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Impact of Tobacco Use

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  1. Impact of Tobacco Use

  2. Effects of Tobacco Use at Various Life Stages

  3. Impact of Tobacco Use • Tobacco Users’ Health • Secondhand Smoke • Economy • Tobacco Industry

  4. Impact of Tobacco Use “…the history of tobacco use can be thought of as the conflict between tobacco as an agent of economic gain and tobacco as an agent of human harm.” 2000 Surgeon General’s Report: Reducing Tobacco Use

  5. Impact of Tobacco Use Tobacco Users’ Health Source: Office on Smoking and Health and The American Lung Association

  6. Impact of Tobacco Use • Body systems affected by tobacco: • Reproductive system • Immune system • Nervous system • Cardiovascular system • Respiratory system • Muscular skeletal system • Organs affected by tobacco: • Stomach • Liver • Pancreas • Bladder • Larynx • Pharynx • Oral cavity • Lungs • Eyes

  7. Impact of Tobacco Use • Other conditions associated with tobacco use: • Oral/Laryngeal/Esophageal diseases • Dermatologic conditions • Tobacco use has been linked to • Cataracts • Macular degeneration • Gum disease • Osteoporosis • Peptic ulcers

  8. Impact of Tobacco Use • Maternal tobacco use affects the health of the unborn baby. • Tobacco use increases the risk for miscarriage, stillbirth, and premature births.

  9. Impact of Tobacco UseTobacco Users’ Health • Q: How many people will die prematurely from a tobacco-related disease by 2030, if this level of tobacco use continues? Source: Centers for Disease Control and Prevention Each year in the United States: 443,000people in U.S. die of a smoking-attributable illness

  10. Impact of Tobacco Use443,000 Deaths Each Year Attributable to Smoking 2000-2004 Other diagnosis 44,000 Other cancers 35,300 Stroke 15,900 Lung cancer 128,900 Chronic lung disease 92,900 Heart disease 126,000 Source:CDC, Office on Smoking and Health

  11. Impact of Tobacco UseSecondhand Smoke

  12. Impact of Tobacco UseSecondhand Smoke • Mainstream smoke • Sidestreamsmoke • Passiveand involuntary smoking • Environmental tobacco smoke Secondhand smoke affects both nonusers and users

  13. Impact of Tobacco UseSecondhand Smoke • SHS contains • 250 toxic chemicals • Over 50 carcinogens • Each year it causes • 3,400 deaths from lung cancer • Between 22,700 and 69,600 deaths from coronary heart disease • 8,000–26,000 new cases of asthma in children Source: CDC, Office on Smoking and Health and Campaign fro Tobacco-Free Kids

  14. Impact of Tobacco UseSecondhand Smoke There is no risk-free level of exposure to secondhand smoke. Even brief exposure is dangerous. 2006 Surgeon Generals Report, Health Effects of Secondhand Smoke Exposure

  15. Impact of Tobacco UseSecondhand Smoke – Children 280 children die each year 1,900 SIDS deaths 300 injuries from fires started by cigarettes Over 1 million illnesses in children Source:Campaign for Tobacco-Free Kids

  16. Impact of Tobacco UseSecondhand Smoke Source: CDC, Office on Smoking and Health Cotinine is a biomarker of secondhand smoke exposure. With the increase in smoke-free air laws and the decrease in tobacco use, cotinine levels in nonsmokers have halved. Levels of cotinine fell by 70% from 1988-1991 to 2001-2002.

  17. Impact of Tobacco UseSecondhand Smoke • Nonsmokers are still suffering from the effects of secondhand smoke. • Industries whose employees are disproportionally affected by secondhand smoke: • Restaurant/bar industry • Casino/gaming industry • Other service industries CDC, Office on Smoking and Health

  18. Impact of Tobacco UseSecondhand Smoke • Waitresses have the highest death rate among women in any occupation. How many times higher? Source:DR Shopland, KK Gerlach, DM Burns, AM Hartman, Journal of Occupational & Environmental Medicine.

