs. In this case, funding a program (and using big tobacco money to do it) that targets one of the most destructive health habits is good government.

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Puyallup Tobacco-Free Run

Check out the 11th annual run at: http://puyalluptribalnews.net/article/690

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Play Fair, Clean the Air

Chehalis Girl Scout Troop 4005 worked diligently the past year on earning their Gold Award (equivalent to the Eagle Scout Award for boys). One step involved identifying a problem in their community and coming up with a solution to fix it.

They decided to tackle a project that focused on keeping their city parks clean and fun while respecting everyone’s personal rights and choices. They created permanent courtesy signs that ask people to smoke away from play structures.

On August 28 there was a short ceremony at Recreation Park "Penny Playground" in Chehalis thanking the Girl Scouts for their planning efforts. They also unveiled the first new sign. The signs read in part: "Play Fair Clean the Air – thank you for not smoking near the play structure – always dispose of trash in available containers."

A representative of the Governor’s Office spoke in front of dozens of spectators, local media, and dignitaries. The park is located at Exit 76 off Interstate-5, on 13th Street across from the Chehalis swimming pool.

Effective June 22, 2010, the new Federal Drug Administration Tobacco Law will forbid outdoor advertising of tobacco products within 1,000 feet of schools, parks, or playgrounds.

For more information contact Scott Schoengarth at ext. 3634.

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truth® Goes Country - with Great Success

A new study in the American Journal of Public Health shows that an effort to reach youth in rural and low population communities around the country with truth® anti-smoking messages via broadcast television was highly effective in raising campaign awareness - providing a hopeful platform to see decreased levels of smoking initiation given truth®'s effectiveness.

American Legacy Foundation® researchers used local broadcast television that supplemented a national cable television buy to test the application of truth® in rural and surrounding smaller communities. The study assessed results from eight different markets - smaller communities that typically have less exposure to the national campaign - and surveyed more than 3,500 teens.

The "classic" truth® ads 'Body Bags' and '1200' were the spots that played in the rural areas. Some findings found that more than 70% of youths in the treatment markets were aware of the campaign after the increased advertising, compared to 40% before the increased advertising and confirmed awareness of truth® increased from 40% to 71% among youth in treatment markets, while not shifting significantly in comparison markets where advertising did not increase

For more information contact Scott Schoengarth at ext. 3634.

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Newest Legacy EX® Campaign Hits the Airwaves

Starting in November and coinciding with Lung Cancer Awareness Month - the national quit smoking campaign, EX®, will debut the second phase of its advertising and promotions designed to help smokers "re-learn" life without cigarettes. Research has shown that though more than 70 percent of smokers want to quit, only about 5 percent of smokers are able to quit successfully.

The EX campaign will begin airing on radio and cable television networks as well as online, in print and through ambient/out of home channels. EX is a national quit smoking campaign, sponsored by the National Alliance for Tobacco Cessation, a two-year old collaborative of state and national public health groups – including Washington’s Tobacco Prevention and Control Program - spearheaded by Legacy. EX provides evidence-based tools to help smokers quit, including information that can help them prepare for a quit attempt by:

  1. "Re-learning" their thinking on the behavioral aspects of smoking and how different smoking triggers can be overcome with practice and preparation.

  2. "Re-learning" their knowledge of addiction and how medications can increase their chances for quitting success

  3. "Re-learning" their ideas of how support from friends and family members can play a critical role in quitting.

The ads made their first “unofficial” visit to the airwaves during the American League baseball play-offs and the World Series.

For more information contact Scott Schoengarth at ext. 3634.

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Quit Line Visits Remain Steady

This summer the main promotion of the tobacco cessation Web site, www.quitline.com, was through our grassroots efforts to market the "Dear Me" campaign - through the BRFSS news release, newsletter stories sent to publications statewide, media coverage, PSAs, bus signage, magazine wraps, viral marketing, distributing copies of the ad DVDs to cable and local TV and radio stations and networks statewide, and by word of mouth. Through all of this, visits to the site have remained steady with just a slight dip in September. Total site visits in 2008 were 136,045 for a monthly average of 11,337. Through nine months of 2009 there have been 115,918 visits for an average of 12,880 per month.

For more information contact Juliet Thompson at ext. 3722.

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Secondhand Smoke Web Visits Keep Climbing

Visits to the revamped secondhand smoke Web site – www.smokefreewashington.com – have continued to increase each month, starting with October ’08 at 1,716, and finally reaching 6,175 in September ’09. The average number of visits for the last 12 months is 4,243. During this time there has been a surge of interest from condominium owners in going smoke-free. “Legal Options for Condo Owners” was downloaded 1,326 times from the Web site in September.

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Youth Tobacco Prevention Web Visits Drop

For NoStankYou 1.0, 2.0 and 3.0 we had an average of over 53,000 Web site visits per month. But the NoStankYou TV and radio ads stopped running in May 2009. Since then the TOTAL visits, from May 11 through October 27, have dropped to 65,211. Average daily visits are down to 384. However, average time on the site is still a robust seven minutes.

In early November a revamped Web site will be revealed, removing references to earning shirts and being in TV commercials, and instead highlighting information about the dangers of tobacco use. Word of the revised site will be spread though the existing 65,000+ MOB e-mail membership, school newspapers and new viral methods of messaging. However, no TV or radio ads are currently scheduled.

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Ending the Tobacco Problem – Institute of Medicine

http://sites.nationalacademies.org/tobacco/index.htm

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“Dear Me” Goes to NE Tri-County’s new Web site!

http://www.netchd.org/tobacco.htm

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Legacy Release on sports fans

http://www.legacyforhealth.org/3272.aspx

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Within Reach Web site link

http://www.withinreachwa.org/what

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Promising Practices Conference

http://healthedcouncil.org/promisingpractices_2010.html

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Tobacco Free Kids Letter to Food and Drug Administration

Copy of letter to Federal Drug Administration (FDA) from Tobacco Free Kids, American Cancer Society, American Heart Association, American Lung Association, and American Legacy Foundation – ensuring that the FDA is aware of how tobacco manufacturers have responded to descriptor bans in other countries, and encouraging the FDA to take steps to ensure that the intent of the ban – to stop manufacturers from misleading consumers – is met.

Letter to Food and Drug Administration (PDF 120 KB)

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Tobacco Prevention and Control Program
Washington State Department of Health
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Last Update : 11/06/2009 10:56 AM
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