1. Tobacco 101:The Facts

2. National

3. 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.

4. National 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.

5. National 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.

6. National 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

7. National That’s more than 800,000 kids a year. Roughly one-third of them will eventually die from a tobacco-related disease.

8. National 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

9. National 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.

10. National 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.

11. 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

12. 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.

13. 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.

14. 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.

15. 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

16. 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

17. 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

18. 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

19. National 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

20. National 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

21. National 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