LAAMPP Policy Webinar presentation by Jeannette Noltenius, National Director of the National Latino Tobacco Control Network, on Monday, April 12, 2010.

1. Tobacco Control Polices
Webinar for LAAMP Fellows, April 12, 2010
Jeannette Noltenius, MA, PhD
National Director
National Latino Tobacco Control Network
jnoltenius@sswdc.com

2. Objectives of this Webinar
• Provide an Overview of the NLTCN
Network: mission, goals and services
• Global vision on Tobacco Policies
• MPOWER = Comprehensive
• Private Tobacco Control Policies
• MN, Implementation of the FDA and other
Opportunities for Action

3. www.tobaccopreventionnetworks.org

4. • Indiana Latino Institute, Inc.* (Lead Agency)
• Campaign for Tobacco Free Kids
• ClearWay Minnesota
• ETR Associates
• Hispanic/Latino Partnership Unidos por la Salud
UNIDOS* University of Southern California
• HMA Associates
• Indiana Tobacco Prevention Cessation (ITPC)
• Latino Commission on AIDS
• Midwest Latino Health Research, Training & Policy
Center* University of Illinois, at Chicago
• National Association of Chronic Disease Directors
• Tobacco Control Network
• Tobacco Technical Assistance Consortium
• La Fe Policy, Research and Education Center

5. Mission: To build leadership, inform, support
and energize a National Network of
tobacco control experts and activists to
work with Latino communities, states and
coalitions to address the health burdens
created by tobacco consumption by
promoting policies and programs to
prevent youth initiation, increase quit rates
and assure smoke-free environments.

6. Goals:
• Provide leadership to build diverse, sustainable, and
active Networks and communication mechanisms for
information sharing and knowledge exchange.
• Become an effective catalyst for building relationships
and commitments which can complement national and
state tobacco control efforts, maximize the use of
cessation methods, support effective policies, and
through collaborations, TA and trainings empower Latino
communities to obtain necessary services and funding.
• Empower Latinos to engage in tobacco control and build
capacity to achieve health equity.

7. Directory (+ 460 Latinos and experts)
Website: www.latinotobaccocontrol.org
Listserv, Newsletter, alerts, media alerts,
Consultant Database
Partnerships: LGBT/APPEALin MN) LGBT,
APPEAL, TAPP INTO, CFTFK, ITPC, DC
Smoke Free Coalition, Parity Task Force,
Legacy Foundation, ITPC, Puerto Rico,
Menthol Conference

8. Technical Assistance: needs assessment,
share experiences from other states,
suggest consultants, share promising and
best practices, arrange for training in state
and/or with other states, leadership
development, etc.
Training: provide trainers, assist in training
strategy and curriculums, review materials,
provide materials, etc.

9. Question # 1
Do you understand what the
National Networks are
about, and how you can use
them?
www.tobaccopreventionnetworks.org

10. Comprehensive Tobacco Control
Policies
• MPOWER Monitor tobacco use and prevention
policies
Protect people from tobacco smoke
Offer Help to Quit tobacco use
Warn about the Dangers of Tobacco
Enforce Bans on tobacco advertising,
promotion and sponsorship
Raise Taxes on Tobacco
Source: WHO MPower 2008

11. Monitor tobacco use and
prevention policies
• Disaggregated data by race, ethnicity, primary
language – OMB Standards at minimum, more is
desired (immigrants)
• Ask the LGBT question
• Menthol & other ethnic products
• Enforce Youth Access Laws=Restrict Access*
• Eliminate vending machines*
• Put cigarettes behind the counter- Power Walls*
• Eliminate candy cigarettes (St. Paul) Great!

12. Monitor tobacco use and
prevention policies
• Assure that schools have tobacco
prevention programs
• Assure that marginalized communities
have educational programs to get them
engaged in tobacco
• Assure that schools, day care, recreational
settings have tobacco prevention
programs
• YOU CAN DO THIS!!! NOW

14. Equity/Parity in Funding for:
• Community Based Programs
• Statewide programs
• Specific Population Educational Programs
• Funding from MSA funds for tobacco
control (MN negotiations with industry)
• Funding at CDC Best Practices levels
• No group left behind! Monitor the $
• BCBS MN/Clearway FUNDS from MSA

15. Question # 3
• Is MN spending the needed resources to
stop the tobacco epidemic in all
communities?
• Minnesotans can do more!

