New Study Provides Roadmap For Nation's Tobacco Problem
06/04/07
Addressing the nation's
tobacco epidemic, the Institute of Medicine (IOM) today issued a report
that finds America must implement strategies that effectively reduce and
prevent smoking and combine those efforts with a changed regulatory and
policy landscape to fight the nation's number-one cause of preventable
death.
The American Legacy Foundation (Legacy), focused on helping smokers
quit and preventing youth from starting, recognizes the IOM report as a
comprehensive blueprint addressing smoking at various levels in Americans'
lives. In addition to calling attention to the toll tobacco takes on our
nation, the report makes specific recommendations -- 42 in total -- that
the IOM has presented to the U.S. Congress.
Actions noted in this list include supporting effective media campaigns
for smoking prevention and cessation. As the only organization directing a
national media campaign for youth smoking prevention -- other than the
tobacco industry -- Legacy hopes that funding will continue and grow for
efforts like its truth(R) campaign and state-specific campaigns, the
foundation's President and CEO Cheryl Healton, Dr. P.H., said.
"At the national level we have seen how Legacy's truth(R) campaign has
specifically contributed to the decline in youth smoking. Other media
campaigns at the state level have been credited with reducing the number of
youth who smoke. Despite these successes, however, funding has been cut for
most of these counter-marketing efforts," Healton said. "As the IOM report
states: we know what to do. We need to muster the political will and act
now to address the nation's tobacco problem."
Healton added that she agrees with the IOM's assessment that the
tobacco industry, given the obvious and inherent conflicts of interest,
should not communicate with youth for any purpose whether to encourage or
discourage smoking, or to conduct surveys on youth opinions, attitudes, or
behaviors. In addition, because they profit so enormously from the sales of
their products, the tobacco industry cannot simultaneously be viewed as a
credible source of information for smokers who want to quit.
The EX(R) campaign, an innovative new smoking cessation pilot program
has been market tested in four cities this year and will launch nationally
in 2008 with a trusted alliance of public health and tobacco control
partners with expertise in helping smokers quit successfully.
Other recommendations in the IOM report include:
-- Giving the FDA broad regulatory authority over tobacco products
-- Having states fund tobacco-control activities at minimum levels
recommended by the U.S. Centers for Disease Control
-- Increasing tobacco excise taxes at state and federal levels
-- Reducing tobacco advertising in stores and strengthening warnings
printed on individual cigarette packs
Several reports throughout U.S. history have been significant
milestones in the decades-long effort to decrease smoking and save lives
from tobacco- related disease. The Surgeon General's Reports on Smoking,
first issued in 1964, sounded alarms for the nation. Based on these reports
we know unequivocally that tobacco is highly addictive and kills one half
of lifetime smokers, and there is no safe level of exposure to secondhand
smoke.
"Tobacco is a unique product that, if introduced today, would quite
simply never make it to market due to its deadly nature. It also has a
juggernaut of an industry spending over $36 million every day in the U.S.
alone to promote its products," said William Sorrell, Legacy board chair
and attorney general of the state of Vermont. "Tobacco is by its very
nature a complicated product and problem, but because it remains the
number-one cause of preventable death in our nation, it calls for a set of
complex and creative solutions to solve it. The IOM has provided that set
of solutions."
IOM further states that if, as a nation, we commit ourselves to
implementing the blueprint, we can reduce smoking prevalence rates to 10
percent by the year 2025, save millions of lives and serve as a model for
developing nations where smoking rates are climbing dramatically.
Approximately 21 percent of American adults currently smoke. The IOM
report notes that if its recommendations are implemented as described,
smoking rates could be cut to 10 percent by the year 2025. While the IOM
recognizes this goal as an optimistic one, it also notes the economic toll
of tobacco in the United States: lost work productivity attributable to
death from tobacco totals more than $92 billion each year, and private and
public healthcare expenditures for smoking related disease reach $89
billion per year.
Because of the American Legacy Foundation's mission to build a world
where young people reject tobacco and anyone can quit, Legacy asked IOM to
take a comprehensive look at tobacco use in the United States. As a result
IOM independently produced this two-pronged strategy that envisions
strengthening and fully implementing "traditional tobacco control measures
know to be effective" and addresses the regulatory and policy landscapes.
Legacy, according to the restrictions under which it was established in the
Master Settlement Agreement, cannot lobby and therefore will continue its
focus on the first part of IOM's blueprint: employing recognized,
successful tobacco- control measures.
The American Legacy Foundation(R) is dedicated to building a world
where young people reject tobacco and anyone can quit. Located in
Washington, D.C., the foundation develops programs that address the health
effects of tobacco use, especially among vulnerable populations
disproportionately affected by the toll of tobacco, through grants,
technical assistance and training, partnerships, youth activism, and
counter-marketing and grassroots marketing campaigns. The foundation's
programs include truth(R), a national youth smoking prevention campaign
that has been cited as contributing to significant declines in youth
smoking; EXSM, an innovative public health program designed to speak to
smokers in their own language and change the way they approach quitting;
research initiatives exploring the causes, consequences and approaches to
reducing tobacco use; and a nationally-renowned program of outreach to
priority populations. The American Legacy Foundation was created as a
result of the November 1998 Master Settlement Agreement (MSA) reached
between attorneys general from 46 states, five U.S. territories and the
tobacco industry. Visit