1. CDC Recommendations for Comprehensive Programs

2. Comprehensive Programs CDC, Office on Smoking and Health

3. Comprehensive Programs CDC Best Practices CDC, Office on Smoking and Health

4. Comprehensive Programs 1.Prevent the initiation of tobacco use among young people. 2.Promote quitting among young people and adults. 3.Eliminate nonsmokers’ exposure to secondhand smoke. 4.Identify and eliminate the disparities related to tobacco use and its effects among different population groups. CDC Best Practices: Four Goals

5. Comprehensive Programs 1.State and community interventions 2.Interventions through health communications 3.Cessation programs 4.Surveillance and evaluation 5.Administration and management CDC, Office on Smoking and Health CDC Best Practices

6. Comprehensive Programs CDC Recommended Annual Investment13.9 million Deaths in Delaware Caused by Smoking Annual average smoking attributable deaths1,200 Youth ages 0-17 projected to die from smoking18,000 Annual Costs incurred in Delaware from Smoking Total medical$284 million Medicaid medical$79 million Lost productivity from premature death$304 million State revenue from Tobacco Excise Taxes and Settlement FY 2006 tobacco tax revenue$86.1 million FY 2006 tobacco settlement payment$23.1 million Total state revenue from tobacco excise taxes and Settlement$109.2 million Percent revenue to fund at CDC recommended level13% CDC Best Practices

7. Comprehensive Programs Year CDC: National Center for Chronic Disease Prevention & Health Promotion, BRFSS Massachusetts - Percentage Current Adult Smokers Percentages

8. Percentages CDC: National Center for Chronic Disease Prevention & Health Promotion, BRFSS. Missouri - Percentage Current Adult Smokers Comprehensive Programs Year

9. Funding of State Tobacco Control Programs (2008) A Decade of Broken Promises: The 1998 State Tobacco Settlement Ten Years Later