Tobacco 101:The Facts

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Cigarette smoking is the leading cause of preventable death in the United States and produces substantial health-related

economic costs to society.

Centers for Disease Control and Prevention, Smoking-Attributable Mortality and Years of Potential Life Lost-United States, 1984.

MMWR 1997;46.Max, W., The financial impact of smoking on health-related costs: a

review of the literature. American Medical Journal of Health Promotion 2001;15.

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During 1995-1999, smoking caused approximately 440,000 premature

deaths in the United States annually, that is more deaths than from AIDS,

alcohol, car accidents, murders, suicides, drugs and fires, combined.

Centers for Disease Control and Prevention, Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and

Economic Costs - United States, 1995-1999. MMWR 2002;51.

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Almost 90 percent of adult smokers began at or before age 18.

U.S. Department of Health and Human Services, Preventing Tobacco Use Among Young People: A Report of the Surgeon

General. 1994.

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Every day, more than 2,200 young people under the age of 18 become daily smokers.

Centers for Disease Control, State Highlights Press Release, April 11, 2002

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That’s more than 800,000 kids a year. Roughly one-third of them will

eventually die from a tobacco-related disease.

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About 88% of youth smokers who buy their own cigarettes purchase Marlboro,

Newport, or Camel – the three most heavily advertised brands of cigarettes

in the United States.

SAMHSA, Summary findings from the 2000 National Household Survey on Drug Abuse, 2001

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During 1995 –1999, smoking caused approximately $157 billion in annual health-

related economic losses.

• Health Coverage• Lost wages

Centers for Disease Control and Prevention, Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Economic

Costs - United States, 1995-1999. MMWR 2002;51.

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For each of the approximately 22 billion packs sold in the U.S. in 1999, it cost

the government $7.18 per pack in medical care and loss of productivity.

Centers for Disease Control and Prevention, Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and

Economic Costs - United States, 1995-1999. MMWR 2002;51.

Master Settlement Agreement (MSA)

• November 23, 1998• $206 billion through 2025• 46 states, District of Columbia and five

territories• Excludes Florida, Texas, Minnesota and

Mississippi

U.S. Department of Health and Human Services, Reducing Tobacco Use: A Report of the Surgeon General. 2000

MSA Pros

• Eliminates tobacco billboards and transit ads

• Prohibits the use of cartoon characters

• Prohibits tobacco brand-name merchandise, except….

National Center for Tobacco-Free Kids, The Multistate Settlement’s Shortcomings. March 31, 1999.

MSA Pros

• Restricts distribution of free tobacco products to adult locations only

• Limits offers on non-tobacco items or proof-of-purchase gifts to adults only

• Prohibits use of a non-tobacco brand names on tobacco products

National Center for Tobacco-Free Kids, The Multistate Settlement’s Shortcomings. March 31, 1999.

MSA Pros

• Prohibits sponsorship when contestants are under 18, except….

• Reaffirms ban on product placement in movies or on TV (commercials)

National Center for Tobacco-Free Kids, The Multistate Settlement’s Shortcomings. March 31, 1999.

MSA Pros

• Required Tobacco Industry document disclosure

• Tobacco Company lobbying restrictions

• Limits on Tobacco Company efforts to Influence state use of settlement funds

National Center for Tobacco-Free Kids, The Multistate Settlement’s Shortcomings. March 31, 1999

MSA Shortfalls• Allows outdoor advertising with signs 14

square feet or smaller

• No limitations on advertising in locations where tobacco is sold

• No limits on advertising in magazines and newspapers

National Center for Tobacco-Free Kids, The Multistate Settlement’s Shortcomings. March 31, 1999

MSA Shortfalls

• No limits on internet sales

• No limits on direct-mail advertising

• Permits continuation of single tobacco product brand-name sponsorship of an event or series

National Center for Tobacco-Free Kids, The Multistate Settlement’s Shortcomings. March 31, 1999

MSA Shortfalls

• Unlimited sponsorship of events with corporate name

• No restriction on televising tobacco brand-name sponsored events

• Permits the use of human images in tobacco advertising, such as the Marlboro cowboy

National Center for Tobacco-Free Kids, The Multistate Settlement’s Shortcomings. March 31, 1999

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The five largest cigarette manufacturers spent $8.24 billion on advertising and promotional expenditures in 1999, a

22.3 % increase from the $6.73 billion spent in 1998. U.S.

Federal Trade Commission (FTC), Cigarette Report for 1999. 2001

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• June 2001 study of California stores shows 48% have cigarette ads at kids’ eye level (3 feet or lower)

• 23% of stores place cigarettes within 6 inches of candy

• The average store had 17 tobacco ads

Stanford University, Study, June 2001

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Ads in magazines popular with kids

increased 33% ($90.2 to $119.9 million) after ‘98 Settlement.

Massachusetts Department of Public Health Study, May 15, 2000