​WI 2018 Tobacco Prevention and Control Education Packet - Reference Guide
 
Tobacco is still a problem in Wisconsin.

1. In Wisconsin, there’s been a reduction in adult smoking,
   2011-2015 data from the Wisconsin Behavioral Risk Factor Surveillance System. Wisconsin Tobacco Prevention and Control Program; Madison, WI. https://www.dhs.wisconsin.gov/publications/p43073.pdf.
2. but tobacco still costs the state $4.7 billion in health care and lost productivity.
   The Toll of Tobacco in Wisconsin. Campaign for Tobacco-Free Kids; Washington, DC: 2017. https://www.tobaccofreekids.org/problem/toll-us/wisconsin.
3. One study found the average annual excess cost of employing a person who smokes is approximately $5,800.
   Berman M, Crane R, Seiber E, & Munur M. Estimating the Cost of a Smoking Employee. Tobacco Control; London, UK: 2014. http://tobaccocontrol.bmj.com/content/23/5/428.
4. Currently, tobacco prevention is funded at $5.3 million, less than one-tenth of the $57.5 million recommended for Wisconsin by the Centers for Disease Control. No cigarette tax revenue is directed to fund the tobacco control or prevention programming.
   The Truth Initiative, Campaign for Tobacco-Free Kids, American Heart Association and American Stroke Association, American Cancer Society Cancer Action Network, American Lung Association, Americans for Nonsmokers’ Rights, and Robert Wood Johnson Foundation.  A report entitled Broken Promises to Our Children: A State-By-State Look at the 1998 State Tobacco Settlement 19 Years Later.  December 2017.Available on-line at: https://www.tobaccofreekids.org/what-we-do/us/statereport.

 
Kids are lured by candy flavors, new products, and cheaper prices.

1. Nationally, around 95% of adults who smoke start before the age of 21.
   Knox, Becca. Increasing the Minimum Legal Sale Age for Tobacco Products to 21. Campaign for Tobacco-Free Kids; Washington, DC: 2018 (p. 1). https://www.tobaccofreekids.org/assets/factsheets/0376.pdf.
2. In Wisconsin more than 80% of adults addicted to smokeless tobacco tried their first product before turning 21.
   2014 data from the Wisconsin Behavioral Risk Factor Surveillance System. Wisconsin Tobacco Prevention and Control Program; Madison, WI.
3. Nationally, four out of five youth who have ever used a tobacco product started with a flavored product.
   Bach, Laura. Flavored Tobacco Products Attract Kids. Campaign for Tobacco-Free Kids; Washington, DC: 2017 (p. 3). https://www.tobaccofreekids.org/assets/factsheets/0383.pdf.
4. Flavored little cigars (brown cigarettes) are taxed at a fraction of the cigarette tax rate. A 20-pack of flavored little cigars is much more affordable for teens.
   Boonn, Ann. The Rise of Cigars and Cigar-Smoking Harms. Campaign for Tobacco-Free Kids; Washington, DC: 2017 (p. 3). https://www.tobaccofreekids.org/assets/factsheets/0333.pdf.
5. Nationally, about half of current adolescent and young adult tobacco users use two or more tobacco products.
   Soneji S, Sargent J, & Tanski S. Multiple Tobacco Product Use Among US Adolescents and Young Adults. Tobacco Control; London, UK: 2016. http://tobaccocontrol.bmj.com/content/25/2/174.
6. Nearly one third of Wisconsin high school students have tried e-cigarettes.
   Wisconsin Youth Tobacco Survey: High School Fact Sheet. Wisconsin Tobacco Prevention and Control Program; Madison, WI: 2016. https://www.dhs.wisconsin.gov/publications/p01624.pdf.

 
Tobacco use leads to lifelong addiction with deadly consequences.

