impact of tobacco use

Impact of Tobacco Use

Effects of Tobacco Use at Various Life Stages

Impact of Tobacco Use

Tobacco Users’ HealthSecondhand SmokeEconomyTobacco Industry

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

Source: Office on Smoking and Health and The American Lung Association

Impact of Tobacco UseTobacco Users’ Health

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

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

Maternal tobacco use affects the health of the unborn baby.

Tobacco use increases the risk for miscarriage, stillbirth, and premature births.

Impact of Tobacco Use

Each year in the United States:

443,000 people in U.S. die of a smoking-attributable illness

Source: Centers for Disease Control and Prevention

Q: How many people will die prematurely from a tobacco-related disease by 2030, if this level of

tobacco use continues?

Impact of Tobacco UseTobacco Users’ Health

Lung cancer128,900

Heart disease126,000

Chronic lung disease92,900

Otherdiagnosis

44,000Stroke15,900

Other cancers35,300

Source: CDC, Office on Smoking and Health

Impact of Tobacco Use443,000 Deaths Each Year Attributable to Smoking 2000-2004

Impact of Tobacco UseSecondhand Smoke

Mainstream smoke Sidestream smoke Passive and involuntary smoking Environmental tobacco smoke

Secondhand smoke affects both nonusers and users

Impact of Tobacco UseSecondhand Smoke

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

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

Impact of Tobacco UseSecondhand Smoke

Over 1 million illnesses in children

300 injuries from fires started by cigarettes

1,900 SIDS deaths 280 children die each year

Source: Campaign for Tobacco-Free Kids

Impact of Tobacco UseSecondhand Smoke – Children

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.

Source: CDC, Office on Smoking and Health

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

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.

Impact of Tobacco UseSecondhand Smoke

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

Impact of Tobacco Use

Economics

$96 billion (healthcare) $97 billion (lost productivity) ~$193 billion

Source: Centers for Disease Control and Prevention: MMWR, November 2008

Annual Tobacco-Related Monetary Costs in the USA

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

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)

Impact of Tobacco UseEconomic

Average retail price of a pack of cigarettes in the U.S.

1970: $0.382000: $3.162008: $4.352009: $5.12

Cigarette Excise Taxes

CDC, Office on Smoking and Health

Impact of Tobacco UseEconomic

Impact of Tobacco Use

RI:346

CALIFORNIA

NEVADA 80

OREGON

118

WASHINGTON202.5

ARIZONA

200NEW MEXICO

91

TEXAS

141

OKLAHOMA

103

UTAH

69.5 COLORADO

84 KANSAS79

NEBRASKA64

IDAHO

57

MONTANA

170NORTH DAKOTA

44

SOUTH DAKOTA153

MINNESOTA

156

IOWA136

MISSOURI17

ARKANSAS

115

36LOUISIANA

MS68

ALABAMA

42.5GEORGIA

37

FLORIDA

133.9

SOUTH CAROLINA

7

NORTH CAROLINA45TENNESSEE

62

KENTUCKY60

ILLINOIS98

WISCONSIN 252

MICHIGAN200

IN99.5

OHIO125

WV55

30VIRGINIA

PENNSYLVANIA

135

NEW YORK275

MAINE200

VTNH: 178

MA

CT:200NJ:270

DELAWARE:160MARYLAND:200

DC:250

HAWAII

260

ALASKA

200

States that have recently passed or implemented a cigarette tax increase (since 1999)

WYOMING

60

August 2009

Cigarette Tax Rates (cents per pack)State Average is $1.34 Per Pack

CTMA:251

87

VT:224

States that have not passed tax increases since 1999

NH

Impact of Tobacco UseTobacco Industry

Benson & Hedges Fax

Assessing users of mild and light cigarettes

andIndicating a “need for

‘lights’ variant to attract health- conscious

smokers.”

Source: University of California, San Francisco Legacy Tobacco Documents Library

Source: Campaign for Tobacco Free Kids Ad Gallery

Impact of Tobacco UseTobacco Industry

Impact of Tobacco UseTobacco Industry

“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.”

- 1978 Imperial Tobacco document

Bottled water with added nicotine

Smokeless, spitless mint and cinnamon

flavored tobacco sachet

Lozenge containing Star-cure™ tobacco, nicotine, and other substances that comes in Mint and Java flavors

Impact of Tobacco UseTobacco Industry

Impact of Tobacco UseTobacco Industry

Impact of Tobacco UseTobacco Industry

Impact of Tobacco Use