TPCP Annual Report - Utah Tobacco Prevention and Control Program

Tobacco Prevention and Control in UtahEleventh Annual Report, August 2011After Utah’s online tobacco cessation program, Utah QuitNet, was featured in print, TV, and radio advertisements, registrations increased by67%. In FY2011, nearly 4,000 Utah tobacco users used Utah QuitNet services to improve their quit success.Utah Department of HealthTobacco Prevention and Control Program

TPCP Update2010 Highlights of TPCP GoalsThe Utah Department of Health (UDOH) Tobacco Prevention and ControlProgram (TPCP) and its partners use comprehensive strategies to reducetobacco use and tobacco-related disease and death. Major program outcomesare listed below:Helping Tobacco Users QuitWith an age-adjusted adult smoking rate of 8.8% (2010), Utah continues tohave the lowest adult smoking rate in the U.S. 1 Still, nearly 200,000 youth andadult Utahns smoke and may need help quitting.The Utah TPCP invited Terrie Hall(shown above on a poster displayedat Utah bus shelters), a cancersurvivor and anti-tobacco activist, tovisit Utah high schools and educatestudents about the dangers oftobacco. A smoker since her earlyteens, Terrie began having severethroat pains and was diagnosed withstage IV squamous cell carcinoma.As a result of her tobacco addiction,Hall lost her voice box, breathesthrough a hole in her neck, andendured multiple debilitatingradiation treatments and surgeries.References:1 Utah Department of Health. Behavioral Risk FactorSurveillance System (BRFSS). 1989-2010. Salt Lake City:Utah Department of Health, Center for Health Data.(Note: Due to challenges in surveying smokers bytelephone, this rate may underrepresent adult smokingprevalence. Updates to the BRFSS methodology areexpected to lead to improved estimates.)2 University of Colorado. Independent Evaluation ofUtah’s Tobacco Prevention and Control Program.2010-2011. Denver: University of Colorado Denver,Department of Family Medicine.3 YRBSS: Youth Risk Behavior Surveillance System. YouthOnline: Comprehensive Results. Retrieved August 2,2011 from http://apps.nccd.cdc.gov/YouthOnline/App/Default.aspx.4 Orzechowski and Walker, 2010. The Tax Burden onTobacco-Historical Compilation. Volume 45. Arlington,Virginia: Orzechowski and Walker Consulting.2●● The TRUTH campaign continued to reach adults with messages that encouragedquit attempts and informed them about evidence-based quit services. In 2011, 94%of adult smokers were aware of the Utah Tobacco Quit Line and 81% knew aboutthe online quit service, Utah QuitNet. Adult smokers who reported that they sawor heard anti-tobacco ads were more likely to know about quit services or to haveused them than smokers who were not exposed to ads. 2 UtahQuitNet advertising onTV and on the radio in January 2011 resulted in a three-fold increase in QuitNetregistrations compared to registrations during the month of January in previous years.● ● During FY2011, nearly 11,000 Utahns used TPCP-funded tobacco cessationservices. Tailored services were offered for adults, teens, and pregnant women.These quit services greatly increased tobacco users’ quit success.●● The Utah Quit Line and Utah QuitNet have served nearly 87,000 registered userssince the TPCP began offering the telephone-based quit program in 2001 and theonline program in 2003. In FY2011, the Quit Line and QuitNet served an averageof 860 Utahns per month with free counseling and tailored quit information.●● In FY2011, 615 Utah youth tobacco users participated in the Utah-developedteen cessation class, Ending Nicotine Dependence. Ten percent of participantsreported quitting and an additional 32% reduced their smoking by the final class.Preventing Youth from Starting to Use TobaccoIn 2009, 8.5% of Utah high school students (grades 9-12) reported that theyhad smoked in the past 30 days. Utah’s youth smoking rate is less than half thenational rate of 19.5%. 3●● In 2011, 93% of Utah youth ages 13 to 17 reported that they saw or heardanti-tobacco ads at least once a month during the past six months, and 92%said the TV ads made them think of the negative effects of tobacco use. 2●● Since 2002, 19 of Utah’s 41 school districts worked with TPCP and local healthdepartments to strengthen tobacco-free school policies, tobacco education, and policyenforcement. These districts serve nearly 200,000 students in 361 schools.●● Since 2001, illegal tobacco sales to underage youth during compliance checksdeclined by 64%. At 5.7%, the rate of non-compliance is at its lowest recorded level.To lower the rate of non-compliance and educate retailers about Utah’s tobaccoaccess laws, local health departments shared educational materials and conductedtrainings.●● One Good Reason, Utah’s statewide anti-tobacco youth group, educated Utahnsabout new, dissolvable tobacco products that resemble breath mints and strips.The composition, packaging, and flavoring of these products might be particularlyappealing to children.

