American Lung Association Fuming

By: Associated Press
By: Associated Press

The American Lung Association is fuming over what many states are spending tobacco settlement money on.

A report finds that most states spend only a fraction of what federal health officials have recommended on anti-tobacco programs at schools and counseling to help people quit smoking.

The association gives 32 states and the District of Columbia a failing grade for spending on anti-tobacco programs. Only six states earned an "A."

Forty-three states and the District of Columbia received an “F” in smokefree air laws; 17 received “Fs” in tobacco taxes, and 28 received an “F” in laws limiting youth access to tobacco.

Those grades help illustrate why smoking costs the United States approximately $150 billion each year in health-care costs and lost productivity.

Only four states—California, Maine, New York and Rhode Island—scored the highest achievement of two grades of "A."

Extended Web Coverage

State of Tobacco Control: 2002

Smokefree Air

  • The American Lung Association advocates for the enactment and enforcement of measures to eliminate the exposure of children and adults to secondhand smoke, with emphasis on work sites.

  • Areas of special concern include schools, day care centers, health care facilities, and publicly owned buildings and facilities.

  • The ALS wants to establish a minimum standard that local governments can build upon to provide additional protection.

Youth Access
The American Lung Associated recommends you access laws that:

  • Monitor tobacco retail outlets, with a graduated series of penalties to the retailer for sales of tobacco to minors, culminating in license suspension or revocation for repeated violations;

  • Authorize state or local governments to carry out random, unannounced inspections of retail outlets, including authorization for minors’ participation in carrying out such inspections;

  • Eliminate tobacco vending machines;

  • Eliminate sales of single cigarettes or “loosies”;

  • Require that all tobacco products be displayed only behind the sales counter; and

  • Prohibit distribution of free tobacco product samples.

Tobacco Prevention and Control Spending

  • The American Lung Association recommends allocating a significant portion of state settlement funds to effective tobacco prevention and education programs, and adopting the Centers for Disease Control and Prevention (CDC) guidelines as the basis for building a comprehensive tobacco prevention and education program.

  • The CDC’s Best Practices for Comprehensive Tobacco Control Programs guidelines recommend including the following nine programs in any comprehensive program:
    • Community programs to reduce tobacco use chronic disease programs to reduce the burden of tobacco-related diseases
    • School programs
    • Enforcement
    • Statewide programs include counter-marketing
    • Cessation programs
    • Surveillance
    • Evaluation
    • Administration
    • Management

Cigarette Tax
The American Lung Association encourages the following
action:

  • Enactment of significant increases in the excise tax on all tobacco products;
  • Indexing tobacco taxes to ensure that tobacco taxes will, at a minimum, keep up with inflation; and
  • Designating a portion of the tobacco tax revenue to cover tobacco education, prevention and cessation programs.

Grades by State:

    Alabama
  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    Alaska

  • Smokefree Air – F
  • Youth Access – B
  • Tobacco Prevention and Control Spending – C
  • Cigarette Taxes – B

    Arizona

  • Smokefree Air – F
  • Youth Access – C
  • Tobacco Prevention and Control Spending – D
  • Cigarette Taxes – B

    Arkansas

  • Smokefree Air – F
  • Youth Access – D
  • Tobacco Prevention and Control Spending – A
  • Cigarette Taxes – D

    California

  • Smokefree Air – A
  • Youth Access – A
  • Tobacco Prevention and Control Spending – D
  • Cigarette Taxes – C

    Colorado

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – D
  • Cigarette Taxes – F

    Connecticut

  • Smokefree Air – F
  • Youth Access – A
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – B

    Delaware

  • Smokefree Air – A
  • Youth Access – F
  • Tobacco Prevention and Control Spending – D
  • Cigarette Taxes – F

    Florida

  • Smokefree Air – I
  • Youth Access – D
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – D

    Georgia

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    Hawaii

  • Smokefree Air – F
  • Youth Access – D
  • Tobacco Prevention and Control Spending – D
  • Cigarette Taxes – B

    Idaho

  • Smokefree Air – F
  • Youth Access – B
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    Illinois

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – B

    Indiana

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – A
  • Cigarette Taxes – D

    Iowa

  • Smokefree Air – F
  • Youth Access – C
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – D

    Kansas

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – C

    Kentucky

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    Louisiana

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – D

    Maine

  • Smokefree Air – C
  • Youth Access – A
  • Tobacco Prevention and Control Spending – A
  • Cigarette Taxes – B

    Maryland

  • Smokefree Air – B
  • Youth Access – F
  • Tobacco Prevention and Control Spending – A
  • Cigarette Taxes – B

    Massachusetts

  • Smokefree Air – F
  • Youth Access – C
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – A

    Michigan

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – A

    Minnesota

  • Smokefree Air – F
  • Youth Access – C
  • Tobacco Prevention and Control Spending – A
  • Cigarette Taxes – D

    Mississippi

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – A
  • Cigarette Taxes – F

    Missouri

  • Smokefree Air – F
  • Youth Access – C
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    Montana

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    Nebraska

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – C

    Nevada

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – D

    New Hampshire

  • Smokefree Air – F
  • Youth Access – C
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – D

    New Jersey

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – D
  • Cigarette Taxes – A

    New Mexico

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    New York

  • Smokefree Air – F
  • Youth Access – A
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – A

    North Carolina

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    North Dakota

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – D

    Ohio

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – D

    Oklahoma

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    Oregon

  • Smokefree Air – D
  • Youth Access – D
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – A

    Pennsylvania

  • Smokefree Air – F
  • Youth Access – D
  • Tobacco Prevention and Control Spending – B
  • Cigarette Taxes – B

    Rhode Island

  • Smokefree Air – F
  • Youth Access – A
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – A

    South Carolina

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    South Dakota

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – D

    Tennessee

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    Texas

  • Smokefree Air – F
  • Youth Access – A
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – D

    Utah

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – C

    Vermont

  • Smokefree Air – B
  • Youth Access – A
  • Tobacco Prevention and Control Spending – B
  • Cigarette Taxes – B

    Virginia

  • Smokefree Air – F
  • Youth Access – D
  • Tobacco Prevention and Control Spending – D
  • Cigarette Taxes – F

    Washington

  • Smokefree Air – F
  • Youth Access – C
  • Tobacco Prevention and Control Spending – B
  • Cigarette Taxes – A

    West Virginia

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – F

    Wisconsin

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – F
  • Cigarette Taxes – C

    Wyoming

  • Smokefree Air – F
  • Youth Access – F
  • Tobacco Prevention and Control Spending – D
  • Cigarette Taxes – F

Source: http://www.lungusa.org/ (The American Lung Association Web site) contributed to this report


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