Implementing and Sustaining Effective Local Tobacco Control Programs (Using CDC’s Best Practices and NACCHO’s Guidelines). June 10, 2009-National Conference on Tobacco or Health: Phoenix, AZ. Deborah Houston McCall-CDC’s Office on Smoking and Health
Implementing and Sustaining Effective Local Tobacco Control Programs (Using CDC’s Best Practices and NACCHO’s Guidelines)
Deborah Houston McCall-CDC’s Office on Smoking and Health
Julie Nelson Ingoglia-National Association of County and City Health Officials
Tricia Valasek-National Association of Local Boards of Health
Karla Sneegas-Indiana Tobacco Prevention and Cessation
Jen Morel-Columbus (OH) Public Health Department
Impact of Tobacco Control Programs on Adult Smoking
States requested updated guidance
Cost of living has increased 30%
Evidence-based reviews of specific strategies
Broader range of state experience
Behavioral Risk Factor
Youth Risk Behavior
Youth Tobacco Survey
Adult Tobacco Survey
Cessation Interventions Programs (Using CDC’s
Health communication interventions are powerful tools to prevent initiation, promote cessation, and shape social norms.
Effective messages can stimulate public support and create a supportive climate for policy change.
Community resources must be the foundation of sustained solutions to pervasive problems like tobacco use
Making tobacco less desirable, less accepted, and less accessible
Importance of grassroots support for social norm change
“All Prevention is Local”
Julie Nelson Ingoglia, MPH
National Association of County and City Health Officials (NACCHO)
Tobacco control demonstrated over the past 15 years how we could change social norms and behaviors that cause chronic diseases... we used a whole host of strategies such as laws, media, and changing environments where we work, play, and go to school. This same framework can be used to reduce other modifiable risk factors for chronic diseases such as poor nutrition and lack of physical activity.
Poki Stewart Namkung, M.D., M.P.H.
Health Officer, Santa Cruz County Health Services Agency, Santa Cruz, CA
Our challenge is to make policy makers and the public appreciate the extraordinary return on investment if we create an environment dedicated to preventing chronic disease.
Gary Goldbaum, MD, MPH
Health Officer & Director, Snohomish Health District, Everett, WAUsing Tobacco Control to Alter Chronic Disease Prevention Paradigm for Local Health Departments
Protect people from health problems and health hazards (2).
Engage the community to identify and solve health problems (4).
Develop public health policies and plans (6).
Enforce public health laws and regulations (7).
Help people receive health services (8).
Community and School Activities Tobacco Control Programs (Guidelines)
Development of smoke-free air policies (84%)
Local counter-marketing campaigns (65%)
Development of educational materials to increase excise taxes on tobacco products (20%)
Evidence-based curricula in schools (67%)
Developing tobacco free policies (62%)
Parenal involvement and teacher training (43%)
Promoting state quitline (92%)
Offer cessation for adults (79%)
Offer cessation for youth (65%)
Education about smoke-free air policies (82%)
Education about youth possession (59%)
Compliance checks (61%)
Enforcement of youth possession (39%)
Health promotion activities (81%)
Press releases and public service announcements (79%)
Paid TV, radio, billboard and print advertising (64%)Local Activities and Successes
Tricia Valasek, MPH
Project Director-Tobacco Use Prevention and Control
Boards of Health
gather to discuss local tobacco control funding issues and methods to overcome barriers
Karla Sneegas, MPH
Indiana Tobacco Prevention & Cessation
Phoenix, AZ June 2009
4 Statewide Priorities Meetings
Reduce Youth Smoking
Increase Adult Cessation
Decrease Exposure to Secondhand Smoke
Increase and Maintain the Infrastructure for Tobacco ControlITPC Community and Minority Based Partnerships-2008
How Can Meetings
Local Health Departments?
Jen Morel, MPH, CHES
Columbus Public Health
Youth initiatives Prevention Initiatives
100% Tobacco Free School Districts
Counter Tobacco Industry Influence
Smoke Free Housing
Promote cessation resources
5As training for school nurses
Other Tobacco Products Tax Equalization
Educate new state legislators about tobacco issuesTFC Initiatives