Tobacco Use in UtahFigure 2.Percent of Adults Who Reported CurrentCigarette Smoking, Utah 1999-2010(Age-adjusted)PercentageSource: Utah BRFSS 1Figure 3.Percent of High School Students WhoReported Current Cigarette Smoking,Utah 1999-2009 (Odd Years)PercentagePercentageSource: Utah YRBS 2Figure 4.Percent of Pregnant Women WhoReported Cigarette Smoking, Utah1999-200925Source: Utah Birth Certificates 3Figure 5.Age-adjusted Cancer Incidence Rates forLung and Bronchus Cancer, Incidence per100,000 Population, Utah 1999-2007Percentage20151050Source: Utah Cancer Registry 442520151050252015105060504030201008.2199913.512.513.012.511.910.111.29.511.29.19.58.8199911.919998.134.6199920017.6200128.07.120036.520032005Year6.3Year200720098.3 7.3 7.4 7.9 8.5200131.12001200329.0Year31.32003Year20055.95.95.85.46.5200528.82007200730.1200528.32009200926.22007Smoking Rates and Health ConsequencesAdult Smoking• At 8.8%, Utah’s 2010 age-adjustedadult smoking rate is at its lowestrecorded level (Figure 2). 1 Due tochallenges in surveying smokersby telephone, this rate mayunderrepresent adult smokingprevalence. Updates to the BRFSSmethodology are expected to lead toimproved estimates. 5• Smoking disproportionately impactsUtahns with lower incomes. In 2010,16% of Utah adults with a householdincome of less than $25,000 reportedcurrent smoking. 1 In comparison, only4% of Utah adults with a householdincome of $75,000 or higher reportedcurrent smoking. 1Youth Smoking• Since 1999, the percentage of Utahhigh school students who had ever triedcigarette smoking declined by 40%. 3• The percentage of high school studentswho reported current smokingdecreased from 12% in 1999 to 8% in2001. Since 2001, it has remained inthe range of 7.3% to 8.5% (Figure 3). 2Smoking Among Pregnant Women• Since 1999, smoking among pregnantwomen has decreased by 21% (Figure4). In 2009, 6.5% of pregnant womenreported that they smoked during theirpregnancies. 3References:• Pregnant women in their teens andpregnant women with a high schooleducation or less continue to reportsmoking rates of 13% or higher. 3Exposure to Secondhand Smoke• In 2010, 1.9% (or 16,600) Utahchildren age 17 and younger wereexposed to secondhand smoke insidethe home. 1 The percentage of Utahchildren who live in homes wherepeople smoke indoors has declinedsignificantly since 2001.• Since 1999, the percentage of Utahadults who have a rule against smokingin their homes has increased from 87%to 93%. 1Tobacco-related Disease and Death• Smoking is the leading cause of lungcancer death in men and women.Other diseases caused by smokinginclude esophageal, laryngeal, oral, andthroat cancers; cervical, bladder, kidney,pancreatic, and stomach cancers; acutemyeloid leukemia; pneumonia; chroniclung disease; cataracts; periodontitis;aortic aneurysm; and coronary heartand cardiovascular disease.• Utah’s lung and bronchus cancerincidence has decreased significantlysince 1999 (Figure 5). 4• Despite this progress, more than 1,200Utahns age 35 or older die each yearas a result of tobacco use. 61 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 1999-2010. Salt Lake City: Utah Department of Health.Center for Health Data.2 YRBSS: Youth Risk Behavior Surveillance System. Youth Online: Comprehensive Results. Retrieved August 2, 2011, from http://apps.nccd.cdc.gov/YouthOnline/App/Default.aspx3 Utah Birth Certificate Database. Retrieved July 25, 2011 from Utah Department of Health, Center for Health Data, Indicator-BasedInformation System for Public Health at http://ibis.health.utah.gov. These smoking rates are based on pregnancies that led to livebirths.4 Utah Cancer Registry. Retrieved July 25, 2011 from Utah Department of Health, Center for Health Data, Indicator-Based InformationSystem for Public Health web site: http://ibis.health.utah.gov.5 Office of Public Health Assessment. Utah Behavioral Risk Factor Surveillance System. New Behavioral Risk Factor Surveillance System(BRFSS) Weighting Methodology. Utah Department of Health. Retrieved August 3, 2011 from http://health.utah.gov/opha/OPHA_BRFSS.htm.6 National Center for Chronic Disease Prevention and Health Promotion. (2010). Tobacco Control State Highlights 2010. Atlanta,GA: U.S. Department of Health and Human Services. Retrieved August 16, 2011 from http://www.cdc.gov/tobacco/data_statistics/state_data/state_highlights/2010/states/utah/index.htm.

