companies to disclose the contents of tobacco products; grant the FDA
authority to regulate the contents of tobacco products; and stop tobacco
companies from making misleading or unproven health claims.
-- Congress should also significantly increase the federal tobacco tax and
utilize some of the revenue to fund a national public education and
smoking cessation campaign. The report's finding that fewer adults
are trying to quit smoking makes critical that we undertake efforts to
encourage them to do so and help them succeed.
-- The states must redouble efforts to increase tobacco taxes, enact
comprehensive smoke-free workplace laws and fund tobacco prevention and
cessation programs at CDC-recommended levels. Most states have failed to
fund these programs at recommended levels and spend only about three
percent of the billions of dollars they collect each year from the
tobacco settlement and tobacco taxes on tobacco prevention and
cessation. The states are spending $718.1 million this year on tobacco
prevention programs, which is 269 times less than the health care and
productivity costs of smoking.
Reductions in adult smoking have been largely the result of efforts at the state and local level, including higher tobacco taxes, a growing number of smoke-free laws and well-funded tobacco prevention and cessation programs in some states. The few states and localities that have implemented a comprehensive strategy that includes all three measures have been especially successful. For example, Washington state and New York City have reduced adult smoking rates to 16.5 percent and 16.9 percent respectively, well below the national rate.
While continued state and local efforts are critical, the IOM report
concluded that the states alone cannot solve the tobacco problem. The
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