big city tobacco control

Bechara Choucair, M.D.Chicago Department of Public Health

Big City Tobacco Control

September 19, 2014

@choucair #HealthyChicago

Tobacco control is one of the top priorities of Healthy Chicago — and for good reason.

“Ensuring that our children don’t start smoking is a key priority for the City of Chicago.”

—Mayor Rahm Emanuel

HEALTHY CHICAGO

Supporting Document Available: http://bit.ly/1lFMoHL

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Taxes are Up…And Youth Smoking is Down…

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Youth Smoking Rates and Total Tobacco Tax, Chicago

% Youth Smoking Total Effective Tax Linear (% Youth Smoking)

Effective January 1, 2014, Chicago has the highest-priced cigarettes in the country.

All taxes combined equal $7.17 a pack.

CALLING ON THE FDA TO ACT… To immediately disrupt tax

evasion, the Mayor has called on the FDA to implement a national “Track and Trace” System.

Track and Trace is required by the Tobacco Control Act of 2009 – a bill he co-sponsored.

The Mayor has made bold calls to action on menthol, too.

FINDING LOCAL SOLUTIONS TO TAX EVASION…

Residents provide tips about illegal sales including unstamped cigarettes, sales to minors, or sale of “loosies.”

$100 cash rewards

60 days into the program and we know it is working!!

BOLD ACTION ON MENTHOL...

We all know it takes a long time to get things done in Washington, D.C.

Less than 48 hours after the FDA’s menthol report was released, Mayor Rahm Emanuel insisted the City must take swift action.

For more information please contact Juleigh Nowinski Konchak at 312-747-9656.

A Special Town Hall Meeting:Reducing Menthol Use Among Chicago’s Youth

Thursday, September 19th 6:30 – 8:00PMAustin Town Hall Park Field House

5610 W. Lake Street

Refreshments generously provided by American Heart Association

In Collaboration with Representative LaShawn Ford

Chicago Southside Cancer Disparities Initiative

Coalition for Asian Substance Abuse

Prevention

FLAVORED TOBACCO PRODUCTS SIMPLY DO NOT BELONG NEAR SCHOOLS...Chicago has banned the sale of flavored tobacco within 500feet of schools.

Convenience stores near schools contain more cigarette advertising than stores farther from schools.

This is especially true of schools located in minority communities.

CHARTING A NEW PATHOTHER CITIES AND TOWNS CAN FOLLOW…

Supporting Document Available:http://bit.ly/1fUmK9f

No other jurisdiction at any level of government — Federal, state, or local — has ever included menthol in the laws that regulate flavored tobacco.

Local governments have always led the way on tobacco control.

Behind the counter, out of reach of children.

Licensing requirements, youth sting operations and penalties for selling to minors.

New restrictions on flavors apply to e-cigarettes!

REGULATION OF THE SALE OF E-CIGARETTES…

Smoke-Free Campuses…

Smoke-Free Parks…

580 parks 90 gardens 90 museum campuses 9 lakefront harbors 9 ice skating rinks

More than 24 miles of lakefront property, including 17 historic lagoons

Chicago, in just one short year…

New tax = Highest priced cigarettes

Only law regulates menthol cigarettes as a flavored tobacco product

First of the 20 largest U.S. city to propose legislation to include e-cigarettes in their clean indoor air law

Comprehensive regulations on sale of e-cigarettes, too, including flavored e-cigarettes

Smokefree parks

Are you thinking of research questions?

With Chicago’s newest tax, did we hit a point of diminishing returns?

Or, are we still enjoying substantial health and economic benefits of tax increases? What was the impact?

Did limiting the sale of flavored products near schools help prevent youth experimentation with tobacco?

Are you thinking of research questions?

Did limiting the sale of flavored tobacco cause other benefits, such as reductions in tobacco displays and advertising that are popular with kids?

Is the African American community continuing to support restrictions on menthol?

Do restrictions on menthol help reduce health disparities?

What impact does the restriction on flavored products have on adults?

Are you thinking of research questions?

How were retailers impacted? Did the sky fall?

Are sales restrictions effective in keeping e-cigarettes out of the hands of kids? What is happening in cities where no such policies exist?

What is the impact of smokefree parks on litter? What about tobacco use? Are people obeying the law?

Partners matter…

Academic partners matter…

Deciphering the evidence base.

Identifying promising policy options and quality improvement efforts.

Science-based study of the development, implementation, and impact of public health policy.

Making the case for replication of innovative policy projects proven to be successful.

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Bechara Choucair, M.D.Chicago Department of Public Health

@choucair #HealthyChicago