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The Best Practices for Comprehensive Tobacco Control Programs, August 1999. Center for Disease Control.

Fact Sheet

  • Best Practices For Comprehensive Tobacco Control Programs provides states with recommended strategies and funding levels for effective programs to prevent and reduce tobacco use, eliminate the public’s exposure to secondhand smoke, and identify and eliminate disparities related to tobacco use and its effects among different population groups.
  • There are nine components of comprehensive tobacco control programs: community programs, chronic disease programs (e.g., heart disease prevention, cancer registries) to reduce the burden of tobacco-related disease, school programs, enforcement of existing policies, statewide programs, counter-marketing, cessation programs, surveillance and evaluation, and administration and management.
  • CDC estimates that the annual costs to implement all of the recommended program components range from $7 to $20 per person in small states (populations under 3 million) and from $5 to $16 per person in large states (population over 7 million).
  • Total recommended program costs for the average state would range between $31 million (lower estimate) and $83 million (upper estimate) each year, translating to an annual total of $1.6 billion to $4.2 billion for comprehensive tobacco control programs nationwide.
  • Most states will receive a combined average of nearly $41 billion over the next five years from their settlements with the tobacco industry. The mid-range of CDC’s nationwide funding estimates, $14.5 billion, would account for about a third of the resources currently available to states.
  • California and Massachusetts have shown that implementing comprehensive statewide tobacco control programs can result in substantial reductions in tobacco use. Between 1992, the year prior to a voter-approved petition to raise tobacco taxes and to fund a statewide mass-media antismoking campaign, and 1996, per capita consumption declined 20 percent in Massachusetts. California’s per capita consumption declined by 16 percent for the same period.
  • Oregon has achieved impressive initial declines in per capita consumption following the implementation of a 1996 voter-supported initiative to raise tobacco taxes and authorize funding of a statewide tobacco prevention and education program. Between 1996 and 1998, per capita cigarette consumption declined 11.3% (or 10 packs per capita) in Oregon.
  • Florida’s statewide antitobacco campaign that combines a counter-marketing media campaign, community-based activities, education and training, and an enforcement program was effective in reducing teen tobacco use. Tobacco use in Florida among middle school students declined from 18.5 percent to 15.0 percent and among high school students from 27.4 percent to 25.2 percent between 1998 and 1999.