New Report: States Cut Funding for Tobacco Prevention Programs Despite Receiving Record Amounts of Tobacco Revenue

Georgia ranks 50th in the nation on the amount of dollars spent on tobacco use prevention.

/PRNewswire/ -- The states are collecting record amounts of revenue from the 1998 tobacco settlement and tobacco taxes, but have cut funding for programs to reduce tobacco use by more than 15 percent in the past year, according to a report released today by a coalition of public health organizations.

With the nation's adult smoking rate stalled after decades of decline, the report warns that continued progress is at risk unless states significantly increase funding for programs to prevent kids from smoking and help smokers quit. The report also calls on Congress to ensure that health care reform legislation includes adequate funding for disease prevention initiatives, including tobacco prevention and cessation, and mandates coverage in Medicaid and other health insurance programs for smoking cessation medication and counseling.

The report, titled "A Broken Promise to Our Children: The 1998 State Tobacco Settlement 11 Years Later," was released by the Campaign for Tobacco-Free Kids, American Heart Association, American Cancer Society Cancer Action Network, American Lung Association and Robert Wood Johnson Foundation. These organizations have issued annual reports assessing whether the states have kept their promise to use funds from the state tobacco settlements - estimated to total $246 billion over the first 25 years - to fight tobacco use. The states also collect billions more each year from tobacco taxes.

Key findings of this year's report include:

-- The states this year (Fiscal Year 2010) will collect $25.1 billion in
revenue from the tobacco settlement and tobacco taxes, but are
spending just 2.3 percent of it - $567.5 million - on tobacco
prevention and cessation programs (the states also receive $62 million
in federal grants for tobacco prevention, for total funding of $629.5
million). With more states expected to increase tobacco taxes in the
coming year, that revenue figure is certain to increase.
-- In the past year, states have cut funding for tobacco prevention by
$103.4 million, or 15.4 percent. Including cuts approved just last
week, New York made the largest cut - $25.2 million, or 31 percent -
despite having a successful program that has reduced smoking to well
below national rates. Other states with large cuts include Colorado,
Maryland, Pennsylvania and Washington.
-- Only one state - North Dakota - currently funds a tobacco prevention
program at the level recommended by the U.S. Centers for Disease
Control and Prevention (CDC). Only nine other states fund tobacco
prevention at even half the CDC-recommended level, while 31 states and
DC provide less than a quarter of the recommended funding.
-- Tobacco companies spend $20 to market tobacco products for every one
dollar the states spend to fight tobacco use. According to the latest
data from the Federal Trade Commission, tobacco companies spend $12.8
billion a year on marketing.


The report comes as recent surveys have found that smoking declines in the United States have slowed and even stalled. The CDC in November reported that the adult smoking rate in 2008 was 20.6 percent - essentially unchanged since 2004 when 20.9 percent smoked. While smoking among high school students has declined by 45 percent from a high of 36.4 percent in 1997, 20 percent of high schoolers still smoke and declines have slowed in recent years.

"To continue reducing tobacco use, elected officials at all levels must resist complacency and redouble efforts to implement proven strategies," said Matthew L. Myers, President of the Campaign for Tobacco-Free Kids. "Despite their current budget challenges, the states lack excuses for failing to do more. They are collecting record amounts of tobacco money, more of which should be used to fight the tobacco problem. And there is overwhelming evidence that tobacco prevention programs not only reduce smoking and save lives, they also save money by reducing tobacco-related health care costs. Those states that make short-sighted decisions to cut tobacco prevention will pay a steep price in lives and dollars."

"The inadequate funding of tobacco prevention and cessation programs is a powerful example of misplaced priorities in our nation's health care system," said Risa Lavizzo-Mourey, M.D., M.B.A., President and CEO of the Robert Wood Johnson Foundation. "We spend too much on treating people after they get sick and too little on keeping them healthy in the first place. Investing more in proven tobacco prevention programs and policies, like smoke-free restaurants and workplaces, will help people lead healthier lives and reduce health care costs."

"There is absolutely no question that the devastating toll and financial burden of tobacco use is a huge drain on our nation's economy and contributor to spiraling health care costs," said Nancy Brown, CEO of the American Heart Association. "It's a travesty that only a small fraction of tobacco settlement funds is actually being used to support tobacco prevention programs in states. If we allow this to continue, how can we expect to ever realize the true potential of settlement dollars to save lives and improve the physical and economic health of this country."

"Fully funded tobacco prevention and cessation programs stop addiction before it starts and improve the health of our nation's communities," said John R. Seffrin, Ph.D., chief executive officer of the American Cancer Society Cancer Action Network (ACS CAN), the advocacy affiliate of the American Cancer Society. "States must do better at funding programs that help reduce tobacco use and protect the health of children, 3,500 of whom try their first cigarette every day."

"As more states are turning to tobacco taxes to help during these difficult economic times, states need to spend a portion of the revenue on tobacco prevention and control programs - especially those programs to help smokers quit," said Charles D. Connor, American Lung Association President and CEO. "Increasing tobacco taxes is a proven and effective way to reduce the number of adults and youth who smoke, but as they make tobacco products more expensive states also have a responsibility to ensure that the nearly 46 million smokers in this country have the help they need to quit."

The report cites conclusive evidence that tobacco prevention and cessation programs work to reduce smoking, save lives and save money. Maine, which has long had one of the best-funded programs, has reduced smoking by 71 percent among middle school students and by 64 percent among high school students since 1997. Washington state, before cutting its program by 42 percent this year, reduced adult smoking by 30 percent and youth smoking by 50. An August 2008 study found that California's tobacco control program, the nation's longest-running, saved $86 billion in health care costs in its first 15 years, compared to $1.8 billion spent on the program, for a return on investment of nearly 50:1.