16. Protect People from
Tobacco Smoke
• State Clean Indoor Air Ordinances
• Local Clean Indoor Air Ordinances
• Include Casinos, Bowling Alleys, shops
Community Driven in American Indian
Reservations
• Smoke Free Parks, rodeos, Treatment
facilities, prisons, detention centers,
Beaches, Bus Stops, Entries, Cars, etc.

17. www.rwjf.org/publichealthproducts.jsp

18. Protect People from
Tobacco Smoke
Private Policies
• Smoke Free Business/Non-profit policy
(malls, state/ethnic fairs, )
• Smoke Free Community Events, Rodeos,
Parades, Weddings, churches, soccer
games,
• Smoke Free Multi-Unit Housing, rentals,
smoke free homes,

19. Unintended Consequences
• NYC study on cotinine levels + more
young men and Asians STILL exposed
• CA, Latinas and Asians working in Bars &
Restaurants = continued to be exposed
• Casino workers continue exposure
• Occupations not protected with high
immigrant pops: construction, landscaping,
agriculture, small businesses, etc.
• Possible increased disparities

20. Smoke Free Housing
Private Policies Websites
• EPA CA
http://www.arb.ca.gov/toxics/ets/multiunits_et
s.htm
• ANSR http://www.no-smoke.org/
• www.lungca.org
• http://www.njgasp.org/housing.htm
• MI Smoke Free Apartments:
http://www.mismokefreeapartment.org/
• Smoke Free Environment Law Project:
http://www.tcsg.org/sfelp/home.htm

21. Minnesota’s ANRSMN
• “Approximately 30% of renters are exposed to secondhand
smoke that comes into their unit from somewhere else in the
building.
• Of renters who are exposed to secondhand smoke, 34% are so
bothered by the smoke that they are thinking of moving in order to
avoid exposure.
• A majority of renters (75%) would be likely to choose a smoke-
free building over a building that allows smoking if the buildings
were the same in every other way.
• Renters are also interested in buildings that provide outdoor
smoke-free areas such as balconies, entryways, and entirely
smoke-free properties.
• In order to live in a smoke-free building, many renters are willing to
live in a building that does not have a pool or playground, drive
farther to work, and pay more rent. “
www.ansrmn.org Live smoke-free housing

22. Private and Public Policies
• www.ttac.org Resources & Links
(Advocacy)
• www.healthpolicyguide.org
• www.thepraxisproject.org
• www.rwjf.org
• http://enhp.hartford.edu/ctphp/pdf/Smokea
ndMirrors1.19.2010.pdf
• http://www.rwjf.org/publichealth/product.js
p?id=56548

23. Question # 4
• What can you do to protect ALL
Minnesotans from Second Hand Smoke?
Implement current laws and advocate for
more policies, including Smoke Free
Apartments!

24. Offer help to Quit
• Institutionalize Cessation in Community
Health Clinics, provider offices, hospitals
• ASK, ADVISE and REFER.. At all
Pediatric visits/pregnant women
• Engage Dentists
• Fund Quitlines AND Community based
culturally/linguistically appropriate services
• Pay for Cessation treatment-Insurance/
Medicaid/Medicare
• Multimedia Campaigns reaching ALL pops

26. Warn about the Dangers
• FDA Law nine new warning labels
• The warnings top 50 % of the front and
rear panels of the package and at least
20% of the related advertisements.
• Color graphics depicting the negative
health effects of smoking

27. Cigarette pack under
Cigarette pack now
FDA Regulation
Front Front
WARNING
LABEL
WARNING
LABEL
Back Back

28. Signing of the FDA authority
June 22, 2009 gave the FDA
Authority to Regulate
Tobacco Products
Content of the products
Marketing of the products
Sale of the products

29. Enforce Bans on tobacco advertising,
promotion and sponsorship
FDA Sec 906 and 102
• Imposes limits marketing, sales, and
promotions, to young people + others
• Regulations Black & White Ads only
• Expands power of States: Permits States
to Restrict Time, Place and Manner of
tobacco marketing

