1. How to Implement Tobacco-Free Educational Programs Brittney Hodges, CHES Phrakhoun Saynyarack Karmayle Johnson Ivan Merendon Heather Miller Tekayla Webb

2. Overview Introductions and welcome Tar Wars pre-test Statistics: Tobacco use in Oklahoma Industry marketing to youth Tar Wars program examples Importance of tobacco-free policies, resolutions, and ordinances Wrap up and questions

3. Tobacco Use in Oklahoma 23% of OK youth smoke 1 13% of OK youth use chewing tobacco, snuff, or dip 1 1 in 4 OK adults smoke (26.1%) 2 6% of OK adults use chewing tobacco, snuff, or dip 3 Declines are due to public health campaigns and policies 90% of smokers begin before age 18 Sources: 1 OK Youth Risk Behavior Survey 2011. http://www.ok.gov/health2/documents/TobaccoUse3_YRBS2011.pdfhttp://www.ok.gov/health2/documents/TobaccoUse3_YRBS2011.pdf 2 Behavioral Risk Factor Surveillance System 2011. http://apps.nccd.cdc.gov/brfss/display.asp?cat=TU&yr=2011&qkey=8161&state=OKhttp://apps.nccd.cdc.gov/brfss/display.asp?cat=TU&yr=2011&qkey=8161&state=OK 3 Center for Disease Control and Prevention. http://www.cdc.gov/tobacco/data.../state_data/state.../states/oklahoma.pdf

4. They Put What in a Cigarette? Nicotine Formaldehyde Carbon Monoxide Tar Arsenic Chromium Lead

5. Nicotine Dopamine

7. Types of Tobacco Image: http://thumbs.dreamstime.com/thumblarge_484/12679013867u4J72.jpg

8. Cigarettes A cigarette which can be adjusted from a non-menthol to a menthol flavored cigarette by squeezing and crushing a capsule in the cigarette's filter. Image from www.trinketsandtrash.org

9. a-linalool p-menth-1-en-8-ol Dodecane Decanal a-citronellol Citral 1-Decanol p-Mentha-1(7),8(10)-dien-0-ol Tridecane Undecanal a-Cubebene Limonenediol Diacetin Copaene β-elemen Tetradecanal Dodecanoic acid, 1-methylethyl ester Heptadecane Nonadecane Heptadecane, 2,3-dimethyl Tetradecane Caryophyllene Dodecanal β-Cubebene ç-Elemene a-Caryophyllene Y-Muurolene Valencene a-Candinene Pentadecane β-Candinene Hedycaryol Caryophyllene oxide Hexadecane 1,4-Methanobenzocyclodecene,1,2,3,4,4a,5,8,9,12,12a- decahydrooctadecane 3,7,11,15-Tetramethyl-2-hexadecene-1-ol Eicosane Hydrocarbons and other compounds released by Camel Twist flavor pellets

10. Money Matters: Tobacco Advertising The tobacco industry spends $200 million per year in advertising in Oklahoma $12.8 Billion per year in the USA –$35 million dollars per day nationwide Images from www.trinketsandtrash.org

11. http://legacy.library.ucsf.edu/tid/fts84a00 Philip Morris (1981)

12. “Dressed to the 9s” Image: www.trinketsandtrash.org

13. Tar Wars Activities Pre-test results Cost, short-term effects, long-term effects Straw activity Analyze tobacco advertisements in groups Groups present findings

14. Pre-Activity Exercise Use the pre-activity worksheet to ask students to estimate the percentage of the population that uses tobacco products.

16. Pre-Activity Exercise

21.  Bad breath or “zoo” breath  Yellow teeth and fingers  Spit stains on clothes and shoes  Coughing/hacking/hurling phlegm  Less money to spend on other things Activity 1 Short-Term Effects of Tobacco Use

22. Cardiovascular disease Cancer Emphysema Asthma Osteoporosis Chronic bronchitis Death Image: http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm259624.htm

23.  Hold your nose and stand and run in place while breathing through the straw.  Are you getting enough air into your lungs?  Smoking makes breathing difficult, especially during exercise.

24. Use $5.00 as the average price of one pack of cigarettes. How much does it cost to use tobacco for:  One week?  One month?  One year? Activity 3 Costs of Tobacco Use

25.  One week = $35.00  One month = $140.00  One year = $1,680.00  50 years = $84,000 What else could you buy with this money? Activity 3 Costs of Tobacco Use

26.  Image  Lose weight/Be thin  Peer Pressure  Nicotine Addiction/Relaxation  Looking older/being grown-up or like parents  Advertising Activity 4 Reasons People Use Tobacco Image: http://www.fda.gov/ucm/groups/fdagov-public/documents/image/ucm307448.jpg

27. What are Tobacco Ads Selling? Magazine Ad Exercise Images found at www.trinketsandtrash.org

28. What are tobacco ads selling?  Cool Image  Good Looks/Glamour  Hanging Out/Dating  Friends/Popularity  Tastes Good Activity 5 Tobacco and Advertising

29. Critical questions to ask:  What themes do ads use to make you believe using tobacco is not harmful?  Do tobacco ads tell the truth?  What do the ads tell you about the people who use this brand of tobacco?  What groups of people do the ads target? Activity 5 Tobacco and Advertising

30. What tobacco ads DON’T show:  Ash trays  Lit cigarettes  Cigarette butts  Discolored teeth  Poor health

32.  Review topics covered during classroom presentation (ie, short-term effects)  Ask students to state a few things they learned about each topic  Emphasize the deceptive marketing techniques used in tobacco advertising  Encourage students to create posters and help them brainstorm ideas

33. Contact Information AAFP Tar Wars Staff 800-TAR-WARS (800-827-9277) http://www.tarwars.org/online/tarwars/home/about/contact/tarwarsstaff.html State Coordinators http://www.tarwars.org/online/tarwars/home/about/contact/state.html

34. Importance of tobacco-free resolutions and policies 24/7 School Policies –Protect youth from secondhand smoke –Allow adults to be positive role models Outdoor recreational facility tobacco-free policies or resolutions –Reduce secondhand smoke and litter –Reduce youth observation of tobacco use

35. Resources

36. Questions?