Tobacco use is the leading preventable cause of death in the U.S., killing more than 400,000 people and costing $96 billion in health care bills each year. Every day, another 1,000 kids become regular smokers - one-third of them will die prematurely as a result.

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Smoking Causes Blindness

/PRNewswire/ -- AMD Alliance International strongly urges all smokers to participate in the Great American Smokeout on November 19 to save their eyes and protect their vision from the debilitating effects of macular degeneration.

Research has demonstrated that age-related macular degeneration (AMD), a progressive disease that causes the loss of central vision, is two to three times as frequent among tobacco smokers, and the risk is dose dependent(1, 2). In other words, the more you smoke, the greater the risk and the faster the progression of the disease. For patients with certain genetic backgrounds, regular heavy smoking can increase the risk of AMD a stunning 144-fold(3).

AMD is the leading cause of blindness among those older than 50.

"We salute the American Cancer Society and its efforts on behalf of the Great American Smokeout," said David Herman, Chairman of the global AMD Alliance International. "And we add vision loss to the list of significant and debilitating health risks that are caused by smoking. If you quit today, you can immediately begin lowering your risk of losing your sight to macular degeneration."

In addition to quitting smoking and maintaining a healthy diet and lifestyle, AMD Alliance International recommends regular visits to the eye doctor to check for onset of macular degeneration.

For more information about how to prevent, treat and manage AMD, please visit AMD Alliance International at www.amdalliance.org.

Notes:

1) Seddon JM et al. A prospective study of cigarette smoking and age-related macular degeneration in women. JAMA 1996 Oct 9 276 1141-1146.

2) Christen WG et al. A prospective study of cigarette smoking and risk of age-related macular degeneration in men. JAMA 1996 Oct 9 276 1147-1151.

3) DeAngelis, Margaret M. et al. Cigarette Smoking, CFH, APOE, ELOVL4, and Risk of Neovascular Age-Related Macular Degeneration. Archives of Ophthalmology January 2007 125 49-54.

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New Survey Highlights Emotional, Financial Toll Multi-Generational Tobacco Use Takes on Parents Sandwiched In Between

/PRNewswire/ -- Amanda Crawford was just fifteen when she smoked her first cigarette. Now that she is 45, she still smokes despite having tried to quit multiple times. Children are fifty percent more likely to start smoking if they have a parent who smokes - and in Crawford's case, it was her father who smoked. Born and raised in Virginia, she met and married her husband - also a smoker - in Roanoke. The Crawfords now have three sons - 28, 14 and 11. "Our 28-year-old started smoking when he turned 18 and our 14-year-old is already sneaking cigarettes. My father quit smoking later in his life, but I'm concerned about how smoking will affect the health of our entire family," she said.

She is not alone. As caregivers across the country mobilize for Sandwich Generation Month in July, the American Legacy Foundation(R) today released the results of a recent survey analyzing the unique concerns associated with tobacco use and prevention for Americans raising their own kids while simultaneously caring for their aging parents - millions of whom have been life-long smokers and are now struggling with the resulting health effects. Lung cancer, heart disease, stroke, and Chronic Obstructive Pulmonary Disorder (COPD), which includes chronic bronchitis and emphysema, can all afflict aging smokers and can be emotionally and financially debilitating for families forced to cope with them.

The survey, conducted by Opinion Research Corporation, found that 75 percent of respondents with a parent who is a current or former smoker are concerned about their aging parent's current or past smoking or their diagnosis of having a tobacco-related disease. Thirty-four percent of respondents with teenage or adult children indicated that they were concerned about their child's current or potential smoking. About 5% of respondents were "sandwiched" in between: struggling with issues related to both their parents and children smoking. Nationwide, this small percentage translates to more than 10 million Americans in this situation.

The survey highlights the unique position of this group of Americans and their concerns about the impact of the nation's number-one preventable cause of death on their emotional and financial well-being. Treating tobacco-related disease is enormously expensive for families and for the healthcare system. A 2007 American Legacy Foundation report found that America's Medicaid system could spend nearly $10 billion less within five years if all Medicaid beneficiaries who smoke, quit. Effective smoking prevention and cessation programs could cut Medicaid costs by 5.6 percent.

Results from this survey also found that while just over a third of respondents are concerned about their own kids smoking, 56 percent of all respondents feel that a national youth smoking prevention campaign will keep kids from lighting up. Almost half (49 percent) think that a national quit smoking campaign will help reduce healthcare costs across the country.

"As healthcare reform and the economy dominate our headlines, we simply cannot ignore the burden of smoking on the health of America's families," said Cheryl G. Healton, DrPH. "This snapshot into the lives and concerns of this segment of our population reinforces the urgency with which more resources are needed to return money and lives as dividends," she said. This is especially important given one in five of those concerned about their parents say the healthcare costs associated with smoking are impacting their family's financial situation more than ever.

Late last year, the foundation commissioned an online survey by Harris Interactive analyzing the impact of the economic crisis on smokers. In that survey, 77 percent of smokers report increased stress levels due to the current state of the economy and two-thirds of those smokers say this stress has had an effect on their smoking.

The single best way for smokers to improve their health is to quit. Forty-six million Americans have stopped smoking but currently 43 million still do. On average, it takes 8-11 attempts before a smoker quits for good so adopting a personalized, comprehensive quit plan is critical to increasing the odds for success. The free, state-of-the-art EX(R) campaign is helping smokers quit by arming them with the best information available to re-learn their lives without cigarettes. Visit www.BecomeAnEX.org for more information.

The current survey was conducted on behalf of the American Legacy Foundation by Opinion Research Corporation's CARAVAN(R) Telephone Survey among a national probability sample of 1,002 adults 18 years of age and older, living in private households in the continental United States, during the period June 19-22, 2009. A full methodology is available.

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