Smoking Rates by Local Health Districts and Small AreasFigure 6. Current Cigarette Smoking by Local Health District, Small Area, Utah, andU.S. Adults, 2009-2010, (Aggregate Data, Age-adjusted)Tobacco Use in UtahBear River LHD*Other Cache/Rich County (4)*Other Box Elder County (2)Logan (3)Brigham City (1)Central Utah LHDJuab/Millard/Sanpete Counties (54)Sevier/Piute/Wayne Counties (55)Davis County LHD*Syracuse/Kaysville (13)*Farmington/Centerville (14)*Woods Cross/North Salt Lake (15)Layton (12)Bountiful (16)Clearfield/Hill Air Force Base (11)Salt Lake Valley LHD*Northeast Sandy (37)*South Jordan (35)*Southeast Sandy (38)Holladay (27)W. Jordan West, Copperton (34.2)*Foothill/U of U (19)Millcreek (26)Riverton/Draper (39)W. Jordan Southeast (34.1)Cottonwood (28)*Avenues (18)Sandy Center (36)Taylorsville (30)Magna (20)Murray (31)W. Jordan Northeast (33)West Valley West (22)Downtown Salt Lake (24)Kearns (29)Glendale (21)West Valley East (23)Midvale (32)South Salt Lake (25)Rose Park (17)Southeastern Utah LHDGrand/San Juan Counties (57)Carbon/Emery Counties (56)Southwest Utah LHDOther Washington County (59)Cedar City (60)St. George (58)Other Southwest Dist. (61)Summit County LHDTooele County LHDTriCounty LHDUtah County LHD**East Orem (46)**Provo/BYU (47)**West Orem (45)*Lehi/Cedar Valley (41)*American Fork/Alpine (42)Springville/Spanish Fork (49)*North Orem (44)*South Utah County (50)Provo South (48)Pleasant Grove/Lindon (43)Wasatch County LHDWeber-Morgan LHD*Riverdale (10)Morgan/East Weber County (6)South Ogden (8)Downtown Ogden (7)Roy/Hooper (9)Ben Lomond (5)******Utah StateRate 9.1%Utah’s adult smoking rates varyconsiderably by small area and local healthdistrict. The small area with the highestrate of cigarette smoking was Rose Park(27.2%); Syracuse/Kaysville had the lowestrate at 1.9%. Small area data are used toUS Rate17.8%Local Health DistrictSmall Area0.0% 10.0% 20.0% 30.0% 40.0%identify and reach areas that are at higherrisk for tobacco use. For example, inSalt Lake Valley Health District (overallprevalence 10.6%), small area rates rangefrom a low of 2.3% in Northeast Sandy toa high of 27.2% in Rose Park. 1Note: Local health districts are represented byyellow bars. The blue bars beneath indicatesmall areas within that district. For more detailsabout small area definitions, see the UtahBehavioral Risk Factor Surveillance SystemSmall Area Report 2001-2005, Appendix C:Small Area Definitions and Key Maps. Thehorizontal lines extending from the bars indicate95% confidence intervals. Confidence intervalsare used to show the reliability of an estimate.A 95% confidence interval means that 95% ofthe time, the given interval will contain the trueparameter value.*These estimates have relative standard errorsof >30% and do not meet UDOH standards forreliability.**The estimates for Provo/BYU, and East andWest Orem have been suppressed because therelative standard error was greater than 50%or the relative standard error could not bedetermined.Reference:1Utah Department of Health. Behavioral Risk FactorSurveillance System (BRFSS). 2009-2010. Salt Lake City:Utah Department of Health. Center for Health Data.(Note: Due to challenges in surveying smokers bytelephone, these rates may underrepresent adult smokingprevalence. Updates to the BRFSS methodology areexpected to lead to improved estimates.)5

Capacity and InfrastructureThe TPCP Builds Local Capacity and InfrastructureMore than 85% of Utah TPCP funding is passed on to other agencies and local communities. To ensure that these funds are usedmost effectively to reduce tobacco use and improve community health, the TPCP provides statewide infrastructure, technicalassistance, and program evaluation services to funded agencies.Statewide ServicesStatewide tobacco prevention and cessation services and infrastructure ensure consistency throughout Utah and lower costs. Someexamples of statewide coordination efforts and services are:• Coordination of a statewide strategic planning process and completion of required progress reports for state and federal funders.• Statewide retailer education and compliance program to enforce underage tobacco sales laws and meet national accountabilitystandards for the Division of Substance Abuse and Mental Health’s federal block grant funding.• Statewide tobacco cessation services for youth, adults, and pregnant women.• Partnerships with regional and statewide health systems that provide tobacco cessation counseling and quit medications to lowincomeUtahns.• Partnerships with health care providers and insurance companies to establish statewide systems changes that increase access totobacco cessation assistance.• Developing marketing materials and resources for local initiatives and high-risk groups.• Providing outreach to disparate populations and maintaining community partnerships.Training and Technical AssistanceTo ensure that local partners are informed about best practices and regional and national innovations in tobacco prevention andcontrol and have opportunities to network and share plans and experiences with each other, the TPCP offers a variety of options fortraining and technical assistance. These include:• Training and technical assistance for the public and partners regarding secondhand smoke prevention, the Utah Indoor Clean AirAct, and Secondhand Smoke Amendments.• Training for community members in facilitating youth tobacco cessation programs.• Tobacco prevention and control resources and information for public distribution, such as policy guides and educational materials.• Tailored assistance for local partners through site visits and regular telephone and e-mail communication.Data and EvaluationThe TPCP uses qualitative and quantitative data to ensure that services reach populations at greatest risk for tobacco use. Inaddition, the TPCP requires that its funded programs are rigorously and consistently evaluated. To encourage the development ofdata-driven local programs and build local capacity for conducting evaluations, the TPCP offers the following support to fundedpartners:• Distribution of statewide and local-level survey data that help identify population groups and geographic areas with the highesttobacco use prevalence.• Distribution of focus group findings that help with the planning of effective interventions.• Technical assistance for planning evaluations, developing tailored surveys or focus group guides, and conducting data analysisand writing reports.6

