SAY WHAT

1
Guidelines for Comprehensive Tobacco Control
Programming in Michigan
2
Goals for Comprehensive Tobacco Control

• Preventing initiation among youth and young
  adults
• Promoting quitting among all smokers
• Eliminating exposure to secondhand smoke
• Identifying and eliminating tobacco-related
  health disparities among population groups
  
  

3
Five Program Components

• State and community interventions
• Health communications interventions
• Cessation interventions
• Surveillance and evaluation
• Administration and management

4
Program Components

• State and Community Interventions
• Includes statewide projects and initiatives that
  enhance the effectiveness of population-based
  interventions
• Relies strongly on a community-based local
  infrastructure
• Creates synergy and magnifies the effect of
  individual program activities

5
Program Components

• Health Communications Interventions
• A powerful tool for preventing youth initiation,
  promoting cessation and shaping public attitudes
  and behavior
• The CDC recommends that a health communications
  campaign should deliver strategic, culturally
  appropriate, and high-impact messages

6
Program Components

• 3. Cessation Interventions
• Health care system-based interventions,
  including screening, advice and assistance
• Population-based interventions, such as
  quitlines available to anyone who wants to quit
• Public and private insurance coverage for
  tobacco cessation counseling (individual, group
  and telephone) and FDA-approved medications

7
Program Components

• 4. Surveillance and Evaluation
• Publicly financed programs need to have
  accountability and demonstrate effectiveness
• Requires more data collection, use of currently
  established surveys and other data systems to
  identify and monitor tobacco-related attitudes
  and behaviors
• Surveillance systems and methods to track
  changes in specific population groups.

8
Program Components

• 5. Administration and Management
• Strategic planning
• Recruiting, developing qualified technical,
  program and administrative staff
• Awarding, monitoring contracts and grants
• Managing, tracking expenditure of funds
• Ongoing training and development at local level
• Creating and maintaining an effective, integrated
  communications system
• Educating the public and decision-makers

9

• HOW MUCH??

10
Michigan funding recommendations for 2007
Per Capita State Totals

• State and Community Interventions
• II. Health Communication Interventions
• Cessation Interventions
• Surveillance and Evaluation
• Administration and Management
• TOTAL

4.94 49.9 M 1.66
16.9 M 3.83 38.7 M
1.04 10.5 M 0.52
5.3 M 11.99 121 M
11
This is what it would look like
12
Current Tobacco Program Budget, 2007- 2008
13
Are You Serious?
14
121 Million in Context
15
Causes of Preventable DeathMichigan Residents,
2005
Tobacco kills more people in Michigan than AIDS,
alcohol, auto accidents, cocaine, heroin,
murders and suicides - combined.
Deaths/Year
Source Michigan Department of Community Health,
Division for Vital Records and Health Statistics
and Centers for Disease Control and Prevention
Smoking Attributable Morbidity, Mortality and
Economic Costs (SAMMEC).
16
Michigans Annual Revenues from Tobacco Sources
1.629 billion
170 million - Sales Tax
279 million - MSA
1.18 billion - tobacco excise tax
121 million (7.4)
17
Michigans Annual Tobacco-related Healthcare
Costs
3.4 billion
1.1 billion in tobacco-related Medicaid Costs
121 million (3.4)
18
Industrys Cigarette Advertising and Promotional
Expenditures in Michigan 1998 - 2005(Millions
of dollars)
Source Federal Trade Commission
19
The Composite Picture 2005-2006
Note Tobacco companies spend 115 times more
annually in Michigan to promote tobacco products
than the state does to prevent and reduce
tobacco use
20
The cost for a cureto the tobacco epidemic in
Michigan?
11.99/per person annually A bargain price for
the benefits and rewards
21

• Find the CDCs complete
• Guidelines for Comprehensive Tobacco Control
  Programs online at http//www.cdc.gov/tobacco/tob
  acco_control_programs/stateandcommunity/best_pract
  ices/index.htm
• For further information about funding
  recommendations for Michigan
• Please call the MDCH Tobacco Program at
• 517-335-8376