Advocacy and the Primary Care Practitioner

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Advocacy and the Primary Care Practitioner

• Scott McIntosh, Ph.D.
• University of Rochester
• Department of Community and
  Preventive Medicine,
• and the James P. Wilmot Cancer Center

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Advocacy Definition
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• Advocacy websites
• ACS
• AAP
• AAFPhttp//capitol.aafp.org/aafp/issues/
• U of R

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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
Tobaccos Deadly Secret The Impact of Tobacco
Marketing on Women and Girls On Tuesday, May 14,
2002, the Senate Subcommittee on Oversight of
Government Management, Restructuring, with the
help of the ACCP and The Chest Foundation, held a
hearing entitled "Tobaccos Deadly Secret The
Impact of Tobacco Marketing on Women and Girls".

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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
Senator Richard Durbin (D-IL), Chair of the
Committee and friend of the ACCP, invited Dr.
Diane Stover, MD, FCCP, Chair of the Taskforce on
Women Girls, Tobacco Lung Cancer, and
Chicagoan Cassandra Coleman, a former smoker, to
testify at this hearing. The focus of the hearing
was to examine the impact of tobacco industry
marketing on smoking rates among women and girls
in the U.S. and overseas, and review the steps
that the U.S. Government is taking and should
take to address this epidemic of smoking-related
disease among women.
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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
My name is Diane Stover and I am the Chief of the
Pulmonary Service and the Division Head of
General Medicine at Memorial Sloan-Kettering
Cancer Center in New York City. I appear before
you today on behalf the American College of Chest
Physicians and its philanthropic arm, The CHEST
Foundation. The ACCP is a 15,000 member
international multi-specialty medical society
comprised of pulmonologists, cardiologists,
critical care physicians, thoracic surgeons, and
other members of the health care team. We are the
physicians who treat people worldwide suffering
with various lung diseases the majority of
which are caused by tobacco use.
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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
Smoking-related disease among women truly is a
"full blown epidemic." As cited by the Surgeon
General, smoking among high school age girls
increased to an alarming 30 during the 1990s. In
1999, nearly 35 of all high school girls were
smoking. And why should we care? Because along
life's continuum, smoking impairs the ability of
girls and women to fully realize their potential
in the classroom, as mothers, in the workforce,
and at life's end.
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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
During pregnancy, women who smoke are more likely
to suffer from Excess bleeding Premature
rupture of membranes Abruptio placentae and
placenta previa Ectopic pregnancy
Spontaneous abortion Premature and difficult
labor During pregnancy, the fetus of a woman who
smokes or who is exposed to second hand smoke
is more likely to suffer from Growth
retardation Premature birth Low birth
rates Still birth Perinatal death and
Negative behavior as a toddler
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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
We encourage your activism! We've provided
background information and a sample letter to
help you craft your own messages. Legislators on
state finance/budget/appropriations and health
committees are the key decision-makers in
allocating settlement dollars over the next 25
years. Let's flood their offices with letters,
emails, and phone calls! Please send a copy of
your letter(s) to us at info_at_alcase.org. Contact
your state legislators directly (Website
National Conference of State Legislatures) and in
particular let your home district representative
know your concerns. Tell them if you're a lung
cancer survivor, family member, or friend. Send
a copy of your letter to members of your U.S.
Congressional delegation, too. They need to know
that research dollars must be greatly increased
for lung cancer screening and effective
treatments.
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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
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The Honorable your Senators full name or
The Honorable your Representatives full
nameUnited States Senate U.S. House of
RepresentativesWashington, DC 20510
Washington, D.C. 20515 Dear Senator/Representativ
e last name, Nearly 30 of all cancer deaths
are due to lung cancer. About 157,200 American
women and men will die this year from lung
cancer more than breast cancer, colon cancer and
prostate cancer combined. Yet lung cancer
receives only fraction of the federal research
fundingjust 1/9 that for breast cancer. This
affects survival. Since Congress passed the War
on Cancer Act of 1971, the 5-year survival rate
for breast cancer has risen to 86, with colon
cancer survival reaching 62 and prostate cancer
97. By contrast, in 1971 the 5-year survival
rate for lung cancer was 12. Today it is only
15. This must change! We must devote more
federal funding to lung cancer research. Even if
all smoking stops tomorrow, lung cancer will be a
major health problem for decades. Right now, over
half of new cases are diagnosed in people who
have quit smoking or never smoked. Clearly,
research is urgently needed for effective early
detection, protection for people at risk for lung
cancer, and for better treatments. Please
speak out for me. Include your brief personal
reason, for example My mother just died of lung
cancer. Please let me know what you will do to
help address these lung cancer issues and save
more lives. Thank you. Your Name and
Contact Information
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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
Do you know these guys?
So do 6-year olds!
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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
A very successful, but long-time-coming, campaign
finally got rid of Joe Camel. But hes not dead,
he just went to other countries, where the
markets are good and national laws are
non-existent.
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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
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ADVOCACY How evidence and politics influence
social policies around tobacco use and tobacco
marketing in the US.
http//www.cvhpinstitute.org/advocacy/advocacy02.h
tml
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THANK YOU!

• Scott McIntosh, PhD
• Department of Community and Preventive Medicine
• 585-273-3876
• scott_mcintosh_at_urmc.rochester.edu