State TPCP FundingUtah Tobacco Settlement Account: $4,041,000Utah Cigarette Tax Restricted Account: $3,131,700Draw-down of Federal Funds Through TPCP ActivitiesFederal and private revenues depend on matches with state funds.• TPCP’s work with retailers to prevent underage tobacco sales protects $6.8 millionin Synar block grant funding for Utah’s Division of Substance Abuse and MentalHealth. The Synar amendment regulates youth access to tobacco products.• TPCP state funds allow the program to secure $1,215,000 in funding from theCenters for Disease Control and Prevention.• The TRUTH marketing campaign draws down $1,271,386 in federal Medicaidmatch dollarsIn-kind Revenue: Marketing Campaign Added ValueMedia vendors donate approximately $2 for every $1 spent by TPCPon media.Donated airing of ads, news specials, and other media events: $5,085,544Use of Funds FY2011Tobacco-related ExpendituresTobacco use costs the Utah economy an estimated $663 million annually in smokingrelatedmedical costs and lost productivity. 1 The tobacco industry spends nearly $60million every year to market tobacco products in Utah and recruit new tobacco users. 2Net cigarette and tobacco tax revenue to Utah is estimated at $124 million annually.Utah’s FY2010 estimated tobacco settlement payment was $38.2 million. The Centersfor Disease Control and Prevention recommends that Utah spend $23.6 millionannually to reduce tobacco use. 3 At $8.4 million, the TPCP was funded at 36% of therecommended level (Figure 7).Figure 7.Estimated Annual Cost of Smoking in Utah, Cigarette and Tobacco Tax Revenue,Tobacco Industry Marketing Expenditures in Utah, Utah Tobacco Settlement Payment,and CDC Recommended and Actual Annual Investment in Tobacco Prevention andControl, Latest Available DataIn 2010, the TPCP initiated apartnership with the Division ofSubstance Abuse and MentalHealth to reduce tobacco useamong populations sufferingfrom substance abuse or mentalhealth issues. The partnership,titled “Recovery Plus,” will ensurethat all publicly-funded treatmentcenters establish tobacco-freepolicies and add tobacco cessationto their treatment protocols.400369.0Dollars (in millions)3002001000Annual Direct Medical Expenses Due toSmoking in Utah (2004)293.6Annual Lost Productivity Due to Smoking inUtah (2000-2004)124.0FY11 Utah Cigarette and Tobacco TaxRevenue58.7Estimated Annual Utah Tobacco IndustryMarketing Expenditure38.22010 Estimated Utah MSA Payment23.6CDC Recommended TPCP Investment inUtah8.4FY11 TPCP BudgetReferences:1 National Center for Chronic Disease Prevention andHealth Promotion. (2010). State Tobacco ActivitiesTracking and Evaluation (STATE) System. Atlanta, GA:U.S. Department of Health and Human Services.Retrieved August 3, 2011 from http://apps.nccd.cdc.gov/statesystem/DetailedReport/DetailedReports.aspx.2 Campaign for Tobacco-Free Kids. (2009). StatespecificTobacco Company Marketing Expenditures1998 to 2006. Retrieved August 3, 2011 from http://www.tobaccofreekids.org/research/factsheets/pdf/0271.pdf.3 National Center for Chronic Disease Preventionand Health Promotion. (2007). Best Practices forComprehensive Tobacco Control Programs - 2007Atlanta, GA: U.S. Department of Health and HumanServices. Retrieved August 3, 2011 from http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm.7

Bear River Health Department (BRHD)Tobacco Prevention and Control in Bear RiverA winning ad for the local Truthfrom Youth Anti-tobacco AdvertisingContest was created by a 4th gradestudent from North Park ElementarySchool. The Contest educates 4thand5th-grade students across thestate about tobacco-related risksand encourages them to create antitobaccomessages for themselves andtheir peers.Bear River Health District Counties: BoxElder, Cache, RichProgram Highlight••Since the late 1990s, the estimatedage-adjusted adult smoking ratein Bear River Health District hasdecreased by 44%. 1••During State Fiscal Year 2011, 6.1%of tobacco outlets in Bear River HealthDistrict sold tobacco to underageyouth during compliance checks.Since 2001, the illegal sales rate hasdecreased by 45%. 2With the addition of Brigham City Community Hospital and Cache Valley Hospitalenacting tobacco-free policies this year, 100% of the hospitals in the Bear RiverHealth District are now smoke free. Other tobacco-free policies implementedthis fiscal year include: Providence City, TTM Technologies, Sports Academy, theMulticultural Center, and Migrant Head Start.Tobacco StatisticsBRHD StateAdult Cigarette Smoking (2010) 1 5.3% 8.8%Youth Cigarette Smoking in Grades 8, 10, 12 (2009) 3 4.9% 6.4%Pregnant Women Smoking (2009) 4 6.1% 6.5%Rate of Children Exposed to Secondhand Smoke in 0.9% 1.9%Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 95.3% 92.9%Number of Quit Line Registrations (FY2011) 260 6,541Number of QuitNet Registrations (FY2011) 162 3,829Number of Participants in the Ending NicotineDependence Teen Cessation Program (FY2011)156 615Anti-tobacco Ad Recall in the Past Month (2010) 1 81.6% 84.7%References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.8

