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States Use Only Fraction of Tobacco Revenues to Fight Smoking, Study Finds
Date:5/25/2012

nd realized sooner than expected," he added. "By providing proper funding to these programs it would help prevent tobacco-related death and disease and greatly reduce the health care cost associated with them."

Unfortunately, many states face substantial cuts and near-elimination of tobacco control program funding, the study's authors warned.

The CDC guidelines initially recommended that states invest a combined $1.6 billion to $4.2 billion a year in tobacco prevention programs and in 2007 the agency updated that recommendation to $3.7 billion.

For the entire study period, the ratio of state tobacco revenues to state and federal tobacco control programs was about 30 to 1 (aproximately $244 billion in revenue compared to $8 billion in expenditures on tobacco control). In 2010, that gap had grown to approximately 37 to 1 ($240 billion vs. $640 million), the researchers said.

The study also found that by 2010, states were using only 2.4 percent of their tobacco revenues for tobacco control.

"The results of this analysis show an increasing gap between state investments in tobacco control and best practices recommendations," the researchers wrote. "Although all states derive revenues from cigarette excise taxes, few states have a statutory requirement requiring that a portion of these revenues be dedicated to tobacco control and prevention.

"Instead, most cigarette tax revenues are being used for general purposes. In addition, although state cigarette excise taxes have increased nationally, the Institute of Medicine has noted that recent tax increases largely have come in response to shortfalls in state budgets rather than as initiatives to increase spending on tobacco control."

The study appears in the May 25 issue of the CDC journal Morbidity and Mortality Weekly Report.

Responding to the report, Dr. Donna Shelley, an associate professor of medicine at NYU School of Medicine, said: "The tobacco control community ha
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