National Report: California Ranks 2nd in Protecting Kids from Tobacco

WASHINGTON - California ranks 2nd nationwide in funding programs that prevent kids from using tobacco and help smokers quit, according to a report released today by leading public health groups. California is spending $250.4 million this year on tobacco prevention and cessation programs, which is 72 percent of the $347.9 million recommended by the Centers for Disease Control and Prevention (CDC).

The report challenges states to do more to fight tobacco use – the nation's No. 1 preventable cause of death – and to confront the growing epidemic of youth e-cigarette use in America. In California, 5.4 percent of high school students smoke cigarettes, while 17.3 percent use e-cigarettes. Tobacco use claims 40,000 California lives and costs the state over $13.2 billion in health care bills annually.

Other key findings include:

California will collect $2.8 billion in revenue this year from the 1998 tobacco settlement and tobacco taxes and will spend 8.9 percent of the money on tobacco prevention programs.
Tobacco companies spend $618 million each year to market their deadly and addictive products in California – more than double what the state spends on tobacco prevention. Nationwide, tobacco companies spend $9.5 billion a year on marketing – that's over $1 million every hour.

The report – "Broken Promises to Our Children: A State-by-State Look at the 1998 Tobacco Settlement 20 Years Later" – was released by the Campaign for Tobacco-Free Kids, American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, the Robert Wood Johnson Foundation, Americans for Nonsmokers' Rights and Truth Initiative. This year marks the 20^th anniversary of the landmark 1998 legal settlement between the states and the tobacco companies, which required the companies to pay more than $200 billion over time as compensation for tobacco-related health care costs.

Long a national leader in the fight against tobacco, California once again ranks as a top funder of tobacco prevention, thanks to the $2-per-pack tobacco tax passed overwhelmingly by voters in 2016 that also mandated increased funding for the state's tobacco prevention and cessation programs.

California cities have also been leading the way in prohibiting the sale of flavored tobacco products that have contributed greatly to youth tobacco use. In June 2018, San Francisco became the first city in the nation to ban all flavored tobacco products – including flavored e-cigarettes, flavored cigars and menthol cigarettes. Other cities and counties have since passed similar laws.

"We applaud California and its cities for their strong leadership in working to reduce tobacco use," said Matthew L. Myers, President of the Campaign for Tobacco-Free Kids. "We've made great strides in reducing smoking rates, but we cannot let our guard down as tobacco is still the No. 1 cause of preventable death and e-cigarettes threaten to addict another generation. To win this fight, California needs to keep doing its part to make the next generation tobacco-free."

Nationwide, the U.S. has reduced smoking to record lows – 14 percent among adults and 7.6 percent among high school students. But tobacco use still kills more than 480,000 Americans and costs the nation about $170 billion in health care expenses each year. Today's report highlights the need to address large disparities in who still smokes, with smoking rates highest among people with lower income and less education, residents of the Midwest and South, American Indians/Alaska Natives, LGBT Americans, those who are uninsured or on Medicaid, and those with mental illness.

The report also highlights the youth e-cigarette epidemic. Driven by the popularity of Juul, a sleek, easy-to-hide e-cigarette that is sold in sweet flavors and delivers a powerful dose of nicotine, e-cigarette use among U.S. high school students skyrocketed by 78 percent this year to 20.8 percent. In 2018, more than 3.6 million middle and high school students were current e-cigarette users – an alarming increase of 1.5 million in just one year.

By funding tobacco prevention and cessation programs at the CDC's recommended levels, states can reduce tobacco use among all Americans. But most states are falling far short:

The states will collect $27.3 billion this year from the tobacco settlement and tobacco taxes but will spend only 2.4 percent of it ($655 million) on tobacco prevention programs.
The $655 million that the states have budgeted for tobacco prevention is a small fraction of the $3.3 billion the CDC recommends. Not a single state funds tobacco prevention programs at CDC-recommended levels, and only two states – Alaska and California – provide even 70 percent of the recommended funding.
States with well-funded, sustained tobacco prevention programs have seen remarkable progress. Florida, with one of the longest-running programs, has reduced its high school smoking rate to 3.6 percent, one of the lowest rates ever reported by any state.