Central Utah Public Health Department (CUPHD)Tobacco Prevention and Control in Central Utah••Since the late 1990s, the estimatedage-adjusted adult smoking rate inCentral Utah Public Health District hasdecreased by 33%. 1••During State Fiscal Year 2011, 5.6%of Central Utah stores sold tobaccoto underage youth during compliancechecks. Since 2001, the illegal salesrate has decreased by 59%. 2Program HighlightThe Central Utah Public Health Department assisted the town of Hanksville inWayne County with adopting a tobacco-free city park policy.Tobacco StatisticsCUPHD StateAdult Cigarette Smoking (2010) 1 10.8% 8.8%Youth Cigarette Smoking in Grades 8, 10, 12 (2009) 3 7.8% 6.4%Pregnant Women Smoking (2009) 4 12.0% 6.5%Rate of Children Exposed to Secondhand Smoke in 1.9% 1.9%Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 93.2% 92.9%Number of Quit Line Registrations (FY2011) 233 6,541Number of QuitNet Registrations (FY2011) 56 3,829Anti-tobacco Ad Recall in the Past Month (2010) 1 87.3% 84.7%Brinklee Sentker won the 2011Truth from Youth Anti-TobaccoAdvertising Contest at DeltaElementary School in Millard SchoolDistrict. The Contest educates 4thand5th-grade students across thestate about tobacco-related risksand encourages them to create antitobaccomessages for themselvesand their peers.References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.Central Utah Public Health DistrictCounties: Juab, Millard, Piute, Sanpete,Sevier, Wayne9

Davis County Health Department (DCHD)Tobacco Prevention and Control in Davis CountyShandra Mutchie and Jacob Wood,members of the Davis County YouthCouncil (DCYC) at the Davis CountyHealth Department, participated inefforts to educate opinion leadersabout the dangers of new tobaccoproducts. Jacob Wood says of theexperience, “It’s just so much fun tolet people know how we feel aboutthis subject.” Shandra Mutchie says,“Being on the Davis County YouthCouncil has been an exceptionalexperience, in addition to educatingothers, I learned a lot myself.”Members of the Davis County YouthCouncil continue to educate theirpeers throughout Davis County aboutthe harmful effects of tobacco andwhat the tobacco industry is doing totarget youth as potential new tobaccousers.Program Highlight• Since the late 1990s, theestimated age-adjusted adultsmoking rate in Davis Countyhas decreased by 46%. 1• During State Fiscal Year 2011,5.5% of Davis County storessold tobacco to underageyouth during compliancechecks. Since 2001, the illegalsales rate has decreased by66%. 2The Davis County Health Department provides support to local schools that teachtobacco prevention curricula. More than 2,200 4th and 5th graders participated inthe curricula offered by DCHD this year. These curricula use a wide variety of skillbuildingactivities to encourage student involvement and participation.Tobacco StatisticsDCHD StateAdult Cigarette Smoking (2010) 1 5.9% 8.8%Youth Cigarette Smoking in Grades 8, 10, 12 (2009) 3 4.2% 6.4%Pregnant Women Smoking (2009) 4 4.7% 6.5%Rate of Children Exposed to Secondhand Smoke in 1.0% 1.9%Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 95.5% 92.9%Number of Quit Line Registrations (FY2011) 502 6,541Number of QuitNet Registrations (FY2011) 403 3,829Number of Participants in the Ending NicotineDependence Teen Cessation Program (FY2011)109 615Anti-tobacco Ad Recall in the Past Month (2010) 1 83.0% 84.7%References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.10

Salt Lake Valley Health Department (SLVHD)Tobacco Prevention and Control in Salt Lake ValleyProgram Highlight• Since the late 1990s, the estimatedage-adjusted adult smoking rate inSalt Lake County has decreased by38%. 1• During State Fiscal Year 2011,4.9% of Salt Lake Valley stores soldtobacco to underage youth duringcompliance checks. Since 2001, theillegal sales rate has decreased by70%. 2Salt Lake Valley Health Department continued to assist local worksites, health clinics,and multiple unit housing communities to develop and implement tobacco-freepolicies and promote tobacco use cessation.Teen Advocates Against Tobacco(TAAT), Salt Lake Valley HealthDepartment’s anti-tobacco youthgroup, spent time at the Capitol tolearn about the legislative process andget a first-hand look at governmentin action. After their tour, the youtheducated the public about harmfulnew tobacco products.Tobacco StatisticsSLVHD StateAdult Cigarette Smoking (2010) 1 10.3% 8.8%Youth Cigarette Smoking in Grades 8, 10, 12 (2009) 3 8.5% 6.4%Pregnant Women Smoking (2009) 4 7.2% 6.5%Rate of Children Exposed to Secondhand Smoke in 2.7% 1.9%Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 92.6% 92.9%Number of Quit Line Registrations (FY2011) 2,388 6,541Number of QuitNet Registrations (FY2011) 1,752 3,829Number of Participants in the Ending NicotineDependence Teen Cessation Program (FY2011)52 615Anti-tobacco Ad Recall in the Past Month (2010) 1 85.6% 84.7%References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.11