  19. Impact of Tobacco UseSecondhand Smoke Levels of secondhand smoke in casinos can be 2.4 to 18.5 times higher than in offices and 1.5 to 11.7 times higher than in restaurants. NIOSH Report, 2009

  20. Impact of Tobacco Use Economics

  21. Impact of Tobacco UseEconomic $96 billion (healthcare) $97 billion (lost productivity) ~$193 billion Annual Tobacco-Related Monetary Costs in the USA Source:Centers for Disease Control and Prevention: MMWR, November 2008

  22. Impact of Tobacco UseEconomic $4.98 billion is spent annually on healthcare solely because of the effects on children of exposure to secondhand smoke. Tobacco-Related Monetary Costs in the U.S. Campaign for Tobacco-Free Kids, 2009

  23. Impact of Tobacco UseEconomic Annual tax burden from government spending caused by smoking: $70 .7 billion/ $630 per household Q: What is the total economic costs associated with cigarettes/per pack sold in the U.S.? $10.47 per pack Source:Campaign for Tobacco Free Kids - Toll of Tobacco in the United States of America (2009)

  24. Impact of Tobacco UseEconomic Average retail price of a pack of cigarettes in the U.S. Cigarette Excise Taxes 1970: $0.38 2000: $3.16 2008: $4.35 2009: $5.12 CDC, Office on Smoking and Health

  25. Impact of Tobacco Use

  26. Cigarette Tax Rates (cents per pack)State Average is $1.34 Per Pack WASHINGTON 202.5 MONTANA 170 MAINE 200 NORTH DAKOTA 44 VT:224 MINNESOTA 156 OREGON 118 VT IDAHO 57 NH NH: 178 WISCONSIN 252 SOUTH DAKOTA 153 NEW YORK 275 MA MA:251 WYOMING 60 MICHIGAN 200 CT RI:346 CT:200 IOWA 136 PENNSYLVANIA 135 NJ:270 NEBRASKA 64 NEVADA 80 OHIO 125 DELAWARE:160 UTAH 69.5 IN 99.5 ILLINOIS 98 WV 55 30 VIRGINIA MARYLAND:200 COLORADO 84 KANSAS 79 MISSOURI 17 87 DC:250 KENTUCKY 60 CALIFORNIA NORTH CAROLINA 45 TENNESSEE 62 OKLAHOMA 103 ARKANSAS 115 ARIZONA 200 NEW MEXICO 91 SOUTH CAROLINA 7 GEORGIA 37 ALABAMA 42.5 MS 68 ALASKA 200 TEXAS 141 36 LOUISIANA HAWAII 260 States that have not passed tax increases since 1999 FLORIDA 133.9 States that have recently passed or implemented a cigarette tax increase (since 1999) August 2009

  27. Impact of Tobacco Use Tobacco Industry

  28. Source:University of California, San Francisco Legacy Tobacco Documents Library Benson & Hedges Fax Assessing users of mild and light cigarettes and Indicating a “need for ‘lights’ variant to attract health- conscious smokers.”

  29. Impact of Tobacco UseTobacco Industry Source:Campaign for Tobacco Free Kids Ad Gallery

  30. Impact of Tobacco UseTobacco Industry - 1978 Imperial Tobacco document “We have evidence of virtually no quitting among smokers of these brands, and there are indications that the advent of ultra low tar cigarettes has actually retained some potential nonsmokers in the cigarette market by offering them a viable alternative.”

  31. Impact of Tobacco UseTobacco Industry Lozenge containing Star-cure™ tobacco, nicotine, and other substances that comes in Mint and Java flavors Smokeless, spitless mint and cinnamon flavored tobacco sachet Bottled water with added nicotine

  32. Impact of Tobacco UseTobacco Industry

  33. Impact of Tobacco UseTobacco Industry

  34. Impact of Tobacco Use