1. Purposes of a Tobacco-Related Surveillance System
To provide timely information from populations on:
prevalence of use of various products (tobacco and pharmaceutical)
factors that influence their use
incidence, prevalence, and mortality from tobacco-attributable diseases
impact of tobacco control programs and policies on relevant outcomes

2. Uses of Tobacco Surveillance Data
Learn about nature of the problem
Justify policies, programs, and legislation
Monitor and evaluate these
Set realistic objectives
Identify high risk groups
Justify research initiatives
Conduct research

3. Tobacco Control Model of Nicotine Addiction
Tobacco Products
Agent
Environment
Familial, Social, Cultural, Political, Economic, Historical, Media
Host
Vector
Smoker/Chewer
Tobacco Product Manufacturers; Other Users
Incidental Host
Involuntary Smoker
Source: Orleans & Slade, 1993

4. Conceptual Model of Factors Influencing Trends in Adolescent Smoking – United States, 1975-2001
Data Source: Institute for Social Research, University of Michigan, Monitoring the Future Surveys

5. Adult Per Capita Cigarette Consumption and Major Smoking and Health Events – United States,
1st World Conference on Smoking and Health
Broadcast Ad Ban
1st Surgeon General’s Report
1st Great American Smoke-out
End of WW II
OTC Nicotine Medications
Master Settlement Agreement
Fairness Doctrine Messages on TV and Radio
1st Smoking-Cancer Concern
Non-Smokers Rights Movement Begins
Surgeon General’s Report on ETS
Federal Cigarette Tax Doubles
Great Depression
Source: United States Department of Agriculture

6. Paradigm for Tobacco Control
Cessation activities
Prevention activities
Clean indoor air
Regulation/Liability
Price/Economic
Minor’s access
Advertising
Individual

7. Key Areas for Surveillance
Evaluating Tobacco Control Programs in a Multi-variate World
Surveillance for Tobacco Harm Reduction
Understanding Natural Histories
Understanding Trends

8. National Longitudinal Study of Tobacco Use and Quitting
Background
Purpose
Activities to date
Existing systems
Realities

9. Tobacco Surveillance, Epidemiology, and Evaluation Network
Background
Mission Statement
Activities to date
Existing systems
Realities