Southeastern Utah District Health Department (SEUDHD)Tobacco Prevention and Control in Southeastern Utah“I’ve been chewing tobacco since I was12. My buddies and I started becausewe thought that it was cool to chew likeour baseball heroes. Ten years later, asI watched my friends smoke cigarettes,I fooled myself into thinking that I was alot safer dipping.Not long ago, my 10-year-old son cameto me in tears and said “Daddy, I don’twant you to die.” He’d learned about thedangers of tobacco in school. I startedto do some research and was shockedto learn just how dangerous dippingtobacco really is. I tried to quit chewing,but I got jittery and uncomfortable andcouldn’t do it. I finally recruited the helpof the Southeastern Utah District HealthDepartment.Thank goodness they have a programspecifically for people who chewtobacco. Almost six months ago I wasable to kick the habit with the help ofthe Southeastern Utah District HealthDepartment, stay comfortable, and notgain any weight.Thank you so much for your program - Ifeel like it really saved my life!”Keith MasonKUSA/KASL RadioPrice, UtahSoutheastern Utah Health District Counties:Carbon, Emery, Grand, San JuanProgram HighlightTobacco Statistics• Since the late 1990s, the estimatedage-adjusted adult smoking rate inSoutheastern Utah Health Districthas decreased by 21%. 1• During State Fiscal Year 2011 2.1%of Southeastern Utah stores soldtobacco to underage youth duringcompliance checks. Since 2001, theillegal sales rate has decreased by83%. 2Southeastern Utah District Health Department launched a new anti-tobaccoadvertising campaign that featured local residents who quit tobacco use. SEUDHDreceived positive campaign feedback from community members who appreciated theuse of local stories.SEUDHDStateAdult Cigarette Smoking (2010) 1 17.0% 8.8%Youth Cigarette Smoking in Grades 8, 10, 128.3% 6.4%(2009) 3Pregnant Women Smoking (2009) 4 15.9% 6.5%Rate of Children Exposed to Secondhand Smoke 6.8% 1.9%in Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 80.9% 92.9%Number of Quit Line Registrations (FY2011) 143 6,541Number of QuitNet Registrations (FY2011) 80 3,829Anti-tobacco Ad Recall in the Past Month (2010) 1 90.6% 84.7%References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.12

Southwest Utah Public Health Department (SWUPHD)Tobacco Prevention and Control in Southwest UtahProgram HighlightTobacco Statistics• Since the late 1990s, the estimatedage-adjusted adult smoking ratein Southwest Utah Public HealthDistrict has decreased by 22%. 1• During State Fiscal Year 2011,5.7% of Southwest Utah storessold tobacco to underage youthduring compliance checks. Since2001, the illegal sales rate hasdecreased by 75%. 2Southwest Utah Public Health Department assisted Intermountain HealthcareSouthwest Region with the development of a tobacco-free campus policy. This newpolicy will affect Intermountain Healthcare properties in three Utah counties.SWUPHDStateHealth educators at SouthwestUtah Public Health Departmentuse Google Maps to educateresidents about smoke-free housingopportunities. To access thisinformation, go to http://www.swuhealth.org/tobacco-free-livingand click on Map.Adult Cigarette Smoking (2010) 1 8.9% 8.8%Youth Cigarette Smoking in Grades 8, 10, 126.6% 6.4%(2009) 3Pregnant Women Smoking (2009) 4 6.6% 6.5%Rate of Children Exposed to Secondhand Smoke in

Summit County Public Health Department (SCPHD)Tobacco Prevention and Control in Summit County• Since the late 1990s, the estimatedage-adjusted adult smoking rate inSummit County Health District hasdecreased by 22%. 1• During State Fiscal Year 2011,6.6% of Summit County stores soldtobacco to underage youth duringcompliance checks. Since 2001,the illegal sales rate has decreasedby 73%. 2The winning billboard ad for thestatewide Truth from Youth AntitobaccoAdvertising Contest wascreated by a 5th-grader fromSouth Summit Middle School. TheContest educates 4th- and 5thgradestudents across the stateabout tobacco-related risks andencourages them to create antitobaccomessages for themselvesand their peers.Program HighlightSummit County Health Department held focus groups with local youth, schooladministrators, law enforcement agencies, and judicial programs. The findingswill support the development of new community-based tobacco prevention andcessation programs.Tobacco StatisticsSCPHDStateAdult Cigarette Smoking (2010) 1 6.8% 8.8%Youth Cigarette Smoking in Grades 8, 10, 1210.4% 6.4%(2009) 3Pregnant Women Smoking (2009) 4 3.2% 6.5%Rate of Children Exposed to Secondhand Smoke 1.1% 1.9%in Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 92.8% 92.9%Number of Quit Line Registrations (FY2011) 34 6,541Number of QuitNet Registrations (FY2011) 37 3,829Anti-tobacco Ad Recall in the Past Month (2010) 1 86.4% 84.7%References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.14