30. Product and Sale to Youth
o Flavorings (Banned)
o Control levels of nicotine
o Sophisticated marketing
o Image of the smoker
Source: CDC PHGR Tobacco Nov 18/09

31. Advertising Restrictions Previously
Adopted by FDA
• Ban brand sponsorships of sports and
entertainment events
• Ban free giveaways in exchange for
coupons
• Ban free samples of cigarettes and the
sale of cigarettes in packages that contain
fewer than 20 cigarettes
• Ban outdoor tobacco advertising near
schools and playgrounds

32. Sponsorship of
Sporting events
and/or well
known athetes
that are followed
by kids.
Fuente: Juan Carlos Vega, El Tabaquismo a Nivel Global, las Estrategias Tabacaleras, los Medios de
Comunicación, y el Rol del Apoyo Nacional al Trabajo Local , Primera Conferencia Internacional sobre la
promoción de la Salud, Caguas 2010

33. Sponsorship of Cultural Events
Fuente: Juan Carlos Vega, El Tabaquismo a Nivel Global, las Estrategias Tabacaleras, los Medios de
Comunicación, y el Rol del Apoyo Nacional al Trabajo Local , Primera Conferencia Internacional sobre la
promoción de la Salud, Caguas 2010

34. “Giveaways” are now banned
www.trinketsandtrash.org

35. FDA Bans giveaways

36. Which products are not covered by
the FDA Law?
Metholated cigarrettes
Cigars
Cigarrillos-small cigars

37. What can you do?
• Observe, organize and Report to the FDA
of violations: Sale of Candy Flavors
• Look out for Sponsorship of Events
• Demand that MN add Cigars, Cigarillos to
regulated products: menthol ban
• Assure that all sales are behind counter
and eliminate POWER walls
• Assure Ads DON’T cover all outdoor ads

39. Question # 5
• Do you know what steps you can take to
implement the FDA Law?
Assure that flavored cigarettes have been
removed from the stores and report to:
www.fda.gov/tobaccoproducts/default.html

40. Raise Taxes on Tobacco
• Taxes go up = consumption goes down
Source: Walbeek C. 2003. Tobacco excise taxation in South Africa. (left graph)
Source: Aloui O. 2003. Analysis of the economics of tobacco in Morocco. (right graph)

41. Higher Taxes = Lower
Consumption
• 10% increase decreases consumption by
4% in high-income countries and 8% in
low-middle income countries
• 70% increase in taxes would prevent ¼
deaths worldwide
• Young/Poor more sensitive to price
increases
• Revenue for Government

42. What can be done?
• Tax all tobacco products equally
• Assure that taxes are passed to consumer
• Allocate tax revenue to tobacco control
and other health issues.
• Raise tobacco taxes in MN for tobacco
control efforts

45. Do Minnesotans’ support Tax
Increases? YES get involved!
• A March 2009 survey founds that an overwhelming
majority (72 percent) of Minnesotans support increasing
state tobacco taxes.
• At least two thirds of every demographic (political,
ideological, age, race, gender, geographic) support
tobacco tax increases
• 78 percent of Republicans, 69 percent of Democrats and
66 percent of independents support increases
• Those surveyed cited the health care costs of smoking,
helping smokers quit and preventing tobacco use by kids
are reasons for increasing taxes
www.clearwaymn.org

46. Conclusion: Comprehensive
MPOWER+ EMPOWER
• Monitor use/prevent
• Protect SHS
• Offer Cessation
• Warn about dangers
• Enforce Bans Ads
• Raise Taxes
Source: CDC, PHGR Tobacco, Nov 18, 2009

47. Disclaimer
• This publication was supported by CDC
Cooperative Agreement Number
U58/DP001515. Its contents are solely
the responsibility of the authors and do not
necessarily represent the official views of
the CDC.

48. Questions?
Thank You
Jeannette Noltenius, MA, PhD
National Director
National Latino Tobacco Control Network
www.latinotobaccocontrol.org
jnoltenius@sswdc.com