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American Lung Association 'State of Tobacco Control' Report Finds Pennsylvania Must Do More to Prevent, Reduce Tobacco Use and Ultimately End the E-cigarette Epidemic

The commonwealth earns F grade in Tobacco Prevention and Control Program Funding; Lung Association also calls officials to increase the age of sale for all tobacco products—including e-cigarettes—to age 21 to save lives

(January 30, 2019) - HARRISBURG, PA

Tobacco use remains the nation's leading cause of preventable death and disease, taking an estimated 480,000 lives every year. This year's "State of Tobacco Control" report from the American Lung Association finds Pennsylvania earned mostly failing grades on its efforts to reduce and prevent tobacco use. The American Lung Association calls on Pennsylvania officials to increase the age of sale for all tobacco products to age 21 in order to save lives.

The need for Pennsylvania to take action to protect youth from tobacco is more urgent than ever, with youth e-cigarette use reaching epidemic levels due to a 78 percent increase in high school e-cigarette use from 2017 to 2018, according to results from the Centers for Disease Control and Prevention (CDC)'s 2018 National Youth Tobacco Survey. This equals one million additional kids beginning to use e-cigarettes, placing their developing bodies and lungs at risk from the chemicals in e-cigarettes as well as a lifetime of addiction to a deadly product. This has caused the U.S. Surgeon General to declare e-cigarette use among young people an epidemic in an Advisory issued in December 2018.

"In Pennsylvania, our adult smoking rates remain at 18.7 percent and the high school smoking rate is 8.7 percent. Tobacco use is a serious addiction and we need to invest in the proven measures to prevent and reduce tobacco use outlined in 'State of Tobacco Control'," said American Lung Association's Sarah Lawver, advocacy director, Pennsylvania. "The report provides a roadmap on how to save lives, but much work remains to be done in communities across the commonwealth to prevent and reduce tobacco use."

The 17th annual "State of Tobacco Control" report grades states and the federal government on policies proven to prevent and reduce tobacco use, and finds that elected officials must do more to save lives and ensure all Pennsylvania residents benefit from reductions in tobacco use and exposure to secondhand smoke:

  • Funding for State Tobacco Prevention Programs – Grade F
  • Strength of Smokefree Workplace Laws - Grade D
  • Level of State Tobacco Taxes - Grade F
  • Coverage and Access to Services to Quit Tobacco - Grade F
  • Minimum Age of Sale for Tobacco Products to 21 – Grade F

In the next legislative session, efforts will be needed to protect funding for tobacco control programs and services in Pennsylvania. This past year, the state Legislature allocated an estimated $15.5 million for Tobacco Prevention and Control programs and services. However, due to Master Settlement Agreement funds being borrowed against previously to fill a budget gap, future funds continue to be at risk of not being appropriated to these lifesaving programs and services. The Lung Association recommends that funding for comprehensive tobacco control meets the levels recommended by the CDC at $140 million, to meet the needs of Pennsylvanians.

If Pennsylvania would increase funding for tobacco control programs, they would have a powerful opportunity to help further reduce and prevent tobacco use, including supporting communities that still use tobacco at higher rates and who have been targeted by the tobacco industry. An investment in prevention is especially important given the skyrocketing number of youths who are using e-cigarettes. Despite Pennsylvania receiving close to 1.7 billion dollars from tobacco settlement payments and tobacco taxes, the state does not fund tobacco control efforts at levels recommended by the Centers for Disease Control and Prevention (CDC).

"This year marks the 20th anniversary of the largest legal settlement in U.S. history – the tobacco Master Settlement Agreement. Pennsylvania receives millions of dollars every year from this settlement, and we believe the funds should be used to support the health of our communities, and to help smokers quit and prevent tobacco use," said Lawver.

The U.S. Surgeon General has concluded there is no safe level of exposure to secondhand smoke, and if Pennsylvania would pass a comprehensive smokefree law that eliminates tobacco use, including e-cigarettes in all public places and workplaces, workers across the state would benefit. This health protection would benefit everyone and is especially critical for those who work in the service and casino sectors who are often exposed to secondhand smoke daily.

"Opportunities for better health begin where people work, live and play, and a person should not have to be exposed to the dangers of secondhand smoke to put food on the table," said Lawver. "Closing loopholes in Pennsylvania's Clean Indoor Air Act would make all public places and workplaces smokefree."

Nearly seven out of 10 smokers want to quit, but tobacco use is a serious addiction and quitting can be difficult. Evidence suggests that the number of people quitting smoking increased when coverage for tobacco treatments provides access to all seven FDA-approved tobacco cessation medications and all three forms of counseling without barriers, such as copays and prior authorization. Pennsylvania lawmakers have a powerful opportunity to help tobacco users quit and reduce disparities in tobacco use by covering all quit smoking treatments in its Medicaid program.

"Covering quit smoking treatments in Pennsylvania is the correct and smart choice. Not only will it help tobacco users quit and save lives, but it will also cut healthcare costs – a win-win for the health of Pennsylvania residents and the economy," said Lawver.

Finally, tobacco is a highly addictive product, and close to 95 percent of smokers try their first cigarette by the age of 21. More must be done to prevent and reduce youth tobacco use in Pennsylvania, and one powerful tool is increasing the minimum age of sale for tobacco products to 21.

"Virtually all adult smokers had their first cigarette before age 21, and most before the age of 18, but we can change this in the commonwealth by increasing the age of sale for tobacco products – including e-cigarettes - to at least 21 years old. This move would significantly reduce youth tobacco use, slow the e-cigarette epidemic and save thousands of lives," said Lawver. "In the 2019 'State of Tobacco Control' report, we call for the Pennsylvania Legislature and Governor Wolf to take action and protect the children of the commonwealth by raising the minimum sales age for tobacco, including e-cigarettes to 21."

"Nationwide, increasing the age of sale of tobacco to 21 would prevent 223,000 deaths among people born between 2000 and 2019, including 50,000 fewer dying from lung cancer – the nation's leading cancer killer," added Lawver.

"State of Tobacco Control" 2019 provides a blueprint that states, and the federal government can follow to put in place proven policies that will have the greatest impact on reducing tobacco use and exposure to secondhand smoke in the U.S. The real question is: Will lawmakers in Pennsylvania end their failure to act and take this opportunity to achieve lasting reductions in tobacco-related death and disease?

For media interested in speaking with an expert about the "State of Tobacco Control" report, lung health, tobacco use and tobacco control policies, contact the American Lung Association's Eastern Divisional Communications Director Ewa Dworakowski at [email protected] or 717-503-3903.


About the American Lung Association

The American Lung Association is the leading organization working to save lives by improving lung health and preventing lung disease, through research, education and advocacy. The work of the American Lung Association is focused on four strategic imperatives: to defeat lung cancer; to improve the air we breathe; to reduce the burden of lung disease on individuals and their families; and to eliminate tobacco use and tobacco-related diseases. For more information about the American Lung Association, a holder of the coveted 4-star rating from Charity Navigator and a Gold-Level GuideStar Member, or to support the work it does, call 1-800-LUNGUSA (1-800-586-4872) or visit:

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