Tooele County Health Department (TCHD)Tobacco Prevention and Control in Tooele CountyProgram Highlight• Since the late 1990s, theestimated age-adjusted adultsmoking rate in Tooele County hasdecreased by 32%. 1• During State Fiscal Year 2011,6.9% of Tooele County stores soldtobacco to underage youth duringcompliance checks. Since 2001,the illegal sales rate has decreasedby 71%. 2The Tooele County School District coordinates the Prevention Activities Coalition(PAC), working with more than 130 students from across the county on preventionpolicies and activities.Hillary Bryan, an intern at the TooeleCounty Health Department, usedprint materials to teach TooeleCounty residents about the ill effectsof tobacco use.Tobacco StatisticsTCHDStateAdult Cigarette Smoking (2010) 1 13.5% 8.8%Youth Cigarette Smoking in Grades 8, 10, 1211.3% 6.4%(2009) 3Pregnant Women Smoking (2009) 4 11.0% 6.5%Rate of Children Exposed to Secondhand Smoke 1.4% 1.9%in Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 92.3% 92.9%Number of Quit Line Registrations (FY2011) 127 6,541Number of QuitNet Registrations (FY2011) 117 3,829Number of Participants in the Ending NicotineDependence Teen Cessation Program (FY2011)47 615Anti-tobacco Ad Recall in the Past Month (2010) 1 88.7% 84.7%References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.15

TriCounty Health Department (TRCHD)Tobacco Prevention and Control in TriCounty• Since the late 1990s, theestimated age-adjusted adultsmoking rate in TriCounty hasdecreased by 23%. 1• During State Fiscal Year 2011,14.5% of TriCounty stores soldtobacco to underage youth duringcompliance checks. Since 2001,the illegal sales rate has decreasedby 22%. 2To reduce exposure of clients andmedical personnel to secondhandsmoke, Northeastern CounselingCenter developed and implemented atobacco-free policy.TriCounty Health District Counties:Daggett, Duchesne, Uintah16Program HighlightTriCounty Health Department has developed a partnership with local school districtsto collaborate on efforts to establish comprehensive school tobacco policies anddevelop strategies to reduce tobacco use among youth.Tobacco StatisticsTRCHDStateAdult Cigarette Smoking (2010) 1 14.8% 8.8%Youth Cigarette Smoking in Grades 8, 10, 126.2% 6.4%(2009) 3Pregnant Women Smoking (2009) 4 16.2% 6.5%Rate of Children Exposed to Secondhand Smoke 7.2% 1.9%in Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 89.3% 92.9%Number of Quit Line Registrations (FY2011) 93 6,541Number of QuitNet Registrations (FY2011) 68 3,829Number of Participants in the Ending NicotineDependence Teen Cessation Program (FY2011)19 615Anti-tobacco Ad Recall in the Past Month (2010) 1 83.1% 84.7%References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.

Utah County Health Department (UCHD)Tobacco Prevention and Control in Utah CountyProgram Highlight• Since the late 1990s, the estimatedage-adjusted adult smoking ratein Utah County Health District hasremained unchanged. 1• During State Fiscal Year 2011,8.2% of Utah County stores soldtobacco to underage youth duringcompliance checks. Since 2001,the illegal sales rate has decreasedby 24%. 2Utah County Health Department passed a smoke-free campus policy starting onJanuary 12, 2011. The health department posted signs to inform staff and visitors ofthe policy and prevent exposure to more than 4,000 dangerous chemicals found insecondhand smoke.Fifty-six youth from Utah County’sOUTRAGE anti-tobacco youth groupeducated opinion leaders about theharmful effects of dissolvable tobaccoat Legislator Education Day onFebruary 24, 2011.Tobacco StatisticsUCHDStateAdult Cigarette Smoking (2010) 1 5.4% 8.8%Youth Cigarette Smoking in Grades 8, 10, 123.1% 6.4%(2009) 3Pregnant Women Smoking (2009) 4 2.9% 6.5%Rate of Children Exposed to Secondhand Smoke 0.6% 1.9%in Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 95.4% 92.9%Number of Quit Line Registrations (FY2011) 802 6,541Number of QuitNet Registrations (FY2011) 389 3,829Number of Participants in the Ending NicotineDependence Teen Cessation Program (FY2011)133 615Anti-tobacco Ad Recall in the Past Month (2010) 1 82.9% 84.7%References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.17

Wasatch County Health Department (WCHD)Tobacco Prevention and Control in Wasatch CountyThe Wasatch County HealthDepartment assisted IntermountainHealthcare’s Heber Valley MedicalCenter in developing a tobacco-freecampus policy which went into effecton September 1, 2011.Heber Valley Medical CenterAdministration is supporting andpromoting a tobacco free-policybecause:• Promoting health is core toIntermountain Healthcare’smission• There is no safe level of exposureto secondhand smoke• Being tobacco free createsa healthier, more invitingatmosphereProgram Highlight• Since the late 1990s, the estimatedage-adjusted adult smoking rate inWasatch County has decreased by27%. 1• During State Fiscal Year 2011,13.2% of Wasatch County storessold tobacco to underage youthduring compliance checks. Since2001, the illegal sales rate hasdecreased by 5%. 2Wasatch County Health Department worked with its community partners to presentthe annual Issues Community Conference. In 2011, more than 1,000 youth andparents learned about the dangers of tobacco use and engaged in activities to buildprotective factors. In addition, all 6th- and 7th-grade students in Wasatch Countyparticipated in the anti-tobacco program Tobacco on Trial.Tobacco StatisticsWCHD StateAdult Cigarette Smoking (2010) 1 8.4% 8.8%Youth Cigarette Smoking in Grades 8, 10, 129.2% 6.4%(2009) 3Pregnant Women Smoking (2009) 4 3.7% 6.5%Rate of Children Exposed to Secondhand Smoke 0.9% 1.9%in Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 90.4% 92.9%Number of Quit Line Registrations (FY2011) 24 6,541Number of QuitNet Registrations (FY2011) 18 3,829Anti-tobacco Ad Recall in the Past Month (2010) 1 86.5% 84.7%References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.18

