Division of Tobacco Prevention and Control Overview and

Division of Tobacco Prevention and Control Overview and Updates Barbara Caboot, Director Division of Tobacco Prevention and Control April 23, 2020

Division of Tobacco Prevention and Control

Current Pennsylvania Tobacco Data § Current adult smoking rate: 17% (national rate 16%) (Source: 2018 BRFSS) § Current rate of students who are current smokers: 6. 6% (Source: 2019 YRBS) § Current rate of students who currently use electronic vape product: 24. 4% (Source: 2019 YRBS) § Current quit rate: 31. 1% overall conventional tobacco; 32. 4% with NRT § Current Synar rate: 9% (Source: 2018 Synar Survey)

Tobacco Statewide Programs Pennsylvania Free Quitline § National Jewish Health Evaluation of the Comprehensive Program § Public Health Management Corporation (PHMC) Coalitions and Advocacy § Pennsylvania Alliance to Control Tobacco (PACT)

Tobacco Regional Primary Contractors (RPCs) Receive 70% of MSA funds to implement the goals of the statewide program at the regional level: § § Prevent the initiation of tobacco use among young people Eliminate nonsmokers’ exposure to secondhand smoke Promote quitting among adults and young people Identify and eliminate tobacco-related health disparities Statewide goals align with the CDC’s four goals for a comprehensive tobacco prevention and control program.

Tobacco Regional Primary Contractors Northwest North Central Northeast Erie Warren Mc. Kean Crawford Wayne Forest Wyoming Elk Sullivan Cameron Venango Mercer Lackawanna Pike Lycoming Clarion Lawrence Clinton Jefferson Montour Columbia Clearfield Butler Beaver Luzerne Monroe Union Centre Armstrong Carbon Snyder Northumberland Indiana Blair Westmoreland Perry Dauphin Lebanon Huntingdon Washington Northampton Schuylkill Mifflin Juniata Cambria Allegheny Greene Susquehanna Bradford Tioga Potter Lehigh Berks Bucks Montgomery Cumberland Fayette Somerset Southwest Erie County Health Dept. Lancaster Bedford Fulton Franklin Adams York South Central Tobacco Free Allegheny Adagio Health, Inc. American Lung Assoc. of the Mid Atlantic American Lung Assoc of the Mid Atlantic Philadelphia Chester Delaware Southeast American Lung Assoc. of the Mid Atlantic

Pennsylvania Response to Vaping Epidemic Vaping Response Team created by the Department’s Bureaus of Public Health Preparedness and Epidemiology § Prevention/Outreach Branch led by the Division of Tobacco Prevention and Control § Division shares information and resources with the Team, which is then distributed to County/Municipal Health Departments Information Distributed to Schools § Email consisting of state and national resources sent to all schools in Pennsylvania; followed-up by sending hard copy posters and flyers E-cigarette/Youth Media Campaign § Focuses on the current e-cigarette epidemic and promote the Quitline’s new youth cessation protocol, My Life, My Quit § Digital and use outlets with high metrics for parents and teens such as Facebook and Snapchat

Cessation Resources PA Free Quitline § 1 -800 -QUIT-NOW pa. Quitlogix. org The quitline provides guidance and support throughout the entire tobacco quit process to help tobacco users: Prepare a quit plan Set a quit date Understand tobacco triggers Manage cravings Get back on track after relapses § Services offered by the quitline include: § § Planning and educational materials Coaching by phone and additional support by email, text, or chat with experienced coaches Nicotine quit medications (such as nicotine gum, lozenge, or patch) Membership in an online community of others who are working to become tobacco free

Cessation Resources Special Quitline Programs Pregnant and Postpartum Program § § § Get up to nine free, personalized coaching sessions Receive $ incentives for each call completed Get free nicotine replacement therapy – if medically eligible Youth Tobacco and Vaping Cessation Program 1 -855 -891 -9989 mylifemyquit. com § § Five coaching sessions by phone, live texting or chat Coaches who help teens navigate social situations while finding healthy ways to cope with stress Text or call a dedicated toll-free number for real-time coaching Promotional and educational materials designed for youth with messages from youth about quitting tobacco and vaping

Cessation Resources Referring to the PA Free Quitline Quit. Logix - Web Referrals The site provides educational materials, web support, tips on how to talk. C to and refer patients, and how to effectively apply an evidence-based brief tobacco intervention. e-Referral § e. Referrals allow healthcare providers to send secure, two-way communication between a provider and the Quitline through the patient's electronic health record (EHR) § This system improves accuracy of patient referrals to the Quitline and increases the likelihood of a successful referral, while integrating tobacco cessation into routine clinical care. Fax to Quit An alternative referral method for those with limited internet capabilities.

Other Programs Enforcement § FDA Tobacco Retail Compliance Program Coalitions and Advocacy § Tobacco Resistance Unit (TRU) Policy § Young Lungs at Play at Pennsylvania State Parks Priority Populations § LGBTQ Needs Assessment and Annual State Conference

Tobacco 21 § Pennsylvania became the 19 th state to increase the sales age for all tobacco products, including e-cigarettes, from 18 to 21. § Federal T 21 legislation was passed on December 20, 2019 which supersedes state law. § The new legal age to sell tobacco to minors in Pennsylvania is 21 immediately, not July 1, 2020 when the state law was proposed to become effective. § There will be no military exemption in Pennsylvania.

Tobacco 21 The Division of Tobacco Prevention and Control is working with the Office of the Attorney General and Department of Revenue to discuss and plan for implementation of the new law in Pennsylvania: § All agencies are providing the same guidance to retailers and the public: The legal age for to purchase tobacco products 21, effective December 20 th, and all retailers should adhere to this law immediately per the FDA. § Although we are waiting on guidance from FDA regarding enforcement of the new law, the three agencies developed an informational packet that will be distributed to all retailers to educate about the new law. Once final and approved, the materials will be shared via each agency’s distribution lists and made available on the DOH website for retailers to download.

Questions Thank you! Questions? Barbara Caboot bcaboot@pa. gov (717) 783 -6600