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Learn about the impact of tobacco on Oregon's health and economy, the efforts of TPEP to prevent tobacco use and protect the community, and the success of community-based interventions.
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Oregon’s Tobacco Prevention and Education Program (TPEP) Mel Kohn, MD, MPH Acting Director, Public Health Division, Oregon Department of Human Services House Human Services Committee Salem, February 24, 2010
Tobacco: the leading preventable cause of death in Oregon 2005 Data
Health Burden 22% of all deaths 18 Oregonians a day Cardiovascular disease, Cancers, Respiratory diseases 800 deaths due to secondhand smoke Economic Burden Over $2.2. billion in economic costs Medical expenses Lost productivity $287 million to the Oregon Health Plan If tobacco were priced to cover the costs, it would be $11.16 per pack! The Annual Burden of Tobacco in Oregon
Smoking Prevalence in Oregon • In 2007, 17% of adults were smokers • 8% of adult men use smokeless tobacco • 9% of 8th graders smoked in past month • 16% of 11th graders smoked in past month
Tobacco addiction: a “pediatric disease” 90% of smokers started before the age of 18. 20 Oregon youth start smoking each day. One-third of these youth will eventually die from a tobacco-related disease. Tobacco marketing targets youth
Oregon’s Tobacco Prevention & Education Program (TPEP) • Funded in 1996 by Ballot Measure 44 • “3 pennies per pack” of tobacco tax for prevention • TPEP is a multi-component program with 3 primary goals • Keep kids from starting to smoke • Protect people from secondhand smoke • Help people quit smoking
TPEP aims to create and sustain “anti-tobacco influences”
State and Community Interventions • Evidence-based tobacco prevention programs are funded in every community in Oregon (36 counties & 9 tribes) • Local program coordinators work with partners to deliver interventions that are: • Multi-component • Tailored to community needs and priorities • DHS supports community-based programs through funding, technical assistance, media campaigns, surveillance & evaluation, and the Oregon Tobacco Quit Line
State and Community programs work together • Implementation of Smokefree Workplace Law, SB 571 • Communication to landlords about HB 2135, requiring landlords to disclose smoking policies in rental agreements
Community Tobacco Prevention at work: encouraging smokefree housing
Community Tobacco Prevention at work: Umatilla County Pendleton prohibits free tobacco sampling “I hope other Oregon cities will join Pendleton in keeping tobacco out of their family events.” East Oregonian, 9/26/2009 Pendleton Mayor Philip Houk
Community Tobacco Prevention at work: Jefferson County Ahead of the new Indoor Clean Air Act, the Madras Bowl goes smokefree inside & out.
Community Tobacco Prevention at work: Lane County The City of Eugene, like many other communities in Oregon, is protecting kids from secondhand smoke in outdoor public areas. City Council bans smoking in front of library. KVAL.com
Community Tobacco Prevention at work: Jackson County As new dissolvable, “candy-like,” tobacco products are test-marketed in Oregon, local communities speak out to warn parents.
Community Tobacco Prevention at work: Multnomah County Portland Community College and Mount Hood Community College are among several Oregon community colleges to recently go tobacco-free.
Tobacco Prevention is making a difference TPEP started TPEP Funding cut by 50% TPEP Funding restored