Weber-Morgan Health Department (WMHD)Tobacco Prevention and Control in Weber-MorganProgram Highlight• Since the late 1990s, the estimatedage-adjusted adult smoking rate inWeber-Morgan Health District hasdecreased by 35%. 1• During State Fiscal Year 2011,5.1% of Weber-Morgan stores soldtobacco to underage youth duringcompliance checks. Since 2001,the illegal sales rateThroughout the last year, the Weber-Morgan Governing Youth Council educatedmedia, policy makers, and the general public on emerging nicotine products thatare appealing to youth. Their educational efforts focused on dissolvable nicotineproducts, e-cigarettes, and flavored tobacco.Tobacco StatisticsWMHD StateAdult Cigarette Smoking (2010) 1 11.3% 8.8%Youth Cigarette Smoking in Grades 8, 10, 126.2% 6.4%(2009) 3Pregnant Women Smoking (2009) 4 9.9% 6.5%Rate of Children Exposed to Secondhand Smoke 2.5% 1.9%in Their Homes (2010) 1Homes with No Smoking Rule (2010) 1 89.4% 92.9%Number of Quit Line Registrations (FY2011) 682 6,541Number of QuitNet Registrations (FY2011) 445 3,829Number of Participants in the Ending NicotineDependence Teen Cessation Program (FY2011)50 615Anti-tobacco Ad Recall in the Past Month (2010) 1 90.2% 84.7%References:1 Utah Department of Health. Behavioral Risk Factor Surveillance System (BRFSS). 2010. Salt Lake City: UtahDepartment of Health. Center for Health Data. (Note: Due to challenges in surveying smokers by telephone, this rate mayunderrepresent adult smoking prevalence. Updates to the BRFSS methodology are expected to lead to improved estimates.Data from the late 1990s refer to combined BRFSS data from 1997-1999.)2 Tobacco Prevention and Control Program. (2010). Tobacco Compliance Check summary data, SFY2001-2011,(provisional data). Salt Lake City: Utah Department of Health.3 Tobacco Prevention and Control Program. Prevention Needs Assessment Tobacco Questions, 2009. Salt Lake City: UtahDepartment of Health.4 Utah Birth Certificate Database. Retrieved July 21, 2011 from Utah Department of Health, Center for Health Data,Indicator-Based Information System for Public Health web site: http://ibis.health.utah.gov/query/selection/birth/BirthSelection.html. These smoking rates are based on pregnancies that led to live births.Bulletin board that was posted atMcKay Dee Hospital during theimplementation of a tobacco-freecampus policy.In conjunction with public healthofficials, several Northern Utahhospitals jointly announced theirtransition to tobacco-free campuseson November 18, 2010. This datewas chosen for its significance, asit marked the 35th Annual GreatAmerican Smokeout, the day theAmerican Cancer Society has set asideto encourage smokers to make a quitplan or even quit smoking for just oneday. The joint initiative prohibits theuse of tobacco products anywhere onthe hospital campuses and affiliatedclinics of the McKay-Dee HospitalCenter in Ogden, Ogden RegionalMedical Center, Davis Hospital andMedical Center, and in Tanner Clinicin Layton as of January, 2011.19

AcknowledgmentsThe Utah Department of Health would like to thank the Tobacco Control Advisory Committee for its support, dedication,and expert advice.■■ Scott Brown, M.S., American Heart Association of Utah, Committee Chair■■ Lloyd Berentzen, M.B.A., Bear River Health Department■■ Heather Borski, M.P.H., Utah Department of Health*■■ Gary Edwards, M.S., Salt Lake Valley Health Department■■ Mary Lou Emerson, M.S., Utah Substance Abuse Advisory Council■■ Sharon Hansen, M.S., Cornerstone Counseling Center■■ Don Hooper, American Lung Association of Utah■■ Brent Kelsey, Utah Division of Substance Abuse and Mental Health■■ Beverly May, M.P.A., National Campaign for Tobacco-Free Kids■■ Robert Rolfs, M.D., M.P.H., Utah Department of Health*■■ Jesse Soriano, M.A., M.S., State Office of Ethnic Affairs■■ Teresa Theurer, Community Member■■ Liz Zentner, R.T., Utah Parent Teacher Association*non-voting memberUtah Department of HealthTobacco Prevention and Control Program1 (877) 220-3466www.tobaccofreeutah.orgwww.health.utah.govTo view a copy of the Eleventh Annual Tobacco Prevention and Control report online, please go to www.tobaccofreeutah.org and click on the “FY2011 Annual Report” link or go directly to www.tobaccofreeutah.org/tpcpfy11report.pdf.