1. Use of any non-cigarette tobacco product, including e-cigarettes, predicts smoking cigarettes a year later.
   Watkins SL, Glantz SA, & Chaffee BW. Association of Noncigarette Tobacco Product Use with Future Cigarette Smoking Among Youth in the Population Assessment of Tobacco and Health (PATH) Study, 2013-2015. JAMA Pediatrics, Chicago, IL: 2018. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2666219.
2. Annually, 2,600 Wisconsin kids become new daily smokers.
   The Toll of Tobacco in Wisconsin. Campaign for Tobacco-Free Kids; Washington, DC: 2017. https://www.tobaccofreekids.org/problem/toll-us/wisconsin.
3. Smoke from candy-flavored cigars and cigarillos contains the same toxic chemicals found in cigarettes.
   U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: Preventing Tobacco Use among Youth and Young Adults. We Can Make the Next Generation Tobacco-Free (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012, page 205.
4. Other dangers of e-cigarettes include exploding devices and accidental poisoning of small children and pets.
   Grayson D, Wininsky D, & Lipski A. E-Cigarettes: Evidence-Based Review Reveals Potent Threats to Life and Property. Wisconsin Fire Chief; West Allis, WI: 2016 (p. 23). https://www.dropbox.com/s/87s7j07r965cpuy/'16-4%20WSFCA%20Magazine%20ECig.pdf.
5. Other dangers of e-cigarettes include exploding devices and accidental poisoning of small children and pets.
   Weiss D, Tomasallo CD, Meiman JG, Creswell PD, Melstrom PC, Gummin DD, Patel DJ, Michaud NT, Sebero HA, & Anderson HA. Electronic Cigarette Exposure: Calls to Wisconsin Poison Control Centers, 2010-2015. Wisconsin Medical Journal; Madison, WI: 2016 (p. 308). https://www.wisconsinmedicalsociety.org/_WMS/publications/wmj/pdf/115/6/306.pdf.
6. Other dangers of e-cigarettes include exploding devices and accidental poisoning of small children and pets.
   Moreno, Megan A. What Parents Need to Know About Electronic Cigarettes. JAMA Pediatrics; Chicago, IL: 2017. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2657308.
7. The addictive nicotine found in flavored tobacco products and e-cigarettes slows brain development in adolescents. Two chemicals found in some e-cigarettes—diacetyl and 2,3-pentanedione—have been shown to cause irreparable lung disease.
   Allen JG, Flanigan SS, LeBlanc M, Vallarino J, MacNaughton P, Stewart JH, Christiani DC. Flavoring Chemicals in E-Cigarettes: Diacetyl, 2,3-Pentanedione, and Acetoin in a Sample of 51 Products, Including Fruit-, Candy-, and Cocktail-Flavored E-Cigarettes. Environmental Health Perspectives; Boston, MA: 2016 (p. 733). https://ehp.niehs.nih.gov/wp-content/uploads/124/6/ehp.1510185.alt.pdf.

 
 Certain factors increase the likelihood of tobacco use

1. 72% of Wisconsin residents who smoke have a history of at least one adverse childhood experience (ACE). In addition, 30% of smokers experience 4 or more ACEs.
   2016 data from the Wisconsin Behavioral Risk Factor Surveillance System. Calculated by Karen Palmersheim for the Wisconsin Tobacco Prevention and Control Program; Madison, WI.
2. Cigarette advertisements, particularly those for menthol products, are two to three times more prevalent in minority and low income neighborhoods.
   Point of Sale Tobacco Marketing. Public Health and Tobacco Policy Center; Boston, MA: 2014. http://www.tobaccopolicycenter.org/documents/Disparities%20Fact%20Sheet%202016-01-15.pdf.
3. Menthol is easier to start and harder to quit.
   The Truth About Menthol. Truth Initiative; Washington, DC: 2016. https://truthinitiative.org/news/truth-about-menthol.
4. 40% of all cigarettes smoked by adults in the United States are smoked by adults with mental illness or substance use disorders.
   The National Survey on Drug Use and Health Report: Adults with Mental Illness or Substance Use Disorder Account for 40 Percent of All Cigarettes Smoked. Substance Abuse and Mental Health Services Administration; Rockville, MD: 2013. https://archive.samhsa.gov/data/spotlight/spot104-cigarettes-mental-illness-substance-use-disorder.pdf.
5. One study shows that individuals offered tobacco cessation as part of their treatment for alcohol or illicit drug use have a 25% increased likelihood of long-term success quitting alcohol and illicit drugs.
   Prochaska JJ, Delucchi K, & Hall SM. A Meta-Analysis of Smoking Cessation Interventions with Individuals in Substance Abuse Treatment or Recovery. Journal of Consulting and Clinical Psychology; Washington, DC: 2004. https://www.ncbi.nlm.nih.gov/pubmed/15612860.
6. Some populations use tobacco more than others. (Average WI adult smoking rate, LGB, Ever been diagnosed with depression, Income under $24,999, Badgercare recipients, African American, Native American)
   Tobacco Fact Sheet: Wisconsin Behavioral Risk Factor Surveillance System. Wisconsin Tobacco Prevention and Control Program; Madison, WI: 2016. https://www.dhs.wisconsin.gov/publications/p43073.pdf.
7. U.S. adult smoking rate: 16%
   Ahmed J, Philips E, Gentzke AS, Homa DM, Babb SD, King BA, & Neff LJ. Current Cigarette Smoking Among Adults — United States, 2016. Morbidity and Mortality Weekly Report; Atlanta, GA: 2018. https://www.cdc.gov/mmwr/volumes/67/wr/mm6702a1.htm?s_cid=mm6702a1_w.