Tobacco Settlement Agreement Fund Oversight Committee Tobacco Prevention

Tobacco Settlement Agreement Fund Oversight Committee Tobacco Prevention and Cessation Program September 10, 2020

Master Settlement Fund Expenditures, FY 20 $4, 472, 738 KY Center for Smoke -free Policy 11% KY Cancer Program 0% Pathways 1% National Jewish Health [PERCENTAGE] Local Health Departments 53% Media 27% 2

Elizabeth Anderson. Hoagland Health Promotions Section Supervisor Brian Boisseau Physical Activity and Nutrition Coordinator Kerri Verden Tobacco Program Manager Vacant Lisa Arvin Nutrition Coordinator Epidemiologist I Troy Hearn Physical Activity Coordinator VACANT Youth Prevention Health Policy Specialist II Cindy Sullivan Early Care and Education Coordinator Mel Grissom Secondhand Smoke Health Policy Specialist II Ellen Cartmell Communications Coordinator (Shared w/ Tobacco) Heather Shaw Cessation Administrator Policy Specialist II 3

The Toll of Tobacco in Kentucky • Every year nearly 8, 900 Kentuckians die from smoking • Smoking is estimated to cost Kentucky $1. 92 billion in direct health care costs, including $589. 8 million in Medicaid costs annually • For every $1 invested in comprehensive tobacco control programs Kentucky will save $2 -$10 • The CDC lists smoking among the conditions that can make someone immunocompromised and, therefore, more at risk for contracting COVID-19 and other infectious diseases 4

Prevalence of Cigarette Smoking Among Kentucky Adults, 2011 -2018 35 28, 3 30 Percent (%) 25 26, 2 26 29 24, 5 24, 6 [VALUE] 23, 4 20 15 10 5 0 2011 2012 2013 2014 2015 2016 2017 2018 2019 Data source: Ky. BRFSS 2017 5

Prevalence of Cigarette Smoking Among Kentucky High School Students, 2007 -2019 30 26 26, 1 25 24, 1 Percent (%) 20 17, 9 16, 9 14, 3 15 10 8, 9 5 0 2007 2009 2011 2013 2015 2017 2019 Data source: KY – YRBSS 2017 6

Results from the 2018 Kentucky Incentives for Prevention (KIP) Survey 7

E-cigarette or Vaping Product use. Associated Lung Injury (EVALI) 8

Kentucky EVALI Cases (March 31, 2020) Cases reported for investigation: 57 Confirmed cases: 10 Probable cases: 12 Ruled out cases: 14 Deaths: 1 Ruled out cases were reported, but during investigation were determined not to include a documented history of vaping or otherwise do not meet case definition 9

What Is KTPC Doing to Combat This Youth Vaping? • New youth cessation tools • Working within schools v School Toolkits v #i. CANendthetrend • Girls’ World Expo • Media Campaigns v. Down & Dirty v. Behind the Haze 10

Youth Cessation Tools 11

In the Schools 12

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Down & Dirty 14

Down & Dirty Events 15

Behind the Haze 16

Local Grants Allow Communities to Expand Their Efforts 17

Local Grants Allow Communities to Expand Their Efforts 18

Local Grants Allow Communities to Expand Their Efforts 19

State Fair Lung Challenge Exhibit 20

Around the Community 21

Thank you! Kerri Verden Program Manager Kentucky Tobacco Prevention and Cessation Program Health Promotions Section Chronic Disease Branch Division of Prevention and Quality Improvement Department for Public Health 22