Best Practices for Comprehensive Tobacco Control Programs 2014 Suggested Citation Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs — 2014. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. Ordering Information To download or order copies of this report, go to www.cdc.gov/tobacco or to order single copies, call toll-free 1 (800) CDC-INFO 1 (800) 232-4636 Best Practices for Comprehensive Tobacco Control Programs 2014 The following individuals from the Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health (OSH), were primary contributors to the preparation of this publication: Brian King, PhD, MPH Terry Pechacek, PhD Peter Mariolis, PhD The following OSH staff also contributed to the preparation of this publication: Judy Ahearn, BS; Stephen Babb, MPH; Diane Beistle, BA; Rebecca Bunnell, PhD; Ralph Caraballo, PhD; Shanta Dube, PhD, MPH; Monica Eischen, BS; Jami Fraze, PhD; Erika Fulmer, MHA; Bridgette Garrett, PhD, MS; Karen Gutierrez, BA; Carissa Holmes, MPH; David Homa, PhD, MPH; Brandon Kenemer, MPH; Rene Lavinghouze, MA; Allison MacNeil, MPH; Ann Malarcher, PhD, MSPH; Kristy Marynak, MPP; Timothy A. McAfee, MD, MPH; Sarah O’Leary, MPH, MA; Gabbi Promoff, MA; Robert Rodes, MS, MBA, MEd; Patti Seikus, MPH; Shawna Shields, MPH; Kisha Smith, MPH; Karla S. Sneegas, MPH; Xin Xu, PhD; and Lei Zhang, PhD. OSH also gratefully acknowledges the contributions provided by the following individuals: David Abrams, PhD, Legacy; Rob Adsit, MEd, University of Wisconsin; Linda Bailey, MHS, JD, North American Quitline Consortium; Cathy Callaway, BS, American Cancer Society Cancer Action Network; Jennifer Cantrell, DrPH, MPA, Legacy; Thomas Carr, BA, American Lung Association; Julia Cartwright, BA, Legacy; Frank Chaloupka, PhD, University of Illinois–Chicago; K. Michael Cummings, PhD, MPH, Medical University of South Carolina; Marietta Dreher, BA, ClearWay Minnesota; Sherry Emery, PhD, MBA, University of Illinois–Chicago; Matthew Farrelly, PhD, RTI International; John Francis, MPH, MBA, CDC’s Division of Community Health; Karen Girard, MPA, Oregon Healthy Authority; Emma Goforth, MPH, Colorado Department of Public Health and Environment; Roy Hart, MPH, Mississippi State Department of Health; Sally Herndon, MPH, North Carolina Division of Public Health; Delmonte Jefferson, National African American Tobacco Prevention Network; Harlan Juster, PhD, New York State Department of Health; Pamela Ling, MD, MPH, University of California at San Francisco; Doug Luke, PhD, Washington University–St. Louis; Marc Manley, MD, MPH, University of Pittsburg Medical Center; Danny McGoldrick, PhD, Campaign for Tobacco-Free Kids; Jeannette Noltenius, PhD, MA, National Latino Tobacco Control Network; Sjonna Paulson, APR, Oklahoma Tobacco Settlement Endowment; Meg Riordan, PhD, Campaign for Tobacco-Free Kids; Todd Rogers, PhD, RTI International; April Roeseler, MSPH, BSN, California Department of Public Health; Mary Kate Salley, BA, Alere Wellbeing; Scout, PhD, National LGBT Tobacco Control Network; Chris Sherwin, BA, American Heart Association; Jennifer Singleterry, MA, American Lung Association; Madeline Solomon, MPH, Tobacco Technical Assistance Consortium; Jeff Soukup, BS, Nebraska Department of Health and Human Services; Colleen Stevens, MS, California Department of Public Health; Bob Vollinger, MSPH, National Cancer Institute; Donna Warner, MBA, MA, Multi-State Collaborative for Health Systems Change to Address Tobacco Use; Jeff Willett, PhD, Kansas Health Foundation; and David Willoughby, MA, ClearWay Minnesota. Table of Contents Executive Summary .........................................................................................................................................................................................................................................................................................................................................................................................................................6 Introduction .................................................................................................................................................................................................................................................................................................................................................................................................................................................................9 Section A: Components of a Comprehensive Tobacco Control Program .........................................................................................................................17 I. State and Community Interventions ..............................................................................................................................................................................................................................................................................................18 II. Mass-Reach Health Communication Interventions .....................................................................................................................................................................................................................................................................................................................................30 III. Cessation Interventions ........................................................................................................................................................................................................................................................................................................................................................40 IV. Surveillance and Evaluation ................................................................................................................................................................................................................................................................................................................................... 56 V. Infrastructure, Administration, and Management ........................................................................................................................................................................................................................64 Section B: Recommended Funding Levels for All 50 States and the District Of Columbia .......................71 Annual Total Funding Levels for State Programs .............................................................................................................................................................................................................................................72 Annual Per Capita Funding Levels for State Programs ................................................................................................................................................................................................................74 Section C: Recommended Funding Levels, by State .....................................................................................................................................................................................................................................77 Appendices ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................129 Appendix A: Funding Recommendation Formulations ................................................................................................................................................................................................130 Appendix B: Program and Policy Recommendations for Comprehensive Tobacco Control Programs .........................................................................................................................................................................................................................................................133 Appendix C: National Prevention Strategy Recommendations ........................................................................................................................................................136 Appendix D: Guidelines for Comprehensive Local Tobacco Control Programs ............................................................................138 Appendix E: Data Sources ...................................................................................................................................................................................................................................................................................................................................................139 5 Executive Summary Tobacco use is the single most preventable cause and death, and even brief exposure can be harmful of disease, disability, and death in the United States. to health. Each year, primarily because of exposure to Nearly one-half