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Crisis as Opportunity NAQC NCTOH, June 9 th , 2009 Phoenix, AZ

Crisis as Opportunity NAQC NCTOH, June 9 th , 2009 Phoenix, AZ Jeannette Noltenius PhD, National Coordinator. Crisis as Opportunity. Crisis as Opportunity. Future clientele New Products National Legislation What can be done? Parity, Inclusion and Renewed Advocacy.

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Crisis as Opportunity NAQC NCTOH, June 9 th , 2009 Phoenix, AZ

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  1. Crisis as Opportunity NAQC NCTOH, June 9th, 2009 Phoenix, AZ Jeannette Noltenius PhD, National Coordinator

  2. Crisis as Opportunity

  3. Crisis as Opportunity • Future clientele • New Products • National Legislation • What can be done? Parity, Inclusion and Renewed Advocacy

  4. Projections by Race and Hispanic (In Thousands. As of July 1 Resident Population) US Census Bureau

  5. Minority Populations’ Combined Percentage of Total US Population

  6. The Elderly Population(persons age 65 and over)

  7. Cigarette Smoking* Trends: Adults, 1983-2002 American Indian/Alaska Native African American White Hispanic/Latino Asian/Pacific Islander HP 2010 Goal(12%) *Smoking on 1 or more of the previous 30 days. Source: National Health Interview Surveys, 1983-2002, selected years, aggregate data

  8. Smoking Prevalence Ranges for Asian American Men Rod Lew, APPEAL, CDC Disparities Call Presentation

  9. What are the implications? • 70% of Hispanic/Latinos are low and intermittent smokers • 80-90% of African Americans Menthol • Youth Groups, pods, work settings, communities • + Low SES, Mental Health Issues + unemployment, lower educational attainment

  10. Other Implications • Safety Net Community Health Clinics, they reach low SES & minorities= 7,000 points of service • Institutionalization at the CHC level • Build relationships to assure fax referral success and quits • Share resources=get results

  11. 33% of the total Adult Market and 40-50% of Adolescent Market www.trinketsandtrash.org

  12. New Products Source: www.trinketsandtrash.org

  13. e cigarrettes • “Finally you can quit smoking cigarettes by smoking”! www.ecigarrettes.com

  14. Disolvable Strips and Orbs • http://tobaccoproducts.org/index.php/Camel_Sticks,_Camel_Orbs_and_Camel_Strips

  15. Federal Legislators burn the midnight oil!

  16. Recent Federal Legislation • CHIPRA and its impact $ 1.00 hike • Stimulus Package = lost opportunity • Federal Budget = No $ for Cessation • HIT, Health Information Technology (Is the tobacco Question prominent, is fax referral included in HIT, EMR? • Parity for Mental Health (cessation treatment covered or discussed?)

  17. Congress is negotiating various proposals

  18. “Family Smoking Prevention and Tobacco Control Act” • FDA authority to Regulate content, flavors packaging; • Restrict tobacco marketing and sales to kids; • Require changes in tobacco products to make them less toxic and less addictive; • Stop tobacco companies from misleading the public about the health consequences of using their products; • What about Harm reduction and its impact on this field? Are you involved?

  19. Change in the Number of Uninsured, By Income 2009-2019(in millions) John Holahan, Bowen Garrett, Irene Headen, and Aaron Lucas Heath Care Reform the Cost of Failure UrbanInstitute 2009 www.rwjf.org/healthreform/products 20

  20. Health Care Reform Legislation • Many Players: check your state delegation!!!!! • Many Options (Single payer, multiple payers, • Will Cessation be covered? • What is being planned? • Will Community Health Centers Expand? HRSA work with them? • Are you one of the players?

  21. Increased taxes at the State LevelBudget Cuts • What are the implications? • Who will support the Quitlines? • Have you built allies who will advocate for you and the tobacco programs? • Physician Associations AMA, etc.? • What are your links to community groups and minorities?

  22. 4- Prongs Policy Change Model Need to advocate within every community where tobacco is not a high priority Within the mainstream tobacco control movement where minorities are not a high priority (Parity Kit ) With policymakers where neither tobacco nor emerging communities is a priority Against the tobacco industry where priority populations are one of the highest priorities

  23. Community Stages of Readiness Model

  24. Why Parity? Parity: “being equal in the process, as well as the outcomes attained in tobacco control.” Concept based on inequities in history of tobacco control and institutional inequities Parity requires systems changes within each institution Rod Lew, APPEAL, www:appealforcommunities.org

  25. Train Advocacy Skills = Not lobbying • Train at state level with all communities to build Advocates • Minority/Priority Communities • Faith Communities • Youth Advocates • Business groups • Local officials who have seen the benefits • Present a benefit/cost analysis • Put the HUMAN FACE on the EX Smoker!

  26. Thank you, Muchas Gracias • Jeannette Noltenius, National Coordinator • National Latino Tobacco Control Network • www.latinotobaccocontrol.org • www.tobaccopreventionnetworks.org

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