annual report 2002-2003 Of the billions spent on tobacco- related health care annually in the State, an estimated $380 million is from Medicaid costs due to smok- 1 Greetings from the Indiana Tobacco Use Prevention and Cessation Executive Board and Agency 2 Executive Summary ing. Indiana 3 Tobacco Use Burden on Indiana 12 Tobacco Control Policy 15 Indiana’s Tobacco Settlement Appropriations can reap 17 ITPC Staff 17 Executive Board Structure/Members 18 Advisory Board Structure/Members savings 18 Vision and Mission Statements 19 ITPC Organization Chart 20 2005 Objectives 25 Indiana’s Comprehensive Tobacco Control Program by reducing 27 Community Programs 35 Statewide Media Campaign 40 Enforcement smoking! If 40 Evaluation and Surveillance 45 Administration/Management 46 Budget we reduce 47 Annual Financial Report 48 Notes to Annual Financial Report Indiana’s smoking by 25%, it will save Indiana taxpayers over $20 million per year in smoking- related Medicaid costs.1 1Campaign for Tobacco Free Kids Fact Sheet, Increasing State Smoking-caused Medicaid Costs and Future Medicaid Savings from a 25% Reduction to State Smoking Rates. Letter from Bain J. Farris, ITPC Executive Board Chair I Our WhiteLies.tv and Voice.tv media campaigns are impact- and Karla S. Sneegas, ITPC Executive Director ing Hoosier attitudes and beliefs, leading to a much needed shift in the perception of tobacco use as socially acceptable. We are pleased to present this year’s Annual Report and the remark- I Three out of every four adults and youth are aware of the able progress that Indiana’s comprehensive tobacco control program ITPC media campaign. has made since beginning our program in 2001. I Every county in the state has been touched by our media Turning around the state’s most serious addiction, and leading cause campaign. of preventable death and disease, does not happen overnight. There is a predictable series of steps that lead to reducing tobacco I More than 2 million people visited our WhiteLies.tv website use rates, that in turn impacts the amount of disease, death rates, in the first 18 months it was up on the web. and health care costs we all share. Investing in a comprehensive I More than 500,000 recorded hits to the Voice.tv website for tobacco prevention and cessation program makes good sense both Indiana youth were logged. from the standpoint of Hoosiers’ health and the cost to taxpayers. I Over 2,500 newspaper articles about tobacco ran in Indiana There is a science to reducing tobacco use. Our patience and daily and weekly newspapers. Almost 9 out of 10 of the perseverance in setting up a sound, evidence-based, comprehensive articles were anti-tobacco. program; followed with appropriate training and capacity building, is paying off. In 2001 we were building capacity for tobacco We ended the year with the challenge of continuing our model prevention and cessation programs in all of Indiana’s 92 counties. program after a budget reduction to $10.8 million per year for the This past year we built on that capacity development to unleash next biennium. The ITPC Executive Board met in June to deter- one of the nation’s best “new” comprehensive programs. mine the future of the program given these new fiscal ramifica- tions. While it is clear that we cannot continue the same fully inte- Here are highlights of our major success stories grated, comprehensive program at this reduced level of funding, at the close of this year. we are committed to build on the success of the past year. To not press forward would be a decision to allow the tobacco industry to I Our initial findings show the largest drop in youth smoking win the minds and health of our state’s most precious resource — experienced in recent years. The cigarette-smoking rate among our youth. Indiana high school students dropped from 32% in 2000 to 23% The accomplishments achieved in 2002 show that the Hoosier in 2002. Model for Comprehensive Tobacco Prevention and Cessation is I Over 193,000 Hoosier adults quit smoking in 2002. working. Our on-going investment in tobacco prevention and ces- sation is already paying off. The dramatic decline in youth I Approximately 86% of Hoosier adults who smoke say they smoking shows that we are on the right track. We can help to expect to quit smoking and 62% say they will quit smoking in protect Hoosier children from the burden that tobacco places on the next 6 months. all of us. We can save millions of dollars, but more importantly, we can save untold lives and needless suffering. The momentum I Cigarette consumption is down in Indiana by 17%. Hoosiers is moving in our favor. are smoking less, and that is a major step in quitting for life. Please join us in continuing to make Indiana a healthier place to I The number of retailers selling cigarettes illegally to minors live, work, and play! continued to drop to the lowest level ever recorded, down to 14% compared to 29% when the ITPC program began in 2001. Youth prevention efforts are a high priority for ITPC. One percentage drop in Indiana’s smoking rate means 5,230 youths never getting addicted to cigarettes. ITPC created a youth-led movement against tobacco use. Indiana youth named their movement Voice. 