Initiated Act Allocation of MSA Funds
3
Tobacco Preven-tion and Cessa-
tion32%
COPH5%
Arkansas Bio-scienes Institute
23%DAHEC
4%
Center on Aging 3%
Minority Initiative4%
Medicaid Ex-pansion
30%
7
Arkansas Biosciences Institute
Has provided information through the combined strength of major research institutions.
College of Public Health
8
Delta Area Health Education Center
Increased access to:• Health Care• Health Education • Clinical Services
Medicaid Expansion
10
State and Community Interventions
Health Communications Interventions
Cessation Interventions
Administration and Management
Surveillance and Evaluation
16
Percentage of adult males who were currentusers of smokeless tobacco, by race/ethnicity
AR ATS 2002, 2004, 2006, & 2008
17
Current Smokeless Tobacco Use among High School Boys*By Race/Ethnicity
Arkansas 2000, 2005, & 2007
18
Percentage of adults who reported exposure to secondhand smoke in the home,
AR ATS 2002, 2004, 2006, & 2008
19
Percentage of adults who reported exposure to secondhand smoke in the vehicle,
AR ATS 2002, 2004, 2006, & 2008
20
Clean Indoor Air Act - 2006
Act 13 - 2006
Tobacco Excise Tax – 2003 and 2009
Arkansas Clean Air on Campus Act - 2009RIP Cigarettes - 2009
22
Arkansas Trends in Hospital Admissions for Selected Diseases for Patients 35 Years and Older,
2001-2008
• Heart Disease 19.7% Decrease
• Stroke 32.3% Decrease
• Emphysema and 12.3% Decrease Chronic Bronchitis
• All Other Admissions 2.2% Decrease (2001-2007 only)
Excluding: Heart Disease, Stroke, Emphysema and Chronic Bronchitis
23
Major Questions
What Does the Reduction in Hospital Admission
Rates Mean in Terms of:
• Hospital-related Cost Savings?
• Value of Deaths Averted?
24
Hospital-Related Cost Savings
Heart Disease Stroke
Emphysema, Chronic
Bronchitis
Smoking Attributable Hospital Admissions Averted
Hospital Costs and Hospital-related Professional Costs
Totals All costs are adjusted for inflation to 2008 constant dollars
4,249 2,395 2,930
$119.4 M $33.8 M $28.3 M
9,574
$181.5 M
Value of Deaths Averted
Heart Disease Stroke
Emphysema, Chronic
Bronchitis
Smoking Attributable Deaths Averted
Value of Smoking Attributable Deaths Averted*
95 143
Totals
51
$103.9 M $159.8 M $52.2 M
289
$315.9 M
*Dollar values were calculated using standard Health Economic methods of the value of a year-of-life saved.
All costs are adjusted for inflation to 2008 constant dollars25
28
Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June
Arkansas Tobacco Quitline Fiscal Year 2009 Call Volume by Month
1215 1090 910 1306 3655 6731 3159 1771 1509
500
1500
2500
3500
4500
5500
6500
7500
Nu
mb
er
of
Tob
acco U
sers
Arkansas Tobacco Quitline Fiscal Year 2009 Arkansas Tobacco-Users by Month