The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to reduce tobacco initiation and encourage cessation in both military and veteran populations. In its 2009 report, Combating Tobacco in Military and Veteran Populations, the authoring committee concludes that to prevent tobacco initiation and encourage cessation, both DoD and VA should implement comprehensive tobacco-control programs.
Tobacco use is the single most preventable cause of death & disease. Implementing comprehensive tobacco control programs (TCP) produces substantial reductions in tobacco use. States should establish TCP that are comprehensive, sustainable, & accountable. This document draws upon best practicesÓ determined by analyses of State TCP. This best practicesÓ address nine components of comprehensive TCP: community programs to reduce tobacco use; chronic disease programs to reduce the burden of tobacco-related diseases; school programs; enforcement; statewide programs; cessation programs; counter-marketing; surveillance & evaluation; & administration & management.
In Public Health Practice: What Works, the leaders of LA County's Department of Public Health compile the lessons and best practices of working in a complex and evolving public health setting.
Alcohol use by young people is extremely dangerous - both to themselves and society at large. Underage alcohol use is associated with traffic fatalities, violence, unsafe sex, suicide, educational failure, and other problem behaviors that diminish the prospects of future success, as well as health risks â€" and the earlier teens start drinking, the greater the danger. Despite these serious concerns, the media continues to make drinking look attractive to youth, and it remains possible and even easy for teenagers to get access to alcohol. Why is this dangerous behavior so pervasive? What can be done to prevent it? What will work and who is responsible for making sure it happens? Reducing Underage Drinking addresses these questions and proposes a new way to combat underage alcohol use. It explores the ways in which may different individuals and groups contribute to the problem and how they can be enlisted to prevent it. Reducing Underage Drinking will serve as both a game plan and a call to arms for anyone with an investment in youth health and safety.
The Tobacco Settlement Proceeds Act, a referendum passed by Arkansans in the November 2000 election, invests Arkansas' share of the tobacco Master Settlement Agreement funds in seven health-related programs. RAND was contracted to evaluate the progress of the seven programs in fulfilling their missions, as well as the effects of the programs on smoking and other health-related outcomes. This report charts the progress of each program, including assessing progress in achieving long-range goals established by the programs in 2005, tracking the programs' process measures, and assessing performance on a set of program management integrity criteria. The report also updates trends in outcome measures developed to monitor effects of the funded programs on smoking and other health-related outcomes. Finally, it provides program-specific and across-program recommendations for future activities and funding.