1. The Story Behind the Data The Current Scene of Chewing Tobacco, Snuff, or Snus Among Wisconsin Adults Randall Glysch & Kyle Pfister Wisconsin Tobacco Prevention and Control Program

2. Think of a smokeless user. Is s/he also a cigarette smoker? Why does s/he choose smokeless? Activity

3. Adult Cigarette Use Declining Source: Wisconsin BRFSS, 2000-2008

4. Adult Smokeless Use Increasing Source: Current Population Survey (CPS)

5. Significant Youth Smokeless Use & Experimentation Source: Wisconsin Youth Tobacco Survey (YTS)

6. Sgnificant Youth Smokeless Use & Experimentation What are these signs telling us?

7. YearAmount per pack 1939From $0.0 to.03 July 1, 1955From $.03 to.04 September 1, 1987From $.25 to.30 May 1, 1992From $.30 to.38 January 1, 2008From $.77 to 1.77 September 1, 2009From $1.77 to 2.52 Cigarette Tax Increases in Wisconsin What other Context can help us predict the future arc of the smokeless trend?

8. The Policy Landscape Stronger Tobacco Control Policies

9. New Smokeless Products Marketing Jan 1, 2008 Cigarettes: $1.77 Chew: $1.31 per oz OTP: 50% of price Sep 1, 2009 Cigarettes: $2.52 Chew: 100% of price OTP: 71% of price Tobacco Price Increases July 5, 2010 Statewide Smoke Free Workplaces FDA Legislation Implementation

10. The Industry Landscape New Products & New Marketing

11. Product Marketing Corner Store - Madison WI

12. Walleye Weekend - Fond du Lac WI Product Sampling

13. Country USA - Oshkosh WI Product Sampling

14. Country Jam - Eau Claire WI Product Sampling

15. Longhorn Mobile Trailer - Green Bay, Madison Product Sampling

16. Bar Promotions – Milwaukee WI Product Sampling

17. Potential Anti-Sampling Policy Strategy: Build Community Support to Eliminate Tobacco Product Sampling Activities: Monitor local business and community events for evidence/examples of new products and/or industry tobacco product sampling to Conduct assessment of city council support for policies to eliminate tobacco product sampling Conduct media advocacy activities as appropriate to highlight the tobacco product sampling issue in your community Engage and involve youth in activities to eliminate tobacco product sampling Engage and involve 18-24 year olds in activities to eliminate tobacco product sampling

18. Conclusion Pay Attention to the Signs! Smokeless Rates are Increasing Tobacco control policies are producing quitters Industry products and tactics are shifting How are you altering your course?

19. Contact Information Randall L. Glysch, Research Scientist Randall.Glysch@dhs.wisconsin.gov Randall.Glysch@dhs.wisconsin.gov (608) 266-9708 Kyle Pfister, Policy Coordinator kyle.pfister@dhs.wisconsin.gov kyle.pfister@dhs.wisconsin.gov (608) 266-2720