A comprehensive statewide tobacco control program is a coordinated effort to establish smoke-free policies and social norms, to promote and assist tobacco users to quit, and to prevent initiation of tobacco use. This comprehensive approach combines educational, clinical, regulatory, economic, and social strategies. Research has documented the effectiveness of laws and policies in a comprehensive tobacco control effort to protect the public from secondhand smoke exposure, promote cessation, and prevent initiation, including increasing the unit price of tobacco products and implementing smoking bans through policies, regulations, and laws; providing insurance coverage of tobacco use treatment; and limiting minors’ access to tobacco products. Additionally, research has shown greater effectiveness with multi-component intervention efforts that integrate the implementation of programmatic and policy interventions to influence social norms, systems, and networks.
| Recommended Program Intervention Budget for New Hampshire | October 2007 |
|---|---|
| CDC Recommended Annual Investment for NH | $19.2 million |
| Deaths in New Hampshire Caused by Smoking | |
| Annual average smoking-attributable deaths | 1,800 |
| Youth ages 0 - 17 projected to die from smoking | 31,000 |
| Annual Costs Incurred in New Hampshire from Smoking | |
| Total medical | $564 million |
| Medicaid medical | $115 million |
| Lost productivity from premature death | $405 million |
| State Revenue from Tobacco Excise Taxes and Settlement | |
| FY 2006 tobacco tax revenue | $143.4 million |
| FY 2006 tobacco settlement payment | $38.8 million |
| Total state revenue from tobacco excise taxes and settlement | $182.2 million |
| Percent tobacco revenue to fund at CDC recommended level 11% | |
Per Capita Recommendation |
|
| I. State and Community Interventions | $5.37 |
| Multiple societal resources working together have the greatest long-term population impact. | |
| II. Health Communication Interventions | $3.90 |
| Media interventions prevent tobacco use initiation, promote cessation, and shape social norms. | |
| III. Cessation Interventions | $3.41 |
| Tobacco use treatment is highly cost-effective. | |
| IV. Surveillance and Evaluation | $1.27 |
| Publicly financed programs should be accountable and demonstrate effectiveness. | |
| V. Administration and Management | $0.63 |
| Complex, integrated programs require experienced staff to provide fiscal management, accountability, and coordination. | |
Total |
$14.58 |
Note: A justification for each program element and the rationale for the budget estimates are provided in Section A of Best Practices for Comprehensive Tobacco Control Programs. The funding estimates presented are based on adjustments for changes in population and inflation since the 1999 publication. The recommended levels of investment (per capita and total) are presented in 2007 dollars using 2006 population estimates. These should be updated annually according to the U.S. Department of Labor Consumer Price Index and U.S. Census Bureau. The actual funding required for implementing programs will vary depending on state characteristics such as tobacco use prevalence, socio-demographic factors, and other factors. See Appendix E of Best Practices for Comprehensive Tobacco Control Programs for data sources on deaths, costs, revenue and state-specific factors.
Citation: Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs—2007. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; October 2007. Reprinted with corrections.
