1. Tobacco is now the world’s leading killer. We have the proven means to reduce tobacco use, but policy-makers are not yet applying these interventions. Michael R. Bloomberg, Mayor of New York City

2. Effective Policy Interventions  Increase excise taxes.  Enact smoke-free laws.  Offer quit services.

3. I NCREASE E XCISE T AXES

4. Trends in sale of cigarettes and price of cigarettes (U.S. 1970-2005) Source: Robert Wood Johnson ImpactTeen Tobacco Chart Book

5. Trends in Smoking by Young People and Price of Cigarettes (U.S. 1991-2007) Source: Robert Wood Johnson ImpactTeen Tobacco Chart Book

6. Effect of Federal Tobacco Tax Increase Source: Free and Clear, Inc. Tax increased from 62 cents to $1.01 per pack on April 1, 2009 National Jewish Health quit lineCalls tripled Arkansas (number of calls per week) Jan 2009: 550 Mar 2009: >2000 calls Free and Clear (operator of quit lines in 17 states) 3250 calls on April 1, 2009 (date of tax increase) 369% increase in calls on Apr 1, 2009 over April 1, 2008

7. Source: Robert Wood Johnson ImpactTeen Tobacco Chart Book

8. E NACT S MOKE -F REE L AWS

9. Effects of Smoke-free Laws Smoke-free laws do NOT hurt business. They —  Protect everyone from secondhand smoke.  Prompt many smokers to quit.  Increase the number of successful quit attempts.  Reduce the number of cigarettes smoked.  Discourage kids from starting to smoke.

10. O FFER Q UIT S ERVICES

11. Comprehensive Programs Help Adult Smokers Quit Massachusetts: Cut adult smoking by 21% from 1993 to 2000 California: Cut adult smoking by 35% from 1988 to 2007 Maine: Cut adult smoking by 12.5% from 2001 to 2004 Washington: Cut adult smoking by 30% from 1999 to 2008 New York: Cut adult smoking by 22.6% from 2000 to 2008 Source: Campaign for Tobacco-Free Kids

12. Comprehensive Programs Reduce Youth Smoking Ohio: Cut high school smoking by 45% from 1999 to 2003 Washington: Cut youth smoking by 50% from 2000 to 2006 Maine: Cut high school smoking by 64% from 1997 to 2007 Mississippi: Cut smoking among public middle school students by 48% in 5 years Indiana: Cut high school smoking by 42% from 2000 to 2008 Source: Campaign for Tobacco-Free Kids

13. We Know What Works  New York’s combined comprehensive approach  Excise tax increases: State: 55¢ in March 2000 and 39¢ in April 2002 State: 55¢ in March 2000 and 39¢ in April 2002 City: $1.42 in July 2002 City: $1.42 in July 2002  Smoke-free workplace laws enacted: City on March 20, 2003 City on March 20, 2003 State on July 24, 2003 State on July 24, 2003 With the help of quit services, smoking in NYC declined substantially.

14. City and State Combined Comprehensive Approach Adult smokers in NYC declined by 15% in just 2 years. That’s 188,000 fewer smokers.

15. Increase to $1.11 per pack on 3/1/00 State smoke-free law went into effect on 7/24/03 City cigarette tax increase to $1.50 per pack on 7/2/02 State cigarette tax increase to $1.50 per pack on 4/3/02 City smoke-free law went into effect on 3/30/03 NY Youth Smoking Rates City and State Combined Comprehensive Approach

16. We must become the change we want to see. Mahatma Gandhi