CDC Recommendations for Comprehensive Programs

A comprehensive approach is one that optimizes synergy from applying a mix

of educational, clinical, regulatory, economic, and social strategies.

Best Practices, 2007

Comprehensive Programs

CDC, Office on Smoking and Health

Comprehensive ProgramsCDC Best Practices

CDC, Office on Smoking and Health

Comprehensive Programs

1. Prevent the initiation of tobacco use among young people.

2. Promote quitting among young people and adults.

3. Eliminate nonsmokers’ exposure to secondhand smoke.

4. Identify and eliminate the disparities related to tobacco use and its effects among different population groups.

CDC Best Practices: Four Goals

Comprehensive Programs

1. State and community interventions

2. Interventions through health communications

3. Cessation programs

4. Surveillance and evaluation

5. Administration and management

CDC, Office on Smoking and Health

CDC Best Practices

Comprehensive Programs

CDC Recommended Annual Investment 13.9 millionDeaths in Delaware Caused by Smoking Annual average smoking attributable deaths 1,200 Youth ages 0-17 projected to die from smoking 18,000Annual Costs incurred in Delaware from Smoking Total medical $284 million Medicaid medical $79 million Lost productivity from premature death $304 millionState revenue from Tobacco Excise Taxes and Settlement FY 2006 tobacco tax revenue $86.1 million FY 2006 tobacco settlement payment $23.1 millionTotal state revenue from tobacco excise taxes and Settlement $109.2 millionPercent revenue to fund at CDC recommended level 13%

CDC Best Practices

Comprehensive Programs

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CDC: National Center for Chronic Disease Prevention & Health Promotion, BRFSS

Massachusetts - Percentage Current Adult Smokers

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1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

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CDC: National Center for Chronic Disease Prevention & Health Promotion, BRFSS.

Missouri - Percentage Current Adult SmokersComprehensive Programs

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Funding of State Tobacco Control Programs (2008)

A Decade of Broken Promises: The 1998 State Tobacco Settlement Ten Years Later