1 Executive Summary Statewide Media Campaign: I Every county in the state is being reached by the media Tobacco use costs Hoosiers 10,300 lives and $1.6 billion each campaign and results from the media tracking surveys indicate year. With the 5th highest adult smoking rate in the United that 75% of Indiana youth and adults are aware of advertise- States, Hoosiers must continue to take action in reducing the ments from the ITPC media campaign. tobacco burden. Indiana has taken a big step in reversing I tobacco's devastating effects through the Indiana Tobacco Youth who were aware of at least one ITPC ad were 45% Prevention and Cessation (ITPC) programs. more likely to understand that tobacco is addictive and danger- ous compared to those not aware of any ITPC ads. Adults who The Indiana Tobacco Use Prevention and Cessation Trust Fund confirmed seeing an ITPC ad were 51% more likely to believe and Executive Board exists to prevent and reduce the use of all the dangers of tobacco use. tobacco products in Indiana and to protect citizens from exposure I to tobacco smoke. Following the Centers for Disease Control Youth that could recall at least one ITPC TV ad were 55% (CDC) Best Practices for Tobacco Control, Indiana established a more likely to agree with anti-tobacco industry attitudes than tobacco control program that is coordinated, comprehensive and those who have not seen any TV ads. accountable. The Hoosier Model for tobacco control incorporates I A website, www.WhiteLies.tv was created to educate con- elements from all nine categories recommended by the CDC and sumers on negative health consequences of tobacco use in has five major categories for funding. The Hoosier Model consists Indiana and the burden on Hoosiers. www.WhiteLies.tv has of Community Based Programs; Statewide Media Campaign; received over 2 million successful hits. Enforcement; Evaluation and Surveillance; and Administration and Management. I ITPC continued its support of the youth-led movement, Voice, and held the second "Say What" Voice youth summit, ITPC’s program can report many accomplishments in state fiscal where 300 Indiana youth gathered to learn about Voice and year 2003 and is changing knowledge, attitudes and beliefs how to "Have Your Say" against the tobacco industry. The regarding tobacco use. The increased awareness and education youth-focused website, www.voice.tv, has had over 500,000 hits. that have occurred in the past two years is a precursor to reducing Indiana’s tobacco use rate. I ITPC partnered with many events throughout the state including: the 1st Annual Tobacco-Free Day at the Indiana Significant Program Impact: State Fair, Indiana Black Expo Summer Celebration, Coca-Cola Circle City Classic, Fiesta Indianapolis, and La Gran Fiesta. I Youth smoking among high school students decreased 26% from 2000 (31.6%) to 2002 (23.4%); meeting the ITPC I Indiana news media have devoted more newsprint and 2005 objective. airtime to tobacco control stories, specifically about the local coalition activities and issues surrounding smokefree air I Cigarette consumption in Indiana decreased 17% in SFY policies. Compared to 1999-2000, coverage of tobacco issues 2003, while at the same time state revenues from tobacco taxes in Indiana newspapers has increased by over 900 articles in increased by 186%. 2002-2003. This media coverage is raising the awareness of tobacco use and related health issues throughout the State, Community Programs: shaping attitudes and beliefs. I All of Indiana’s 92 counties have received a grant to conduct tobacco prevention and cessation programs in their communi- Enforcement of Indiana’s Youth Access to Tobacco Laws: ties, including setting up resources to help smokers quit. Over I The ITPC partnership with the Alcohol and Tobacco 1,600 local organizations are involved statewide, including 31 Commission (ATC) has reduced the non-compliance rate of local minority organizations and 19 organizations working on tobacco retail sales to minors from 29% in October 2001 to state, regional and pilot programs. 14% in June 2003 — the lowest rate ever. I ITPC grantees have conducted over 4,700 activities at the local level, such as implementing prevention and education Evaluation: programs in schools, developing cessation networks, and I ITPC’s evaluation and research coordinating center conducted raising awareness of tobacco prevention efforts. the first adult tobacco survey and the second youth tobacco survey in Indiana, allowing Indiana to look more in depth as to I Local coalitions are working to pass comprehensive smoke free air policies.