1. Ansa Hussain; David Wiggins THE CASE FOR ACTION On TOBACCO USE for Directors of Public Health ENGLAND Version 5.0 8 th May 2014

2. Public health: tobacco use Action to cut smoking rates & reduce tobacco use should be the top of the agenda for councils & local elected members...... Smoking harms your community & costs you money ££££ Public Health Improvement has been your responsibility since 2013 This isn't an intractable problem! You can make a real & lasting difference!

3. Public health: tobacco use Smoking is the leading cause of preventable death. Obesity: 34,100 Smoking: 79,100 Alcohol: 6,669 Suicide: 5,377 Illegal drugs: 1,605 HIV: 504 Traffic: 1,850

4. Public health: tobacco use 4 The decline in smoking prevalence has stalled Note to customise this chart: 1.Save this presentation to your computer 2.Double click the chart to enter values for your region and your locality 3.Local data can be found at http://www.lho.org.uk/viewResource.aspx?id=16649 http://www.lho.org.uk/viewResource.aspx?id=16649 4.Delete these instructions 5.Save the revised presentation.

5. Public health: tobacco use 5 Smoking costs the local economy millions every year The annual cost of smoking in this local area (£millions) Note to customise this chart: 1.Save this presentation on your computer 2.Delete the sample chart 3.Open the Local Costs of Smoking spreadsheet to calculate the costs in your locality – instructions on how to use the spreadsheet are contained within it 4.Select a chart and paste it into this document 5.The spreadsheet also allows you to print off a handout to use with this presentation.

6. Public health: tobacco use 6 Health cost of smoking in your area Note to customise this chart: 1.Values for your locality are calculated in the 'Local Tobacco Profiles' 2.Copy from the ‘pdf’ as this provides the clearest image. 3.Due to the amount of detail on this slide, a printed “handout” will probably be necessary for your audience.

7. Public health: tobacco use 7 Smoking is the greatest cause of health inequalities beginning in childhood The poorest are twice as likely to smoke as the richest Children start smoking not adults: 90% of smokers start before age 19

8. Public health: tobacco use 8 Local Authorities play a key role in reducing the harm & cost of tobacco use in the community. LA responsibilities include enforcement on: Age-of-sale 'Smokefree' places Smuggled & counterfeit tobacco Advertising ban Local Authorities also have the responsibility to commission Stop Smoking Services.